Symptoms and treatment of schizophrenia
Schizophrenia is a common mental system disease. Although the understanding of its etiology is not very clear at present, the role of individual psychological susceptibility and negative factors of external social environment in the occurrence and development of the disease has been recognized by everyone. Susceptible quality and external adverse factors may lead to the occurrence of diseases through the interaction of internal biological factors, and the pathogenic factors of different patients may be more important in a certain respect. Most of them have slow or subacute attacks in young people. The main symptoms are:
One; Early symptoms of the disease
Most patients are chronically ill, and their enthusiasm and ability to work have declined, and their academic performance has declined. They are indifferent to others, alienated from others, uninterested in external things, indifferent to their families, lazy, sensitive and suspicious, fond of living alone, unsociable, often irritable, withdrawn, depressed and anxious. Some patients suddenly appear excited, impulsive, destructive, abnormal, afraid, confused, or happy for no reason, and have abnormal personality: they lose their temper for no reason and can't control themselves; Or talk to yourself or laugh at yourself; Or irrational fears. Some patients may have insomnia, headache, dizziness, fatigue, emotional instability and other symptoms of discomfort and neurosis. Some cases may have sudden onset, and the clinical manifestations are sudden excitement, impulsiveness, speech disorder, behavioral disorder, fragmentary hallucinations and delusions. Severe patients often get lost, dressed strangely or disheveled, and some strange atrocities occur, such as self-mutilation (which often hurts sexual organs) or murder and attack others.
Second; Thinking association disorder
The most typical symptom of schizophrenia is the lack of coherence and logic in the process of thinking association.
The patient's whole conversation or writing lacks logic, and the narrative is not relevant, so he can't clearly express his meaning around the central idea of the conversation. It is difficult to talk to him, which makes people feel puzzled (relaxed).
There is a lack of connection between sentences, and the words are messy (thinking is broken).
When the patient speaks, the association is suddenly interrupted, and the brain is blank, and then it is transformed into a new topic (thinking interruption).
At the same time, I feel that my thoughts have been taken away.
A series of associations (concentrated thinking or forced thinking) suddenly popped up in my mind.
Sometimes I feel that the ideas in my head are not my own, but imposed by the outside world. Others borrow their own brains to think about problems (thinking insertion). In the above cases, the patient has obvious involuntary feeling, which is beyond his control.
When the patient thinks, he feels that his thoughts have become the voice of speech at the same time, which can be heard by himself and others.
My thoughts spread out and everyone knew (the spread of ideas).
The patient's logical reasoning process is bizarre and absurd (logical inversion).
Give some common words, actions and symbols special meanings that others can't understand except patients (pathological symbol thinking). Create words, words or symbols and give them special meanings (neologism works).
Chronic patients and patients with negative symptoms have less speech, simple speech, poor speech content and lack of active speech (poor thinking). Poor thinking, apathy and lack of will constitute the negative symptoms of schizophrenia, and patients often cannot handle these emotional symptoms by themselves.
Third; Thinking content disorder
The main manifestation is delusion. Delusion is a pathological distorted belief, which is inconsistent with objective facts, educational level and cultural background, and even absurd, but patients do believe it and cannot be persuaded or corrected by personal experience.
Delusion is one of the most common symptoms of schizophrenia, and there are various delusions, such as victimization delusion, reference delusion, influence delusion, jealousy delusion, exaggeration delusion, non-direct delusion and so on. It is estimated that up to 80% of schizophrenics have delusions of victimization, which can be manifested in different degrees of insecurity, such as being monitored, being excluded, fearing being drugged or murdered. Under the influence of delusion, patients will make defensive or aggressive behaviors, and some patients have very prominent delusions. In the early stage of the disease, patients may have doubts about some obviously unreasonable ideas. With the development of the disease, they will be integrated with pathological beliefs and will not recognize them themselves. They are described as follows:
1; The delusion of victimization is the most common delusion. Patients feel threatened and think that someone wants to frame, destroy, murder themselves, track and monitor themselves (delusion of being killed).
2; The patient feels that everything around him is related to him, and people around him are talking about him.
3; Patients feel that their thoughts, emotions, behaviors and body movements are controlled by outsiders or some external force, not themselves (passive experience, sense of being controlled, illusion of being affected).
