What are the pathogenetic and clinical differences between depressed psychosis and mania?
Depressive psychosis is manifested as silence,dementia,paraphasis,quietness and hyperpleasure,while mania as tumult,restless-ness,beating and scolding and polyanger.
The pathogenetic of depressive psychosis are stagnation of Qi and phlegmfire, imbalance between yin and yang.Accumulation phlegm and qi resulting in depressive psychosis;phlegm-fire disturbing upward resulting in mania.
What are the respective symptoms,treatments and recipes of stagnation of phlegm-Qi in depressed psychosis,and those of phlegm-fire flaring-up in mania?
(1)Phlegm-fire disturbing upward
[Symptoms] Sudden onset,at the beginning displaying the signs of choleric mood, headache,insomnia,angry-staring eyes,flushed face and eyes,and then suddenly becoming mad,climbing walls,getting on roofs,scolding,shouting,regardless of close or distant relationship,or damaging things and injuring persons,having excessive strength,not eating nor sleeping,deep-red tongue,yellowish and greasy fur,wiry large,slippery and rapid pulse.
[Treatment] Tranquilizing the mind,removing phlegm and purging the liver of pathogenic fire.
[Recipe] Sheng Tie Luo Yin
(2)Stagnation of phlegm and Qi
[Symptoms] Depression,cold complexion,dementia,paraphasia or self-murmuring, being subject to changing moods,no desire for eating,greasy fur,and wiry and slippery pulse.
[Treatment] Regulating the flow of Qi to alleviate mental depression,and eliminating phlegm for resuscitation.
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