Treating Depression: Part 1
Depression
is not something a person can “just get over” or “snap out of”. Depression is a physical manifestation that
results in loss of control over emotions. It creates a downward spiral of
stress, anxiety, fatigue, and despair for no apparent reason. While drugs can
sometimes help people maintain or cope, and can be helpful in acute situations,
they can have side effects, and can suppress positive as well as negative
emotions. Drugs just treat symptoms, as opposed to treating the root cause of
the problem. Acupuncture and Chinese Herbal Formulas have been used in China to
treat stress, anxiety and depression effectively for thousands of years.
Combined with other Holistic modalities, such as homeopathics, nutritional
supplements, exercise and diet, people can obtain the tools they need to regain
control over their emotions, and their lives.
Depression results from stress.
Prolonged stress projected outward can become anger or irritability, manifesting
as road rage, and verbal or physical abuse. Accumulated stress projected inward
can result in depression, which is essentially ‘verbal’ and physical abuse of
oneself. (How many people would say the horrible things to a friend that they
say to themselves in this state, encourage them to stop eating, or feed them excessive
junk food or alcohol?)
There are many causes of depression, with a variety of
combinations causing depression for different people. Treating Depression: Part
1 is the discussion of one of the most, if not the most prevalent cause, Liver
Qi Stagnation.
In TCM (Traditional Chinese Medicine) stress, anger,
irritability, and depression have to do with the energetic function of the
Liver. The Liver Channel is responsible for circulating all the energy in the
body. When that energy is not flowing as it should it can create a wound up
feeling, like a spring ready to be sprung. Everything can become overwhelming. The
type of insomnia that inhibits falling asleep because the mind won’t shut off is
another symptom, as is waking approximately between 1-3 AM with difficulty
returning to sleep.
To treat these symptoms, find an Acupuncturist. Expect fairly
quick results, as opposed to a series of treatments, three or more, with little
or no signs of improvement. If there are no signs of improvement in a reasonable
amount of time, find another Acupuncturist. We all have our specialties, and
even the best of us can’t help every single patient that walks through the
door, which is not to say that another Acupuncturist, with different techniques
couldn’t help that same patient.
Acupuncture reroutes and encourages the flow of Qi, the
vital energy in the body, (pronounced Chi). Typically, patients feel better after the first
treatment. How long this lasts depends on the severity of the depression. Mild
cases require Acupuncture once a week, until symptoms are under control, at
which point every other week and then a maintenance program of a once a month would
be advisable. For severe cases, three times a week or more, for the first week
or until symptoms are under control, can break people out of the pattern of fatigue,
darkness and despair, enabling them to take a more proactive role in other
aspects necessary for recovery, such as diet and exercise.
Chinese herbal formulas are also used by many
Acupuncturists to accelerate healing.
If
the case of depression is that of Liver Qi Stagnation (Energy not flowing properly
in the Liver Channel) than the formula Xiao Yao Wan, which translates to Free and Easy Wanderer can be
incorporated. This formula facilitates the appropriate flow of Qi and is a popular
formula for either occasional or persistent symptoms of stress, or the type of
insomnia where an overactive mind prevents sleep. Free and Easy Wanderer is a very old Chinese Herbal formula and
available in many brands, many of them excellent, some to be avoided. Plum
Flower is a GMP rated brand available at many Health Food Stores. GMP is an
Australian agency, comparable to the original intent of the FDA. It is
considered the top international standard for herbs, insuring quality.
Chinese Herbal Formulas are used to correct imbalances in
the body and are often modified then discontinued as symptoms decline and
disappear. Some formulas are appropriate for occasional use if symptoms reoccur,
preventing acute reoccurrence, and should therefore be kept on hand in one’s
herbal medicine cabinet. Labeling formulas with their use is helpful to remember
what they are used for and as a reminder to use as needed.
While Liver Qi Stagnation is the most typical pattern
causing depression, there can be other
underlying causes or combination of causes manifesting additional symptoms, for
example extreme anxiety, chronic fatigue, or types of insomnia other than previously
described. The Acupuncturist’s initial appointment is to discern the underlying
pattern of a health issue, or combination of issues, create a (Acupuncture) Point
Prescription, and choose an Herbal remedy to treat that pattern. A first treatment is usually included in a
first appointment.
Even in severe cases of depression, the first treatment of Acupuncture
and initial doses of a Chinese Herbal Formula can restore balance in the body
and enable patients to feel better. Subsequent treatments can maintain long term
balance and be invaluable tools to help people regain control of their lives.
Health
and Happiness,
Nancy
Burton, L.Ac.
Depression: Part 2
Continued discussion of other contributing factors of
depression, and additional tools to alleviate and prevent re-occurrence.