Abnormal Behavioraccording to TCM

What Is Abnormal Behavior?

Abnormal behavior encompasses a wide range of actions and responses that deviate from typical or socially accepted norms. This can manifest in irrational, erratic, or inexplicable actions that may seem strange or out of character. Abnormal behavior can also include episodes of inappropriate speech, restlessness, irritability, or an inability to control one’s actions. These behaviors often interfere with daily functioning and relationships, signaling an underlying issue that needs to be addressed. In both Western and Eastern medicine, abnormal behavior is recognized as a significant symptom that requires careful diagnosis and treatment.

How Does TCM View Abnormal Behavior?

In Traditional Chinese Medicine (TCM), abnormal behavior is seen as a sign of disharmony within the body, particularly in the Heart, Liver, and Spleen. Unlike Western medicine, which often focuses on psychological or neurological causes, TCM attributes abnormal behavior to imbalances in Qi, Blood, and Body Fluids, often influenced by external factors such as seasonal changes or internal factors like emotional stress. Identifying the correct pattern of disharmony is crucial in TCM, as this will guide the appropriate treatment approach to restore balance and alleviate symptoms.

Root Causes of Abnormal Behavior in TCM

In TCM, abnormal behavior can arise from various patterns of disharmony. One common cause is Phlegm Misting the Heart, a condition where Phlegm obstructs the Heart’s ability to function properly, leading to symptoms such as confusion, incoherent speech, and irrational actions.

Another cause of abnormal behavior in TCM is Heart Blood Deficiency combined with Liver Qi Stagnation. This pattern often manifests as melancholia, crying spells, and an inability to control one’s emotions or actions. While these are just two examples, TCM recognizes that abnormal behavior can be caused by various factors, making accurate diagnosis essential for effective treatment.

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

  • By Syndrome
  • By Organ
  • Heat
  • Yin Deficiency
  • Qi Stagnation
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 Abnormal Behavior

Common Symptoms: Restlessness Irritability Thirst Insomnia Flushed Face Bitter Taste In The Mouth Dizziness Constipation

