Depression and Traditional Chinese Medicine: Treating the Mind and Body as One by Jordan Hoffman, L.Ac., Dipl. OM
Original Post Date: June 23, 2016 by Jordan Hoffman
Case 1: A 35 year old female
presents with frequent colds and flus, allergies, has had asthma since she was
16 years of age, around the time there was a death in her immediate family, and
depression.
Case 2: A 21 year old female
college student complains of indigestion, recurrent yeast infections, long
hours of studying, poor eating habits, and depression.
Case 3: A 43 year old male
complains of high blood pressure, Hepatitis C, stress, 2:30am wake ups every
night, anger and frustration over his career, and depression.
Three completely different presentations, yet all three patients
complain of depression. In Traditional Chinese Medicine (TCM), we see the
body and mind as inseparable; the health of one affects and reflects the health
of the other. We look at the patient’s collection of signs and symptoms,
be they physical, mental or emotional, as indicators of organ system imbalance,
and we treat those imbalances with acupuncture, herbs, food and lifestyle
counseling. Depression is no different.
TCM’s Role
The oldest records of Chinese Medicine date back about 4000 years with
the first medical textbook, The Yellow Emperor’s Classic of Internal Medicine
dating back to around 100BC. TCM sees the body as made up of organ
systems (noted by a capitalized word, e.g. Lung), comprised of the internal
organ itself (noted by normal spelling, e.g. lungs), and the acupuncture
channel that connects the organ to other organ systems and other parts of the
body. Each system has specific physical signs, symptoms and emotions
associated with it. Imbalances in one system can affect the functioning
of another. Chinese Medicine, at its core, seeks to understand
relationships between these organs systems, between the individual and their
life experiences, and between the individual and their environment.
Health is a dynamic state of equilibrium among these parts. Disease occurs when
that harmony gets disrupted.
Let’s explore the cases mentioned above.
Case 1
Grief stores in the Lung. When grief and loss are not
fully experienced and resolved, they can rob the Lung of vital energy (Qi),
making the lungs more susceptible to pathogens and organ dysfunction.
Conversely, lung pathology can hamper the ability of the Lung to process the
trauma of grief. Research has shown a link between cough variant asthma
patients (for whom the primary symptom is a dry, non-productive cough) and
increased levels of stress, anxiety and depression (1). Priority number
one is to identify current physical triggers to this patient’s allergies and
asthma and work to ease them. Likely culprits are dust, mold, pollen,
toxic inhalants, and dairy consumption. With stronger lung function, her Lung
can better handle the stress of dealing with asthma and better process her
unresolved grief.
On a purely physical level, with sinus and respiratory
inflammation and consequent congestion, there can be acute and ongoing phlegm
production. In TCM, phlegm can be substantial, the kind you can cough up
or spit out, or insubstantial, the kind that can interfere with other body
processes like thinking and feeling. Often in the context of substantial
phlegm, insubstantial Phlegm shows up as brain fog, dull affect, and mental
lethargy—all possible signs of depression.
Case 2
“When the Stomach and Intestines are coordinated, the 5 Yin
organs [Lung, Spleen, Heart, Kidney, and Liver] are peaceful, Blood is
harmonized and mental activity is stable. The Mind derives from the
refined essence of water and food.” (2) There is an entire school of
thought in TCM that says if all you did was treat the digestive system, most
every health issue would take care of itself. Simplistic, yes. But
it does give proper priority to the primacy of good eating habits and efficient
digestion.
Pensiveness, worry and overthinking store in the Spleen—akin to
the pancreas in modern physiology, a major engine of the digestive
system. Parallels between thinking and digestion are plentiful. Studying
can deplete the Spleen—the harder the requirements placed on the brain, the
more glucose it demands, challenging the digestive system. Even the verb
ruminate has its Latin origins in the verb ruminari, or to chew the cud, or
muse upon. Current research indicates that:
- Times of stress may reduce concentrations of healthy gut flora (3);
- Gut bacteria might influence mood (4);
- Patients with Non-Celiac Gluten Sensitivity (NCGS) may also suffer from depression (5).
In Case 2, long hours of studying with little physical exercise
has certainly slowed digestion leading to low energy. Poor food choices
like dairy or excessive wheat and sugar consumption leading to indigestion,
plus a likely history of antibiotic use, are possible causes or contributing
factors to her NCGS presenting as recurrent yeast infections. Without
good digestion, she cannot extract nutrients from food to help create Blood,
which, according to TCM, stores and circulates emotions, and nourishes the
Heart, calming the Spirit. All this can lead to an overall lack of
vitality, lethargy, and depression.
Case 3
Anger, resentment, and frustration store in the Liver. The
Liver thrives when it can smoothly expand and grow unfettered toward the sun,
like a tree; it sees a goal and moves headlong toward it. The Liver
energy gives movement to the Mind (6). Similarly, the Liver system is responsible
for the smooth flow of Qi and Blood in the body. Any imbalance, physical,
mental or emotional, that presents as erratic, unsmooth, or stuck is said to be
Liver Qi Stagnation. Stress very much stagnates Liver energy as it has in
Case 3. Anger and frustration congest the Liver creating Heat that rises
up to irritate the Heart affecting sleep, and that rises up to the head in the
form of high blood pressure. Without a productive direction to use this
stuck energy, depression takes hold. Conversely, chronic liver disease
like Hepatitis C can also present with depression (7).
The body affects the mind and the mind affects the body.
