Mania-Depression Syndrome Flashcards
Describe Mania-Depression in TCM
General term for psychosis, mental disorder
What 2 Western Medicine disorders are somewhat correlated?
Schizophrenia
Reactive Psychosis
What does ‘Dian’ mean?
Depressive syndrome- Yin patterns
silence, apathy, incoherent speech, struggle inside
Where are the etiological factors located?
Brain + Heart/Shen
Which Zang-fu are closely related to Main-Depression Syndrome?
LR, SP + KI
What is the basic pathogenesis?
Yin-yang imbalance and disturbance of the Heart-Mind-Shen.
What does ‘Kuang’ mean?
Mania syndrome- Yang patterns
madness, restlessness, abusing others, damaging objects
Chief symptoms of Depressive Syndrome
Mental depression, apathy, reticence, dementia, incoherent speech, and quietness
What is the relationship between mania and depression in TCM theory?
Mania and depression are similar in pathogenesis and may transform into each other.
This transformation can lead to psychosis.
What are the etiological factors?
Reverse flow of Qi
Phlegm
Fire
Blood Stasis
In which age group is mania and depression more often seen?
They are more often seen in young and middle-aged persons. Can have a family history
This is related to personality.
Pathogenesis of the 7 emotions in Excessive Mania?
Liver Qi Stagnation leading to either-
Hyperactivity of Yang
Heart-Fire
Both disturbing the Heart/Shen
What is the pathogenesis of Yin-Yang imbalance in Mania-Depression Syndrome?
Yin Xu
Hyperactivity of Yang distrubing the Heart/Shen
Pathogenesis of the 7 Emotions on Deficient Depression?
Excess thinking of SP Xu damaging HT + Blood leading to malnourishment of the Heart/Shen
What is the pathogenesis of Phlegm-Qi binding distrubing the Heart/Shen?
Overeating greasy foods produces phlegm + LR QI Stagnation causing upward disturbance of Phlegm + Qi
The following S/sx are manifestations of Depression due to __________?
Chief S/sx plus susceptibility to rage + weeping, frequent sighing, sensation of fullness in chest + hypochondria regin
T: Pale w/ thin, white coating
P: Wiry
LR Qi Stagnation
The following S/sx are manifestations of Depression due to __________?
Chief S/sx plus sudden mood changes, lack of hygiene, disordered eating,
T: Red w/ greasy coating
P: Wiry + Slippery
Phelgm + Qi Binding Disturbing HT/Shen
The following S/sx are manifestations of Depression due to __________?
Chief S/sx plus absent-mindedness, palpitations, susceptabilty to fright, lassitue, poor appeteite
T: Pale w/ teeth marks
P: Deep + Thready
HT+ SP Xu
What are the chief symptoms of Manic Syndrome?
Noisy, restlessness, outburst in public, nudity, hurting other and themselves
The following S/sx are manifestations of Mania due to ________?
Chief S/sx plus angry, red face, red eyes, madness, ignorane, abnormally energentic, forceful physical strength, loss of appeteite, insomnia
T: Red (or dark red) w/ greasy or dry coating
P: Rapid + Wiry + Slippery
Phlegm-Fire
The following S/sx are manifestations of Mania due to ________?
Chief S/sx plus prolonged manic condition, very talkative, suscepability to fright, restlessness, emaciation, red or turbid complexion
T: Red w/ scanty coating
P: Rapid + Thready
Yin Xu due to Excessive Fire
The following S/sx are manifestations of Mania due to ________?
Chief S/sx plus restlessness, irritability, very talkative, hallucinations, dark red or turbid complexion, headache, palpitations
T: Dark purple w/ ecchymosis
P: Choppy + Wiry or Thready
Qi Stagnation + Blood Stasis
Main treatment points for Depressive Syndrome
PC-6: Luo-connecting + Regulates Shen
DU-26: Awaken Shen + Activates Brain
ST-40: Resolves phlegm
DU-14: Awaken Shen + Activates Brain
LR-3: Yuan + Spreads LR Qi
SI-3: Confluent pt of DU + calm Shen
Supplementary points for Depression Syndrome due to Liver Qi Stagnation
REN-17: Hui-meeting of Qi + Regulates Qi + unbinds chest
LR-2: Helps LR-3 in this case
Supplementary points for Depression Syndrome due to Binding of Qi and Phlegm
REN-12: Release phlegm blocking middle jiao
SJ-6: Jing-River + Regulates Qi + clears heat from 3 Jiao + benefits chest + hypochondria region
Supplementary points for Depression Syndrome due to HT + SP Xu
BL-15: Back-shu of HT
BL-20: Back-shu of SP
Accompany S/sx and points for Depression Syndrome
Hypocondria region pain or distension-
LR-14: Front-mu of LR
Sudden mood changes-
PC-5: Dissolve phlegm + Regulate Shen
DU-20: Awakens Shen
Poor appetite-
ST-36: Regulates SP + ST
SP-4: Harmonizes SP + ST
Main treatment points for Manic Syndrome
REN-15: ‘Sea of Yin’ Channel + Induce Yang from Yin
REN-13: Induce Yang from Yin
PC-6: Nourish HT + Opens chest + Calms Shen
PC-7: Clears HT Fire
HT-7: Yuan + Tonifys HT + Calms Shen
PC-9: Jing-well + Awaken Shen + Clear heat
Spirit disturbance of phlegm-fire
ST-44: Clears ST Fire
LI-11: Clears whole body’s Heat
Yin Xu due to Excessive Fire
LR-2: Ying-spring + Clears LR Fire
KI-3: Yuan + Tonifys KI
SP-6: Harmonizes LR + KI
Qi Stagnation + Blood Stasis
SP-10: Regulatees Blood + Dispels Stasis
BL-17: Hui-meeting of Blood + Nourishes Blood
