What should my mother do if she has schizophrenia and has no money for treatment? Please help! !

Traditional Chinese Medicine "Ma Fang" in Treating Schizophrenia

Summary of clinical research

At home and abroad, the use of western medicine chlorpromazine, trifluoperazine, Telden and other drugs to treat schizophrenia has been familiar and recognized by the majority of doctors. However, there is no systematic theory and mature practical experience in the treatment of schizophrenia with traditional Chinese medicine. In order to give full play to the advantages of traditional Chinese medicine in China, after ten years of clinical research, the prescriptions of "Jingfen 1No.", "Jingfen No.2" and "Jingfen No.3" were developed, and 500 patients with schizophrenia were treated with traditional Chinese medicine alone, and the total effective rate was 98.8% and the cure rate was 80.2%. It has made a successful pioneering exploration for the treatment of schizophrenia with traditional Chinese medicine, filled the theory of treating schizophrenia with traditional Chinese medicine, broke a new path and provided an unprecedented treatment method.

clinical data

1. case selection; .

(1) Diagnosis: 500 mental patients were diagnosed by psychiatric hospitals or specialties above Grade III, and were treated repeatedly in psychiatric hospitals 1 to 15 times or more.

(2) Classification: According to the classification method of western psychiatry, among the 500 mental patients, 338 were delusional, 32 were manic/kloc-0, and 30 were nervous.

According to the symptoms and signs of patients, especially tongue coating, pulse condition, eyes, complexion and expression reaction, 500 patients were divided into 338 cases of blood deficiency and phlegm-fire type, 30 cases of liver depression and excess fire type 132 cases and 30 cases of yin deficiency and excess heat type.

The three TCM classifications of symptoms and signs are:

(1) blood deficiency and phlegm-fire type

Symptoms: auditory hallucinations, hallucinations, suspicion that someone is harming him (her) or spying on him (her), fear, nervousness, sluggishness, sometimes laughing for no reason, blaming yourself, talking to yourself, some staying in bed all day, depressed, shrinking, indifferent to the surrounding things, pale face, dull eyes, and answering irrelevant questions; The tongue is pale, the tip of the tongue is red, the coating is thin, yellow or greasy, and the pulse is heavy or thin.

(II) Liver depression and fire hyperactivity type

Symptoms: irritability, staying up all night, hitting people and smashing things, increasing movements, going crazy all the time, screaming with the Beatles, sometimes naked, diving and taking a cold bath, etc. Eyes are bloodshot, eyes look straight, face is red, tongue coating is yellow or thick, gray and black with little body fluid, and even appears in.

Crack, number of pulse trains. Can't cooperate when seeing a doctor.

(3) Yangming excess heat type

Symptoms: fidgety? Sleepless all night, thirsty, drinking a lot of cold water, screaming and headache, paroxysmal madness, going out and running around or pacing back and forth, sometimes crying and screaming, talking to himself, hallucinating; Red face and burning lips, dry stool. It usually takes 3 to 5 days, and some people don't even understand the stool for more than 20 days. The tongue is red or the tip of the tongue is red, the coating is yellow and thick, chapped or grayish black, and the pulse is heavy.

According to their symptoms and characteristics, the above three kinds of fissures can be divided into two categories: one is manic and violent, commonly known as "martial delusion", and its disease is real; The other is flaccidity, commonly known as "literary idiocy", and its disease is deficiency.

2. General information:

Sex: male 229, female 27 1.

Age: 84 cases were under 20 years old, 265,438+360 cases were 0-40 years old, 53 cases were 4 1-60 years old, and 3 cases were 6 1 year old. Among them, the incidence rate of young adults is the highest.

Occupation: worker 3 16, farmer 19, social youth 75, student 46, cadre 23, soldier 5, resident 7, actor 2, teacher 8. Among them, workers suffer the most, followed by social youth.

Course of disease: one year 18 1 case, two to five years 158 cases, 98 cases from six to ten years, and 63 cases from eleven to thirty years.

3. Ingredients of prescription drugs:

Jingfen 1: QQ42 1468473

Fine division number 2:?

Fine division number 3:?

Methods and effects

1. method:

(1) encoder selection:

For those with blood deficiency and phlegm-fire type, "Jingfen No.2 Formula" is selected; For those with liver depression and excessive fire, use "refined L formula"; It belongs to Yangming excess heat type. Use "Jingfen No.3 Formula".

(2) Course of treatment:

Take 1 dose daily, 6 doses per week, and 24 doses are a course of treatment.

Stop taking any other drugs after receiving TCM code prescription treatment. Some patients take chlorpromazine, Telden and other drugs for a long time. In order to take into account their habits, the dosage of traditional Chinese medicine should be halved within four days after starting to take it, and then stopped.

(3) Reaction and precautions:

After taking the prescription of traditional Chinese medicine, usually 1 2 doses, diarrhea begins to appear, ranging from 5 to 6 times to more than I5 times a day. What kind of diarrhea is this? This is what drug treatment expects, so don't panic. The general rule is that the earlier diarrhea occurs, the more serious it is, and the faster the curative effect is. Most patients took the medicine for one week, and diarrhea reached 100 times or more. Never train patients with dehydration, shortness of breath or unbearable reaction. On the contrary, with the increase of diarrhea, the pulse condition and heat syndrome of tongue coating subside, and the mind quickly wakes up.

In order to verify the feces discharged by the patient, the feces were repeatedly tested and no pus balls, white blood cells and red blood cells were found. During taking medicine, avoid sprinkling spicy and dry products such as cigarettes and peppers to avoid fever, and drink plenty of water, which is beneficial to washing intestines and promoting metabolism.

2. Effect:

(1) 500 cases of schizophrenia, after taking this prescription, 4 0l prescriptions were cured, 93 cases were improved, 6 cases were ineffective, the cure rate was 80.2%, and the total effective rate was 98.8%.

(2) Criteria for judging curative effect:

Healing standard l

All the symptoms disappeared and the insight was completely restored. The experience of mental symptoms is as profound as that of normal people. In terms of dialogue, reaction and the relationship with the surrounding environment, I can reach the health level before I get sick, and I can go to work, study and deal with my daily life normally.

Improve the standard:

Symptoms basically disappeared, self-awareness partially recovered, and I could basically take care of myself and finish some work and study. But there are still some gaps with normal people, so I often take some heat-clearing drugs to maintain it.

Invalid criteria,

(1) After a course of continuous medication, the symptoms have not improved.

(2) Those who stop treatment due to financial difficulties, unattended care, no one being sent to the hospital, and patients refusing to take medicine. ,

(3) It's a long way, inconvenient to go back and forth, no response after taking the medicine, unknown whereabouts and unknown curative effect.

discuss

1. TCM understanding of the etiology and pathogenesis of schizophrenia. Schizophrenia is not the result of a single pathogenic factor, but the result of multiple pathogenic factors. According to clinical observation, the main pathogenic factors and pathogenesis can be roughly summarized into the following six aspects.

(1) is related to self-poisoning:

As we all know, the organization in charge of people's thinking, emotion, intelligence and consciousness is the brain. Under normal circumstances, the blood circulation and metabolism of the brain are extremely vigorous, and the blood flow is always relatively stable. In order to ensure the normal function of the brain. Whether sleeping, awake, lying down, standing, happy or angry, the adult brain needs 500-600 ml of oxygen and 75- 100 mg of glucose per minute. That is to say, the brain needs normal arterial oxygen partial pressure and 700- 1000 ml of blood with normal blood sugar every minute, which accounts for about 1/5 of the total cardiac output, and provides 30 watts/minute of energy for the brain. The weight of the brain accounts for only 2% of the body weight. However, although the weight and volume of the brain are small, it accounts for 15-20% of the whole body oxygen consumption. From these figures, we can fully see that the normal function of the brain depends on the blood circulation and other body fluid circulation in the body, and the relationship between them is very direct and close.

