CN114588243B - Two alternately taken Chinese medicinal formulas for treating depression and anxiety - Google Patents
Two alternately taken Chinese medicinal formulas for treating depression and anxiety Download PDFInfo
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- CN114588243B CN114588243B CN202110515014.7A CN202110515014A CN114588243B CN 114588243 B CN114588243 B CN 114588243B CN 202110515014 A CN202110515014 A CN 202110515014A CN 114588243 B CN114588243 B CN 114588243B
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Abstract
The invention relates to the field of traditional Chinese medicines, and discloses two traditional Chinese medicine formulas for treating depression and anxiety by alternately taking, namely a Huitian prescription and a deficiency-labor prescription. The recipe of returning to the sky warms and supplements the spleen and the kidney, promotes appetite and calms heart spirit; the deficiency-labor formula soothes liver and relieve depression, tonify qi and strengthen kidney, and promote spirit. The prevalence rate of depression and anxiety disorder is high, the harm is large, the recurrence rate is high, and the effective therapeutic drugs with few side effects are lacked. Clinically, most patients suffering from depression and anxiety have symptoms of deficiency besides stagnation of liver and gall pulse, usually the left and right kidney pulse are deep, and the patients are difficult to take care of the whole pathogenesis by using only one prescription. The two traditional Chinese medicine formulas of the project have the effects of soothing liver and relieving depression, and simultaneously replenishing qi to invigorate spleen, tonifying kidney and replenishing essence. The deficiency labor prescription is biased to the left and the heaven prescription is biased to the right, and the two prescriptions are taken alternately every day, so that qi and blood yin and yang on the left and right sides can be balanced and supplemented while soothing liver and relieving depression; not only relieve depression and anxiety symptoms, but also promote appetite and improve qi and blood level of patients, and has little side effect on human bodies.
Description
Technical Field
The invention relates to the field of traditional Chinese medicines, in particular to a formula of two traditional Chinese medicines for treating depression and anxiety by alternately taking.
Background
Depression, also known as depressive disorder, is a major type of mood disorder with marked and persistent depression as a major clinical feature. Clinically, the mood is dissatisfied with the mood, the mood can be subsided from smoldering to sad and absolute, the user can feel depressed, even pessimistic and aversive, and suicide attempts or behaviors can be realized; even wood stiffness occurs; some cases have significant anxiety and motor agitation; in severe cases, psychotic symptoms such as hallucinations and delusions may occur. Most cases have a tendency to recur. Anxiety disorder is a kind of nervous disorder mainly represented by anxiety emotion, including acute anxiety and chronic anxiety, and frequently has dizziness, chest distress, palpitation, dyspnea, dry mouth, frequent urination, urgent urination, sweating, tremor, and motor anxiety. Anxiety is not a real threat and is not very stressed to the extent of reality. The data published in 2019 of Chinese mental health survey show that: the lifetime prevalence of depressive disorders is 3.4% and that of anxiety disorders is 7.6%. The two diseases have high prevalence rate, heavy social burden and easy repeated attack.
Drug therapy is the primary treatment for depressive episodes above moderate. The current first-line antidepressants in clinic mainly include selective 5-hydroxytryptamine reuptake inhibitors (SSRI, representing the drugs fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram and escitalopram), 5-hydroxytryptamine and norepinephrine reuptake inhibitors (SNRI, representing the drugs venlafaxine and duloxetine), norepinephrine and specific 5-hydroxytryptamine antidepressants (NaSSA, representing the drug mirtazapine), and the like. The traditional tricyclic antidepressants, tetracyclic antidepressants and monoamine oxidase inhibitors have the advantages of obviously reduced application due to larger adverse reaction. The treatment of anxiety disorder is also based on drug therapy, including benzodiazepines (such as diazepam, alprazolam, esmolam, etc.), non-benzodiazepine anxiolytics (such as buspirone, tandospirone), and the existing antidepressants have anxiolytic effects, such as doxepin, clomipramine, SSRI, SNRI, etc.
Although depression and anxiety differ in clinical manifestations, abnormalities in monoamine neurotransmitters, especially 5-hydroxytryptamine (5-HT), exist both in etiology and in mechanism. Therapeutically, selective 5-hydroxytryptamine reuptake inhibitors may also be used.
