In the system of TCM physiotherapy, there is no specific name for "depression", but it is classified into the categories of "depression syndrome", "lily disease", "dirty irritability" and so on. So, why do you suffer from these diseases? In short, it is due to the long-term existence of some disharmonious states in the body, such as liver qi stagnation, spleen and stomach disharmony, qi and blood blockage, etc., which will affect people's mood, make people feel depressed, and have no interest in anything. This type of disease is mainly related to the liver, but it is also closely related to the heart, spleen, kidneys and other organs.
In the treatment of such diseases, TCM usually divides them into five major types: liver qi stagnation, liver stagnation and spleen deficiency, heart and spleen deficiency, qi stagnation and blood stasis, and phlegm and heat disturbance. The symptoms of each of these five types are similar and different, so the corresponding treatments are very different.
1. Patients with liver qi stagnation type:
It often manifests as mental depression, chest and hypochondriac pain, sighing, bitter mouth, and restless sleep. During the treatment, the main treatment is to relieve the liver and stomach, regulate qi and relieve depression, and often use Bupleurum Shugansan for addition and subtraction.
2. Patients with liver depression and spleen deficiency:
It is mostly manifested as emotional instability, sentimentality, sighing, chest fullness, poor appetite, weight loss, loose and dry stools, etc. During the treatment, it is mainly to soothe the liver and strengthen the spleen, regulate qi and calm the nerves, and it is often added or subtracted by Xiaoyaosan.
3. Patients with heart and spleen deficiency:
It often manifests as fatigue, yellowish complexion, insomnia, forgetfulness, thoughtfulness, easy panic, palpitations, dizziness, poor appetite, loose stools, etc. During the treatment, it is mainly to strengthen the spleen and heart, nourish qi and blood, and often add or subtract Gui Spleen Decoction.
4. Patients with qi stagnation and blood stasis:
Manifested as depression, irritability, slow thinking, dull complexion, flank pain, purple tongue or petechiae. During the treatment, it is mainly to relieve the liver and regulate qi, promote qi and activate blood, and often add or subtract Xuefu Zhuyu decoction.
5. Patients with phlegm and heat disturbance type:
It often manifests as symptoms such as upset, chest tightness, frequent nightmares, red and greasy face, bitter mouth, sticky mouth, constipation or foul and sticky stool. During the treatment, it is mainly to clear away heat and phlegm, calm the heart and calm the nerves, and it is often used to add or subtract Coptis chinensis warm bile decoction.
Take a 17-year-old Li I have treated as an example, she gradually developed heart and other symptoms due to the pressure of study and family life. Later, there were changes in the family, which made her symptoms more serious, with symptoms such as chest tightness, shortness of breath, dry mouth, and dry stools.
I prescribed a prescription for her that included medicinal herbs such as Mai Dong, Tiandong, Shengdi, and Xuanshen. At the follow-up visit, she felt that her symptoms of dry mouth and throat had improved significantly, and her stool was gradually normal. After taking it for two months, her chest tightness and shortness of breath disappeared, her mood was much more stable, and she regained interest in things in life.
We all know that qi, blood, jin and liquid are the foundation of the human body, they nourish our internal organs and maintain our life activities. When these organs are not adequately nourished by qi, blood, jin and fluid, their function will be affected. For example, when the blood nourishment is insufficient, we will have symptoms such as low mood, insomnia and dreams; When there is not enough blood in the liver, we may feel depressed or irritable. Therefore, the key to treating this type of disease is to adjust the flow of qi, blood and fluids so that they can nourish our internal organs normally. The prescription I prescribed for Ms. Liu was based on this concept, which was to treat her illness by nourishing yin and moisturizing dryness, nourishing the heart and calming the nerves.
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