9. Manic-Depressive Psychosis (Dian kuang)
Definition
Dian--- thinking disorder, depressed emotion and facial expression, lingual absence/silence, bodily still
Kuang--- thinking disorder, excited emotion and facial expression, talktive, active movement, abnormally brave or agressive
Relevant diseases of western medicine
Dian:
1. schizophrenia (Catatonic type)
2. bipolar disorder (Manic-Depressive Psychosis) (depressive episode)
Kuang:
1. schizophrenia (Paranoid type)
2. Manic-Depressive Psychosis (manic episode)
Etiology & pathogenesis
1. lack of equilibrium of yin and yang
2. emotional factors
3. turbid phlegm misting heart orifice
4. qi and blood stagnation
5. miscellaneouse
Differential diagnosis
1. Dian and kuang
2. Dian kuang and epilepsy
3. Dian kuang and Yu syndrome
Classification & treatment
Dian
1. Stagnated qi combining with phlegm
Xiao yao san & Di tan tang
Chai hu---
Gang gui, Bai Shao---
Ban xia, Ju hong---
Dan nan xing, Zhu ru, Zhi shi---
Shi chang pu---
2. Heart and spleen deficiency
Yang xin tang
Ren shen, Huang qi, Fu ling, gan cao---
Ganhg gui, Chuan xiong---
Suan zao ren, Bai zi ren, Wu wei zi, Yuan zhi---
BL 15 Xin Shu, BL 18 Gan Shu, BL 20 Pi Shu, HT 7 Shenmen, ST 40 Feng long, PC 7 Da ling
Kuang
1. Phlegm-fire disturbing the heart
Xie xin tang
Huang lian, Huang qin---
Da huang---
Meng shi gun tan wan
Meng shi---
Huang qin---
Da huang---
Chen xiang---
Pu xiao---
2. Excessive fire injuring yin
Er yin jian
Sheng di huang, Mai meng dong, Xuan shen---
Huang lian, Mu tong, Zhu ye, Deng xin cao---
Fu shen, Suan zao ren---
Ding zhi wan
Dang shen, Fu ling, Bai zhu, Gan cao---
Fu shen, Shi chang pu, Yuan zhi---
Mai meng dong---
Acupuncture treatment
PC 8 Lao gong, GV 26 Ren zhong, GV 14 Da zhui, GV 16 Feng fu, PC 6 Nei guan St 40 Feng long, K 14 Da zhong
Prevention
Personal clinical experience
Dian--- thinking disorder, depressed emotion and facial expression, lingual absence/silence, bodily still
Kuang--- thinking disorder, excited emotion and facial expression, talktive, active movement, abnormally brave or agressive
Relevant diseases of western medicine
Dian:
1. schizophrenia (Catatonic type)
2. bipolar disorder (Manic-Depressive Psychosis) (depressive episode)
Kuang:
1. schizophrenia (Paranoid type)
2. Manic-Depressive Psychosis (manic episode)
Etiology & pathogenesis
1. lack of equilibrium of yin and yang
2. emotional factors
3. turbid phlegm misting heart orifice
4. qi and blood stagnation
5. miscellaneouse
Differential diagnosis
1. Dian and kuang
2. Dian kuang and epilepsy
3. Dian kuang and Yu syndrome
Classification & treatment
Dian
1. Stagnated qi combining with phlegm
Xiao yao san & Di tan tang
Chai hu---
Gang gui, Bai Shao---
Ban xia, Ju hong---
Dan nan xing, Zhu ru, Zhi shi---
Shi chang pu---
2. Heart and spleen deficiency
Yang xin tang
Ren shen, Huang qi, Fu ling, gan cao---
Ganhg gui, Chuan xiong---
Suan zao ren, Bai zi ren, Wu wei zi, Yuan zhi---
BL 15 Xin Shu, BL 18 Gan Shu, BL 20 Pi Shu, HT 7 Shenmen, ST 40 Feng long, PC 7 Da ling
Kuang
1. Phlegm-fire disturbing the heart
Xie xin tang
Huang lian, Huang qin---
Da huang---
Meng shi gun tan wan
Meng shi---
Huang qin---
Da huang---
Chen xiang---
Pu xiao---
2. Excessive fire injuring yin
Er yin jian
Sheng di huang, Mai meng dong, Xuan shen---
Huang lian, Mu tong, Zhu ye, Deng xin cao---
Fu shen, Suan zao ren---
Ding zhi wan
Dang shen, Fu ling, Bai zhu, Gan cao---
Fu shen, Shi chang pu, Yuan zhi---
Mai meng dong---
Acupuncture treatment
PC 8 Lao gong, GV 26 Ren zhong, GV 14 Da zhui, GV 16 Feng fu, PC 6 Nei guan St 40 Feng long, K 14 Da zhong
Prevention
Personal clinical experience
