Discussion On TCM Syndrome And Treatment Of Depression

Purpose:collect the data of clinical treatment of depression in recent 20 years,to explore the characteristics of syndrome and treatment,the compatibility of drug and its changing trend,and to provide theoretical basis and clinical reference for the treatment of depression.Methods:collect the literature on the clinical treatment of depression from January 1998 to December 2017 through the databases of CNKI,WanFang Date,Vip network,Chinese Science and Technology Journal,PubMed and so on,disposal the data and use IBM SPSS Statistics 22.0 software to analyze the postsyndromic type,treatment methods,prescription and drug composition of depression.From the results of statistical analysis,the characteristics of syndrome and treatment of depression in the past 20’years,the compatibility of drug and its changing trend were analyzed.Results:1.In the 512 visits of 398 patients,there were 171 males and 227 females.The age ranged from 18 to 67 years,with an average of 32.63(6.79)years.The proportion of females was more than that of males and the proportion of patients between 18 and 30 years was the highest.2.The symptoms:amnesia,bad mood(depression,and sullenness),P>0.05,had no significant difference,and compare the amnesia and mood with the rest of the symptoms,P<0.01 all had significant difference.And the most common complexion was sallow complexion.3.Tongue coating,pulse condition:light color of tongue,red tongue and little saliva,purple tongue or ecchymosis compared with other tongue quality(P<0.01),there was a very significant difference.Compared with other tongue coating,dense tongue coating was statistically significant(P<0.01).Compared with other pulse condition,thready pulse was a very significant difference(P<0.01).4.Syndrome:liver qi stagnation syndrome,hepatic stagnation causing splenic deficiency and deficiency in heart and spleen syndrome were the most common type of depression,there was no significant difference between the two groups(P>0.05),there was statistical significance compared with the other three groups(P<0.01).Qi stagnation and deficiency of qi were the common syndromes of depression,which had statistical significance compared with other syndromes(P<0.01).The liver and spleen were the common syndromes of depression,which had statistical significance compared with the other syndromes(P<0.01).5.Total drugs:statistics show that the top five drugs are:Chinese thorowax rootred thorowax root,Indian Bread,tangerine peel,termate pinellia rhizome,ginseng root.After X2 test,there was significant difference between Chinese thorowax rootred thorowax root and other drugs(P<0.01),Indian bread,tangerine peel,temate pinellia rhizome and ginseng root had significant difference compared with the drug behind them(P<0.01).According to the above,the main drugs for depression are harmonizing the exterior and interior,regulating qi and resolving phlegm,increasing secretion of urine to remove dampness,restoring qi to strengthen the body resistance.The frequency of the first five drugs were as follows:Qi-regulating drugs,qi-nourishing drugs,tranquilizing drugs,blood tonifying drugs and blood-activating and stasis-dispelling drug,and qi-regulating drugs had significant difference compared with other kinds of drags(P<0.01).According to the above,the main treatment for depression is Qi-regulating drugs.6.The flavour character of drugs and the site of action:warm drugs had a significant difference compared with mild drugs and the drugs behind them(P<0.01).Mild drugs had no difference compared with cold drugs(P>0.05).There was a significant difference between mild and cold drugs compared with microchills and other drugs(P<0.01),and it is of statistical significance(P<0.01).There was no difference cmpared with sweet and bitter drugs(P>0.05),but there was significant difference compared sweet and bitter drugs with xin,salty,astringent and acid drugs(P<0.01),and it is of statistical significance.There was a significant difference between the liver and other site of action(P<0.01),and there was significant difference between the spleen and other site of action(P<0.01),and it is of statistical significance.7.The 2-flavor medicine group using the first six-position medicine in frequency is:Chinese thorowax rootred thorowax root,common peony root,largehead atractylodes rhizome,tenate pinellia rhizome,Indian Bread,and tangerine peel.The 3-flavor medicine group using the first six-position medicine in frequency is:Chinese thorowax rootred thorowax root,Indian Bread,common peony root,ternate pinellia rhizome,tangerine peel,and largehead atractylodes rhizome.8.Classification of syndromes-analyse of traditional Chinese medicine Association rules:When syndrome differentiation is stagnation of liver-qi,traditional Chinese medicine which commonly used in clinical practice are Chinese thorowax,fossil fragments,dried old orange peel,root of herbaceous peony,the tuber of pinellia,thin leaf milkwort root,grass leaved sweetflag,oyster,chuanxiong rhizome,Cape jasmine,and so on.When syndrome differentiation is hepatic stagnation causing splenic deficiency,traditional Chinese medicine which commonly used in clinical practice are Chinese thorowax,tuckahoe,dried old orange peel,ginseng root,largehead atractylodes rhizome,grass leaved sweetflag,Chinese angelica,bark of silk-tree,bark of official magnolia,chuanxiong rhizome,common aucklandia root,nutgrass galingale rhizome,and so on.When syndrome differentiation is deficiency in heart and spleen,traditional Chinese medicine which commonly used in clinical practice are tuckahoe,ginseng root,Chinese angelica,large-headed atractylodes,the root of membranous milk vetch,root of herbaceous peony,thin leaf milkwort root,and so on.When syndrome differentiation is hepatic and renal yin deficiency,traditional Chinese medicine which commonly used in clinical practice are tuckahoe,Chinese yam rhizome,fossil fragments,root of herbaceous peony,oyster,Chinese angelica root,cape jasmine,ginseng root,and so on.When syndrome differentiation is stagnation of liver-qi with phlegm obstruction,traditional Chinese medicine which commonly used in clinical practice are tuckahoe,grass leaved sweetflag,Chinese thorowax,the tuber of pinellia,dried old orange peel,large-headed atractylodes,the root of membranous milk vetch,thin leaf milkwort root,and so on.Conclusion:the present research status of depression is briefly introduced from the aspects of diagnostic criteria,clinical manifestations,etiology and treatment of western medicine,and then the relationship between depression and traditional Chinese medicine is explored from the history of cognition of emotional diseases in traditional Chinese medicine.It is considered that depression belongs to the category of depression in TCM,and the pathogenesis of depression in TCM is discussed.That is to say,the stagnation of liver and qi is an important factor of depression,,the deficiency of liver and spleen,the disharmony of stomach and qi is the important link of depression,phlegm coagulation,fire depression and blood addiction are the pathological mechanism,the deficiency of heart and spleen is the important pathogenesis of depression.This topic focuses on the traditional Chinese medicine journal published in the modern China,which is used for the treatment of the prescription with definite "depression" disease name and definite curative effect,as a system and comprehensive arrangement,from which the basic composition and the compatibility form of the prescription are explored,so as to prompt the treatment of the depression,namely,to soothing liverto regulate qi,nourishing qi to invigorate spleen and enriching blood to anchor the mind.It is in the main compatible form of expel ling dampness and eliminating phlegm,activatingblood to eliminate stagnation,dispelling fire,reinforcing kidney and warming and activating yang,and relaxing muscles and tendons and removing obstructionfrom meridians.