What is anxiety?

Anxiety is a complex emotional and physiological response characterized by persistent feelings of worry, unease, or dread. It often involves anticipation of future threats or negative outcomes, even in the absence of immediate danger. While occasional anxiety is a normal part of life, persistent or excessive anxiety can interfere with daily functioning and quality of life. Symptoms may include restlessness, difficulty concentrating, sleep disturbances, and physical manifestations such as increased heart rate or sweating. Anxiety disorders, including Generalized Anxiety Disorder (GAD), represent more severe and chronic forms of anxiety that may require professional intervention.

How does TCM view anxiety?

Traditional Chinese Medicine (TCM) views anxiety as a manifestation of imbalance within the body's energy systems, particularly involving the Heart, Liver, and Kidney. Unlike Western medicine's focus on neurotransmitters and brain function, TCM considers anxiety a result of disrupted Qi flow and disharmony among various organs.

In TCM, anxiety can stem from multiple patterns of disharmony, each requiring a unique treatment approach. This individualized perspective emphasizes the importance of identifying the specific underlying pattern before initiating treatment, as addressing the root cause is crucial for restoring balance and alleviating symptoms.

Root Causes of Anxiety in TCM

In TCM, anxiety can arise from various imbalances, with Heat patterns being a significant contributor. For instance, Heat in the Blood can lead to anxiety accompanied by feelings of warmth, skin eruptions, and even bleeding tendencies. This pattern reflects an excess of Yang energy, causing agitation in both body and mind.

Another common cause is Heart Yin Deficiency, which may manifest as anxiety with night sweats, feelings of unease, and heat sensations in the palms. This pattern indicates a depletion of the cooling, nourishing aspects of the Heart, leading to emotional instability.

These examples illustrate how TCM links physical symptoms with emotional states, viewing the body and mind as interconnected systems. It's important to note that TCM recognizes numerous other patterns that can contribute to anxiety, each requiring a tailored approach to treatment.

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

  • By Syndrome
  • By Organ
  • Heat
  • Blood Deficiency
  • Yin Deficiency
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Anxiety

Common Symptoms: Thirst Insomnia Restlessness Bitter Taste In The Mouth Flushed Face Palpitations Feeling Of Heat Dizziness

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Blood Anxiety, Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation... see more Qing Jing San | Long Dan Xie Gan Tang | Jia Wei Xiao Yao San | Liang Di Tang | Di Gu Pi Yin | Xi Jiao Di Huang Tang | Gu Jing Wan | Shi Hui San | Bai He Di Huang Tang | Hua Ban Tang | Qing Ying Tang | Qing Re Gu Jing Tang
Empty-Heat or Fire caused by Yin Deficiency Anxiety, Afternoon heat sensation, Dry mouth, Preference for sipping, Dry mouth and throat at night, Night sweats, Cardiac burning sensation, Hot palms and soles, Dry stools, Scanty and dark urine, Flushed cheekbones... see more Suan Zao Ren Tang | Tian Wang Bu Xin Dan | Qing Hao Bie Jia Tang | Huang Lian E Jiao Tang | Dang Gui Liu Huang Tang
Half Exterior Half Interior Anxiety, Chest distension, Bitter taste in the mouth, Dry cough, Restlessness, Vomit, Loss of appetite, Dizziness, Blurry vision... see more Xiao Chai Hu Tang
Heart Fire blazing Anxiety, Palpitations, Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Feeling of heat, Insomnia, Flushed face, Hematuria, Dark urine, Bitter taste in the mouth... see more Xie Xin Tang | Zi Xue Dan | Qing Xin Lian Zi Yin | Liang Ge San
Heat in Uterus Blood Anxiety, Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Dark urine, Constipation... see more Gu Jing Wan | Qing Re Gu Jing Tang | Huai Jiao Wan
Heat invading the Channels joints and muscles Anxiety, Arthralgia, Joints red and hot, Fever, Thirst, Wind phobia, Swollen joints, Joint stiffness... see more Xuan Bi Tang
Pericardium Fire Anxiety, Palpitations, Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers, Cardiac burning sensation, Rapid breath, Restlessness, Feeling of heat, Vivid dreaming, Excessive menstruation... see more Xie Xin Tang | Zi Xue Dan
Phlegm Fire harassing the Pericardium Anxiety, Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression, Stifling sensation in the chest, Chest pain, Rapid breath... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Zhi Bao Dan | Hui Chun Dan
Phlegm-Fire harassing the Heart Anxiety, Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Sheng Tie Luo Yin
Phlegm-Heat in the Lungs Anxiety, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Wen Dan Tang | Qing Qi Hua Tan Wan | Ma Xing Shi Gan Tang | Er Chen Tang | Qing Xin Li Ge Tang | Ren Shen Ge Jie San | Pi Pa Qing Fei Yin
Disharmony between Heart and Kidneys Anxiety, Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes... see more Tian Wang Bu Xin Dan | Liu Wei Di Huang Wan
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Anxiety, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang

TCM Herbal Formulas for Anxiety

TCM offers herbal formulas tailored to address specific patterns underlying anxiety. For Heat in the Blood, Qing Jing San may be recommended. This formula, which includes Goji Tree Root Bark (Di Gu Pi), aims to cool the Blood and calm the spirit. The cooling properties of Di Gu Pi help to counteract the excess Heat causing anxiety and related symptoms.

