Professor Fan Yalan's Clinical Experience In The Treatment Of Anxiety

purposeThis research through to the anxiety state of the patient’s symptoms, tongue and pulse condition and drug distribution were analyzed and summarized, in order to explore Fan Yalan professor for anxiety state of dialectical thinking and drug compatibility laws;Conclusion teacher treated from liver anxious state academic thoughts and clinical experience.methodsThis research is divided into two parts, the first part is literature review, the definition of anxiety state were discussed from two aspects of Chinese and western medicine, pathogenesis,diagnosis and treatment.The second part is the experience summary, compared to cross-sectional survey, no cases of observational studies primarily, USES SPSS20.0 statistical software, using t test and nonparametric test included in the standard of 90 patients with anxiety state were observed and analyzed.The results of(1) demographic information: gender: state of anxiety in patients with female, male:female=1:2. 92;Age: mainly distributed between 30 to 50 years old, to see more young and mi ddl e-aged; Career and education: to highly educated, mental workers see more;Characteristics: the temper 73 cases (81.1%), worry about 71 cases (78.9%), love angry 57 cases (63.3%), the pursuit of perfect 52 cases (57.7%), nervous 55 cases (60.1%).(2) distribution of symptoms: anxious state distribution: the common symptoms in patients with irritable (82, 91.1%), irritability (82, 91.1%), tension (76, 84.4%), insomnia (74,82.2%), chest tightness (58 times, 64.4%), fear (56 times, accounting for 62.2%),forgetfulness (34 times, accounting for 37.8%).(3) tongue pulse distribution: distribution of anxiety state of the patient’s tongue: pale tongue (54, 60%), tongue reddish (16 times, 17.77%), tongue coating distribution, moss thin white (12 times, accounting for 13.33%), whitish (72, 80%), white greasy moss (4 times,accounting for 4.44%), etc.;Common pulse condition distribution: string pulse (80, 88.88%),heavy vein (62, 68.88%), number of arteries and veins (44,48.88%).(4) certificate type distribution: patients with anxiety state evidence type distribution from high to low in turn is liver depression and qi stagnation syndrome (56 cases, 62.22%), liver spleen deficiency (16 cases, 17.77%), liver blood heat syndrome (12 cases, 15.55%), liver kidney deficiency (6 cases, 6.66%).(5) : drug distribution state of anxiety in patients with drug distribution in radix bupleuri,dried tangerine or orange peel, bitter orange, yam, cortex albiziae, incense, radix curcumae,radix polygoni multiflori cane, licorice and other drug use frequency is higher.(6) curative effect evaluation: reference HAMD scale reduction rate method, heal 0 cases,16 cases were markedly improved (17.78%), 39 cases (43.33%), 35 cases (38.89%), invalid HAMD improve the total effective rate was 59.3 8%;The paired t test, day and night change factor score before and after the treatment there was no significant difference (P > 0.05), the rest the HAMD factors and total scores of HAMD after treatment than before treatment significantly reduced (P < 0.05).conclusion(1) state of anxiety in patients with more see in young and middle-aged women, and anxiety state of professional and cultural level was significantly correlation;(2) Fan Yalan professor in the treatment of a state of anxiety on the whole grasp, attaches great importance to the combination of syndrome differentiation and disease, think "liver pathogenesis, qi activity stasis" as its main pathogenesis, and established the "treated from liver" this academic ideas;(3) professor Fan Yalan use of medication in facilitating drug, for the first, in radix bupleuri liver powder is given priority to, according to individual circumstance of deficiency in the add and subtract.(4) before and after treatment the HAMD scores of aram professor demonstration "treated from liver" anxious state of curative effect is remarkable.