At present, most of medicaments for treating depression and anxiety are western medicaments, have considerable side effects on gastrointestinal tract and sexual functions, and are easy to cause emotion to turn to the other extreme of excitation, namely 'turning to agitation'. The traditional Chinese medicine and the Chinese patent medicine which are partially developed only pay attention to soothing liver and relieving Yu Zheyi pathogenesis, but do not pay attention to the pathogenesis of the body deficiency, and the consequence is that the curative effect is not durable or the patient cannot tolerate.
Disclosure of Invention
The invention aims to provide two alternative Chinese medicinal formulas for treating depression and anxiety, namely a Huitian formula and a deficiency-labor formula, for solving the problems.
The invention realizes the above purpose through the following technical scheme:
the Huitian prescription is prepared from the following raw materials in parts by weight: 15g of prepared aconite root (decocted first), 15g of astragalus root, 20g of pilose asiabell root, 20g of white atractylodes rhizome, 10g of swordlike atractylodes rhizome, 20g of dried ginger, 20g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of raw dragon bone, 20g of raw oyster, 15g of amethyst, 25g of dogwood fruit, 15g of morinda root, 15g of deer horn (frost), 10g of cassia bark (later lower part), 5g of earthworm, 5g of red sage root and 5g of turmeric root-tuber. Efficacy: replenishing qi to invigorate the spleen, warming and invigorating the spleen and the kidney, stimulating appetite, calming heart spirit and improving energy. Treating depression, anxiety, insomnia, chronic gastritis, etc., with symptoms of deep and weak right ulnar pulse and poor appetite. It has the actions of returning to the sky.
The deficiency-labor prescription is prepared from the following raw materials in parts by weight: 30g of prepared aconite root (decocted first), 10g of cassia twig, 10g of radix curcumae, 5g of gastrodia tuber, 15g of wild jujube seed, 20g of raw dragon bone, 20g of raw oyster, 10g of amethyst, 20g of semen cuscutae, 20g of morinda officinalis, 30g of astragalus root, 20g of pilose asiabell root, 20g of bighead atractylodes rhizome, 20g of dried ginger, 5g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of villous amomum fruit, 10g of cinnamon (later) and 5g of earthworm. Efficacy: liver soothing, qi stagnation relieving, qi invigorating, kidney reinforcing, and mental retardation improving effects. Treating depression, anxiety, insomnia and sub-health state, and deep and weak left ulnar pulse.
Clinically, most patients suffering from depression and anxiety have symptoms of deficiency besides stagnation of liver and gall pulse, namely, deep and weak kidney pulse. In addition, the left and right kidney vessels are heavy, and the patient is difficult to take care of the disease mechanism by using only one prescription. The two traditional Chinese medicine formulas of the project have the effects of soothing liver and relieving depression, and simultaneously replenishing qi to invigorate spleen, tonifying kidney and replenishing essence. The deficiency labor prescription is biased to the left and the heaven prescription is biased to the right, and the two prescriptions are taken alternately every day, so that qi and blood yin and yang on the left and right sides can be balanced and supplemented while soothing liver and relieving depression; not only relieve depression and anxiety symptoms, but also promote appetite, promote spirit, improve qi and blood level of patients, and have little side effect on human bodies.
The two traditional Chinese medicine formulas have the following functions:
returning to the sky: the prepared aconite root decoction is used as a main frame, and has the effects of warming and invigorating spleen and kidney, tonifying qi by astragalus root, regulating qi by pinellia tuber and dried orange peel, dispelling dampness by poria cocos, and warming and invigorating kidney yang by morinda officinalis, cornu cervi (degelatinatum) and cinnamon, so as to achieve the effects of replenishing qi, strengthening spleen, dispelling dampness and warming and invigorating spleen and kidney; fructus Corni fills yin of liver and kidney, and is combined with Os Draconis, concha Ostreae and Fluoritum to induce fire to descend, and fill yin and yang of kidney; lumbricus, saviae Miltiorrhizae radix, and radix Curcumae have effects of dispersing stagnated liver qi for relieving qi stagnation, promoting blood circulation, and purging liver and gallbladder fire. The comprehensive prescription can well tonify right path, clear left path, warm and tonify lower element, and has the effects of tonifying yang without excessive internal heat, replenishing qi to invigorate spleen, warming and tonifying spleen and kidney, stimulating appetite, stabilizing mind and improving energy.