In cases of Heart Yin Deficiency, Gan Mai Da Zao Tang might be prescribed. This formula features Light Wheats (Fu Xiao Mai) as a key herb, known for its ability to nourish the Heart and calm the mind. Fu Xiao Mai's gentle nature makes it particularly suitable for addressing the emotional aspects of anxiety related to Heart Yin Deficiency.

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

  • By Cause
  • By Formula Type
  • Heat
  • Blood Deficiency
  • Yin Deficiency

All Formulas Recommended for Anxiety Caused by Heat

Formula Patterns Suitable For
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart, Phlegm-Heat in the Lungs, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Tian Wang Bu Xin Dan Empty-Heat or Fire caused by Yin Deficiency, Disharmony between Heart and Kidneys... see more
Gu Jing Wan Heat in the Blood, Heat in Uterus Blood
Qing Re Gu Jing Tang Heat in the Blood, Heat in Uterus Blood
Xie Xin Tang Heart Fire blazing, Pericardium Fire
Zi Xue Dan Heart Fire blazing, Pericardium Fire
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Suan Zao Ren Tang Empty-Heat or Fire caused by Yin Deficiency
Liu Wei Di Huang Wan Disharmony between Heart and Kidneys
Jia Wei Xiao Yao San Heat in the Blood
Qing Xin Lian Zi Yin Heart Fire blazing
Qing Jing San Heat in the Blood
Long Dan Xie Gan Tang Heat in the Blood
Liang Di Tang Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Xi Jiao Di Huang Tang Heat in the Blood
Shi Hui San Heat in the Blood
Bai He Di Huang Tang Heat in the Blood
Hua Ban Tang Heat in the Blood
Qing Ying Tang Heat in the Blood
Qing Hao Bie Jia Tang Empty-Heat or Fire caused by Yin Deficiency
Huang Lian E Jiao Tang Empty-Heat or Fire caused by Yin Deficiency
Dang Gui Liu Huang Tang Empty-Heat or Fire caused by Yin Deficiency
Xiao Chai Hu Tang Half Exterior Half Interior
Liang Ge San Heart Fire blazing
Huai Jiao Wan Heat in Uterus Blood
Xuan Bi Tang Heat invading the Channels joints and muscles
Zhi Bao Dan Phlegm Fire harassing the Pericardium
Hui Chun Dan Phlegm Fire harassing the Pericardium
Sheng Tie Luo Yin Phlegm-Fire harassing the Heart
Qing Qi Hua Tan Wan Phlegm-Heat in the Lungs
Ma Xing Shi Gan Tang Phlegm-Heat in the Lungs
Er Chen Tang Phlegm-Heat in the Lungs
Qing Xin Li Ge Tang Phlegm-Heat in the Lungs
Ren Shen Ge Jie San Phlegm-Heat in the Lungs
Pi Pa Qing Fei Yin Phlegm-Heat in the Lungs

Acupoints for Anxiety

Acupuncture plays a crucial role in TCM's approach to anxiety. Key points include Neiguan P-6 on the Pericardium Channel, known for its ability to calm the mind and invigorate Qi and Blood in the chest. This point is often used to address palpitations and emotional distress associated with anxiety. Another important point is Shenmen HE-7 on the Heart Channel, which nourishes Heart Blood and opens the mind's orifices, potentially alleviating anxiety and promoting emotional balance.

In the Spleen Channel, Sanyinjiao SP-6 is valued for its ability to calm the mind while also addressing various physical imbalances that may contribute to anxiety. This point's versatility in treating multiple systems makes it a popular choice in anxiety-related treatments. These acupoints, when stimulated by a skilled practitioner, work in harmony with herbal treatments to address the underlying imbalances contributing to anxiety, offering a comprehensive approach to managing this complex condition.

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

  • By Meridian
  • Pericardium Channel
  • Heart Channel
  • Spleen Channel
Quze P-3

Quze P-3

On the transverse cubital crease, at the ulnar side of the tendon of biceps brachii muscle.

Ximen P-4

Ximen P-4

5 cun above the transverse crease of the wrist, on the line connecting Quze P-3 and Daling P-7, between the tendons of palmaris longus and flexor carpi radialis muscles.

Jianshi P-5

Jianshi P-5

3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Neiguan P-6

Neiguan P-6

2 cun above Daling P-7 on the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Daling P-7

Daling P-7

In the depression in the middle of the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Laogong P-8

Laogong P-8

In the center of the palm, between the 2nd and the 3rd metacarpal bones, proximal to the metacarpophalangeal joint.

Zhongchong P-9

Zhongchong P-9

In the center of the tip of the middle finger.

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