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Blood Restlessness, Restlnessness, Irritability, 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 | Liang Di Tang | Di Gu Pi Yin | Jia Wei Xiao Yao San | Qing Ying Tang | Bai He Di Huang Tang | Xi Jiao Di Huang Tang | Gu Jing Wan | Shi Hui San | Hua Ban Tang | Qing Re Gu Jing Tang
Greater Yang Accumulation of Blood Restlessness, Lower abdominal distension, Lower abdominal fullness, Hematuria Tao He Cheng Qi Tang
Heat in Uterus Blood Restlessness, Excessive menstruation, Sudden period before schedule, Dark menstrual blood, Sticky menstrual blood, Thirst, Flushed face, Anger, Anxiety, Dark urine, Constipation... see more Huai Jiao Wan
Damp-Heat Restlessness, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Xiao Yao San | Er Miao San | Qing Re Tiao Xue Tang
Empty-Heat or Fire caused by Yin Deficiency Restlnessness, Fidgeting, 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
Full-Heat in the Small Intestine Restlnessness, Restlessness, Insomnia, Tongue ulcers, Mouth ulcers, Throat pain, Deafness, Cardiac burning sensation, Abdominal pain, Craving for cold beverages, Scanty and dark urine, Hematuria, Urinary burning... see more Dao Chi San
Half Exterior Half Interior Restlnessness, Chest distension, Bitter taste in the mouth, Dry cough, Anxiety, Restlessness, Vomit, Loss of appetite, Dizziness, Blurry vision... see more Xiao Chai Hu Tang
Heart Fire blazing Restlnessness, Palpitations, Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat, Insomnia, Flushed face, Hematuria, Dark urine, Bitter taste in the mouth... see more Qing Xin Lian Zi Yin | Xie Xin Tang | Zi Xue Dan | Liang Ge San
Heat in Nutritive Qi level Restlnessness, Nighttime fever, Dry mouth without desire to drink, Restlessness, Insomnia, Delirium, Incoherent or confused speech, Aphasia, Macules... see more Qing Ying Tang | Bai He Di Huang Tang
Heat victorious agitating Blood Restlnessness, Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds, Hematochezia, Hematuria... see more Xi Jiao Di Huang Tang
Kidney Yin Deficiency With Empty-Heat Blazing Restlnessness, Flushed cheekbones, Restlessness, Insomnia, Night sweats, Low grade fever in the afternoon, Heat sensation in palms, Afternoon heat sensation, Evening heat sensation, Scanty and dark urine, Hematuria, Dry throat, Preference for sipping, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emission, Hypersexuality, Dry stools... see more Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Pericardium Fire Restlnessness, Palpitations, Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers, Cardiac burning sensation, Rapid breath, Restlessness, Anxiety, Feeling of heat, Vivid dreaming, Excessive menstruation... see more Xie Xin Tang | Zi Xue Dan
Phlegm Fire harassing the Pericardium Restlnessness, Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, 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 Restlnessness, Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, 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 Restlnessness, Upper abdominal oppression, Mucous in feces, Depression Wen Dan Tang | Gun Tan Wan | Ding Chuan Tang | Qing Qi Hua Tan Wan
Stomach Heat or Fire Restlnessness, Irritability, Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth, Mouth ulcers, Acid reflux, Nausea, Vomiting after eating, Excessive hunger, Bad breath, Feeling of heat, Acne... see more Hua Ban Tang | Tiao Wei Cheng Qi Tang | Qing Wei San | Xie Huang San | Fei Er Wan
Bright Yang Fire in Stomach and Intestines Irritability, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Abdominal pain, Constipation, Dry stools, Thirst, Dark urine, Anal burning, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Bright Yang Stomach Heat Irritability, High fever, Excessive sweating, Excessive thirst, Flushed face, Feeling of heat, Delirium... see more Bai Hu Tang
Damp-Heat in the Gallbladder Irritability, Hypochondriac pain, Hypochondriac distention, Nausea or vomiting, Fat malabsorption, Dull yellow complexion, Scanty and dark urine, Fever, Dry mouth without desire to drink, Bitter taste in the mouth, Dizziness, Tinnitus, Feeling of heaviness, Limb numbness, Foot edema, Alternating diarrhea and constipation, Alternating sensation of hot and cold, Yellow sclera... see more Yin Chen Hao Tang
