The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Possible causes and remedies:
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
Symptoms: Anxiety Palpitations Slight thirst and seven other symptoms
Recommended formula: Wen Dan Tang
Symptoms: Belching Vomiting Acid reflux and five other symptoms
Recommended formula: Yue Ju Wan
In Chinese Medicine, depression can be associated with five so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here depression can be caused by five different patterns.
To understand whether someone's depression might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from depression alone. For instance when depression is caused by the pattern Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, patients also experience symptoms such as nausea or vomiting, dizziness or vertigo, dream disturbed sleep with strange or unusual dreams and palpitations. Similarly, patients with Qi Stagnation in Gallbladder and Stomach with Phlegm Heat typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with yellow coating.
We've listed below a description of the five patterns associated with depression so that you can start to get an understanding of the various possibilities according to Chinese Medicine.
Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below seven formulas that can help treat the various patterns associated with depression, depending on which pattern fits your profile.
The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Yellow coating
Recommended herbal formula: Wen Dan Tang
Symptoms: Anxiety Palpitations Slight thirst Nausea or vomiting Dizziness or vertigo Bitter taste in the mouth Indeterminate gnawing hunger Focal distention of the chest Coughing of copious thick yellow sputum Dream disturbed sleep with strange or unusual dreams
Depression might be due to Qi Stagnation in Gallbladder and Stomach with Phlegm Heat if the condition is paired with typical pattern symptoms such as nausea or vomiting, dizziness or vertigo, dream disturbed sleep with strange or unusual dreams and palpitations. Similarly, patients with Qi Stagnation in Gallbladder and Stomach with Phlegm Heat typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with yellow coating.
Read more about Qi Stagnation in Gallbladder and Stomach with Phlegm Heat here
Atractylodes Rhizomes (Bai Zhu) is the key herb for Yue Ju Wan, a formula used for Qi Stagnation
Pulse type(s): Wiry (Xian)
Tongue coating: Thin white coating
Tongue color: Normal (light red)
Recommended herbal formula: Yue Ju Wan
Symptoms: Belching Vomiting Acid reflux Indigestion Poor appetite Fixed pain in the hypochondria Mild coughing with copious sputum Stifling sensation in the chest and abdomen
Depression might be due to Qi Stagnation if the condition is paired with typical pattern symptoms such as stifling sensation in the chest and abdomen, fixed pain in the hypochondria, belching and vomiting. Similarly, patients with Qi Stagnation typically exhibit wiry (Xian) pulses as well as a normal (light red) tongue with thin white coating.
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Pulse type(s): Fine (Xi)
Tongue coating: Thin white coating
Tongue color: Pale
Recommended herbal formula: Gui Pi Tang
Symptoms: Fatigue Anxiety Insomnia Menorrhagia Palpitations Forgetfulness Poor appetite Pale complexion Abnormal uterine bleeding
Depression might be due to Heart and Spleen Deficiency if the condition is paired with typical pattern symptoms such as forgetfulness, palpitations, insomnia and fatigue. Similarly, patients with Heart and Spleen Deficiency typically exhibit fine (Xi) pulses as well as a pale tongue with thin white coating.
The Pericardium is a so-called "Zang" Organ. Learn more about the Pericardium in Chinese Medicine
Pulse type(s): Knotted (Jie), Wiry (Xian)
Tongue color: Bluish-Purple
Recommended herbal formula: Xue Fu Zhu Yu Tang
Symptoms: Chest pain Purple lips Palpitations Purple nails Painful period Hypochondriac pain Shortness of breath Dark clots in menstrual blood Feeling of oppression of the chest
Depression might be due to Pericardium Blood Stagnation if the condition is paired with typical pattern symptoms such as chest pain, hypochondriac pain, palpitations and painful period. Similarly, patients with Pericardium Blood Stagnation typically exhibit knotted (Jie) or wiry (Xian) pulses as well as a bluish-purple tongue.
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Pulse type(s): Wiry (Xian)
Tongue color: Bluish-Purple
Recommended herbal formula: Xue Fu Zhu Yu Tang
Symptoms: Nausea Vomiting Epigastric pain Vomiting of blood
Depression might be due to Stomach Blood Stagnation if the condition is paired with typical pattern symptoms such as epigastric pain, nausea, vomiting and vomiting of blood. Similarly, patients with Stomach Blood Stagnation typically exhibit wiry (Xian) pulses as well as a bluish-purple tongue.
The top herbs in Xue Fu Zhu Yu Tang are Peach Kernels (Tao Ren), Safflowers (Hong Hua) and Szechuan Lovage Roots (Chuan Xiong)
Source date: 1830 AD
Number of ingredients: 11 herbs
Key actions: Invigorates the Blood. Dispels blood Stagnation. Spreads the Liver Qi. Unblocks the channels.
Because it is a formula often recommended to help with the patterns Pericardium Blood Stagnation and Stomach Blood Stagnation which are sometimes associated with depression. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Wen Dan Tang are Crow-Dipper Rhizomes (Ban Xia), Bamboo Shavings (Zhu Ru) and Immature Bitter Oranges (Zhi Shi)
Source date: 1174 AD
Number of ingredients: 8 herbs
Key actions: Clears Phlegm. Clears Gallbladder. Regulates Qi. Harmonizes the Stomach.
Because it is a formula often recommended to help treat Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, a pattern sometimes associated with depression. If it looks like you might suffer from Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Yue Ju Wan are Atractylodes Rhizomes (Bai Zhu), Szechuan Lovage Roots (Chuan Xiong) and Coco-Grass Rhizomes (Xiang Fu)
Source date: 1481 AD
Number of ingredients: 5 herbs
Key actions: Promotes the movement of Qi. Releases all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness).
Because it is a formula often recommended to help treat Qi Stagnation, a pattern sometimes associated with depression. If it looks like you might suffer from Qi Stagnation, this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Gui Pi Tang are Ginseng (Ren Shen), Milkvetch Roots (Huang Qi) and Atractylodes Rhizomes (Bai Zhu)
Source date: 1529 AD
Number of ingredients: 12 herbs
Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.
Because it is a formula often recommended to help treat Heart and Spleen Deficiency, a pattern sometimes associated with depression. If it looks like you might suffer from Heart and Spleen Deficiency, this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Huang Lian Wen Dan Tang are Crow-Dipper Rhizomes (Ban Xia), Bamboo Shavings (Zhu Ru) and Goldthread Rhizomes (Huang Lian)
Source date: 1852 AD
Number of ingredients: 7 herbs
Key actions: Clears Hot Phlegm. Clears Gallbladder Heat. Regulates Qi. Harmonizes the Stomach.
Because it is a formula often recommended to help treat , a pattern sometimes associated with depression. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Chai Hu Jia Long Gu Mu Li Tang are Bupleurum Roots (Chai Hu), Baikal Skullcap Roots (Huang Qin) and Cinnamon Twigs (Gui Zhi)
Source date: 220 AD
Number of ingredients: 12 herbs
Key actions: Unblocks the three Yang warps. Sedates and calms the Spirit.
Because it is a formula often recommended to help treat , a pattern sometimes associated with depression. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).
The top herbs in Suan Zao Ren Tang are Jujube Seeds (Suan Zao Ren), Szechuan Lovage Roots (Chuan Xiong) and Poria-Cocos Mushrooms (Fu Ling)
Source date: 220 AD
Number of ingredients: 5 herbs
Key actions: Nourishes the Blood. Calms the Mind and eliminates irritability . Clears Heat.
Because it is a formula often recommended to help treat , a pattern sometimes associated with depression. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).