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2023年4月23日星期日

Wake up(101)

 


101

 

Accompanied by his grandson Nan Shanyun, He Jiafu came to the home of old Chinese doctor Chai Jianhua. Two elderly people in their 90s chatted about the Wuhan coronavirus, and also about society and life.

Chai Jianhua said: "In real life, there is always too much helplessness around us, which makes us feel endlessly sad. Perhaps only by learning to give up can we stop being hesitant. Lonely people will always remember the appearances in their lives. Everyone who has ever lived, so I always think of you counting my loneliness over and over again every night when the stars fall. It is also fate that the two of us can become friends for more than half a century. Looking back on when we were young, we were both Flowers that haven't bloomed yet, haven't learned to bloom, and they withered together. It's not our fault, it's the environment we live in and this society that ruined our youth. Now, we are all old, and we don't have to have anything to do with the past Nostalgia, learning to let go, is the continuation of life."

 Chai Jianhua sighed: "The Wuhan coronavirus pandemic is changing our views on life and society. With the changes of the times and the development of society, the spectrum of diseases is also changing. The incidence of some diseases continues to increase, becoming a threat to human health. Depression is one of the most important diseases. Depression, anxiety, loss of interest in life... How to deal with this disease? This is the question I am currently thinking about through the party.”

Depression is characterized by significant and persistent depressive emotion or mood changes, and is a type of mental illness closely related to stress. Depression belongs to the category of "depression syndrome" in traditional Chinese medicine. It is mainly caused by emotional discomfort and poor energy flow, such as emotional depression and restless thoughts. Modern medical research shows that depression may be related to nutritional nerves, the content of monoamine neurotransmitters in the brain, anti-oxidation, and anti-nerve loss.

Chai Jianhua believes that depression is most closely related to the heart, liver, spleen, and stomach. The main cause of depression is malnutrition. According to nourishing and reducing the mother and child, the heart belongs to fire, the liver belongs to wood, wood produces fire, and the liver is the mother of the heart. If the liver qi is well developed, the dredging function is normal, and the blood is promoted to run in the veins, then the heart is in control. The spleen and stomach are the sons of the heart, the heart belongs to fire, the spleen and stomach belong to earth, and fire generates earth. The spleen governs the movement and transformation, and the stomach governs the reception.

When He Jiafu was listening to old Chinese medicine practitioner Chai Jianhua talk about the knowledge of treating depression with traditional Chinese medicine, his little grandson Nanshanyun helped an old woman into the house.

Nan Shanyun said to Chai Jianhua, an old Chinese doctor: "I was playing with my mobile phone in the yard, and I saw my aunt walking over staggeringly, so I helped her over, and asked Chai Lao to see what ailment she had."

The old woman was 64 years old and a retired teacher. The old woman's name is Hu Zhijia. Her husband is a newspaper reporter. Both of them live and work in Wuhan. Not long ago, Hu Zhijia went back to her hometown to visit her mother and daughter. Unexpectedly, due to the coronavirus pandemic, Wuhan implemented a city closure policy, and she could not return to Wuhan.

Hu Zhijia told old Chinese doctor Chai Jianhua: "I am mainly upset and depressed for a year. There was no organic disease during the examination in Wuhan. Now I am anxious every day, tired and weak, poor sleep, bloated stomach, and dry mouth."

Veteran Chinese doctor Chai Jianhua said to Hu Zhijia after taking the pulse: "Mr. Hu, your illness is depression. Qi and blood are deficient, phlegm is stagnant, and your mind is restless."

Chai Jianhua analyzed the pathogenesis of Hu Zhijia: "The heart is the master of the internal organs". The heart governs the blood, the heart hides the spirit, and the heart governs the gods. Plenty of qi and blood leads to peace of mind, while deficiency of qi and blood leads to stagnation. Insufficient qi and blood of the heart, unable to nourish the viscera, or deficiency of qi and blood stasis, resulting in loss of nourishment of the heart and arteries, and restlessness, then it is a syndrome of depression. Insufficient qi and yin lead to dry mouth. When the false fire is disturbed, the god has no master, and the anxiety is restless. Deficiency can cause stasis, deficiency can cause depression, stasis can cause depression, depression can cause stasis, deficiency, stasis, and depression affect and transform each other, and they are mutually causal. And deficiency of qi and blood, weak spleen and stomach movement and transformation, so mental fatigue and weakness, epigastric distension, thready and weak pulse, pale tongue with cracks, yellowish fur, qi and yin deficiency with signs of heat. "

Chai Jianhua believes that depression is closely related to the heart and liver, and is caused by the loss of Qi and blood. Because "heart governs blood", "heart governs gods", "liver stores blood" and "liver governs catharsis", insufficient heart qi and blood cannot nourish the viscera, or the liver fails to dredge, which can lead to dystrophy of the heart vessels and stagnation of liver qi After a long time, it will turn into fire and become "depression disease". Tonifying qi and nourishing blood, clearing away heat and resolving phlegm, nourishing the heart and calming the nerves, resuscitating depression.

