| Objective: on post stroke depression and anxiety of liver gallbladder dampness heat syndrome, syndrome of stagnation of liver qi, syndrome of qi depression transforming into fire, qi stagnation and blood stasis syndrome, syndrome of stagnation of liver qi and spleen deficiency, kidney deficiency and liver stagnation, heart and kidney disharmony, deficiency of both heart and spleen are 8 kinds of common syndrome type of specific clinical manifestations.Methods: the differentiation of the subject of depression and anxiety in patients with post-stroke depression and anxiety in 452 cases of type and quantitative research. In a quiet state, to patients with inquiry and observation, fill in the Hamilton Depression Scale(HAMD), Hamilton Anxiety Scale(HAMA) and the amount of syndrome elements table score and typing. According to the brother Su Yanlong "after ischemic stroke anxiety and depression of TCM sub type and quantitative research results has been summarized above 8 types of syndrome type. Therefore, according to the patients with clinical manifestations and the scale for the assessment results were classified as hepatobiliary damp heat syndrome, syndrome of stagnation of liver qi, syndrome of qi depression transforming into fire, qi stagnation and blood stasis, stagnation of liver Qi with deficiency of the spleen, kidney deficiency and liver stagnation, heart and kidney disharmony, deficiency of both heart and spleen are 8 kinds of common clinical syndrome type. According to the frequency of the specific clinical symptoms of different syndrome types, the main symptoms and secondary symptoms of the syndrome were confirmed.result:1, a total of 41 cases of patients with liver qi stagnation syndrome. The syndrome elements: anxiety and depression, good Taixi, associated with emotional, threat rib pain, coating on the tongue and thin white, pulse string appear frequently, pharyngeal foreign body sensation, women’s breast pain, irregular menstruation syndrome elements of the low frequency. Through the weighted statistics analysis, the former is mainly in the secondary disease.2, gas stagnation fire with a total of 36 cases. The syndrome elements: anxiety, depression, irritability, distention and pain in the head, mouth pain, dry mouth, chest pain, red tongue, pulse a few strings appear in high frequency, and insomnia, tinnitus and deafness, constipation, urinate short red card prime with a lower frequency. Through the weighted statistics analysis, the former is mainly in the secondary disease.3, a total of 53 cases of patients with hepatobiliary damp heat syndrome. The syndrome elements: anxiety and depression, flank pain, anorexia, fat, mouth pain, dry mouth, stool sticky greasy uncomfortable, red tongue, yellow greasy fur, slippery pulse string number occurs with high frequency, and fever or chills and fever, short red urine, or genitals wet, itching, vaginal discharge yellow smelly card prime low frequency. Through the weighted statistics analysis, the former is mainly in the secondary disease.4, with a total of 60 cases of qi stagnation and blood stasis. The syndrome elements: depression and anxiety, impatient irritability, local bilge stuffy channeling away the pain, tingling and fixed refused to press, purple tongue or dark spots, pulse string astringent appeared frequently, but the complexion dark purple, women visible or amenorrhea, dysmenorrhea or clip has clot syndrome elements of the low frequency. Through the weighted statistics analysis, the former is mainly in the secondary disease.5, a total of 71 cases of patients with liver depression and spleen deficiency. The syndrome elements: anxiety and depression, good Taixi, aversion to cold, Yaoxisuanruan, flank pain, white fur, pulse string corrosion appears the frequency to be high, tastelessness, fatigue, abdominal pain, desire, reducing pain reduction after card prime with a lower frequency. By the weighted statistical analysis, the former is dominant, and the latter is the second disease.6, two patients with a total of 65 cases of spleen deficiency syndrome. The syndrome elements: anxiety and depression, palpitations, eat less abdominal distension, insomnia, forgetfulness, Shenpi fatigue, pale tongue, weak pulse appears with high frequency, and sallow complexion, loose stools, women’s menstrual quantity is little, pale, dripping endless and syndrome elements of the low frequency. 6 By the weighted statistical analysis, the former is dominant, and the latter is the second disease.7, a total of 78 cases of patients with kidney deficiency and liver depression syndrome. The syndrome elements: anxiety and depression, good Taixi, aversion to cold, Yaoxisuanruan, flank pain, pale tongue, white fur, pulse Shen fine appeared with high frequency, and clear urine long, predawn diarrhea, deafness and tinnitus, spermatorrhea card prime low frequency. By the weighted statistical analysis, the former is dominant, and the latter is the second disease.8, a total of 48 cases of patients with kidney deficiency and liver depression syndrome. The syndrome elements: anxiety and depression, Fanre, upset, insomnia, forgetfulness, soreness and weakness of waist and knees, tinnitus, night sweats, red tongue, little coating, pulse breakdown appears the frequency to be high, dry mouth and throat, wet dream, dry stool, urine yellow card prime low frequency. By the weighted statistical analysis, the former is dominant, and the latter is the second disease.Conclusion:1, liver qi stagnation syndrome: main symptoms: depression and anxiety(mood changes after aggravating), good Taixi, flank pain; secondary symptoms: pharyngeal foreign body sensation, female breast distending pain, irregular menstruation. The thin white fur, pulse string.2, syndrome of qi depression transforming into fire: main symptoms: depression, anxiety, irritability, distention and pain in the head, mouth pain, dry mouth, chest pain; secondary symptoms: insomnia, tinnitus and deafness, constipation, urine short red. Red tongue, pulse string number.3, hepatobiliary damp heat syndrome: main symptoms: depression and anxiety, flank pain, anorexia, fat, mouth pain, dry mouth, stool sticky greasy uncomfortable; secondary symptoms: fever or chills and fever, short red urine, or genitals wet, itching, vaginal discharge yellow smelly. Red tongue, slippery pulse string.4, qi stagnation and blood stasis type: the main symptoms: depression and anxiety, impatient irritability, local bilge stuffy channeling away the pain, tingling and fixed refus is pressed; secondary symptoms: Purple complexion dark, women visible or amenorrhea, dysmenorrhea or clip may have a blood clot. Dark purple tongue or spotted, pulse string astringent.5, liver stagnation and spleen deficiency syndrome: main symptoms: depression and anxiety, good Taixi, eating less, abdominal distension, rib fullness channeling pain; secondary symptoms: tastelessness, fatigue, abdominal pain with desire to stool, diarrhea after the pain reduction. White fur, pulse string corrosion.6, deficiency of both heart and spleen: main symptoms: depression and anxiety, palpitations, eat less abdominal distension, insomnia, forgetfulness, Shenpi fatigue; secondary symptoms: sallow complexion, loose stools, women’s menstrual quantity is little, pale, dripping endless. Pale tongue, weak pulse.7, kidney deficiency and liver stagnation: main symptoms: depression and anxiety, good Taixi, aversion to cold, Yaoxisuanruan, flank pain; secondary symptoms: clear urine long, predawn diarrhea, deafness and tinnitus, spermatorrhea. Pale tongue, white coating, thready pulse.8, the heart renal don’t pay card: the main symptoms: depression and anxiety, Fanre, upset, insomnia, forgetfulness, soreness and weakness of waist and knees, tinnitus, night sweats; secondary symptoms: dry mouth and throat, wet dream, dry stool, pee is yellow. Red tongue, little coating, thready pulse. |
PDF Full Text Request