Hello everyone, I am Yang Yihong, a retired doctor from Hubei Provincial Hospital of Traditional Chinese Medicine, and today I will share with you what are the best methods for bipolar disorder.
Bipolar disorder is a common mental disorder that combines manic or hypomanic episodes with depressive episodes, and the age of onset is relatively widespread.
The duration of the disease will depend on the length of the disease, including the entire course of the diseaseAcute phaseConsolidation periodwithMaintenance period
1. Acute phase, generally 6 to 8 weeks.
2. The consolidation period, the depressive episode is 4 6 months, the manic episode or mixed episode is 2 3 months, and 3, the maintenance period, which is still inconclusive, and is generally considered to be more than 1 2 years.
The mainstream approaches to bipolar disorder include medication and psychological. Clinically, these two methods are generally combined.Medications are effective** for bipolar disorder. Western medicine can generally be divided into antipsychotic drugs, mood stabilizers (lithium carbonate, etc.), anti-anxiety drugs, antidepressants, etc.
In the theory of traditional Chinese medicine, this disease is mostly caused by internal injuries of the seven emotions, such as emotional injury, loss of liver order, depression and fire, burning into phlegm, phlegm and fire disturbing the clear body, then it becomes mania; If you think too much, your mind is not nourished, or your liver qi is stagnant and your phlegm is cloudy, you will be depressed and have a depressive episode. There are also many TCM syndrome differentiation and classification schemes:
1. Blood stasis and internal obstruction, upper disturbance and clear the body
It can be added or subtracted by Tongqi Huoxue decoction, with Chuanxiong, red peony, safflower, peach kernel to nourish blood and blood, plus musk Tongqi to activate the meridians, and in clinical practice, the combination of quetiapine, valproate and other Western medicines can improve manic symptoms in a short period of time, so as to achieve the effect of one plus one is greater than two.
2. Lack of heart yin and disharmony of liver qi
Sweet wheat jujube soupIn the formula, licorice is used to relieve the heart, wheat to nourish the heart, jujube to nourish the stomach and the dryness of the upper part of the body, which can play a role in nourishing the heart and regulating the liver, calming the nerves, and has a similar effect of Jiuwei Zhenxin granules is also the key prescription for nourishing the heart and calming the nerves, especially in combination with sertraline, trazodone, mirtazapine drugs or combined with Morita **, which can also significantly improve anxiety, depression, mania symptoms, and stabilize the patient's mood.
3. Phlegm and fire disturb the heart
RepresentativesPig iron is drunk, with fritillary, gall star, orange red as the main to clear the heart and cleanse phlegm, calm the nerves; Salvia, asparagus, and wheat winter are used to nourish the heart and blood, and nourish the heart; With stone calamus, Yuanzhi happy hole and through the nine holes; Use pig iron to calm the heart, restore its use as a god, and balance yin and yang. Modern studies have found that pig iron drinking and flavoring or combining with some mood stabilizers can significantly reduce manic symptoms, and at the same time have a certain effect on menopausal syndrome and children's sleepwalking.
In the field of psychology, in the acute depression and maintenance periods, combined psychoeducation, cognitive behavior, interpersonal social rhythm and other psychology can effectively reduce the disease rate, reduce the number of hospitalizations and drug use in patients with imagination disorders, stabilize mood, enhance social function and compliance.
Studies have shown that adjunctive group psychoeducation** can delay, reduce, and reduce the number of hospital stays in patients with bipolar disorder**.
If someone around you has been diagnosed with any form of bipolar disorder, consider exploring different**. Your doctor may also recommend a combination of medication and counseling**. Together, these may lead to better control of the patient's symptoms.