Wang Yanheng, “Integrating Chinese and Western Medicine in the Treatment of Depression” Delayed-onset movement disorder is a persistent movement disorder caused by long-term use of psychotropic drugs. It is likely to occur in people who have been taking antipsychotic medications for more than a year, and mostly occurs when the medication is reduced or discontinued. It is characterized by involuntary, rhythmic, and stereotyped movements that disappear during sleep and worsen during emotional stress and agitation. It is often characterized by sucking, cheek puffing, lip licking, tongue twirling, chewing and other mouth-tongue-cheek triad signs and involuntary, purposeless limb oscillations, hypotonia, and uncoordinated trunk movements. At present, there is no ideal treatment for this disease, but the use of Chinese herbal medicine to treat this disease, the results are satisfactory. The disease is characterized by a generalized trunk movement coordination. The heat evil is inflammatory and the fluid is not glorified, so there is the triad of mouth-tongue-cheek; the poisonous heat evil is embedded in the body for a long time, damaging the liver and blood, and the blood is deficient in the tendons and veins, so there is involuntary and rhythmic trembling of the limbs; and there is often a red tongue with yellow coating and a number of strings and other heat signs and veins. If the heat is depressed for a long time, it is easy to injure Yin and Blood, so we also see signs of deficiency of Yin and Blood such as red tongue with little coating, or light red tongue without coating and thin pulse. Due to physical differences, it is also common for the neck to be crooked and straight from front to back. This Yangming meridian travels on both sides of the neck, and heat toxicity is rampant in the Yangming meridian, which does not work for a long time, and the meridians are blocked and the tendons and veins lose nourishment, so the neck is the main symptom. The main symptoms are: involuntary and rhythmic movement of the mouth, lips and tongue, often with sucking, cheek puffing, lip licking, tongue turning, tongue stretching, neck tilting, or even slurred speech, difficulty in eating, dry throat and tongue, thirst for cold drinks, restlessness, constipation, red tongue with yellow coating and little fluid, and a strong string pulse. Treatment: Cleansing Yang Ming, nourishing Yin and clearing heat. The lower extremities show involuntary pacing, lifting and lowering, accompanied by tongue extension and teeth clenching, dull complexion, dizziness, night sleep and dream disturbance, tinnitus like cicada, dry eyes, blurred vision, low menstrual flow or amenorrhea, red tongue with little coating, thin pulse. Treatment: Nourishing liver yin, moistening tendons and veins, recipe: Sheng Di Huang 30g Shu Di Huang 30g Female Zhen Zi 30g White Peony 30g Angelica Sinensis 20g Chicken Blood Vine 30g Huai Niu Kne 30g Addition and subtraction: For insomnia, add 30g of nightshade vine and 30g of fried jujube seeds. 3. Deficiency of spleen and kidney, deficiency of middle energy Main symptoms: involuntary licking of lips, sucking, turning of tongue, difficulty swallowing, or occasional hyperactivity of limbs, with much lying and little movement, laziness and laziness. Palpitations and forgetfulness, little sleep and dreams, abdominal distension and dullness, emaciation, withered face, light and tender tongue, thin white coating with fluid, or a smooth tongue like a mirror, and a sunken and weak pulse. Treatment: Nourish the heart, strengthen the spleen, benefit the qi and nurture the yin, formula: Radix Codonopsis pilosulae 15g, Rhizoma Atractylodis Macrocephalae 10g, Poria 30g, Rhizoma Dioscoreae 30g, Radix Macrocephalae 30g, Fructus Lycii 15g, Fructus Chasteberry 30g, Fructus Jujubae 60g, Jiao Sanxian 30g. 4. sunken and stringent. Treatment: Diversify liver and Qi, activate blood circulation and resolve blood stasis. 