Frequent+Sorrow+(Shan+Bei)

Refers to uncontrollable low spirits and a tendency to grieving, melancholy, and crying or a desire to cry.

Diagnosis: A. Moody, requent 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.

TCM Etiology and Pathogenesis: Sorrow is the affect or emotion of the lungs, while tears are the fluid of the liver. Therefore, in Chinese medicine, the causes of sorrow, grief, melancholy, and crying are mostly related to the lungs and liver. If, due to any reason, the lungs become vacuous, they may lose control over their functions, including the production and control of sorrow. Internally engendered heat flaring upward may also disturb the lungs and cause sorrow and crying. The heat is most commonly depressive heat and may be complicated by lung qi and/or heart blood vacuity due to a concomitant spleen qi vacuity.

TCM Pattern Differentiation: Heart-Lung Vacuity 1 Grief with a tendency to crying, heart palpitations, shortness of breath, fatigue, possibly an enduring, weak coug commonly provoked by exertion or talking, runny nose with clear, watery snivel, a tendency t catch cold, faint voice, sweating on slight exertion [Ren Shen (6-12g.), Huan Qi (10-15g.), Shu Di (12g.), Wu Wei Zi (10g.), Bai Zi Ren (12g.), Suan Zao Ren (12g.), Fu Shen (12g.), Gan Cao (6-10g.)] Profuse sweating: + Fu Xiao Mai, Bai Zhu Borborygmus, torbid intake and loose stools: + Bai Zhu, Chen Pi
 * Tongue:** pale tongue, thin coat
 * Pulse:** Fine, weak
 * Treatment Principles:** Supplement the heart and lung Qi
 * Acupuncture Treatment:** PC-7, PC-5, BL-42, BL-13, BL-15, BL-20. Even technique. Alternate using BL-15 and BL-20 eac treatment
 * Herbal Treatment:** Bu Fei Tang Jia Jian1
 * Modifications:**

Liver Fire Invading the Lungs 1,2 Frequent sorrow an susceptibility to crying alternating with irritability, generally acute onset, eructation, chest and rib-side pain and distention, frequent sighing, shortness of breath, coughing, depression, suspiscious of everything, head and body aches, no appetite, insomnia, taciturnity, PMS in females, bitter taste in mouth -LR-2, BL-18, BL-13, LU-7, BL-42, BL-47. Draining technique1 -LR-3, LR-6, LR-14, LU-1, LU-5, LU-7, LU-9, CV-17, GV-202 -Si Ni San Jia Jian - [Chai Hu (10g.), Zhi Ke (10g.), Bai Shao (10g.), Qing Pi (6g.), Zhi Zi (6-10g.), Huang Qin (10g.), Bo He (6g.), Jie Geng (10g.), Xing Ren (6-10g.), He Huan Pi (10g.), Gan Cao (10g.)]1 -[Chai Hu, Xiang Fu, Yu Jin, Sang Bai Pi, Su Zi, Zhi Shi, Mu Xiang, Kuan Dong Hua, Mai Men Dong, Shi Jue Ming]2 Concomitant spleen vacuity1: May use Xiao Chai Hu Tang Jia Wei [Chai Hu (10g.), Dang Shen (10g.), Huang Qin (10g.), Yuan Zhi (6-10g.), Wu Wei Zi (6-10g.), Gan Cao (6g.), Ban Xia (10g.), Da Zao (3-5 pieces), Sheng Jiang (3g.)]
 * Tongue:** dark or reddish tongue, white, yellow or dryish coat
 * Pulse:** bowstring, rapid
 * Treatment Principles:** Course the liver and resolve depression, clear the lungs and drain fire
 * Acupuncture Treatment:**
 * Herbal Treatment:**
 * Modifications:**

Heart Vacuity-Lung Heat 1 Grief and crying for no reason, melancholy, mental abstraction, heart vexation, insomnia, flushed red facial complexion, heat and sweating in palms and feet [Gan Cao (10-15g.), Xiao Mai (20-45g.), Da Zao (6 pieces), Tian Dong (12g.), Mai Dong (12g.), Bai Shao (10g.), Bai He (10g.), Fu Shen (12g.), Huang Qin (10g.), He Huan Hua (10-15g.), Suan Zao Ren (12g.)]
 * Tongue:** red tongue, scanty coat
 * Pulse:** bowstring, fine, rapid
 * Treatment Principles:** Nourish Yin and downbear fire, supplement the heart and quiet the spirit
 * Acupuncture Treatment:** KI-3, HT-6, PC-6, Sp-6, BL-15, BL-23, BL-43. Even technique
 * Herbal Treatment:** Gan Mai Da Zao Tang Jia Wei1

Lung and Spleen Qi Deficiency, Shen Weakness 2 Feeling of sad mood constantly, depression, crying often and tearing is more often, vulnerable emotion, chest tightness and oppression, low voice and cough, lw or no appetite, losing weight, low energy, staying alone, no motivation
 * Tongue:** pale tongue, thin coat
 * Pulse:** thin, weak
 * Acupuncture Treatment:** LU-1, LU-3, LU-5, LU-9, SP-3, SP-6, CV-6, CV-17, GV-20
 * Herbal Treatment:** [Huang Qi, Bai Zhu, Ren Shen, Ge Jie, Wu Wei Zi, Sang Bai Pi, Chen Pi, Dang Shen, Da Zao, Fu Xiao Mai, Gan Cao]

Heart Blood and Spleen Qi Deficiency, Shen Irritable 2 Chronic and constant sadness feeling, prone to overthinking, poor memory, no concentration, insomnia, waking up frequently, anxiety dreams at night, sensitive to sounds, lights and emotional stimulus, low appetite, frequent body complaints, palpitations, loose stools, diarrhea 
 * Tongue:** pale tongue, thin coat
 * Pulse:** weak, deep
 * Acupuncture Treatment:** HT-5, HT-7, CV-14, SP-3, SP-6, CV-6, CV-17, GV-20, Yintang
 * Herbal Treatment:** [Bai Zi Ren, Suan Zao Ren, Dang Gui, Yuan Zhi, Ji Xue Teng, Huang Qi, Bai Zhu, Chen Pi, E Jiao, Fu Xiao Mai, Mai Ya]