Qi-sheng tang: mental illness put to test

Time: 2016-07-13

Source: China's traditional Chinese medicine

Author: wen-jun sun QuMiao

Qi-sheng tang, male, Beijing university of Chinese medicine in the third affiliated hospital chief physician, doctoral supervisor, enjoy special government allowances of the state council of experts, the fifth group of the old Chinese medicine expert academic experience inheritance work guiding teacher, the fourth batch of old Chinese medicine expert academic experience inheritance guidance teacher of Beijing, Beijing the first name of young and middle-aged Chinese medicine. He engaged in depressive disorders, anxiety disorders, cognitive dysfunction and other mental nerve disease of traditional Chinese medicine research, especially in the depression, anxiety and great achievements have been made in the study of schizophrenia and other mental illnesses.

• qi-sheng tang believes that depressive disorder is much by ferrite kidney essence deficiency, or change the day for a long time, thought is excessive, dark kidney essence, so that water can't born wood, wood loss of self-restraint, liver pathogenesis and produce. According to the characteristics of the kidney liver depression syndromes, and puts forward the treatment of "kidney qi", and gradually come to the conclusion that in view of the experience of kidney liver depression syndrome Fang Yi brain resolve depression.

, in view of the clinical manifestations of anxiety disorders, puts forward the core pathogenesis of liver fire. Treatment on liver heat spleen method, and through many years of clinical experience summed up the nerves solution, party is at imitating the Dan Zhi scattered liver heat spleen method, on the basis of flexible and add and subtract in a dilemma.

, the pathogenesis of schizophrenia with phlegm more know-how about god, and have a Yin and Yang. Seize the core mechanism "phlegm", respectively, puts forward the temperature of polyester phlegm and clear heat treatment of polyester phlegm.

Qi-sheng tang professor is engaged in the prevention and control of traditional Chinese medicine encephalopathy of more than 30 years of clinical teaching, scientific research, clinical experience, syndrome differentiation capability, using flexible, the formulas of clinical curative effect is distinct, unanimously praised by patients. The author with years, for the treatment of qi-sheng tang of academic experience a depressive disorder, this arrangement is as follows.

【 depressive disorder Kidney liver depression and kidney gas method 】

Qi-sheng tang believes that depressive disorders belong to the category of depressive illness, and epilepsy, insomnia, lily disease, such as dirty mania also to have certain contact. Treatment of depression that ancient physicians has two kinds: modern depression and the pathogenesis of depression. The connotation of the concept of the two different, should be different. Pathogenesis of depression is caused by various causes the viscera function disorder, caused by the human body and qi-blood stasis, so-called because of illness and depression. And modern depression because of the suppression of modern Yi melancholy, and lead to the emergence of some physical symptoms, the so-called disease due to depression. The latter is consistent with the characteristics of the onset of depressive disorder.

Modern of depression and anger of depression, depression, depression. Zhang jingyue cloud: "depression patients, then is big, the innocent, the more the tired, with food and clothing of the interested led, terror and grief sorrow and depression, are always affected by depression and so on.... This works is the leisurely... mind depressed... all this people, is Yang card also, elimination is evil real?" Qi-sheng tang believes that zhang jingyue described by the depression and we talk about today is closely related to depressive disorders, the disease caused by food and clothing, interests and grief sorrow, etc of modern useless, see more deficiency syndrome is given priority to, the empirical for times.

Qi-sheng tang in clinic found that many patients with depressive disorders besides, tightness in the chest, a full of modern depression, but also has, insomnia forgetful, falters, slow, tired tired, lumbar debility, loss of libido, baking hot symptoms of night sweats, so kidney liver depression syndromes are put forward. Think the disease by ferrite kidney essence deficiency, or change the day for a long time, thought is excessive, dark kidney essence, so that water can't born wood, wood self-restraint, liver depression resulting from the pathogenesis.

According to the characteristics of kidney liver depression syndromes qi-sheng tang put forward "kidney qi" treatment. Kidney, benefit kidney essence, which covers the kidney Yang and zi kidney Yin; Adjustable gas, steam of qi activity, and includes the liver resolve depression and regulate the sanjiao (triple energizer).

