The Clinical Study Of Regulate Qi And Alleviate Depressiong、Dispel Wind And Resolve Pelegm From The Collaterals Threat PSD

Post stroke depression (PSD) is the depression caused by stroke. In recent years, themorbidity of stroke become higher and higher, the people suffer from stroke becomeyounger and younger, and the lingering effects of stroke can’t be treated effectively. All ofthese caused the PSD patient become more and more, threat the PSD patients’ recovery andhealth, but also effect the patients’ emotion and the ability of the body and cognition.We review and summarize all the doctors’ recognization of the etiology, pathogeny,syndrome and therapy of PSD. And extract the main viewpoint. Based on these, we findthat the main etiological factor is liver Qi stagnation, the fundamental pathology isdeficiency of the Zang and Fu organs, the common pathological character is deficiency ofliver and kidney and wind-phlegm obstruction in collaterals. There are a lot of traditionalChinese medicine therapys, include differentiation types, basic decoction, special decoctionand acupuncture. The western medicine doctors’ are not sure of the pathogenesy of PSD.They all use antidepressant drugs, though there come out lots of new drugs and decreasethe adverse effect, the therapeutic effect is not as good as we expected, because theyignored its character that happened after stroke and the therapy of stroke.Liver Qi stagnation is the same etiological factor of PSD and depression, but PSDalso have the stroke’s pathological character as deficiency of liver and kidney andwind-phlegm obstruction in collaterals, so we can use the method of regulate qi andalleviate depression, dispel wind and resolve phlegm from the collaterals to deal with PSD.Thirty-nine patients with PSD were randomly divided into two groups, the treatedgroup(20 cases) were treated with huatan jieyu decoction(HTJYD). The control group(19cases) were treated with Fluoxetine. The HAMD scale score, activity of daily life score,blood lipid were determined in pre-treatment and post 20 days respectively. As a result: 20days after treatment, 18 cases were cured and 2 cases were not in treated group, the totaleffective rate is 90％, 16 cases were cured and 3 cases were not in control group, the totaleffective rate is 84.21％. The HAMD scale score and ADL score are were changed in two groups, although the treated group were more obviously superior to another group, there isno statistical difference of two groups.Conclusion: the method of regulate qi and alleviate depression, dispel wind andresolve phlegm from the collaterals have good a therapeutic effect to PSD patients. And canimprove the ability and the quality of life. and there is no adverse effect.