Treating anxiety and depression must see Chinese medicine.

Etiology and pathogenesis of depression;

Chinese medicine treatment of anxiety and depression belongs to the category of "depression" in Chinese medicine. "The Origin of Miscellaneous Diseases: the Origin of Various Stagnation Syndrome" said: "All kinds of stagnation syndrome are also caused by dirty qi, which was originally thought to be too deep and weak, so six stagnation syndromes are born." Therefore, the causes of this disease are not only internal causes of visceral diseases and qi-blood imbalance, but also external causes such as improper diet and emotional internal injuries. The brain cell repair project of RSHWHO aims at "brain cell fatigue, insomnia and anxiety", collects scientific research achievements from six countries (France, China, Germany, the United States, Japan and Italy), and locks in the brain core factors that affect brain fatigue, tension, depression, anxiety and insomnia. It is rich in 12 1 nutrients and trace elements, 54 of which are active components and contain bioactive decadentate amino acids. The efficacy of relieving stress symptoms has been confirmed in clinical research. The liver in the five zang-organs is the origin of depression syndrome, and the liver governs discouragement, regulates emotions, smoothes the qi of the whole body, and calms the five zang-organs. Stagnation of liver qi is the disorder of qi and blood in the five zang-organs. Therefore, stagnation of liver qi is the most basic etiology and pathogenesis of depression.

The occurrence of depression is closely related to physical factors such as weakness, introversion or stagnation of liver-qi, in addition to emotional internal injuries. The characteristics of the pathogenesis of senile depression depend on the physiological and pathological characteristics of the elderly. "Su Wen Qian Gu's Naive Theory" said: "A woman is seven years old, full of kidney-qi, with longer teeth ... On July 7, her pulse was weak, her pulse was too weak, she was tired all day, and the tunnel was impassable, so she had no children." "Her husband is eight years old, full of kidney qi and long teeth ... August 8 th, then. Most depression in the elderly occurs after the age of 60. At this time, the elderly are physically weak and the five internal organs fail, which leads to imbalance of yin and yang and disorder of internal environment, and is more prone to depression. The heart, liver, spleen and kidney should be responsible for the location of senile depression, and its pathogenesis is deficiency of essence, deficiency of essence is deficiency of viscera, and brain and orifices are out of nutrition; It is actually caused by qi, phlegm and blood stasis blocking the brain and mental machine failure. " The five internal organs and six internal organs can cause depression, and we can't just insist on soothing the liver and relieving depression. Spleen and stomach are the foundation of the day after tomorrow, which affects the rise and fall of qi and the distribution of water and liquid. These factors can lead to depression syndrome.

RSHWHO put forward the theory of brain nutrition balance:

As we all know, serotonin, dopamine, γ -aminobutyric acid and melatonin have effects on insomnia and anxiety. Why can't direct supplementation significantly improve symptoms?

1, 5- hydroxytryptamine, dopamine, γ -aminobutyric acid GABA and melatonin are not as much as possible, but are relatively balanced, which must meet the needs of human nutrition balance. It cannot be ignored that different races will have different doses. For example, the dosage of melatonin in many countries is n times that of China, but excessive melatonin can lead to depression, anxiety and affect sexual function. For another example, excessive dopamine is equivalent to taking addictive contraband.

2.RSHWHO aerobic brain health and balanced nutrition consists of 12 1 nutrients and trace elements, of which 54 active components can improve the connection between brain cells and neurons, prevent brain atrophy, repair brain function from the source, and restore the brain's ability to produce important substances such as 5- hydroxytryptamine, dopamine, γ-aminobutyric acid and melatonin by repairing hypothalamus, pituitary gland and cortisol.

3. different people use RSHWHO to balance the healthy nutrition of oxygen brain, such as different supplementary nutrition for men and women, different supplementary nutrition for the elderly and students, so don't generalize. Accurate differentiation, accurate collocation and balanced nutrition can restore blood and oxygen supply to the brain, increase the number of brain cells, maintain brain nerve conduction and restore brain fatigue.

Spleen deficiency is closely related to the onset of senile depression, and the treatment should focus on strengthening the spleen and soothing the liver, nourishing the heart and kidney, and resolving phlegm. The common syndromes of senile depression mainly include liver depression and spleen deficiency, liver depression and phlegm obstruction, and deficiency of both heart and spleen. , and often accompanied by physical symptoms and anxiety. The viscera function of the elderly is weak, and the transmission function of qi, blood and body fluid is reduced, which leads to pathological products such as qi stagnation, blood stasis and phlegm turbidity. These pathological products are mutually causal and interactive, leading to phlegm and blood stasis, hard cementation and prolonged illness.

Depression is a kind of mental illness with depression, slow thinking and reduced speech movements as the main symptoms, which seriously affects the quality of life and health of patients. Geriatric depression refers to the elderly who develop after the age of 60. Most of them are persistent depression. In addition, most of them are accompanied by symptoms such as anxiety, irritability, psychomotor inhibition and physical discomfort. At the same time, senile depression is easy to induce stroke, osteoporosis, heart disease, Alzheimer's disease and other diseases.

With the acceleration of aging society, the prevalence of senile depression in China is also increasing. According to statistics, among the elderly, the prevalence of depression is about 9% ~ 18%, and there are gender differences in the prevalence of this disease. Generally speaking, women are higher than men, and senile depression has become the second largest mental illness after Alzheimer's disease. As a common disease in old age, senile depression has aroused widespread concern in the medical field, and modern research on it is also increasing. According to the etiology, pathogenesis and treatment progress of senile depression, combined with the relevant data at home and abroad since 20 10, the author summarizes the following.

