摘要
目的:探讨抑郁症常见实证肝郁气滞和肝郁痰阻证证候标准。方法:根据第1轮问卷结果设计第2轮问卷,向全国102位专家进行问卷征询,用专家咨询法进行统计分析。结果:积极系数为91.2%;专家权威程度为0.826;肝郁气滞证中均数>1.50,满分比>50%,变异系数<40%,等级和>140的证候指标4项,肝郁痰阻证中证候指标6项。结论:情绪抑郁、善叹息、胸胁、乳房或少腹胀痛和脉弦可作为肝郁气滞证的主症;情绪抑郁、表情沮丧、神思迟钝、胸胁胀闷和苔白腻、脉弦滑可作为肝郁痰阻证的主症。
AIM:To explore the common criterions of syndromes of stagnation and phlegm re tention of the hepatic- qi in depression. METHODS:Second round expert questionnaires were designed according to the res ults of the first round,and 102 experts were consulted around the country,Delphi method was used for statistical analysis. RESULTS:The active coefficient was 91.2% ; authoritative grade of experts w as 0.826.There were 4 items in the hepatic- qi stagnation syndrome and 6 items in the hepatic- qi stagnation with phlegm retention whose means were over 1.50, full mark ratios over 50% ,coefficient of variation less than 40% , rank sums of the index of syndrome over 140. CONCLUSION:The symptoms such as depression, frequent sighing,feeling distenti on and pain in the chest,breast and lower abdomen,wiriness in pulse act as the p rincipal symptoms of hepatic- qi stagnation.The symptoms such as depression,fac ial dispirited expression,slowness in thought,fullness in the chest and hypochon drium,white and greasy tongue fur,wiry and slippery of pulse act as main symptom s of hepatic- qi stagnation with phlegm retention.
出处
《中国临床康复》
CSCD
2004年第3期488-489,共2页
Chinese Journal of Clinical Rehabilitation
基金
"十五"国家科技攻关项目(2001BA701A22)~~