5.Deficiency of stomach yin, disorder of collar muscle Main symptoms: dryness of mouth and tongue, turning tongue, licking lips, curling tongue, nuzzling mouth, tonic and stiff pain of collar and back, distortion, involuntary neck extension, head tilting, head tilting back, unilateral or bilateral upper limbs tilting backward, walking contracture of waist and lower limbs, the pain is unbearable, aggravated by tension, sweating, red tongue with thin yellow coating or no coating, thin pulse. Treatment: Nourishing Yin and relieving muscles, formula: 80-550g of raw gypsum, 30g of Radix et Rhizoma Ginseng, 30g of Mai Men Dong, 30g of Radix et Rhizoma Dioscoreae, 30g of Radix et Rhizoma Gastrodiae, 30g of Radix et Rhizoma Puerariae, 30-80g of Stir-fried Wheat Germ, 30g of the above formula is decocted in water, 1 dose per day, divided into morning and evening, 30-60 doses for 1 course. Typical case] Zhong, a female, 33 years old, married. She was admitted to hospital with schizophrenia on January 6, 1988 and was treated with Fluphenazine system for 73 days, and was discharged with stable mental symptoms. The pain was unbearable and daily life was very difficult. In June 1993, he received Chinese medicine treatment and was diagnosed with “schizophrenia, late-onset dyskinesia”. His main clinical manifestations were a lopsided neck with involuntary and rhythmic tilting and shaking to the right. He was given a formula for nourishing yin and relieving muscles, which was adjusted by adding and subtracting at any time. After taking more than 70 doses of the formula, he improved slightly. The disease has been stable without recurrence since the follow-up. 【Experience】 When the disease is within 1 year, it is a better stage to receive TCM treatment, and the damage to the internal organs is not yet serious. For example, a boy, 15 years old, was taking haloperidol for mental disorder, 8mg for 1 day, and his condition was well controlled. A few days after the drug reduction, he developed crooked neck, walked improperly, tongue was not free, and his limbs trembled rhythmically, sometimes stopping, which was slightly reduced after changing to Valium and Antan, but relapsed after 2 days as before, and was diagnosed as delayed movement disorder. The dry stool with red tongue and yellow coating and slippery pulse was diagnosed as Yangming heat. It was proposed to open up Yangming, nourish Yin and clear heat by taking 14 doses of a formula based on raw gypsum, Pueraria Mirifica, henbane, Xuan Shen, Mai Men Dong and fried wheat sprouts, which halved the symptoms. This indicates that the disease duration is short, the treatment is timely and the efficacy is satisfactory. In terms of the distribution of symptoms of late-onset dyskinesia, the site is wide and can be seen in the head, face, neck and extremities, and can appear at the same time with abundant symptoms. Timely detection, short duration of the disease, and first treatment with TCM have better results. Single legacy of neck malalignment, and forceful wrenching of the head, the patient can appear severe neck pain, its body corresponding direction of rotation, its neck crooked as before, some experts believe that surgical treatment or local closure treatment, but only temporary relief of local muscle group symptoms, can not solve the fundamental problem. Clinically, we have encountered a case of post-surgical patient, who has been treated by taking Chinese medicine for 2 years, and his symptoms are as before. It indicates that a single residual symptom is more difficult to treat after surgery. This disease has a long duration, or elderly patients, its symptoms are mostly manifested by involuntary writhing and chewing of the mouth and tongue, occasional involuntary stretching of the ends of the limbs, often accompanied by sitting still can not, disappear during sleep, such patients are more difficult to treat, may be related to the decline in the function of the internal organs, yin and yang qi and blood deficiency, the disease for a long time can hurt the right and lead to heart, spleen, kidney deficiency, although not common in clinical practice, but prompt clinicians, to grasp the yin and yang, grasp the disease opportunity, not It is not common in clinical practice, but it suggests that clinicians should grasp the yin and yang, grasp the disease mechanism, and not make mistakes. In this category of patients, it is advisable for the elderly to consolidate the essence of the method. In the treatment process, pungent and dry products should be prohibited or used with caution to prevent damage to the yin fluid. In the treatment, the principle of diagnosis and treatment must be followed, and the dosage of medicine should be adjusted at any time. For example, when raw gypsum is the main medicine, the common effective dosage is 80-380g; Ge Gen is the drug of choice in the treatment of neck ankylosis and obliquity, and the effective dosage is between 30-80g, so that its effect of relieving muscle and nourishing fluids can moisten the Yangming meridian and remove the disease.