The Heart
The Heart has a unique role in depression. “…The Heart
stores the Mind which is responsible for insight. It is for this reason
that all emotions eventually affect the Heart (in addition to other specific
organs), and it is in this sense that the Heart is the ‘emperor’ of all other
organs.” (8) You could say that depression and all long-standing
psycho-emotional challenges are ultimately an issue of the Heart, and therefore
the Mind. And each individual’s unique presentation is a reflection of
the involvement of the other organ systems as in the 3 cases presented above.
Integrative Care
When physical symptoms hamper therapeutic progress or suggest a
link between the pattern of depression and internal organ imbalance,
Traditional Chinese Medicine can offer a significant additional means of
support.
***
No one discipline can treat everything. With depression,
addressing the needs of the body and the mind through Chinese Medicine and
counseling, patients can begin to resolve old issues while thriving physically,
mentally and emotionally.
References
1. J Psychosom Res. 2015 Mar 25.
Cough variant asthma patients are more depressed and anxious than
classic asthma patients. Saito N, Itoga M, Tamaki
M, Yamamoto A, Kayaba H.
2. Spiritual Axis (Ling Shu), People’s
Health Publishing House, Beijing, 1981. First published c. 100BC, p. 71.
3. Biol Psychol. 2008
Feb;77(2):132-7. Epub 2007 Oct 2. Investigating the role of perceived stress on
bacterial flora activity and salivary cortisol secretion: a possible mechanism
underlying susceptibility to illness. Knowles SR, Nelson EA, Palombo
EA.
4. Gut Pathog. 2009 Mar 19;1(1):6.
A randomized, double-blind, placebo-controlled pilot study of a probiotic in
emotional symptoms of chronic fatigue syndrome. Rao AV, Bested
AC, Beaulne TM, Katzman MA, Iorio C, Berardi JM, Logan
AC.
5. Aliment Pharmacol Ther. 2014
May;39(10):1104-12. Randomised clinical trial: gluten may
cause depression in subjects with non-coeliac gluten sensitivity – an exploratory
clinical study. Peters SL, Biesiekierski JR, Yelland
GW, Muir JG, Gibson PR.
6. The Practice of Chinese Medicine.
Maciocia, Giovanni, CAc., Churchill Livingston, London, 1994, p.202.
7. Rev Bras Psiquiatr. 2015
Jan-Mar;37(1):21-30. Depression rather than liver impairment
reduces quality of life in patients with Hepatitis C. Silva LD, da Cunha
CC, da Cunha LR, Araújo RF, Barcelos VM, Menta
PL, Neves FS, Teixeira R, Rocha GA, Gontijo ED.
8. Maciocia, p.199.
9. Can J Psychiatry. 2012
Jul;57(7):397-405. Acupuncture for depression: a review of clinical
applications. Wu J, Yeung AS, Schnyer R, Wang Y, Mischoulon
D.
10. J Affect Disord. 2008 Dec;111(2-3):125-34.
doi: 10.1016/j.jad.2008.04.020. Epub 2008 Jun 11.
Is acupuncture beneficial in depression: a meta-analysis of 8
randomized controlled trials?
Wang H, Qi H, Wang BS, Cui YY, Zhu
L, Rong ZX, Chen HZ.
11. BMJ Open. 2014 May 2;4(5):e004964.
Acupuncture, counselling or usual care for depression and comorbid
pain: secondary analysis of a randomised controlled trial. Hopton
A, Macpherson H, Keding A, Morley S.
Copyright Jordan Hoffman 2015. All Rights Reserved.
The
information presented here is not medical advice, is not intended as medical
advice, and is intended to provide only general, non-specific information
related to Chinese Medicine and Acupuncture and is not intended to cover all
the issues related to the topic discussed. You should consult a licensed
health practitioner before using any of this information.
Great information about on Peace of Mind. I want to thank you for this informative post. I really appreciate sharing this great post. Keep up your work. Thanks for sharing this great article. Great information thanks a lot for the detailed article.
ReplyDeletetest the mind
Thanks to @doctor_saibu who cured my Genital HerpesI was depressed when the doctor told me that I have been diagnosed with Herpes disease… I thought about my Family, I know my Family will face a serious problem when I'm gone, I lost hope and I wept all day, but one day I was searching the internet I found drsaibu2@gmail.com and he guided me. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I'm cured by dr_saibu medicine, I'm very thankful to dr saibu and very happy with my family.or you can also reach him through https://drsaibu2.weebly.com
ReplyDeleteWhatsapp number +2348064438762
He can also cure so many sickness{1}HIV And AIDS{2}Diabetes{3}Epilepsy{4}Blood Cancer{5}HPV{7}ALS{8}Hepatitis {9}Low spam count. {10}Fibroid
I thought the physicians said there is no cure for HSV 2!!! I am telling you today that DR.UMA cure HSV 2 with his herbal medicine and once you get cured you are cured forever it is never reversible, I have been suffering for this deadly disease called HSV 2 for more than a 2years and lost all hope because my doctor says there is no cure for HSV 2. Brethren I saw a testimony on the internet on how DR.UMA cure HSV, Hepatitis etc with his herbal medication and an email and whatsapp to contact him was also displayed, I thought this was joke but I decided to contact him and he replied telling me not to worry that my problem is over . DR.UMA sent me a herbal medication to drink for one month but after only 2weeks I felt strange and I went to my doctor and he confirmed me negative. He can help you too. Contact him via email...dr.umaherbalcenter@gmail.com WhatsApp +2347035619585. He is capable of curing HIV/AIDS, HERPES, HPV, HSV1&2, HEPATITIS A B C, of all kinds, DIABETES,FIBROID, PREGNANCY and so many other infections.
ReplyDelete