4; Think that what you think and do has been known by others (the feeling of being seen through inside). Thinking that one's parents are not biological parents (non-systematic delusion).
5; I firmly believe that a certain opposite sex has a good impression on me (love delusion).
6; I firmly believe that my lover is unfaithful to me and has another affair (jealousy delusion).
7; Unreasonably exaggerating one's ability, status and wealth (exaggerating delusions).
8; A sudden pathological belief (primary delusion) that has nothing to do with the patient's experience and real environment.
9; The patient suddenly has an illusion about the normal perceptual experience (illusion perception).
Fourth; illusion
Hallucination means that patients perceive the existence of something in objective reality, which is a common symptom of schizophrenia.
The most common hallucination is auditory hallucination. No one is talking around, but the patient hears some hallucinations such as abuse and curse. Speech auditory hallucination, whose content is critical, controversial, imperative or ringing (what the patient thinks, one voice says what he thinks), is a auditory hallucination with characteristic significance, and continuous speech auditory hallucination also has diagnostic value.
Other types of hallucinations include visual hallucinations, tactile hallucinations, taste hallucinations, olfactory hallucinations, visceral hallucinations and so on.
Five; affective disorder
The patient's emotional response to the surrounding things is lacking. The early stage is a meticulous lack of emotion, such as caring for relatives (emotional indifference). Serious people are indifferent to important things that involve their own interests, and have no corresponding emotional response (emotional indifference) to things that ordinary people find annoying and painful. It can also show that emotions are not in harmony with the surrounding environment, and it is difficult to communicate with patients for no reason. The above symptoms are characteristic symptoms of schizophrenia.
Six; Will-behavior disorder
They are withdrawn, passive, lack initiative and enthusiasm, idle all day, live a lazy life, have no high-level intention requirements (decreased will), have no interest in work, study and communication, their ability has dropped significantly, and their social functions have been damaged. There will also be stupid, childish and weird behaviors.
When the illness is mild, the patient's words and actions are less and his behavior is slow. In severe cases, he does not eat, drink, talk or move, accompanied by increased muscle tension (tension stupor). When you are in a state of stupor, you will suddenly appear excited, impulsive and disorderly (nervous excitement). Nervous coma and nervous excitement form a nervous syndrome group.
Seven; experience
Self-knowledge refers to the ability to recognize one's illness and performance.
The patient doesn't realize that hallucinations, weird thoughts and behaviors are diseases. The patient doesn't realize that there is something wrong with his mental activities, that he is sick, and that he has no self-knowledge.
Clinical types and manifestations
1. The clinical manifestations are mainly paranoia, often accompanied by hallucinations. Sensitive, suspicious, delusional, and delusional killing are common. Followed by influence, jealousy and so on. Most patients have several delusions at the same time.
2. Puberty occurs in youth, and it is characterized by excitement, talkativeness, hyperactivity, disordered speech, weirdness, disorder, stupidity and childishness, and disharmony in thinking, emotion and behavior.
3. Tension-type tension stupor and tension excitement, with tension syndrome as the main clinical manifestation.
4. Simple type is characterized by poor thinking, indifference, lack of will, social withdrawal and other negative symptoms. The onset is hidden, the development is slow, the course of disease is at least two years, and the intelligence gradually declines. There are generally no positive symptoms such as hallucinations and delusions.
5. The final type does not meet the above four types, and the typing is difficult or mixed.
6. Others, such as children or late-onset schizophrenia, post-schizophrenia depression, or residual, chronic decline, etc.
How to treat schizophrenia?
To treat a disease, we must first analyze its etiology, that is, the causes that can lead to the occurrence of the disease. The cause of schizophrenia is very complicated. Modern medicine thinks that there are genetic factors, but I think it is mainly the misunderstanding of patients, which is psychological factors in modern words, and the pollution of the external environment, which is what modern people think of as social stimulation. At present, the treatment of schizophrenia usually adopts comprehensive therapy such as medication, psychotherapy and physical therapy. The author thinks that mental patients are caused by psychological factors, that is, heart disease, so psychological self-treatment is needed, supplemented by physical therapy such as drugs. According to this truth, the theoretical view of Buddhism can treat mental illness, and Buddha is the king of great doctors. Why is Buddha the king of great doctors? Because the Buddha's theory is a good medicine to relieve people's greed, anger, delusion, doubt and aversion to Jaken's knowledge, and to remove these psychological viruses, people's body and environment will change, and they will naturally be better for general diseases. Of course, some physical symptoms need to be solved by drugs or self-fitness.
