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Mental Illness
Mental Illness was traditionally classed as Insanity, Madness, Mania, Melancholy, etc. Since ancient times, Evil Spirits, Ghosts, Demons and Witchcraft were often blamed for Mental Illness, and this belief still holds firm in many traditional cultures today.
The Western Humoral system classifies most mental illness as being associated with Melancholy humor. However, some cases are caused of Heat, being like the classification of Mania in TCM: a Hot or Yang disorder. The other type is more Damp or Phlegm which is similar to the Yin-Withdrawal patho-mechanism of TCM. It can also be classified according to the Humors:
The Western Humoral system classifies most mental illness as being associated with Melancholy humor. However, some cases are caused of Heat, being like the classification of Mania in TCM: a Hot or Yang disorder. The other type is more Damp or Phlegm which is similar to the Yin-Withdrawal patho-mechanism of TCM. It can also be classified according to the Humors:
- Blood: sings, merry, thinks they are in heaven, or an Angel or God talks to him, or believes himself to be rich, or a King etc. Maybe over joyous or maniacal. They have a rosey face and a full pulse.
- Congealed or Burnt Blood: maybe a little Merry, then gets angry, cries, beats themselves etc. Dull complexion, cyanosis, choppy pulse.
- Melancholy: Gloomy, sad, fearful (without cause), may see inanimate objects such as serpents or venomous beats, sits in the dark alone, hands clasped together; crows like a rooster or barks like a dog etc. Also maybe cruel or suicidal. The have a thin frame, dull complexion, small pulse and a scared look in their eyes.
- Phlegm: mind is heavy and dull, withdrawn, introverted. Thei face is pale, excess phlegm and a slow pulse.
'For with purging Black Cholera, is the Spleen cleansed, and therewith
avoids the strange thoughts and imaginations, the pensiveness and
Melancholy is driven out, and the Brains get again their force or strength,
and are increased. Wherefore if this be done, then is the evil Spirit or
Will driven out, and all wicked thoughts are forgotten.' (Brunschwig, 1561)
avoids the strange thoughts and imaginations, the pensiveness and
Melancholy is driven out, and the Brains get again their force or strength,
and are increased. Wherefore if this be done, then is the evil Spirit or
Will driven out, and all wicked thoughts are forgotten.' (Brunschwig, 1561)
TCM divide mental illness broadly into 'Withdrawal' and 'Mania'. The first is Yin (Cold/Phlegm/Deficient) withdrawn into oneself; the second is Yang (Hot/ Excess), is extroverted, aggressive and outwardly expressive: talkative, dancing etc.
Older texts gave a number of causes: Bad Food, Excess drinking, Dampness or undigested Humors in the Stomach, Infected Air, Anger or excess other emotions etc.
Various forms of Psychotherapy were recommended in Traditional texts. Surrounding the patient with pleasant sights, smells and sounds was long seen as beneficial. Keeping them occupied and encouraging them to partake in social activities. Those with sadness and heaviness of mind should be made joyful and told happy things. Brunschwig (1561) had other useful advice: "Many things should be promised him, and some given'. Also 'If it is a man, the same ought to be refreshed with women, the same avoids Anger. But if it is a Woman, the same ought to be refreshed with men, and to their company admitted: the same brings them to their right Mind again'.
Diet was long recognised as important. Easy to digest foods such as Lamb, Chicken, Eggs, Bread and avoiding strong drinks or heavy foods. Avoid overeating, and allow food to digest once eaten, avoiding eating upon half digested food.
A regular Purge in those with an excess type Mental Illness is beneficial. Pills of Cochia, Pills of Lapis Lazuli or Confectio Hamech are examples of those suitable as a purge. Restorative medicines that strengthen the Heart and calm the Mind and Nerves may be given in the interim.
Those with excess Blood or an excess condition can be Bled. Open the forehead vein, then 6 days later the the vein between the Thumb and Forefinger. In Unani, Cupping with Bloodletting (Hijama) on the head (the head being shaved) in highly regarded.
Various scents have long been used in such cases. The fumes of equal parts of Frankincense and St. Johns wort were claimed to repel Evil Spirits and Witchcraft. They appear to have given relief to those affected with mental illness. Likewise in the East, Sandalwood is said to have a positive effect in lifting the vibration of areas such as temples, and is beneficial to the frantic and those with insanity.
Certain medicines can also be worn to promote a positive effect. These incude Pearl, Coral, Amber, variosu precious stones, Gold etc.
