Almost no one knows that women are "dirty and irritable"

When women show symptoms such as depression, emotional disorder, sadness for no reason and urge to cry, inability to control themselves, frequent yawning, etc., it is called "Zang Mania". If this disease occurs during pregnancy, it is also called "pregnancy sadness". If the disease occurs after childbirth, it can be called "postpartum Zang Mania".

What is the matter with women being “dirty and irritable”? How to prevent it?

1. Key points of diagnosis

1) Medical history: Detailed inquiries about family history; life history; menstrual, pregnancy and childbearing history; especially the first attack of the disease (which should be recorded in detail) and whether there is a history of similar attacks, etc., are of great significance to the diagnosis of the disease.

2) Clinical manifestations: Women who are depressed, emotionally disturbed, sad for no reason, or cry or laugh at random, and yawn frequently can be diagnosed with "Zangmania". Its clinical characteristics are changeable symptoms, attacks are often suggestive and extremely emotional, so "Jinkui Yaolue" says: "It seems like the work of gods." Sometimes the symptoms described by the patients themselves are often inconsistent with the actual examination.

3) No abnormalities were found during gynecological examination.

4) Examinations can include psychological personality tests as well as examinations of the brain, nervous system, endocrine system, and metabolic system to exclude related organic diseases, which is helpful in establishing the diagnosis of this disease.

2. Psychological Therapy

The main manifestation of Zangzao is changes in mental emotions. Its pathogenesis involves dysfunction of the heart, liver, spleen, kidney and other organs. Its cause is often related to the patient's personality, life, work, social environment and other conditions. The inducement of the disease is often caused by mental stimulation. Therefore, psychological treatment is particularly important for this disease. In areas and hospitals with conditions, patients should go to a psychological specialist for treatment regularly. Generally speaking, every doctor should provide psychological counseling while using drug treatment.

1) Patiently and carefully understand the patient's medical history, family situation, work environment, nature of occupation, cause of disease and his/her own personality traits. In each consultation, we should explain the condition and do ideological work, encourage patients to establish an optimistic and positive attitude towards life, reduce their sadness and sorrow, and enhance their own ability to adjust.

2) Contact the patient’s family and people around him/her, and instruct them to cooperate with the doctor in taking good care of the patient and minimize mental stimulation and stress.

3) If necessary, suggestive therapy in the form of language, drugs or physical stimulation can be carried out in a planned and targeted manner.

3. Prevention and Care

1) Strengthening the publicity and education of women's physiological hygiene, popularizing scientific knowledge among women, and setting up mental health and psychological counseling departments in prefecture-level hospitals with conditions to provide counseling for the majority of female patients are important measures to prevent the occurrence of such diseases.

2) For patients with a history of illness, preventive treatment should be carried out according to their constitution and condition. For those with deficiency-heat, clear away heat and replenish deficiency; for those with blood deficiency, nourish blood and moisten the body; for those with qi stagnation, nourish the liver and dredge the qi; for those with dry body fluid, increase fluid and reduce fire to prevent recurrence.

3) This disease focuses on psychological care, dietary care and daily care. Doctors and nurses must be patient and caring, cooperate with family members, and provide multi-faceted guidance, which has the dual role of preventing relapse and consolidating therapeutic effects (see previous psychological treatment).

IV. Treatment with Chinese medicine

1) Most patients with mania or depression are in a state of liver depression and heart and gallbladder qi deficiency. I often use Xiaoyao Powder to treat them with modifications as appropriate, combined with Dingzhi Pills, and also add blood-activating, blood-stasis-removing, and tranquilizing products, such as turmeric, turmeric, dragon teeth, mother-of-pearl, etc. to calm the mind. However, patients are ever-changing and one cannot stick to one prescription. One must be flexible in adding or subtracting ingredients, without losing the principle of traditional Chinese medicine of observing the patient's pulse and symptoms, knowing what's wrong, and treating the disease accordingly.