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 twstool, 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 twstool, adding Rou Cong Rong (Herba　Cistanchis) 20g and Da Huang (Radix etANzoma 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)