Clinical Information For the Treatment Of Irritability

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The Following (9)Formulas TCM Herbal Formulas May Be Useful For Irritability

An Shen Bu Xin Wan (Calm the Shen and Supplement the Heart Pills)

Clinical Usages

  • Insomnia and palpitations
  • Anxiety, possible difficulty with concentration
  • Irritibility and restlessness
  • Tinnitus

    Clinical Categorization

    Geng Nian An Wan (Peaceful Menopause)

    Clinical Usages

    • 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.

      Clinical Categorization

      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)

          Clinical Usages

          • 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.

            Clinical Categorization

            Jia Wei Xiao Yao Wan (Free and Easy Wanderer Pills)

            Clinical Usages

            • 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.

              Clinical Categorization

              Shao Yao Gan Cao Wan (Peony and Licorice Decoction)

              Clinical Usages

              • 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.

                Clinical Categorization

                Si Ni San Wan (Frigid Extremities Powder Pills)

                Clinical Usages

                • Important formula for liver qi stagnation - manifesting as moodiness, depression, cold in the extremities (particularly hands and/or feet), possibly along with other stress signs - mild headaches, teeth grinding, facial twitching, etc.
                • A range of liver "attacking" the spleen digestive issues, hypochondriac, abdominal and/or epigastric pain.  Sensation of tension in the chest that worsens with stress.
                • All of the above symptoms that come along with menstruation.

                  Clinical Categorization

                  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)

                      Clinical Usages

                      • 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.

                        Clinical Categorization

                        Tian Ma Gou Teng Wan (Gastrodia and Uncaria Formula)

                        Clinical Usages

                        • 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.

                          Clinical Categorization

                          Cautions

                            • Use with caution with patients presenting with yin deficiency.

                              Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction)

                              Clinical Usages

                              • 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.

                                Clinical Categorization

                                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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