Relationship between the five viscera symptoms and "depression"or "anger" / 全日本鍼灸学会雑誌

ABSTRACT

[Introduction]Patients express various symptoms that reflect their physical, mental and psychological conditions. Thus, traditional Chinese medicine (TCM) emphasizes the relationship between physical and mental states. In the clinical practice of acupuncture and moxibustion, however, many patients chiefly cite physical complaints, and are often treated without a full discussion of their mental and psychological conditions. In TCM, feelings are divided into five categoriesanger, happiness, concern, sadness, and fear. The relationship between these feelings and symptoms of disease of the five viscera is not clearly defined, so we attempted to clarify the correlations. This report describes the results of a survey on the characteristics and nature of anger and depression in terms of the five viscera.<BR>[Methods]After obtaining informed consent, 102 students from a vocational school and our university (60 men and 42 women, average age 25 ± 8) were recruited for this study. Three survey sheets were usedOriental Medicine Health Questionnaire 57 (OHQ57) for understanding the condition of the five viscera; 24 of the 34 items of the State-Trait Anger Expression Inventory (STAXI) for understanding the state of anger;and Beck Depression Inventory (BDI) for assessing depression. The survey was conducted from June to July in 2012.<BR>[Results]The average scores in OHQ57 were 5.1 ± 3.1 for kan (liver), 4.6 ± 3.2 for shin (heart), 5.2 ± 3.1 for hi (spleen), 3.8 ± 3.3for hai (lung), and 3.9 ± 2.7 for jin (kidney). The average scores in STAXI were 23.0 ± 5.1 for State of Anger, 18.8 ±.1 for Anger-Expression, 20.8 ± 3.8 for Anger-Suppression, and 18.9 ± 3.5 for Anger Control. The average score in BDI was 12.4 ± 8.0. Significant correlations were found between State of Anger and kanAnger-Expression and han/shin/hai in STAXI, and between depression and shin/hi in BDI.<BR>[Conclusion]The Suwen ("Basic Questions,"the oldest Chinese medical text) and other TCM literatures report that anger and depression are related to kan, and the results of this study confirmed the relationship between anger and kan. Based on factor analyses, scores of Anger State (intensity of anger) revealed that groups suspected of having diseases of kan tended to get angry easily and Anger-Expression (expression of anger) showed that these groups displayed both aggressive behavior and verbal assertion. On the other hand, latent factors of depression, possibly caused by diseases of kan, were not revealed in factor analyses, although depression was significantly correlated with shin and hi.