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PSYCHOSIS, INSANITY, MADNESS

GENERAL

Clinical Manifestations	Psychosis refers to an abnormal condition of the mind described as involving a "loss of contact with reality". People with psychosis are described as psychotic. People experiencing psychosis may exhibit some personality changes and thought disorder. Depending on its severity, this may be accompanied by unusual or bizarre behavior, as well as difficulty with social interaction and impairment in carrying out daily life activities. Typical symptoms: Singing Crying Happy Sad Senseless talk Cannot distinguish clean from dirty Lives in a dream world Likes to sleep Behaves as if drunk or euphoric
Treatment Principle
Herb Formulas
Points	Thirteen points in order: DU-26, LU-11, SP-1, PC-7, UB-62 (moxa needle), DU-16, ST-6 (moxa needle). REN-24, SP-8, DU-23, REN-1 (males), Opening of the vagina (females), LI-11 (moxa needle). Haiqian ST-23, ST-24, UB-58 DU-16, DU-23, DU-26, LI-11, PC-7, PC-8, REN-12, REN-15, SP-1, ST-6, ST-36, ST-40, UB-62 Bailao, GB-39, KI-1, LI-11 ST-23, ST-24, UB-58 Alternate: 1. DU-13, DU-14, DU-26, Fengyan, SP-6 2. DU-13, DU-14, LI-4 through to PC-8, ST-36, Yiming LI-4, PC-4, SI-3 Manic: 1. DU-12, DU-13, DU-14, Erzhuisha 2. LI-4 through to SI-3, LIV-3 through to KI-1, ST-8 3. Anmian, DU-13, DU-14, DU-26 3. HT-7, KI-1, LU-11, UB-15 4. DU-1, DU-16, DU-20, DU-23, DU-26, HT-7, LI-11, PC-5, PC-8, SI-3, SP-1, UB-15 5. Anmian, Dingshen, DU-14, DU-20, GB-20, LIV-3, PC-5 through to SJ-6, PC-8, REN-13, REN-14, REN-15 For auditory hallucinations: + SJ-17 For visual hallucinations: + UB-1 Depressive: 1. HT-7, SP-6 2. GB-20, HT-7, LI-4, REN-6, REN-12, REN-15, ST-36, ST-40, UB-13, UB-18 3. HT-5, PC-4, REN-4, REN-13, SI-3, SP-6, ST-37, UB-10, UB-15 , UB-17 4. Moxa needle DU-20, HT-7, LU-11, PC-6, PC-7, REN-12, SP-1, ST-36, ST-40, UB-15, UB-20 5. General Depression: GB-41, REN-7, SI-3, SJ-5, SJ-16, ST-30, ST-36 6. Intellectual Depression: DU-9, DU-12, DU-20, DU-23, PC-6, REN-12, SI-3, SJ-3, SJ-5, SP-2 For drug and alcohol induced psychosis, detoxify: LIV-8 Due to a high fever: DU-14, GB-20, KI-4, LI-4, LI-11, LIV-4, LU-1, Muzhijian, PC-9, Shixuan, UB-12, UB-40 Sadness: DU-12, DU-20, HT-3, HT-5, HT-7, HT-9, LIV-3, SP-7 Anxiety with depression: Reduce PC-6, PC-7, PC-9, UB-15, Tonify DU-20, GB-39, REN-15, SJ-3, SJ-5, SP-5, ST-36, UB-15 Anxiety with excitation: Reduce HT-5, HT-7, PC-7, REN-13, SJ-5, SJ-10, SP-2 Hallucinations: SI-16 Running around madly: HT-7, REN-13 Moxa: 1. DU-20 2. 20-30 cones on REN-4, 5 cones UB-15 bilaterally Ear: Sympathetic, Shenmen, Heart. Liver, Subcortex, Endocrine, Stomach, Occiput

YANG MING FIRE (MANIC)

Clinical Manifestations	Manic behavior Raving walking Shouting Abusing people Climbing to high places Singing Removing one's clothes Unusual strength Forgetfulness 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 Schizophrenia #2 Schizophrenia #6 With Blood Stagnation: Tao He Cheng Qi Tang
Points

HEAT IN THE YANG MING AND CHONG

Clinical Manifestations	Forgetfulness Prone to rage and fear Insomnia Anorexia Abusive language Restlessness Wild Speech
Treatment Principle	Clear Heat in the Yang Ming and Chong channels
Herb Formulas
Points	DU-16, DU-26, PC-5, REN-12, SP-6, ST-40, UB-15

LARGE INTESTINE HEAT (MANIC)

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Liang Ge San
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

HEART FIRE (MANIC)

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	San Huang Xie Xin Tang
Points	HT-7, HT-8, PC-7, PC-8, UB-15

PHLEGM-HEAT MISTING THE HEART (MANIC)

Clinical Manifestations	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 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
Treatment Principle	Drain Phlegm-Heat
Herb Formulas	Dang Tan Tang
Points

PHLEGM-FIRE DISTURBS THE HEART (MANIC)

