Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency
10.13288/j.11-2166/r.2023.19.016
- VernacularTitle:从气、痰、火、虚辨治双相情感障碍
- Author:
Yunfeng YU
1
;
Gang HU
1
;
Manli ZHOU
1
;
Xiaoxin LUO
1
;
Xiahui ZHOU
1
;
Weixiong JIAN
1
;
Zhaokai YUAN
1
Author Information
1. College of Chinese Medicine， Hunan University of Chinese Medicine， Changsha， 410208
- Publication Type:Journal Article
- Keywords:
bipolar disorder;
depression;
mania;
binding constraint of liver qi;
phlegm and qi interact obstruction;
phlegm and fire interact binding;
deficiency of both qi and yin
- From:
Journal of Traditional Chinese Medicine
2023;64(19):2037-2040
- CountryChina
- Language:Chinese
-
Abstract:
Bipolar disorder （BD） is considered to be mainly related to qi， phlegm， fire and deficiency. Binding constraint of liver qi is the initial cause， while phlegm and qi interact obstruction as well as phlegm and fire interact binding is the key pathogenesis of the transformation between depression and mania， and deficiency of both qi and yin is the main reason of the protracted course of disease. In clinical practice， BD is divided into binding constraint of liver qi pattern， phlegm and qi interact obstruction pattern， phlegm and fire interact binding pattern， and deficiency of both qi and yin pattern， which can be treated with Jinyu Shugan Powder （金玉疏肝散）， Kaiyu Wendan Decoction （开郁温胆汤）， Qingxin Huatan Decoction （清心化痰汤）， and Baihe Shengmai Beverage （百合生脉饮） in their modifications respectively； moreover， Guanye Jinsitao （Herba Hyperici Perforati） is usually used to rectify qi， relieve phlegm and clear heat. It is also suggested to put focus on the prevention and treatment of qi， phlegm and heat simultaneously， and modify the medicinals flexibly in accordance with the pathogenesis evolution and the abnormal exuberance.
