A brief analysis of the clinical diagnosis and treatment of asthma plus anxiety and depression
Asthma,whose name first appeared in Danxi Xinfa(《丹溪心法》),is one of the common pulmonary diseases,mainly characterized by cough,wheezing,and asthma.The disease is persistent and recurrent,brings strong physical discomfort to patients,as well as anxiety,depression,and other emotions.With the progression of the primary disease,its clinical manifestations are complex,seriously affecting the prognosis and recovery cycle of the disease.There is a serious dependence on Western medicine treatment,and most of the treatment is only for respiratory diseases,with little targeted treatment for emotions.The short-term efficacy is acceptable,but the long-term and stable later efficacy has not been obtained.In this article,combined with the classic discourse in Huangdi Neijing(《黄帝内经》),based on the theory of"Five Zang Organs(脏),Five Spirits,and Five Consciousnesses",and according to the relationship between Qi(气)and Spirit of the lungs,it further elucidates the etiology and pathogenesis of asthma plus anxiety and depression,that is,the disease with"form and spirit imbalance"as the pathogenesis is due to the internal wind inspired by external wind,the evil energy triggers,coughing and wheezing are symptoms,with depression in the mind,poor emotional expression as clinical manifestation,and illness in the form.When it comes to the treatment of this disease,the form and spirit cannot be completely separated,which corresponds to the holistic concept of traditional Chinese medicine.In clinical practice,while relieving the depression of the body,it is also necessary to consider the treatment of the depression of the spirit.The depression of the form and spirit should be treated simultaneously,that is,the tangible prescriptions for treating Five Zang Organs and intangible prescriptions for treating the spirit should be given simultaneously.In terms of treating the form,the Xuanfei Dahe decoction(宣肺达和汤)is used to achieve the wonderful effects of soothing the liver and regulating the lungs to restore the ascending and descending functions of Qi.In terms of treating the spirit,with language as medicine,psychological intervention on both the patient and their family members is performed to adjust their emotions.The combination of the two can often achieve twice the result with half the effort when applied in clinical practice.This article plans to explore the etiology,pathogenesis,treatment principles and methods of asthma plus emotional disorders in traditional Chinese medicine from a new perspective,in order to broaden the syndrome differentiation thinking of this disease.
Bronchial asthmaAnxiety and depressionDepression syndromeHarmonizing form and spirit simultaneouslyThe Xuanfei Dahe decoction
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维普
