Firm soft differentiation of symptoms and signs to depression

LiuYanChen Beijing university of Chinese medicine

China's traditional Chinese medicine to

        Depression belongs to traditional Chinese medicine "depression syndrome", "hysteria", "insane card", "mei nuclear gas" category. Because more emotional whisk yu, qi stagnation not easy, and gradually cause the qi block a syndrome caused by. Chinese medical academy gate ZhaoZhiFu chief physician hospital from 2008 to 2010 treated 109 cases of patients with depression, through clinical observation, obtained good curative effect, the treatment is introduced as follows.

        Clinical data

        We collected 109 cases of patients, 36 cases of male and 73 female cases, the minimum age 15 years old, ZuiDaZhe 86 years old. Between the ages of 30 to 50 more incidence. More women than men. Among them, the heart Yin deficiency of 38 cases of patients, patients with spleen deficiency syndrome stomach 39 cases, spleen deficiency stomach in 14 cases, heart the fire in 14 cases, and stomach turn heat clamp sputum 4 cases.

        Heart Yin deficiency: governance to soft liver yangxin calm the nerves, choose paeonia lactiflora liquorice decoction and cardiotonic bolus add and subtract as the foundation square: radix paeoniae alba 10 grams, salvia miltiorrhiza 30 grams, Fried jujube kernel 30 grams, cedar seed kernel 30 grams, Chinese wolfberry 30 grams, mountain cornus 12 grams, liquorice 3 grams, tuber fleeceflower stem 30 grams, the dwarf lilyturf 20 grams, fruit of Chinese magnoliavine 10 grams.

        Spleen deficiency stomach syndrome: governance "shugan decoction" in the spleen tonifying qi, choose xiaoyao SAN add and subtract as the foundation square: radix bupleuri 12 grams, radix paeoniae alba 10 grams, fructus aurantii immaturus 12 grams, poria cocos 30 grams, Fried rhizoma atractylodis macrocephalae 20 grams, gun ginger 12 grams, 30 grams of astragalus, codonopsis pilosula 30 grams, Chinese yam 20 grams, sand kernel 6 grams, inner gold 9 grams, liquorice 3 g. Chinese goldthread 12 grams, radix scutellariae 10 grams, bamboo leaves 10 grams, chrysanthemum 12 grams, born keel 30 grams, raw oysters 30 grams.

        Darling the fire card: governance to tranquilize the mind purging liver, choose huanglian jiedu tonga reduced to foundation square: gardenia 10 grams, cortex moutan 12 grams, rhizoma coptidis 6 grams, 20 g radix scutellariae, fructus forsythiae 10 grams, chrysanthemum 10 grams, mother of pearl 30 grams, black bean sauce 10 grams.

        Stomach turn heat clamp phlegm syndrome: governance "shugan decoction" qi with phlegm, choose four inverse scattered close pinellia tuber cortex magnoliae officinalis tonga reduced to foundation square: radix bupleuri 12 grams, radix paeoniae alba 10 grams, immature bitter orange 12 grams, green tangerine peel 12 grams, sweet with 10 grams, pinellia 12 grams, cortex magnoliae officinalis 9 g, poria cocos 30 grams, Sue terrier 10 grams, 30 grams of semen raphani.

        Differentiation of symptoms and signs and use add and subtract

        Heart Yin deficiency: the clinical manifestations of the quick temper, palpitation restless, threat expansion chest distress, little mei much dream, difficulty sleeping, and two eye dry, dizzy, GanYan dry mouth, red tongue, little moss, vein string fine. Paeonia lactiflora liquorice decoction and cardiotonic bolus based party and add and subtract: bitter taste, red eyes, breath raw sores and fructus gardeniae, radix scutellariae, Dry cough without phlegm add asparagus, shashen, then dry and semen cannabis, full trichosanthes kirilowii maxim.

        Spleen deficiency stomach syndrome: the clinical symptoms of chest pain threat, good heave a deep sigh, less food's stay, abdominal distension loose stool, little gas lazy speech, the form angular, brothers don't temperature. Tongue reddish, moss white, vein string fine. Add and subtract xiaoyao SAN based party add and subtract: upset insomnia and salvia miltiorrhiza, Fried jujube benevolence; What hypochondriac pain $hu, peach kernel, Stomach cold pain and evodia rutaecarpa, galanga; Little abdominal pain and radix linderae, cumin.

        Darling the fire card: the clinical manifestations of the upset irritability, face red, red eyes, then dry urine yellow, dry mouth tastes bitter, upset insomnia, sleep difficulties, restlessness, red tongue, moss yellow, vein string number. Huanglian jiedu tonga reduced to basic party add and subtract: insomnia worse and magnet, mother of pearl; Dizzy plus rhizoma gastrodiae, uncaria; Have a headache what add antelope horn powder, rhizoma ligustici wallichii.

        Stomach phlegmy wet resistance pulmonary card: the clinical manifestations of the chest threat expansion full, palpitation upset, pharynx if any thing obstruction, spit out of the swallow not bottom, mouth spit saliva foam, good heave a deep sigh, mouth sticky dizziness, red tongue moss white greasy, vein string. Four inverse scattered close pinellia tuber cortex magnoliae officinalis tonga reduced to basic party add and subtract: upset depressed person add cortex albiziae, calamus, polygala, Sleep difficulty and fructus gardeniae, radix scutellariae, Tongue dark have ecchymosis person and peach kernel, salvia miltiorrhiza, Constipation is increasing yellow, trichosanthes kirilowii maxim.

