Ask The Doctor | Donate

back to conditions index

MANIA

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

YANG MING FU

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	Da Cheng Qi Tang Tiao Wei Cheng Qi Tang
Points

PHLEGM-FIRE DISURBS THE HEART

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	Sheng Tie Luo Yin + Gun Tan Wan Gun Tan Wan Wen Dan Tang Huang Lian Wen Dan Tang Dang Tan Tang With Liver Fire: Sheng Tie Luo Yin + Dang Gui Long Hui Wan
Points

HEART AND LIVER FIRE

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	For more prominent Liver Fire symptoms: Long Dan Xie Gan Tang For more prominent Heart Fire symptoms: Zhu Sha An Shen Wan For more severe symptoms or signs of Phlegm-Fire: Sheng Tie Luo Yin
Points

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

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	Gan Mai Da Zao Tang
Points

YIN DAMAGE DUE TO FIRE

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	Er Yin Jian Zeng Ye Tang + An Shen Ding Zhi Wan
Points	HT-7, KI-1, LIV-3, PC-7, SP-6

BLOOD STAGNATION IN THR LOWER JIAO DUE TO BLOOD HEAT

Clinical Manifestations	Firmness and distention in the lower abdomen which is painful and gives resistance on pressure Smooth urination Manic behavior Forgetfulness Black stools that are easy to expel Delayed menstruation Amenorrhea Irregular menstruation Coagulated blood Thirst Dry mouth Polyuria Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails T: Purplish C: Normal P: Deep, slow and irregular
Treatment Principle	Break up and dispels Blood Stasis Clear Heat
Herb Formulas	Di Dang Tang
Points

TAI YANG - YANG MING - SHAO YIN HEAT

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points

Fire or Heat Toxin

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Toxic Heat and Dampness

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Liver and Kidney Deficiency

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Disharmony of the Chong and Ren Channels

Clinical Manifestations
Treatment Principle
Herb Formulas
Points