SCHIZOPHRENIA

GENERAL

Clinical Manifestations	Yang Type: 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 Yin Type: Dull emotional expression Dull eyes A decrease in self-initiated activity Talks little Sentences have little content or are unfinished Slow response Poor hygiene Loss of concentration Decreased sex drive Loner behavior Low excitability Disregard of social codes Paranoid Subtype: Delusions or hallucinations N no disorganized or catatonic behavior Disorganized Subtype: Disorganized speech and behavior or Inappropriate affect No catatonic behavior Catatonic Subtype: Motor immobility (including posturing) or Excessive motor activity Extreme negativity Repeats words or actions of others Undifferentiated Subtype: Meets criteria of schizophrenia in general but no specific distinguishing symptoms Residual Subtype: Symptoms are present but in an undifferentiated form Schizophreniform Disorder: Same symptom pattern as schizophrenia Symptoms last 1-6 months
Treatment Principle
Herb Formulas
Points	Primary Points: Dingshen, GB-20, HT-7, KI-1, PC-5, REN-5, REN- 13, Sishencong, SJ-6, SP-6, ST-40, UB-15, UB18, UB-20 Secondary Acupuncture Points: Bizhong, DU-26, DU-24, GB-34, HT-5, Hubian, KI-4, LIV-5, PC-6, PC-7, REN-11, REN-12, SI-6, ST-36, UB-44, Yintang Supplementary Points According to Symptom: For manic fits: + DU-18, DU-20 through to DU-23, DU-26, HT-6, KI-1 through to KI-3, LI-4 through to SI-3, LI-11, LIV-1, LIV-3, LIV-5, LIV-8, LU-11, PC-6, PC-8, REN-15, REN-24, SP-1 For depression: + KI-1, LI-4, through to PC-8, LIV-2, LIV-3, PC-6 through to SJ-5, PC-7, PC-8, REN-14, REN-17, UB-15, UB-18, UB-20, UB-23, Yintang For the negative symptoms of schizophrenia: + DU-20, DU-23 through to DU-24 For auditory hallucinations: + GB-2, SI-19, SJ-3, SJ-17, SP-4 For visual hallucinations: + SJ-17, UB-1, Yuyao For anxiety: + LIV-3, PC-6, PC-8, REN-14 For obsessions: + DU-20, Taiyang, Yintang For forgetfulness: + DU-11, PC-6 For agitation, irritability and excitability: + LIV-3 For fear and fright: + PC-4, REN-14, UB-19 For anorexia: +ST-36 For a headache with dizziness (side effect of antipsychotics): + DU-20, LI-4, Taiyang, Yintang, Ahshi head points For dizziness with tinnitus and a weak, aching low back and knees (side effect of antipsychotics): + KI-3, UB-23 For amenorrhea and lactation (side effect of antipsychotics): + LI-4, LIV-3, REN-3, REN-4, ST-36, UB-20, UB-23 Main points: DU-12, DU-13, DU-14 Auxiliary points: DU-26, GB-20, LI-4, LIV-3, PC-6, SP-6 Use slow insertion and remove the needle immediately upon achieving De Qi. Yang type: Select one or two main points and two or three auxiliary points. Yin type: Reduce the number of points. For auditory hallucinations: + SI-19, SJ-17 For visual hallucinations: + UB-1 For olfactory hallucinations: + LI-20 For insomnia: + Anmian, Yintang For aphonia: + DU-15, REN-23 Simultaneous stimulation of collective points: (requires several practitioners to insert the needles and stimulate simultaneously). Use strong stimulation continuously for 20-30 minutes or retain for 30 minutes with intermittent stimulation. Treat once or twice daily. Group one: Dingshen, Hubian, LIV-3 Group two: PC-5, SP-6 Group three: DU-26, PC-6, ST-36 DU-20, DU-26, LI-4, LI-11, LIV-3, PC-5, PC-6, REN-15, SI-19, SJ-17, SP-6, ST-36, Taiyang, UB-15, UB-23 Electroacupuncture: DU-20, DU-26, SI-19, SJ-17, Taiyang Select two points for each treatment. Stimulate for 10-30 minutes two to three times per day. For visual hallucinations due to Kidney Deficiency: DU-14, SI-3, UB-62 Ear: 1. Shenmen, Sympathetic, Brain points, Brainstem, Heart, Subcortex, Kidney, Endocrine 2. Primary: Kidney, Occiput, Heart, Stomach, Shenmen, Central Rim, Subcortex, Sympathetic, Endocrine, Heart of Posterior Surface Secondary: Brain Stem, Adrenal Gland, External Ear, Internal Ear, Lesser Occipital Nerve, Neurasthenia Region

