杨会志，徐吉良，沈智理，周　震，毛　欣（岳阳市中医院，湖南岳阳414000）



慢性前列腺炎伴抑郁症的中医证候特征研究

杨会志，徐吉良，沈智理，周震，毛欣
（岳阳市中医院，湖南岳阳414000）

〔摘要〕目的探讨慢性前列腺炎伴抑郁症的中医证候分布特点。方法选取符合病例诊断标准的110例患者进行临床证候调查，根据其临床表现，结合中医证候诊断标准，辨证分析确定其证型；将数据进行统计学处理，分析研究对象各中医证型、证候要素分布的特点。结果110例患者共计12种证候，包含病位类证素6个，病性类证素11个。实性证候要素中以肝郁、气滞为基本要素，虚性证候要素中以肾虚、脾虚为主，各证候要素按出现频率高低依次为：肝郁＞气滞＞湿热＞肾虚＞痰湿＞脾虚＞血瘀＞心虚＞气虚＞阴虚＞阳虚。结论慢性前列腺炎伴抑郁症患者中医证候分布具有一定特征性,早期多以实证为主，后期为虚实夹杂证，肾虚肝郁、痰湿瘀阻是其基本病机，为指导临床辨证论治提供了一定的理论依据。

〔关键词〕慢性前列腺炎；抑郁症；中医证候；证素

Characteristics of TCM Syndromes on Chronic Prostatitis Patients with Depression

YANG Huizhi, XU Jiliang, SHEN Zhili, ZHOU Zhen, MAO Xin
（Yueyang TCM Hospital, Yueyang, Hunan 414000, China）

〔Abstract〕Objective To explore the distribution characteristics of TCM syndromes of chronic prostatitis patients with depression. Methods 110 cases of patients conformcases diagnosis standard were conducted clinical syndrome investigation, And the syndrome types were dialectical analyzed according to the patients with clinical manifestations, combined with the inclusion criteria of the standard syndromes; The data were with statistical processing and the research object of each type of syndrome and syndrome elements distribution characteristics were analyzed. Results A total of 110 patients in the 12 kinds of syndromes, containing 6 disease syndrome factors, 11 disease types of syndrome factor Solid syndrome elements in liver depression and qi stagnation as the basic syndrome elements, virtual syndrome elements is given priority to with kidney empty. Excess syndrome elements of the stagnation of liver qi stagnation syndrome elements, virtual syndrome elements to kidney deficiency, spleen deficiency factor mainly, the syndromes according to their frequency of occurrence as follows: liver depression >Qi stagnation >dampness heat > kidney empty > phlegm > spleen empty > blood stasis > guilty > Qi deficiency>Yin deficiency>Yang Deficiency. Conclusion The TCM syndromes distribution of chronic prostatitis patients with depression have certain characteristics, early empirically based, late sthenia syndrome. Kidney deficiency and liver Qi stagnation, phlegm stasis were the basic pathogenesis, and provide a clinical basis for guiding the clinical dialectical theory.

〔Keywords〕chronic prostatitis; depression; TCM Syndromes; syndrome factor

慢性前列腺炎是中青年男性的常见病、多发病，且慢性前列腺炎反复发作，迁延不愈常常伴随有抑郁症，因患病个体的体质不同，因而表现于个体的症状特征不同，病因病机及证候也有差异。随着科学的发展，对疾病认识的逐渐深入，发现慢性前列腺炎合并抑郁症发病率逐渐增高，因此，慢性前列腺炎合并抑郁症成为困扰许多男性身心健康的重要问题，研究其证候特征对更有效地治疗慢性前列腺炎合并抑郁症，具有重要的临床意义。