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1.
Journal of Traditional Chinese Medicine ; (12): 352-356, 2024.
Article in Chinese | WPRIM | ID: wpr-1031511

ABSTRACT

This paper summarized professor JIA Hongxiao's experience in treating cognitive impairments in schizophrenia patients upon five spirits stored in corresponding viscera theory. By elucidating the cognitive psychological connotation of the five spirits stored in corresponding viscera theory, it is proposed that the cognitive impairment of schizophrenia should be differentiated and treated based on the symptom characteristics of different cognitive domain impairments in schizophrenia. The key pathogenesis of impairments to cognitive domains such as information processing speed, executive control ability and will is kidney deficiency, liver hyperactivity, and heart spirit restlessness, for which the treatment is to boost the kidney and calm the liver, nourish the heart and calm the mind, using Shizhen Anshen Formula (石珍安神方) modifications. The main pathogenesis of memory and attention cognitive impairment is spleen-kidney depletion and lung corporeal soul failing to descend, for which it is suggested to fortify the spleen and supplement kidney, boost lung and direct qi downward using Jianpi Bushen Formula (健脾补肾方) modifications.

2.
Journal of Traditional Chinese Medicine ; (12): 428-433, 2024.
Article in Chinese | WPRIM | ID: wpr-1031523

ABSTRACT

It is believed that the main pathogenesis of attention deficit hyperactivity disorder (ADHD) is the abnormality of the ethereal and corporeal soul that dominate perception, behaviour and sensory functions, that is, the left liver ethereal soul ascending too much while the right lung corporeal soul failing to descend, of which lung corporeal soul restlessness and lung failing to astringe and descend is the core. By analyzing the pathogenesis of attention defects due to “heart-lung-kidney-liver four dimensions circuit failure” and hyperactivity and impulsivity due to “liver-heart-lung chief and deputy disharmony” from the perspective of circular movement and five spirits stored in corresponding viscera theory, respectively, it is believed that the lung corporeal soul plays an important role in the onset of this disease, and further summarized that “the five zang (脏) organs are correlated, and the lungs are the pivot” is the pathogenic characteristics, and “the lung corporeal soul is restless, and the lungs fail to astringe and descend” is the core pathogenesis. It is proposed that deficiencies can be treated with self-made Jingning Formula (静宁方) modification to supplement the lungs, calm the corporeal soul, and nourish the source of yin. For deficiency leading to excess, medicinals of clearing the lung, calming the liver, and dissolving phlegm in addition to Jingning Formula can be used to clear metal and calm corporeal soul, inhibit wood and calm ethereal soul, dissolve phlegm and dispel stasis, so as to establish a differentiation and treatment system of “treating syndromes of the five zang organs and focusing on regulating the lungs”, and then provide theoretical reference for clinical diagnosis and treatment.

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