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The Research Of Relationship Between The Syndrome Of Depression And Constitution&Literature Study Of Treatment For The Type Of Liver Qi Stagnation

Posted on:2020-06-09Degree:MasterType:Thesis
Country:ChinaCandidate:R Z TanFull Text:PDF
GTID:2404330590997508Subject:Diagnostics of Chinese Medicine
Abstract/Summary:PDF Full Text Request
Objective:This article studies the literature on syndrome,constitution and treatment methods of depression in China to study common constitutions,syndromes and their relationships of depression,and explores the best treatment methods for depression of liver qi stagnation.In order to provide the basis prevent the occurrence of depression and improve the therapeutic effect of depression.Methods:For the literature on syndrome and constitution of domestic depression,this article has included the documents of CNKI,WANFANG,VIP and CBM databases since the date of database construction dated March 28,2018.The search terms are following: depression,physical fitness,qi stagnation,Qi deficiency,blood stasis,yin deficiency,yang deficiency,sputum wetness,moist heat,special sputum,peace and quality,syndrome type.The content of the literature refers to cases that have been diagnosed with depression or other depression,and have the content of syndrome or constitution;for similar documents,select the documents with complete information.Exclude documents that cannot extract available data.The extracted documents were extracted with excel,and the data was extracted according to a pre-designed data extraction table.The main contents were included: literature data,the first author,time of publication,types of depression,various syndromes of patients,and various constitutions of patients,the number of male and female patients,the total number of patients.Extract the contents by excel and statistical analysis by excel and Spss.For the domestic literature on the treatment of depression in liver qi stagnation,this article included the documents of CNKI,WANFANG,VIP,and CBM databases starting from April 28,2018,and the search terms were: Depression,Liver Depression,Qi stagnation,liver qi stagnation,treatment.The content of the literature relates to the treatment of depression in cases with liver qi stagnation.For similar documents,select the complete literature.Exclude documents that cannot extract available data.Literatures were extracted with excel,and the data was extracted according to a pre-designed data extraction table.The main contents were included: literature information,the first author,time of publication,liver qi stagnation,interventions,number of patients,patients,age,total number of patients,duration of treatment,and outcome measures.Extract the contents by excel and statistical analysis by RevMan 5.3?STATA14 and gemtc.Results:1.The results of this study showed that liver qi stagnation is the highest among depression patients,post-stroke depression,and female depression.Liver depression and spleen deficiency account for a greater proportion of elderly depression and menopausal depression.Vascular depression accounts for a large proportion;2.The qi stagnation was the highest among all depression patients,and the percentage of females in old age depression and depression was 72%.3.Qi deficiency and high spleen deficiency have high correlation,qi stagnation and liver qi stagnation and spleen deficiency,liver qi stagnation have a high correlation,and blood stasis,liver and kidney yin deficiency and heart and kidney discord,yin deficiency quality and heart and kidney non-crossing have high correlation,yang deficiency quality and liver qi stagnation and spleen deficiency,heart spleen deficiency and liver and kidney yin deficiency have high correlation,phlegm and dampness and liver stagnation and spleen deficiency.It has high correlation,special enamel and blood stasis have high correlation,There are a high correlation that ping he quality and liver qi stagnation,blood stasis,heart and kidney discord,high correlation,There is a correlation between peace and quality and liver qi stagnation.4.Meta-analysis results show,in the treatment of HAMD score reduction rate before and after treatment,acupuncture combined with TCM is superior to WM,Acupuncture combined with WM is superior to WM.The combination of scalp and needle is better than acupuncture.TCM combined with WM is superior to WM.The effect of thorn and WM is equivalent,and the effect of TCM and WM is equivalent.In terms of the reduction of HAMD score before and after treatment,acupuncture combined with TCM group is superior to WM.Acupuncture combined with WM is superior to WM.Acupuncture is superior to WM.The combination of scalp and needle is better than acupuncture.TCM combined with WM is superior to WM.WM has the same effect.Acupuncture is superior to WM in terms of the efficacy of TCM syndrome scale before and after treatment.Acupuncture is superior to WM at the evaluation of TCM syndrome scale.The head combined with body needle is better than acupuncture.Acupuncture combined with WM is equivalent to WM.The effect of TCM and WM is comparable in terms of SDS score before and after treatment.5.The results of reticular meta-analysis showed that in the treatment of HAMD score reduction rate before and after treatment,the interventions are followed by electroacupuncture combined with TCM and WM,electroacupuncture combined with WM,acupuncture combined with WM,acupuncture combined with TCM,and TCM.Acupuncture,TCM combined with WM,scalp acupuncture combined with acupuncture,acupuncture combined with twelve meridian points,acupuncture combined with acupoint application,acupuncture combined with cognition,electroacupuncture,scalp acupuncture,TCM,moxibustion combined music,acupuncture combined music,acupoint sticking combined with TCM,acupuncture,WM,body acupuncture.In the treatment of HAMD score reduction rate before and after treatment,electroacupuncture combined with TCM and WM is better,and in turn,acupuncture combined with TCM,scalp acupuncture combined with needle,scalp acupuncture,acupuncture and acupuncture,acupuncture combined with twelve wells,electroacupuncture combined with WM,TCM combined with WM,acupuncture combined with cognition,acupuncture,electroacupuncture,acupuncture combined with WM,moxibustion combined with music,WM,TCM,acupoint sticking combined with TCM,warm acupuncture,acupuncture combined music.Conclusion:In this paper,we understand the relationship between syndrome type and physical constitution,and the method of depression of liver-qi stagnation type lead to:1.In post-stroke depression and depression in women,emphasis is placed on mobilizing the liver;in elderly patients with depression and menopausal depression,the focus is on reinforcing kidney and spleen to soothe the liver;2.For patients with qi stagnation,special diarrhea quality,peace,and quality,emphasis should be placed on mobilizing the liver;for qi deficiency patients,emphasis should be placed on spleen and qi.With respect to depression and syndromes of different constitutions and syndromes,the methods of prevention and treatment adopted should have different focuses;3.Electroacupuncture combined with TCM and WM is the best in treating liver qi stagnation type depression,followed by acupuncture combined with TCM.The above conclusions will be supplemented and confirmed by clinical practice.At the same time,attention should be given to the patient's physical and psychological factors and targeted treatment.To provide preconditions and basis for individualized diagnosis and treatment,to guide the early prevention of depression and clinical prescription drugs.
Keywords/Search Tags:Depression, Syndromes, Constitution, Liver qi stagnation syndrome, Meta-analysis, Network Meta-analysis
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