YANG TYPE

Clinical Manifestations	Excited Agitated movements Visual hallucinations Delusions Difficulty thinking Disturbed, chaotic thoughts Odd usual eccentric behavior Red complexion Red eyes Dry stools T: Red C: Yellow P:Wiry, rapid and forceful
Treatment Principle	Drain fire Expel Phlegm Activate the Blood Dispel stasis Heavily settle and calm the Shen
Herb Formulas	Schizophrenia #1 Schizophrenia #2
Points	Alternate the below treatments with strong stimulation, draining technique: 1. HT-7, REN-12, SP-6 2. ST-40, UB-15, UB-18, UB-20 To calm the Shen: + GB-30

YIN TYPE

Clinical Manifestations	Abnormally slow reactions Lack of will Difficulty thinking Fatigue Body weak Timidity Lassitude Somber white complexion T: Pale C: White P: Deep and Thready
Treatment Principle	Nourish the Blood Supplement the Heart Warm Yang
Herb Formulas	Si Ni Jia Gui Tang
Points	Alternate the below treatments with even technique: 1. DU-26, LU-11, PC-7, SP-1, ST-40 2. DU-12, DU-14, DU-16 3. REN-12, REN-13, REN-15, ST-40 4. DU-16, DU-26, PC-7, PC-8

YANG MING FIRE

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 Schizophrenia #2 Schizophrenia #6 With Blood Stagnation: Tao He Cheng Qi Tang
Points

SHAO YANG FU WITH LIVER QI STAGNATION

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	Wen Dan Tang Gun Tan Wan Dang Tan Tang Chai Hu Jia Long Gu Mu Li 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

WEN BING: YING STAGE HEAT ATTACKS THE PERICARDIUM

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Maybe fainting Maybe coma Feverish extremities T: Deep red P: Thready and rapid
Treatment Principle	Clear Heat in Pericardium
Herb Formulas	An Gong Niu Huang Wan
Points	To Clear Heat from the Heart: HT-3, PC-8, Sifeng, bleed Shixuan For delirium: PC-7 To detoxify: LI-11 To Pacify Heart and calm the Shen: HT-5, HT-6, HT-7 To Nourish Yin: KI-3, SP-6

HEART FIRE

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	San Huang Xie Xin Tang Huang Lian Jie Du Tang For a chronic condition with Yin Deficiency or dysuria: Dao Chi San For Heart Yin Deficiency following a Shao Yin Heat condition: Huang Lian E Jiao Tang For residual Heat following a Summerheat condition: Zhu Ye Shi Gao Tang With severe palpitations and anxiety: Zhu Sha An Shen Wan With Blood and Yin Deficiency: Zhu Sha An Shen Wan Chinese Patent Medicines: Niu Huang Shang Qing Wan Niu Huang Jie Du Pian Dao Chi Pian Xiao Er Qi Xing Cha
Points	HT-7, HT-8, PC-7, PC-8, UB-15 Anmian, HT-7, HT-8, HT-9, KI-6, PC-8, SP-6, UB-15, Yintang

