ZhaoZhiFu treatment psychosomatic disease experience

Firm soft differentiation of symptoms and signs circulation system psychosomatic disease

LiJiang China's traditional Chinese medicine academy of sciences hospital gate

China's traditional Chinese medicine to

        Psychosomatic disease according to its main generation system of different and classification, the circulation system psychosomatic disease proportion of patients and the harm caused by the very big. International academic circles have reached A consensus that many psychological state and trait including anxiety, anger, type A behavior and recent research into the sleep disorders, can accelerate the heart disease development. The typical and circulation system psychosomatic disease include: primary hypertension disease, primary hypotension disease, coronary heart disease, arrhythmia, cardiac neurosis, psychogenic syncope, etc. ZhaoZhiFu combined with decades of clinical experience, with neijing "psychosomatic unity theory", the "nature and humanity theory" as the foundation, created by "for the first, and then the heart medical body" for the therapeutic principle of traditional Chinese medicine syndrome differentiation theory of firm soft, used in diagnosis and treatment of modern social new psychosomatic disease. Now will result in the share.

        Psychosomatic close and flexibility

        Circulation system of disease, coronary heart disease with cardiac neurosis is very typical psychosomatic disease, ZhaoZhiFu in diagnosis and treatment of this kind of disease, using combined with patients psychological and physical disease situation, will both change closely then make diagnosis, and then to treatment.

        To coronary heart disease, for example, which belongs to the doctor of traditional Chinese medicine obstruction of heartache a door now, with social life to people psychosomatic stress increase, the level of psychosomatic medicine through the nervous - endocrine, immune system makes the comprehensive regulation imbalance, so obstruction of heartache to the pathogenesis of not only for "no honor and pain" and "general clauses pain", we also need to pay attention to psychosomatic pathogenesis, whole below. ZhaoZhiFu think basic pathogenesis for liver and heart disorders, namely wood fire mother and child disorder. Ferrite soft hysteresis, motive easy hysteresis; The seven emotions and ultra, not drain, the stomach effort resistance, the heart pulse impeded and become obstruction. If ferrite just welding, the heart Yin yi kui, the seven emotions and ultra, drain too, etc. To spare change burn Yin, fire forced vein urgent, the heart pulse contracture, blood stasis phlegm turbidity can also block and become obstruction.

        Treatment with soft system just, by just system soft. 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, with neijing says, "with symplectic complement, with acid reducing" theory. Summarized as two classes, four type, 16 card, it is respectively: etc. On the inverse card or liver drop back, The liver fire on inflammation card is purging liver send a fire; Darling the fire card is purging liver clearing away; Darling the fire with phlegm and blood stasis are mutual "card purging liver clearing away the blood phlegm; Stomach card is soft syndrome; Stomach qi card is soothing the liver qi; Blood stasis "shugan decoction" is stomach activating blood circulation; Spleen stomach trapped card "shugan decoction" is principle spleen; Stomach phlegmy wet resistance pulmonary card "shugan decoction" is Richard lung phlegm; The soft heart Yin deficiency of liver yangxin; Liver-kidney Yin deficiency hyperactivity of liver Yang syndrome, Yin ping liver latent Yang; Liver-kidney Yin deficiency pneumatic card is nourishing liver kidney out wind; YinSun and Yang card is help Yang Yin; The spleen deficiency syndrome "shugan decoction" is the spleen stomach; Heart qi deficiency syndrome, tonifying liver yangxin; Liver and kidney Yang deficiency syndrome is zi Yang help Yin; Yang damage and Yin card is tonifying Yang help Yin. In the treatment of in principle can be divided into two aspects: internal aspects is considering natural endowment insufficient attention should be paid to improve the day after tomorrow, that is the heart and body double take good care of sb. External aspects advocate in order to adapt to the natural environment, "day cannibalism to five gas, cannibalism based on five tastes"; At the same time also to adapt to the social environment, and do, sorrow, fear and fright the seven emotions and moderate nodulation. As "classic" cloud: "method to Yin and Yang, and in operation number, food drink nodulation, daily life has often, don't jump for labor, so can form and god all degrees is years old."

        Disease certificate combined with whether firm soft

        This disease and syndrome union, have two meanings. A layer of meaning is a variety of diseases are often more than the combination of the witness; Another layer meaning refers to the psychosomatic disease and syndrome differentiation of traditional Chinese medicine combination of firm soft.

        The former in all kinds of circulatory system disease diagnosis and treatment of traditional Chinese medicine has further research. The latter disease combined with refers to through the decision the disease psychological factors impact on the disease to determine the strength of the use of firm soft differentiation of symptoms and signs or not. ZhaoZhiFu think, if the disease happened developing characteristic factor is not obvious, and the typical symptoms, it can not get bogged down in the differentiation of symptoms and signs, the viscera of general syndromes according to the eight principles may be more can hit pathogenesis. The same with coronary heart disease, for example, if patients with characteristic factors as the main reason of disease, and the personality factors significantly affect the happening of the disease development, each body symptoms to circulation system is given priority to with numerous and anxiety or depression leads to symptoms, used the firm soft differentiation of symptoms and signs for diagnosis and treatment for the. If patients have no obvious characteristic factors and pathogenesis character, typical symptoms and not with anxiety, depression, the visceral syndrome differentiation system of diagnosis and treatment, such as can be. Or meet two conditions do not show, can be integrated dialectical thinking, such as promoting blood circulation to remove blood stasis do not forget the drain of diarrhea, soft liver and nourishes Yin do not forget expectoranting turn wet.

