The Treatment of Aggressive Behavior of Dementia Based on the Theory of

Caishan Huang; Jingqing Hu

doi:10.23977/medcm.2024.060420

The Treatment of Aggressive Behavior of Dementia Based on the Theory of "Internal Heat"

Download as PDF

DOI: 10.23977/medcm.2024.060420 | Downloads: 13 | Views: 595

Author(s)

Caishan Huang ¹, Jingqing Hu ²

Affiliation(s)

¹ The First School of Clinical Medicine, Shaanxi University of Traditional Chinese Medicine, Xianyang, Shaanxi, China
² Guang'anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China

Corresponding Author

Jingqing Hu

ABSTRACT

Agitated behavior in dementia not only aggravates the physical, mental and economic burdens of the patient's family, but also threatens the personal safety of the patient and the people around him/her. Its pathogenesis is not yet clear, and antipsychotic drugs are often used when the agitated symptoms are severe, dangerous or cause significant pain to the patient. However, such drugs can significantly increase the probability of cardiovascular accidents and sudden death in dementia patients, and are prone to drug dependence. More and more patients and their families are looking to Chinese medicine for help. Researcher Hu Jingqing has been engaged in the clinical diagnosis and treatment of geriatric diseases for many years, and has much experience in the theory of "endogenous fire and heat". In this paper, we will share Hu Jingqing's experience in treating agitated behavior of dementia patients based on the theory of "internal fire and heat", in order to improve the agitated behavior of dementia patients by combining the advantages of Chinese and Western medicines with small doses of Western medicines.

KEYWORDS

Dementia, Mania, Agitation, Radicalization, Prescription, Diagnostic Experience

CITE THIS PAPER

Caishan Huang, Jingqing Hu, The Treatment of Aggressive Behavior of Dementia Based on the Theory of "Internal Heat" . MEDS Chinese Medicine (2024) Vol. 6: 148-154. DOI: http://dx.doi.org/10.23977/medcm.2024.060420.

