The Academic Thought Summary Of Li Li Treated The Poststroke Depression And Clinical Research For The Clearing Heat And Resolving Phlegm Soup

Li li, director of the physician is the fifth batch of old Chinese medicine expert academic experience inheritance guidance teacher, engaged in more than 30 years, TCM clinical experience, in traditional Chinese medicine has profound attainments of poststroke depression.I as a successor to the architect during learning, the purpose of this paper is to summary and mentor in the treatment of poststroke depression's academic thoughts resolve depression heat phlegm decoction of the clinical research.Theoretical Research: 1. Arrange li li, director of physicians for the treatment of depression after stroke academic thoughts origin, find in the TCM literature records and associated with depression after stroke, this paper systematically carding and interpretation, discovered that generations of physicians to etiology and pathogenesis of cerebral apoplexy and depression disease, such as found in mood, disorder of viscera(is further subdivided into two virtual liver pathogenesis, lungs, kidney essence loss, obsessed with the brain closed), on this basis, li li, director of the physician Dan streams of the bow, adhering to the treatment of depression, especially newly gas resolve depression, yu from the bulk gas lines, combined phlegm and clear heat, dispelling stasis, tonify deficiency the method.This is li li, director of the physician academic thoughts origin for the treatment of depression after stroke.2. Refer to relevant information, sorting of Chinese and western medicine treatment of depression after stroke in recent years are reviewed.At present modern medicine on depression after stroke are different accounts of the pathogenesis, treatment with psychotherapy and drug treatment, there is work to be slow, poor effectsand side effects of larger, the price is high, easy to relapse, long course and other shortcomings.Ways, traditional Chinese medicine on depression after cerebral stroke attributable to depression syndrome in the category of "due to illness caused by yu", so far, still no unified standard of classification of the disease.To summarize, in recent years, many literature will depression after stroke treatment based on syndrome differentiation of traditional Chinese medicine situation roughly summed up as viscera, qi-blood, channels and collaterals in three aspects.Among them, the five aspects of treatment based on syndrome differentiation can be divided into diseases with ease, to change, glove two deficiency type, kidney essence deficiency type;Qi-blood syndrome differentiation can be divided into from gas treatment, treatment based on differentiation, from sputum from the stasis, phlegm and blood stasis to rule;Meridian syndrome differentiation and treatment ways on the basis of symptoms and signs to determine lesion meridians, acupuncture treatments, efficacy significantly.3. Summary li li, director of the physician on depression after cerebral apoplexy academic thoughts and clinical experience and research.Academic thought: li li, director of the physicians think strokes and the human body, qi-blood, diet of zang-fu organs and meridians modern hysteresis plug, ease is closely linked, inseparable, with the onset of depressive illness, mood disorders after stroke, the narrow depression disease, such as insomnia has its inevitability.Depression after stroke is based on the pathogenesis of stroke, both the clinical characteristics of stroke, and mood disorders such as performance, and finally influence each other, and for disease.Li li, director of the physicians think modern abnormal after stroke treatment, principle of the liver is a golden key to resolve depression, comfortable liver-qi to resolve depression, patients with different physical characteristics, at the same time course of the disease, and stroke length of phlegm and clear heat, qi and remove stasis and tonic.Summarize the clinical experience in the aspects: in the early modern internal injuries, liver depression and qi stagnation as the main contradiction reflected, and the later period to heart damage of pixu(spleen deficient), deficiency syndrome of kidney deficiency becomes the major contradiction.But in the whole process, qi depression is present throughout the course of the important pathogenesis, phlegm and blood stasis as the main pathological factors.At the same time compiled li li, director of the physician three clinical prescriptions: resolve depression clear heat phlegm decoction, yiqi t2 dm resolve depression, kidney, brain t2 dm soup, soup liver blood anshen decoction, summarizes the composition, the formulas of all parties concerned Fang Yi parsing.Li li, director of the physician in the long-term clinical work, formed the unique clinical thinking, medication use is also often going.It a: li li, director of the physician treatment of depression after stroke, is not simple to use and qi, but is good at using the medicinal properties of drug characteristics, clever compatibility in order to achieve the effect of qi activity and normal.Its common resolve depression heat phlegm soup, using clear and not muddy, and rather fierce roses, as well as "the blood of medicine" compatibility of rhizoma ligustici wallichii, with aromatic medicine begin to understand, qi and cheerful mind, and in rhizoma ligustici wallichii Xuan Tong smothering hysteresis and no disadvantages of Xin Wen Gang dry.Second, pay attention to protect spleen and stomach.Li li, director of the physician, points out that the spleen and stomach is the foundation of the day after tomorrow, the source of qi and blood biochemical, a considerable number of patients with cerebral apoplexy in itself is the pathology base with spleen deficiency, Sheng Tan pixu(spleen deficient)- caused by phlegm stasis, phlegm and blood stasis for mutual knot for stroke, even if the normal of the spleen and stomach, wind phlegm and blood stasis block jet fire after stroke, also must be upper abdomen qi activity after that loss, dysfunction of the spleen and stomach.And li li, director of the physician, points out that stroke is generally long course of disease, medication, for a long time, some of their spoil one's appetite will hurt and taste of the medicine.Based on the above understanding, lily of doctor of medicine pays attention to protect the spleen and stomach, if the potential of the phlegm heat is not a particularly heavy, usually with cold selfheal, tianzhu yellow, rhizoma coptidis and try not to, such as gardenia.Also often compatibility of down-regulated in prescription.Such as common resolve depression heat phlegm party, which dangshen tonifying spleen yiqi, and cooperate with the dried tangerine or orange peel the spleen and stomach.Thirdly, attaches great importance to the inner parts.Li li, director of the physician is pointed out that after stroke patients with bowel relieving chaotic evil endogenous, not only block qi activity make Qing Yang litres of turbid Yin don't drop, not obsessed with the left brain alongwith, can also further accumulate heat into poison, poison and further injury of the brain.Based on this understanding, li li, director of physicians in the treatment of patients with depression after stroke, often to make considered additions on relieving lead lag medicine to ensure patients' urine unobstructed, award-winning.Clinical Research: Objective: to observe the resolve depression heat phlegm decoction in the treatment of poststroke depression clinical efficacy..Methods: select eligible poststroke depression 60 people, using the method of random divided into treatment group and control group 30 cases each.Resolve depression heat phlegm decoction for the treatment group, used to paroxetine oral contrast, respectively, treatment 3 weeks, 6 weeks prior to the treatment of Hamilton depression rating scale(HAMD17 version) score, daily life ability scale(ADL) score and self-control level of poststroke depression rating scale score of traditional Chinese medicine.Evaluation of the treatment group compared with control group, resolve depression heat phlegm decoction in the treatment of poststroke depression clinical efficacy, safety and monitoring.Results: after treatment, the treatment group HAMD scores and ADL scores and poststroke depression syndrome grade rating scale score improvement is better than that of control group(P < 0.05), but no difference between the two groups of treatment effectiveness(P > 0.05).And two groups of testing all without exception safety indexes before and after treatment.Conclusion: resolve depression heat phlegm decoction treatment of poststroke depression is safe and effective, can significantly improve the clinical symptoms, reduce the degree of depression, improve the ability of daily life.