Hello, I am a Chinese medicine person, Zhou Guangbai. I have been practicing medicine for forty or fifty years, and I have seen too many patients with depression and schizophrenia, and many patients have different causes.
First of all, let me start with a case, with the help of this case to help you analyze the reasoning.
I saw a patient before, Ms. Wang, 55 years old, who has been suffering from schizophrenia for 30 years.
Maybe it's because of the arranged marriage, she has been unhappy since she got married. Often sulking and depressed because of family trivialities. Later, she gradually became irritable and irritable, sometimes angry or crying for no reason, and sometimes laughing inexplicably.
The family rushed to take her to the doctor, and she was diagnosed with depression. So the patient began to take some antidepressant drugs, and the result was not only not better, but worsened.
Ms. Wang slowly developed auditory and visual hallucinations again, feeling that someone around her was talking to her, and said that he would take her to a place. Since then, she has become less and less conscious, likes to talk nonsense, and is afraid and panicked when she sees outsiders.
The family took her to see her again, and she was diagnosed with schizophrenia again.
What to do? The family considered that the patient had been ineffective after using Western medicine, so at the suggestion of a friend, they took the patient to see a Chinese medicine doctor.
Immediately diagnosed, the pulse is stringy and weak, the lichen is thin and yellow, and the tongue is light. It seems that he is not in good spirits, his expression is depressed, and his face is not good.
After learning about this, I opened a party for her, as follows:
Codonopsis, Astragalus, Atractylodes, Poria Cocos, Angelica, Jujube Kernel, Yuan Meat, Muxiang, Yuanzhi, Acacia Flower, Bergamot, Calamus, Raw Keel, Raw Oyster, Jujube, Licorice. One dose a day, decoction in water.
The result? After taking 10 doses, the patient's crying, laughing, and self-talk were greatly reduced, but he still felt irritable, insomnia and dreams, and seemed to have a hot sensation in the cardiothoracic position. However, the whole person is in good spirits and the answer is to the point. The tongue is pale and pale, and the veins are weak.
At this time, the original prescription was basically unchanged, and more than 20 doses were continued to be administered with salvia.
This time, the patient's symptoms calmed down after the drug, and he was able to communicate with others without barriers, and his consciousness was clear and normal.
Next, let's talk about the reasoning behind this.
Obviously, the patient's problem is emotional abnormality. According to our theory of traditional Chinese medicine, there are three organs that are most closely related to people's emotions, namely the heart, spleen and liver. The heart hides the spirit, the spleen hides the mind, and the liver hides the soul.
Let's analyze little by little to see which one of the patient's conditions has something to do with it.
Look at the liver first. The patient initially became depressed because of sulking, and cried and laughed uncompromisingly. At the time of the visit, the pulse was slightly stringy. Through these, we can basically be sure that her condition has a little relationship with liver depression.
Look at the spleen again. The patient's tongue is slippery, which means that the water does not get wet. The veins are weak, and the tongue is pale and pale. This suggests that the patient has a weak spleen. The spleen is deficient and unlucky, so the water does not dissolve. The spleen is deficient, the qi and blood biochemistry is insufficient, so the pulse is weak.
Finally, look at the heart. The heart is in the face. The patient's complexion was yellowish and unpretentious, and his expression was indifferent and depressed, which showed that his heart was insufficient and his mind was not nourished. Where does the effort come from? Derived from the spleen. As mentioned earlier, the patient's spleen is deficient and unlucky, so her heart and blood are insufficient, which can be seen.
Well, at this point, we will be clear that the patient has liver qi stagnation and heart and spleen dystrophy. And it is mainly due to the lack of heart and spleen.
Well, in this case, we will strengthen the spleen and heart, nourish qi and blood, and at the same time cooperate with the liver to relieve depression.
The compatibility used is obviously the use of Gui Spleen Soup. It's just that raw dragon oysters, stone calamus, bergamot, and acacia flowers are added.
Gui Spleen Soup, as many people know, is to strengthen the spleen and nourish the heart, and nourish qi and blood.
On this basis, the addition of bergamot and acacia flowers is to relieve liver and depression. Calamus is open and awake. Raw dragon oysters can be used to calm the nerves.
In short, through such adjustment, the three organs that cause the patient's abnormal mental status have been adjusted, and the problem has been solved.