Mental+Emotional+Aspects+of+Chinese+Medicine

(SOURCE: Shen: Psycho-emotional...)
 * Serious Shen Disorders and the choice of points**

**Shen**
Activityof the consciousness, the thought and the speech

CONSCIOUSNESS
Disorders of consciousness generally result from an emptiness of heart Qi or, sometimes, of Yin

-BL-3, PC-7, GB-34 (if the body is strong, revealed by looks, pulse and brevity of course) -GB-13, HT-7, SP-6 (if the body is weak)
 * Confusion of Consciousness**: ex: patient who confuses dreams and reality, who thinks he knows something but at the same time feels like he doesn’t know it, who believes he is living in a dream. He likes to drink and smoke. Treatment involves giving up or reducing smoking and drinking

-GV-23->GV-24, HT-5, KI-1 (strong stimulation)
 * Stuporous Condition**, with Response only to strong stimuli: ex: woman following an argument with the husband would always sleep when he was at home. She wouldn’t even drink or go to the bathromm, whereas she would have normally when he was not there.

-GV-20, PC-9, KI-1 (in general) -GV-24, GV-25, PC-6, ST-36. Moxa (if patient is weak)
 * Lack of Response to Stimuli with Delirium and Confusion**: The heart Qi is dirty

-BL-5, BL-4, PC-7, BL-67
 * Disorders of the Consciousness and of the Self**: also refers to cases of double or multiple personality.

-GB-13->ST-8, HT-7, KI-4 (ten days w/ 2 our sessions per day, without stimulation)
 * Persecution Delirium:** ex: a young man never went out of home and refused to see friends because he thought that everyone knew his thoughts and intentions. The reason for this was tha he had stolen something and no one knew it.

-GV-20, KI-2, PC-7, PC-9 (with bleeding)
 * Possession Delirium:** Emptiness of heart, gallbladder and spleen. This is more common among the elderly.

THOUGHT
Disorders of the thought belong to the heart, sometimes involving large intestine, bladder and fire of the stomach

-GB-9, GB-8, Yintang (with bleeding), LI-4, LR-3
 * Manic Thought:** Ideas follow one another and continuously change. The speaking never stops, ‘mouth and mind vie’

-GV-22->GV-23, GV-25 (upward), KI-1, Shi xuan + //Jia Wei Xiao Yao Wan//
 * Slow Spirit:** ex: a woman was exhausted after having tended to her dying husband and after his death, she didn’t want to talk or participate in any activity.

-Si Shen Cong (with moxa), HT-7, LI-4, KI-4 (30 sessions) + //Bai Zi Yang Xin Wan// (also suggested for elderly people and children with mental retardation)
 * Poverty of Thought:** The mind feels empty, there are few reactions to external stimuli, it can be a depressive psychosis

-GV-20->GB-18, PC-7, KI-4 + //Yang Xin Tang// + //Tian Wang Bu Xin Dan//
 * Incoherent Thought:** Emptiness of heart Qi. ex: a university stuent keeps talking inconsistently, without any clear logic

-Si Shen Cong, GB-10->GB-11, HT-7, SP-6 (with moxa)
 * Convoluted Thought:** ex: patient talks in a confused manner, interrupting and repeating himself.

-GV-18->GB-19, SI-7, LR-5 (difficult to treat, may be better to leave needles in 3-7 days in conjunction with ‘mental therapies’)
 * Obsessive Thought:** This can also be an obsessive compulsive disorder, with reiterated actions such as continuously washing the hands or repeatedly checking whether the door is locked.

Emptiness of Heart Qi and Gallbladder
-GB-18->GB-17, SI-3, KI-3 + Gui Pi Tang
 * Incorrect Thougts**: ex: a 12-year-old girl, quite bright and good at school, was convinced that her mother wanted to kill her.

-GV-20->GB-18, HT-7, KI-4
 * Delirious Thought:** Ideas that do not correspond to reality: patients believe in things that do not exist.

-+ BL-4
 * Delusion of Persecution**: ex: 25 y/o gir thought her mother wanted to kill her because she would tell her to dress more.

-+GB-9
 * Delusion of Grandeur:** ex: a man used to say that he was rich and graduated, really he was quite poor and little educated.

-+GB-15
 * Delusion of Guilt:** ex: man thinks it is his fault if it rains or if a friend is ill, therefore he believes it would be better if he died.

-+BL-8
 * Delusion of Reference:** ex: patients who think that everyone is talking about them, that the radio reveals their secrets or that fish swim away from them in disgust. These are difficult cases to treat.

-+GB-18
 * Delusion of Jealousy**: ex: 60-year-old man is convinced that his wife has many lovers and follows her everywhere.

-+SP-6
 * Eroto-manic Delusion:** ex: 24-year-old boy is very unattractive, has no education and does not have a job. Yet he is convinced that many women love him. One day he approaches a woman who had smiled to him, she hits him and he thinks it is a sign of her love.