PHLEGM-FIRE DISTURBS THE HEART (YANG TYPE)

Clinical Manifestations	This pattern roughly corresponds to the hebephrenic or disorganized type of schizophrenia. 3 of the 5 following symptoms should be present, or two that are pronounced. The psychotic symptoms should have a minimum of continuous duration of one month. 1. Disorganized thinking 2. Vivid hallucinations 3. Emotional instability 4. Childish or inappropriate behavior 5. Excitable and compulsive behavior Sudden onset Emotional tension and agitation Mania Breaking things Injuring other people Climbing up to high places and singing Unusual strength Foul speech An angry look in the eyes A red complexion Red eyes Bound constipated stools Irritability Palpitations Anorexia Bitter taste in mouth Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest Constant scolding and possibly beating T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Dang Tan Tang Sheng Tie Luo Yin modified Schizophrenia #13 Ci Zhu Wan Early stages: Huang Lian Wen Dan Tang With Excess Phlegm: Schizophrenia #9 To clear the Heart and open the Orifices: An Gong Niu Huang Wan For a clear Spirit but with vexation and insomnia: Wen Dan Tang + Zhu Sha An Shen Wan 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 Pian
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 GB-34, HT-5, LU-5, PC-4, PC-5, ST-40, UB-13 With insomnia: + ST-45 With constipation: + ST-25 With anxiety : + DU-19, DU-24 Use 2-4 main points + 2-4 of the following: GB-41, HT-5, HT-9, LIV-2, REN-12, SI-3, SJ-5, ST-43, ST-44, ST-45, UB-21, UB-62

PHLEGM CONFUSES THE HEART ORIFICES (YIN TYPE)

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	Dao Tan Tang Gua Di San
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

HEART BLOOD DEFICIENCY

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	Suan Zao Ren Tang Gui Pi Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

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 Gan Mai Da Zao Tang
Points

HEART BLOOD AND SPLEEN QI DEFICIENCY (YIN TYPE)

Clinical Manifestations	Excessive thinking Worry Anxiety Dreaming of ghosts Confusion Predilection to sorrow and a desire to cry Difficulty thinking Sluggishness Illogical speech A somber white complexion Fatigue Anorexia Insomnia Much dreaming Easily startled Poor memory Lack of concentration Palpitations Apprehension Fatigue weakness 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 C: Thin and white P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen Tonify the Blood Calm the Shen
Herb Formulas	Schizophrenia #4 Gui Pi Tang For excessive thinking, worry, anxiety, a predilection to sorrow, fright, fear, restlessness and a disturbed spirit: Yang Xin Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 HT-7, PC-6, ST-36, UB-15, UB-20

LIVER QI STAGNATION

Clinical Manifestations	Taciturnity Illogical speech A tendency toward inappropriate anger Suicidal thoughts No desire to live Self-injury Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability 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	Chai Hu Shu Gan Tang modified With Spleen Qi Deficiency: Xiao Yao San modified With Blood Deficiency: Xiao Yao San With Liver Attacking the Spleen and Deficiency Heat: Jia Wei Xiao Yao San Xiao Chai Hu Tang
Points	HT-7, LI-4, LIV-3, PC-6, REN-17, ST-36 GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

LIVER QI STAGNATION PHLEGM AND QI STAGNANT AND BLOCKED (YIN TYPE)

Clinical Manifestations	Paranoia Lots of worries Illogical speech Chest and flank distention and fullness, No thought of food or drink Tendency to profuse phlegm Dull and silly Mumbling to oneself Temperamental Frequent laughing and crying 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 Hysteria Tendency to sigh Melancholy Apathy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Premenstrual syndrome Chronic cases: Red eyes Tidal fever A dry mouth T: Pink C: Thin and white or Slimy P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm Open the Orifices
Herb Formulas	Ban Xia Hou Po Tang Schizophrenia #3 Shun Qi Dao Tan Tangmodified + Kong Xian Dan For chest and diaphragmatic fullness and oppression, profuse phlegm and drool in mouth: San Sheng San For a clouded, dull Spirit, confusion and chaotic speech: First use Su He Xiang Wan Then use Si Qi Tang modified For Qi Stagnation transforming into Heat, insomnia and easily frightened: Use Wen Dan Tang modified For a clouded Spirit and and a chaotic mind: Zhi Bao Dan
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6 Ht-5, LIV-3, PC-5, PC-6, SJ-6, Yintang GV-26, HT-7, LIV-2, PC-6, REN-12, ST-36, ST-40