The deficiency-labor formula: the prescription combines Gui Ganlong decoction, astragali radix decoction, zizyphi Spinosae semen decoction in Shang Han Lun-xu-Er-Teng (typhoid fever theory and consumptive disease) together, and has effects of invigorating kidney and replenishing essence, and astringing Yang Qianyang for treating yang-qi of lower jiao: ramulus Cinnamomi and radix Aconiti lateralis Preparata warm yang, and can promote the growth of yang qi in order, and radix astragali, radix Codonopsis and Atractylodis rhizoma can invigorate spleen and replenish qi, poria can dispel dampness, cortex Cinnamomi can warm kidney yang, rhizoma Gastrodiae and semen Ziziphi Spinosae can nourish yin blood, rhizoma Pinelliae, pericarpium Citri Tangerinae and fructus Amomi can regulate qi and invigorate spleen, radix Curcumae and Lumbricus can dispel liver and gallbladder stagnation, and can clear and reduce gallbladder fire. The whole formula can be seen, the effects of tonifying left channel, warming and tonifying lower element are achieved, and the effects of soothing liver and relieving depression, tonifying qi and nourishing blood, reinforcing kidney and dredging channels and calming mind are achieved.
The dosage of aconite in the invention reaches 30g and exceeds the dosage of pharmacopoeia. Li Kelao traditional Chinese medicine has strictly examined the usual dosages of ancient Chinese medicines: the dosage of the aconite root in the Sheng Zhang Zhongjing is generally 1-3, the average weight is about 15g according to the wild aconite root collected in modern times, and the average weight is 31 g for 1, so that the dosage of the aconite root in the Shang Han Lun is presumed to be generally 15-90 g. Is used in an amount far higher than 15g of pharmacopoeia. In the present invention, fu Zi and ban Xia are used together, which belongs to the category of eighteen antagonisms. The diagnosis and treatment of traditional Chinese medicine originates from Shang Han Dynasty Zhang Zhongjing (treatise on Cold-induced miscellaneous diseases), and the classic is not discussed in eighteen ways. The eighteen-part is the most damaging part of the moat 'half-way Bei Lian achnathus' because the latter extends 'aconite' to aconite. The people depend on yang qi to grow, and the book name of the theory of typhoid fever shows that the disease of human beings is due to cold, and the pathological products are phlegm and fluid retention and blood stasis. The key herb of aconite root for expelling cold, the key herb of aconite root for generating yang and tonifying primordial energy, the ban Xiao Hu has the key actions of astringing, eliminating phlegm and expelling decoction. If you press the eighteen adverse effects of the recipe, you can't remove cold, yang failure can't take place, pathological products can't be removed, and you get the cure? Zhi Gai ban Xia Shang Gansui gan Cao is combined with Wu Tou ban Xia in Chi Wan Fang (Red pill of jin Kui Yao LQ.Y.E.). It is known that the eighteen antagonisms of the latter person completely violates the spirit of the first-stage syndrome differentiation and the rule of "the disease is the medicine". Modern famous doctor Zhu Liangchun issued 2011 suggests that eighteen negatives must be thoroughly negated. The inventor clinically applies the scheme to treat hundreds of patients suffering from depression and anxiety, and has no obvious side effect.
Compared with the prior art, the invention has the following advantages:
the formula can rapidly improve depression and anxiety symptoms. By warming yang, soothing liver, relieving depression, and relieving liver and gall depression, depression and anxiety symptoms are relieved, and anti-depression western medicines can be taken rarely or even not taken during taking the traditional Chinese medicines.
The formula can rapidly improve insomnia symptoms. Sleep improvement is generally achieved about 4 days after taking the medicine.
The formula can rapidly treat somatic symptoms such as poor appetite, general discomfort and the like. The formula contains a large amount of spleen-invigorating and spleen-activating medicines, and can quickly improve the symptoms of poor appetite. After the diet is improved, the energy supply is recovered, and the body discomfort is also improved.
The formula can gradually improve the attention and the memory, and recover the learning and working capacities. The traditional Chinese medicine considers that the attention and memory decline is related to kidney essence deficiency. The formula contains the medicines for tonifying kidney and replenishing essence, such as semen cuscutae, morinda officinalis, pulp of dogwood fruit, cornu cervi degelatinatum and the like, and can quickly replenish kidney essence and improve attention and memory.
The formula is convenient to use and simple in syndrome differentiation. The formulation of the present invention can be used as long as the pulse is deep, wiry and weak. The left side is more sinking and is more weak, the right side is more sinking and is more heavyweight, even the pulse condition can be treated by one side alone. The two prescriptions are taken alternately, the balance of the pulse conditions on the left and right sides is improved, and the symptoms of the patients can be continuously improved until the patients are healed.
