Psychosis according to Chinese Medicine

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In Chinese Medicine, psychosis 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 psychosis can be caused by five different patterns.

To understand whether someone's psychosis 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 psychosis alone. For instance when psychosis 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 psychosis 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 five formulas that can help treat the various patterns associated with psychosis, depending on which pattern fits your profile.

The five "patterns of disharmony" associated with psychosis

The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine

Qi Stagnation in Gallbladder and Stomach with Phlegm Heat

Psychosis 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

The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine

Phlegm Heat in the Lungs

Pulse type(s): Rapid (Shu), Slippery (Hua)

Tongue coating: Sticky coating, Yellow coating

Tongue shape: Swollen

Recommended herbal formula: Xiao Xian Xiong Tang

Symptoms: Clump Phlegm Chest pain Constipation Epigastric pain Clumping in the chest Bitter taste in the mouth Epigastric focal distention Focal distention of the chest Coughing of copious thick yellow sputum

Psychosis might be due to Phlegm Heat in the Lungs if the condition is paired with typical pattern symptoms such as constipation, bitter taste in the mouth, coughing of copious thick yellow sputum and chest pain. Similarly, patients with Phlegm Heat in the Lungs typically exhibit rapid (Shu) or slippery (Hua) pulses as well as a tongue with sticky coating, yellow coating.

Read more about Phlegm Heat in the Lungs here

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Ban Xia Hou Pu Tang, a formula used for Qi-Phlegm

Qi-Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Thick white coating

Recommended herbal formula: Ban Xia Hou Pu Tang

Symptoms: Difficulty swallowing Stuffiness of chest and diaphragm Feeling of a lump in the throat which comes and goes

Psychosis might be due to Qi-Phlegm if the condition is paired with typical pattern symptoms such as difficulty swallowing, feeling of a lump in the throat which comes and goes and stuffiness of chest and diaphragm. Similarly, patients with Qi-Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with thick white coating.

Read more about Qi-Phlegm here

The Pericardium is a so-called "Zang" Organ. Learn more about the Pericardium in Chinese Medicine

Pericardium Blood Stagnation

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

Psychosis 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.

Read more about Pericardium Blood Stagnation here

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Stomach Blood Stagnation

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

Psychosis 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.

Read more about Stomach Blood Stagnation here

The five herbal formulas that might help with psychosis

Xue Fu Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 11 herbs

Key actions: Invigorates the Blood. Dispels blood Stagnation. Spreads the Liver Qi. Unblocks the channels.

Why might Xue Fu Zhu Yu Tang help with psychosis?

Because it is a formula often recommended to help with the patterns Pericardium Blood Stagnation and Stomach Blood Stagnation which are sometimes associated with psychosis. 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).

Read more about Xue Fu Zhu Yu Tang here

Wen Dan Tang

Source date: 1174 AD

Number of ingredients: 8 herbs

Key actions: Clears Hot-Phlegm. Clears Gallbladder heat. Regulates Qi. Harmonizes the Stomach.

Why might Wen Dan Tang help with psychosis?

Because it is a formula often recommended to help treat Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, a pattern sometimes associated with psychosis. 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).

Read more about Wen Dan Tang here

Xiao Xian Xiong Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Clears Heat. Transforms Phlegm. Expands the chest. Dissipates clumps.

Why might Xiao Xian Xiong Tang help with psychosis?

Because it is a formula often recommended to help treat Phlegm Heat in the Lungs, a pattern sometimes associated with psychosis. If it looks like you might suffer from Phlegm Heat in the Lungs, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xiao Xian Xiong Tang here

Ban Xia Hou Pu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Regulates the flow of Qi, treats esophageal spasm. Clears Phlegm.

Why might Ban Xia Hou Pu Tang help with psychosis?

Because it is a formula often recommended to help treat Qi-Phlegm, a pattern sometimes associated with psychosis. If it looks like you might suffer from Qi-Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ban Xia Hou Pu Tang here

Dang Gui Long Hui Wan

Source date: 1172 AD

Number of ingredients: 11 herbs

Key actions: Drains Liver and Gallbladder Fire Excess.

Why might Dang Gui Long Hui Wan help with psychosis?

Because it is a formula often recommended to help treat , a pattern sometimes associated with psychosis. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Dang Gui Long Hui Wan here