        After treatment, 81 cases were markedly effective, 74%; Better 22 cases, accounting for 20%; Invalid 6 cases). The total effective rate 94%.

        Typical cases

        Case 1

        Named, female, 30 years old, zhoukoudian middle school mathematics teacher, on March 29, 2010 to see a doctor.

        Patients complained of a bad mood for two years, in the past two years readme depression anxiety, emotionally unstable, tall began to lose one's hair, often depressed, firmness in the head, back and waist pain, lack of power, sleep also don't recover from fatigue, dry eye, 2007 diagnosed with breast cancer, to do surgery chemotherapy, find out after uterine fibroids, red tongue, moss thin yellow, vein string, psychological background: impetuosity, easy QiJi, overworked, unmarried.

        Differentiation of symptoms and signs of heart Yin deficiency clamp with phlegm and blood stasis, with basic party to Chinese wolfberry, mountain cornus, dwarf lilyturf, fruit of Chinese magnoliavine, add lily, Fried rhizoma atractylodis macrocephalae, poria cocos, gardenia, light black bean sauce, mother-of-pearl, burnt magnet, cinnamon, white cardamom, take medicine 2 agent, appetite, sleep better, improve complexion, up to now follow-up, without recurrence.

        Case 2

        Hou so-and-so, female, 68 years old, retirees. April 29, 2010 to see a doctor.

        Patients complained of emotional sent 10 years in 2000 and started to have the depression, recently weakness, heart palpitations, chest tightness, shortness of breath, blood pressure fluctuation, dizziness, weakness, want to cry, defecate rare, can sleep, psychological background: impetuosity, try so hard angry cause, toil. Red tongue, moss yellow greasy.

        Differentiation of symptoms and signs of heart Yin deficiency clamp wet, with basic party to Chinese wolfberry, mountain cornus, dwarf lilyturf, fruit of Chinese magnoliavine, add lily, tuckahoe, fry of rhizoma atractylodis macrocephalae, sand benevolence, inner gold, yam, rhizoma alismatis, gun ginger, magnet, mother-of-pearl, rhizoma alismatis, take medicine 2 agent, food increase and sleep better, more ease symptoms, up to now follow-up, without recurrence.

        Please theory

        According to the world health organization for lifetime prealence of depression for investigation, the results showed that about 11% of people in their life have experienced a period is quite serious, need to be treated for depression. Depression is now the world's fourth largest health problems, its harmfulness and 50% big easy relapse.

        Depression should belong to the category of melancholia, names from neijing. Melancholia have broad and narrow the points. The generalized depression syndrome include characteristic, the pericardium, diet and factors of bipolar disorder. Special depression syndrome refers to the seven emotions more because of injury, while the qi stasis of the card. The main symptoms such as "JingYue encyclopedia · depression card" said: "the melancholy injury spleen and swallow acid bring evil", "if melancholy lienal lung injury and drowsiness, palpitation, burnout food less", "if the spleen qi and blood, so that the sorrow is hushed into sad days away, diet day reduced". Thus it can be seen, melancholia shown diet reduce, languid, forgetfulness, etc., and depression is consistent.

        The cases male (36 cases) and 73 cases of women, women more than men. Female to Yin, women's body with Yin Yang, as "classic" cloud: "the woman is Yang Ming jiao tone pulse failure, surface initial coke, hair beginning fall; the 673 Yang pulse failure on, surface is coke, hair beginning on white; as vein virtual, taichong vein failure less, the dragon's menstruation, tunnel impassability, so form bad without the son also." Femininity belong to Yin, and stay after jiao tone sun be the spirit virtual failure, two virtual phase, hair and for disease. So between the ages of 30 to 50 more incidence. Male for Yang, man body with Yin Yang, young when sun be the spirit enough, so depressed disease less, "man 58 kidney failure, hair fall from tooth. 68 sun be the spirit failure on coke face, hair, hair must be white. Eight etc. Failure, bar not active, dragon's menstruation, fine less, kidney failure, the form is very." And "forty years, Yin qi from half, daily life shuai yi," Yang without Yin attached, so 40 to 60 more incidence between.

        ZhaoZhiFu chief physician can use the syndrome differentiation and treatment method, liver drain too caused just certificate with soft liver method, inhibit its drain; Liver hydrophobic not diarrhea caused soft certificate, with just method with soothing the liver, enhance its drain. Namely neijing says, "with symplectic complement, diarrhea with acid. All the cases are used firm soft differentiation of symptoms and signs treatment, treatment short, quick effect, pharmaceutical rich, low price, and side effects of small advantages. In addition to the physical therapy, with psychological treatment, including drain therapy and cognitive behavior therapy. Encourage the patient say heart pain, reduce pressure. Correct distorted cognition and inappropriate way of thinking, calibration inappropriate behavior, strengthening good self-expression, adjust psychology and the behavior, adjust the diet, to participate in art activities and sports activities adjust the mood, cheerful psychosomatic, clinical effect is remarkable.