One; Psychotherapy. Psychotherapy can be divided into the following categories:
1; Correctly study the theoretical viewpoints of Buddhism, check your own shortcomings and mistakes against your own words and actions, correct your own words and actions, develop good thinking habits, know yourself correctly, don't think you are useless, build up confidence in life, have a natural belief that you will be useful to yourself, don't be suspicious, everything is caused by fate, but you are empty, don't be blind and arrogant, treat others with an open mind, treat problems and troubles correctly, and treat success correctly. Failure and adversity, we should know that problems and troubles, success and success, failure and adversity, money and love, work and employment are fleeting, not long-lasting, and not exclusive to me. Maybe everyone will meet it, so I don't have to worry.
2; I have confidence in my illness and think that I can cure schizophrenia. It's a disease, and it's not the patient's willpower to get sick or not, so it's not your fault to get sick. As long as rational drug use, persistence and healthy mental state are maintained, most patients can completely control symptoms or live with symptoms, and even return to normal life and work. Therefore, we should dare to face the reality, believe in science and enhance our confidence in overcoming diseases. For more information about self-treatment of schizophrenia, click online experts for free consultation.
3; Actively communicate with people and often go out for a walk. During the acute phase and consolidation treatment, the whole treatment process is led by a psychiatrist. After entering the maintenance period, the negative symptoms of patients are more obvious. Mainly manifested as lazy life, poor personal hygiene, unwilling to associate with people, unwilling to take responsibility, poor initiative and so on. During this period, patients should go out, actively communicate with others, cultivate family ties and friendship, participate in production and social practice, enhance their sense of responsibility and initiative, and prevent the loss of acquired ability and aggravate negative symptoms.
4; Seeking the support of family and society is an important resource for a person to resist mental illness and prevent psychological collapse. We should be good at using family and social resources to help overcome difficulties, adjust our mentality and tide over difficulties smoothly. You can seek help from relatives, friends, colleagues and even psychologists and online friends by phone to deal with your emotional or psychological problems. In talking and laughing, you will find that everyone is unhappy sometimes, and you are happier than others. A friend is someone who sees the truth in adversity, who can speak his mind and help him solve his troubles. Ordinary people meet the knot that can't be solved in life, so they make an appointment with one or two confidants, soak in a pot of green tea and reveal their inner sadness. In these small talk, you may come up with a solution to the problem.
Second, drug therapy: generally, second-generation (atypical) antipsychotic drugs such as risperidone, olanzapine and quetiapine are recommended as first-line drugs. Clozapine, the first generation of atypical antipsychotics, is used as a second-line drug. Under the guidance of a doctor, you can take medicine. However, in the early stage of onset, patients with schizophrenia should be careful not to take drugs at will, so as not to delay their illness. Severe schizophrenia is difficult to treat, so we should find, prevent and treat it early. This is also the treatment of schizophrenia.
Third, group therapy: the treatment of schizophrenia will also be divided into various treatment methods, such as group psychological education, counseling and psychotherapy or some mixed treatment forms. Its purpose is to improve the ability to solve problems and make treatment plans. Give full play to the role of social mutual assistance, and correctly use drugs and deal with adverse reactions.
Fourth, Chinese medicine treatment: the most basic drug treatment of schizophrenia can be regulated by Chinese medicine. Schizophrenia belongs to the category of madness in traditional Chinese medicine, and its etiology is mainly yin-yang imbalance. In the pathological process, phlegm turbidity, blood stasis blocking the brain, phlegm and blood stasis can continuously aggravate the condition. Family members of patients support the treatment of patients, which is very important for social rehabilitation of mental activities and reducing and preventing mental decline. Here are three prescriptions.
1. Kushen Suanzaoren Decoction
Materials: take 30 ~ 60g of Sophora flavescens and 30g of Ziziphus jujuba seed, and add water 100ml.
Production: stir-fry to 20ml. Administration: Take it 20 minutes before going to bed, and the course of treatment is 1 half a month. Generally, it can be improved or recovered after 2 courses of treatment.
