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TCM Treatmentb with the Modified "Wen Dan Tang" in 40 Cases of Melancholia
wulinrong R&$AnHaiyan $$# Li In $M
Duan Li jun ahV
The First HosPital ANliated to Beijtw University Of Traditional Chinese Medicine, Beijtw 100700
MelanchOlia is a 8yndrome caused by emotionai strtss and stagnatfon of gh involtw the
llveF aIfecting the heart and spleen, and leading tO driharmony Of qi of the zangW organs.
Because Of the comPlibed condition, it is not easy tO detendne the therapeutic priniPles.
In this series of 40 cases9 the moamed Wen Dan Tallg (Decoction fOr Clearing Away
GallbIadder-Heat) was used fOr the treahoenL Of them, 19 cases were cured, 16 hoproved,
and 5 failed, with tOtal effectve rate of 87.5%.
The chief clforcal medfestatons of
melancholia include emotional dePression,
restlessness, grief, distension and fullness in
the chest and hypochOndriac regions, insoIIuila
and dream-distaled sleep, which are often
seen in the cases of dePressive psychosis,
hysteria, neuroses and menoPausal syndrome,
and frequentiy encotmtered in females. The 40
cases in this series were treated with the
modified Wen Dan Tang with satisfactory
results rePorted as follows.
ClhocaI D8to
Of the 40 cases, l2 cases were male and
28 female, ranging in age l9-25 years in ll
cases, 25-35 years in 7 cases, 35-45 years in 4
cases, and 45-55 years in 18 cases. The
condition was related to emohonal in jmp in l4
cases, introVed in l9 cases, menopausal
syndIOme in 6 cases, and traumatic in jmp in l
case. Accordjng to TCM differenhation, l3
cases pertained to stagnation of liver qi, l8
cases stagnation of qi and Phlegm, 6 cases
deflciency of the heart and spe, and 3 cases
excessive fire due to yin-deficiency.
Therapeutic Method
All the 40 cases were treated by the
modified Wen Dan Tang with all the other
drugs susPended. Ingredients of the
PrescriPtion: Chen Pi (Pericwim Citri
ReticulM) l5g, Ban Xia unzoma Pinelliae)
10g, Fu Ling (POria) l5g, Zhu Ru (Caulis
Bambusae in Taeniam) l5g, Zhi Shi (FrUctUs
Wtil IInmaturus) 10g, and Yu Jin (Rwhx
Curcuma) l2g. For severe qi--deficiency,
adding Dang Shen (Radix Codonopsis) 15g
and Huang Qi (Radix Astragali) 20g; for
severe stagnation of blood, adding Dan Shen
(Radix Salviae MilhOrrhizae) 20g and Chuan
Xiong (ANzoma Chuanxiong) l5g; for severe
inswta, adding Bai Zi Ren (Semen Biotae)
l5g, Yuan Zhi (Radix Polygalae) 6g and He
Huan R (Cortex Albialae) l0g; fOr severe qi
stagnation, adding Chai Hu (RAnx BuPleuri)
l5g and Xiang Fu (ANzoma Cyperi) l0g; fOr
anoreala, adding Sha Ren ooctUs AIntal) 6g,
Jiao San Xian (parched Fructos Catgi,
Fructlls Hordei GeMams, and Massa
Fermentata Medicinalis) l0g each, and fOr tw
stool, adding Rou Cong Rong (Herba
Cistanchis) 20g and Da Huang (Radix et
ANzoma ffeei) 6g. The decoction was given
one dose daily, l5 daye constituting one
theraPeutic course. 2 to 3 courses of treatment
were required.
Ther8Peutic ResultS
After 2 to 3 courses of treatthellt, of the
40 cases trCatCd, l9 cases were cured, l6 cases
imProved, and 5 cases failed. The total
effective rate was 87.5%.
(Translated by Wang Fang I g)
excessive fire due to yin-deficiency.
Therapeutic Method
All the 40 cases were treated by the
modified Wen Dan Tang with all the other
drugs susPended. Ingredients of the
PrescriPtion: Chen Pi (Pericwim Citri
ReticulM) l5g, Ban Xia unzoma Pinelliae)
10g, Fu Ling (POria) l5g, Zhu Ru (Caulis
Bambusae in Taeniam) l5g, Zhi Shi (FrUctUs
Wtil IInmaturus) 10g, and Yu Jin (Rwhx
Curcuma) l2g. For severe qi--deficiency,
adding Dang Shen (Radix Codonopsis) 15g
and Huang Qi (Radix Astragali) 20g; for
severe stagnation of blood, adding Dan Shen
(Radix Salviae MilhOrrhizae) 20g and Chuan
Xiong (ANzoma Chuanxiong) l5g; for severe
inswta, adding Bai Zi Ren (Semen Biotae)
l5g, Yuan Zhi (Radix Polygalae) 6g and He
Huan R (Cortex Albialae) l0g; fOr severe qi
stagnation, adding Chai Hu (RAnx BuPleuri)
l5g and Xiang Fu (ANzoma Cyperi) l0g; fOr
anoreala, adding Sha Ren ooctUs AIntal) 6g,
Jiao San Xian (parched Fructos Catgi,
Fructlls Hordei GeMams, and Massa
Fermentata Medicinalis) l0g each, and fOr tw
stool, adding Rou Cong Rong (Herba
Cistanchis) 20g and Da Huang (Radix et
ANzoma ffeei) 6g. The decoction was given
one dose daily, l5 daye constituting one
theraPeutic course. 2 to 3 courses of treatment
were required.
Ther8Peutic ResultS
After 2 to 3 courses of treatthellt, of the
40 cases trCatCd, l9 cases were cured, l6 cases
imProved, and 5 cases failed. The total
effective rate was 87.5%.
(Translated by Wang Fang I g)
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