When

June 10th – 17:00 – 18:30

Abstract

Treatment of mental diseases by acupuncture and herbal medicine

Nguyen Thi Tan, MD, PhD

Dean of Faculty of Traditional Medicine

Hue College of Medicine and Pharmacy, Hue,Viet Nam

1. OVERVIEW ABOUT TRADITIONAL MEDICINE IN HUE – VIET NAM

Traditional medicine (TM) is an ancient medical practice that existed in human societies before the application of modern science to health. Although modern medicine is now widely spread, TM still exists and more and more developes, not only in ASIAN but also all over the world. Interest in TM has increased over the last decade and seems likely to continue.

In Viet nam, TM existed  for a long time, 4000 years ago.  Hai thuong lan ong, in the Hau Le Dynasty, is known as the ancestor of Vietnamese TM TM in Viet nam is based on Eastern philosophical theory including the Theory of Yin – Yang, the Five Elements, the human body Meridian system, Zang Fu organ  theory, the Qi, Blood, Jing  ( Kidney essence or semen), the soul or spirit.. Diagnosis and treament are conducted with reference to these concepts

TM treatments consist of herbal medicine or acupuncture as the primary method, with other method such as massage, qigong, or food therapy playing a secondary role. Illness in TM is seen as a lack of harmony, and the goal of all traditional treatment is to assist the body to regain balance of the body.

Herbal Medicine have been used for centuries. The first herbalist in Vietnam tradition is Tue Tinh, who found out 580 herbal medicines in the Tran dynasty.

2.TREATMENT OF MENTAL DISEASES BY ACUPUNCTURE AND HERBAL MEDICINE IN VIET NAM

• Mental disease affects a significant number of people. One of most popular mental disease is neurasthenia.

Neurasthenia is characterized by general lassitude, irritability, lack of concentration, worry, and hypochondria.  The term was introduced into psychiatry in 1869 by G. M. Beard, an American neurologist.

Depend on type of this disease, Traditional medicine divides neurasthenia into 4 types in clinic:

1. Stagnation of the Liver – Qi

2. Deficiency both the Heart and Spleen – Qi

3. Deficiency both the Liver and Kidney-Yin

4. Deficiency both Kidney Yin and    Yang

1. Stagnation of the Liver – Qi

• Main manifestation: Headache on the top of the head., pain in one side or bilateral hypochondriac regions, get in angry,sighing, menstrual disturbance, digestive disturbance, thin coating, string – taut pulse.
• Treatment:

Acupuncture: Reducing method is applied for the points: Baihui (DU20), Taichong (LR3), Reinforcing for the points: Zusanli (ST36), Pishu (BL20), Neiguan (PC6), Shenmen(HT7), Sanyinjiao (SP6).

Herbal Medicine: “Jia Wei Xiao Yao tang” (gia vi)

Ingredients:

Chai Hu	Bupleurum	8-10g
Dang Gui	Angelica	12-16g
Bai Shao Yao	White Peony	12-16g
Bai zhu	White Atractylodes	12-16g
Fu ling	Hoelen/Poria	10-12g
Bo he	Peppermint	4g
Zhi Gan Cao	Baked Licorice	4-6g
Xiang fu	Cyperus rotundus	8-10g
Jing pi	Citrus deliciosa Tenore	8-10g
Hei Zao ren	ZiZyphus JuJuba Lamk	10-12g
Yuan zhi	Polygalaceae	4-6g

2. Deficiency both the Heart and Spleen – Qi

• Main manifestation: difficulty in falling asleep, palpitation, poor memory, lassitude, anorexie, headache, vertigo, distending pain in the epigastric region after eating, white coating, flabby tongue, weak pulse
• Treatment:

Acupuncture: Reinforcing for the points: Zusanli (ST36), Pishu (BL20), Xin Shu(BL15),  Neiguan (PC6), Shenmen(HT7), Sanyinjiao (SP6).

Herbal Medicine: “Jia Wei Gui pi tang” (gia vi)

Ingredients:

Ren shen	Ginseng	6-8g
Huang Qi	Astragalus	12-16g
Bai zhu	White Atractylodes	12-16g
Dang Gui	Angelica	12-16g
Da zao	Jujube	3-5pcs
Fu shen	Hoelen/Poria	10-12g
Long yan rou	Longan	10-12g
Hei Zao ren	ZiZyphus JuJuba Lamk	10-12g
Yuan zhi	Polygalaceae	4-6g
Zhi Gan Cao	Baked Licorice	4-6g

3. Deficiency both the Liver and Kidney-Yin

• Main manifestation: dull and weakness in the lumbar- knee region, deafening, dazzie the eyes, nocturnal emission of sperm, menstrual disturbance, insomnia, headache, numbness of the limbs, pale tongue, deep pulse
• Treatment:
• Acupuncture:  Reinforcing for the points: Shenshu (BL23), Ganshu (BL18), Taixi (KI3), Taichong (LR3), Neiguan (PC6), Shenmen(HT7), Sanyinjiao (SP6).
• Herbal Medicine: “Jia wei Liu wei gui shao”

Ingredients:

Shu Di Huang	Cooked Rehmannia	32g
Shan Zhu Yu	Dogwood Fruit	16g
Shan yao	Dioscorea	16g
Fu ling	Hoelen/Poria	12g
Ze xie	Alisma	12g
Mu Dan Pi	Moutan Bark	12g
Dang gui	Angelica	12-16g
Hei Zao ren	ZiZyphus JuJuba Lamk	10-12g
Ju Hua	Chrysanthemum	10-12g
Bai Shao Yao	White Peony	12-16g
Yuan zhi	Polygalaceae	4-6g

4. Deficiency both the Kidney Yin and  Yang

• Main manifestation: Dull pain and weakness in the lumbar region, lassitude, repeated attack, pain aggravated by strain and alleviated by rest in bed.

In case of kidney -Yang deficiency, cold hands and feet, cramp in the lower abdomen, feeling cold in the lumbar region, impotent, enuresis, obes and large tongue, deep and slow pulse.

In case of kidney -Yin deficiency, feverish in chest, palms and soles, irritability, insomnia, nocturnal emission of sperm, dry mouth and throat, red tongue, thready and rapid pulse.

• Treatment:
• Acupuncture:  Moxibustion for the points Taixi (KI3), Guanyuan (RN4), Qihai (RN3), Mingmen (DU4), Zhishi(BL52)

Reinforcing for the points: Neiguan (PC6), Shenmen(HT7), Sanyinjiao (SP6).

• Herbal Medicine:

In case of kidney -Yang deficiency: “Liu wei di huang tang”

Ingredients:

Shu Di Huang	Cooked Rehmannia	32g
Shan Zhu Yu	Dogwood Fruit	16g
Shan yao	Dioscorea	16g
Fu ling	Hoelen/Poria	12g
Ze xie	Alisma	12g
Mu Dan Pi	Moutan Bark	12g

In case of kidney -Yang deficiency: “Liu wei di huang tang” jia wei

Ingredients:

Shu Di Huang	Cooked Rehmannia	32g
Shan Zhu Yu	Dogwood Fruit	16g
Shan yao	Dioscorea	16g
Fu ling	Hoelen/Poria	12g
Ze xie	Alisma	12g
Mu Dan Pi	Moutan Bark	12g
Rou gui	Cinnamomum loureirii	4 -8g
Fu zi zhi	Aconitum fortunei	4 -8g
Qian shi	Euryale ferox salisb	12-16g
Jin ing zi	Rosa laevigata Michx	10-12g