When metabolic dysfunction occurs in the body, it often affects the quality of blood supplied to the brain and brings in toxic substances, thus leading to "self" poisoning of the brain. This is often reflected in clinic. For example, most cases have different degrees of metabolic dysfunction. Unable to urinate for two days and not defecating for 24 days; And those who don't sweat all summer. According to 500 statistics, 95.4% have a secret history of defecation. Stool accumulates in the intestinal cavity for a long time, urine can not be dissolved normally, and metabolites can not be excreted smoothly. This leads to the continuous accumulation of toxic substances in blood, and these accumulated toxins are brought to the brain with the continuous supply of blood circulation, which will inevitably lead to the absorption of these toxic substances by brain cells, resulting in brain cell poisoning, which will lead to abnormal brain function. Abnormal thinking, emotion, intelligence and strange behavior.

This kind of self-poisoning has also been mentioned in foreign literature-and some mental diseases are called toxic encephalopathy. Some scholars in Japan believe that "the onset of this brain symptom is not only restricted by the accumulation of these toxic substances, but also related to the acid-base balance in the blood, electrolyte changes, glucose metabolism disorder and increased brain pressure."

(2) Related to excessive internal heat:

The concept of excessive internal heat is summed up by a large number of mental patients showing obvious signs of heat. In a large number of schizophrenic cases, it is found that although most patients have different symptom groups, such as hallucinations, delusions, mania, etc., they have the same signs, such as tongue coating, pulse condition, eyes, complexion, etc., marked by obvious heat images. The pathogenic factor "heat" and the self-toxic "poison" are actually two pathological products with the same nature and different degrees. Metabolic disorder will produce "heat"; Depression can also produce "fever". According to the medical history of a large number of cases, it can be clearly seen that most cases generally have obvious emotional inducing factors, such as quarreling, fighting, lovelorn, death of relatives, political framing and other major mental trauma processes. _ This kind of intense stimulation causes excessive emotional depression and resentment, just as Neijing said: "Happiness and sadness, sadness for the lungs, anger hurting the liver, fear of hurting the spleen, fear of hurting the kidney". This emotion is too strong and lasting. It will inevitably lead to visceral dysfunction, and the internal "heat" was born here. Such as heart fire, liver fire and stomach fire. This is the mechanism of the "Five Extremes" mentioned in Neijing, and all of them can be turned into fire.

When these internal fires are raging, the functions of zang-fu organs are seriously disordered, the movement of qi is blocked, and the movement of water and liquid is destroyed. Lead to metabolic disorders. These internal anomalies in turn affect emotional and behavioral disorders.

The pathogenic factors formed by accumulated (depressed) heat affect the dysfunction of zang-fu organs; It can also interfere with brain function due to visceral dysfunction. This vicious circle gradually leads to violent explosion, sleepless nights, beating people and destroying things, hallucinations, wrong opinions and other symptoms of schizophrenia. To some extent, this reflects the theory that "all mania and excess belong to fire" heard in Neijing.

(3) related to personality defects:

Personality, as a characteristic of dealing with things and problems, exists objectively. Personality, as the internal basis and factor of a disease, is necessary to attract the attention of schizophrenic doctors. Although we have made statistics on the personality of 500 patients before onset, it is found that more than 95% of them are impatient, willful, withdrawn, timid, silent, suspicious, sensitive, narrow-minded, aggressive and stubborn before onset.

Opinions and so on. Among them, withdrawn, taciturn and narrow-minded are the most common.

In fact, everyone has their own personality, which is beyond reproach. The question is whether his character is extraordinary or too extreme and prominent. So as far as this personality itself is concerned, it seems to be a defect, so we call this personality "pathological personality". Once it has this "morbid personality", its tolerance for external mental stimulation will inevitably decline. When confronted with the normal stimulation of joining the Party, people with morbid personality find it unbearable. If Shang Ruo's stimulus is strong or lasts for a long time, it will reach an uncontrollable level. For example, when encountering great mental stimulation, stubborn and stubborn people often walk into a dead end, showing great resentment and being unable to extricate themselves; Impatient people are furious and furious, but they can't control themselves; Lonely people appear depressed, silent or afraid, and so on. With the characteristics of morbid personality, different reactions produce different symptom groups, leading to anorexia, sleep disorders, rage, hallucinations, and even fainting, stupor and other abnormalities. At the same time, different personalities are also related to the types of diseases. In a word, these personality defects lead to decreased adaptability to external stimuli, which is one of the factors that can not be ignored in schizophrenia.

