Theory

Chinese Herbal and Acupuncture Treatment Protocols for Irritability - Formulas, Protocols, TCM Diagnoses



Irritability - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating irritability. For a complete list from our store with more details see our irritability formula section.


Irritability - Questions

Need treatment options for irritability and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of irritability.



Irritability - Related Acupuncture Points

The following (4) acupuncture points may be useful for irritability. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Irritability - Related Chinese Herbs

The following (19) chinese herbs may be useful for irritability. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (11) Formulas TCM Herbal Formulas May Be Useful For Irritability

An Shen Bu Xin Wan

Chai Hu Shu Gan Wan

  • Bupleurum Powder to Spread the Liver
    • Hypochondriac pain with possible breast tenderness.
    • Irregular menstruation and or amenorrhea, PMS symptoms that result from liver qi stagnation.
    • Irritability and or depression may also manifest as the emotional component of liver qi stagnation.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Er Xian Tang Wan

Geng Nian An Wan

  • Peaceful Menopause
    • Menopause symtpoms including hot flashes, night sweats, mood swings, restlessness and anxiety as a result of yin deficiency.  
    • Can be used for other yin deficient symtpoms such as tinnitus, dry skin, and lightheadedness.
  • Tonify
  • Tonify the Yin
  • Cautions
    • Use with caution during pregnancy.
    • Do not use if patient presents with true heat or exterior heat.

Jia Wei Gui Pi Wan

  • Augmented Restore The Spleen Decoction
    • A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification.
    • A range of stress related issues - essentially mixes of stagnation with underlying deficiencies.
    • Potential uses with immune / idiopathic thrombocytopenic purpura (ITP) and other bruising/bleeding issues with appropriate diagnostic factors.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Jia Wei Xiao Yao Wan

  • Free and Easy Wanderer Pills
    • Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat.
    • Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, breast distention, PMS, acne.
    • A range of mild to moderate psychological issues arising from liver qi stagnation such as anxiety, depression, panic disorder, insomnia, anger issues, etc.
    • Physical symptoms from liver qi stagnation such as headaches, tightness in the chest, cold hands and feet, various eye issues.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Shao Yao Gan Cao Wan

  • Peony and Licorice Decoction
    • Cramping and/or muscle spasms that are due to fluid deficiency.
    • Frozen shoulder, trigger finger.
    • General tightness or cramps especially along the tendons or ligaments.
    • Restless leg syndrome for patients who present with yin and blood deficiency as the primary cause.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Si Ni San Wan

  • Frigid Extremities Powder Pills
    • Coldness in the limbs with simultaneous heat in the body.
    • Irritibility, possibly with fullness in the chest or epigastrium. 
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Not for cold extremities from yang or Blood deficiency.
    • Use with caution or avoid in very weak patients who cannot sustain the movement that this formula creates.

Suan Zao Ren Wan

  • Sour Jujube Decoction
    • Shen related issues when arising from liver blood deficiency - anxiety, insomnia.
    • Menopausal heat contributing to sleep and/or anxiety issues.
    • Palpitations, night sweats, and general dryness.
  • Calm The Spirit
  • Nourish the Heart and Calm the Spirit

Tian Ma Gou Teng Wan

  • Gastrodia and Uncaria Formula
    • Headaches, vertigo, dizziness, tinnitis, floaters or blurry vision, insomnia as a result of liver yang rising. 
    • Siezures, spasms, convulsions or other types of involuntary muscle activity due to liver wind.
  • Expel Wind
  • Extinguish Internal Wind
  • Cautions
    • Use with caution with patients presenting with yin deficiency.

Xiao Chai Hu Tang Wan

  • Minor Bupleurum Decoction
    • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
    • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
    • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
    • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Use with caution with yin and/or blood deficiencies.
    • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.



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