LIVER QI STAGNATION INVADES THE STOMACH

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention 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 Harmonize the Stomach
Herb Formulas	Yue Ju Wan Xiao Yao San
Points	LIV-3, LIV-14, PC-6, REN-12

LIVER FIRE

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 Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis T: Red tip and edges 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	Schizophrenia #1 Long Dan Xie Gan Tang Dang Gui Long Hui Wan
Points

LIVER FIRE GENERATES PHLEGM-FIRE (YANG TYPE)

Clinical Manifestations	Acute onset Irascibility Headaches A quick temper Resorts to violence Abusive language Destruction of goods Attacking people Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis T: Red tip and edges or Purplish C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Purge the Liver Clear Fire Sedate the Heart Resolve Phlegm
Herb Formulas	Schizophrenia #5 Long Hu Wan Feng Yin Tang
Points

YANG DEFICIENCY

Clinical Manifestations	This pattern roughly corresponds to the chronic type of schizophrenia. Three of the five symptoms should be present or two should be pronounced. The psychotic symptoms should have a minimum continuous duration of two years. 1. Lack of thought 2. Dull appearance 3. Lack of motivation 4. Withdrawn behavior 5. Disinclination to speak Advanced age Bodily weakness or Enduring disease that does not heal Difficulty thinking Sluggishness Inattention Cowering No thought for food or drink Lack of strength Lusterless complexion A dull emotional expression Dull eyes A decrease in self-initiated activity Talks little Sentences have little content or are unfinished Slow response Poor hygiene Loss of concentration Decreased sex drive Loner behavior Low excitability Disregard of social codes Extremely cold extremities Aversion to Cold Sleeping with knees drawn up Lethargy with a constant desire to sleep Vomiting Diarrhea with undigested food Abdominal pain and Cold Lack of thirst Coma Indigestion Edema Pale face Superficial fever Red face Cyanosis of the lips and nails T: Pale or Dark purple C: White and slippery P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle	Rescue Yang Disperse Internal Cold Warm and supplement the Spleen and Kidneys Transform Phlegm Open the Orifices
Herb Formulas	Si Ni Jia Gui Tang Schizophrenia #8 Di Huang Yin Zi Wen Yang Xi Fen Tang Jia Jian
Points	Use two to four of the general primary points + two to four of the following: DU-20, KI-3, LI-4, LIV-3, LIV-5, PC-6, REN-4, REN-12, REN-14, REN-17, SP-4 Moxa or moxa needle DU-4, DU-20, REN-4, UB-20, UB-21, UB-23

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

YIN DEFICIENCY WITH EMPTY FIRE RISING

Clinical Manifestations	This pattern roughly corresponds to the hebephrenic or disorganized type of schizophrenia. Three of the seven following symptoms should be present or two of them should be pronounced. The psychotic symptoms should have a minimum one month continuous duration. 1. Delusions 2. Hallucinations 3. Suspiciousness 4. Hostility 5, Dull demeanor with occasional excitation 6. Social withdrawal with a feeling of loneliness 7. Prolonged stupor, possibly with sudden, brief excitatory states Dizziness Tinnitus or deafness Poor memory Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido Insomnia Frequent dreams Palpitations Dizziness Blurred vision T: Red or Crimson C: Little or None or Peeled P: Slippery, strong and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Ci Shi Tang
Points	Use two or three of the general, primary points + two to four of the following: reduce DU-23, DU-24, tonify KI-7, REN-4, ST-36, even technique GB-34, KI-6, LI-11, LU-7 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

