ANXIETY NEUROSIS

Clinical Manifestations
  • Extreme tension
  • Nervousness
  • Insomnia or
  • Hypersomnia
  • Acute attacks:
    Fear
    Breathing difficulties
    Palpitations
    Dizziness
    Nausea
    Abdominal distention
Treatment Principle
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
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Melancholy
  • Anxiety
  • Obsession
  • Irritability
  • Pain that is fixed, stabbing and/or severe or
  • Pains that move around
  • Distention
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Inappropriate anger
  • Irregular menses
  • Breast distention and pain before and during menses
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Pink or Purple, possible purple or red spots or Thick
  • C: White or Greasy and white or Greasy and yellow
  • P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Clear Heat
  • Relieve toxicity
  • Cool the Blood
  • Transform Phlegm
  • Relieve Food Stagnation
  • Open the Orifices
Herb Formulas
  • Jie Yu San
  • Wen Dan Tang modified
  • For very severe cases with continuous palpitations, vertigo, tinnitus, a very thick yellow tongue coat and constipation: Gun Tan Wan
  • With Qi Stagnation and Heart and Liver Fire (palpitations that occur at rest, chest fullness, irritability, constipation, heaviness, difficulty twisting at the waist, a red tongue and a wiry, rapid pulse: Chai Hu Jia Long Gu Mu Li Tang
  • Chinese Patent Medicines:
    Er Chen Wan
    An Mian Pian
    Suan Zao Ren Pian

    For robust individuals with Qi Stagnation and Heat or Fire: Chai Hu Jia Long Gu Mu Li Tang
Points
Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Palpitations, easily brought on by fright
  • Startles easily
  • Irritability
  • Insomnia
  • Much dreaming
  • Waking with palpitations or panic attacks and anxiety
  • Poor memory
  • Poor concentration
  • Low grade fever
  • Night sweats
  • Five Sole Heat
  • Restlessness
  • A dry mouth and throat
  • Thirst
  • Dizziness
  • Tinnitus
  • Malar flush
  • Low back pain
  • Dry stools or
  • Constipation
  • Possible mouth or tongue ulcers
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Apprehension
  • Constant worry
  • Poor concentration
  • Irritability
  • Restless sleep
  • Insomnia
  • Dizziness
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five Sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Physical and mental fatigue
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Weakness
  • A skinny appearance
  • A pale complexion
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Restores the Pulse
  • Calm the Shen
Herb Formulas
  • Miao Xiang San
  • Chinese Patent Medicines:
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Yang Xin Ning Shen Wan

    Bu Nan Wan
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Memory loss
  • Forgetfulness
  • Absent-mindedness
  • Lack of concentration
  • Menorrhagia
  • Palpitations with or without anxiety
  • Insomnia (difficulty falling asleep)
  • Nightmares
  • Reduced appetite
  • Pale, wan complexion
  • Pale lips and nails
  • Early menstruation with copious pale blood
  • Continuous flow with little blood (spotting)
  • Excess perspiration
  • Night sweats
  • Irregular menstruation
  • Leukorrhea
  • Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)
  • Blurred vision
  • Spots before the eyes
  • Low spirits
  • Depression
  • Bruising easily
  • Dream disturbed sleep
  • Short attention span
  • Anxiety
  • Phobias
  • Panic attacks
  • Fear
  • Low grade fever
  • Withdrawal
  • Fatigue and lethargy
  • Weakness
  • Genital itch
  • Impotence
  • Nocturnal emissions
  • Weak abdomen
  • Abdominal distention after eating
  • Premenstrual spotting
  • Easy bruising
  • Dry skin and hair
  • T: Pale, maybe swollen
  • C: White
  • P: Thready and weak or Thready and moderate
Treatment Principle
  • Augment Qi
  • Nourish the Blood
  • Strengthen the Spleen
  • Nourish the Heart
Herb Formulas
  • Gui Pi Tang
  • Chinese Patent medicines:
    Gui Pi Wan
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Bu Nao Wan
    Yang Sha Ning Shen Wan
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Apprehension
  • Constant worry
  • Poor concentration
  • Timidity
  • Shyness
  • Easily startled
  • Nervousness
  • Irritability
  • Restless sleep
  • Insomnia
  • Inability to get or maintain an erection
  • Dizziness
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five Sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Physical and mental fatigue
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Weakness
  • A skinny appearance
  • A pale complexion
  • T: Pale and shiny or Red
  • C: Thin and white or None or Thin and greasy
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid or Wiry and thready
Treatment Principle
  • Augment Qi
  • Restores the Pulse
  • Calm the Shen
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
  • Anxiety
  • Panic attacks
  • Easily startled or frightened
  • Irritability
  • Restlessness
  • Palpitations
  • Fatigue
  • Insomnia often waking to anxiety or panic
  • Very restless sleep
  • Nightmares
  • Inability to think or concentrate even for short periods
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
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
  • A 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
  • Women:
    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
  • Tightness in the chest
  • Dyspnea
  • Wheezing
  • Shortness of breath
  • Difficulty getting a deep and satisfying breath
  • Little or no mucus
  • Related to emotions
  • During the episode, the patient is panicky or emotional
  • Frequent sighing
  • "Plum-pit" throat
  • Anorexia
  • Insomnia
  • Palpitations
  • Vague chest pain
  • Premenstrual syndrome
  • Irregular menstruation
  • Breast tenderness
  • T: Normal or with brown or purple stasis spots on the edges
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Circulate Liver Qi
  • Descend Lung Qi
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Dizziness
  • Easily startled
  • Restlessness
  • A stuffy feeling in the chest
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Anxiety
  • Nervousness
  • Dizziness
  • Vertigo
  • Insomnia with waking in the early hours
  • Unable to fall back to sleep
  • Irritability
  • Restlessness
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Indeterminate gnawing hunger
  • Anorexia
  • Belching
  • Acid reflux
  • abdominal distention
  • A bitter taste in the mouth
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Wiry
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points