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近年来我们应用中西医结合疗法治疗抑郁状态36例,与对照组24例进行比较取得较好的治疗效果,现报道如下。 1.临床资料 60例中男18例,女42例,年龄最大61岁,最小18岁。病程最长3年,最短3个月,均使用美国Hamilton抑郁量表测定,总分在20分以上。随机分中西医结合组36例,对照组24例用西药治疗。 治疗方法 中医辨证施治,(1)肝气郁结型:抑郁不欢,寡言少语,胸闷胁胀,寐不安神。治则:疏肝理气,解郁安神。方用四逆散加减:柴胡15g,赤芍15g,枳实15g,郁金15g,佛手5g,远志12g,青皮10g,茯苓15g,甘草10g;(2)肝郁滞脾型:心境低落,寐少梦多,脘腹胀闷,纳呆便溏。治则:疏肝解郁,健脾宁神。方用柴胡疏肝饮加减:柴胡15g,川芎10g,赤芍15g,香附15g,郁金15g,菖
In recent years, we use the combination of traditional Chinese and Western medicine treatment of depression in 36 cases, compared with the control group of 24 patients to obtain better treatment, are reported below. 1. Clinical data 60 cases of male 18 cases, 42 females, the oldest 61 years old, the youngest 18 years old. Duration of up to 3 years, the shortest 3 months, were measured using the Hamilton depression scale, with a total score of 20 points or more. 36 cases were randomly divided into Chinese and Western medicine group and 24 cases in control group were treated with western medicine. Treatment of traditional Chinese medicine syndrome differentiation, (1) liver qi stagnation type: depression discord, reticent whisper, chest tightness, swelling, sleepless restless God. Governance: Shugan Qi, Jieyu soothe the nerves. Side with Sini Powder Addition and subtraction: Radix Bupleurum 15g, red peony root 15g, citrus aurantium 15g, turmeric 15g, bergamot 5g, Polygalaceae 12g, green skin 10g, Poria 15g, licorice 10g; , Sleep less dreams, abdominal distension nausea, nausea and stool. Governance: Liver Jieyu, spleen and God. Side with Chaihu Shugan drink Modified: Bupleurum 15g, Chuanxiong 10g, red peony 15g, incense attached 15g, turmeric 15g, calamus