MENTAL AND EMOTIONAL SYMPTOMS

MENTAL AND EMOTIONAL SYMPTOMS

Chapter contents

DEPRESSION AND MANIC BEHAVIOUR

Depressive phase

DEPRESSION

Interrogation, Chapter 44

Liver-Qi stagnation

Depression, moodiness, irritability, anxiety, frustration, nervous tension, hypochondrial or epigastric distension, a feeling of a lump in the throat, premenstrual tension, Wiry pulse.

Stagnant Liver-Qi turned into Heat rebelling upwards

Depression, anxiety, insomnia, moodiness, irritability, propensity to outbursts of anger, hypochondrial or epigastric distension, a slight feeling of oppression of the chest, premenstrual tension, irregular periods, premenstrual breast distension, a feeling of a lump in the throat, a feeling of heat, red face, thirst, heavy periods, tongue Red on the sides, Wiry and slightly Rapid pulse.

Liver-Qi stagnation with Qi-Phlegm

Depression, moodiness, irritability, a feeling of a lump in the throat, hypochondrial or epigastric distension, premenstrual tension, sputum in the throat, Swollen tongue, Wiry-Slippery pulse.

Kidney-Yang deficiency

Depression, lack of motivation, lack of will-power, lack of initiative, exhaustion, desire to curl up, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Heart-Blood deficiency

Depression, tearfulness, sadness, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, palpitations, dizziness, dull-pale complexion, pale lips, Pale and Thin tongue, Choppy or Fine pulse.

Liver-Blood deficiency

Depression, sadness, lack of direction, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Spleen- and Heart-Blood deficiency

Depression, brooding, slightly obsessive thinking, anxiety, insomnia, dream-disturbed sleep, poor memory, tendency to be easily startled, palpitations, dizziness, dull-pale complexion, pale lips, tiredness, weak muscles, loose stools, poor appetite, scanty periods, Pale and Thin tongue, Choppy or Fine pulse.

Heart-Yang deficiency

Depression, lack of motivation, tendency to be easily startled, palpitations, shortness of breath on exertion, tiredness, spontaneous sweating, a slight feeling of discomfort or stuffiness in the heart region, a feeling of cold, cold hands, bright-pale face, slightly dark lips, Pale tongue, Deep-Weak pulse.

Heart- and Kidney-Yin deficiency with Empty-Heat

Depression, anxiety in the evening, mental restlessness, insomnia, dream-disturbed sleep, anxiety, poor memory, palpitations, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, a feeling of heat in the evening, night sweating, five-palm heat, scanty dark urine, dry stools, Red tongue with redder tip and a Heart crack, Floating-Empty and Rapid pulse.

Phlegm-Fire harassing the Heart

Depression, mental restlessness, anxiety, agitation, phobias, insomnia, excessive dreaming, mental confusion, rash behaviour, shouting, manic behaviour, a feeling of heat in the heart region, palpitations, thirst, red face, a feeling of oppression of the chest, expectoration of phlegm, sputum in the throat, bitter taste, Red tongue with redder swollen tip and Heart crack with a sticky, dry yellow coating inside it, Slippery-Rapid or Slippery-Overflowing-Rapid pulse.

Heart-Blood stasis

Depression, mental restlessness, insomnia, a feeling of agitation in the evening, excessive dreaming, palpitations, stabbing or pricking chest pain which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands, tongue entirely Purple or Purple only on the sides in the chest areas, Choppy or Wiry pulse.

Heat in the Gall-Bladder

Depression, mental restlessness, short temper, irritability, nausea, dry throat, bitter taste, a feeling of fullness of the hypochondrium, blurred vision, unilateral yellow tongue coating, Wiry pulse.

Worry injuring the Mind

Depression, feeling like in a trance, absentmindedness, lack of initiative, sadness, worry, crying, yawning, Pale tongue, Weak pulse.

Diaphragm-Heat

Depression, mental restlessness, a feeling of anxiety in the chest, a feeling of heat in the heart region, a feeling of stuffiness of the chest, thirst, nausea, yellow tongue coating, Rapid pulse.

This is a short-term depression caused by residual Heat following an invasion of Wind-Heat.

• In chronic depression I often use BL-23 Shenshu and BL-52 Zhishi to stimulate will-power irrespective of the pattern.

DEPRESSION AND MANIC BEHAVIOUR

Interrogation, Chapter 44

Depressive phase

Stagnation of Qi and Phlegm

Depression, apathy, dull thinking, incoherent speech, muttering to oneself, irritability, moodiness, not remembering to eat, hypochondrial or epigastric distension, a feeling of a lump in the throat, premenstrual tension, Swollen tongue with sticky coating, Wiry-Slippery pulse.

Heart- and Spleen-Blood deficiency

Depression, excessive dreaming, mental confusion, tendency to be easily startled, sadness, crying, shouting, shutting of windows, muttering to oneself, brooding, slightly obsessive thinking, anxiety, insomnia, dream-disturbed sleep, poor memory, tendency to be easily startled, palpitations, dizziness, dull-pale complexion, pale lips, tiredness, weak muscles, loose stools, poor appetite, scanty periods, Pale and Thin tongue, Choppy or Fine pulse.

Manic phase

Phlegm-Fire harassing the Mind

Manic behaviour, insomnia, dream-disturbed sleep, propensity to outbursts of anger, shouting, scolding or hitting people, overspending of money, exceptional physical strength, having several projects on the go simultaneously, staying up all night, forgetting to eat, singing, mental restlessness, a feeling of agitation, mental confusion, incoherent speech, rash behaviour, uncontrolled laughter, shouting, palpitations, thirst, red face, a feeling of oppression of the chest, expectoration of phlegm, sputum in the throat, bitter taste, Red tongue with redder-swollen tip and Heart crack with a sticky, dry yellow coating inside it, Slippery-Rapid or Slippery-Overflowing-Rapid pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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