Obsessive-Compulsive+Disorder

Obsessive-compulsive disorder is a type of anxiety disorder which is characterized by recurrent, unwanted, intrusive ideas, images or impulses that seem weird, silly, nasty or horrible (obsessions) and by urges to do something that will lessen the discomfort due to those obsessions (compulsions).

neurobiology: http://scitechconnect.elsevier.com/neurobiology-basis-of-ocd/

Relevant TCM Diseases: Vexation & agitation (Fan Zao), Depression condition (Yu Zheng), Impaired memory (Jian Wang), Abject demeaner (Bie Die)

Differential Diagnosis: Medical Disorders: A. Infection of injury of CNS B. Neurologic disorders, including Tourettes disorder, Parkinson's Disease and Huntington's Disease C. Other Tic Disorders D. History of Cerebrovascular Accident (CVA) Psychiatric Disorders: A. Obsessive-Compulsive Personality Disorder B. Schizophrenia and other psychotic disorders C. Specific Phobias D. Social Phobias

TCM Etiology and Pathogenesis: “The Chinese descriptions of this condition center on the heart and gallbladder's relationship to courage and, conversely timidity and also the gallbladder's relationship to decision-making. If the heart is over-taxed over a long period of time, phlegm turbidity will accumulate and assail the gallbladder. This then results in heart vacuity and gallbladder timidity. In this case, the heart becomes vacuous and one can no longer control oneself, remembering that the heart is the emperor or sovereign of the bodymind. If the gallbladder becomes timid, then decision-making becomes abnormal. The second mechanism of this condition directly involves the liver. If the emotions are repressed and depressed, disease will reach and affect the liver. The liver becomes depressed and the qi becomes stagnant. If this endures and is not resolved, then qi stagnation will lead to blood stasis involving the gallbladder. Hence decision-making is abnormal”1

TCM Pattern Differentiation: Heart-Gallbladder Qi Vacuity Pattern 1 Compulsive thoughts and actions, tension, worry and anxiety, inability to control oneself, heart vacuity gallbladder timidity, easily frightened by touching things, fear & dread, restlessness, susceptibility to excessive suspicion or paranoia, vacuity vexation, insomnia, dizziness or vertigo, possible profuse phlegm and/or plum pit qi [Ban Xia (15g.), Zhu Ru (15g.), Zhi Shi (10g.), Chen Pi (10g.), Sheg Jiang (10g.), Gan Cao (6g.), Fu Shen (30g.), Mai Men Dong (15g.), Yuan Zhi (10g.), Long Chi (21g.), Shi Chang Pu (15g.), Hu Po (6g.)] Emotional tension &agitation, heart vexation, easy anger: + Chai Hu, Zhi Zi, Long Dan Cao Stomach venter distention & oppression w/ torbid intake & scanty eating: +Sha Ren, Mu Xiang, Ji Nei Jin Insomnia & profuse dreams: + Suan Zao Ren, He Huan Pi, Ye Jiao Teng Compulsive reactive behavior & inability to control oneself: + Ci Shi, Mu Li, Tian Men Dong
 * Tongue:** pale tongue, white coat
 * Pulse:** fine or bowstring, fine
 * Treatment Principles:** Nourish the heart & quiet the spirit, dry dampness, transform phlegm
 * Acupuncture Treatment:** HT-7, PC-6, ST-4, ST-36, CV-17, CV-12, GB-44. Even technique.
 * Herbal Treatment:** //Wen Dan Tang Jia Wei//1
 * Modifications:**

Qi & Blood Stasis& Stagnation Pattern 1 Compulsive behavior and inability to control one's thoughts, emotional lability, tension & agitation, stirring and fear, dusky complexion, bilateral rib-side distention & pain or generalized body pain, piercing headache, insomnia, profuse dreams. [Tao Ren (12g.), Hong Hua (10g.), Dang Gui (10g.), Sheng Di Huang (10g.), Chuan Xiong (6g.), Chi Shao (10g.), Niu Xi (10g.), Jie Geng (6g.), Chai Hu (3g.), Zhi Ke (6g.), Gan Cao (3g.)] Compulsive reactive behavior e.g: compulsive handwashing: + Gua Lou Gen, Gui Zhi, Bai Shao, Jiang Can Obsessional thoughts & uncontrollable worries & anxieties: + Shi Chang Pu, Tian Zhu Huang, Shi Xiang
 * Tongue:** pale tongue, white coat
 * Pulse:** fine or bowstring, fine
 * Treatment Principles:** Course the liver and rectify the qi, quicken the blood & transform stasis
 * Acupuncture Treatment:** LR-3, LI-4, SP-10, HT-7, PC-6, BL-15, BL-17, GV-20, Yintang. Draining technique.
 * Herbal Treatment:** //Xue Fu Zhu Yu Tang//1
 * Modifications:**