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Western Tradition
Simples
Madness, Mania, Mental Illness
Conserve of Borage Conserve of Bugloss Cordial Decoction (French Pharmacopoeia) Syrup of Apple of the King of Sapor Tincture of St. John's wort Tincture of Black Hellebore Powder for Madness (Rondeletius) Powder for Madness (2) (Rondeletius) Powder for Mixed Humors (Mesue) Troches of Rose (Mesue) Antidote Proven for Diverse Diseases Arabian Confect Purging Melancholy (Confectio Hamech) Electuary for Melancholy Hiera Logadii Electuary of Senna (Diasenna) (Nicholas) Electuary of Dodder Triphala Electuary of Dodder (Unani) Triphala Electuary to Purge Phlegm and Black Bile Pills of Lapis Lazuli 1 (Mesue) Mental Happiness (Sems kyi bde skyid) (Tibetan) Mania and Mental Illness with Heat Cordial Decoction (French Pharmacopoeia) Troches of Rose Mental Illness from Melancholy Cordial Decoction (French Pharmacopoeia) Triphala Electuary of Dodder (Unani) Triphera of Dodder of Thyme (Mesue) Triphala Electuary to Purge Phlegm and Black Bile Arabian Confect Purging Melancholy (Confectio Hamech) Pills of Lapis Lazuli 1 (Mesue) Hiera Logadii Dawa-ush-Shifa (Rauwolfia & Black Pepper) (Unani) Triphala of Zamani (Itrafil Zamani) (Unani) Confection of Silk Coccoon (Khamira Abresham) (Unani) Mania & melancholiam purgant – Purge Mania and Melancholy Arabian Confect Purging Melancholy Electuary of Senna (Diasenna) (Nicholas) Hiera Logadii Hiera Pachius Pills of Lapis Lazuli 1 (Mesue) Mania and Mental Illness associated with Menstruation–'Uterine Fury' Syrup of Agnus Castus Insanity Arabian Confect Purging Melancholy (Confectio Hamech) Pills of Lapis Lazuli 1 (Mesue) Mental Happiness (Sems kyi bde skyid) (Tibetan) Dumbness, Stupidity Mental Happiness (Sems kyi bde skyid) (Tibetan) Special Formula
A DRINK FOR INSANITY i. Lapis Lazuli infused in Aqua Vitae ii. Aqua Vitae 2 tablespoonfuls Wine 6 tablespoonfuls Senna powder 2 drams Mix and give every morning. (Brunschwig, 1561) TRIPHERA OF DODDER OF THYME Myrobalans Chebula Emblic Belleric Black equal parts Dodder of Thyme 2 parts Hiera Picra ½ parts Mix with Honey of Emblic or ChebulIc Myrobalans. For Mania and Melancholy. (De Morbis Internis Curandis, Mesue, 1551) MADNESS FROM PHLEGM OR COLD Senna 2 drams Sugar ½ oz. Aqua Vitae Bugloss Water 1 tablespoonful each Pea Broth equal to the rest Mix and take each morning for 3 morning. On ethe third day give him 3 Pills of Cochia. (Brunschwig, 1561) ANOTHER FOR MADNESS FROM COLD Saffron 2 drams Cinnamon ½ oz. Aqua Vitae ½ oz. Sew the Saffrona nd Cinnamon in a cloth and infuse them all in a pint of white wine. Give some morning and evening. Clove can also be added. |
TCM Classification
Withdrawal
Phlegm and Qi Stagnation pensiveness, sadness, excessive thinking and worry, inability to concentrate, listless, blank expression, moodiness, poor appetite. Heart and Spleen Deficiency
doesn't think clearly, strange dreams, fear, easily frightened, worrying too much, emotional, crying, poor appetite, low energy, lethargy. ---------------------------------
Mania Heat Annoying the Spirit Acute Mania, fever, constipation, dry mouth, dry and cracked tongue with yellow, dirty or black tongue coating Phlegm Heat / Fire
severe restlessness, lack of rational thinking, anger, red eyes, red face, no appetite, insomnia, loss of recognition of people, aggressive, very strong, red tongue with yellow or dirty coating, big and fast pulse. Yin Deficient Heat / Fire damages Yin
chronic mania, may have improved, fatigue, no energy, easily frightened, restlessness, thin body, red face, red tongue. Wind
Ayurveda and Tibetan Medicine recognises Wind as being a cause of some Mental disease. Particularly, 'Heart Wind' and 'Wind of the Life Channel' contain some interesting formulas for Mental Instability and Mental Disease. Heart Wind Wind in the upper body affects the Heart, Mind and Spirit. There will be chest pain and oppression, poor memory and concentration, nervousness, fatigue, mental instability, shortness of breath, insanity Bi Ma La (Tibetan Medicine) Eleven Holders of Life (Srog dzin dcu gcig) (Tibetan) Wind affecting the Life Channel Pain and oppression in the upper back, stress, anxiety, thinking too much, poor concentration, possibly leading to Insanity which is manic and changeable. Mental Happiness (Sems kyi bde skyid) (Tibetan) |