Lesser Yin Heat Transformation Irritability, Feeling of heat, Insomnia, Dry mouth and throat at night, Dark urine, Night sweats... see more Huang Lian E Jiao Tang
Liver Fire Blazing Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Cough of blood, Vomiting blood... see more Long Dan Xie Gan Tang | Dang Gui Long Hui Wan | Xie Qing Wan
Liver Wind agitating Internally due to Liver Fire Irritability, Tremors, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood... see more Zi Xue Dan | Ling Jiao Gou Teng Tang | Feng Yin Tang
Stagnant Liver Qi turning into Fire Irritability, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Long Dan Xie Gan Tang | Jia Wei Xiao Yao San | Dan Zhi Xiao Yao San | Xuan Yu Tong Jing Tang
Obstruction Of the Spleen By Dampness with Liver Qi Stagnation Irritability, Upper abdominal oppression, Nausea, Loss of appetite, Diarrhea, Feeling of heaviness, Dry mouth without desire to drink, Dull shallow face, Upper abdominal distension, Hypochondriac distention, Hypochondriac pain... see more Ping Wei San | Dang Gui Shao Yao San
Wind Cold with Internal Heat Irritability, High fever, Severe chills, Lack of sweating, Headaches, Feeling of heaviness, General sensation of tightness, Flushed face, Eye hyperemia, Dry nose, Thirst, Insomnia, Cough of blood, Mottled skin... see more Shi Gao Tang
Stomach Fire or Stomach Heat Restlessness, Irritability, Toothache, Headaches, Loose teeth, Bleeding gums, Thirst, Stomatitis, Periodontitis, Glossitis, Trigeminal neuralgia, Bad breath... see more Gua Lou San | Yu Nu Jian
Disharmony between Heart and Kidneys Restlessness, 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
Damp-Heat in the Liver Channel Restlessness, Irritability, Vulvar itching, Yellow vaginal discharge, Painful intercourse, Insomnia, Dark urine, Excessive vaginal discharge, Foul-Smelling vaginal discharge, Sticky vaginal discharge, Vaginal itching... see more Long Dan Xie Gan Tang
Heat invading the Pericardium Restlnessness, Irritability, Fever, Restlessness, Feeling of uneasiness, Incoherent or confused speech, Loss of consciousness, Viral encephalitis, Meningitis, Pertussis, Measles induced pneumonia, Mouth ulcers... see more Niu Huang Qing Xin Wan
Heat and Blood Stagnation in the Lower Burner Restlnessness, Irritability, Lower abdominal pain, Nighttime fever, Incoherent or confused speech, Restlessness, Thirst, Amenorrhea, Menstrual cramps, Uterine fibroids, Retained placenta, Prolonged lochia... see more Tao He Cheng Qi Tang
Exterior Cold invading with Interior Heat from Stagnation Irritability, Fever without perspiration, Body pain, Thirst, Upper respiratory tract infections, Influenza, Purulent keratitis, Viral conjunctivitis, Sinusitis, Bronchial asthma, Viral pneumonia... see more Da Qing Long Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Palpitations, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Liver Qi Stagnation that transforms into Heat Irritability, Intermittent upper abdominal pain, Hernia-Related pain, Dysmenorrhea exacerbated by hot food or drinks, Bitter taste in the mouth, Peptic ulcer, Chronic gastritis, Hepatitis, Cholecystitis... see more Jin Ling Zi San
Heat Excess in the Liver or Gallbladder Irritability, Short temper, Hypochondriac pain, Headaches, Dizziness, Red and irritated eyes, Hearing loss, Ear swelling, Bitter taste in the mouth, Painful urination, Swollen and itchy external genitalia, Foul-Smelling vaginal discharge... see more Long Dan Xie Gan Tang
Excess-Heat Irritability, Fever, Flushed face, Red skin eruptions, Mottled skin, Thirst, Arthritis, Constipation, Scanty and dark urine, Lupus... see more Xi Jiao Di Huang Tang
Empty-Heat caused by Yin Deficiency Irritability, Nighttime fever, Emaciation, Chronic pyelonephritis, Pulmonary tuberculosis, Renal tuberculosis, Tidal fever, Hot palms and soles, Red skin eruptions, Night sweats, Generalized fatigue... see more Qing Hao Bie Jia Tang

