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Key Diagnostic Points:

  1. Most patients have distortion, introversion, emotional hypersensitivity, doubting, mania, fantasy and other features before the attack which are associated with an overly emotionally sensitive type.
  2. The major psychogenic symptoms include inability to think clearly, incoherence and the inability to express oneself. Delusion is a common symptom and may become a noticeable manifestation. Auditory and visual hallucination and secondary personalities may appear in some patients.
  3. Generally, genetic and environmental factors, along with emotional injury are considered to be involved in causing the diseases. Schizophrenia frequently occurs in young adults. In TCM, this diseases is included in the categories of "Yu Zheng" (depression), "Dian" (depressive psychosis), and "Kuang" (mania), etc.

Differential Diagnosis:

1. Depressive psychosis (Phlegm and Qi stagnation) "Quiet"
Gradual onset, emotional dejection and mental dullness at the initial stage, followed by incoherent speech, muttering to one's self, mood swings (frequent laughter or crying for no apparent reason) no desire to eat, somnolence (sleepiness).

Tongue: White greasy coat
Pulse: Wiry and slippery

2. Manic psychosis (Flaring up of phlegm fire) "Loud"
Sudden onset, irritability, easily angered, flushed face, blood-shot eyes, headache, insomnia followed by excessive motor activity and unusual strength, mania, restlessness, constantly abusive and violent behavior, climbing up to a high place and singing, running around with the body inappropriately exposed.

Tongue: Red with yellow greasy coating.
Pulse: Wiry, slippery and rapid pulse.

Treatment Principle:

For depressive psychosis:
Regulate Qi, alleviate mental depression, resolve phlegm, and calm Shen.

For Manic Psychosis:
Purge fire, remove phlegm tranquilizing the mind and calming the Shen.

Point and Technique Prescription:

For depressive psychosis:

Ht 7 (even) Yuan source point. Calms Shen.
PC 7 (even) Yuan source point. Also calms Shen.
Du 20 (even) Du 20 is located at the top of the head and "The head is the source of mental activities" according to "Plain Questions." Du 20 calms Shen.
UB 15 (even) Heart shu point.

L.I. 4 (even) and Liv 3 (even)
The 4 gates made up of two Yuan source points.
UB 18 (even) Liver shu point
Ren 17 (reduce) Sea of Qi
The above four points regulate Liver Qi and alleviate mental depression.

St 40 (reduce) The Luo connecting point of Stomach.
Sp 6 (even)
UB 20 (even) Spleen shu
Spleen and Stomach are the sources of phlegm in the body, by invigorating Earth, the phlegm is resolved.

For Manic Psychosis:

Du 14 (reduce) the crossing point of Du and six Yang channels purges fire.
PC 8 (reduce) Ying spring point for purging Heart fire.
Ht 8 (reduce) Ying spring point for purging Heart fire.
Liv 2 (reduce) Ying spring point for purging Liver fire.
Du 26 (reduce) Du channel enters the brain and Du 26 can regulate Yin and Yang, calm Shen and wake up the patient from the manic psychosis.
Du 20, Du 16 (both reduced) "The brain is the sea of marrow, its upper part reaches the vertex of the cranium (Du 20) and its lower border reaches Du 16." This according to the Ling Shu.
PC 6 (reduce) Clears the heart.
Ren 6, Ren 12, Stomach 25, St 40 Luo connecting point (all reduced.)
These points all dissolve phlegm and regulate Qi. Ren 12 is the front mu of Stomach and the influential point of the Fu organs. Spleen and Stomach are the organs in which phlegm is produced. For this reason, because of its control over the Stomach, Ren 12 is used for phlegm. Stomach 25, the front mu of the L.I. is utilized for regulation of the Stomach. You must purge the Large Intestine to regulate the stomach. Ren 6 Sea of Qi, if you want to eliminate phlegm, you must regulate Qi.

For mania with extreme heat

Prick and bleed the Jing well points on the hand or Shi Xuan to reduce the heat. Plus...

Acupoint Needling Depth Name
Du 26 0.3 Ghost Palace
Lu 11 0.3 Ghost Message
Sp 1 0.2 Ghost Rampart
PC 7 0.5 Ghost Heart
UB 62 0.3 Ghost Road
Du 16 0.2 Ghost Pillow
St 6 0.5 Ghost Bed
Ren 24 0.3 Ghost Market
PC 8 0.2 Ghost Cave
Du 23 0.2 Ghost Hall
Ren 1 0.3 Ghost Storage
L.I. 11 0.5 Ghost Leg
Gui Feng* NA Ghost Seal

*Gui Feng is an extra point where needling is contraindicated. This point is bled only. (At the middle point of the frenulum of the tongue.)

The thriteen experential points are used to treat mental diseases i.e. insanity with emotional depression and madness. Puncture or prick to bleed. These points are not all needled in one session, or in each treatment a different three are needled each time.

Five points on the outer UB line correspond with the Back shu pionts of the five Yin organs. Their names clearly relate to the mental-spiritual aspect of the relevant Yin organ.

Lung shu UB 13 Po Corporeal soul
Po Hu UB 42 Window of the corporeal soul (for grief)

Heart shu UB 15 Shen Spirit
Shen tang UB 44 Hall of the Shen (for excess joy)

Liver shu UB 18 Hun Ethereal soul
Hun men UB 47 The door to the ethereal soul (for anger)

Spleen shu UB 20 Yi Intellect
Yi she UB 49 Hut of the intellect (for overthinking, worry)

Kidney shu UB 23 Zhi Will power
Zhi shi UB 52 Room of the will-power (for fear)

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