To Explore The Theoretical Basis And Medication Rules Of Treating Panic Disorder From The Perspective Of Five Internal Organs And Tibetan Theology

Objective:Panic disorder PD(panic disorder PD)is referred to as panic disorder,it is a type of mental illness that seriously affects the life and work of patients.It belongs to the category of mental illness in traditional Chinese medicine.Traditional Chinese medicine believes that the occurrence of mental illness is closely related to the five organs storing spirits.This study will systematically sort out the relationship between the theory of five organs storing spirits and panic disorder through the method of combining qualitative research of literature and data mining and quantitative research,and explore the medicine rule of ancient doctors in the treatment of panic disorder from five organs storing spirits theories,with a view to clinical treatment of panic disorder Provide theoretical basis and prescription guidance.Method:This article is divided into two parts:qualitative research on literature and quantitative research on data mining.The qualitative research part of the literature,based on ancient classics of traditional Chinese medicine,analyzes the discourses related to panic disorder,and summarizes the theoretical basis for the treatment of panic disorder from the perspective of the five organs storing spirits.In the quantitative research part of data mining,more than 20 classic medical records such as "Case Records as a Guide to Clinical Practice" and "the Sequel of Classified Medical Records of Famous Physicians" are selected as the research objects,search for panic disorder medical records in reference books,and incorporate them into the subject research,enter the medical records database through Excel 2019,and summarize the frequency of drugs commonly used in the treatment of panic disorder by ancient physicians,four qi,five flavors,and meridian tropism.Then the Apriori algorithm is used to explore the core drug pair composition,and the K-Means algorithm is used to cluster the drug pairs.So as to comprehensively explore the ancient doctors’ diagnosis and treatment ideas for the treatment of panic disorder.Results:In the qualitative research part of the literature,this article discusses the interdependent relationship between bodies and spirits based on the holistic view of the unity of bodies and spirits in Chinese medicine.expounds that Integration of bodies and spirits are the theoretical basis for the treatment of mental illness from the five organs storing spirits,and also discusses The physical manifestation of the five organs storing spirits.The heart dominating blood and vessels is the material basis for the spirit to reside in the heart.The liver storing blood is the material basis for the soul to reside in the liver.The lung governing qi is the material basis for the spirit to reside in the lung.Nutrient blood is the material basis for the spirit to reside in the spleen.The kidney storing essence is the material basis for the spirit to reside in the kidneyFurther summary analysis shows that panic disorder is closely related to the five organs Dysfunction of the five organs storing spirits is the main cause of panic disorder,and the abnormality of the five emotional zang-organs is the reason why the spirits do not hide in the internal organs.The heart is the domination of the blood,and the dwelling place of the spirit.Deficiency of qi and blood in the heart and Pathogenic heat to the spirit can cause the spirit to be uncomfortable and fearful.It is appropriate to nourish qi and blood,clear away Pathogenic heat,and tranquilize mind.The liver is the reservoir of blood,and the soul is also the place.Deficiency of the qi and blood in the liver and gallbladder,hyperactivity of liver yang can disturb the mind and yin,which can cause anxiety in the liver and fear.It is appropriate to nourish qi and blood,restrain liver-yang,and calm Liver soul.Lung is the foundation of qi,and where there is spirit,the deficiency of lung qi will cause loss of nourishment,and the reality of lung qi will cause evil disturbance,which can lead to anxiety in the lungs and fear.The treatment should regulate lung qi,promote qi and body fluid,and soothe the lungs.The spleen is the storehouse of nutrient and the home of the mind.It mainly transforms and distributes qi and blood,the deficiency of qi and blood transformation,the inability of qi and fluid,the damage of yin due to heat,and the unfavorable qi of the Yangming meridian can all lead to uneasiness in the spleen.For fear,it is appropriate to cure the spleen and stomach,promote qi and body fluid,nourish yin and blood,and calm the spleen.The kidney is the place where the essence is,and the essence of aspiration is also.Insufficiency of essence and qi,deficiency of kidney yang,and deficiency of kidney yin make the loss of ambition and fear It should