Dr. Liu Xuemei's clinical records in the United States
In the clinical practice of the United States, there are many cases in which the authors treat emotional disorders with acupuncture of traditional Chinese medicine, and there are many typical cases. It is easy to treat according to syndrome differentiation, and a few are slightly complicated. We should distinguish them carefully. Here are two cases for readers' reference.
First, cases of depression.
Patient, male, 45 years old, used to be a computer hardware technician. I have been staying at home since I was laid off by the company a year ago, and I am unemployed. I have been in a state of chronic depression for more than ten years, and my mood is not good. During this period, I had two episodes of depression, which affected my work and life. It was diagnosed as "severe depression" by western medicine, and it was partially relieved after taking antidepressant western medicine.
The main manifestation of this disease is that I have been depressed for two weeks, thinking that I have no skills, can't find a new job, can't support my family, and getting this disease will drag down my family. Because my father suffered from severe depression before his death, he saw his father's painful appearance with his own eyes and always remembered it clearly, so he thought that his illness was related to heredity and could not be completely cured. Seeing that my son in middle school is withdrawn and doesn't often associate with his classmates, I think my son inherited these bad genes and suffered from the same disease. I feel very painful all day, and even think that my son's "illness" is already very serious, with many symptoms, and his son will not have a good future in the future.
At the same time, I think pessimistically that my family seems to have come to an end, and I can't see the light and hope. I have no energy to find a job or study all day, and I am not interested in other things. My mind is full of unpleasant and depressed things I have experienced in the past, or I am anxious about my son's "depression" and can't decide whether to take my son to see a doctor. I feel dizzy, nervous and unbearable because of these things. I sleep very lightly every night, so I don't fall asleep easily. I woke up around 5 am, and I couldn't sleep anymore. I'm going out for a walk, and I'll go home in about 1-2 hours. No friends, only a few acquaintances, and the relationship is very shallow. I often stay at home and don't do any exercise. Patients know that some distress is caused by their excessive worry or illness, but they can't control themselves, so they feel very uncomfortable and tired. Although he expressed his desire to seek treatment, he also showed his frustration with his illness.
I have poor concentration. In the past two weeks, I have driven twice and didn't notice that it was a red light, but I still drove through, which almost led to a car accident. I just recovered from the sound of someone else's horn and felt even more guilty after being accused by the other party. I also realized that I had a "big brain problem" and felt that my life would be destroyed in a similar incident one day, so I began to doubt my driving experience for more than 20 years and had no confidence in my driving. No appetite, eating just to complete the task. Shoulders and back are tight and sometimes painful.
Clinically, you can see haggard face, yellow face, depressed expression, anxiety and a little uneasiness, hunchback, emaciation, slow answer to questions and slow behavior. I didn't see a western doctor or a psychologist this time, and I didn't take any medicine (because I was unemployed at home for a long time and didn't have medical insurance). The tongue is purplish, the fur is thin and white, and the pulse is right and weak on the left. The diagnosis is based on long-term bad mood with major depressive episode.
Syndrome differentiation of traditional Chinese medicine considers liver depression and blood stasis, which is a real aspect; On the one hand, deficiency is mainly the dark consumption of heart blood after a long illness, which belongs to heart blood deficiency; In addition, spleen deficiency is also a part of deficiency, so we should pay attention to nourishing.
Treatment principle: promoting qi and blood circulation, nourishing heart and tranquilizing mind, invigorating spleen and regulating stomach.
Traditional Chinese Medicine Prescriptions: Rhizoma Cyperi 12g, Shell 12g, Cortex Albizziae 15g, Radix Curcumae 15g, Radix Angelicae Sinensis 10g, Rhizoma Acori Graminei 6g, Poria 18g, and Radix Salviae Miltiorrhizae/kloc-. One dose per day, *** 10 dose.
Acupuncture prescriptions: Xinshu, Ganshu, Pishu, Shu Ge, Sanyinjiao, Baihui, Hegu and Neiguan. TDP irradiates Xinshu, Shu Ge and Ganshu for 20 minutes each time when the needle is retained. Ear pressure: the heart and the heart are sacred, and the ears alternate. Shiatsu: Huatuo Jiaji point.
Give 20 minutes of psychotherapy while retaining the needle, mainly including psychological support and cognitive therapy, to strengthen the confidence of treatment. At the same time, it provides some knowledge about diet therapy, sleep aid and nutrition.
Two days later, when I came back, I felt refreshed. I didn't feel dizzy, and my mental fatigue improved a little, but my mood was still low and my sleep was still the same. Acupuncture, auricular acupressure and acupressure are the same as before, only with the addition of acupuncture and rosis.
After 4 days of follow-up, I feel that my mind can calm down and complete a small thing, no longer palpitations, my sleep has improved a little, and the tension on my shoulders has also eased. Acupuncture prescription: Zusanli, Taichong, Sishencong, Tang Yin, Shenmen, Xue Hai, Hegu, Qihai and I-line beside forehead. The ear pressure point remains unchanged. TDP irradiates the abdomen near Qihai point and Wang Shen point. Back Shiatsu: Huatuo Jiaji Point and An Ming.
After 6 days of follow-up, early awakening still exists, but there is no need to go out for a walk. In conversation, I occasionally appear relaxed, but most of the time I still look dignified, especially when it comes to the financial resources of work and family. Still no pleasure. But instead of worrying about "my son" all day, I began to notice the taste of food. The delay in answering questions has also improved. Because I feel better, I have a little confidence in the treatment, and I began to deliberately try to participate in several activities of visiting acquaintances and accepting visitors, and began to plan some simple fitness activities. Acupuncture and other treatments are the same as last time.
After eight days, I returned to the clinic, looking refreshed than usual, turning pale, no longer showing my distressed expression, and beginning to regain my confidence. Speaking of some preparations for planning to find a job, my sleep has improved a lot, but it has not returned to normal. From the first 3 hours to 5-6 hours, my tongue is red and my pulse becomes flat and slightly weak. When the acupuncture prescription and acupoint massage were restored to the initial diagnosis, the auricular points remained unchanged.
10 days later, I went back to the clinic and said that my depression had returned to the normal state before the onset of this disease. I am satisfied with the effect of the treatment, and I am more confident to drive than before. I can sleep until after 6 o'clock in the morning, and my food intake has increased and my weight has increased 1 kg. However, I still didn't fully smile happily. I still feel pessimistic and lost when I wake up at night. I feel that the prospects of myself and my family are slim and a little scared, but I seem to be able to control and adjust myself, calm down and fall asleep again. Poor memory, mental state is still not as good as normal people. Due to financial difficulties, I can only pay for Chinese medicine myself in the future.
Acupuncture prescription: Xinshu, Ganshu, Pishu, Sanyinjiao, Baihui, Hegu, Neiguan, Gaoyushu and Taixi have the same ear pressure and finger pressure.
Chinese medicine formula: Cyperus rotundus 10g, Jacket 10g, Albizia Albizia chocolate, Curcuma aromatica 12g, Bupleurum 6g, Angelica sinensis 10g, Ginseng Radix 18g, Salvia Miltiorrhiza Radix 18g, and fried malt 20g. One dose per day, *** 15 dose.
I'm calling to tell you that the situation is very good and I'm actively preparing for a job interview.
! I hope I can help you!