Frequent+Joy+(Shan+Xi)

The Chinese concept of frequent joy refers to frequent, inappropriate or nervous laughter or laughing without reason. It is a type of excited, manic affective state or propensity.

Diagnosis: A. Moody, frequent emotional changes B. Improper emotional expression C. Long-term emotional stimulant and stressor D. Acute emotional outburst Should have any one of the above

Prognosis: In almost all cases of this disorder will get better after the factors or stressors have been relieved. Exempting the emotional change as a preliminary sign for some severe Shen disturbance disease, in general this disease can be treated and cured in a scheduled treatment plan including Shen treatment techniques.

Differential Diagnosis: Neurologic disorders, including multiple sclerosis (MS), encephalomyelitis, and others
 * Medical Disorders:**
 * Psychiatric Disorders:**
 * 1) Bipolar Disorder
 * 2) Schizophrenia and other psychotic disorders
 * 3) Certain personality disorders

TCM Etiology and Pathogenesis: Joy is the affect or emotion associated with the heart viscus and the fire phase. If any type of evil heat harasses the heart spirit, this may manifest as frequent joy. The main specific types of evil heat or fire causing this condition are heart fire effulgence, non-interaction between heart and kidneys, phlegm fire harassing the heart, and liver depression effulgent fire

TCM Pattern Differentiation: Heart Fire Effulgence 1,2 Frequent laughing without reason, wild or incoherent speech, feeling of happiness and excited, joyful to everything, over dressing and making, insomnia, frequent dreams w/ appy colorful scenes, vexation and agitation, thirst with a desire for chilled drinks, sore of the mouth and on the tip of the tongue, hot painful urgent and/or reddish urine, red facial complexion -HT-7, HT-8, PC-8, Sp-2, ST-44. Draining technique 1 -HT-7, HT-8, HT-9, PC-8, ST-25, ST-40, ST-44, SP-6, GB-8, GV-20 2 [Huang Lian (3-6g.), Huang Qin (10g.), Mu Tong (6-10g.), Sheng Di (12g.), Dan Zhu Ye (10g.), Zhi Zi (10g.), Deng Xin Cao (3g.), Gan Cao Shao (10g.), Lian Xin (2g.)]
 * Tongue:** Red tongue w/ red dots or ulceration
 * Pulse:** Rapid
 * Treatment Principles:** Clear the heart and drain fire
 * Acupuncture Treatment:**
 * Herbal Treatment:** Xie Xin Dao Chi San Jia Jian1

Non-interaction Between the Heart and Kidney Frequent laughing without reason in a chronic situation, low energy, monologue, happiness, emaciation, dreams at night, frequent sexual dreams, prone to startling, low back and knee soreness and limpness, insomnia, profuse dreams, vexatious 5-palm heat, afternoon tidal heat, night sweats, seminal emission, tinnitus, scanty yellow urine -BL-15, BL-17, KI-3, KI-7, Sp-6. Even technique 1 -HT-6, HT-7, KI-3, KI-6, PC-4, PC-6, CV-14, GB-13, Yintang 2 -[Shu Di Huang, Sheng Di Huang, Dan Shen, Zhi Zi, Huang Lian, E Jiao, Shi Chang Pu, He Huan Pi, Yi Jiao Teng ] 2 Insomnia w/ profuse dreams 1 : + Mu Li, Long Gu Severe vexation and agitation 1 : + Lian Xin, Bai ZI Ren, Suan Zao Ren Seminal emission 1 : + Huang Bai, Zhi Mu Night sweats 1 : + Gui Ban, Shan Zhu Yu
 * Tongue:** Red body, scanty coat
 * Pulse:** fine, rapid, floating, rapid or surging, rapid pulse
 * Treatment Principles:** Supplement the kidneys and enrich Yin, Clear the heart and downbear fire
 * Acupuncture Treatment:**
 * Herbal Treatment:**
 * -**Huang Lian E Jiao Tang Jia Wei1 [Huang Lian (6g.), Huang Qin (10g.), E Jiao (10g.), Bai Shao (10g.), Ji Zi Huang (1 piece), Shi Chang Pu (10g.), Yuan Zhi (6-10g.), Shu Di Huang (12-15g.)] 1
 * Modifications:**

Phlegm Fire Harassing Above 1 Frequent laughing without reason, drooling when laughing, profuse phlegm, vexation and agitation, bitter taste in mouth, heart palpitations, impaired memory, and susceptibility to fright during sleep [Ban Xia (10g.), Che Pi (10g.), Gan Cao (6g.), Zhi Shi (10g.), Zhu Ru (10g.), Fu Ling (12g.), Sheng jiang (3g), Huag Qin (10g.), Huang Lia (3-6g.), Shi Chang Pu (6g.)]
 * Tongue:** Slippery, yellow coat
 * Pulse:** Slippery, rapid
 * Treatment Principles:** Flush phlegm and downbear fire, clear the heart and quiet the spirit
 * Acupuncture Treatment:** ST-40, ST-44, GV-14, HT-7, GV-20. Draining technique
 * Herbal Treatment:** Huang Lian Wen Dan Tang Jia Jian1

Liver Depression-Effulgent Fire 1 Frequent laughing without reason, changeable moods, irritability, impatience, frequent nightmares, disturbed sleep, chest and rib-side fullness and distention, red eyes [Long Dan Cao (6-10g.), Zhi Zi (10g.), Chai Hu (6-10g.), Huang Qin (10g.), Huang Lian (3-6g.), Sheng Di (12g.), Dang Gui (10g.), Gan Cao (3g.)]
 * Tongue:** Red tongue
 * Pulse:** Bowstring, rapid
 * Treatment Principles:** Course the liver and rectify the Qi, clear heat and discharge fire
 * Acupuncture Treatment:** HT-7, PC-5, LR-2, GB-41, ST-44. Draining technique
 * Herbal Treatment:** Xie Gan An Shen Tang1

Heart Qi Deficiency and Blood Stagnation, Shen Disharmony 2 Laughing in chronic and frequent situation, monologue, spacing out, weakness, retardation, lassitude, low or no motivation, palpitations, easily startled, head and body aches, low or no concentration, shortness of breath
 * Tongue:** purplish tongue, thin coat, purplish dots
 * Pulse:** wiry, choppy
 * Acupuncture Treatment:** HT-5, HT-7, CV-14, CV-17, SP-4, SP-6, SP-10, GV-20, GV-24
 * Herbal Treatment:** [Ren Shen, Bai Zhu, Fu Shen, Dang Shen, Gan Cao, Shu Di Huang, Dang Gui, Bai Shao, Chuan Xiong, Bai Zi Ren, Zhi Gan Cao]