Depressionaccording to TCM

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Symptom family: Depression and Sadness

What is Depression?

Depression, a common but serious mood disorder, presents a persistent feeling of sadness and loss of interest. It affects how one feels, thinks, and handles daily activities. To be diagnosed with depression, the symptoms must be present for at least two weeks. This condition is more than just a bout of the blues; it is a chronic, incapacitating condition that may result in severe health outcomes if left untreated.

How does TCM view Depression?

In Traditional Chinese Medicine (TCM), depression is not merely a psychological issue but a systemic one. It is seen as a result of disharmony and imbalance within the body's energy system or Qi.

TCM posits that emotional well-being is intertwined with physical health; thus, identifying the unique 'pattern' of disharmony is pivotal. Treatment is tailored to the individual, aimed at restoring balance and addressing the root cause rather than just alleviating symptoms.

Root Causes of Depression in TCM

From the perspective of Traditional Chinese Medicine, depression is often the result of internal imbalances that can manifest through various patterns. One such pattern is Liver Qi Stagnation, where the life force, or Qi, is impeded, causing emotional repression, irritability, and mood swings. A key to TCM treatment is recognizing that emotional distress can directly affect the flow of Qi, leading to this Stagnant state.

Another pattern, Phlegm-Heat, suggests an accumulation of Phlegm that clouds the Heart, metaphorically leading to a 'foggy' mental state, characterized by manic behavior or mental restlessness.

Heart Yin Deficiency pertains to an insufficiency of calming energy in the heart, resulting in anxiety, insomnia, and palpitations. Understanding these underlying conditions is essential in TCM, as it directs the practitioner to the most appropriate therapeutic strategy.

Explore below more details about what might cause Depression according to TCM.

  • By Syndrome
  • By Organ
  • Qi Stagnation
  • Phlegm
  • Qi Deficiency
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Depression

Common Symptoms: Irritability Mood Swings Lack Of Appetite Chest Distension Sighing Irregular Periods Globus Sensation Menstrual Cramps

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Stagnation Depression, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Xiao Yao San | Wu Yao Tang | Jia Wei Xiao Yao San | Gua Lou San | Chai Hu Shu Gan San | Yue Ju Wan | Yi Guan Jian | Xia Ru Yong Quan San
Qi And Blood Stagnation Depression, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Ge Xia Zhu Yu Tang | Tao Hong Si Wu Tang | Shao Fu Zhu Yu Tang | Wu Yao Tang | Jia Wei Xiao Yao San | Wei Jing Tang | Si Wu Tang | Xue Fu Zhu Yu Tang | Chai Hu Shu Gan San | Jin Ling Zi San | Shen Tong Zhu Yu Tang | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin
Heart Qi Stagnation Depression, Palpitations, Chest distension, Stifling sensation in the chest Ban Xia Hou Pu Tang
Qi Stagnation Depression, General fullness, Moving pain, Irritability, Mood swings, Sighing Xiao Yao San | Wu Yao Tang | Chai Hu Shu Gan San | Si Mo Tang | Qi Ge San
Pericardium Qi Stagnation Depression, Mild chest pain, Chest distension, Stifling sensation in the chest, Sighing, Throat lumps, Palpitations, Irritability, Lack of appetite, Weak limbs, Cold extremities... see more Ban Xia Hou Pu Tang
Qi-Phlegm Depression, Globus sensation, Dysphagia, Upper abdominal oppression, Irritability, Mood swings... see more Ban Xia Hou Pu Tang
Stagnant Liver Qi turning into Fire Depression, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Dan Zhi Xiao Yao San
Liver Qi Stagnation invading the Stomach Depression, Belching, Abdominal distention, Upper abdominal distension, Irritability, Dry mouth, Lack of appetite, Craving for sour foods, Dry throat, Acid reflux, Vomiting undigested food... see more Ban Xia Hou Pu Tang | Zuo Jin Wan
Lung Qi Deficiency and Liver Qi Stagnation Depression, Coughing, Hypochondrial fullness and distention with pain alleviated by warmth, Dizziness, Headaches, Low energy, Moving pain, Hepatitis, Chronic cholecystitis, Chronic gastritis, Peptic ulcer... see more Xiao Chai Hu Tang

TCM Herbal Formulas for Depression

To address these patterns, TCM recommends specific formulas. For Liver Qi Stagnation, the formula Xiao Yao San, featuring Bupleurum root, is used to soothe the Liver and regulate Qi, aiming to alleviate the emotional turbulence of depression.