Qi-sheng tang in the many years of experience in diagnosis and treatment of depression, gradually come to the conclusion that the experience of kidney liver depression syndrome Fang Yi brain resolve depression, acanthopanax, radix bupleuri, gardenia, radix paeoniae alba, radix curcumae, mother-of-pearl, magnet, yam, rhizoma coptidis, licorice and other drugs.

H brain resolve depression party reuse acanthopanax kidney essence, sedative puzzle for you. Radix bupleuri Lord into liver bullishness of points, good liver qi resolve depression; Turmeric main into the liver blood, invigorate the circulation of qi; Radix paeoniae alba raise liver blood, pain, three fungicides for the minister, liver and liver and qi and blood in parallel, there are liver and qi, blood and pain. Mother of pearl yi liver Yin, flat liver latent Yang; Magnet invigorating the essence, dive Yang town, our ears bright eye, as adjuvants. Yam GanPing, quality, and the weight in the stomach, gardenia yellow, the traditional gas fire, except vexed heat, licorice to reconcile the medicine to make medicine. Combined with, severely, altogether plays kidney qi, resolve depression sedative effect.

And subtract method: mind, heart palpitations palpitation, insomnia is alongwith, reuse tuber fleeceflower stem with over 50 grams of nerves; God fatigue, shortness of breath lazy speech, spontaneous perspiration, with raw radix astragali 30 grams, atractylodes 20 grams of yiqi spleen solid table; Chest threats often abdominal distension, pain and citron 15 grams, 15 grams of bergamot liver resolve depression, facilitating and; The new full stay, belching, rou GUI and spikenard, 15 g abliflora 15 grams, 20 grams of sha ren yu amuse oneself and stomach; Insomnia, irritability, and rushes 20 grams, 20 grams of pure heart selfheal, suffered diarrhoea, except vexed hot; Rib, a full frowsty, irritability, and manic disturbed restless, red tongue moss yellow greasy, pulse string slide, as the liver and gallbladder damp and hot, add 10 grams of gentiana scabra bge, bravery nanxing 15 grams of clear liver and gallbladder damp and hot; What yi jing, heart palpitations, 30 grams, 30 grams of raw oysters and keel to calm nerves; Virtual vexed, insomnia, palpitations, little red tongue moss, what heart blood deficiency, plus 20 g of semen ziziphi spinosae (zs), 20 g cedar seed kernels with bushing Yin, benefit the liver blood, yangxin nerves.

【 anxiety disorders Change the fire and the method of liver heat spleen 】

Anxiety disorder is a kind of worry, fear, irritability, as the main clinical manifestations of disease. Qi-sheng tang through intensive reading classic found that what is said in the ancient physicians depressive illness, and fright, low Die with anxiety disorders are common today, especially Wang Qingren proposed lanterns disease, its clinical manifestation and anxiety is consistent, for clinical reference.

"Cure a wood correction" cloud: "Mao frowsty, that is, things can't carry out, is blood stasis. Common diseases with disease, but it will cause love angry, is blood and blood stasis. Irritable, always peace, sick irritable, is blood stasis. Heart is hot, a cold, so named lantern, there is blood stasis. Night disturbing, will lie is up, sit not nasty, and want to sleep, night WuNing moment." Describes the mental symptoms of anxiety and includes multiple systems of somatic anxiety symptoms. Its theory is blood stasis, but its pathogenesis is diseases with more ease, and heat, qi and blood stasis caused by, its also used therapeutic treatment, the party in addition to the peach siwu decoction, share with si-ni-san liver resolve depression, is put to its pathogenesis.

Qi-sheng tang according to the above, therefore, the clinical manifestations of anxiety disorders, puts forward the core pathogenesis of liver fire, think the disease by taking thought, sad the spleen, heart blood deficiency, can not restrict and soft the Yang of heart, and I wish, you can not, so that diseases with stasis, and hot, the person that weigh and son, mother disease characterized by heart the fire, so see clinically, think more about was restless, irritability, insomnia, much dream of disease. Method of treatment on liver heat, spleen, liver, solution of liver depression; Clear heat, qing yu of heat; See the spleen, liver disease, liver and spleen, ohlendorf spleen, is in before the change, can have the effect of rehabilitation and prevention at the same time.

