Schizophrenia #13

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Lapis Chloriti	Qing Meng Shi	20g	Calms the Liver and controls palpitations and seizures, Descends Qi, Reduces Phlegm.
Rx. et Rz Rhei	Da Huang	10g	Drains Heat, purges accumulations, drains Fire, clears Heat and eliminates Phlegm. With Huang Lian, for distention, Heart palpitations, mental distress with facial congestion and epilepsy due to Excess Heat.
Rx. Scutellariae	Huang Qin	12g	Drains Fire and detoxifies. With Huang Lian, drains pathogenic Heat from the Upper and Middle Jiaos. With Da Huang, for constipation.
Rz. Coptidis	Huang Lian	10g	Clears Heart Fire, Drains Fire, Drains Stomach Fire, Resolves Fire toxicity.
Rx. Gentianae	Long Dan Cao	10g	Drains and pacifies Excess Liver Fire. With Huang Lian, for red, swollen, painful eyes due to Excess Heat in the Liver channel.
Fr. Aurantii Immaturus	Zhi Shi	10g	Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels, removes Stagnant Food, transforms Phlegm and reduces distention. With Da Huang, for constipation and abdominal swelling due to Food and Qi Stagnation.
Rz. Pinelliae Preparatum	Zhi Ban Xia	10g	Dries Dampness and transforms Phlegm. With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach. With Tian Zhu Huang, clears Heat, dries Dampness, dislodges Phlegm and calms the Spirit for internal retention of Damp Heat with deep-seated, difficult-to-expectorate sputum, nausea, a stifling sensation in the chest and insomnia or restless sleep.
Arisaema cum Bile	Dan Nan Xing	10g	Calms Wind, Clears Heat, Dissolves Phlegm, Stops convulsions.
Rz. Acori Tatarinowii	Shi Chang Pu	10g	Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit and disperses Wind.
Concretio Bambusae Silicea	Tian Zhu Huang	10g	Clears and transforms Phlegm-Heat, Clears Heat, Cools the Heart, Settles convulsions and tremors.

Formula Actions

• Clears the Heart
• Breaks through Phlegm

Syndromes

• Phlegm Fire Disturbs the Heart

Clinical Manifestations

This pattern roughly corresponds to the hebephrenic or disorganized type of schizophrenia. 3 of the 5 following symptoms should be present, or two that are pronounced. The psychotic symptoms should have a minimum of continuous duration of one month. 1. Disorganized thinking 2. Vivid hallucinations 3. Emotional instability 4. Childish or inappropriate behavior 5. Excitable and compulsive behavior Sudden onset Emotional tension and agitation Mania Breaking things Injuring other people Climbing up to high places and singing Unusual strength

Foul speech An angry look in the eyes A red complexion Red eyes Bound constipated stools Irritability Palpitations Anorexia Bitter taste in mouth Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest Constant scolding and possibly beating T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry

Treats

Schizophrenia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For long-term mania manifesting as frightens easily, restlessness, emaciation, a flushed face a red tongue and a thready, rapid pulse:
+ 15g Rx. Rehmanniae	Sheng Di Huang
+10g Rx. Ophiopogonis	Mai Men Dong
+ 12g Rx. Scrophulariae	Xuan Shen