-+SI-7
 * Hypochondriac Delusion:** ex: 50-year-old peasant is convinced that he has brain cancer and fatal lung and stomach diseases. He requests examinations in all the hospitals in Nanjing and spends all his money on medicines.

-+GB-17
 * Delusion of Denial:** ex: 36-year-old woman engineer had the feeling of bcoming empty. She felt that her existence had no meaning, tat her husband was not her husband anymore and her children were no longer her children; she had tried to commit suicide more than once.

-+GB-6
 * Delusion of Interpretation:** ex: patient is convinced that men do not have two heads or two mouths because otherwise they would be constantly arguing.

-+GB-11
 * Genealogical Delusion:** ex: a student is convinced that his father is a strnger

SPEECH
The heart governs the speech, the vibration of the sound belongs to the lung, the root is the kidney

-BL-7->GB-18, HT-5, KI-2
 * Mutism - Stagnation of Heart and Liver Qi:** ex: a child has stopped talking because he is continuously ill treated by his quarrelsome and violent parents.

-GV-18->GB-19, LI-11, ST-36 (10 daily sessions, 10 sessions in alternate days and 10 sessions every 2 weeks)
 * Echolalia, Echopraxia:** ex: 21-year-old boy would imitate gestures of every stranger and follow him even to the bathroom.

-GV-20, CV-23, HT-5, KI-3
 * Speech Difficulties, Stuttering:** ex: patient who had undergone a great shock

**Po**
Aspects of appearance, movement and behavior

APPEARANCE
This includes gesticulation, gestures, movments, grooming, styles and behaviors that should suit the customs of a particular society. If, after having treated the illness, there are still problems with appearance the patient can die.

MOVEMENT
-Si Shen Cong, Yintang (with bleeding), LI-4, LR-3 + //Dang Gui Long Hui Wan//
 * Excited Locomotion:** Hyperactivity in movement and speech, but the speech remains clear.

Ex: 18-year-old boy suddenly stopped talking and reacting; would always sit w/out eating and using bathroom [catatonia] -GV-23->GV-24, GV-14, LI-11, ST-36 + //Si Mo Yin// Ex: a girl was always weak and very drowsy. -GV-14, GV-12, GV-11, BL-20. Moxa
 * Stuporous Condition:** Emptiness of the lung and spleen Qi and cold.

-BL-5, GV-12, GV-26, SI-3, ST-44
 * Negativism:** Disharmony of heart and kidney. This is frequent in young people who do the opposite of what they are asked to do. It stems from depression.

-BL-8, GB-19, PC-7, KI-1
 * Stereotypy and Repetition:** ex: a clever and well-begaved boy who starts getting bad results at school, especially in mathematics. He begins to repeat the sentence ‘mathematics is difficult’, without stopping, even in his sleep.

BEHAVIOR
-BL-5, BL-4, PC-5, GB-34
 * Eccentricity:** Loss of heart Qi. ex: a patient behaved in a strange way, he would take three steps forward and then two backwards, without considering obstacles

-GV-20, Yintang (with bleeding), LI-4, LR-3 + //San Huang Shi Gao Tang//
 * Violent Behavior toward People and Objects: There** could be delusions and hallucinations, with liver fire. Ex: a man thought all yellow objects wanted to harm him, so he would destroy them all.

-GB-16->GB-15, LI-4, LR-3 + modified //Xiao Yao San// w/ Dang Shen, Yu Jin, Long Gu
 * Self-Punishment:** Disharmony of heart and kidney.

-BL-7->GB-18, HT-7, LR-5 + //Chai Hu Shu Gan Tang//
 * Wandering:** Disharmony of kidney and liver. Ex: a man leaves home without realizing why or knowing where to go

**Hun**
Refers to sensation, as both perception and emotion

SENSE PERCEPTION
-ST-8->GB-13, HT-5, GB-37
 * Illusions or Distorted Perceptions:** These can be experienced by normal people, especially if they are tired or frightened

HALLUCINATIONS
-GV-20->GB-18, HT-4, LR-8, LR-5
 * Auditory Hallucinations:** TW-19, TW-17
 * Visual Hallucinations:** SI-6, GB-37
 * Olfactory Hallucinations:** LI-20, ST-44
 * Gustatory Hallucinations:** Hai Quan, CV-7
 * Tactile Hallucinations:** PC-6, ST-40

DISTORTED PERCEPTIONS

 * Distorted Perception of Space and Dimensions:** BL-6, SI-6, GB-37
 * Distorted Perception of Time**: BL-7, HT-5, LR-2
 * Distorted Perception of Body Structure:** GB-5, SI-7
 * Distorted Perception of Movement**: GB-6, LI-4, LR-3

AFFECTIVITY
-BL-5, BL-3, HT-4, LR-8 + //Gui Pi Tang//
 * Indifference:** Emptiness of heart and spleen. ex: a patient without any type of reaction and emotion.

-GB-16, GB-15, GV-25, LI-11, ST-36 + //Shen Yang Yi Wei Tang//
 * Pessimism:** Emptiness of lung and spleen.