Qi-sheng tang through many years clinical experience summed up the nerves solution, party is at imitating the Dan Zhi scattered liver heat spleen method, on the basis of flexible and add and subtract in a dilemma. All parties is mainly composed of radix bupleuri, radix curcumae, angelica, radix paeoniae alba, cortex moutan, gardenia, yam, atractylodes, acanthopanax, main licorice, etc. The whole party with radix bupleuri, radix curcumae liver resolve depression for jun, cortex moutan, gardenia heat except vexed for princes, yam, atractylodes, invigorating qi and nourishing Yin, angelica, radix paeoniae alba embellish blood nourishing the liver and liver urgency, acanthopanax zi water culvert nerves for wood and kidney, for adjuvant, main licorice to reconcile the medicine, altogether plays liver heat spleen.

Qi-sheng tang liver and gallbladder damp and hot is also proposed in the role of anxiety disorders pathogenesis evolution, he thinks that suffered the most easy and phlegmy wet the evil agglutination in the body, such as oil into the surface, was tight, in the patients with anxiety disorders, liver and gallbladder damp heat syndromes, especially common for hot, cold wet, dry wet helped hot, humid indicates lag, the sanjiao (triple energizer) is poor person, the depressive issuing Chou. Treatment often with DanXing with bile grass for medicine, clear heat to dry and wet, with sweet, bitter orange, amomum fruit, radix linderae dredging of the sanjiao (triple energizer) qi activity, ensure the evil was out on the road.

Qi-sheng tang also puts forward the importance of heart the fire in anxiety disorders pathogenesis, mother to liver disease and the son, is often heart disease, something disturbing, is besides irritability, tightness in the chest, a full, see more uneasy, insomnia, much dream heart KangCheng symptoms, and when the mother stagnation. He common selfheal, bulrush, a liver purging fire, the in the mind except vexed, make heat evil from childhood, often achieve good curative effect.

【 schizophrenia Obsessed with the phlegm god and temperature, heat polyester phlegm method 】

Schizophrenia is a kind of with delusions, hallucinations, inattention, irritability, etc as the main clinical manifestations of mental illness. Schizophrenia is more common in young people, young people often do not typical, sometimes easily confused with depression or personality disorder, etc. The negative symptoms of schizophrenia, Chinese medicine called epilepsy; The positive symptoms, Chinese medicine called mania.

Qi-sheng tang found on many years of clinical practice, the pathogenesis of schizophrenia with phlegm more know-how about god, and have a Yin and Yang. Epilepsy designed by Lord nitrogen ease, blinds the mind, as listed in the madness of the bian "addicted to dote of epilepsy, the concerned within, blinded judgment", concerned factor of influence of qi activity, and down stasis, fluid stop for storage phlegm, sputum for yinxu, nitrogen knot together, lost in understanding, close your patrons, are heavily depression and epilepsy. While mania for phlegm fire wenjie, the one on the liver phlegm heat in heart, mind confusion for crazy, clinical performance for high spirits, mania has just suddenly and violently, noise restless, destroy content to abuse, and clinical features such as more than anger.

On the treatment of schizophrenia, qi-sheng tang from the thinking of phlegm treatment are put forward. He seized the core mechanism "phlegm", respectively, puts forward the temperature of polyester phlegm and clear heat polyester phlegm treatment ideas. But in the treatment of phlegm, distinguish the order, for epilepsy of nitrogen within, not to use the method of tonifying qi phlegm, that phlegm evil block the viscera and channels, aggravating illness. For crazy phlegm fire disturbance of the heart, and not with nitrate, its yellow, so that phlegm stuck by cold, condensation. And should be Daniel phlegm first, slowly to phlegm, polyester of phlegm and eliminating phlegm, with flexibility, along with the add and subtract, finally, invigorating qi and nourishing Yin and clearing over evil and work.

