5957例住院重度抑郁症患者五运六气禀赋特征
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摘要
目的从中医运气学的角度探讨重度抑郁症病人的先天运气禀赋特征,为临床治疗提供参考。方法对首都医科大学附属北京安定医院5 957例住院重度抑郁症患者出生时的五运六气特征进行统计学分析。结果重度抑郁症患者出生时的岁运、司天、在泉以及岁运-司天-在泉综合运气的分布具有一定的差异性:即岁运以太木之年人数最多,以太水之年人数最少,司天以阳明燥金人数最多,以太阴湿土人数最少,在泉以少阴君火人数最多,以太阳寒水人数最少,综合运气以少火-阳明-少阴人数最多,以少火-太阴-太阳人数最少。结论重度抑郁症患者的罹患与出生时的运气禀赋具有一定的关联性。
Objective To analyze the characteristics of five-yun and six-qi endowments in major depressive disorder in-patients,and to provide referrence for the treatment in clinic. Methods The data of 5 957 patients with major depressive disorder were analyzed. The date of fertilization was calculated from the date of birth. The statistical analysis was used to analyze the distribution of five-yun and six-qi at birth and fertilization. Results There were some differences in the distribution of Suiyun,SitianZaiquan and Suiyun-Sitian-Zaiquan in the patients of birth endowments,thatis,the patients with Taimu had higher morbidity rate than the patients with Taishui in Suiyun. The patients with Yangmingzaojin had higher morbidity rate than the patients with Taiyinshitu in Sitian. The patients with Shaoyinjunhuo had higher morbidity rate than the patients with Taiyanghanshui in Zaiquan. The patients with Shaohuo-Taiyinshitu-Taiyanghanshui had higher morbidity rate than the patients with Shaohuo-Taiyinshitu-Taiyanghanshui in comprehensive Yunqi. Conclusion There is correlation between morbidity rate of major depressive disorder and the birth Yunqi of them.
Objective To analyze the characteristics of five-yun and six-qi endowments in major depressive disorder in-patients,and to provide referrence for the treatment in clinic. Methods The data of 5 957 patients with major depressive disorder were analyzed. The date of fertilization was calculated from the date of birth. The statistical analysis was used to analyze the distribution of five-yun and six-qi at birth and fertilization. Results There were some differences in the distribution of Suiyun,SitianZaiquan and Suiyun-Sitian-Zaiquan in the patients of birth endowments,thatis,the patients with Taimu had higher morbidity rate than the patients with Taishui in Suiyun. The patients with Yangmingzaojin had higher morbidity rate than the patients with Taiyinshitu in Sitian. The patients with Shaoyinjunhuo had higher morbidity rate than the patients with Taiyanghanshui in Zaiquan. The patients with Shaohuo-Taiyinshitu-Taiyanghanshui had higher morbidity rate than the patients with Shaohuo-Taiyinshitu-Taiyanghanshui in comprehensive Yunqi. Conclusion There is correlation between morbidity rate of major depressive disorder and the birth Yunqi of them.
引文
[1]江开达.抑郁障碍防治指南[M].北京:北京大学医学出版社,2009:1-5.
[2]LAU JY,ELEY TC.The genetics of mood disorders[J].Annu Rev Clin Psychol,2010,6:313-37.
[3]HICJIE IB,ROGERS NL.Novel melatonin-based therapies:potential advances in the treatment of major depression[J].Lancet,2011,378:621-31.
[4]BUNNEY WE,BUNNEY BG.Molecular clock genes in man and lower animals:possible implications for circadian abnormalities in depression[J].Neuropsychopharmacology,2000,22:335-45.
[5]LAM RW,LEVITAN RD.Pathophysiology of seasonal affective disorder:a review[J].J Psychiatry Neurosci,2000,25:469-80.
[6]张轩,刘一玄,刘忠第,等.出生日期的运气特点与后天罹患冠心病关联性分析[J].中华中医药杂志,2015,30(5):1618-1623.
[7]张洪钧.体质概念的析定[J].国际中医中药杂志,2014,36(8):673-677.
[8]世界卫生组织.精神与行为障碍分类(10版)(ICD-10)[M].范肖冬,等,译.北京:人民卫生出版社,1993:98-100.
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[12]张洪钧,菅庆林,周冬卉,等.五运六气禀赋与2型糖尿病易患性的相关性-北京地区46 444例病例调查[J].中华中医杂志,2017,32(2):461-473.
[13]菅庆林,张洪钧,周冬卉,等.北京地区出生日期/胎孕期运气禀赋-易患疾病(群)数据库的建立[J].中华中医药杂志,2018,33(1):100-123.
[14]张轩,刘一玄,刘忠第,等.出生日期的运气特点与后天罹患冠心病关联性分析[J].中华中医药杂志,2015,30(5):1618-1623.
[15]汪德云.运气学说病理定位律的临床运用[J].山东中医学院学报,1988,12(2):34.