This prescription is satisfactory for schizophrenia patients with obvious insomnia and excessive fever.
2. Huanglian Jiedu Decoction
Materials: gypsum150g, rhubarb 60g, lapis lazuli 60g, Scutellaria baicalensis 20g, Cortex Phellodendri 20g, Rhizoma Coptidis15g, mirabilite 30g, Caulis Polygoni Multiflori 60g, Pericarpium Citri Reticulatae Viride 30g, Fructus Gardeniae15g and Radix Gentianae/kloc.
Production: the above dosage is 1 day, and it is decocted twice in water. Usage: Take it in the morning and evening. Half a month is 1 course of treatment, and generally 1 ~ 2 courses can improve or recover.
This prescription is a good routine treatment for schizophrenia. It has obvious curative effect on the body with excessive fire, such as red eyes, yellow fur, heavy pulse, constipation, drowning and so on. If you only see the symptoms of mania, but there is no sign of fever in the fourth diagnosis of traditional Chinese medicine, then the treatment of this prescription is ineffective.
3. Dahuangtang
Materials: Take 30 ~ 60g of raw rhubarb.
Production: First, Sichuan cuisine and Sichuan cuisine are soaked in cold water and decocted twice. Taking: Mix the soup and liquid twice, and take it in the morning and evening. Half a month is 1 course of treatment, and general 1 ~ 2 courses can improve or recover.
This prescription has a good effect on schizophrenia with excessive heat and constipation. Hallucinations, delusions, beatings and curses gradually disappear with the passage of stool.
The above three aspects are all good methods of treating schizophrenia by Chinese medicine. However, due to the particularity and complexity of the curative effect of traditional Chinese medicine, patients must take the medicine under the guidance of doctors to avoid the occurrence of adverse symptoms. In addition, experts remind that there are many good ways to treat schizophrenia, and finding the cause and symptomatic treatment is the best choice.
5. Electroshock therapy: Electroshock therapy is a kind of electroshock therapy, which refers to the temporary disappearance of thinking consciousness in the brain of schizophrenic patients through instantaneous current, thus achieving a certain therapeutic effect. Electroconvulsive therapy is effective and can deal with emergencies, mainly for schizophrenics with serious emotional tendencies. Although this method is widely used in clinic, it is only an emergency measure, and the control of patients' condition ultimately depends on drugs. Electroconvulsive therapy can't be used many times, which will cause certain damage to the patient's nerve center, so it should be used with caution. I don't advocate this method very much. I have done it for myself. I don't think the benefits are great, and it may also cause some damage to the brain.
Six; Music, dance, travel and self-physical exercise: Listening to music, practicing dance, traveling and other fitness activities are very valuable for promoting patients to re-contact with the real world. Silent, lonely and stiff patients often respond to music and dance. This method can help these patients get in touch with reality slowly. These adjuvant therapies usually work best when combined with other methods.
Seven; Confess your mistakes and pray for the blessing of Buddha and Bodhisattva.
In the past, when our ancestors were sick, they would kneel on the ground, put their hands together, pray to heaven and earth, and say, Why have I sinned against you? I sincerely repent here, make up my mind to correct, and tell the world about my pain and illness. Speaking of sincere sadness, I burst into tears. Do it a few times or even once more, and you will get better or even be completely cured. Later, people with high educational level summed up this practice. At that time, before Buddhism was introduced into China, people formed a method to treat diseases. After Taoism came back, it was regarded as the content of Taoism, and people called it Taoist blessing.
Buddhism has a method of repentance, that is, kneeling in front of Buddhas and Bodhisattvas, knowing their mistakes and harms against the standards of five precepts and ten good deeds, and vowing to resolutely correct them in the future. Or chanting Buddha, chanting Buddha, worshiping Buddha, a great wish for the life of the universe. If you do this, you will get well, and if you persist, you will get happiness from suffering. This method is the same as the Taoist method of making a wish by you. To convince you, let's take a look at the discussion of blessings by our ancestors.