For hot phlegm, clinical reuse bamboo shavings, qi-sheng tang qing chlorite schist in heat polyester phlegm, a pendant phlegm gas under green chlorite schist, heat liver effect, for dense phlegm cementation, cough and inverse for urgent epilepsy mad fidgety bosom is frowsty, epilepsy disease often have surprise effect, so the viewpoints are chlorite schist rolling phlegm pill, specializes in all kinds of mental disorder caused by dense phlegm. For patients with long-term use of antipsychotic drugs, he often compatibility plaster stone, with most of these drugs is hot and dry, gypsum XinHan, can reduce its side effects. He often used for cold phlegm, dried ginger, dried tangerine or orange peel, pinellia tuber, and cooperate with pepper a blunt, phlegm role to increase its temperature. He also division effect Zhang Xichun oscillation of phlegm decoction, reuse of ocher, with its heavy weights, will lead phlegm, saliva or phlegm fire to clear, the god of blind orifices and spirit always. Clinical achieved good curative effect.

【 for 】 proven case

Tong an, female, 45 years old. On June 10, 2005 to begin.

Chief complaint: felt warm with fidgety 8 months, aggravating for two weeks.

Hpi: patients in the eight months ago because of the quarrel with your neighbors, felt warm, be agitated, afraid of cold, like clothing, occasionally flustered, sweat out, had a hospital treatment, six months ago to check blood, urine, and normal and abnormal electrocardiogram (ecg) did not see, diagnosed with anxiety, taking Laura treatment 2 weeks, drug withdrawal symptoms improve slightly, but not completely better. Found in nearly 2 weeks, due to the transfer of modern, appear afore-mentioned symptoms worsen, and insomnia, frequent urination. XianZheng: fever, chills, or add clothing, upset, fidgeting, flustered, shortness of breath, sweating, with evident in the afternoon, when he was nervous, body emaciated, dim complexion, forgetful, thinking not to get together, insomnia, much dream, heave a deep sigh, rib pain, nervous, timid suspicious, dry mouth not to drink, food not xin, urinary frequency. In order to further make a diagnosis and give treatment to diagnosis. Check: spirit is poorer, expression of anxiety, dim complexion, temperature is 36.5 ℃, the blood pressure is 110/70 MMHG, heart rate 69 / cent, law of qi, the dark red tongue, less moss, pulse string shibuya. Self-evaluation of anxiety scale (SAS) : 52 points, Hamilton anxiety scale (HAMA) : 20 points.

TCM diagnosis: lantern disease.

Western medicine diagnosis: anxiety.

Syndrome differentiation: diseases with ease, blood stasis resistance.

Treatment: liver and qi, promoting blood circulation to remove blood stasis.

Prescription: therapeutic tonga subtraction.

Use: radix bupleuri 15 grams, gardenia 12 grams, 10 grams of radix paeoniae alba, radix rehmanniae 10 grams, red paeony root, 10 g, hovenia dulcis 10 grams, licorice root 6 grams, 50 grams, tuber fleeceflower stem pearl powder 0.6 g (impact), peach kernel 6 grams, 15 grams of selfheal, acanthopanax 50 grams, 30 grams of salvia miltiorrhiza, bulrush 15 grams, 15 grams, atractylodes poria cocos 20 grams, 7 agent, water decoction, daily 1 agent, sooner or later points.

Diagnosis: 2 patients had fever and anxiety consciously, spirit, still occasionally flustered, upset, much dream, loss of appetite. Above will add Fried jujube kernel 20 grams, grass Chloe ren 10 grams, rhizoma coptidis 5 grams. Continue taking 1 week.

Three diagnosis: conscious patients with symptoms such as fever, upset, much dream, but felt tired weakness, will above to orange, citron, bergamot 15 grams each. After 1 week, fever, symptoms of anxiety and associated with the disease have been improved.

Press: Wang Qingren recorded "lantern disease" is a manifestation of anxiety. Qi-sheng tang caught the disease diseases with ease, a core and pathogenesis of blood stasis resistance, flexible compatibility to tranquilize, spleen and stomach, has obtained the good curative effect. The clinical application of therapeutic treatment of anxiety disorders, circular machine, along with the add and subtract, depression in the spleen, activate blood, on the basis of appropriate with tranquilize, clear heat except vexed, xuan lung qi, spleen and stomach, kidney and nourishing the liver and other methods, in order to improve the clinical curative effect.