REFERENCES

[1] World Health Organization. Dementia [EB/OL]. (2023-03-15)[2024-10-19]. https://www.who.int/news-room/ fact-sheets/ detail/dementia.
[2] Cummings J, Mintzer J, Brodaty H, et al. Agitation in cognitive disorders: International Psychogeriatric Association provisional consensus clinical and research definition[J]. International psychogeriatrics, 2015, 27(1): 7-17.
[3] Chen Suhong. A cross-sectional survey on the prevalence of psycho-behavioral symptoms among dementia patients in long-term care facilities [D]. Guangzhou: Southern Medical University, 2018.
[4] Ye F, Zheng J, You L, et al. Current survey on agitated behavior of demented elderly in urban nursing facilities[J]. Chinese Journal of Practical Nursing, 2017, 33(34):2660-2665.
[5] Chen Lijian, Xiao Kun, Zhang Cuiling, et al. Analysis of the relationship between psychobehavioral symptoms and caregiver distress in patients with Alzheimer's disease[J]. Journal of practical medicine, 2018, 34(16):2794-2798.
[6] Kim B, Noh G O, Kim K. Behavioural and psychological symptoms of dementia in patients with Alzheimer′s disease and family caregiver burden:a path analysis[J].BMC Geriatr, 2021, 21(1):160.
[7] Cha Ying, Song Xulin, Zhao Hairong, et al. Summary of the best evidence for identification of agitation and aggression in dementia patients with nonpharmacological interventions[J]. Evidence-Based Nursing, 2023, 9(03): 407-412.
[8] Han Qiao, Zhao Chunshan, Gao Ling. Meta-analysis of the effect of music therapy on agitated behavior in dementia patients[J]. Modern Preventive Medicine, 2019, 46(13):2410-2414.
[9] Yuan Xiaonan, Qin Xinrui, Wen Chongbing, et al. Meta-analysis of the effect of sunlight therapy on agitated behavior of elderly dementia patients[J]. Practical Preventive Medicine, 2023, 30(02):144-147.
[10] Duan R, Lin L. Meta-analysis of the effect of aromatherapy on agitated behavior of dementia patients[J]. Modern Medicine, 2023, 51(05):643-648.
[11] Trinh N H, Hoblyn J, Mohanty S, et al. Efficacy of cholinesterase inhibitors in the treatment of neuropsychiatric symptoms and functional impairment in Alzheimer disease: a meta analysis[J]. JAMA, 2003, 289: 210-216.
[12] Deng Zenan, Ma Qiuping, Wu Bin, et al. Summary of the best evidence for the management of mood disorders in patients with Alzheimer's disease[J]. Chinese Journal of Nursing, 2021, 56(11):1714-1720.
[13] Reus V I, Fochtmann L J, Eyler A E, et al. The American Psychiatric Association practice guideline on the use of antipsychotics to treat agitation or psychosis in patients with dementia[J]. American Journal of Psychiatry, 2016, 173(5): 543-546.
[14] Guo Xiazhen, ed. Basic Theory of Traditional Chinese Medicine [M]. Shanghai: Shanghai Science and Technology Press, 2006.08: 180-181.
[15] Zhou Z Y, Zhao Y, Fu J M. Treatment of endogenous fire-heat disease from the perspective of phase fire by the four divisions of qi, blood, yin and yang[J]. World Journal of Integrative Medicine, 2023, 18(04):817-820+848. DOI:10.13935/j.cnki.sjzx.230438.
[16] W. D. Lee. A study on the correlation between psycho-behavioral symptoms of dementia with homocysteine levels and Chinese medicine evidence [D]. Beijing University of Chinese Medicine, 2021.DOI:10.26973/ d.cnki.gbjzu. 2021. 000308.
[17] Yin D Q, Jia H X, Zhou F, et al. Exploring the relationship between endogenous fire-heat and the onset of bipolar disorder[J]. Chinese Journal of Traditional Chinese Medicine, 2017, 35(02):482-484.DOI:10.13193/j.issn. 1673-7717. 2017. 02.062.
[18] Hu Jingqing. Introduction to “heat knotting of blood vessels”[J]. World Science and Technology-Modernization of Chinese Medicine, 2019, 21(10):2005-2008.
[19] Zhang Jiebin. Jing quanquan [M]. Beijing: China Press of Traditional Chinese Medicine, 1994.05:394-395.
[20] Zhang Z T, Zhang R L. Two cases of psychosis treated by prescription[J]. Hebei Traditional Chinese Medicine, 2014, 36(04):546-547.
[21] Zhang Tingting, Wang Lei, Dong Ning, et al. Wang Lei's clinical experience of using peach kernel Cheng Qi Tang[J]. Chinese Medicine Bulletin, 2018, 17(03):12-14.DOI:10.14046/j.cnki.zyytb2002.2018.03.005.
[22] Zhuang Z F, Wang X Y, Wang X, et al. Four rules for the treatment and experimentation of mental anomalies[J]. Journal of Zhejiang University of Traditional Chinese Medicine, 2019, 43(06):587-590. DOI:10.16466/j.issn1005-5509. 2019.06.015.
[23] Sun Yuanying, Wu Shentao, Wang Yukui. Introduction of Prof. Zhang Qi's experience in treating Alzheimer's disease[J]. Gansu Traditional Chinese Medicine, 2007, (09):15-16.
[24] Liu Shuhong, Gao Shangshe. A case study on the treatment of dementia by Prof. Qiu Peiran, a national medical master[J]. Bright Chinese Medicine, 2011, 26(09):1764-1767.
[25] He Yuyu, Guo Zuwen, Yue Xiaoqiang. A case of Yan Dexin using Huanglian Wengdian Tang[J]. Liaoning Journal of Chinese Medicine, 2013, 40(05):1007-1008.DOI:10.13192/j.ljtcm.2013.05.181.heyyy.052.
[26] Yuan Yujiao, Shi Jing, Tian Jinzhou. Tian Jinzhou's experience of staged treatment of dementia[J]. Beijing Chinese Medicine, 2019, 38(08):770-773.DOI:10.16025/j.1674-1307.2019.08.010.
[27] Tian J Z, Shi Jing. Consensus on Chinese medicine diagnosis and treatment of Alzheimer's disease [J]. Chinese Journal of Integrative Medicine, 2018, 38(05): 523-529.
[28] Zhang Jiale, Wu Shan, Yang Yan, et al. Screening and construction of diagnostic entries for fire-heat certificate[J]. World Science and Technology-Modernization of Chinese Medicine, 2024, 26(02):511-516.
[29] Wu Shan, Hu Jingqing, Wang Chuanchi, et al. Treatment of senile dementia from “fire (heat)”[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2019, 21(10):2017-2020.
[30] Wu Shan. Research on diagnosis and treatment experience of senile dementia from heat theory[D]. Shaanxi University of Traditional Chinese Medicine, 2020.DOI:10.27294/d.cnki.gsxzc.2020.000026.
[31] Lai S L, Hu J C. Reflections on several key issues in the study of Chinese medicine against Alzheimer's disease[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2000, (02):100-105+185.DOI:10.13359/j. cnki.gzxbtcm. 2000.02.002.
[32] Li Y, Geng Y, Yu Z M, et al. Application of Simiao Yongan Tang in geriatric diseases[J]. China Medical Journal, 2020, 22(02):104-109.
[33] Wang Jincheng, He Runming, Yang Yan, et al. Definition of the connotation of the sense of access to health management for chronic disease patients in China and strategies to improve the sense of access[J]. Medicine and Society, 2024, 37(10):97-102.DOI:10.13723/j.yxysh.2024.10.015.
[34] Zhang Z, Ge Zhaoxia, Deng Xiaolan. Application effect of traditional Chinese medicine evidence-based nursing combined with individualized nursing intervention in dementia patients[J]. Nursing Research, 2017, 31(27):3460-3461.

Subscription

E-Mail Alert

Downloads:	8494
Visits:	470871

The Treatment of Aggressive Behavior of Dementia Based on the Theory of "Internal Heat"

Author(s)

Affiliation(s)

Corresponding Author

ABSTRACT

KEYWORDS

CITE THIS PAPER

REFERENCES

RESOURCES

JOIN US

PUBLICATION SERVICES

CONTACT US