invigorate the kidney and qi,reconcile yin and yang.On the whole,the pathogenesis of panic syndrome is mainly divided into two aspects:Depression deficiency syndrome means deficiency of viscera,qi and blood,yin and yang deficiency,and loss of energy to nourish the body;the treatment is suitable for replenishing qi,nourishing blood,replenishing essence,and regulating yin and yang.Excess syndrome,it is manifested as stagnant body fluids,pathogenic heat disturbing the spirit and yin,the treatment is suitable for regulating qi,removing blood stasis,promoting water,nourishing yin,and clearing heat.Among them,deficiency is the basis,and water dampness,phlegm,blood stasis and other real evils caused by deficiency It is an important factor that causes and aggravates panic disorder.In the data mining quantitative research part,this study included 169 medical records involving 247 drugs.According to the statistics of drug frequency,the most frequently used drug was Fushen,with a total of 73 times,followed by liquorice,Ziziphi Spinosae Semen,poria cocos,angelicae sinensis radix,milk wort root,ginseng,etc.The most of the four drugs with a frequency of use of 10 or more were cold and warm,followed by neutral property.The main drugs were sweet,followed by pungent and bitter.and the most common ones were heart channel and spleen channel,followed by liver channel,spleen channel and lung channel.The most frequently occurring drug pair based on association rules are atractylodes macrocephala—ginseng、arboruitae seed—fushen、atractylodes macrocephala—angelicae sinensis radix、atractylodes macrocephala—poria cocos、arboruitae seed-ziziphi spinosae semen、grass leaved sweeflag-milk wort root、dragon’s teeth—ziziphi spinosae semen、caulis bambusae—ternate pinellia rhizome、dragon’s teeth—fushen and common yam rhizome—prepared rehmannia root.Based on cluster analysis,seven types of drugs are mainly obtained.The first class of drugs focuses on nourishing yin and calming the nerves;The second type of drugs focuses on nourishing the blood and calming the nerves;The third type of drugs focuses on calming the mind and calming the mind.The first three types of drugs focus on replenishing the heart and calming the nerves.The fourth class of drugs emphasizes both spleen and kidney tonifying,nourishing the kidney and filling essence.The fifth class of drugs focuses on Qianyang,calming the mind and calming the mind.The sixth class of drugs focuses on strengthening the spleen and regulating qi.The seventh class of drugs focuses on replenishing qi and blood.These two types of drugs focus on restoring the source of qi and blood metaplasia.Enrichment of kidney essence can dissolve heart and blood,liver yang can be latent,liver blood congestion can nourish heart and blood,spleen and lung qi is vigorous,qi and blood are biochemically active,can help heart and blood.Although it can be summarized as nourishing the five internal organs to calm the mind,but it can be integrated into the heart,nourishing the heart and blood to nourish the mind.If the mind is nourished,the monarch can control the five gods to calm the panic.Therefore,the heart is the master of the treatment of panic disorder.The essence of the kidney is the response to the treatment of panic disorder.Treating panic disorder by storing the blood in the liver and reserving the soul.The spleen and lung are the material basis for the treatment of panic disorder.Conclusion:1.Physicians of the past dynasties have attached great importance to the relationship between panic disorder and the five organs storing spirits.If the five emotional zang-organs have normal functions,the spirit and emotional activities are healthy.If the five emotional zang-organs have abnormal functions,it will lead to the occurrence of panic disorder.2.The theoretical application of the theory of the five organs storing spirits in the treatment of panic disorder can be mainly divided into two aspects:depression deficiency syndrome is the deficiency of viscera,qi and blood,yin and yang deficiency,and loss of energy to nourish the body;Excess syndrome,it is manifested as stagnant body fluids,Pathogenic heat disturbing the spirit and yin,Among them,depression deficiency syndrome is the basis.3.The principle of medication for panic disorder is mainly through nourishing the heart and blood,nourishing the kidney essence,occluding the liver and yang,invigorating the vitality and blood biochemical source,so that the heart and blood can be filled to nourish the mind.It can be used by the monarch and control the five gods.Certainly panic.Therefore,the heart is the master of the treatment of panic disorder,the kidneys are the master of the treatment of panic disorder,the kidneys are responsible for the treatment of panic disorder,the liver is the regulation of the treatment of panic disorder,and the spleen and lungs are the material basis for the treatment of panic disorder.