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.
depression, melancholy redirect here
Depressing thoughts can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like depressing thoughts here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here depressing thoughts is often associated with dizziness, palpitations and insomnia in the pattern “Heart Yin Deficiency”. As you will see below, we have in record five patterns that can cause depressing thoughts.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of depressing thoughts we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat depressing thoughts.
The five "patterns of disharmony" that can cause depressing thoughts
In Chinese Medicine depressing thoughts is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine
Heart Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Fine (Xi), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
This pattern developed from Heart Blood Deficiency. It shares similar symptoms as the latter one, such as insomnia, dream-disturbed sleep, easily to be scared, poor memory and anxiety, but it also has additional empty Heat symptoms. It can be caused by Kidney Yin Deficiency or other factors such as bad diet, overwork or long term exposure to stress or hot environment.
In addition to depressing thoughts, other symptoms associated with Heart Yin Deficiency include dizziness, palpitations and insomnia.
From a Western Medicine standpoint Heart Yin Deficiency is associated with health issues such as Absence Of Menstruation or Postpartum Depression.
Heart Yin Deficiency is often treated with Tian Wang Bu Xin Dan, a herbal formula made of 14 herbs (including Unprepared Rehmannia - Di Huang - as a key herb). Tian Wang Bu Xin Dan belongs to the category of "formulas that nourish the heart and calm the mind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic: Nourishes Yin, Blood and Vital Essence of the Heart and Kidney".
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Lung and Heart Qi Deficiency
Pulse type(s): Empty (Xu)
In addition to depressing thoughts, other symptoms associated with Lung and Heart Qi Deficiency include palpitations, tiredness and frequent sighing.
Lung and Heart Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".
The Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine
Heart Vessel obstructed
Pulse type(s): Choppy (Se), Knotted (Jie), Slippery (Hua), Wiry (Xian)
In addition to depressing thoughts, other symptoms associated with Heart Vessel obstructed include palpitations, frequent sighing and feeling of oppression of the chest.
Heart Vessel obstructed is often treated with Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Invigorates the Blood".
Coco-Grass Rhizomes (Xiang Fu) is the king ingredient for Cang Fu Dao Tan Wan, a formula used for Phlegm in the Uterus
Phlegm in the Uterus
Pulse type(s): Slippery (Hua)
Tongue color: Normal (light red)
In addition to depressing thoughts, other symptoms associated with Phlegm in the Uterus include fatigue, chest fullness and nausea.
From a Western Medicine standpoint Phlegm in the Uterus is associated with health issues such as Absence Of Menstruation.
Phlegm in the Uterus is often treated with Cang Fu Dao Tan Wan, a herbal formula made of 8 herbs (including Coco-Grass Rhizomes - Xiang Fu - as a key herb). Cang Fu Dao Tan Wan belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Resolves Dampness and Phlegm".
Dong Quai (Dang Gui) is the king ingredient for Sheng Yu Tang, a formula used for Blood and Qi Deficiency
Blood and Qi Deficiency
Pulse type(s): Weak (Ruo), Fine (Xi)
Tongue coating: Partial absence of coating
Tongue color: Pale
In addition to depressing thoughts, other symptoms associated with Blood and Qi Deficiency include dizziness, scanty periods and poor appetite.
From a Western Medicine standpoint Blood and Qi Deficiency is associated with health issues such as Low Breast Milk Supply, Menstrual Cramps or Absence Of Menstruation.
Blood and Qi Deficiency is often treated with Sheng Yu Tang, a herbal formula made of 6 herbs (including Dong Quai - Dang Gui - as a key herb). Sheng Yu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi and Blood".
Five herbal formulas that might help with depressing thoughts
Tian Wang Bu Xin Dan
Source date: 16th century
Number of ingredients: 14 herbs
Key actions: Nutritive tonic: Nourishes Yin, Blood and Vital Essence of the Heart and Kidney. Clears away pathogenic Heat, clears Deficient Heat. Sedative.
