20 years ago, I just graduated from medical school and entered the hospital for internship, and the department I was in at that time was evaluating various indicators at the end of every month, one of which was performance appraisal.
The first few times, looking at me a few years ago, I was not deeply involved in the world and said implicitly, let me pay attention in the future, look at the patient's economic situation, prescribe prescriptions, don't always use cheap drugs, and I will be interviewed again later, the director of the department pointed directly at his nose and began to scold.
I was very aggrieved in my heart, so I found a good friend for many years and also my master, a folk Chinese medicine doctor, to talk about this topic, I have always been educated, is for the sake of patients, spend the least money, help patients cure the disease, how to actually save lives and help the wounded, why this set of theories does not work?
Later, he said, stick to your own, but also protect yourself, be careful not to be put in small shoes, and then I still adhere to my own principles, but fortunately, my prescription is effective, there are more and more patients, and the director of the department no longer cares about me.
I once used a prescription with more than 20 years of clinical experience to help a mental patient, successfully reversed, and eliminated auditory hallucinations, and now I share this prescription as follows:
Prescription: Chrysanthemum, Chuanqiong, Salvia, Raw Gypsum, Raw Mother-of-pearl, Cornus officinalis, Lycium barbarum, Fairy Spleen, Poria Cocos, Angelica, Sulforaphane Seed, White Peony, Red Paeonia, Pueraria Pueraria, Peach Kernel, Fried Jujube Kernel, Wine Rhubarb, Tulip.
Zhang, female, 27 years old, because of "suspicion for 5 years, aggravated for 3 months, accompanied by insomnia", the patient has been working poorly since 2013, and gradually appears often angry, tantrums, suspicious, saying that colleagues scold him, his speech is disorderly, and he hears his voice out of thin air.
Visited a number of specialized hospitals, diagnosed with "mental illness", intermittent taking aripiprazole, risperidone and other drugs and traditional Chinese medicine (the specific details are unknown)** The effect is average.
Later, she didn't go to work either, lying in bed all day, doing nothing, and didn't want to go out.
In the last 3 months, the patient suffered from insomnia, was afraid of dirty, and said "this meal is too dirty to eat" and was suspicious of being killed, thinking that there are bad people who use *** to control themselves, impulsive, drop the mobile phone, laugh at themselves obviously, talk to themselves, have little menstrual flow, are easily upset before menstruation, have dry stools, and have 1 time in 3-4 days.
Diagnosis: dark red tongue, thin yellow tongue coating, number of pulses. Psychiatric examination: clear consciousness, complete orientation, pertinent questions and answers, elicit delusions of victimization, uncoordinated emotional responses, self-laughter, lack of high-level intention requirements.
Traditional Chinese medicine diagnosis: epilepsy (liver depression and blood stasis, yang and bright heat). Traditional Chinese medicine treatment: invigorate blood and qi, clear the brain and calm the nerves.
So one party was opened: chrysanthemum, Sichuan dome, salvia, raw gypsum, raw mother-of-pearl, dogwood, wolfberry, fairy spleen, poria, angelica, sulforaphane seed, white peony, red peony, kudzu, peach kernel, fried sour jujube kernel, wine rhubarb, tulip.
Second visit 2 weeks later: the patient's symptoms are reduced, his temper tantrums are reduced, his suspicions are reduced, he still has insomnia, and his stool is dry. Prescription: Above plus Acacia bark, Nightshade, hemp seed, Yu Li Ren.
Three diagnoses after 1 month: the patient no longer lost his temper, self-talk decreased, stool once a day, sleep was OK, menstruation was delayed, and the dose of angelica and motherwort was increased.
Three diagnoses after 1 month: the patient no longer lost his temper, self-talk decreased, stool once a day, sleep was OK, menstruation was delayed, and the dose of angelica and motherwort was increased.
What is the truth in this?
Mental illness often "starts in the liver", emotional imbalance, uncomfortable liver qi, poor qi, emotional instability, often angry, and tantrums; The qi is not smooth, the blood stasis is knotted, and the evil disturbs the brain.
Therefore, the patient's expression is stunned and laughing to himself, and he is prone to upset and anxious during the premenstrual period; Liver loss and discharge, liver qi stagnation for a long time turns into fire, fiery rush to the brain, the patient sees and hears delusionally, and impulsively destroys things; If the kidneys are affected for a long time, the brain is not nourished, and negative symptoms such as laziness and emotional apathy appear.
Therefore, it is necessary to focus on soothing the liver and invigorating the blood, clearing the brain and calming the nerves.
I am Fan Yun of traditional Chinese medicine, no matter how the external environment changes, I always keep in mind my original intention, let patients spend the least money, see the disease, and do not let them take detours and spend money in vain.
Especially for mental patients, once they get this disease, not only the patients themselves need to bear huge psychological and physical torture, but their relatives also need to bear a huge psychological burden, and even destroy a family. Therefore, I insist that being able to help one is one.