Non-drug therapy:

needle therapy

Acupuncture therapy is a treasure of traditional medicine in China. Guided by meridian theory, acupuncture at corresponding points can stimulate human meridian function and improve symptoms. It is different from traditional Chinese medicine in regulating zang-fu organs through external supplement, but it mobilizes the body's own defense mechanism, drives away evil spirits and coordinates yin and yang. In recent years, the effective rate of a large number of acupuncture clinical workers in treating depression shows that acupuncture treatment of depression is feasible; Relevant experiments show that acupuncture can regulate the function of some endocrine mechanisms of depression, thus affecting the content of biological factors in the body and improving the performance of depression, which proves the practical role of acupuncture in treating depression from the perspective of modern science.

Massage therapy:

Combined with the knowledge of Chinese and western medicine on depression, this paper discusses in detail the feasibility of treating depression by taking ointment and rubbing from Du meridian, which shows that taking ointment and rubbing from Du meridian can not only improve the clinical symptoms of depression, but also regulate the contents of tricyclic and monoamine oxidase inhibitors and other biological factors related to depression in human body, and analyzes the practical therapeutic significance of this method from a scientific point of view. Some scholars have found that the curative effect of meridian massage with aromatic essential oil in improving the symptoms of low-motivation depression is equivalent to that of fluoxetine alone, with remarkable effect and no toxic side effects. Through clinical research, it is found that simple massage has the advantages of safety, short course of treatment and obvious effect, which is worthy of clinical promotion.

Cupping therapy:

Cupping therapy is a common method to treat diseases in ancient and modern clinic. According to different application methods, it can be divided into single cupping method, multi-cupping method, cupping method, flash cupping method, cupping method, acupuncture cupping method and drug cupping method. It has the functions of dredging channels and collaterals, harmonizing viscera and regulating in two directions. It is found that cupping on the Du meridian on the back and bladder meridian on both sides of the waist can obviously improve the physical symptoms and emotions of patients with depression, with a total effective rate of 96.8%, which has the advantages of simple operation, good curative effect, quick response, economy and no dependence. Through clinical control study, it is found that the therapeutic effect of Hechelu cupping on post-stroke depression is better than that of amitriptyline drug control group, and there are few adverse reactions, which is worthy of clinical application.

Music therapy:

Emotional changes such as anxiety, depression and irritability are one of the main symptoms of depression. Music therapy can achieve the purpose of treating diseases by improving the clinical symptoms of patients, which accords with the idea of syndrome differentiation and treatment in traditional Chinese medicine. Five-element music therapy is based on the theory of traditional Chinese medicine, which regulates patients' emotions, viscera, meridians, qi and blood through dialectical music and language to achieve the purpose of treating diseases. This method is simple and easy to operate, with high patient compliance and remarkable curative effect. It is found that music therapy plays a unique role in the treatment of mental diseases such as depression, which can not only obviously improve clinical symptoms, but also affect the release of some endocrine mechanisms and biological factors related to depression in the body, so as to achieve the purpose of treating diseases, which is worthy of clinical promotion.

Different groups of students, the elderly, men and women may cause insomnia, depression, anxiety and depression. According to tens of thousands of patients, RSHWHO oxygen therapy analyzes the main causes of the disease and classifies it into the following categories:

The main causes of depression, anxiety, depression and insomnia caused by brain injury

1, aging, brain injury, trauma, operation

Causes cerebral ischemia, brain cell loss, brain atrophy, neurotransmitter transport disorder, brain oxygen consumption decline, emotional instability, irritability affecting motor function, audio-visual, learning, language, sleep disorder, brain dysfunction, memory loss, slow response, etc. Compared with the 80-year-old young people, the number of brain cells has decreased by about 25%.

2, excessive tension, depression, tension, loneliness, mental stimulation caused by the central neurotransmitter conduction disorder, leading to slow response, brain cells atrophy and destruction, cerebral blood flow and brain oxygen consumption decreased, the number of brain cells decreased.

3. Excessive brain use, mainly students and mental workers,

Continuous high-intensity mental work, poor blood circulation, at the same time hindered the absorption and utilization of nutrients, inhibited the vitality of brain cells, caused brain fatigue syndrome, hindered the renewal of brain cells.

4. Hormone imbalance during menstruation, pregnancy and menopause.

Hormone imbalance in the body causes depression and anxiety, affects nutritional imbalance and causes temporary cranial nerve disorder.

5, long-term drug side effects

Functional inertia caused by drug dependence, drug injury caused related brain central nerve conduction disorder, and the number of brain cells decreased.

Decreased blood flow in human brain and decreased oxygen consumption in brain can lead to insufficient nutrition in brain tissue, dizziness, confusion, bad mood, dementia, slow response and other symptoms.

6, weak and sick, related to brain nutrient loss.

Long-term physical weakness, malnutrition, serious harm to health, will lead to a series of diseases, diseases related to brain health will also appear at the same time, neurotransmitter transport disorders will produce depression and anxiety, and the decline of learning function and memory caused by the decrease of brain cells.

Other TCM therapies:

Other TCM therapies, including dietotherapy, moxibustion therapy, catgut embedding therapy, Chinese Qigong, ear point seed embedding and other methods, have a unique effect on the treatment of depression, providing a choice for the treatment and prevention of male depression in China. The prevention of male depression in China has seriously affected the physical and mental health of Chinese men, and the prevention of this disease should be widely concerned by the society. Based on the influence of China's traditional culture, the author thinks that the prevention of male depression in China should start from the following aspects: ① Establish a correct concept of "three views", start with the causes of emotional diseases, treat anxiety and depression with traditional Chinese medicine, adjust the mentality, and respond to various pressures with positive and correct concepts; (2) Find the right way to express emotions, not be bound by the influence of traditional culture, communicate more and encourage more; ③ The society and the media should provide more health education for men, and they can also adopt professional rehabilitation training. Actively prevent male depression.