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Mania-Depressive Psychosis

What are the pathogenetic and clinical differences between depressed psychosis and mania?

The pathogenetic of depressive psychosis are stagnation of Qi and phlegmfire, imbalance between yin and yang.Accumulation phlegm and qi resulting in depressive psychosis;phlegm-fire disturbing upward resulting in mania.

Depressive psychosis is manifested as silence,dementia,paraphasis,quietness and hyperpleasure,while mania as tumult,restless-ness,beating and scolding and polyanger.

What are the respective symptoms,treatments and recipes of stagnation of phlegm-Qi in depressed psychosis,and those of phlegm-fire flaring-up in mania?

(1)Stagnation of phlegm and Qi

[Symptoms] Depression,cold complexion,dementia,paraphasia or self-murmuring, being subject to changing moods,no desire for eating,greasy fur,and wiry and slippery pulse.


[Treatment] Regulating the flow of Qi to alleviate mental depression,and eliminating phlegm for resuscitation.


[Recipe]
Shun Qi Dao Tan Tang

(2)Phlegm-fire disturbing upward


[Symptoms] Sudden onset,at the beginning displaying the signs of choleric mood, headache,insomnia,angry-staring eyes,flushed face and eyes,and then suddenly becoming mad,climbing walls,getting on roofs,scolding,shouting,regardless of close or distant relationship,or damaging things and injuring persons,having excessive strength,not eating nor sleeping,deep-red tongue,yellowish and greasy fur,wiry large,slippery and rapid pulse.


[Treatment] Tranquilizing the mind,removing phlegm and purging the liver of pathogenic fire.

[Recipe] Sheng Tie Luo Yin


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