QI AND BLOOD STAGNATION

Clinical Manifestations	This condition corresponds with paranoid schizophrenia (3 of the next 5 symptoms should be present and psychotic symptoms should have a minimum continuous duration of one month: 1. Primary hallucinations 2. Verbal auditory hallucinations 3. Loose associations 4. Conflicting emotions 5. Strange behavior Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) with Blood Stasis and distention in the sublingual veins C: Little P: Wiry, choppy and slow
Treatment Principle	Activate the Blood Break up Stasis Regulates Qi
Herb Formulas	Insomnia #2 Schizophrenia #7
Points	Main points: DU-12, DU-13, DU-14, Auxiliary points: DU-26, GB-20, LI-4, LIV-3, PC-6, SP-6, For Blood Stasis: + SP-10, UB-17

QI, BLOOD AND PHLEGM STAGNATION

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	Dian Kuang Meng Xing Tang
Points

QI, BLOOD, PHLEGM AND FOOD STAGNATION

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	Dian Kuang Meng Xing Tang
Points

QI AND BLOOD DEFICIENCY (YIN TYPE)

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Yang Xin Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

BLOOD STAGNATION

Clinical Manifestations	Emotional instability Sometimes agitated, sometimes still Speaking to oneself Torpid Spirit Paranoia Delusional thinking Auditory and visual hallucinations A dark stagnant complexion A piercing headache 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 Resolve depression
Herb Formulas	Xue Fu Zhu Yu Tang modified Tao He Cheng Qi Tang Schizophrenia #11 With Phlegm: Dian Kuang Meng Xing Tang
Points	HT-7, LI-4, PC-6, SP-10, UB-15, UB-17, UB-18 SP-6, SP-10, ST-36, UB-17, UB-40

BLOOD STAGNATION IN THE 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

PHLEGM-DAMPNESS

Clinical Manifestations	This pattern roughly corresponds to the simple type of schizophrenia. Three of the five symptoms should be present or two should be pronounced. The psychotic symptoms should have a minimum continuous duration of two years. 1. Difficulty thinking 2. Emotional indifference 3. Laziness and passivity 4. Lack of motivation 5. Impaired social skills Inattentiveness Slow movements Fatigue Lack of strength Cowering Solitariness Possible visual and auditory hallucinations Heart vexation Insomnia Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Swollen, with teeth marks C: Thick and slippery P: Slippery, full and maybe wiry or Deep and moderate
Treatment Principle	Warm Yang Fortify the Spleen Transform Phlegm Open the orifices
Herb Formulas	Xiang Sha Liu Jun Zi Tangmodified Schizophrenia #10
Points	Two to four general primary points + REN-12, SP-9, ST-36 DU-26, HT-7, LIV-2, PC-6, REN-12, ST-36, ST-40 PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

PHLEGM AND QI STAGNATION

Clinical Manifestations	Depression Apathy Dementia Muttering to oneself Wandering or straying from a course or subject Frequent crying or laughing to oneself for no apparent reason Capriciousness Anorexia T: Normal C: White and greasy P: Tight and slippery
Treatment Principle	Resolve Phlegm Alleviate depression Regujlate Qi
Herb Formulas	Schizophrenia #12
Points

SAN JIAO DAMP-HEAT

Clinical Manifestations	Fever Irritability Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Rapid
Treatment Principle	Drains Fire Relieves toxicity Drains Dampness
Herb Formulas	San Huang Xie Xin Tang
Points

XUAN YIN

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain Hard focal distention in the epigastrium Dry heaves Shortness of breath Headache Abdominal distention Wheezing Fullness in the chest Dyspnea caused by extreme chest and back pain Dizziness Vertigo Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23

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