I don't know when depression has become a global disease, and the number of patients with depression is increasing every year, which may even lead to suicide. Everyone should always pay attention. Besides western medicine, what remedies does Chinese medicine have for depression? Today, we will introduce the methods of treating depression in traditional Chinese medicine, and let you know the most commonly used prescriptions of treating depression in traditional Chinese medicine.
The most commonly used classic prescription of Chinese medicine for depression 1 Many people believe in Chinese medicine, so what kind of research does Chinese medicine have on depression? What method can Chinese medicine treat depression?
Depression is mainly manifested as obvious and persistent depression, decreased interest, slow thinking, pessimism and despair, lack of initiative, self-blame, poor diet, sleep disorder, doubt and worry, often accompanied by various physical discomfort that is inconsistent with objective examination, and even suicidal thoughts and behaviors may occur in severe cases.
Depression belongs to the category of depression syndrome in traditional Chinese medicine. Depression syndrome is caused by depression and qi stagnation, and its main clinical manifestations are depression, restlessness, chest tightness, or irritability and easy to cry. Depression originated from Huangdi Neijing, a classic medical work more than 2000 years ago, which attributed a series of changes in human viscera, meridians, qi and blood, body fluid, diet and so on caused by emotional disorder to depression, and believed that emotional factors were an important reason for human qi disorder. The so-called "worry, gas resistance and can not do." The pathogenesis of depression is qi stagnation, and the stagnation of liver qi is the core of qi stagnation, so there is a saying that "treating depression first cures qi, and regulating qi must treat liver first". In the five elements of traditional Chinese medicine, the liver belongs to wood, so there is a famous treatment method of "stagnation of wood leads to stagnation" in Huangdi Neijing, which has strong clinical guiding significance and is often used by later doctors in the treatment of depression.
What are the characteristics of traditional Chinese medicine in treating depression?
Chinese medicine has its own unique advantages in treating depression. They unify symptoms and causes, analyze the relationship between pathological changes and symptoms from multiple angles, and understand the nature of the disease as a whole, so as to treat depression.
For example, Chinese medicine believes that the liver governs the storage of blood and the liver governs the drainage, while "women regard the liver as the sky, and women are sentimental and frustrated." Coupled with women's unique childbirth, abortion, menstrual disorders and so on. It is easy to cause deficiency of qi and blood, leading to brain nutrient loss, depression symptoms such as low mood and slow thinking. Based on the physiological function of the liver and the characteristics of women, Chinese medicine summarizes the treatment methods of soothing the liver, nourishing blood and regulating menstruation, which has important guiding significance and practical value for treating female depression. Adolescence and old age are the high incidence ages of depression, among which adolescence is the transition period from children to adults, and the overall physical adjustment and unstable psychological quality, coupled with the pressure of study and employment, are prone to excessive anxiety and qi stagnation, leading to depression; However, due to the increase of age, the elderly gradually lost their liver and kidney, and many physiological mechanisms declined. " Deficiency of essence and blood, lack of nutrition in brain and mind, and psychological loss are easy to form depression.
In a word, comprehensive analysis and syndrome differentiation can not only improve the physical symptoms of patients with depression, but also adjust their physique. Compared with western medicine, this treatment method has outstanding characteristics and obvious advantages.
Treatment of depression with traditional Chinese medicine
The most commonly used prescriptions for treating depression in traditional Chinese medicine are as follows.
1, Lily Dihuang Decoction
Lily, rehmannia.
2. West Nissan
Bupleurum, Fructus Aurantii Immaturus, Paeonia lactiflora, Glycyrrhrizae Radix.
3, Ganmai jujube soup
Licorice, wheat, jujube.
4. Yueju Pill
Rhizoma Cyperi, Rhizoma Atractylodis, Rhizoma Chuanxiong, Fructus Gardeniae, Massa Medicata Fermentata.
5. Xiaoyao San
Radix Bupleuri, Radix Paeoniae, Radix Angelicae Sinensis, Poria, Atractylodis Rhizoma, Radix Glycyrrhizae and Herba Menthae.
6. Chaihu Shugan Powder
Rhizoma Cyperi, Rhizoma Chuanxiong, Radix Bupleuri, Fructus Aurantii, Pericarpium Citri Tangerinae, Radix Paeoniae and Radix Glycyrrhizae.