-GB-9->GB-8, LI-4, LR-3 + //Long Dan Xie Gan Tang// or //Ban Xia Xie Xin Tang//
 * Exaltation:** Heat of heart and liver. ex: patient who is extremely tense in speech and behavior.

-BL-5, BL-4, SI-7 or HT-5, LR-5, SP-6 + //Qing Gu San//
 * Opposite Reactions:** ex: patient who would laugh at funerals

-BL-7->GB-18, HT-4, SP-6 + //Ba Zhen Yi Mu Wan//
 * Discrepancy Between Feelings and their Expression**: ex: patient who would display enjoyment even when he was sad, lie an actress.

-GV-25, GB-17, LI-4, LR-3, BL-58 + //Fu Ling Bu Xin Tang//
 * Emotional Instability:** Disharmony of heart and liver. ex: patient with strong mood fluctuations, from happy to depressed and vice versa.

-nourish heart: //Yang Xin Tang// -eliminate heart fire: //Qing Xin Liang Ge San//
 * Anxiousness:** can be caused by emptiness of heart blood or disharmony of the heart and kidney or by heart fire. ex: patient who would stand still, sweated, had to move his feet continuously and was always doing something.

-GB-9->GB-8, LR-5, GV-26, LR-3 + //Huang Lian Jie Du Tang//
 * Aggression:** disharmony of heart and liver, with stomach and intestinal heat.

-GV-20, BL-7, PC-7, KI-1 + //Xie Xi Tang//
 * Euphoria:** Fullness of heart and emptiness of kidney. ex: patient appeared to be always happy, almost naïve and stupid. He was also always frightened and with a lasting hunger that was not caused by stomach heat since he could not eat.

-GV-20->GV-21, PC-7, SP-1 + //Gan Mai Da Zao Tang//
 * Laughter or Weeping Without Reason:** Emptiness of spleen Yang, emptiness of kidney Yin, heart heat.

-GV-20->GV-21, GV-26, SI-3, KI-1 + //Sheng Tie Yin//
 * Irritability:** Emptiness of kidney Yin, liver and heart heat

-GB-18->GB-17, BL-5, BL-4, HT-4, LR-5
 * Paradoxical Emotions:** ex: love and hate at the same time.

**Yi**
“This carries two meanings, linked to attention and will”

ATTENTION
The heart is always involved, together with liver, kidney and spleen

-GV-23->GV-24, GB-9, GB-8, LI-4, LR-3 + //Qing Shi An Shen Hua Tan Yin//
 * Disproportionate Attention:** ex: patient would notice and consider details such as the gestures or clothes of a stranger.

-GB-18->GB-17, HT-4, KI-3 + //Yang Xin Tang//
 * Divergent Attention:** ex: a woman who could not follow conversation; she would forget what had been said.

-BL-8, GB-19, TW-6, KI-4 + //Wen Dan Tang//
 * Floating Attention**

-BL-5->BL-4, SP-6, SI-7 + //Qing Xin Liang Ge Yin//
 * Inadequate Attention**: ex: having an exaggerated attention for small or useless things

WILL-INTENTION
This means deciding to do something and seeing it through.

-GV-22->G V-24, GV-14 or GV-4 (with moxa), HT-5, ST-36
 * Poor Will:** Emptiness of spleen and kidney Yang. ex: patient did not have any desires; he would not make decisions or plans

-GB-8->GB-17, HT-7, SP-6 + //An Shen Ding Zhi Wan//
 * Uncertain Will:** Emptiness of heart and gallbladder Qi. ex: patient who, before going out to buy something, would hesitate for hours because the street was too noisy.

-GV-20->GB-9, BL-5->BL-4, LI-4, LR-3 + //Yue Jiu Wan//
 * Excessive Will**: Fullness of heart, liver and gallbladder. ex: patient would do anything t fulfill impossible tasks.

**Zhi**
This has the meaning of intelligence and memory

INTELLIGENCE
This consists of 4 aspects that are all necessary to solve the problem: attention, evaluation, comprhehension and memory

-GV-20->GB-18, HT-4, KI-4
 * Congenital Dementia**

-Si Shen Cong, GV-14, LI-11, HT-7, KI-4, SP-6
 * Secondary Dementia (Traumas, Fever, Intoxications):**

-GV-24->GV-23, GV-19->GV-21, HT-4, PC-9, GV-14
 * Pseudo-Organic Dementia:** Often due to organic factors, usually has an abrupt beginning and rapid course, like hysteria.

MEMORY
This implies recognizing things and keeping them in mind

Decreased Memory: Emtiness of heart and spleen -GV-20->GV-19, GB-19->BL-10, HT-4, SP-6
 * Amnesias:**

-GV-19->BL-8, GB-10->GB-11, HT-4, LR-2
 * Paramnesias:**

-GV-20->GB-17, BL-5->BL-4, PC-7
 * Pseudoreminiscense ,Confabulation:**