(4) and (1) are related to the decline of physical function.

Physical function refers to the activity ability of all tissues and organs in the whole body. Traditional Chinese medicine believes that the decline of body function mainly refers to the decline of viscera function and the weakness of qi and blood, especially the lack of heart blood. The strength of physical function is not only related to the individual actor.

Type, more importantly, it directly affects the individual's tolerance to external stimuli. Schizophrenia is a susceptible disease of individuals with decreased physical function or weakness. Many clinical cases, especially blood deficiency and phlegm-fire type (common in hallucination and delusion type), are more common in patients with weak constitution before and after onset. Investigate its reason, some long-term spleen and stomach weakness, some kidney qi deficiency, some menorrhagia, some have a history of chronic blood loss and so on. The specific manifestations are the decline of cardiac function, manifested as palpitation, palpitation, panic, forgetfulness, insomnia and other symptoms. , decreased spleen function; Deficiency cold is often unlucky, so that the Shui Gu you eat can't be refined, but it becomes a product of phlegm. As Chen Shize said, "The occurrence of epilepsy is mostly due to deficiency and cold of the spleen and stomach. The Shui Gu after eating has not become refined, but has become phlegm. The phlegm cannot condense between the chest and diaphragm and flow into the heart, and epilepsy is produced." ; If renal function declines, dizziness, tinnitus, memory loss, panic, etc. ; The decline of liver function is mainly manifested in liver blood deficiency, which leads to insomnia, dreaminess and irregular menstruation. By analogy, the decline of some functions will inevitably lead to the whole body doing work from the inside.

Because of the disorder of energy, it is particularly fragile when stimulated and easy to lose rational control. At the same time, it also affects people's senses, such as abnormal functions of eyes, ears, nose and mouth, and even hallucinations, tinnitus, hard of hearing and even auditory hallucinations: the sense of smell declines, and even the sense of smell is abnormal. The dysfunction of various organs caused by the decline of general function constitutes a physical factor susceptible to schizophrenia to a certain extent, and the stimulation of environmental factors and mental factors can easily lead to schizophrenia.

(5) Related to mental stimulation?

In addition to internal mechanism, external mental stimulation is also an important factor in the pathogenesis of schizophrenia. In the process of tracing the causes of patients, except for a few patients who were unaware of external factors at the time of onset, most patients had obvious mental stimulation as an inducement before onset. Among them, intimidation, lovelorn, quarreling and the death of relatives are the most common. Some people are sick at the time of such intense mental stimulation or on the same day. In the statistics of 500 cases, people who have suffered such intense stimulation have reached.

As many as 458 cases.

So, why can external mental stimulation lead to schizophrenia? This is mainly due to the strong reaction degree caused by stimulation, which exceeds the range that the brain can bear, that is to say, the damage to brain function caused by this interference is huge and destructive. Therefore, the first symptoms are abnormal excitement, anger, tension, fear, etc., followed by symptoms of schizophrenia. The process from the symptoms of this stimulus to the formation of the disease is actually the process in which external mental stimulation causes the brain to gradually lose its balance and normal thinking function from light to heavy.

Chinese medicine believes that the mechanism of internal diseases caused by external mental stimulation lies in coffins? It has been described in "Oral Questions", such as: "When you are frightened and frightened, qi and blood will be separated, Yin and Yang will be broken, meridians will be extinct, blood vessels will be blocked, Yin and Yang will be opposite, defensive qi will be missing, meridians will be empty, and qi and blood will be inferior." He also said: "Sorrow and sorrow can lead to a heartbeat, and the heartbeat will shake all the internal organs. Shaking will produce a pulsating feeling, which will lead to the opening of the liquid channel, which will lead to tears. " In other words,' will cause' heartbeat'

The premise of "separation of qi and blood and collapse of yin and yang" must be "sadness" and "fear of shock" at first, and then under the action of this mental stimulation, a series of pathological changes such as "shaking of five internal organs, separation of qi and blood, and obstruction of meridians" can be caused, and finally the result of "losing normality" will appear. Through clinical observation, whether mental factors can cause disease depends not only on their nature, but also on strong and heavy emotional experience and the degree of interference with visceral function.