Detailed Description
The invention will be further described with reference to specific examples, but the invention is not limited to these examples.
Embodiment case 1:
patients Yang Mou, women, 17 years old, may develop bad mood due to learning pressure before 3 years, feel that life is not meant, do not interest everything, feel that life is not happy, and even have suicide thoughts. Poor sleep, difficulty in falling asleep, poor appetite, 3 days of stool, pale tongue with white coating, deep and wiry pulse. The recipe is administered alternately daily with the decoction for returning to the sky and the recipe for treating deficiency. The prescription is as follows: returning to the sky: 15g of prepared aconite root (decocted first), 15g of astragalus root, 20g of pilose asiabell root, 20g of white atractylodes rhizome, 10g of rhizoma atractylodis, 20g of dried ginger, 20g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of raw dragon bone, 20g of raw oyster, 15g of amethyst (decocted first), 25g of cornus officinalis, 15g of morinda officinalis, 15g of cornu cervi degelatinatum, 10g of cinnamon (later), 5g of earthworm, 5g of red sage root and 5g of curcuma aromatica. The deficiency-labor formula: 30g of prepared aconite root (decocted first), 10g of cassia twig, 10g of radix curcumae, 15g of spina date seed, 20g of raw dragon bone (decocted first), 20g of raw oyster (decocted first), 10g of amethyst (decocted first), 20g of semen cuscutae, 20g of morinda officinalis, 35g of astragalus root, 20g of radix codonopsis pilosulae, 20g of bighead atractylodes rhizome, 20g of dried ginger, 5g of honey-fried licorice root, 20g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of fructus amomi and 10g of cinnamon (later). Each 5 doses are taken alternately every day. After 10 days, sleep is improved, mood is improved, and treatment is consolidated continuously.
Embodiment case 2:
the patient Zhang Mou, men, 37 years old, has no obvious incentive to be stressed and worry about the situation before 5 years, always feels something bad, and is always in palpitation, fear and even influenced by driving, and the driver is stressed and afraid of high speed as soon as the speed of the vehicle is fast. Sleep is also poor, and is difficult to fall asleep and easy to wake. Several hospitals have been diagnosing anxiety disorder, and there is no obvious improvement after administration. At present, the patient still dares to get high speed, afraid of driving, bad sleep, stomach and stool, pale red tongue with white coating, deep right-chi pulse and wiry and slippery left pulse. It is used singly in Hui Tian Tang. The prescription is as follows: returning to the sky: 15g of prepared aconite root (decocted first), 10g of astragalus root, 20g of pilose asiabell root, 20g of white atractylodes rhizome, 10g of rhizoma atractylodis, 20g of dried ginger, 20g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 20g of raw dragon bone, 20g of raw oyster, 10g of amethyst (decocted first), 25g of cornus officinalis, 15g of morinda officinalis, 10g of antler slice, 10g of cinnamon, 5g of earthworm, 5g of red sage root and 5g of curcuma aromatica. 10 doses, one dose per day. After 10 days, anxiety is obviously improved, driving is not obviously stressed or worried, the vehicle speed is fast, and the sleeping is improved. The medicine is taken continuously to consolidate the treatment.
Embodiment 3:
the patient Mou, woman, 13 years old, had no obvious incentive to develop bad mood, felt no meaning in life, did not interest in everything, felt no happy thing in life, even had suicide thoughts. And suspects that someone is monitoring and that someone is harmful to her. Major depressive episodes with psychotic symptoms are diagnosed, and western medicines are taken for treatment all the time. However, the mood is still poor, the interest is reduced, the negative idea is provided, people are suspected to monitor, the sleep is difficult to fall asleep, the stomach is easy, the stool is not smooth, the tongue is light red with white coating, the right pulse is wiry, and the left pulse is deep and weak. Is administered alone by deficiency-labor. The prescription is as follows: the deficiency-labor formula: 30g of prepared aconite root (decocted first), 8g of cassia twig, 10g of radix curcumae, 10g of gastrodia tuber, 15g of wild jujube seed, 25g of raw dragon bone (decocted first), 25g of raw oyster (decocted first), 20g of semen cuscutae, 20g of morinda officinalis, 20g of astragalus root, 15g of pilose asiabell root, 20g of bighead atractylodes rhizome, 20g of dried ginger, 5g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of villous amomum fruit and 10g of cinnamon (later). 7 doses, one dose per day. After one week, the mood is improved, the emotion is stable, delusions and shaking are performed, the sleep is improved, and the treatment is consolidated continuously.