Why might Tian Wang Bu Xin Dan help with depressing thoughts?
Because it is a formula often recommended to treat the pattern 'Heart Yin Deficiency' of which depressing thoughts is a symptom.
According to Chinese Medicine, Heart Yin Deficiency can contribute to many health issues, including Absence Of Menstruation.
Bao Yuan Tang
Why might Bao Yuan Tang help with depressing thoughts?
Because it is a formula often recommended to treat the pattern 'Lung and Heart Qi Deficiency' of which depressing thoughts is a symptom.
Other symptoms characteristic of Lung And Heart Qi Deficiency include palpitations, tiredness and frequent sighing.
Bu Zhong Yi Qi Tang
Source date: 1247
Number of ingredients: 10 herbs
Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.
Why might Bu Zhong Yi Qi Tang help with depressing thoughts?
Because it is a formula often recommended to treat the pattern 'Phlegm in the Uterus' of which depressing thoughts is a symptom.
According to Chinese Medicine, Phlegm in the Uterus can contribute to many health issues, including Absence Of Menstruation.
Dang Gui Si Ni Tang
Source date: 220 AD
Number of ingredients: 7 herbs
Key actions: Warms the Channels. Disperses Cold. Nourishes the Blood. Unblocks the Blood vessels.
Why might Dang Gui Si Ni Tang help with depressing thoughts?
Because it is a formula often recommended to treat the pattern 'Heart Vessel obstructed' of which depressing thoughts is a symptom.
Other symptoms characteristic of Heart Vessel Obstructed include palpitations, frequent sighing and feeling of oppression of the chest.
Sheng Yu Tang
Source date: 1336 AD
Number of ingredients: 6 herbs
Key actions: Tonifies Qi and Blood. Preserves the Blood.
Why might Sheng Yu Tang help with depressing thoughts?
Because it is a formula often recommended to treat the pattern 'Blood and Qi Deficiency' of which depressing thoughts is a symptom.
According to Chinese Medicine, Blood and Qi Deficiency can contribute to many health issues, including Absence Of Menstruation.
The five Chinese Medicinal herbs most likely to help treat depressing thoughts
Why might Biota Seed (Bai Zi Ren) help with depressing thoughts?
Because it is both specifically indicated to treat depressing thoughts and also because it is an ingredient in herbal formulas known to treat depressing thoughts as a symptom (such as Tian Wang Bu Xin Dan for instance).
Biota Seeds is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney and the Large intestine.
Its main actions are: Nourishes the Heart and calms the Spirit. Moistens the Intestines and relieves constipation.
Why might Liquorice (Gan Cao) help with depressing thoughts?
Because Liquorice is an ingredient in several formulas indicated to treat depressing thoughts as a symptom, like Bao Yuan Tang or Bu Zhong Yi Qi Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Dong Quai (Dang Gui) help with depressing thoughts?
Because Dong Quai is an ingredient in several formulas indicated to treat depressing thoughts as a symptom, like Dang Gui Si Ni Tang or Sheng Yu Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Poria-Cocos Mushroom (Fu Ling) help with depressing thoughts?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat depressing thoughts as a symptom, like Ban Xia Hou Pu Tang or Si Jun Zi Tang for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Spleen, the Heart, the Kidney and the Lung.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Prepared Rehmannia (Shu Di Huang) help with depressing thoughts?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat depressing thoughts as a symptom, like Si Wu Tang or Bu Gan Tang for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Conditions associated with depressing thoughts
Absence of menstruation Prolonged periods Low breast milk supply Mastitis Breast engorgement Irregular menstruation Abnormal vaginal discharge Scanty menstruation Menopausal syndrome Late menstruation
Other symptoms often associated with depressing thoughts
Dizziness Scanty periods Poor appetite Irritability Palpitations Insomnia Fatigue Night sweats Blurred vision Tinnitus