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1、北京中醫(yī)藥大學(xué)碩士學(xué)位論文忘憂安神湯治療抑郁癥的療效和癥候改善特點(diǎn)的臨床觀察姓名：季菲申請學(xué)位級別：碩士專業(yè)：中醫(yī)內(nèi)科臨床指導(dǎo)教師：鄒憶懷20040501蘭苧塑苧!ABSTRACTDepressionakindofdiseasethatischaracterizedbypersistentandscriousdepressedmood，belongstoaffectivedisordersItsincidencerateisrising

2、withthedevelopmentofsocietyandthechangeofthelifestyleIthasbecomeoneofthemaindiseasesthatharmthehumanphysicalandmentalhealthTheinvestigationofmodemmedicinehasprovedthatthereasonsandthepathogenesisofthediseaseareSOcomplext

3、hattheyarerelatedtomultiplefactorssuchasbiologypsychologyandsocietyManyproblemsaboutitarestillunknownSyntheticantidepressantsthatarecommonlyusedinmodemclinicaltreatmentaresurelyusefulbuttheyalsohavesomeflawsincludingnume

4、rousilleffectsandfrequentrelapseInrecentyearsmanyresearchersbegintopaymoreattentiontothosenaturalmedicines，includingTraditionalChineseMedicine(TCM)DepressionisdescribedasakindofgloomysyndromeinTCMTraditionalChineseMedici

5、nehasknownitforalongtimeandhasacompletetheoreticalsystemandalOtoftherapyexperiencesaboutitTCMhassomeadvantagesandpotentialitiesinthetreatmentofdepressionSoitsverynecessarytofindouttheclinicaleffectandcharacterofTCMtreatm

6、ent，includingtheeffectivetimeandchangesofthesymptomofTCMSummarizingandevaluatingtheclinicalresearchwithscientificmethodinordertoguidetheclinicaluseandfurtherstudyofTCMtreatmentismeaningfulThisresearchisdoneforthereasonsa

7、boveTwentydepressionpatientsaredividedInto2groupsinrandominthisstudy10inChinesedruggroup10inwesternmedicinegroupThefirstgroupistreatedbyWangyouAnshenTang(WATforshort)，theothergroupistreatedbyDailixinThetreatmentlastsfor4

8、weeksThediagnosiscriteriaaredefinedaccordingtoCCMD一3criteriafordepressionandthediagnosiscriteriaaboutstagnationofliverqianddeficiencyofthespleenofthedepressedcycleofBipolardepressionestablishedbyChineseAssociationofInteg

9、ratedTraditionalandWesternMedicinein1991TheacceptedcriteriaaredefinedbyreferringtoHAMD17Inpretreatmentandeachweekinposttreatment，thetwogroupsareassessedbyHAMDinordertOgettheeffectandeffectivetimeofthetreatment，andevaluat

10、echangesofsymptomsofTCM，thelevelofT3，T4，TSH，and3groupsofsymptomsofdepressionthatarecalledgroupofmaincharactermentalandphysicalTheclinicalresearchshowsinWATgroup2ishealed，4haveobviouse腩ct3areeffectiveand1isuselessTheeffec

11、tiverateis90％4arehealed，3haveobviouseffect3areeffectiveand0isuselessinDailixingroupneeffectiverateis100％TheresultofHAMDshows，thetotalscoresofbothgroupsareremarkablelowerthanthatofpretreatmentafter1weekoftreatmentThereisn

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