TCM TREATMENT FOR BIPOLAR DISORDER

BIPOLAR

The person with bipolar disorder has an abundance of phlegm and fire creating a mood disorder in TCM is called Kuang Zheng. Phlegm and Fire disturb mind, Shen, Heart, ethereal & physical spirit. In western medicine this condition is viewed as Manic Psychosis, Schizophrenia, Hypomania, Postpartum disorders, Substance use disorders, Acute reactive disorders, hysteria. Kuang Zheng is a Fire or Yang pattern that is usually complicated with Phlegm covering the Heart, mind, spirit, Hun, and PO souls.  This manifests as obstruction, causing Fire to surge upwards.  It shows a relative excess of Yang and a deficiency of Yin.

Symptoms:  sudden onset, frequent episodes, irritability, flushed face, blood shot eyes, mania, restlessness, climbing to high places, public singing, unusual strength, anorexia, insomnia, constipation, Tongue is red with yellow coat, Pulse is rapid, and much congestion or stuffy nose, mania, disruption of spirit, fright, irritability, delusion, and speech affects, etc.

Treatment:  Purge the Phlegm and Fire through the Large Intestine by inducing diarrhea, Tonify Yin, and move stagnated blood, body fluids, and qi. It is a difficult task and phlegm must be removed or reoccurrence is likely.

TCM PATTERNS & TREATMENT
PHLEGM HEAT: AGITATION, EXCESS EXERCISE, ELATION, HOSTILITY
YIN DEF: LASSITUDE, ANXIETY, INSOMNIA, HOT 5 PALMS, EMACIATION
LR QI DEPRESSION: LOW MOOD, SAD, SIGHING, HYPOCHONDRIAC PAIN DISTENSION
EXCESS PHLEGM FIRE DISTURB HEART, LR, & GB, CLEAR THE HEAT, REMOVE PHLEGM;
DEFICIENCY YIN WITH HYPERACTIVITY OF FIRE, LIVER QI DEPRESSION, DREDGE THE FLOW OF LIVER QI;
DEFICIENCY OF THE HEART AND SPLEEN, TONIFY HEART & SPLEEN *CALM THE SHEN, SEDATE, CLEAR HEAT, NOURISH THE HEART, REGULATE SHEN, TONIFY QI

Treatment objective
Clear damp heat (LR, Ht, GB), Tonify SP, KI, CLEAR HEART FIRE & Remove Phlegm from obstructing the orifice. Council patient on own healing abilities, to find inner strength to regain equilibrium & equanimity through meditation and Yoga. Suggest dietary therapy options, herbal formulas based on TCM pattern. Conduct Acupuncture Treatment weekly using 3 Ghost points at each session, three more thereafter. Calm the Mania, elevate the depression is treatment goal.

POINTS SELECTION FOR TREATMENT
1.Main points: Ren 12, 13, 15
2. Calm: Du 26-28 (strong stimulation), KI 1
3. Purge Yangming: LI 4, 11, ST 36, 37, 39, SJ 6
4. Shaoyang: GB 20
5. Taiyang: BL 9, 10
• Clear Minister Fire: connect PC 5 to SJ 6
• Fire and Phlegm: PC 5, ST 40
• Phlegm in Lung system: ST 40, LU 7
• Sweating (night or daytime spontaneous): HT 6, KI 7
• Fever: LI 11, Du 14, HT 3
• Hearing voices in the head: SI 19, GB 2, PC 5
• Ghosts in dreams: SP 1, ST 45
MANIA: BRING QI DOWN
LIVER YANG RISING LR 3, BL 47, PC 7 (REDUCE).
HEART FIRE EXCESS LR 2, LR 3, PC 7, BL 47 (REDUCE).
PHLEGM FIRE EXCESS LR 3, BL 47, PC 7, LR 2, GB 13, GB 17, GB 18, HUNSHE (REDUCE). LIVER BLOOD & YIN DEFICIENCY LR 3, BL 47, PC 7, HT 7, REN 4, LR 8, ST 36, SP 6, HUNSHE (REINFORCE)