Then, some people will encounter strong stimuli such as panic, lovelorn, sadness and sadness. Why didn't they cause the disease? The key reason why there are significant differences here is whether there are pathogenic conditions in individuals. The internal conditions mentioned above, such as "self-poisoning", "excessive internal heat", "decreased physical function" and "personality defect", coupled with external mental stimulation, can easily lead to schizophrenia. On the other hand, without these internal foundations, even with external mental stimulation, it is difficult to develop schizophrenia.

This paper expounds that mental factors are important pathogenic factors of schizophrenia, but they must be acted by internal factors of the body, namely external and internal factors, thus leading to the occurrence of diseases.

(6) Related to genetic factors:

As the cause of schizophrenia, genetic factors have long been recognized.

In traditional Chinese medicine, the theory of genetic factors of mental illness is much earlier than that put forward by foreign medicine. The discussion first appeared in Neijing. In Su Wen's Treatise on Strange Diseases, he said, "What is the name of a person born with epilepsy? Is it clear?

A: The disease is called fetal disease. This was obtained in the mother's womb. Her mother was frightened, acted in collusion with each other, and her son became epileptic. "Call this disease a fetal disease" and think it is brought in by the fetus. Although it was also mentioned in the later literature, due to objective reasons in the history of medical development in China. As a result, this view has long been only the clinical impression of medical scientists.

In recent years, with the continuous study of cytogenetics, molecular genetics and clinical data, it has been confirmed that genetic factors play an obvious role in the pathogenesis of schizophrenia and manic depression.

In addition to the above etiology and pathogenesis, it is also found that the condition changes of adolescent cases are closely related to menstruation. Some menstruation comes at the right time, but every time the condition is aggravated before menstruation, it will return to its original state after menstruation. Some dysmenorrhea is irregular or abdominal pain during menstruation, but the condition changes with the menstrual cycle and becomes a periodic psychotic episode. According to the observation of clinical symptoms and signs, premenstrual dysphoria, abdominal pain, forgetfulness and fright are caused by qi stagnation and blood stasis. As "Theory of Blood Syndrome" said: "Blood deficiency into blood stasis is also called hell. Taking it as the same evil can disturb your eyes. " Dizziness, palpitation, insomnia, numbness of hands and feet and restlessness after menstruation are caused by deficiency of qi and blood.

2. The role of TCM code prescription in the treatment of schizophrenia.

Based on the above TCM understanding of the etiology and pathogenesis of schizophrenia-focusing on "fire" and "poison" is the basic treatment principle of medication. It is the method of clearing away heat, purging fire and detoxifying, nourishing blood, enlightening and waking up.

"JingFenNuo. 1 "is cold and heavy, and clearing away heat and purging fire is very effective. Those who are too angry, angry and manic use "1". Cold can put out the fire, warm fire can clear itself, heat can dispel the spirit, and God can wake up and be safe.

"Jingfen No.2", on the basis of paying attention to nourishing blood and calming the nerves, clears away heat and enlightens. Weakness and blood deficiency. People with phlegm-fire stagnation will be delirious and in a trance. Gypsum Fibrosum, Acorus calamus and Huang Zhu are used in the prescription to clear away heat and resolve phlegm, wake up the brain and begin to understand, clear away heat and resolve phlegm by themselves. Spatholobus suberectus and so on. Nourishing blood, nourishing blood and calming blood.

"Jingfen No.3" emphasizes Yangming, relaxing the intestines and regulating qi, clearing dirt and removing silt, purging internal fire, detoxicating and removing filth, and enlightening and calming the nerves. Although the drugs used by the code prescription belong to general Chinese medicine, the dosage is many times higher than the conventional dosage. For example, the dosage of gypsum can reach 150g to 3 10g, the dosage of rhubarb can reach 62g, and the dosage of mirabilite can reach more than 45g. The use of such large doses of these drugs is rare in general clinical doses and some data reports. The main reason is that the great effects and strong side effects of these drugs make doctors daunting. The publication of dyes in some books of past dynasties is also a reason. For example, rhubarb and mirabilite are called "tiger medicine" and gypsum is called white tiger. In fact, these drugs are used properly and the effect is quite remarkable.

