焦虑症是一种影响全世界数百万人的心理/情绪障碍。在美国，每个第三人都患有一生中的一种形式或另一种焦虑症。这是非常普遍的，只要物种存在，患有人类的最古老的疾病之一。它从动物恐惧中起源于自我保护 - “我会have今晚晚餐？“或者“我会BE今晚晚餐？“Traditional Chinese Medicine, which roots can be traced back thousands of years, has developed theories and methodology of how to help people deal with anxiety
在西方的科学方法,治疗of anxiety disorders have usually been studied on selected groups of patients that often are not representative of the overall anxiety population because the patients’ selection criteria are not often realistic. There is a significant co-existence of several diagnoses in clinical groups of people. The science relies heavily on statistical analysis of associations of the symptoms for diagnosis and statistical probabilities of the positive outcomes of the treatments for these diagnostic groups.
Nevertheless, the clinicians who treat these disorders are faced with a variety of patients coming to them with unique presentations. Diagnoses not only overlap often but also emerge in different compositions in the same patients. The treatments are frequently possibly incorrectly rejected because of significant placebo responses in these patients. Despite being the gold standard in current medicine and psychology, the Western scientific approach still has serious limitations. Approximately, 20-30 % of patients stay symptomatic for a variety reasons.
Therefore, physical as well as mental/emotional problems are interconnected and are viewed as a result of disharmonies of “Five Spirits” (energies, not to be confused with pertaining to divinity) and their associated “5 Zhang Organs”.
The “Five Spirits” are:
- Shen - mind, connecting Spirit
- Hun – non-corporeal Spirit
- Po - corporeal Spirit
- Yi - intellect, thought
- Zhi - will
Each of the “Five Spirits” has an emotion associated with it:
- Shen – joy
- Hun – anger
- Po - grief, sadness, worry
- Yi – pensiveness
- Zhi - fear.
他们居住在“5张器官” - 心脏，肝脏，肺，脾和肾脏。并且有QI（终身力量）为所有现有能量提供通信手段。因此，例如，如果肝气僵硬停滞不前，那个人会遇到愤怒。
This approach is highly individualistic and relies heavily on the assessment of these energies in a given patient prior to the treatment. The treatment involves a combination of acupuncture and mixtures of ancient herbal remedies.
Initially and not surprisingly, this approach was raising eyebrows in the Western medical community. The combination of the complex diagnostic and treatment factors becomes problematic for double-blind experiments and statistical analysis. TCM had a challenge to explain the above theories to Western scientists and to convince the medical community to adapt them to the medical world with its response/no response outcomes.
中医已经逐渐成为主流the last decade, the number of patients with anxiety disorders who are seeking help from TCM practitioners has grown significantly. One can draw a lot of similarities between Chinese and Western medicine, as they are describing the same object, a human body, yet in fundamentally different ways.
When you are being treated by a doctor specializing in Chinese medicine, you might be surprised by a strange sounding diagnosis. For example, you can be diagnosed as having “Dampness in your Spleen” or “Liver Qi stagnation”, or “Heart Fire.” Even though Chinese medicine uses very different terminology than Western medicine and doesn’t have a notion of nervous or endocrine systems, it treats the same diseases.
Mental/emotional dysregulation problems are viewed in terms of disturbance of one’s Shen, the Heart energy. With anxiety there is also always disturbance of Po, the Lung energy. Interestingly, some of the typical symptoms that come with anxiety are heart palpitations and shortness of breath. In fact, recent studies found disturbances in breathing patterns in patients with panic disorder
Along with the energetic disturbances come physiological ones in the form of stagnant Qi in the corresponding meridians. There are 12 main meridians along which the Qi flows, not unlike blood in blood vessels. There are also associated “Patterns of Disharmony” of the associated Zhang organs. And all have to be treated and brought to a balance in order to achieve lasting results.
- “Zoe”, a patient of 40 years of age, came in with a complaint of experiencing severe anxiety, which had not bothered her for years. She experienced panic attacks (3 in a week) and sudden development of wrist pain, which she never had before. Her other symptoms were palpitations, tightness in the chest, nausea, shortness of breath, sweating easily, sleeping poorly, and irritability with outbursts of anger.她的狼疮已经成功地控制了过去三年的最低药物。在磋商期间，她解释说，她在过去的两个月里有很多压力，被迫在匆忙中搬迁。她的房东非常口头辱骂和威胁，这让她非常生气。然而，她设法将它放在一起，能够移动。她不明白为什么现在，当压力消退时，她是“去坚果”。经过仔细观察她的脸和声音的声音，带着她的脉搏并检查她的舌头，因为那些是中国诊断系统的必备部分，鲍德勒向Zoe解释了过去几个月的压力事件如何导致她体验着强烈的忧虑情绪，愤怒，沮丧。她抑制了所有这些情绪，以克服障碍。即又限制了肝气的流动，因为肝气齐负责体内齐的平滑，向下流动。受限制的肝气导致肝气滞停滞，这扭转了自然向下流向向上方向，肺能损坏了肺能，PO。这导致她胸部的紧绷感。随着时间的推移，受限制的肝脏能量，匈奴，建立，引起了上半身的热量积聚，导致搅拌，烦躁，心悸，忧虑和被称为热的心脏的感觉和她的沉肠能的骚扰，她的想法。在西部术语中，我们称这种情况焦虑。Excessive Heat dried up the fluids, damaging Zoe’s already compromised kidneys due to Lupus (all chronic conditions in TCM weaken the kidneys), leading to panic attacks, since the emotion of the kidneys is fear, and panic attacks are an unsubstantiated sudden feeling of intense fear.