DEPRESSION: BRING QI UP
LIVER QI STAGNATION: PC 6, GB 40, LR 3, BL 47, DU 20 (REDUCE). HEART AND LUNG STAGNATION (REDUCE) PC 6, BL 47, DU 20, LU 7, REN 17. LIVER BLOOD AND QI DEFICIENCY: GB 40, DU 20, BL 47, LR 8, ST 36, SP 6, REN 4 (REINFORCE SINCE WOOD CANT NOURISH FIRE). SPLEEN AND KIDNEY YANG DEFICIENCY: GB 40, DU 20, BL 47, REN 12, ST 36, KI 3, BL 20, BL 23, BL 52 (REINFORCE AND USE MOXA)
SPLEEN AND KINDEY YANG DEFICIENCY WITH PHLEGM (REDUCE) ST 40, REN 9, SP 6.

BIPOLAR HERBALS
When phlegm fire attacks the heart use San Sheng San (induce vomiting) Gun Tan Tang,  Xie Xin Tang (purge), San Huang Tang (purge) Shi ChangPU. (clears Phlegm from HT meridian), Er Chen Tang. When Yin is consumed by fire use Er Yin Jian, Ding Zhi Wan, Dan Zhi Xiao Yao San, Zhi Bai Di Huang Wan, when Qi and Blood is stagnated use Dian Kuang Meng Xin Tang, Da Huang Zhe Cong Wan, Xue Fu Zhu Yu Tang. Other herbals: PHLEGM: DA CHENG QI TANG & MENG SHI GUN TAN WAN
YIN DEF W FIRE: ER YIN JIAN & DING ZHI WAN, LR QI DEPRESSION: CHAI HU SHU GAN SAN HT & SP DEFICIENCY: GUI PI TANG

GHOST POINTS 
FOR PHLEGM DISORDERS OBSTRUCTING THE ORIFICE CAUSING MENTAL DISORDERS OR BIPOLAR, MANIA, DEPRESSION, SCHIZOPHRENIA.

The Chinese think that those with bipolar disorder believe they have had an invasion of ghosts.
13 GHOST POINTS EACH CATEGORIZED IN GROUPS OF THREE IN 4 DIFFERENT TRINITY’S AS FOLLOWS:
1st Trinity, (DU 26, LU 11, SP 1) there’s the initial build-up ofPhlegm, characterized by the beginnings of psychological dysfunction, disorientation towards world, and sore throat. For wind heat conditions. 2nd Trinity, (PC7, BL 62, DU 16) life attitudes begin to become inflexible–people become set in their ways or a lot of running about “without a clue” – without decisive direction. For excessive movement of wind. 3rd trinity (ST 6, REN 24, PC 8) This is the level at which alcoholics and addicts get stuck at. They use drugs to get their Fire going. Remember the saying: “If you want to find ghosts, go to a BAR!” 4TH TRINITY (DU 23, REN 1, LI 11)

*THE GHOST POINTS: YINTANG, Du 26, LU 11, SP 1, PC 7, BL 62, DU 16, ST 6, RN 24, PC 8, DU 23, RN 1, LI 11

SPIRIT OF THE POINTS
Lung 3. This acupuncture point is good for those with bipolar disorder who are forgetful, sad, have insomnia, cry, and talk to ghosts. Large Intestine 5 and Large Intestine 7. This acupuncture point provides treatment for manic behavior, fright, inappropriate laughter and seeing ghosts.
Stomach 25. This acupuncture point is for mania, schizophrenia, anxiety, and mental irritability.
Gall Bladder 13. This acupuncture point is for fright and manic behavior. Gall Bladder 17. This acupuncture point is for manic behavior, obsessive thoughts, and pensiveness. DU 16. This acupuncture point helps treat suicidal thoughts, sadness and fear. DU 20. This point is used in the treatment of those who want to commit suicide, sadness and crying.