Miao Fu's, a famous doctor in the past dynasties, is the first volume of The Complete Collection of Ancient and Modern Medical Skills: "In ancient times, there was an imperial doctor who took a shovel as a seat and straw as a dog. People seek medical treatment when they are sick, and curse in the north, and they will be cured in ten sentences. " Good luck in the past, that's why. Chapter 13 of Huangdi Neijing, Su Wen's On Turning Essence into Qi: Huangdi said, I only wish to turn essence into Qi. Article 4 "The Rule of Law" in the General Record of the Holy Records: "When Zhou Guan chose doctors, he took care of all the people to choose medicines to kill them, so he must bless them first, which is enough to cover doctors." The system of traditional Chinese medicine has a line of You Zhu since ancient times, and the "You Zhu Branch" was recorded in the Secret of Outer Taiwan in the Tang Dynasty. It can be seen that You Zhu has become an independent branch of the system of traditional Chinese medicine at the latest in the Tang Dynasty. For example, Taiji Hospital in the Ming Dynasty set up medical skills 13: "It is called Dafang pulse, fu, typhoid fever, sore, needle, eye, tongue, throat, bonesetting and yue. However, according to Zhang Jiebin, "Today, the two branches of massage and wishing have lost their inheritance, but there are still some among the people"; However, back to Huangdi Neijing, the whole article does not say that ghosts and gods are evil, and thinks that "knowing all diseases will win, and the prophet will follow all diseases" is the reason why Zhu Yu came into effect. Bing Wang's annotation only said that "you want to identify the cause, but don't work hard", which shows that Zhu Yu has been on the edge of the traditional Chinese medicine system.
Literally, I hope the same curse; Because, the disease comes from, as Bing Wang wrote in the thirteenth chapter of Huangdi Neijing: "If you want to talk about the cause, you don't have to worry."
Master Book: "Wang Ming is a book and Yi Zhu is a book." The book of Confucius and Ying Da: "It is a blessing to read strategies and tell God." It can be seen that "Zhu" has three meanings: (1) the person who praises the Lord: the person who is in charge of the ceremony during the sacrifice, that is, the wizard, also known as. ⑵ Sacrificial words: a prayer to God. (3) Those who read the sacrificial rites are those who pray for happiness from ghosts and gods in words.
Gai Jianmin's Taoist Doctor: "You Zhu's treatment has the medical connotation of psychotherapy, that is, by hoping to explain the origin of the disease, the essence is changed into qi." Change means change, change means change. It's all about turning evil into good, strengthening the spirit and guarding the heart. "It contains the mechanism of psychotherapy, that is,' changing the spirit, changing the hidden heart, guiding nutrition, and returning to peace'." You Yun: "When Taoist doctors treat diseases, their psychological medical methods and practical medical functions of" talking about the cause, not seeking the stone "are usually submerged in religious activities such as fasting and praying for blessings, painting symbols and chanting spells, which are not easy for the world to perceive."
Taoist thought mainly advocates "empty inaction", that is, "indifferent inaction" In this way, the spirit is in harmony with qi and blood, the viscera function is normal, and the body is healthy and disease-free. "Turning essence into qi" is the meaning of changing essence, qi, spirit and concept. The person who "shifts his essence and wishes for the future" is a primitive mental and psychological therapy. By changing his mind, he pays special attention to his thoughts, prays to God, and seeks happiness and cure. This is the original meaning of "wishing you" in ancient times, that is, the method of breathing, persuading and guiding in Taoist medicine.
What is Taoist medicine? Encyclopedia of China Religious Volume: "In order to pursue immortality, Taoism has inherited and absorbed the achievements of traditional Chinese medicine and accumulated medical knowledge and technology in the process of internal and external repair.
To sum up, wishing has two meanings. (1) A primitive psychotherapy, which changes one's own thoughts, pays special attention to one's own thoughts, prays to God, and seeks happiness and recovery from illness. This is the original meaning of "wishing you" in ancient times, that is, the method of breathing, persuading and guiding in Taoist medicine. (2) Taoist medicine-You Zhu's witchcraft, that is, the method of forbidding spells and the method of treating diseases with spells.
In ancient times, it was the simplest medical care method to connect information with gestures and spells instead of drugs and symbols in the environment of lack of medical care and medicine. This is an energy symbol discovered by the ancients to communicate with the universe. By mastering this mysterious energy symbol, we can directionally mobilize the cosmic field and serve the physical and mental health of mankind.
I hope it helps you. Thank you.
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