Syndrome Differentiation and Treatment of Constraint Syndrome Based on the Theory of Resolving the Fire Constraint

QI Ming-ming; GUO Ren-qing; MA Jian; TAO Wei-wei

doi:10.14148/j.issn.1672-0482.2022.0797

Volume 38 Issue 9

Sep. 2022

Turn off MathJax

Article Contents

Article Navigation > Journal of Nanjing University of traditional Chinese Medicine > 2022 > 38(9): 797-802

QI Ming-ming, GUO Ren-qing, MA Jian, TAO Wei-wei. Syndrome Differentiation and Treatment of Constraint Syndrome Based on the Theory of Resolving the Fire Constraint[J]. Journal of Nanjing University of traditional Chinese Medicine, 2022, 38(9): 797-802. doi: 10.14148/j.issn.1672-0482.2022.0797

Citation:

QI Ming-ming, GUO Ren-qing, MA Jian, TAO Wei-wei. Syndrome Differentiation and Treatment of Constraint Syndrome Based on the Theory of Resolving the Fire Constraint[J]. Journal of Nanjing University of traditional Chinese Medicine, 2022, 38(9): 797-802. doi: 10.14148/j.issn.1672-0482.2022.0797

Citation:

PDF( 1063 KB)

Syndrome Differentiation and Treatment of Constraint Syndrome Based on the Theory of Resolving the Fire Constraint

doi: 10.14148/j.issn.1672-0482.2022.0797

QI Ming-ming^1
,,
GUO Ren-qing²,
MA Jian^{1
,
,},
TAO Wei-wei^{1
,
,}

1.
School of Chinese Medicine, School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China
2.
Nanjing University of Chinese Medicine Hospital, Nanjing 210023, China

Received Date: 2022-04-08
Available Online: 2022-09-19

Abstract

Abstract

Depression is a mental illness that seriously affects public health, but its etiology and pathogenesis have not been fully elucidated. According to the clinical manifestations, Chinese medicine classifies depression as a constraint syndrome. By sorting out the meaning of constraint, it is found that constraint involves both the etiology and pathogenesis, as well as the disease per se. The pathogenesis and clinical manifestations of depression coincide with those of the constraint syndrome in Chinese medicine. Thus, the clinical diagnosis and treatment can be made by referring to the "constraint syndrome" in Chinese medicine. Considering "fire constraint" is the key pathogenesis of depression changing from mild to severe, the clinical treatment of "fire constraint" should be based on the principle of differentiating the deficiency or excess syndrome. For example, the treatment on the excess syndrome of the fire constraint should be clearing and purifying, while the treatment of the deficiency-excess complex should be unblocking and reinforcing.
- depression,
- resolving the fire constraint,
- constraint syndrome

FullText(HTML)

References(39)