By using these codes, we realize that although schizophrenia is a frequently-occurring and common disease, it is also an extraordinary disease with complex etiology and difficult treatment. Extraordinary drugs must be used for extraordinary diseases. The ancients said that "medicine can cure diseases, and poison can be used as energy", and we also deeply feel that "if medicine is strong, the effect will be obvious". Only by boldly using medicine can we succeed.

knot

1. After ten years of clinical research, the theory of Chinese medicine to explain the etiology and pathogenesis of schizophrenia has been preliminarily sorted out, filling the gap in the systematic theory of Chinese medicine schizophrenia.

2. Under the guidance of this theory, we further developed the "Jing Ma Fang", and used it to treat 500 cases of 98 different types of schizophrenia, and achieved a remarkable effect of 80.2% cure rate and 98.8% total effective rate. It is a pioneering and successful exploration of treating schizophrenia with traditional Chinese medicine. It opens up a new way for the treatment of the disease and provides a new and effective method.

3。 Clinical practice has proved that the treatment of schizophrenia with traditional Chinese medicine prescriptions has the characteristics of radical cure, quick effect, no side effects and consolidated curative effect.

(6) Schizophrenia medical records

Example 1: Chen xx, male, 30 years old, worker.

(Pre-illness personality) Pre-illness personality is shrinking.

Seven years after onset. During the Cultural Revolution, he was beaten for factional reasons, and his thoughts were greatly stimulated. Soon after, he was lovelorn again. Under the double pressure, he gradually stayed up all night, secretly crying, talking to himself, and having abnormal fears. He suspected that someone was stalking and spying, and someone was trying to cheat him. The stool is often inexplicable and has been dry for a week. Auditory hallucinations are obvious. Under the control of illusion, doors and windows have been nailed many times, and the bed has been tied with a rope, and no one is allowed to open it. Life is completely lost.

After getting sick, he was sent to XX mental hospital and XX mental hospital successively, and was hospitalized repeatedly for one year. I have been treated with chlorpromazine, Telden, 3-fluorouracil and various unilateral drugs for 7 years. Long-term use of chlorpromazine, sometimes light and sometimes heavy, has been unable to relieve symptoms.

[Physical examination of traditional Chinese medicine] Pale complexion, straight eyes, dull expression and slow response. Thinking and memory are severely impaired, and it is impossible to describe the illness and answer questions. My pulse is heavy and thin and my tongue is red and yellow. I was diagnosed as schizophrenia-blood deficiency and fire type.

[Treatment] The patient has a long course of disease and is weak after a long illness. However, during the clinical visit, the pulse is thin and stringy, the fur is thin and yellow, and the internal heat of phlegm-fire is obvious. The treatment of schizophrenia, although the symptoms are complex, but the treatment of drugs should first start with purging fire and inducing resuscitation. Therefore, the disease should be treated by purging fire first. Then, according to the symptoms, dialectical conditioning.

(Prescription medication) Subdivide Prescription No.2 (2), daily 1 dose. After taking the second dose, he began to have diarrhea, 10- 15 times a day, and even took lo agent, diarrhea 123 times, and he was completely awake. I can state my illness myself. I can sleep for 8 hours at night: but I feel a little red and hot. Check the pulse condition, thin string and fading tongue coating. Because I am conscious, I don't need to have loose bowels, but my hands and face are hot, which is still caused by excessive internal heat, so I take 10 dose with Chuanxiong Chrysanthemum Silkworm Powder (3). All the symptoms have disappeared, but I feel a little weak. Shen Ling Baizhu Powder (6) was used for conditioning. He recovered after taking 30 doses of medicine. After stopping the clinic, I was followed up for three years and worked in a restaurant. My work and study are very good and my curative effect has been consolidated.