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驚悸不安 1. Overview and Causes 2. Symptoms 3. TCM Effectiveness and Evaluation 4. Common Syndromes and Treatments in TCM   a. Heart and Spleen deficiency   b. Heart Qi deficiency   c. Disharmony between Heart and Kidney 5. Healing by Other Therapies   a. Qigong and other   b. Medicated diet   c. Life style 　 1. Overview and Causes 　 Anxiety is the commonest version of neurosis (a mental disorder,but one in which the patient retains a grasp on reality). It is an affect that occurs in all individuals. Like joy, sadness, bemusement, and even grief, anxiety arises and diminishes at various times and under various circumstances. The anxiety experience can occur anywhere and at anytime. Anxiety is frequently experienced in a relatively mild form in a number of everyday situations, such as when we take a test or visit a doctor. Anxiety in such situation is generally advantageous, requiring a marshalling of our tolerance or protective forces in anticipation of what is to come. Excessive anxiety and worry that the person finds difficult to control, occurring more than 6 months, and accompanied by factors such as restlessness, fatigue, difficulty in concentration, irritability, muscle tension and sleeping disturbance, falls into the anxiety disorder. Phobia is defined in DSM-IV (American psychiatric association, 1994) as a persistent, irrational, excessive fear of a specific object, activity, or situation that results in a compelling desire to avoid it. Anxiety is the central affective experience in phobic disorder. Persistent, abnormal, and unfounded dread and fear of something that is not inherently dangerous or threatening to most people characterize phobia. 　 Return To Top 2. Symptoms 　 Anxiety: (a) Excessively anxious, worrying about everything, and finding it difficult to control the worry. (b) Along with anxiety and worry, you have at least three of the following six symptoms: restlessness, easily tired, has trouble concentrating, or the mind goes blank, irritability, muscles tension, sleeping disturbance. Phobia: (a) Unreasonably and excessively afraid of a particular object or situation. (b) When you are exposed to the situation, you immediately and predictably react with severe anxiety or a panic attack. (c) You recognize that you are much more afraid of the object or situation than makes sense. (d) You try your best to avoid these situations or else you endure them only with intense dread. (e) Your fear or avoidance of the object or situation significantly interferes with your life. Return To Top 3. TCM Effectiveness and Evaluation 　 Chinese herbal medicine and acupuncture can help most of the cases reduce the symptoms. For severe cases, the psychology treatment is needed. Return To Top 4. Common Syndromes and Treatments in TCM This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below. 　 Syndrome (a) Heart and Spleen deficiency Anxiety, frequent sorrow without any obvious causes, unreasonable suspicion or fear, palpitation and irritability, insomnia, decreased appetite, fatigue, thin white tongue coating, and feeble pulse. To treat by Herbal medicine Therapeutic principle: Reinforce the Heart and Spleen, nourish Blood and reinforce the Qi. Prescription/Formula: Modified Guipi Tang. White atractylodes (baizhu) 12g, Poria (fuling) 9g, Astragalus (huangqi) 9g, Longan aril (longyanrou) 6g, Wild jujube seed (suanzaoren) 6g, Ginseng (renshen) 6g, Costus root (muxiang) 9g, Licorice (gancao) 3g , Chinese angelica (danggui) 9g, Polygala (yuanzhi) 6g , Curcuma root (Yujing) 8g. 　    To treat by Acupuncture and Moxibustion Therapeutic principle: Reinforce the Heart and Spleen, nourish Blood and reinforce the Qi by using points mainly from Ren Channel and the Bladder meridian of Foot Taiyang. Prescription: Xinshu (BL 15), Pishu (BL 20), Qihai (RN 6), Sanyinjiao (SP 6), Neiguan (PC 6).    Return to Top Syndrome (b) Heart Qi deficiency Anxiety, palpitation, restlessness, insomnia, terror dreams, excessive fear, shortness of breath, chest discomfort, sweating, thin white tongue coating, and feeble pulse. To treat by Herbal medicine Therapeutic principle: Reinforce the Heart Qi and calm the mind. Prescription/Formula: Modified Dingzhi Wan. Ginseng (renshen) 6g, Poria (fuling) 15g, Acorus (changpu) 6g, Wild jujube seed (suanzaoren) 6g, Licorice (gancao) 3g, Polygala (yuanzhi) 9g, Shisandra fruit (wuweizi) 6g.    To treat by Acupuncture and Moxibustion Therapeutic principle: Reinforce the Heart Qi and calm the mind by using the points mainly from the Heart meridian of Hand Shaoyin and the Back - Shu points. Prescription: Xinshu (BL 15), Neiguan (PC 6), Shenmen (HT 7), Zusanli (ST 36), Pishu (BL 20).    Return to Top Syndrome (c) Disharmony between Heart and Kidney Anxiety, palpitation, forgetfulness, dizziness, tinnitus (ringing in ears), feverish sensation in the palms and soles, restlessness, poor sleep, red tongue, and thin rapid pulse. 　 To treat by Herbal medicine Therapeutic principle: Regain harmony between the Heart and Kidney. Prescription/Formula: Modified Tianwang Buxin Dan. Fresh rehmannia (shengdihuang) 12g, Poria (fuling) 15g, Longan aril (longyanrou) 9g, Wild jujube seed (suanzaoren) 6g, Ginseng (renshen) 6g, Licorice (gancao) 3g, Chinese angelica (danggui) 12g, Polygala (yuanzhi) 9g, Scrophularia (xuanshen) 9g, Shisandra fruit (wuweizi) 6g, Asparagus root (tianmendong) 6g, Red sage root (danshen) 9g. 　    To treat by Acupuncture and Moxibustion Therapeutic principle: Regain harmony between the Heart and Kidney by using points mainly from the Back - Shu points, Heart meridian of Hand Shaoyin and Kidney meridian of Foot Shaoyin. Prescription: Xinshu (BL 15), Shenshu (BL 23), Taixi (KI 3), Sanyinjiao (SP 6), Neiguan (PC 6), Shenmen (HT 7).    Return to Top 5. Healing by Other Therapies (a) Qigong and other therapies For effect of Qigong on the Nervous System Function, click here. Qigong, generally, is good for relieving anixety and stress as well as improve the circulation of qi and blood. As a result, it provides a good healing effect for this ailment. Despite an increase in energy, you won't see or feel any effects right away, it takes several weeks, possibly months of practice before you notice any effects. The following types of Qigong may help: Static Qigong: Relaxation Qigong Relaxing Quiescent Qigong, . Dynamic Qigong: Baduanjing of Internal Exercise Taiji 　 For the information of different types of Qigong ,just click a link above. This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them. (b) Medicated diet 1) Lotus seed (lianzirou) 20g, Coix seed (yiyiren) 15g, make soup to eat once a day. 2) Wild jujube seed (suanzaoren) 10g, Biota seed (baiziren) 6g, rice 150g, make soup to eat once a day. (c) Life style 1) Manage the stress. 2) Get help from the psychologist and social worker. 3) Seek support from family members. Return to Top Acknowledgments: Healthphone.com greatly acknowledges the support and dedication of our Healing Centre Panel, without whom this section would not be possible. We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.