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Psychosis

How Chinese medicine differentiates psychosis into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Schizophrenia and Mania pages. Acupuncture only β€” no herbs.

This page is educational, for practitioners and students β€” it is not a diagnostic tool and does not replace a proper in-person assessment. Acute psychosis, especially with risk of harm to self or others or a loss of touch with reality, needs immediate psychiatric care. Acupuncture is a complement to psychiatric treatment, never a replacement.
General Acupuncture Points

Acupuncture points traditionally used for psychosis β€” 3 key points, used across the patterns below rather than tied to just one.

PointKey action
HE-7Calms the Mind and opens the Mind’s orifices. Nourishes Heart-Blood.
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Fire Harassing the Heart View full pattern →

Clinical manifestations: Explosive manic outbursts; agitation, shouting, violent behavior; sleeplessness; restless energy; a flushed red face and red eyes; a bitter taste; extreme thirst; copious yellow sticky phlegm.
Tongue: Scarlet, red prickly tip, swollen, thick yellow greasy coating. Pulse: Slippery and rapid, full and overflowing at the left front position.
Treatment principle: Clears Heat and transforms Phlegm to restore the Heart's clarity and calm the spirit.
Note: no moxa.

2. Wind-Phlegm

Clinical manifestations: Dreamy confusion; auditory hallucinations; a blank stare; seizure-like jerking; dizziness with a heavy, foggy head; white frothy sputum; rattling throat sounds.
Tongue: Normal or slightly pale, teeth-marked, swollen, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Transforms Wind-Phlegm and opens the orifices to revive consciousness and calm the spirit.
Note: no moxa. This site's decks have no Wind-Phlegm slide, confirmed absent β€” no pattern link is given here.

3. Liver Wind Agitating Internally Due to Liver Fire View full pattern →

Clinical manifestations: Convulsive movements; severe dizziness; manic excitement; tremors or muscle twitching; a splitting or distending headache; a red face with bloodshot eyes; a bitter taste and extreme thirst; tinnitus or sudden hearing loss.
Tongue: Red with redder sides, possibly stiff or trembling, yellow dry coating. Pulse: Wiry, rapid, forceful.
Treatment principle: Subdues Liver Yang, extinguishes internal Wind and clears Fire to anchor the spirit.
Note: no moxa. Linked to this site's own Liver-Fire-generating-Wind slide.

4. Pericardium Blood Stagnation View full pattern →

Clinical manifestations: Fixed, unchanging delusions or mental dullness; stabbing chest pain in a fixed location; purple lips; a dark or dusky facial complexion; palpitations with oppression or tightness; restless, anxious insomnia.
Tongue: Dark purple or dusky with stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy, possibly wiry, often knotted with irregular pauses.
Treatment principle: Invigorates Blood and dispels stasis to open the Pericardium and restore mental clarity.
Note: no moxa.

5. Liver Qi Stagnation View full pattern →

Clinical manifestations: Frequent sighing; rib and chest tightness; mood swings with irritability and depression; a lump-in-the-throat sensation; suspiciousness or social withdrawal; poor appetite and bloating.
Tongue: Normal or slightly dark with red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string, most prominent at the left middle position.
Treatment principle: Courses the Liver and resolves constraint to smooth Qi flow and prevent Phlegm formation.
Note: no moxa.
Related conditions

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