Treating 30 Cases of Schizophrenia with Dahuang Decoction and Huakuang Decoction

1, research objects and methods 1, 1 research objects 30 patients with schizophrenia were all outpatients or inpatients in our hospital, which met the diagnostic criteria of schizophrenia in the third edition of China Classification and Diagnostic Criteria for Mental Disorders. Age 17 ~ 55 years, including male 18 and female 12, with a course of 6 months ~ 7 years. Before treatment, the total score of PANSS scale was ≥60; No serious heart, liver, kidney and lung diseases. TCM syndromes: fidgeting, staying up all night, even destroying things, hitting people, always being crazy, sometimes crying and shouting, always talking to myself, or sometimes naked, red eyes and red tongue, yellow and greasy fur, and rapid pulse. Methods 1 2 For the first-episode or relapsed schizophrenic patients with the above TCM syndromes, raw rhubarb 120g was decocted in water twice, 400 ml each time, and decocted for 2-3 times, and the total decoctions were about 600 ml, and each time was 300 ml (generally 65438. After taking traditional Chinese medicine, porridge or soft rice can be given, and greasy and sticky food is not suitable for eating. The rhubarb decoction can be taken for 7~ 14 days. After taking rhubarb decoction, the patient developed slight abdominal pain and diarrhea, 2~5 times a day, and began to discharge black or jam-like feces. Later, the diarrhea gradually decreased, and the stool turned pale yellow and thin, indicating that the heat toxin had gone and there was no special reaction. After that, take the chemical mineral soup, which consists of 20 grams of Codonopsis pilosula, 20 grams of fried atractylodes, 30 grams of Poria, 65,438+00 grams of prepared Pinellia ternata, 65,438+00 grams of Acorus gramineus, 65,438+00 grams of Cuscuta chinensis, 0.3 grams of prepared Radix Aconiti Lateralis Preparata and 65,438+00 grams of Glycyrrhiza uralensis, and decoct with water twice. The reduction rate of clinical cure score is over 75%, the significant progress is 50-75%, the improvement is 25-50%, and the ineffectiveness is < 25%. 2. Results 30 patients with schizophrenia completed the observation for 6 weeks. According to the reduction rate of PANSS score, after 6 weeks of treatment, clinical cure 10 cases, marked effect 12 cases, improvement in 6 cases and ineffectiveness in 2 cases. The total effective rate (clinical cure+significant progress+improvement) is 90.3%. 2 and 1 for example. When I was a sophomore, I tried to pursue a female classmate, with the pressure of study as the inducement. I gradually suffer from insomnia, fear of being blindsided, increase in language, absurdity in content, daydreaming, and confusion in thinking. Emotional moodiness, uncertainty, good at making faces, childish behavior, often excited and impulsive, appetite, hyperactivity and other instinctive behaviors, close to the opposite sex, fragmentary delusions. After the onset, her mother heard that the patient was "possessed by evil spirits" and "insane", and prayed to the goddess to cast spells and drink water. Instead of getting better, it is getting worse day by day. After that, he was sent to a mental hospital for treatment, took chlorpromazine and other treatments for 2 months, and got better and was discharged. After only one month in hospital, he refused to take medicine and dropped out of school. Three months later, his condition worsened and his symptoms were slightly lighter than before. He came to our hospital for treatment. Western medicine diagnosis: TCM syndrome differentiation of adolescent schizophrenia: disheveled clothes, unrealistic opinions, singing and laughing, glaring, red eyes, insomnia, constipation, yellow and greasy tongue coating and slippery pulse. Because the yang is too strong, the stomach and intestines are actually hot, and the dry fire is stagnant in the middle and suffers from madness. Treatment: Take raw rhubarb120g and mirabilite 30g twice a day, and discharge a lot of black feces, which is extremely unpleasant. Three days later, I gradually became conscious, relaxed and said to the doctor, "I seem to have had a nightmare, and now I am awake." After 10, take Huakuang decoction, daily 1 dose, and add or subtract 20 doses according to the syndrome. Later, I took Bai Zi Yangxin tablets, 3 tablets each time, 3 times a day. After taking it for more than three months, all the symptoms were eliminated, and then I finished high school. I haven't had an attack for three years. 3. Discuss that schizophrenia belongs to the category of madness in TCM. 30 cases in this group were treated with Dahuang decoction combined with Huakuang decoction, and achieved good results. According to the Manual of Chinese Medical Internal Medicine, Dahuang Yiwu Decoction (namely Jiangzhou Decoction) is a secret recipe for treating madness sold by Jiangzhou people. This medicine is ineffective unless you drink more, so you should take it in decoction instead of drinking tea. Doctors of all ages used rhubarb to treat madness. For example, Sheng Huifang said that madness is caused by pathogenic heat, and there is no deficiency. Use rhubarb 150g, stir-fry with wine until reddish, and decoct with five liters of wax snow water as ointment. Eat five spoonfuls each time and send them with cold water to cover up rigor and quickness, and turn disasters into peace, unless this thing doesn't work. Hong Jinding in Qing Dynasty said: "Madness has a good prescription. Only four or two raw rhubarb, eight small tooth soaps, and the last three points are the best. " Although the methods of different doctors are slightly different, the main medicine is to reuse rhubarb. Because rhubarb can clear the accumulation of phlegm and heat in gastrointestinal triple energizer, it has the effects of promoting fluid production, bitter cold and invigorating stomach, which is beneficial to the application of syndrome. Later, Hua Kuang Tang was used as a doctor's experience. Prescriptions: Codonopsis pilosula tonifies the qi of the five internal organs, Atractylodes macrocephala tonifies the spleen and stomach, tranquilizes the mind and improves intelligence, Pinellia ternata eliminates dampness and phlegm, relieves depression and regulates the stomach, although the dosage of aconite is small, it can eliminate spleen dampness and lead the heart, dodder tonify the kidney and replenish essence, Acorus gramineus can enlighten and clear heat, strengthen the stomach and stop stagnation, and regulate qi and blood to purge fire. Exactly: there is no need to eliminate phlegm and self-transform, and there is no need to purge fire. Those who suffer from mental disorder all the year round are caused by heat evil, soaked in phlegm and gas, applied to it, appropriately added and subtracted, and the effect is outstanding References: 1, edited by Zhang Jianxiu, treating psychosis with traditional Chinese medicine, Hubei People's Publishing House, 1982 2, edited by Li Qingfu and Liu Duzhou, psychiatry of traditional Chinese medicine, Tianjin Science and Technology Publishing House, 1989 3, Raymond, Chen Qing, etc. , Volume 295, People's Medical Publishing House, 65433.