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Int.Med2-Depression

QuestionAnswer
What are the acute/excess causes of depression? Lv Qi stagnation leading to stagnation of Blood, Phlegm, Fire, Dampness, Food.
What are the chronic/deficient causes of depression? Heart Yin, Blood and Qi deficiency; Liver & Kidney Yin deficiency; Spleen Qi deficiency
What are the emotional & mental sx associated with depression? Overriding melancholy, moodiness, despondence, disorientation, bouts of crying, loss of interest in eating/sleeping/sex, difficult concentration, apathy, withdrawal, feelings of worthlessness, hopelessness, insecurity
What are the "other" major sx associated with or triggered bydepression? Distention, pain, pressure in the chest and hypochondrium, plum pit qi, freq sighing, shallow breathing, TMJ, neck/shoulder pain, HA, upset St, constipation or diarrhea, change in appetite, change in sleep, poor sleep, drinking, smoking
What are the emotional factors that may causes of depression anger, anxiety, over-thinking, grief, worry, fear; trigger is freq rxn to a deep loss
What is the basic, underlying pathology of depression? Liver Qi stagnation
What are the crucial points for making a depression diagnosis? 1. Identify the 6 types of stagnation( Qi, food, fire, phlegm, dampness, blood); 2. identify the site of disorder 3. distinguish excess from deficiency
What is the general treatment strategy for depression caused by excess? 1* Soothe the Lv & reg. qi; 2* Invig blood, Clear heat, Transform dampness, Expel phlegm, Reduce food stag
What is the general treatment strategy for depression caused by deficiency? 1. Nourish Ht Yin & Blood, clam spirit, 2. Strengthen Sp, 3. Tonify Lv & Kd Yin
What are the 8 TCM pattern related to depression?s 1. Lv Qi stagnation, 2. Transformation of constrained Lv qi into fire, 3. Lv Yin def w/ fire, 4. Blood stasis, 5. Obstruction by static qi & phlegm, 6. Ht yin and blood def., 7. Ht blood & Sp qi def., 8. Ht Yin def
What is the tx principle when addressing depression due to Lv Qi stagnation? soothe the Lv, regulate qi, relieve depression
What is the preferred formula for treating Lv Qi stagnation-type depression? Chai Hu Shu Gan San
What are the ingredients in Chai Hu Shu Gan San? Chen Pi, Chai Hu, Chuan Xiong, Zhi Ke, Bai Shao, Zhi Gan Cao, Xiang Fu
What is the tx strategy for addressing depression caused by Constrained Lv qi transforming into Fire? soothe Lv, relieve depression, clear the Lv, drain Fire
What is the preferred formula for addressing depression caused by Constrained Lv qi transforming into Fire? Jia Wei Xiao Yao San
What are the ingredients in Jia Wei Xiao Yao San? Chai Hu, Dang Gui, Bai Shao, Bai Zhu, Fu Ling, Zhi Gan Cao, roasted Sheng Jiang, Bo He, Mu Dan Pi, Zhi Zi
What is the tx strategy for addressing depression caused by Lv Yin deficiency with Fire? nourish Lv & Kd Yin and fluids, drain the fire, soothe the Lv
What is the preferred formula for addressing depression caused by Lv Yin deficiency with Fire? Zi Shui Qing Gan Yin
What are the ingredients in Zi Shui Qing Gan Yin? Shu Di Huang, Shan Zhu Yu, Shan Yao, Ze Xie, Fu Ling, Mu Dan Pi, Chai Hu, Dang Gui, Bai Shao, Bai Zhu, Zhi Gan Cao, roasted Sheng Jiang, Bo He, Zhi Zi
What is the tx strategy for addressing depression caused by Blood Stasis? invig blood, dispel stasis, reg Lv qi, relieve depression
What is the preferred formula for addressing depression caused by Blood Stasis? Xue Fu Zhu Yu Tang
Liu We Di Huang Wan + Jia Wei Xiao Yao San are combined to create what formula? Zi Shui Qing Gan Yin
What depression pattern does Zi Shui Qing Gan Yin treat? Lv Yin deficiency with Fire
What are the ingredients in Xue Fu Zhu Yu Tang? Tao Ren, Hong Hua, Chuan Xiong, Dang Gui, Chi Shao, Chuan Niu Xi, Sheng Di Huang, Chai Hu, Jie Geng, Zhi Ke, Gan Cao
What is the preferred formula for tx depression caused by Obstruction by static Qi and phlegm? Ban Xia Hou Po Tang
What is the tx strategy for depression caused by Obstruction by static Qi and phlegm? Regulate Qi, transform phlegm, dissipate clumps, relieve depression
What are the ingredients in Ban Xia Hou Po Tang? Ban Xia, Hou Po, Fu Ling, Shang Jiang, Zi Su Ye
When using Ban Xia Hou Po Tang to treat static Qi & phlegm-type depression, what is the caution? avoid in cases of yin deficiency, too drying
What are the TCM patterns assoc w/ depression? 1. Lv qi stagnation, 2.Constrained Lv qi turning to fire, 3. Lv yin def with fire, 4. Blood stasis, 5. Obstruction by static qi & phlegm, 6. Ht yin and blood def, 7. Ht blood and Sp qi def, 8. Ht yin def
What is the tx strategy for addressing depression caused by Ht Yin & Blood deficiency? nourish Ht yin & blood, calm the spirit
What is the preferred formula for treating depression caused by Ht Yin & Blood deficiency? Gan Mai Da Zao Tang
What are the ingredients in Gan Mai Da Zao Tang? Gan Cao, Fu Xiao Mai, Da Zao
Which depression pattern does Gan Mai Da Zao Tang treat? Ht Yin & Blood deficiency
What is the tx strategy for addressing depression caused by Ht Blood & Sp Qi deficiency? Strengthen the Sp qi, nourish the Ht blood, quiet the Spirit
What is the preferred formula for treating depression caused by Ht Blood & Sp Qi deficiency? Gui Pi Tang
What are the ingredients in Gui Pi Tang? Ren Shen, Huang Qi, Bai Zhu, Zhi Gan Cao, Long Yan Rou, Suan Zao Ren, Dang Gui, Zhi Yuan Zhi, Fu Shen, Mu Xiang, Sheng Jiang, Da Zao
Which depression pattern does Gui Pi Tang treat? Ht Blood & Sp Qi deficiency
What is the tx strategy for addressing depression caused by Ht Yin deficiency? Nourish the Ht Yin, tonify the blood, calm the spirit
What is the preferred formula for treating depression caused by Ht Yin deficiency? Tian Wang Bu Xin Dan
What are the ingredients in Tian Wang Bu Xin Dan? Sheng Di Huang, Dan Shen, Dang Gui, Bai Zi Ren, Yuan Zi, Ren Shen, Fu Ling, Tian Men Dong, Mai Men Dong, Xuan Shen, Wu Wei Zi, Suan Zao Ren, Zhu Sha, Jie Geng
Which depression pattern does Tian Wang Bu Xin Dan treat? Ht Yin deficiency
Created by: sralph