Manic depression

Manic-depressive disorder

Manic-depressive disorder, also known as cyclic psychosis, or bipolar disorder for short, is an affective disorder (afleetive disorder), also known as mood disorder (Mood disorder), is one of the most common psychiatric diseases. Mania and depression happen to be the opposite of two different groups of emotional disorders. The main clinical feature is high or low emotion, accompanied by corresponding cognitive and behavioral changes, which does not lead to personality defects. There is a clear interval between episodes, when the mental state can be completely normal. The disease is characterized by recurrent episodes, self-remission, and no residual symptoms, and a few patients can be prolonged and become a chronic process.

The prevalence of bipolar disorder in China is lower than that in western countries, and this difference may be related to the different national characteristics, social and cultural background and diagnostic criteria.

Bipolar disorder is a different disease in traditional medicine. Manic type is equivalent to "irritability" and "mania" in traditional Chinese medicine, while depressive type belongs to "depression" and "epilepsy". The depression type belongs to the category of "depression evidence" and "epilepsy evidence".

Manic and depressive disorders of the identification and treatment

(a) Specialized disease-specific formula

1. Longmai Anshen Tang is suitable for postpartum mania. Sheng long teeth 30g (first decoction), Sheng long bone 30g (first decoction), magnetite 30g (first decoction), cinnabar lg (punch), Poria 20g, Huaibai wheat 30g, baked licorice 12g, jujube 7, white peony 30g, danshen 15g. Xu Shengmei used this formula to treat 13 cases, the result is cured in 8 cases, effective in 4 cases, ineffective in 1 case.

2. The method of soothing the liver and relieving depression, activating blood circulation and removing blood stasis (Chai Hu Shuo Liver Tang and Sheng Hua Tang Plus Reduction) is suitable for premenstrual bipolar disorder. Chaihu 10g, Chuanxiong 10g, Citrus aurantium 10g, Angelica sinensis 10g, Paeonia lactiflora 10g, peach kernel 10g, safflower 6g, Xiangxuan 6g, Uljin 6g, Yanhuisuo 6g, Sanleng 6g, Curcuma longa 6g, Glycyrrhiza glabra 4g, motherwort 20g. Chen Zongguang used this formula to treat 30 cases, the results of 16 cases of recovery, 8 cases of obvious effect, 3 cases of effectiveness, 3 cases of ineffectiveness. The results were 16 cases, 8 cases with obvious effect, 3 cases with effective effect, and 3 cases with ineffective effect. Most of the cases were cured within 1-6 menstrual cycles.

3.3.relief of depression and tranquilize the spirit of the soup is applicable to the depression evidence. Chaihu 15-20g, Acacia bark 15-20g, white peony 15-30g, fried jujube nut 15-30g, schizandra 15-25g, Zhimen 10-20g, nightshade 20-30g o qi plus Xiangshu, Hovenia; disturbed heart and mind plus raw dragon, peony. Zhuang sinfeng with this prescription for the treatment of depression 138, case results in 102 cases cured, 30 cases improved, ineffective 6 cases, the total effective rate of 96%.

(B) single Chinese medicine

1. Alum This product is a sulfate mineral alum by refining and processing of aluminum potassium sulfate crystals. Alum sample consists of 55% alum and 45% withered alum, traditionally used for skin diseases, but also can treat manic psychosis. Method: Take 120g of alum, add 120g of rock sugar, 600ml of water, decoct to 200ml, each time on an empty stomach, 100~200ml.(Li Shiwen, Kang Manzhen. A flavor of Chinese medicine to get rid of stubborn diseases. Beijing: people's military medical press, 1995. 164)

2. Bitter ginseng This product is the dried root of the leguminous plant bitter ginseng, containing a variety of alkaloids, the treatment of manic psychosis, the bitter ginseng dosage began to be 9 to 12g per day, 2 to 3 times after meals, gradually increase the dosage. The dosage of bitter ginseng is 9～12g per day, and the dosage is taken after meal 2～3 times, and the dosage is increased gradually. 40 cases were treated, and the total efficiency was 82.5%. (Li Shiwen, Kang Manzhen. A flavor of Chinese medicine to get rid of stubborn diseases. Beijing: People's Military Medical Press, 1995. 314)

Research on the identification and treatment of manic-depressive disorder

Luo Zhengxin divided mania into 3 types:

Phlegm-fire internal disturbance type: equivalent to acute mania; solid-heat internal junction (internal fire blazing) type: equivalent to mild mania; fire-inflamed and injured yin type: equivalent to chronic mania.

Depression is categorized into 2 types:

Liver-qi stagnation type: equivalent to mild depression, and when the symptoms are severe, it is equivalent to acute depression; long-term depression and injury to the yin (qi and yin injuries) type: equivalent to chronic depression.

Ding Dezheng classified manic-depressive psychosis depressive state into:

Heart qi deficiency type: treated with Yiqi nourishing heart and tranquillizing the spirit soup (Astragalus, Codonopsis, Atractylodes macrocephala, Poria cloud, jujube seed, northern schizandra, roasted licorice, Yuanzhi);

Liver qi deficiency type: treated with tonifying qi and nourishing the liver soup (Astragalus, Codonopsis, Longtooth, Paeonia lactiflora, dogwood meat, Angelica sinensis, Atractylodes macrocephala, Poria, jujube seed, roasted licorice, Chaihu);

Liver-Qi Depression type: treated with Liver-Sparing and Depressing Tang (Angelica sinensis, Chaihu, Paeonia lactiflora, Yujin, Radix et Rhizoma Glycyrrhizae, Pores, Pores, Zao Ren, Radix et Rhizoma Glycyrrhizae, Succinium amanitum);

Phlegm Depression type: treated with Phlegm-Expanding and Depressing Dashen Tang (Chaihu, Radix et Rhizoma Glycyrrhizae, Yujin, Rhizoma Glycyrrhizae, Radix et Rhizoma Glycyrrhizae, Slippery Rock, Pores, Pericarpium Citriodorus, Glycyrrhiza, Polygonum multiflorum, Radix et Rhizoma Glycyrrhizae, Semen Asteracea, Piper nivalis, Gan Song, Calamus, and Succinum);

Kidney Qi deficiency type: use Kidney Nourishing, Essence Enriching, and Le Shen Tang (Radix Rehmanniae Praeparata, Astragalus, Cornu Cervi Pantotrichum, Chinese yam, Lycium Chinense, Zao Zao Ren, Cyperus Rotundus, Poria, Dragon's Tooth, and Yuan Zhi).

Wei Shanchu believes that the main link of this disease is the stagnation of liver qi, phlegm and stasis, and its treatment should be to dredge the liver and dissolve the stagnation, remove phlegm and eliminate stasis. Due to the chilling or heating of the qi stagnation to the point of alternating or intermingling of cold and heat, the treatment must be tailored to the evidence and the treatment should be carried out in a peaceful manner. The treatment of manic type is to regulate qi, soften the liver, dissolve depression, and clear phlegm and blood stasis, while the treatment of melancholic type is to dredge the liver, dissolve depression, and warm phlegm and blood stasis.