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    Topic hub

    Anxiety — Chinese Medicine Hub

    Anxiety in Traditional Chinese Medicine isn't a single diagnosis — it's a set of differential patterns centred on the Heart (Shen), Gallbladder, Liver, and phlegm-fire. This hub pulls together the full clinical picture: the structured condition page, the symptom-mapping quiz, and every named TCM pattern with its distinguishing signs, points, and formulas.

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    Condition page

    Structured overview with patterns, red flags, contraindications, classical references, and cited sources.

    Open anxiety disorders

    Symptom quiz

    Map your timing, sleep, and body-sensation profile to the most likely TCM pattern in a few clicks.

    Take the quiz

    Full diagnosis

    Run a complete intake and get pattern-ranked point and formula suggestions with classical references.

    Start diagnosis

    Core treatment principle

    Calm the Shen, tonify Heart and Gallbladder Qi, resolve phlegm, clear heat from the Heart

    TCM differential patterns (4)

    Every anxiety pattern currently in the Medi-Chi database. Each links back to the condition page, where you'll find the matching point prescription and formula in context.

    Heart-Gallbladder Qi Deficiency

    心膽氣虛

    Easily startled/frightened, timid, indecisive — anxiety centered around fear and lack of courage

    Signs

    • easily frightened/startled
    • timidity
    • indecisiveness
    • palpitations with anxiety
    • sighing
    • restless sleep
    Tongue: Pale body, thin white coating
    Pulse: Thin, wiry, weak
    Full pattern on condition page

    Liver Qi Stagnation with Heat

    肝鬱化火

    Anxiety mixed with irritability and anger; chest/hypochondriac tightness; worse with emotional triggers

    Signs

    • anxiety with irritability
    • chest/rib-side tightness
    • sighing
    • bitter taste
    • headache
    • red face when agitated
    Tongue: Red edges, thin yellow coating
    Pulse: Wiry, rapid
    Full pattern on condition page

    Heart Yin Deficiency with Empty Fire

    心陰虛火旺

    Anxiety worse at night with palpitations, night sweats, and insomnia — signs of Yin deficiency with heat

    Signs

    • anxiety worse at night
    • palpitations
    • insomnia
    • night sweats
    • dry mouth
    • five-palm heat
    Tongue: Red body, red tip, little coating, dry
    Pulse: Thin, rapid
    Full pattern on condition page

    Phlegm-Fire Harassing the Heart

    痰火擾心

    Anxiety with chest oppression, nausea, dizziness, and thick greasy tongue coating — Phlegm signs prominent

    Signs

    • anxiety with agitation
    • chest oppression
    • bitter taste
    • nausea
    • dizziness
    • feeling of something stuck in throat
    Tongue: Red body, thick yellow greasy coating
    Pulse: Slippery, rapid, wiry
    Full pattern on condition page

    Core Shen-calming points

    Neiguan (PC-6) 內關

    2 cun above the transverse wrist crease, between palmaris longus and flexor carpi radialis tendons

    Opens the chest, regulates Heart Qi, calms the Shen, harmonizes the Stomach

    Shenmen (HT-7) 神門

    At the wrist crease, on the radial side of the flexor carpi ulnaris tendon

    Calms the Shen, nourishes Heart Blood, clears Heart fire

    Danzhong (CV-17) 膻中

    On the anterior midline, level with the 4th intercostal space, midway between nipples

    Regulates Qi in the chest, benefits the diaphragm, clears the Lungs, calms anxiety

    Qiuxu (GB-40) 丘墟

    Anterior and inferior to the external malleolus, in the depression lateral to the tendon of extensor digitorum longus

    Tonifies Gallbladder Qi, benefits decision-making, clears Gallbladder heat

    Representative formula

    Wen Dan Tang 溫膽湯

    Regulates Qi, transforms phlegm, clears Gallbladder, harmonizes Stomach

    • Ban Xia (半夏) — Dries dampness, transforms phlegm, descends rebellious Qi, harmonizes Stomach · 6-9g
    • Zhu Ru (竹茹) — Clears heat, transforms phlegm, stops vomiting, calms the Shen · 6-9g
    • Zhi Shi (枳實) — Breaks up stagnant Qi, reduces accumulation, transforms phlegm · 3-9g
    • Chen Pi (陳皮) — Regulates Qi, dries dampness, transforms phlegm, strengthens Spleen · 3-9g
    • Fu Ling (茯苓) — Promotes urination, drains dampness, strengthens Spleen, calms the Shen · 9-15g