Study On Distribution Regularity Of Traditional Chinese Medicine Syndromes Of Depression With Different Diseases

Objective:Investigate and study TCM syndrome elements distribution of depression and depression with different diseases.discuss the characteristic factors of depression and depression with different diseases.provide theoretical basis for clinical understanding depression and guiding clinical treatment based on syndrome differentiation.Methods:Select Beijing university of Chinese medicine dongzhimen hospital between September 2014 and December 2014,a total of 231 patients with neurology ward, cardiology ward,endocrinology ward,the digestive department ward and neurology clinic according to the inclusion criteria. Investigating the general data.basic medical history, medical history and conplications,medication history,physical examination and mood disorder rating scale: including Hamilton depression scale (HAMD) (24),Montgomery depression rating scale (MADRS),Hamilton anxiety scale (HAMD),the factors of depression symptom scale (D-PES /12), the factors of depression symptom of TCM expert rating scale. And then the survey data was input unified database, using SPSS19.0 software frequency statistical analysis was carried out on the general information, chisquare analysis was carried out on the prominent symptom elements of traditional Chinese medicine, analysis the depression with different diseases distribution regularity of TCM symptom elements.Results:1 General data results:In 231 patients,102 cases of male,female 129 cases, mean age 64.18+/-13.59 years,and more than 34.20% under the age of 60,60-80 accounted for 57.57%,more than 80-year-old accounted for 8.23%.In patients with depression, under the age of 60 male accounted for 12.20%.female accounted for 23.16%,60-80-year-old male accounted for 34.15%,female accounted for 24.39%.above the 80-year-old male accounted for 82.44%,female accounted for 3.66%.In 231 patients,knowledge workers in 121 cases (52.4%), manual workers in 110 cases (47.6%).University education level and above in 35 cases (15.1%)junior high school education level and above in 136 cases (58.9%),primary school education level and the following in 60 cases (26%),solitary 28 cases (12.1%),not alone,203 cases (87.9%).The depressed disease group compared with disease group were not depressed,career and living situation in the group of depressed disease and not depressed disease have no obvious differences.education level are differences between the two groups, university or above education,primary school education, illiteracy of depression group are higher than those of non depressed disease group,however, junior high school and above educational level of non depressed disease group is obviously higher than that of depression disease group.2 The TCM symptom factor analysis results:In depression group without comorbid disease,liver depression, pixu (spleen deficient) is the highest rate of TCM symptom factors.The guilty occurrence rate in cardiovascular disease group is higher than that in depression group without comorbid disease,the phlegm turbidity occurrence rate in cerebro vascular disease group is higher than that in depression group without comorbid disease,the guilty occurrence rate in diabetes group is higher than that in depression group without comorbid disease.The guilty occurrence rate in depression with cardiovascular disease group and heart vascular disease group is significantly higher than that in depression disease group,the occurrence rate of guilty,phlegm turbidity and blood stasis in depression associated with cerebro vascular disease group is significantly higher than that in depression group,the yang deficiency occurrence rate in depression associated with diabetes group is significantly higher than that in depression group,the yang deficiency occurrence rate in depression group with spleen and stomach disease is higher than that in the depression group.The occurrence rate of liver depression,something,kidney empty is higher in heart vascular disease group,cerebrovascular disease group and diabetes group and the spleen and stomach disease group.Conclusion:Gender whith age,cultural level have an effect on depressionTCM syndrome factor scale accorded with clinical practice,have clinical feasibility. Be guilty of cardiovascular disease risk of depression; Be guilty,liver depression of Cerebrovascular disease risk of depression,depression associated with cerebrovascular disease have pathological characteristics of epression, phlegm, deficiency,blood stasis;Be guilty, yang deficiency of diabetes risk of depress ion; Be guilty, yang deficiency of spleen and stomach disease with greater likelihood of depression.