TCM Herbal Formulas for Abnormal Behavior

TCM offers several herbal formulas that are tailored to the specific patterns causing abnormal behavior. For instance, Wen Dan Tang is often used to address Phlegm Misting the Heart by drying Dampness and transforming Phlegm, thus clearing the Mind. In cases of Heart Blood Deficiency with Liver Qi Stagnation, Gan Mai Da Zao Tang is recommended to nourish the Heart and calm the mind. The selection of the appropriate formula depends on the individual's specific pattern of disharmony, emphasizing the personalized nature of TCM treatment.

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

  • By Cause
  • By Formula Type
  • Heat
  • Yin Deficiency
  • Qi Stagnation

All Formulas Recommended for Abnormal Behavior Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Heat in the Blood, Damp-Heat in the Liver Channel, Liver Fire Blazing, Heat Excess in the Liver or Gallbladder, Stagnant Liver Qi turning into Fire... see more
Jia Wei Xiao Yao San Heat in the Blood, Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat, Stagnant Liver Qi turning into Fire... see more
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart, Phlegm-Heat... see more
Xi Jiao Di Huang Tang Heat in the Blood, Heat victorious agitating Blood, Excess-Heat
Zi Xue Dan Heart Fire blazing, Pericardium Fire, Liver Wind agitating Internally due to Liver Fire... see more
Tian Wang Bu Xin Dan Disharmony between Heart and Kidneys, Empty-Heat or Fire caused by Yin Deficiency... see more
Liu Wei Di Huang Wan Disharmony between Heart and Kidneys, Kidney Yin Deficiency With Empty-Heat Blazing... see more
Qing Ying Tang Heat in the Blood, Heat in Nutritive Qi level
Bai He Di Huang Tang Heat in the Blood, Heat in Nutritive Qi level
Hua Ban Tang Heat in the Blood, Stomach Heat or Fire
Tao He Cheng Qi Tang Greater Yang Accumulation of Blood, Heat and Blood Stagnation in the Lower Burner... see more
Qing Hao Bie Jia Tang Empty-Heat or Fire caused by Yin Deficiency, Empty-Heat caused by Yin Deficiency
Huang Lian E Jiao Tang Empty-Heat or Fire caused by Yin Deficiency, Lesser Yin Heat Transformation
Xie Xin Tang Heart Fire blazing, Pericardium Fire
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Tiao Wei Cheng Qi Tang Stomach Heat or Fire, Bright Yang Fire in Stomach and Intestines
Xiao Yao San Damp-Heat
Ling Jiao Gou Teng Tang Liver Wind agitating Internally due to Liver Fire
Liang Di Tang Heat in the Blood
Gua Lou San Stomach Fire or Stomach Heat
Suan Zao Ren Tang Empty-Heat or Fire caused by Yin Deficiency
Xiao Chai Hu Tang Half Exterior Half Interior
Qing Xin Lian Zi Yin Heart Fire blazing
Zhi Bo Di Huang Wan Kidney Yin Deficiency With Empty-Heat Blazing
Gun Tan Wan Phlegm-Heat
Da Qing Long Tang Exterior Cold invading with Interior Heat from Stagnation
Jin Ling Zi San Liver Qi Stagnation that transforms into Heat
Dan Zhi Xiao Yao San Stagnant Liver Qi turning into Fire
Qing Jing San Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Gu Jing Wan Heat in the Blood
Shi Hui San Heat in the Blood
Qing Re Gu Jing Tang Heat in the Blood
Huai Jiao Wan Heat in Uterus Blood
Yu Nu Jian Stomach Fire or Stomach Heat
Er Miao San Damp-Heat
Qing Re Tiao Xue Tang Damp-Heat
Dang Gui Liu Huang Tang Empty-Heat or Fire caused by Yin Deficiency
Dao Chi San Full-Heat in the Small Intestine
Liang Ge San Heart Fire blazing
Niu Huang Qing Xin Wan Heat invading the Pericardium
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
Ding Chuan Tang Phlegm-Heat
Qing Qi Hua Tan Wan Phlegm-Heat
Qing Wei San Stomach Heat or Fire
Xie Huang San Stomach Heat or Fire
Fei Er Wan Stomach Heat or Fire
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Bai Hu Tang Bright Yang Stomach Heat
Yin Chen Hao Tang Damp-Heat in the Gallbladder
Dang Gui Long Hui Wan Liver Fire Blazing
Xie Qing Wan Liver Fire Blazing
Feng Yin Tang Liver Wind agitating Internally due to Liver Fire
Xuan Yu Tong Jing Tang Stagnant Liver Qi turning into Fire
Ping Wei San Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
Dang Gui Shao Yao San Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
Shi Gao Tang Wind Cold with Internal Heat

Acupoints for Abnormal Behavior

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

  • By Meridian
  • Heart Channel
  • Pericardium Channel
  • Bladder Channel
Jiquan HE-1

Jiquan HE-1

In the center of the axilla, on the medial side of the axillary artery.

Shaohai HE-3

Shaohai HE-3

When the elbow is flexed slightly, Shaohai HE-3 is at the medial end of the transverse cubital crease, in the depression radius to the medial epicondyle of the humerus.

Lingdao HE-4

Lingdao HE-4

On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun above the transverse crease of the wrist when the palm faces upward.

Tongli HE-5

Tongli HE-5

On the radial side of the tendon of flexor carpi ulnaris muscle, 1 cun above the transverse crease of the wrist when the palm faces upward.

Shenmen HE-7

Shenmen HE-7

On the transverse crease of the wrist, in the articular region between the pisiform bone and the ulna, in the depression on the radial side of the tendon of flexor carpi ulnaris muscle.

Shaofu HE-8

Shaofu HE-8

On the palmar surface, between the 4th and 5th metacarpal bones. When a fist is made, the point is where the tip of the little finger rests.

Shaochong HE-9

Shaochong HE-9

On the radial side of the little finger, about 0.1 cun posterior to the corner of the nail.

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