Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti (Character, 体) and Yong (Function, 用) in Mental Illness
CHAI Jianbo, ZHAO Sihan, CHANG Haojie. Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti (Character, 体) and Yong (Function, 用) in Mental Illness[J]. Journal of Traditional Chinese Medicine, 2024, 65(2): 139-143. DOI: 10.13288/j.11-2166/r.2024.02.004.
CHAI Jianbo, ZHAO Sihan, CHANG Haojie. Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti (Character, 体) and Yong (Function, 用) in Mental Illness[J]. Journal of Traditional Chinese Medicine, 2024, 65(2): 139-143. DOI: 10.13288/j.11-2166/r.2024.02.004.DOI:
(function, 用) in mental illness, ZHAO Yonghou's clinical experience in staged differentiation and treatment of schizophrenia is summarized. According to the theory, the core disease location of schizophrenia is in the brain, which is closely related to the organs,
qi
, and blood. It is proposed to interpret the pathogenesis of schizophrenia from the perspective of “
zang
-
fu
organs-
qi
and blood-brain and spirit”, that is, dysfunction of the
zang
-
fu
organs, disharmony of
qi
and blood, and malnourishment of the brain
ti
lead to dysfunction of the spirit
ti
and
yong
. In clinical practice, treatment of schizophrenia can be divided into four stages, for which the method of treating
ti
and
yong
simultaneously is suggested. In the prodromal stage,
Liuwei Dihuang Decoction
combined with
Sini San
(六味地黄汤合四逆散) with modifications is used to nourish the kidney and boost marrow, soothe the liver and rectify the spleen. For acute exacerbation with binding of phlegm and heat syndrome,
Zhaoshi Yikuang Decoction
(赵氏抑狂汤) with modifications is used to clear heat and dispel phlegm, awaken the brain and calm the mind. For phlegm-heat damaging
yin
pattern,
Mengshi Guntan Pill
combined with
Zengye Decoction
(礞石滚痰丸合增液汤) with modifications is used to clear heat and dispel phlegm, enrich
yin
and calm the mind. For the chronic treatment stage,
Yudian Decoction
(愈癫汤) with modifications is used to disperse phlegm and dissolve stasis, move
qi
and awaken the mind. For the rehabilitation and regulation stage,