[16]叶正华.糖尿病肾病患者胎孕期岁运特点的临床研宄[D].北京:北京中医药大学,2012.
[17]李星,刘健.高血压病患者胎孕期运气规律探讨[J].中华中医药杂志,2011,26(10):2449-2451.
[18]袁海宁,贾竑晓,朱虹,等.“清热解郁方”合并氟西汀治疗难治性抑郁症的疗效观察[J].首都医科大学学报,2013,34(2):211-213.
[19]杨建,高莹,颜红.浅论郁证从肺论治[J].辽宁中医杂志,2014,41(10):2100-2101.
[20]韩晶杰,烟建华.从肺论治抑郁症的思路探讨[J].中华中医药杂志,2005,20(6):349-350.
[21]徐达,吴颢昕.浅析吴颢昕从肺论治抑郁症经验[J].中华中医药杂志,2018,33(1):162-164.
[22]胡随瑜,张宏耕,郑林,等.1 977例抑郁症患者中医不同证候构成比分析[J].中国医师杂志,2003,5(10):1312-1314.
[23]陈文垲,周玲,梅晓云,等.571例抑郁症中医证候学临床流行病学调查[J].浙江中医杂志.2007,42(5):262-264.
[24]曲淼,唐启盛,裴清华,等.抑郁症中医证候的聚类研究[J].吉林中医药,2007,27(11):10-12.
[2]LAU JY,ELEY TC.The genetics of mood disorders[J].Annu Rev Clin Psychol,2010,6:313-37.
[3]HICJIE IB,ROGERS NL.Novel melatonin-based therapies:potential advances in the treatment of major depression[J].Lancet,2011,378:621-31.
[4]BUNNEY WE,BUNNEY BG.Molecular clock genes in man and lower animals:possible implications for circadian abnormalities in depression[J].Neuropsychopharmacology,2000,22:335-45.
[5]LAM RW,LEVITAN RD.Pathophysiology of seasonal affective disorder:a review[J].J Psychiatry Neurosci,2000,25:469-80.
[6]张轩,刘一玄,刘忠第,等.出生日期的运气特点与后天罹患冠心病关联性分析[J].中华中医药杂志,2015,30(5):1618-1623.
[7]张洪钧.体质概念的析定[J].国际中医中药杂志,2014,36(8):673-677.
[8]世界卫生组织.精神与行为障碍分类(10版)(ICD-10)[M].范肖冬,等,译.北京:人民卫生出版社,1993:98-100.
[9]黄帝内经素问[M].北京.人民卫生出版社,2005:128-190.
[10]皱勇.五运六气入门与提高十二讲[M].北京:人民卫生出版社,2017:6-51.、[11]张洪钧,董霞,刘伟,等.五运六气禀赋与原发性高血压易患性的相关性-北京地区48 666例病例调查[J].中医杂志,2014,55(17):1475-1480.
[12]张洪钧,菅庆林,周冬卉,等.五运六气禀赋与2型糖尿病易患性的相关性-北京地区46 444例病例调查[J].中华中医杂志,2017,32(2):461-473.
[13]菅庆林,张洪钧,周冬卉,等.北京地区出生日期/胎孕期运气禀赋-易患疾病(群)数据库的建立[J].中华中医药杂志,2018,33(1):100-123.
[14]张轩,刘一玄,刘忠第,等.出生日期的运气特点与后天罹患冠心病关联性分析[J].中华中医药杂志,2015,30(5):1618-1623.
[15]汪德云.运气学说病理定位律的临床运用[J].山东中医学院学报,1988,12(2):34.
[16]叶正华.糖尿病肾病患者胎孕期岁运特点的临床研宄[D].北京:北京中医药大学,2012.
[17]李星,刘健.高血压病患者胎孕期运气规律探讨[J].中华中医药杂志,2011,26(10):2449-2451.
[18]袁海宁,贾竑晓,朱虹,等.“清热解郁方”合并氟西汀治疗难治性抑郁症的疗效观察[J].首都医科大学学报,2013,34(2):211-213.
[19]杨建,高莹,颜红.浅论郁证从肺论治[J].辽宁中医杂志,2014,41(10):2100-2101.
[20]韩晶杰,烟建华.从肺论治抑郁症的思路探讨[J].中华中医药杂志,2005,20(6):349-350.
[21]徐达,吴颢昕.浅析吴颢昕从肺论治抑郁症经验[J].中华中医药杂志,2018,33(1):162-164.
[22]胡随瑜,张宏耕,郑林,等.1 977例抑郁症患者中医不同证候构成比分析[J].中国医师杂志,2003,5(10):1312-1314.
[23]陈文垲,周玲,梅晓云,等.571例抑郁症中医证候学临床流行病学调查[J].浙江中医杂志.2007,42(5):262-264.
[24]曲淼,唐启盛,裴清华,等.抑郁症中医证候的聚类研究[J].吉林中医药,2007,27(11):10-12.