PANIC DISORDER, PANIC ATTACKS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Fearfulness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
  • Calm the mind
  • Nourish and tranquilize the Heart
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Continuous palpitations
  • A sensation of Heat and irritability in the chest
  • A desire to vomit without result
  • Dream-disturbed sleep
  • Anxiety
  • Tongue ulcers
  • Fidgeting
  • Maybe a rancorous disposition
  • Irritability
  • Fear and fright
  • Night sweats
  • Shortness of breath
  • Nausea
  • T: Red or Red tip
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Sedate the Heart
  • Calm the Shen
  • Drain Fire
  • Nourish Yin
  • Relieve palpitations
Herb Formulas
Points
Clinical Manifestations
  • A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed.
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm.
Herb Formulas
Points
Clinical Manifestations
  • Anxiety
  • Panic attacks
  • Easily startled or frightened
  • Irritability
  • Restlessness
  • Palpitations
  • Fatigue
  • Insomnia often waking to anxiety or panic
  • Very restless sleep
  • Nightmares
  • Inability to think or concentrate even for short periods
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Palpitations, easily brought on by fright
  • Startles easily
  • Irritability
  • Insomnia
  • Much dreaming
  • Waking with palpitations or panic attacks and anxiety
  • Poor memory
  • Poor concentration
  • Low grade fever
  • Night sweats
  • Five Sole Heat
  • Restlessness
  • A dry mouth and throat
  • Thirst
  • Dizziness
  • Tinnitus
  • Malar flush
  • Low back pain
  • Dry stools or
  • Constipation
  • Possible mouth or tongue ulcers
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Restlessness
  • Agitation
  • Anxiety
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Frequent waking with nightmares
  • Palpitations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Restlessness
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Flushed face
  • Bitter taste in the mouth
  • Scanty, dark urine
  • A red complexion
  • Maybe painful urination
  • Maybe hematuria
  • T: Red tip, ulcers especially on tip or Red with a redder tip
  • C: Normal or Yellow
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points