Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character， 体） and Yong （Function， 用） in Mental Illness
10.13288/j.11-2166/r.2024.02.004
- VernacularTitle:赵永厚运用神志病体用学说分期论治精神分裂症经验
- Author:
Jianbo CHAI
1
;
Sihan ZHAO
2
;
Haojie CHANG
3
;
1
Author Information
1. Heilongjiang Mental Hospital， Harbin， 150036
2. Shanxi University of Chinese Medicine
3. Graduate School， Heilongjiang University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
schizophrenia;
mental illness;
mania;
treatment of the ti （character， 体） and yong （function， 用） simultaneously;
experience of famous doctors;
ZHAO Yonghou
- From:
Journal of Traditional Chinese Medicine
2024;65(2):139-143
- CountryChina
- Language:Chinese
-
Abstract:
Based on the theory of ti （character， 体） and yong （function， 用） in mental illness， ZHAO Yonghou's clinical experience in staged differentiation and treatment of schizophrenia is summarized. According to the theory， the core disease location of schizophrenia is in the brain， which is closely related to the organs， qi， and blood. It is proposed to interpret the pathogenesis of schizophrenia from the perspective of “zang-fu organs-qi and blood-brain and spirit”， that is， dysfunction of the zang-fu organs， disharmony of qi and blood， and malnourishment of the brain ti lead to dysfunction of the spirit ti and yong. In clinical practice， treatment of schizophrenia can be divided into four stages， for which the method of treating ti and yong simultaneously is suggested. In the prodromal stage， Liuwei Dihuang Decoction combined with Sini San （六味地黄汤合四逆散） with modifications is used to nourish the kidney and boost marrow， soothe the liver and rectify the spleen. For acute exacerbation with binding of phlegm and heat syndrome， Zhaoshi Yikuang Decoction （赵氏抑狂汤） with modifications is used to clear heat and dispel phlegm， awaken the brain and calm the mind. For phlegm-heat damaging yin pattern， Mengshi Guntan Pill combined with Zengye Decoction （礞石滚痰丸合增液汤） with modifications is used to clear heat and dispel phlegm， enrich yin and calm the mind. For the chronic treatment stage， Yudian Decoction （愈癫汤） with modifications is used to disperse phlegm and dissolve stasis， move qi and awaken the mind. For the rehabilitation and regulation stage， Shenan Pill （神安丸） with modifications is used to boost qi and nourish yin， and tranquilize the mind.