7. Banxia Houpu Decoction
Pinellia ternata, Magnolia Officinalis, Poria, Ginger, Perilla Leaves.
8. Xiaochaihu decoction
Radix Bupleuri, Scutellariae Radix, Rhizoma Pinelliae, Ginseng Radix, Glycyrrhrizae Radix, Rhizoma Zingiberis Recens and Fructus Jujubae.
9. Danzhi Xiaoyao Powder
Radix Paeoniae Alba, Radix Angelicae Sinensis, Radix Bupleuri, Poria, Atractylodis Rhizoma, Glycyrrhrizae Radix, Fructus Gardeniae and Cortex Moutan.
10, Chaihu plus Gulong oyster soup
Radix Bupleuri, Scutellariae Radix, Rhizoma Pinelliae, Ginseng Radix, Rhizoma Zingiberis Recens, Ramulus Cinnamomi, Poria, Radix et Rhizoma Rhei, Os Draconis, Concha Ostreae and Fructus Jujubae.
Other commonly used antidepressants include Wendan Decoction, Jieyu Decoction, Jinlingzi Powder, Liuyu Decoction, Chaihu Guizhi Ganjiang Decoction, Gan Ping Decoction, Tuiqisan Decoction, Jiang Qi Decoction, Wushen Decoction, Qiqiwan, Xuefu Zhuyu Decoction, Guan Yi Decoction, Guipi Decoction, Xin Ping Forget Worry Decoction, etc.
Traditional Chinese medicine treatment emphasizes syndrome differentiation. In the clinical treatment of depression, it is necessary to distinguish the location of the disease, the nature of the disease and the excess and deficiency, so as to be comprehensive and accurate. The occurrence of depression is closely related to the physiological dysfunction of the five internal organs, and the five elements are mutually generated. Depression in any one zang-fu organ can affect other zang-fu organs, causing depression, while depression in other zang-fu organs is mutually tiring and sandwiched. The most common diseases are liver depression and spleen deficiency, heart and spleen deficiency, heart and lung yin deficiency, liver and kidney yin deficiency and so on. Qi stagnation syndrome is more common, especially in liver, spleen and lung; Phlegm and blood stasis is either excess or deficiency, which is more common in spleen and lung; Blood stasis, mixed with excess and deficiency, is more common in liver and kidney; Deficiency of both qi and blood is common in heart, liver and spleen; Yin deficiency and blood deficiency are more common in liver and kidney.
Traditional Chinese medicine adopts the method of syndrome differentiation and treatment
For example, spleen and kidney yang deficiency should be warmed to tonify spleen and kidney, heart and spleen deficiency should strengthen spleen and nourish heart, and liver deficiency and qi stagnation should warm gallbladder and nourish liver.
1, deficiency of spleen and kidney yang
The treatment should be warming kidney and spleen, mainly nourishing liver and relieving depression. On the basis of emotional depression and other symptoms, there are symptoms such as lying down and moving less, panic and suspicion, remorse and self-blame, and even suicidal thoughts or behaviors, emaciation and fatigue, abdominal distension and loose stool, light and fat tongue, teeth marks on the edge, white or slippery fur, heavy and thin pulse, or slippery string.
2. Deficiency of both heart and spleen
It is advisable to strengthen the spleen and nourish the heart, mainly by regulating qi and relieving depression. On the basis of emotional depression and other symptoms, palpitation, insomnia, forgetfulness, slow conscious thinking, decreased work or study efficiency, self-blame and hypochondriac tendency, negative silence, fatigue, abdominal distension, loose stool, or dry mouth, pale tongue with white fur, or teeth marks on the edge, and thin or slow pulse.
3. Liver deficiency and qi stagnation
Treatment should be based on warming gallbladder and nourishing liver, regulating qi and relieving depression. It is characterized by depression, pessimism, disappointment, anxiety, indifference, woebegone and reticence. Its emotional changes are characterized by light day and night (such as depression during the day, slow or excited at night, or even a different person), which may be accompanied by discomfort or fullness on both sides, insomnia and dreaminess, fatigue, anorexia, thin and white tongue coating, thin pulse, or imaginary string.
