Manic- depressive Depressive disorder

Question 1

describe manic-depressive depressive

Answer 1

Depressive disorder is manifested as reticence, dementia, incoherent speech, quietness, cry or laughing, while mania as shouting and restlessness, beating and scolding and violent behavior.

Question 2

list the 4 “Causes” principles for Manic-depressive disorder

Answer 2

1. stagnation of phlegm and qi
2. Deficiency of heart and spleen
3. Flaring up fo phlegm and fire
4. Excessive fire injures Yin

Question 3

treatment for Stagnation fo phlegm and qi

Answer 3

HT7, PC7, Yintang, CV17, ST40, SP6

Treatment principle: Regulate qi and resolve phlegm, tranquilize the mind

Manifestations: Depression, dementia, incoherent speech; muttering to oneself, excessive doubts, delusions, no desire for food

T: greasy coating
P: wiry and slippery

Question 4

Treatment for deficiency of heart and spleen

Answer 4

HT7, PC7, ST36, SP6, BL15, BL18, BL20

Treatment principle: tonify heart and spleen, replenish qi and tranquilize the mind

Manifestations: Trance, mental confusion, dull, severe palpitation, lusterless complexion, poor appetite

T: pale body with white coating
P: thready and wiry

Question 5

Treatment for flaring up of phlegm

Answer 5

PC8, GV26, CV14, ST40

Treatment principle: Purge fire and remove phlegm, tranquilize the mind.

Manifestations: Angry, shouting and scolding, destroying and beating with unusual strength, violent behaviors; irritability, headache, insomnia, flushed face, red eyes, constipation

T: red body with yellow and greasy coat
P: wiry, large, slippery and rapid

Question 6

treatment of Excessive fire injures Yin

Answer 6

GV26, CV14, HT7, PC7 KI4, SP6

Treatment principle: Nourish yin and descend fire, clear

Manifestations: Prolonged manic-disorder becoming alleviated, excessive talking, fright, restlessness,

T: red body with less coating
P: thready and rapid