Clinical Manifestations	Mania A quick temper Audacity Depressive Abusive Aggressive Climbs the walls ans sings Diurnal and nocturnal excitation Removes clothes and runs Irritability Palpitations Bitter taste in mouth Headache Red face Red eyes Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest Constipation T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry or Slippery and rapid or Wiry and rapid
Treatment Principle	Clear the Heart Break through Phlegm Reduce Fire
Herb Formulas	Gun Tan Wan Wen Dan Tang Huang Lian Wen Dan Tang Xiao Xian Xiong Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15 Bleed the Jing-Well points of the six Hand channels, LI-4, LI-11, ST-40 + general points Dingshen, DU-14, GB-20, LI-4, LI-11, LIV-3, PC-5, PC-7, PC-8, ST-40 The Twelve Magic Points: DU-16, DU-23, LI-11, LU-11, PC-7, PC-8, REN-1, REN-24, SP-1, ST-6, ST-9, UB-62 + PC-5, REN-15, SP-3 For a bad temper: GB-39, KI-26, KI-27, LIV-2, UB-18 For impotence: KI-17, LI-16, SJ-7, SP-2, SP-3, UB-13 For walking around wildly: DU-8, DU-12, DU-13, DU-19, REN-15 For tearing off clothes: HT-2, SJ-11

HEART AND GALLBLADDER QI DEFICIENCY DUE TO SHOCK OR FRIGHT (DEPRESSIVE)

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 Involutional psychosis 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	An Shen Ding Zhi Wan Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang With Yin Deficiency: Tian Wang Bu 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	DU-20, PC-7, HT-7, GB-40, UB-7, UB-23, UB-47, UB-52, ST-36, Anmian, Yintang GB-39, SJ-5, UB-15, PC-6, HT-7, HT-9, REN-14, DU-19, DU-24 DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 Ear: Liver, Gallbladder, Heart, Subcortex, Sympathetic

HEART BLOOD AND SPLEEN QI DEFICIENCY (DEPRESSIVE)

Clinical Manifestations	Dementia Slow reactions Mental alienation Lack of concentration Palpitations Cries a lot Fatigue 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 Filth Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale with teethmarks C: White P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Yang Xin Tang
Points	HT-7, LIV-13, PC-6, UB-20 + general points HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

HEART AND KIDNEY YIN DEFICIENCY (DEPRESSIVE)

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 Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic

LIVER FIRE (MANIC)

Clinical Manifestations	Hallucinations Discussions with imaginary partners Delusions Paranoia Jealousy Hate Guilt Religious delusions Strange movements Strange clothing A tendency to attack others Repetitious speech or actions Answers do not match questions Sentences are not logically connected A constant change of topics Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes A quick temper Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Fullness and pain of the chest Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis T: Red tip and edges or Red C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Calm the Liver Regulate Qi Relieve Stagnation Calm the Shen Descend Rebellious Qi Activate the Blood Break up Stasis Clear Heat Transform Phlegm Purge accumulations
Herb Formulas	Long Dan Xie Gan Tang Dang Gui Long Hui Wan With Qi and Blood Deficiency: Jia Wei Xiao Yao San
Points	Bleed the 12 Jing-Well points of the hands, LIV-2, LIV-14 GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

LIVER QI STAGNATION PHLEGM AND QI STAGNANT AND BLOCKED (DEPRESSIVE)

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	Ban Xia Hou Po Tang Su He Xiang Wan
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION WITH BLOOD DEFICIENCY (DEPRESSIVE)

Clinical Manifestations	Depression Irritability Lassitude Insomnia Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five Sole Heat Palpitations Malar flush Depression Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Regulate Liver Qi Nourish the Blood Calm the Shen
Herb Formulas	Xiao Yao San
Points

GALL BLADDER DEFICIENCY HEAT

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	Wen Dan Tang modified
Points	GB-34, HT-5, HT-7, PC-5, PC-6, ST-40, UB-15, UB-19

QI, BLOOD, PHLEGM AND FOOD STAGNATION (DEPRESSIVE)

Clinical Manifestations	Depression Irritability Lassitude Insomnia Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five Sole Heat Palpitations Malar flush Depression Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Regulate Liver Qi Nourish the Blood Calm the Shen
Herb Formulas	Xiao Yao San
Points

BLOOD STAGNATION (MANIC)

Clinical Manifestations	Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body Chronic stabbing pain in the chest Pain in the hypochondrium Chronic, stubborn headache with a fixed, piercing quality Palpitations Chronic incessant hiccups Five Sole Heat Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dry, scaly skin Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Palpitations Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness T: Dark-red with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Activate the Blood Dispel Blood Stasis Spread Liver Qi
Herb Formulas	Xue Fu Zhu Yu Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40

PHLEGM STAGNATION (DEPRESSIVE)

Clinical Manifestations	Abnormal mental situation Sometimes laughing Sometimes crying Paraphonia Dull eyes Looks straight ahead Illogical speech Silence Angers easily without activity Poor appetite T: Pink C: Thin, sticky and white P: Slippery:
Treatment Principle	Regulate Qi Remove Stagnation Eliminate Phlegm
Herb Formulas	Wen Dan Tang Er Chen Tang modified
Points	DU-23, DU-26, LI-4, LI-11, PC-7, PC-8, SP-1, ST-36, ST-40 DU-15, DU-20, DU-26, HT-5, PC-6, Sishencong, ST-40, Yiming

GU SYNDROME DUE TO EXCESS FIRE

Clinical Manifestations	Bloating Swelling Depression Flu-like symptoms Coughing Sneezing A tight abdominal wall Dark urine The patient usually gets worse after ingesting tonics Epilepsy Madness
Treatment Principle	Disperse Wind-Heat Clear Heat Relieve toxicity Expel turbid filth Harmonize the Middle Jiao Invigorate and cool the Blood Clear Summerheat or Damp-Heat Promote the movement of Qi Tonify Qi and Blood Strengthen the Spleen Raise the Yang Qi Nourish Lung and Stomach Yin Moisten the Intestines Unblock the bowels
Herb Formulas	Su He Tang
Points