Treating depression is a protracted war. Need a warm and harmonious family environment, and family and friends should actively cooperate. In addition, drug conditioning is essential, TCM conditioning effect is remarkable, and it does little harm to the body. Therefore, the treatment of depression with traditional Chinese medicine is more and more accepted by people.
Chinese medicine reminder
In daily life, everyone can take part in some sports that they can do every day, such as skipping rope, walking and running. Among them, skipping rope can increase the coordination of human body, effectively strengthen vestibular function, produce good psychological feelings and improve self-confidence; If you take a walk, you can try to choose a beautiful and quiet place to take a walk, because such an environment can not only improve cardiopulmonary function and oxygen uptake, but also make people feel happy; Running, because research has proved that when people run, the brain will secrete a lot of endorphins, also called happy hormones or young hormones, which can make people feel happy, happy and satisfied, and help people relieve stress and depression.
Conclusion: The above are some prescriptions of Chinese medicine for treating depression. Through the above introduction, I believe everyone has their own understanding of treating depression with traditional Chinese medicine. You can refer to the' method' in the article to treat depression and let everyone know the power of Chinese medicine in treating depression.
The most commonly used classic prescription for treating depression in TCM is 2 1. This prescription is based on Xiaochaihu decoction. Indications of Xiaochaihu Decoction: Article 96: "Stroke on May 6th, due to typhoid fever, wind-cold fever, fullness in chest and hypochondrium, anorexia, vexation and vomiting, or chest tightness without vomiting, or thirst, or abdominal pain, or hypochondriac palpitation, dysuria, or thirst, slight fever, or cough", 6438+08.
2. In addition to Xiaochaihu decoction (excluding roasted licorice), this recipe also uses rhubarb, which can be regarded as Dachaihu decoction syndrome from another angle. Article 103: "Sun disease ... Bupleurum syndrome still exists, so use Bupleurum chinense first. Vomiting, anxiety, and slight annoyance are not solved. The more you use Dachaihu decoction, the more you get. " Article 136: "For more than ten days, if typhoid fever accumulates in the stomach, it will be treated with Dachaihu Decoction." It can be seen that Dachaihu decoction is a solution for both Shaoyang and Shanghai Stock Exchange.
Radix Paeoniae Alba is added to Dachaihu Decoction for "anxiety". "Stomach heat" so add Fructus Aurantii Immaturus and rhubarb. Now it's not all the evidence of Dachaihutang, but it's not very correct, so you don't need to make immature bitter orange, and Paeonia lactiflora is not suitable for "full chest" (as mentioned above), but it's gone, only rhubarb is left. There are many indications for rhubarb, one of which is "removing heat". Patients with depression often show facial fever and chest irritability, and the development of irritability can be extended to madness and delirium, which is also the indication of rhubarb. Linggan Wuwei plus Jiangxin Ren Xia Dahuang Decoction in Synopsis of the Golden Chamber and Treatment of Phlegm and Cough Based on Syndrome Differentiation: "If the face is hot and drunk, the stomach heat will make the face yellow to benefit it." As evidence.
In Treatise on Febrile Diseases, the symptoms of heat-induced bladder stagnation, heat entering blood chamber and hematocele are all "madness" and "like madness", and the madness of Yangming's fu-organs also uses rhubarb, so the method of promoting blood circulation and removing blood stasis can be considered for manic psychosis. In 1970s, Jiang Chunhua and Xu Shenghan gradually screened drugs for promoting blood circulation and removing blood stasis, and simplified their taste, and formulated Daying Decoction (60g of Rhizoma Curcumae, 60g of Rhizoma Sparganii, 30g of Radix Paeoniae Rubra and 30g of Radix et Rhizoma Rhei) to treat 44 cases of periodic psychosis, with 40 cases (90.9%) effective and 4 cases ineffective. I have used it in clinic, and it is quite ideal, and it is not limited to periodic psychosis.
3. Poria cocos and Cinnamomum cassia twig: As mentioned above, Zhongjing used Gui Ling for every "shock", "shock" and "qi upwelling", which is the meaning of this certificate.
4. The usage of dragons, mules and red lead is obviously to appease the nerves of important towns. Zhongjing Fang, such as Guizhi Gancao Gulong Oyster Soup, Guizhi Jialonggu Oyster Soup, Guizhi Qushao Jialonggu Oyster Soup, Yin Feng Soup, etc. , are used to relieve convulsions. Lead is poisonous and can be turned into a magnet. This prescription can also be regarded as Xiaochaihu decoction combined with Guizhi Shaoyao plus Shuqi Longmu Libing decoction or Guigan Longmu decoction.
The weight of this prescription is only half that of Xiaochaihu decoction, so it can be reduced after the condition is stable.
6. The syndrome of Chaihu plus Long Mu decoction still has the theory of "unfavorable urination" and "overweight rollover". "Dysuria" can be regarded as frequent urination, and nervous people are often more common. "A person's body is too heavy to turn sideways" can be regarded as a mental symptom of mental exhaustion, slow response or even stupor.
7. Sinisan is also a Bupleurum preparation. Article 3 18: "shaoyin disease, four adverse reactions, cough, trembling, dysuria, abdominal pain, or stress relief, the four adverse reactions disperse the main body." As mentioned earlier, all the symptoms of this syndrome are actually mental symptoms.
A Record of Clinical Experience of Classic Prescriptions of Famous Old Chinese Medicine —— Paeonia lactiflora and Glycyrrhiza uralensis Fisch. as Paeonia lactiflora Decoction, and Paeonia lactiflora and Fructus Aurantii Immaturus as Paeonia lactiflora Powder. Paeonia lactiflora is an important drug in treating acute pain in classical prescriptions, and it is used for all acute foot, abdomen, fatigue and abdominal pain. For example, Paeonia lactiflora (42), Xiaojianzhong Decoction (62) and Guizhi plus Paeonia lactiflora Decoction (32) all reuse Paeonia lactiflora. Xiaochaihu decoction is full of chest, and peony is added to patients with abdominal pain. "All kinds of pains in women's abdomen are mainly caused by angelica and peony", so it is called "urgent pain relief". Fang Yao, a painful diarrhea in later generations, can treat intestinal stress syndrome, chronic colitis and so on. And get the essence of Zhongjing (Radix Paeoniae Alba, Pericarpium Citri Tangerinae, Atractylodis Rhizoma, Radix Saposhnikoviae). Formerly known as Baizhu Shaoyao Powder, Zhang Jingyue quoted Liu Caochuang's prescription as "the main prescription for relieving pain and diarrhea", hence the name. Paeonia lactiflora also has a laxative effect. Article 279: "The disease of the sun is caused by drugs, so those who have pain when the stomach is full belong to Taiyin, and Guizhi plus Shaoyao decoction is the main one; Those with great pain are mainly Guizhi and Don Juan. " After Guizhi plus Paeonia lactiflora Decoction and Guizhi plus Tanghuang, Article 280 reads: "Taiyin is a disease with weak pulse, which is convenient for people to continue." If you are rhubarb peony, you should reduce it, because your stomach is weak and easy to move. "It can be proved that Paeonia lactiflora has the effect of relieving constipation, but it should be used in large quantities.
Zhishi Shaoyao Powder is another basic prescription of Paeonia lactiflora used by Zhongjing, which can treat "postpartum abdominal pain, boredom and inability to lie down" (if Radix Platycodi is added to this prescription, it is called "Pai Pu Powder", so it is called "Regulating the main body and expelling pus" later), and it has the effect of regulating qi and guiding stagnation. The combination of the three herbs and Bupleurum chinense is Sini powder, which has the functions of Bupleurum chinense as well as qi, stagnation and urgency. This is a good prescription. The Banxia Houpu decoction, which is more close to the people, is called "Jieyu Bawei Decoction". Can be used for treating depression and climacteric syndrome. And it can make people feel comfortable and improve their diet and sleep.
Mr. Huang has been a doctor for five generations, and his father, Huang Jizu, is a famous old Chinese medicine practitioner in Guangzhou, who is good at febrile diseases. Mr. Huang Lao is a famous clinical doctor. The book "Huang Jing Fang Step by Step-Jing Fang-Syndrome-related Medical Records and Methods of Asking Classic Prescriptions" contains Mr. Huang's related medical records, methods of asking classic prescriptions and clinical experience.
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