Madness
[Cause] Madness is a mentally ill disease that often occurs under the influence of mental factors. Often caused by depression or anger. Later generations often compared madness. Although madness is a symptom of disorder, it still has different causes, pathogenesis and treatment.
This disease often involves schizophrenia , mania and other diseases in modern medicine.
[Symptoms] Epilepsy and madness can alternately occur, collectively called madness. The main symptoms are obvious disorders of speech, movement and emotions.
Epiles onset is relatively slow, mostly manifested as silent dementia, mental depression, talking to oneself, language confusion, suspicion and fear, sometimes sad and sometimes happy, and laughter and crying.
Murderance is slow onset, mostly manifested as mania, irritability, not avoiding relatives and alienation, abandoning clothes, singing and crying, and even beating and scolding people.
- (l) phlegm and fire disturbance: the onset of the disease is sudden, the temperament is impatient, the eyes are glaring, the yelling and scolding, the destruction of things and beating people, the relatives and distant are not avoided, the headache and insomnia, the face is red, the eyes are red, the tongue is red, the coating is yellow and greasy, and the pulse is stringy, slippery and rapid.
(2) Yangming heat: blushing and red, leaving his clothes and walking, climbing high and singing, crossing the wall and going up the house, or not eating for several days. If the abdomen is full and you cannot lie down, you will feel constipated, yellow urine, yellow tongue coating, and deep pulse and strong pulse.
(3) Liver and gallbladder depressed fire: mania, irritability, disturbed mind, frightened palpitations, restlessness, distracted spirit, chanting, singing, speaking or laughing, chest and flanks, bitter and dry mouth, red tongue, yellow coating, stringy and rapid pulse.
(4) Internal obstruction of blood stasis: chest tightness, restlessness, uneasy, speechless, or silent, even cursing all day long, bloating in the lower abdomen, pain refusing to press, tongue red and purple, or ecchymn, deep and strong pulse. - [Accuracy and Identification] (1) Yangming heat is excessive and the liver and gallbladder is crazy: both are caused by fire, but the disease location is different. Yangming heat is excessive and mad, which is caused by the evil heat spreading to Yangming internally and the heat is blocked by Yangming. Therefore, the key points of diagnosis are that the face is red and hot, the abdomen is full and cannot lie down, the words are false and the views are false, the clothes are abandoned and the desire to leave, the relatives and distant places are not avoided, and the desire to eat are the key points of the diagnosis. The liver and gallbladder are stagnant and the fire is crazy because of internal damage to the seven emotions, the liver and gallbladder qi stagnation, and the qi stagnation turns into fire, which disturbs the gods. If the mind is disturbed, the mind will be upset. If the spirit does not keep in mind, the speech will be abnormal. If you sing, sing, or laugh, or your mind will be uneasy, you will be shocked or palpitations, and if the liver, gallbladder, qi will be stagnant, and chest and flanks will be swelling and painful. Therefore, the key points of syndrome differentiation are caused by the disturbed mind, incoherent speech, frightened palpitations, swelling and painful chest and flanks, and stringy and rapid pulse.
(2) The phlegm and fire are disturbed and the blood stasis is blocked and internally obstructed: one is caused by phlegm and the other is caused by stasis. Phlegm and fire are furious because the heart and stomach fire are strong, and burning fluid is caused by phlegm and phlegm and fire rushing and catching the heart orifices. The key points of diagnosis are manic and irritable, destroying objects and beating people, yellow and greasy tongue coating, stringy and thin pulse. The internal obstruction of blood stasis is caused by the evil heat entering the inside, the blood heat is ganged up, and the upper disturbance of the spirit. It feels like going crazy, the lower abdomen is hard, and it is painful and refuses to press. The tongue is red and purple or with ecchymosis.
[Treatment method] (the following is for reference only, please refer to the diagnosis of a professional doctor)
(1) Prescription treatment
(1) Yuanzhi Lianxin Decoction (9 grams of clearing heart and calming the mind, 9 grams of Poria cohabitation, 9 grams of gallbladder Nanxing 6 grams, Tianzhu Huang 9 grams, Xiangfu 9 grams, turmeric 6 grams, Citrus aurantium 9 grams, Lotus seed heart h 412 grams, cinnabar 3 grams, bamboo ru 49 grams, bamboo leaves 9 grams, bamboo leaves 9 grams, Pinellia shank 46 grams, licorice 46 grams, decocted in water and take.
prescription explanation: Acorus granulum , Yuanzhi , Poria god opens orifices to calm the spleen and replenishes the soul; gallbladder and Huang clear heat and eliminate phlegm, clears the heart and calms the heart; Xiangfu, turmeric, and Citrus aurantium relieve liver depression, promotes qi and relieves pain, and has the function of clearing the heart; cinnabar and lotus seeds communicate the heart and kidneys, clears the heart and calms the mind; bamboo ruta, bamboo leaves and Pinellia shank clears heat and eliminates phlegm, can disperse wind and heat evil, eliminates phlegm in the chest; licorice glutinous rice, and licorice are mixed with all medicines.
(2) Shiwei Wendan Decoction (rest the mind and eliminate phlegm): tangerine peel 9 grams, 9 grams of tangerine peel. 6 grams of gallbladder, 9 grams of Pinellia ternata, 9 grams of bamboo ternata, 9 grams of bamboo leaves, 1 1 Poria 9 grams of Yuanzhi, 9 grams of Acorus granulum, 9 grams of Schisandra chinensis, 9 grams of jujube kernel, decoct in water and take
prescription: tangerine peel and tangerine peel regulating qi To strengthen the spleen, dry dampness and eliminate phlegm ; bamboo ru, light bamboo leaves clear the heart fire, and the phlegm fire is clear, so that the sleeping effect will be stable; Pinellia and gallbladder can dry dampness and eliminate phlegm, and calm the wind and calm the fear; Coptis chinensis is especially good at clearing the heart meridian and strengthening the fire; jujube seed, chrysanthemum, and far-sighted mind; Acorus granulum opens orifices to calm the mind; Schisandra chinensis is suitable for yin blood loss, palpitations , which astrings the lungs and nourishes the kidneys; together play the role of calming the mind.
(2) Acupuncture treatment
(1) Main acupoint: human , Shenmen , Neiguan , and Daling.
matching acupoints: epilepsy, Zusanli , Lingdao;
crazy symptoms increase Dazhui, body pillar, Tongli ;
chest tightness add Fenglong, Zhongwan, Jiexi;
restlessness, grab the chest with your hands and add Juque, Xuanji, and Shumumen;
sleepless add Fengchi, Shenmen, Sanyinjiao;
climb high and abandon clothes and add Houxi, Chongyang, and Shengu.
(2) Main acupoints: Yamen, Neiguan.
acupoints: Renzhong, Chengji, Houxi .
(3) Main acupoint: Taichong , Zusanli.
matching acupoints: Qiangjian, Houding, Si Shencong, Duidun.
(III) scraping treatment
treatment
Scraping the Shaoyin, Jueyin, and Taiyang meridian points of the hands and hands are mainly used.
main meridian point: Dazhui, Dazhui, Gaohuang , Shentang , Fengfu to Jianjing.
The parts of the meridian scabbard: Renzhong, Laogong to Daling, Shangwan, Dazhong.
Operation method:
It is necessary to relieve the liver and regulate qi, strengthen the spleen and remove dampness. First, scrape the heart meridian and pericardial meridian, open the yang meridian, cervical vertebrae, and scrape them all, and then focus on scraping the liver and spleen in the projection area of the back.
(IV) Moxibustion treatment