References

[1]	MALHI GS, MANN JJ. Depression[J]. Lacent, 2018, 392(10161): 2299-2312.
[2]	过伟峰, 曹晓岚, 等. 抑郁症中西医结合诊疗专家共识[J]. 中国中西医结合杂志, 2020, 40(2): 141-148. GUO WF, CAO XL, SHENG L, et al. Expert consensus on the integrated Chinese and western medicine treatment of depression[J]. Chin J Integr Tradit West Med, 2020, 40(2): 141-148.
[3]	王子杨. 甲骨文"(鬱)"的用法[J]. 文史, 2016(3): 43-56. https://cdmd.cnki.com.cn/Article/CDMD-10445-1016080851.htm WANG ZY. The usage of the inscription "鬱" on oracle bones[J]. J Literat Histor, 2016(3): 43-56. https://cdmd.cnki.com.cn/Article/CDMD-10445-1016080851.htm
[4]	许慎. 说文解字[M]. 北京: 中华书局, 1963: 273. XU S. Elucidations of Script and Explications of Characters[M]. Beijing: Zhonghua book company, 1963: 273.
[5]	张玉书, 陈廷敬. 康熙字典[M]. 上海: 汉语大词典出版社, 2002: 1514. ZHANG YS, CHEN TJ. Kangxi Dictionary[M]. Shanghai: Chinese dictionary publishing house, 2002: 1514.
[6]	王力. 王力古汉语字典[M]. 北京: 中华书局, 2000: 913. WANG L. Wang Li Ancient Chinese Dictionary[M]. Beijing: Zhonghua book company, 2000: 913.
[7]	司鹏飞, 李成卫, 王庆国. 基于知识考古学的中医郁证理论演变分析[J]. 中华中医药杂志, 2014, 29(4): 982-985. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201404006.htm SI PF, LI CW, WANG QG. An analysis of the evolution of the theory of constraint syndrome in Chinese medicine based on archaeology of knowledge[J]. China J Tradit Chin Med Pharm, 2014, 29(4): 982-985. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201404006.htm
[8]	邓欣祺, 李先涛. 中医"五郁"理论发展源流初探[J]. 中华中医药杂志, 2015, 30(12): 4224-4226. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201512008.htm DENG XQ, LI XT. A preliminary investigation of the development of the theory of "five types of depression" in Chinese medicine[J]. China J Tradit Chin Med Pharm, 2015, 30(12): 4224-4226. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201512008.htm
[9]	黄帝内经素问[M]. 北京: 中医古籍出版社, 1997. The Yellow Emperor's Inner Classic: Basic Questions[M]. Beijing: Traditional Chinese medicine ancient books publishing house, 1997.
[10]	叶天士. 叶选医衡[M]. 北京: 人民军医出版社, 2012: 105. YE TS. Compiled Medical Theories by Ye Tian-shi[M]. Beijing: The people's military' medical press, 2012: 105.
[11]	赵献可. 医贯[M]. 北京: 人民卫生出版社, 2005: 40. ZHAO XK. Key Link of Medicine[M]. Beijing: The people's medical publishing house, 2005: 40.
[12]	戴思恭. 推求师意[M]. 南京: 江苏科学技术出版社, 1984: 19. DAI SG. Medical Inheritance of My Teacher[M]. Nanjing: Jiangsu scientific and technical publishers, 1984: 19.
[13]	陈无择. 三因极一病证方论[M]北京: 中国中医药出版社, 2007: 69. CHEN WZ. Treatise on Diseases, Patterns, and Formulas Related to the Unification of the Three Etiologies[M]. Beijing: China press of traditional Chinese medicine, 2007: 69.
[14]	李杲. 脾胃论[M]. 彭建中, 点校. 沈阳: 辽宁科学技术出版社, 1997. LI G. Treatise on the Spleen and Stomach[M]. PENG JZ, Proofreaded. Shenyang: Liaoning science and technology press, 1997.
[15]	王履. 医经溯洄集[M]. 南京: 江苏科学技术出版社, 1985: 2. WANG L. Discourse on Tracing Back to the Medical Classics[M]. Nanjing: Jiangsu science and technology press, 1985: 2.
[16]	周仲瑛. 中医内科学[M]. 北京: 中国中医药出版社, 2003: 392. ZHOU ZY. Internal Medicine in Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine, 2003: 392.
[17]	吴勉华, 王新月. 中医内科学[M]. 北京: 中国中医药出版社, 2012: 352. WU MH, WANG XY. Internal Medicine in Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine, 2012: 352.
[18]	李志庸. 张景岳医学全书[M]. 北京: 中国中医药出版社, 1999: 1123. LI ZY. Complete Medical Works from Zhang Jinyue[M]. Beijing: China press of traditional Chinese medicine, 1999: 1123.
[19]	边致远, 邵晓梅, 李心悦, 等. 从《景岳全书》情志之郁理论探讨情志致痛[J]. 中医杂志, 2019, 60(16): 1367-1370. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201916005.htm BIAN ZY, SHAO XM, LI XY, et al. Exploring the pathogenesis of emotional pain from the theory of constraint syndrome caused by emotional disorders in The complete works of Zhang Jing-yue[J]. J Tradit Chin Med, 2019, 60(16): 1367-1370. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201916005.htm
[20]	吴以岭. 气络论[M]. 北京: 科学技术出版社, 2018: 922. WU YL. Treatise on Qi Collateral[M]. Beijing: Science and technology press, 2018: 922.
