Chief physician DONG Hong's experience for treating post-stroke depression
Post-stroke depression is the most common neuropsychiatric complication that occurs after stroke,which can lead to delayed neurological recovery and a significant decrease in the quality of life of patients,thereby increasing the recurrence rate,disability rate and mortality rate of stroke.DONG Hong believes that the pathogenesis of post-stroke depression in traditional Chinese medicine is based on the deficiency and can be attributed to depression due to illness,and its Qi(气),blood,Yin(阴)and Yang(阳)are damaged after the onset of the disease,which is reflected in the dysfunction of the internal organs such as cerebral stasis,mental dystrophy,liver loss and leakage,spleen loss of health,and kidney and medullary deficiency.In the standard,it is manifested as Qi stagnation,phlegm turbidity,blood stasis and other internal and external evil Qi mixed with stagnation of the veins,blocking the brain,disturbing the brain,and aggravating the deficiency.DONG Hong advocates the treatment of post-stroke depression from the heart and brain,with the basic treatment principle of nourishing the heart and relieving depression,and channeling and benefiting the knots,and formulates the Yangxin Jieyu decoction(养心解郁汤),and the clinical treatment is combined with the awakening acupuncture therapy,which has achieved very good results.DONG Hong's ideas,treatment methods,and drug experience in the treatment of post-stroke depression are now integrated and shared as follows.
Post-stroke depressionExperience of famous doctorCase