BI-POLAR DISORDER

Clinical Manifestations
  • Alternating bouts of depression:
    Complete silence
    Dementia
    Incoherent speech
  • With mania:
    Unprovoked laughter
    Ravings
    Greatly increased activity
  • Euphoria
  • Delusions of grandeur
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Manic behavior
  • Raving walking
  • Shouting
  • Abusing people
  • Climbing to high places
  • Singing
  • Removing one's clothes
  • Unusual strength
  • Foul breath
  • Red face
  • Abdominal pain and distention
  • Constipation
  • T: Red
  • C: Dark and yellow or Black and dry
  • P: Deep and wiry
Treatment Principle
  • Purge the Intestines
  • Expel Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Manic behavior with sudden onset
  • Emotional upset
  • Shouting
  • Scolding or hitting people
  • Exceptional physical strength
  • Not eating or sleeping
  • Agitation
  • A quick temper
  • An angry look in the eyes
  • Fixed staring
  • Frequent crying
  • Excessive aggressiveness, resulting in injury to others
  • Greater than normal strength
  • Inability to answer questions
  • Shouting abuse
  • Desire to climb to high places
  • Irritability
  • Inability to rest
  • Breaking things
  • Rash/impulsive behavior
  • Rash movements
  • Constipation
  • Headache
  • Insomnia
  • Red face and eyes
  • Anger
  • T: Red
  • C: Sticky and yellow - Stomach-Heart crack with a sticky, yellow coating inside it
  • P: Rapid, wiry, overflowing and slippery
Treatment Principle
  • Sedate the Heart
  • Eliminate Phlegm
  • Clear Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • The mania comes mixed with insomnia, anger or excess joy
  • Headache
  • Red eyes
  • Tinnitus
  • Dizziness
  • A bitter taste in the mouth
  • Sores in the mouth
  • Flank pain
  • T: Red tip and edges
  • C: Little or Thin and yellow
  • P: Wiry, strong, slippery and rapid
Treatment Principle
  • Drain Heart and Liver Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Restless sleep
  • May be night sweats
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • T: Red
  • C: Scanty
  • P: Small and rapid
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Ease tension
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Difficulty falling asleep
  • Insomnia, worse when stressed
  • Dream-disturbed sleep
  • Waking in the early hours of the morning
  • Frontal or temporal headaches
  • Neck and shoulder tension
  • Teeth grinding at night
  • Frequent sighing
  • Dizziness
  • Red eyes
  • Facial flushing
  • Depression
  • Irritability
  • Moodiness
  • Easily angered
  • Hypochondriac tension or discomfort
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Nasal swelling
  • Sinus pain
  • Generally severe frontal, maxillary or temporal headache
  • Chronic sinus inflammation and congestion which is worse with stress or emotional upset
  • A sensation of something caught in the throat
  • May have pain or sinus pressure
  • May have occasional postnasal discharge
  • Bitter taste in the mouth
  • Irregular menstruation
  • Premenstrual syndrome
  • Breast tenderness
  • Poor appetite
  • alternation constipation and diarrhea
  • T: Red edges with spots
  • C: Thin and yellow
  • P: Wiry and possibly rapid
Treatment Principle
  • Soothe the Liver Qi
  • Clear Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gall Bladder
  • Harmonize the Stomach
  • Dry Dampness
  • Dispel Heat
Herb Formulas
Points
Clinical Manifestations
  • Mania has continued for a long period of time
  • Less violence
  • Exhaustion
  • Alternating spells of garrulousness and timidity
  • Occasional mania
  • Emaciation
  • Flushed face
  • A dry mouth and lips
  • Fatigue
  • Excessive speech
  • Susceptibility to fright
  • Anxiety
  • Tension
  • Occasional vexation
  • Emaciation
  • A red complexion
  • Five-Sole-Heat
  • A dry mouth with no desire to drink
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Fire
  • Stabilize the Mind
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Thirst
  • T: Purple, with blue or purple spots on the edges
  • C: White or Yellow
  • P: Strong and rapid
Treatment Principle
  • Invigorate the Blood
  • Transform Stasis
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Restlessness
  • Agitation
  • Anxiety
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Frequent waking with nightmares
  • Palpitations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Restlessness
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Flushed face
  • Bitter taste in the mouth
  • Scanty, dark urine
  • A red complexion
  • Maybe painful urination
  • Maybe hematuria
  • T: Red tip, ulcers especially on tip or Red with a redder tip
  • C: Normal or Yellow
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Fear
  • Paranoia
  • There are often no physical symptoms at all
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Feeling disheartened
  • Forgetfulness
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Incessant laughter and glee
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • Worry
  • Dizziness
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Calm the Shen
  • Tonify the Heart Qi
  • Pacify timidity
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Fearfulness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
  • Calm the mind
  • Nourish and tranquilize the Heart
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Bitter taste in the mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • Indecision
  • Suspiciousness
  • Palpitations with anxiety
  • Insomnia
  • Frequent sighing
  • Suffocating sensation in the chest
  • T: Pink
  • C: Yellow and greasy or Thin and white
  • P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Descend Contravecting Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Mania that persists for an extended period of time
  • Agitation
  • Restlessness
  • Incoherent speech
  • Constant anger
  • A dark complexion
  • Pain and fullness of the chest and flanks
  • A Headache
  • Palpitations
  • Severe: Climbing up to high places, singing and removing one's clothes
  • T: Purple with stasis spots
  • C: White
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Activate the Blood
  • Transform Stasis
  • Regulate Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Aphasia
  • Dementia
  • Slurred speech
  • Muttering to oneself
  • Moodiness
  • Anorexia
  • T: Normal
  • C: Greasy
  • P: Wiry and slippery
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Chest fullness and oppression
  • General malaise
  • Maybe nausea
  • Sudden fall and loss of consciousness
  • Convulsions
  • Incontinence of urine and stool
  • Maybe a transient loss of consciousness or falling into a trance without convulsions
  • Spitting up frothy saliva
  • Worsens with cold weather or when the patient has a cold
  • T: Pink
  • C: Thick, sticky and white or White and slimy
  • P: Slippery or Taut and slippery
Treatment Principle
  • Tonify Spleen Yang
  • Eliminate Phlegm
  • Extinguish Wind
  • Stop convulsions
Herb Formulas
Points