When dealing with Phlegm-Heat, Wen Dan Tang, which includes herbs like Bamboo Shavings, is prescribed to clear Phlegm and heat, thus calming the Mind. In cases of Heart Yin Deficiency, Tian Wang Bu Xin Dan, a formula with Rehmannia Root, nourishes the Yin of the Heart, easing the symptoms of restlessness and instability. These formulas are part of a broader treatment plan that may include acupuncture and lifestyle adjustments to restore the individual's balance and well-being.

Explore below some TCM herbal formulas used to address depression, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Qi Stagnation
  • Phlegm
  • Qi Deficiency

All Formulas Recommended for Depression Caused by Qi Stagnation

Formula Patterns Suitable For
Ban Xia Hou Pu Tang Heart Qi Stagnation, Liver Qi Stagnation invading the Stomach, Pericardium Qi Stagnation, Qi-Phlegm... see more
Chai Hu Shu Gan San Liver Qi Stagnation, Qi And Blood Stagnation, Qi Stagnation
Wu Yao Tang Liver Qi Stagnation, Qi And Blood Stagnation, Qi Stagnation
Xiao Yao San Liver Qi Stagnation, Qi Stagnation
Jia Wei Xiao Yao San Liver Qi Stagnation, Qi And Blood Stagnation
Si Wu Tang Qi And Blood Stagnation
Yue Ju Wan Liver Qi Stagnation
Yi Guan Jian Liver Qi Stagnation
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Gua Lou San Liver Qi Stagnation
Xia Ru Yong Quan San Liver Qi Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Tao Hong Si Wu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Wei Jing Tang Qi And Blood Stagnation
Jin Ling Zi San Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Si Mo Tang Qi Stagnation
Qi Ge San Qi Stagnation
Zuo Jin Wan Liver Qi Stagnation invading the Stomach
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire
Xiao Chai Hu Tang Lung Qi Deficiency and Liver Qi Stagnation

Acupoints for Depression

In TCM, acupuncture is used to harmonize the body's energies and address specific patterns associated with depression. To alleviate Liver Qi Stagnation, points like Taichong LIV-3 on the foot are targeted to ensure the smooth flow of Qi.

For counteracting Phlegm-Heat, Fenglong ST-40 on the leg is selected to clear phlegm and open the mind's orifices. When treating Heart Yin Deficiency, the acupoint Shenmen HE-7 on the wrist is utilized to nourish Heart Yin and calm the Mind. By stimulating these points, acupuncture seeks to address the root of the emotional and physiological disharmony contributing to depression.

Explore below some acupoints used to address depression, organized by meridian.

  • By Meridian
  • Governing Vessel
  • Bladder Channel
  • Stomach Channel
Changqiang Du-1

Changqiang Du-1

Midway between the tip of the coccyx and the anus.

Mingmen DU-4

Mingmen DU-4

On the lower back midline, in the depression below the spinous process of the 2nd lumber vertebra (L2).

Shendao DU-11

Shendao DU-11

On the back midline, in the depression below the spinous process of the 5th thoracic vertebra (T5).

Dazhui DU-14

Dazhui DU-14

On the midline at the base of the neck, in the depression below the spinous process of the seventh cervical vertebra (C7).

Qiangjian DU-18

Qiangjian DU-18

On the posterior midline, 1.5 cun above Naohu DU-17, midway between Fengfu DU-16 and Baihui DU-20.

Baihui DU-20

Baihui DU-20

At the vertex, at the junction of a line connecting the apex of the ears and the midline, in the depression 7 cun above the posterior hairline and 5 cun behind the anterior hairline.

Shenting DU-24

Shenting DU-24

On the head midline, 0.5 cun above the anterior hairline.

Renzhong DU-26

Renzhong DU-26

Below the nose, a little above the midpoint of the philtrum.

Duiduan DU-27

Duiduan DU-27

On the midline, at the junction of the philtrum and the upper lip.

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