[21]	李经纬, 余瀛鳌. 中医大辞典[M]. 2版. 北京: 人民卫生出版社, 2014: 1010. LI JW, YU YA. Encyclopedia of Chinese Medicine[M]. 2nd ed. Beijing: The people's medical publishing house, 2014: 1010.
[22]	王永炎, 鲁兆麟. 中医内科学[M]. 2版. 北京: 人民卫生出版社, 2016: 691. WANG YY, LU ZL. Internal Medicine of TCM[M]. 2nd ed. Beijing: The people's medical publishing house, 2016: 691.
[23]	费伯雄. 医醇剩义[M]. 上海: 上海卫生出版社, 1957: 72. FEI BX. The Refined in Medicine Remembered[M]. Shanghai: Shanghai medical publishing house, 1957: 72.
[24]	宋乃光. 刘完素医学全书[M]. 北京: 中国中医药出版社, 2015. SONG NG. Complete Medical Works from Liu Wansu[M]. Beijing: China press of traditional Chinese medicine, 2015.
[25]	吴澄. 不居集[M]. 北京: 中国中医药出版社, 2002: 299. WU C. Monograph on the Internal Medicine in Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine, 2002: 299.
[26]	柳长华. 陈士铎医学全书[M]. 北京: 中国中医药出版社, 2015: 429. LIU CH. Complete Medical Works from Chen Shiduo[M]. Beijing: China press of traditional Chinese medicine, 2015: 429.
[27]	黄英志. 叶天士医学全书[M]. 北京: 中国中医药出版社, 2015: 298. HUANG YZ. Complete Medical Works from Ye Tianshi[M]. Beijing: China press of traditional Chinese medicine, 2015: 298.
[28]	林珮琴. 类证治裁[M]. 人民卫生出版社, 2020. LIN PQ. Categorized Patterns with Clear-cut Treatments[M]. Beijing: The people's medical publishing house, 2020.
[29]	American Psychiatric Association. Diagnostic and statistical manual of mental disorders[M]. 5th ed. Washington DC: American Psychiatric Publishing, 2013: 469-471.
[30]	中华医学会精神病学分会. 中国精神障碍分类与诊断标准·第三版(精神障碍分类)[J]. 中华精神科杂志, 2001, 34(3): 184-186. doi: 10.3760/j:issn:1006-7884.2001.03.028 Psychiatry Branch, Chinese Medical Association. Chinese classification and diagnostic criteria for mental disorders: Third edition(classification of mental disorders)[J]. Chin J Psych, 2001, 34(3): 184-186. doi: 10.3760/j:issn:1006-7884.2001.03.028
[31]	杨上善. 黄帝内经太素[M]. 北京: 中国古籍出版社, 2016: 83. YANG SS. Grand Simplicity of The Yellow Emperor's Inner Classic[M]. Beijing: China ancient books publishing house, 2016: 83.
[32]	OGRODNICZUK JS, PIPER WE, JOYCE AS. Residual symptoms in depressed patients who successfully respond to short-term psychotherapy[J]. J Affect Disord, 2004, 82(3): 469-473.
[33]	黎庆连, 符文彬, 周鹏. 符文彬整合针灸方案治疗抑郁症经验[J]. 中华中医药杂志, 2020, 35(12): 6147-6150. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202012063.htm LI QL, FU WB, ZHOU P. Fu Wenbin's experience with integrated acupuncture protocol for depression[J]. China J Tradit Chin Med Pharm, 2020, 35(12): 6147-6150. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202012063.htm
[34]	BALBUENA L, BROWEN R, BAETZ M, et al. Mood instability and irritability as core symptoms of major depression: An exploration using Rasch analysis[J]. Front Psychiatry, 2016, 26(7): 173-177.
[35]	王清任. 医林改错[M]. 北京: 中国医药科技出版社, 2011: 74. WANG QR. Correction of Errors in Medical Works[M]. Beijing: China medico-pharmaceutical sciences and technology publishing house, 2011: 74.
[36]	郭蓉娟, 王嘉麟, 张允岭, 等. 抑郁症中医证候要素相关分析[J]. 中医杂志, 2008(9): 828-829, 847. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ200809035.htm GUO RJ, WANG JL, ZHANG YL, et al. Correlation analysis of Chinese medical syndrome elements in depression[J]. J Tradit Chin Med, 2008(9): 828-829, 847. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ200809035.htm
[37]	李士懋, 田淑霄. 李士懋田淑霄医学全集: 中卷[M]. 北京: 中国中医药出版社, 2015: 225-309. LI SM, TIAN SX. Li Shimao and Tian Shuxiao's Complete Medical Collections: Middle Volume[M]. Beijing: China press of traditional Chinese medicine, 2015: 225-309.
[38]	李时珍. 本草纲目[M]. 北京: 人民卫生出版社, 1982: 218. LI SZ. The Grand Compendium of Materia Medica[M]. Beijing: The people's medical publishing house, 1982: 218.
[39]	王怀隐. 太平圣惠方[M]. 北京: 人民卫生出版社, 2016: 276. WANG HY. Formulas from Benevolent Sages Compiled during the Taiping Era[M]. Beijing: The people's medical publishing house, 2016: 276.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Get Citation

PDF

XML

Article Metrics

Article views (348) PDF downloads(48)

Syndrome Differentiation and Treatment of Constraint Syndrome Based on the Theory of Resolving the Fire Constraint

doi: 10.14148/j.issn.1672-0482.2022.0797

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content