The Argument And Research On The Theory Of "Madness" In Neijing

Purpose:1、To discuss the pathogenesis of mania disease, distinguish between excess and debilitation syndrome of mania disease. Categorizing and summarized the pathogenesis of mania disease of Huangdi’s Internal Classic. Conclusion the view of TCM Posterity’s about the pathogenesis.2、To discuss the therapeutic principles of mania disease. To analyze, clear up, and summarize the therapeutic principles of Huangdi’s Internal Classic. Summarize the vary kind of the therapeutic principles based on the posterities. At the same time this will be enrich the research of the therapeutic principles of mania disease.3、Mania disease is often discussed by doctors of traditional Chinese Medicine all the time. In particular, there is some confusion about the nature of the disease. Posterities make clear the nature of the disease, at the same time; they are often seen as yang and excess. However, traces to the time of the Huangdi’s Internal Classic, there is a view that the nature of the disease is yin and deficiency. At this time, mania disease mainly appears as a name of disease or a clinical manifestation. Therefore, a part of the nature of the disease is yang and the other part is yin. We should keep it in mind that therapeutic principle guiding the treatment is known as "treating excess syndromes with reduction and treating deficiency syndromes with complementation". Objective to enrich the differentiation of syndrome, the practice not only enhances the accuracy, but also improves the effect of clinical treatment about mania disease.Method:1、Excerpts relevant text about mania disease from "Huangdi’s Internal Classic", then collation and analysis them. Explain the word of "kuang" and classification of them. Induction and consolidation the content according to whether can clearly distinguish the cold and heat properties of yin and Yang.2、The relevant content about mania disease works of Chinese medicine in the collection, collation and analysis, specific to mania disease in the pathogenesis, diagnosis and treatment of disease.3、On the ancient medical works are representative for inspection, to collect relevant prescription on the treatment of mania, The specific combination of herbs in the prescription drug prescription " Dictionary of Chinese medicine prescriptions" in the treatment of mania common finishing, create a herb database about the treatment of mania. Statistical total number of herbs, sorting out the commonly used herbs, then analysis of the frequency and cumulative frequency of commonly used herbs. Statistics and analysis four properties、five flavors、tropism、channel tropism of commonly used herbs.Result:Found that the pathogenesis of mania often has two aspects of yin and Yang after reduced mania diseases from Huangdi’s Internal Classic and later doctors’works.1、A part of the nature of the mania pathological mechanism belongs to "Yang" including:disturbance of yang by pathogen、yang excessiveness、syndrome of heart spirit confused by phlegm、pathogenic qi of sanjiao、blood stasis and inappropriately used of herbs etc. Therapeutic principles are dissipating phlegm、promoting blood circulation for removing blood stasis、catharsis and clearing heat etc.2、A part of the nature of the mania pathological mechanism belongs to "Yin" including:Injury inferior spirit、consumption of Yang Qi、yin deficiency、deficiency of heart qi、yang deficiency、yang depletion etc. Use of reinforcing treatment to warming and tonic the inferior spirit、heart、spleen and stomach. The etiology and mania diseases in addition to the above mentioned, there also has emotional disordering, causing by the wrong treatment, so it also increased the emotional therapy, we should pay more attention to psychological therapy.3、Statistics and analysis four properties、five flavors、tropism and channel tropism of the herbs in treatment of mania, Results were obtained for that the treatment of mania prescription is 548, the total frequency of all herbs for 4460 times, the commonly used herbs is 69, The cumulative frequency of commonly used herbs for 2875 times, It is the total frequency of 64.46%. The five flavors of commonly used herbs in the frequency from high to low:pungent, sweet, bitter, salty, sour. Commonly used herbs go through the number of occurrences in decreasing order:heart meridian, liver meridian, lung meridian, stomach meridian, spleen meridian, kidney meridian, gallbladder meridian, large intestine meridian, small intestine meridian, bladder meridian, pericardium meridian and the sanjiao meridian. In addition to use the medicine of antipyretic, diarrhea medicine, medicine for rheumatism, diuretics for eliminating dampness, regulating qi, promoting blood circulation and removing blood stasis, phlegm medicine, wind calming herbs, herbs for inducing resuscitation, destroying parasites commonly used herbs in efficiency, also appeared in a large number of warm in medicine, tonic, sedative herbs.Conclusion:In a method of treating mania diseases, warming method plays an important role in the method of treatment.In the pathogenesis of mania, Yin and deficiency is the presence of number and account for a large proportion.In the treatment of mania, strictly abide by the traditional Chinese medicine treatment the treatment based on syndrome differentiation, belongs to Yang mania can be treated with clearing method and the center method, belongs to Yin mania can be treated with tonifying method. The status of Yin cannot be ignored in the clinical syndrome. Tonifying medicine and warming herbs in the treatment of mania Yin is also very important.