Chai Jianhua wrote a prescription for traditional Chinese medicine: 10g American ginseng, 10g raw astragalus, 10g purple salvia miltiorrhiza; 10g French pinellia, 10g tangerine peel, 10g whole Trichosanthes; 12g Yunfushen, 10g fried jujube kernels, 10g acacia peel; 15g floating wheat , red dates 10g, whole angelica 12g; Sichuan turmeric 10g, rush 3g, raw licorice 5g. 7 doses, decocted in water, 1 dose per day, divided into morning and evening.

Analysis of Chai Jianhua’s prescriptions: American ginseng, raw astragalus, and purple salvia for nourishing qi and blood are the monarch drug group; Fa Pinellia, tangerine peel, and whole gourd are clearing away heat and phlegm as the ministerial drug group; Yunfushen, fried jujube kernel, Albizia barbicans for nourishing the heart and calming the nerves are the ministerial medicine group; rushes to clear the heart and calm the nerves, turmeric to resuscitate and relieve stagnation are the adjuvant medicine group; floating wheat, red dates, and angelica are the envoy medicine group for regulating qi and blood; licorice to reconcile all the medicines. The whole prescription embodies the treatment ideas for depression with heavy form and spirit, regulating qi and blood, resolving phlegm and reducing turbidity.

Depression is one of the diseases that seriously affect physical and mental health. Chai Jianhua said that according to expert surveys, depression will be second only to ischemic heart disease in the world by 2020 as the second disease that threatens human health and increases economic burden. In severe cases, there is suicidal tendency, so it should be actively treated. Western medicine treatment has disadvantages such as large side effects and high price. Now the application of traditional Chinese medicine to treat depression has definite curative effect, which has attracted widespread attention both at home and abroad.

Traditional Chinese medicine believes that depression is mainly caused by the involvement of the liver, heart, and spleen and the imbalance of Qi and blood, which belongs to the category of "depression syndrome". The liver governs catharsis, sexual happiness, anxiety, depression, anger and other mental stimuli can cause the liver to lose its flow, the movement of qi is not smooth, resulting in stagnation of liver qi; Spleen stagnation, or stagnation of liver qi followed by adversity and advantage of the spleen can lead to dysfunction of the spleen, affecting the function of the spleen in consuming water and transforming water and dampness; or failing to fulfill wishes, nervousness, sorrow and other mental stimuli that damage the mind. Heartbroken.

Chai Jianhua asked Hu Zhijia: "I don't know what's on Teacher Hu's mind? Let's talk about it, maybe it can also be used as a reference for diagnosis and treatment."

Hu Zhijia sighed: "I wanted to go back to my hometown to visit my mother. My mother is over 80, old and sick. My daughter divorced from her husband and has to take care of the children who go to school. Due to the outbreak of the coronavirus pandemic in Wuhan, the whole city shut down. Decided to come to my hometown, unexpectedly, as soon as I left, the whole city of Wuhan was closed. Now I have a home and cannot return. Although my husband is a reporter, he is a nerd. He can only shout slogans every day, and he can’t cook. , How does he live these days? I can't return to Wuhan, I'm depressed, I don't want to eat, my brain is deaf, my waist and knees are weak. How can I not be upset?"

Chai Jianhua persuaded Hu Zhijia: "The "Huangdi Neijing" says that people living in the natural environment should follow the laws of nature, adapt to the different characteristics and changes of the four seasons, the climate and different regions, develop good living habits, maintain a good attitude, and get rid of unhealthy things. Think differently, combine work and rest, and eat healthy. If you can do the above, you can naturally avoid the occurrence of many diseases including depression."

Hu Zhijia shook his head and smiled wryly: "Wuhan is full of crying and cursing now. Who can calm down? The city is closed and the households are closed. You can't leave your house and you can't speak. This depression is also a pandemic. My only thought now Just to go back to Wuhan as soon as possible!"

He Jiafu heard Hu Zhijia's complaints, looked at Chai Jianhua and said, "You are an old Chinese doctor, do you think this coronavirus can be cured?"

Chai Jianhua sighed: "Western medicine now has the final say on epidemic prevention or treatment of coronavirus disease, and traditional Chinese medicine stands aside. It is unfair and unscientific to treat diseases and save lives. What is even more frightening is that epidemic prevention does not rely on medical science. The rhetoric of those so-called medical experts is very absurd. They emphasize that politics is in command, using politics to prevent epidemics, and using power to formulate. Can slogans be used as medicine? The group is concerned about the sudden coronavirus, but no one pays attention to it. With the related depression pandemic, people's hearts have been lost, and society is sick, so is there any hope?"

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