What are the types of depression? How to recognize and treat?

1. The main points of the identification of this syndrome should first grasp the main symptoms, identify the symptoms of the deficiency, identify the relationship between the affected organs and the six depression. The main reason for the occurrence of depression is that the liver loses its detachment, the spleen loses its tonicity and the heart loses its nourishment, and the clinical manifestations of the patients are focused on each of them. Generally speaking, qi depression, blood depression, and fire depression are mainly related to the liver; food depression, dampness depression, and phlegm depression are mainly related to the spleen; and most of the two are solid symptoms. The symptoms caused by deficiency of qi, blood or yin and fluids of the heart, spleen and liver are deficiency, and the relationship between deficiency and the heart is the closest.

2. The principle of treatment is that depression is the main pathology, and the basic principle of treatment is to regulate qi and open up the depression, regulate qi, and make it easy to be happy. The first thing to do is to regulate the qi and open up the depression, and according to the different causes of the disease, also to activate the blood, dispel phlegm, lower the fire, dampness, digestion, etc.; deficiency according to the condition of deficiency to nourish the heart and tranquilize the spirit, nourish the heart and spleen, nourish the liver and kidneys, etc..

Treatment: dredge the liver to relieve depression, regulate qi and harmonize the middle.

Prescription: Chai Hu Shun Liver San plus reduction. Chaihu 10g, Citrus aurantium 10g, white peony 15g, Angelica sinensis 12g, Ligusticum chuanxiong 6g, Xiangshu 12g, Yu Jin 10g, Pericarpium Citri Reticulatae 10g, Xuanhu 12g, Buddha's hand 12g.

②Qi depresses and transforms into fire

Subjective: irritability, headache, eye redness, tightness in the chest and coercive distension, facial warmth, or dryness in the stools, noisy swallowing of acid; red tongue with yellow fur, pulse stringy.

Treatment: relieve the liver, clear the liver and remove fire.

Prescription: dan jia jiao free dispersal plus reduction. Mudanpi 10g, gardenia 10g, angelica 12g, white peony 15g, chaihu 12g, poria 15g, atractylodes japonicus 12g, gentian grass 10g, scutellaria 10g, licorice 6g, peppermint 6g.

3 phlegm and qi stagnation

main symptom: mental depression, chest stifling and swelling, coercion and ribs, pharyngeal as if there is something obstruction, swallowing can't not, cackling can't; white greasy moss, pulse is stringy and slippery.

Treatment: promoting the flow of qi, resolving phlegm and dispersing knots.

Prescription: Half-summer and thick Parker Tang plus subtractions. 12g of Semixia, 10g of Houpu, 10g of Sophora, 15g of Poria, 10g of Hovenia, 10g of Tangerine red, 10g of Bayberry, 6g of Licorice.

(2) Deficiency

①Deficiency of heart yin

Main symptoms: emotional restlessness, palpitations and forgetfulness, insomnia and dreaming, five heart-heat, dry mouth and pharynx, night sweating; red tongue, little moss, thin and numb pulse.

Treatment: nourishing yin and blood, tonifying the heart and tranquilizing the mind.

Prescription: Heavenly King's Heart Tonic Dan plus reduction. Raw huang 15g, ginseng 6g, XuanShen 15g, Salvia miltiorrhiza 12g, asparagus 12g, maitake 12g, Angelica sinensis 10g, Schisandra chinensis 10g, Poria cocos 15g, FuZhi 6g, sour jujube nut 10g, cypress 12g, Platycodon grandiflorus 6g.

② heart and spleen deficiency

Main symptom: thoughtfulness and suspicion, dizziness, fatigue, palpitations and timidness, insomnia and forgetfulness, sadness and easy to cry, the face of not China The symptoms include: dizziness, fatigue, palpitations, timidity, insomnia, forgetfulness, sadness, crying, lack of color, low appetite, bloating and loose stools; pale tongue with thin white coating and weak pulse.

Remedy: add subtraction of Gui Spleen Tang. Ginseng 6g, Atractylodes macrocephala 12g, Astragalus 15g, Poria 12g, Longan 12g, Jujubae 10g, Mucuna pruriens 6g, Radix Angelicae Sinensis 112g, Radix et Rhizoma Polygoni Multiflori 6g, Radix et Rhizoma Glycyrrhizae 6g, Radix et Rhizoma Polygoni Multiflori 12g.

3) Yin deficiency of the liver and kidney

Main symptom: depressed mood, slow thinking, fearfulness and uneasiness, tenderness and pain of the ribs and thighs, dizziness and ringing in the ears, dryness of the eyes and eyes, achiness and softness of the waist and knees, dryness and dryness of the mouth and throat, redness and lack of moss of the tongue, thin pulse. Red tongue with little moss and thin pulse.

Treatment: tonifying the liver and kidney, nourishing the heart and tranquilizing the mind.

Prescription: wolfberry and chrysanthemum dihuangwan plus reduction. Chinese wolfberry 12g, chrysanthemum 10g, ripened dihuang 15g, yam 15g, cornelian cherry 12g, poria 15g, mudanpi 12g, zedoary 10g, he shouwu 15g, angelica 10g, farzhi 6g, calamus 10g.

4 heart and spirit loss

Testimony: depression, mental trance, restlessness, suspicion, easy to be frightened, sadness, wanting to cry, tightness in the chest, good too much breath, the tongue is pale and thin white, the pulse is thin and thin, the pulse is thin and thin. The tongue is pale, thin and white, and the pulse is fine.

Treatment: sweet and moist, nourish the heart and tranquilize the mind.

Prescription: Ding Zhi Wan plus reduction. Ginseng 6g, Poria 12g, Poria 15g, Acorus calamus 10g, Yuanzhi 6g, roasted licorice 18g, jujube 20g, wheat 30g, Angelica sinensis 10g, 15g of white peony.

4. Food therapy

① Walnut kernel porridge: walnut kernel 50g pounded, 50g of round-grained rice porridge to take.

② Shouwu porridge: 50g of Shouwu decoction of thick juice slag, add 100g of round-grained rice, 5 jujubes, rock sugar, cooked into a porridge, can be taken in the morning and evening. For the depressed evidence of partial deficiency is appropriate.

Prevention and Rehabilitation

(1) Actively participate in physical exercise to enhance physical fitness, you can choose suitable exercise according to your hobbies, interests and characteristics.

(2) Maintain a comfortable mood, strengthen self-cultivation, and handle interpersonal relationships well.

(3) Arrange your life scientifically, regulate your diet, promote your appetite, and make your life fulfilling.

(4) Actively preventing and controlling various diseases is important for the prevention of depression.

The prognosis of this disease is generally good, for specific cases, to lift the emotional causes of disease. The prognosis of patients with this disease has an important role.