Preliminary Study On The Theory And Clinical Application Of TCM In Treating Depression From "Thinking"

Background"Si" is an important concept in the psychological theories of Chinese medicine.In the theory of TCM psychology,"si" has been endowed with rich connotations,both for the purpose of worrying about emotions,and for thinking and cognition.From the TCM theory of five organs,"si" has the closest relationship with the spleen and the heart.Mindfulness can cause illness.Depression,also known as depressive disorder,is a kind of mood disorder with clinical long-term and persistent depressive symptoms.Severe people have suicidal behaviors.It causes pain to patients and their families,and causes serious adverse effects on society.In recent years,the number of people suffering from depression has increased year by year.Depression belongs to the category of "Yuzheng" and "Baihe Disease" in traditional Chinese medicine and is closely related to emotion.After several decades of clinical experience,Memory Tracing Personality Development Inventory(WMPI)has been established a national norm and applied in clinical practice.Based on the results of WMPI,through the combination of clinical patients and the growth experience it provides,the role of thinking in personality development and clinical application is analyzed to enrich its theoretical framework and the theoretical connotation of TCM psychology.ObjectiveThis article analyzes the emotion and cognitive connotation of "si",discusses the pathogenic mechanism of it and tell the relationship between "si" and depression under the guide of TCM psychology.To explore the correlations among various dimensions of the internality of the thinking subscale of WMPI of patients with depression and their correlations with the subscales of courage,humanity and triviality,to initially verify the development of thoughts and depression in personality development factors.The correlation of disease formation.To illustrate the clinical treatment of depression in the process of using Low Resistance Thought Induction Psychotherapy(TIP),so as to provide a new idea for the treatment of depression patients with clinical TIP therapy.MethodsTheoretical research:Through the interpretation of the content of "si" in TCM theory,the meaning of "si" and its relationship with depression are clarified.Under the guidance of the psychological abnormal personality development theory of traditional Chinese medicine,WMPI was used to assess the personality development of patients with depression.The contemplation subscale consists of the meaning of each dimension's corresponding "si",and the thinking scale can be used to assess the patient's thinking and development.Combining the results of the WMPI care subscales of 86 patients with depression,compared with the results of the normal control group,the relevance of the subscales of consideration and other subscales was analyzed to explain its important role in personality development and in the pathogenesis and clinical treatment of depression.Clinical studies:A case of depression patient was studied.The patient met the diagnostic criteria for DSM-IV depression.After a clinical scale examination,the results of the WMPI questionnaire were not in the normal range of the urban population norm.TIP therapy was used for 12 weeks of clinical intervention.Before and after treatment,useing the Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(S AS),Symptom Checklist(SCL-90),Montgomery Depression Scale(MADRS)and Minnesota Multi-personality Test(MMPI)to observe the treatment efficacy.Results1.The sub-scale of "silv" of WMPI is an important tool for measuring the elements of consideration in the assessment of personality development factors.The results of the WMPI scale of patients with depression were compared with the normal group,and the absolute thinking and the stubborn dimension under the consideration subscale were in the abnormal range.The relationship between the results of the subscales of the depression and the results of other subscales was analyzed,and the relationship between the factors of thought and life events,parenting style,courage,humanity,self-knowledge.2.By using TIP therapy based on "si" to give the treatment,treated a case of depression clinically.The patient's scale results improved after the treatment.The patient is of a stable follow-up.Conclusions1."Si" can not only express the worrying motional state of the patients,but also refer to the process of the patient's cognitive thinking activities.It is closely related to the spleen and heart in the five internal organs theory."Si" leads to illness,as the clinical symptoms,patients often show disorder and uncomfort of the whole body.2.According to the results of the scale study,under the guidance of the theory of psychological abnormal personality development of TCM,the development of depression and its clinical symptoms can be explained from a thoughtful development.3.Under the guidance of TCM psychology theory,combining with the patient's medical history and personal experience statement clinically,according to the results of WMPI,give"si" treatment in the TIP therapy process can train the patient's thinking.The main items of WMPI abnormalities were started to improved and targeted interventions were conducted by treating from the subscale of the "Silv" subscale.Clinical application initially confirmed the efficacy of the treatment and provided new ideas for the psychological treatment of depression in Chinese medicine.