Embodiment 4:
the patient Wang Mou, the woman, the age of 14 years, has no obvious cause and gradually has bad mood before 2 years, feels that life does not have meaning, does not bring fun to everything, feels that life is very painful, and in order to relieve psychological pain, the patient often holds a knife to scratch his wrist, and the psychological pain is relieved through the physical pain. In local psychiatric hospitals, the treatment is diagnosed as depression onset, and the effect is not obvious after administration. At present, the patients still have bad mood, dysphoria, self-disabled behavior, difficult sleep, poor appetite, pale tongue with white coating, deep and wiry pulse. The Huitian decoction and the deficiency-labor prescription are taken alternately every day. The prescription is as follows: returning to the sky: 15g of prepared aconite root (decocted first), 10g of astragalus root, 20g of pilose asiabell root, 20g of white atractylodes rhizome, 10g of swordlike atractylodes rhizome, 20g of dried ginger, 20g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of officinal magnolia bark, 20g of raw dragon bone, 20g of raw oyster (decocted first), 25g of dogwood fruit, 15g of morinda root, 15g of cornu cervi degelatinatum, 10g of cassia bark (later lower part), 5g of earthworm, 5g of red sage root and 5g of turmeric root-tuber. The deficiency-labor formula: 35g of prepared aconite root (decocted first), 5g of cassia twig, 10g of radix curcumae, 10g of gastrodia tuber, 10g of wild jujube seed, 5g of earthworm, 20g of raw dragon bone (decocted first), 20g of raw oyster (decocted first), 10g of amethyst (decocted first), 20g of semen cuscutae, 20g of morinda officinalis, 30g of astragalus root, 20g of radix codonopsis pilosulae, 20g of white atractylodes rhizome, 20g of dried ginger, 5g of honey-fried licorice root, 20g of poria cocos, 15g of purified pinellia tuber, 15g of dried orange peel, 15g of fructus amomi and 10g of cinnamon (later). Each 5 doses are taken alternately every day. After 10 days, the mood is improved, the emotion is stable, obvious dysphoria and self-disabled behaviors are avoided, sleep is improved, appetite is improved, and the treatment is consolidated continuously.
The above described embodiments represent only a few embodiments of the present invention, which are described in more detail and are not to be construed as limiting the scope of the present invention. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the invention, which are all within the scope of the invention.
Claims (2)
1. A Chinese medicinal composition for treating depression and anxiety is characterized by being alternately taken: the traditional Chinese medicine composition consists of a Huitian prescription and a deficiency labor prescription, wherein the Huitian prescription is prepared from the following raw materials in parts by weight: 15g of prepared aconite root, 15g of astragalus root, 20g of pilose asiabell root, 20g of largehead atractylodes rhizome, 10g of swordlike atractylodes rhizome, 20g of dried ginger, 20g of honey-fried licorice root, 15g of Indian buead, 15g of ginger processed pinellia tuber, 10g of tangerine peel, 15g of raw dragon bone, 20g of raw oyster, 15g of quartz, 25g of dogwood fruit, 15g of morinda root, 15g of cornu cervi degelatinatum, 10g of cassia bark, 5g of earthworm, 5g of danshen root and 5g of turmeric root-tuber; the deficiency-labor prescription is prepared from the following raw materials in parts by weight: 30g of prepared aconite root, 10g of cassia twig, 10g of radix curcumae, 5g of gastrodia tuber, 15g of wild jujube seed, 20g of raw dragon bone, 20g of raw oyster, 10g of amethyst, 20g of semen cuscutae, 20g of morinda officinalis, 30g of astragalus root, 20g of pilose asiabell root, 20g of bighead atractylodes rhizome, 20g of dried ginger, 5g of honey-fried licorice root, 15g of poria cocos, 15g of ginger processed pinellia tuber, 10g of dried orange peel, 15g of villous amomum fruit, 10g of cinnamon and 5g of earthworm.
2. Use of a Chinese medicinal composition according to claim 1 in the manufacture of a medicament for the treatment of depression, anxiety.
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CN105920553A (en) * | 2016-05-18 | 2016-09-07 | 张旭东 | Combined reagent for treating mental and neurotic symptoms |
CN111743994A (en) * | 2020-07-31 | 2020-10-09 | 南京同仁堂药业有限责任公司 | Traditional Chinese medicine preparation for warming middle-jiao and invigorating spleen and preparation method thereof |
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