POST-TRAUMATIC STRESS DISORDER (PTSD). POST-TRAUMATIC SHOCK DISORDER

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	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Activate the Blood Transform Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang modified Postpartum: Qing Hun San modified Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17 Ahshi points on the head, LI-4, LIV-3, LIV-4, UB-17

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	Miao Xiang San With impotence: Qi Yang Yu Xin Dan Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan Jian Nao Wan
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 DU-19, DU-24, GB-34, KI-4, LIV-3, LIV-12, PC-5, REN-4, REN-6, UB-18, UB-19, Yintang Ear: Shenmen, Heart, Subcortex, Sympathetic

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	Tian Wang Bu Xin Dan For severe Yin Deficiency Fire or as the result of a fever: Huang Lian E Jiao Tang For severe, continuous anxiety or panic attacks: Zhu Sha An Shen Wan For post-traumatic stress disorder (PTSD): Gui Zhi Jia Long Gu Mu Li Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Zhu Sha An Shen Wan An Shen Bu Xin Wan Jian Nao Wan Ci Zhu Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, KI-3, PC-7, REN-14, UB-15, Yintang Anmian, HT-7, KI-3, LIV-3, PC-7, PC-8, SP-6, UB-14, UB-15, UB-23 With dizziness: + DU-20 With tinnitus: + SI-19, SJ-3 With arrhythmia: + HT-5 Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic