Clinical experience on modified Huanglian Wendan Decoction

Objective:To introduce the clinical experience of treating the diseases caused by emotional disorders with modified Huanglian Wendan Decoction.Methods: Sweet,nourishing and greasy drugs such as Licorice root(Radix Glycyrrhizae) and Chinese dates(Fructus Ziziphi Jujubae) are excluded from Huanglian Wendan Decoction so as to remove heat-phlegm and Bupleurum root(Radix Bupleuri),Curcuma root(Radix Curcumae) and Silk tree bark(Albizziae Cortex) are added to soothe the liver and relieve the depressed qi;at the same time,we also flexibly modify the recipe according to syndromes and adopt psychological counseling as a adjusting measure in the treatment of many emotional disorders.In case of predawn diarrhea,the drugs for strengthening the spleen,resolving dampness,astringing and arresting diarrhea [e.g.Atractylodes rhizome(Rhizoma Atractylodis),Bighead atractylodes rhizome(Rhizoma Atractylodis Macrocephalae),Oriental water plantain rhizome(Rhizoma Alismatis),Gordon euryale(Semen Euryales),Dark Plum fruit(Fructus Mume),etc.] should be added to this recipe;in case of anxiety,the drugs for tranquilizing the mind [e.g.Dragon's bone(Fossilia Ossis Mastodi),Oyster shell(Concha Ostreae),Magnetite(Magnetium),fried Wild or spiny jujube seed(Semen Ziziphi Spinosae Praeparata),Fleece-flower stem(Caulis Polygoni Multiflori),etc.] should be added to this recipe;in case of low fever,the drugs for clearing away heart-heat,purging fire,nourishing yin and clearing away heat,combined with the drugs for purging fu-organs and expelling pathogenic heat [e.g.Capejasmine fruit(Fructus Gardeniae),Gypsum(Gypsum Fibrosurn),Wind-weed rhizome [Rhizoma Anemarrhenae],Phellodendron bark(Cortex Phellodendri) and Rhubarb root(Radix et Rhizoma Rhei)] so as to remove pathogenic heat.Results: The above-mentioned recipes have satisfactory curative effect in predawn diarrhea,anxiety and low fever.Conclusion: Huanglian Wendan Decoction is effective for the diseases caused by emotional disorders.