        Psychosomatic give attention to two or morethings homology Yin and Yang

        For psychosomatic disease patients, ZhaoZhiFu favor with TCM medicine soup is given priority to, combined with firm soft differentiation of symptoms and signs based on cognitive behavior therapy to cooperate with treatment. For example for the cardiac neurosis patient because of negative sex a stimulus cause, in treatment on the basis of traditional Chinese medicine, combined with cognitive behavior therapy in order to improve the clinical effect and reduce the recurrence rate. The problems include evaluation, and find out the patients of pathogenic factor, with understanding skills to correct the thought of patients, treatment to maintain the factors of those questions, according to the theory of syndrome differentiation from liver using different method to treat just pass and soft syndrome patients, and other means. Through these intervention, achieve psychosomatic balanced function.

        Medical record

        LiuMou, female, 56. In November of 2010 to the doctor of traditional Chinese medicine psychosomatic out-patient calls. Patients heart palpitations, chest distress, short short 2 years, aggravating 2 weeks; Two weeks ago for their children trigger palpitations, chest oppressed, upset, sleep bad, I have midnight wake up with a start with shortness of breath, sweating, urine color yellow, defecate normal. Patients quick temper, red tongue, moss yellow, micro greasy, vein string fine. Once in the outer court do coronary angiography, left main coronary stenosis, 30% more than not seen obvious lesions. Psychological and social background: the patients family life condition is compatible, income generally. Patients quick temper, many times because of the worry about their children and family conflicts, appear afore-mentioned symptoms and part with anxiety symptoms, anxiety scale assessment for mild anxiety.

        Outer court diagnosis of cardiac neurosis, ZhaoZhiFu consider the psychosomatic symptoms, the doctor of traditional Chinese medicine diagnosis for palpitation, card to belong to Yin deficiency of liver flourishing. To foster the cure, soft liver and nourishes Yin.

        Prescription: radix paeoniae alba 20 grams, salvia miltiorrhiza 30 grams, Fried semen zizyphi spinosae 50 grams, cedar seed kernel 50 grams, lily 30 grams, radix polygoni multiflori rattan 30 grams, poria cocos 30 grams, Fried rhizoma atractylodis macrocephalae 10 grams, gardenia 10 grams, cortex moutan 12 grams, yuan hu 10 grams, Szechwan chinaberry 10 grams, roasted liquorice 6 grams, cinnamon 3 grams, magnet 30 grams, mother of pearl 30 grams. 7 agent, daily 1 agent, water frying, three times after meals.

        Two diagnosis in patients with better upset, above and radix scutellariae 10 grams, Three diagnosis in patients with palpitation occurrence frequency and extent declined obviously, and hence to radix paeoniae alba for 10 grams, Fried jujube benevolence to 30 grams. The defending team following suit for nearly three months, period did not arise related symptoms.

        According to traditional Chinese medicine medical treatment palpitation more from guilty timidity, two empty glove, Yin deficiency fire, sputum fire disturbance card such as heart of its emphasis from somatic symptoms on syndrome differentiation and treatment. But this basis the patients characteristic factors influence the development of disease obviously, so the syndrome differentiation can more in accordance with the characteristics of psychosomatic disease. For patients with impatient nature, Yin not system Yang, still can't system its move, differentiation of symptoms and signs for heart Yin deficiency. Treatment with the party cardiotonic bolus of Italy, it is the Lord of his own, to complement the Yin of the virtual loss; With Dan Zhi to its internal heat, Szechwan chinaberry adjustment of diarrhea, cinnamon back with harmonic taste, magnet and mother of pearl to calm the nerves, its are auxiliary medicine to cure heart don't forget for the body, the body does not forget the effect of the heart.

        In 1994, foreign scholars have Jost S through the research to the conclusion that the psychological intervention should be and quit smoking, physical exercise together as a secondary prevention of coronary heart disease. In 2006 Denollet J, etc in the American heart study published in the journal article said, type D personality to have stress symptoms in patients with coronary heart disease (CHD) five years heart disease events is expected to have very important significance. Also, type A character and coronary heart disease (CHD) correlation research results has already become the consensus of the medical profession. In recent years and others found that the pathogenesis of coronary heart disease (CHD) and depression are significant correlation. Visible psychological state and coronary heart disease is very relevant, but a 10 years of evidence-based report but tell us only to psychological therapy in patients with coronary heart disease psychological symptoms have improved, the coronary heart disease itself curative effect is not obvious, but there is a big uncertainty. Before this and many coronary heart disease and psychological relevance research contradictory results. In fact, the above research will mental and physical intervention is divided into two parts research, draw the contradictory result is possible. And the doctor of traditional Chinese medicine psychosomatic medicine will psychosomatic undertake unity, psychological and physical condition into the syndrome differentiation system, then psychosomatic pathogenesis throughout the therapeutic principle drug and health guidance, its curative effect is guaranteed, also can very good solve psychological treatment effect and physical therapy efficacy research differences this problem.

        Firm soft syndrome differentiation system, as the doctor of traditional Chinese medicine syndrome differentiation is one of the representative psychosomatic medicine program, on the one hand, the pathogenesis of coronary heart disease (CHD) will now consider the characteristics of the outcome, on the one hand, played a doctor of traditional Chinese medicine psychosomatic pathogenesis characteristic, is coronary heart disease the doctor of traditional Chinese medicine psychosomatic medicine with combined therapy of disease and syndrome of edge tool. Of course, in addition there are many other traditional Chinese medicine treatment of give attention to two or morethings psychosomatic coronary heart disease (CHD) method, we must through the more system of clinical practice, to find the best doctor of traditional Chinese medicine coronary heart disease diagnosis and treatment means, to achieve more satisfactory curative effect.