目的 鉴于抑郁症已成为降低人们生活质量的影响因素且藏医对此病有较好的疗效，研究老年人抑郁症与藏医体质的关联，为藏医开展抑郁症的诊断和科研提供参考资料。方法 采用藏医体质辨识和老年抑郁量表（GDS）检测法，纳入青海省所属9个县60岁及以上共计573名不同性别、职业的藏族老年人进行藏医体质类型分布与抑郁状态调查，并对结果进行Spearman相关系数分析。结果 在573例调查对象中，七种藏医体质中各所占的比例分别为：综合型59.5%、隆赤型9.6%、培隆型9.6%、培赤型8.65%、赤巴型4.7%、隆型4.5%、培根型3.5%；抑郁症分为正常、轻度和重度抑郁，构成比例分别为37.5%、54.8%、和7.7%。不同藏医体质的抑郁症分型差异具有统计学意义（x=31.277， P=0.002）；不同职业抑郁症分型情况具有统计学意义（x=22.907， P=0.001）。结论 YM病与藏医隆型体质存在一定的关联性，其中隆型体质为YM病的基础，三因中的隆是YM病发病的影响因素，心脏在YM病与隆之间发挥着中介作用。当存在于心脏的“遍行隆”所具有的轻和动的特性发生偏盛会引起隆性YM病；又如当索增隆和上行隆的功能紊乱时，使居于心脏的遍行隆受到影响也会引起隆性YM病；能作赤巴在遍行隆的协助下，诱发赤巴热和锐等特性时，导致赤巴紊乱产生高热而诱发热性YM病，故可将“平隆养心、安神镇静、营养脑神和活络通脉”作为YM病的预防原则，应用“隆助热亦助寒，寒热双入”的特征进行辨症施治，将藏医寒热症思想充分应用到YM病的治疗中，从而发挥藏医药辨证施治的优势，提高藏医治疗YM病的临床疗效。

Objective To provide a reference for the repositioning and scientific research of Tibetan medicine for depression, based on the study of the relationship between depression symptoms and the constitution of Tibetan medicine in the elderly, considering that depression has become an influential factor in reducing the quality of life and Tibetan medicine has a good effect on this disease.Methods The Tibetan Medicine constitution identification and the Geriatric Depression Scale (GDS) were used to test. A total of 573 Tibetan elderly people aged 60 years and above from 9 counties in Qinghai Province were included in the survey results of Tibetan Medicine constitution type distribution and depression state. Spearman correlation coefficient was performed on the results.Results Among the 573 surveyed subjects, Tibetan medical constitutions were mainly concentrated in the comprehensive type 59.5%, the rLungtri type 9.6%, the PadrLung type 9.6%, the Padtri type 8.65%, the Tripa type 4.7%, the rLung type 4.5%, and the Badken type 3.5%. The proportions of normal depression, mild depression, and severe depression were 37.5%, 54.8%, and 7.7% respectively. There was a statistically significant difference in the types of depression among different Tibetan medical constitutions (x=31.277, P=0.002). Different occupational depression types were statistically significant (x=22.907, P=0.001).Conclusion There is a certain correlation between YM disease (depression) and Tibetan medicine rLung-type constitution, in which rLung-shaped constitution is the basis of YM disease (depression), and the YM disease (depression) in the three causes of Long is the influence of YM disease onset Factors, the heart plays an intermediary role between YM disease and rLung. The pathogenesis of YM disease is that when the light and dynamic characteristics of "khyab byed rLung" existing in the heart become too high, it will cause the YM disease of YM. When the dysfunction of "srogzin rLung" and "gyen rgyu rLung" causes the ubiquitous longevity in the heart to be affected, it can also cause YM disease. When the Tripa can be assisted by the ubiquitous rLung, it will form the characteristics of Tripa such as heat and sharpness, so it will cause the disorder of Tripa, resulting in high fever and causing the febrile YM disease. Therefore, the preventive principle is to calm the heart, soothe the mind, nourish the brain, activate the collaterals and dredge the meridians, master and apply the characteristics of longevity to help heat and cold, and both cold and heat to enter, to differentiate and treat, and to combine cold symptoms and heat symptoms in Tibetan medicine. The idea is fully applied to the treatment of mental diseases dominated by YM diseases, so as to make use of the characteristic advantages of Tibetan Medicine in treatment based on syndrome differentiation, and improve the clinical diagnosis and treatment effect of Tibetan Medicine in the treatment of mental diseases.

] 藏药新药开发国家重点实验室建设项目(No.2015DQ870717)；青海省科技厅项目(2020-ZJ-776); 2018年高端创新人才千人计划项目；青海大学核心课程建设项目(ZYHX-202113)；青海大学年研究生课程建设项目(qdyk-210102)[第一作者] 党知卓玛,博士研究生,从事藏医养生与国际公共健康研究,Tel：18797396908,E-mail:dondrup@126.com[通信作者] ^*贡却坚赞,博士,教授,从事藏医养生与公共健康研,Tel:(0971)8567406,E-mail：kunchokg@126.com；