Bowler also gave her a Chinese herbal formula, called Chai Hu Long Gu Mu Li Tang, which was modified for her to address her weak kidneys. The doctor increased her omega 3 oils and put her on a low sugar and no dairy diet. She also put her on aashwagandha for a month and clary sage oil to put on the inner sides of her wrists. After three treatments in a period of 10 days, Zoe’s anxiety decreased dramatically, and she had stopped having panic attacks.
The amazing thing that never fails to impress us in TCM is how seamlessly everything relates to one another. Nothing is ever random. If one does not see the relationship between things, it is just because one lacks the ability or knowledge to do so. The pain in her wrists were perfectly related to the Heat in her Heart. The surface heart meridian emerges from the heart in the underarm and runs down the inner elbow along the medial side of the forearm, crosses the wrist and the palm, and ends at the inside of the little finger. Heart Qi was not flowing properly and caused a stagnation in the meridian around her wrist area. Have you ever noticed, when a person is nervous, they fidget with their fingers?
At the same time, it will increase the scientist’s ability to evaluate TCM treatment outcomes and possibly to compare them with Western treatment approved for these disorders. This is the trade-off that must be accepted. Still, many clinical trials have been conducted with very optimistic results. Points like Qiuxu (GB-40), Baihu (DU-20), Yintang, Neiguan (P-6), Shenmen (HT-7), Teaching (LV-3), Sanyinjiao (SP-6, Zusanli (ST-36), scalp acupuncture with electric stimulation and ear acupuncture with points like Shen Men, Tranquilizer, and Relaxation were used on a number of patients suffering from anxiety. The above-mentioned acupuncture points are known for their strong sedative, calming effect on Shen (the mind, the spirit), and have been used for centuries in cases of Shen disturbance. The conclusion of those trials: “Acupuncture is a common practice in the clinic for the treatment of anxiety disorders, and scientific data have demonstrated its statistically significant effectiveness”.
这是正在进行的工作;有可能是西方ern medicine has something to learn from TCM and more patients who are non-responsive to front-line medications need to be treated individually. Unfortunately, success stories described in the scientific literature in the form of case reports are currently only infrequently published in the major scientific journals. To be fair, treatment-resistant patients with severe anxiety are frequently treated with several medications and behavior therapy - and most experienced Western practitioners treating anxiety disorders would readily tell you that they use individualized approaches taking into account symptom dynamics, environmental factors, family, and other factors. Thus, an individualistic approach is good for the patients no matter what treatment philosophy is employed.
Ginkgo Biloba (a famous Chinese herb, first documented in a Chinese book about 2800 BC), Chai Hu (Bupleurum), Suan Zao Ren (Zizyphi Spinosi Semen), Da Zao (Jujube Date), Shen Di Huang (Rehmania Root), Ginseng, and Gan Cao (Licorice root) are just some herbs known for their ability to calm spirit irritability, restlessness, and emotional disturbances.
Some examples of traditional Chinese herbal formulas for anxiety, as well as other psychiatric disorders, are:
- Ban Xia Huo Po Tang, (Pinellia and Magnolia Formula)
- Gan Mai Da Zao, (Licorice Jujube Combination)
In conclusion, combining Western and TCM approaches and being respectful of both could be very effective for treating anxiety as well as for management of difficult, treatment-resistant cases. Close collaborative care utilizing all the tools available to clinicians will help a larger number of people to manage their anxiety and improve the quality of life for the people suffering from this condition.
AUNG KH ET所有（2013）医疗针灸，第25卷，6号，2982号
Current Neuropharmacology 2015, Jul 13 (4):481-493
Bystritsky A et al, Current Diagnosis and Treatment of Anxiety (2013) P T., Jan; 38(1):30-57.
Bystritsky A，Spivak NM，Dang BH，Becerra SA，Distler Mg，Jordan Se，＆Kuhn TP。脑电电路在ABC焦虑模型下面。精神病学杂志。2021; 138：3-14。
Yanhua Zhang, Transforming Emotions with Chinese Medicine, State University of New York Press, NY, 2007.
Date of original publication:2021年4月22日
Updated: April 26, 2021