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Shu Ting Yang1 Yu-Chiang Hung2*
1Taipei City Hospital, Renai Branch Division of Chinese Medicine, Taipei,Taiwan
2Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
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Depression has high morbidity and recurrence rates in patients with cancer. Furthermore, depression may contribute to shortened survival in those diagnosed with cancer, as well as increasing the risk of developing cancer in some people.With the development of cancer treatment and surgical methods, cancer mortality decreased year by year. However, the incidence of depression remains high.Massie’s study showed that prevalence of major depression in individuals with cancer was 1%-50%; severe depression 0-38%; depression with complications was 0-58%.
The objectives of this paper were to summarize the commonly diagnosed Traditional Chinese Medicine (TCM) patterns in patients with depression .We only analyzed the top four commonly studied TCM patterns: liver qi depression, liver depression and spleen deficiency, dual deficiency of the heart, and spleen and liver depression and qi stagnation. To find out the current practice of pattern-based CHM treatment for depression. Furthermore, using the treatment of depression as an example, accumulating evidence has indicated that acupuncture combined with antidepressant medications is more effective than antidepressants alone.
Pharmacological treatment of depression, can contribute to the high chemical burden already carried by cancer patients, creating additional side effects. As aresult, patients are interested in evidence-based low pharmacologic alternatives like acupuncture or TCM for these symptoms.
Keywords： Depression with cancer, Liver qi depression, Acupuncture or TCM for Depression
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202.4 癌症患者抑郁症中医药治疗文献回顾
