SCHIZOPHRENIA

Clinical Manifestations
  • Yang Type:
    Hallucinations
    Discussions with imaginary partners
    Delusions
    Paranoia
    Jealousy
    Hate
    Guilt
    Religious delusions
    Strange movements
    Strange clothing
    A tendency to attack others
    Repetitious speech or actions
    Answers do not match questions
    Sentences are not logically connected
    A constant change of topics
  • Yin Type:
    Dull emotional expression
    Dull eyes
    A decrease in self-initiated activity
    Talks little
    Sentences have little content or are unfinished
    Slow response
    Poor hygiene
    Loss of concentration
    Decreased sex drive
    Loner behavior
    Low excitability
    Disregard of social codes
  • Paranoid Subtype:
    Delusions or hallucinations
    N no disorganized or catatonic behavior
  • Disorganized Subtype:
    Disorganized speech and behavior or
    Inappropriate affect
    No catatonic behavior
  • Catatonic Subtype:
    Motor immobility (including posturing) or
    Excessive motor activity
    Extreme negativity
    Repeats words or actions of others
    Undifferentiated Subtype:
    Meets criteria of schizophrenia in general but no specific distinguishing symptoms
    Residual Subtype:
    Symptoms are present but in an undifferentiated form
  • Schizophreniform Disorder:
    Same symptom pattern as schizophrenia
    Symptoms last 1-6 months
Treatment Principle
Herb Formulas
Points

Clinical Manifestations
  • Excited
  • Agitated movements
  • Visual hallucinations
  • Delusions
  • Difficulty thinking
  • Disturbed, chaotic thoughts
  • Odd usual eccentric behavior
  • Red complexion
  • Red eyes
  • Dry stools
  • T: Red
  • C: Yellow
  • P:Wiry, rapid and forceful
Treatment Principle
  • Drain fire
  • Expel Phlegm
  • Activate the Blood
  • Dispel stasis
  • Heavily settle and calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Abnormally slow reactions
  • Lack of will
  • Difficulty thinking
  • Fatigue
  • Body weak
  • Timidity
  • Lassitude
  • Somber white complexion
  • T: Pale
  • C: White
  • P: Deep and Thready
Treatment Principle
  • Nourish the Blood
  • Supplement the Heart
  • Warm Yang
Herb Formulas
Points
Clinical Manifestations
  • Manic behavior
  • Raving walking
  • Shouting
  • Abusing people
  • Climbing to high places
  • Singing
  • Removing one's clothes
  • Unusual strength
  • Foul breath
  • Red face
  • Abdominal pain and distention
  • Constipation
  • T: Red
  • C: Dark and yellow or Black and dry
  • P: Deep and wiry
Treatment Principle
  • Purge the Intestines
  • Expel Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Dizziness
  • Easily startled
  • Restlessness
  • A stuffy feeling in the chest
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Restlessness
  • Agitation
  • Anxiety
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Frequent waking with nightmares
  • Palpitations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Restlessness
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Flushed face
  • Bitter taste in the mouth
  • Scanty, dark urine
  • A red complexion
  • Maybe painful urination
  • Maybe hematuria
  • T: Red tip, ulcers especially on tip or Red with a redder tip
  • C: Normal or Yellow
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • This pattern roughly corresponds to the hebephrenic or disorganized type of schizophrenia. 3 of the 5 following symptoms should be present, or two that are pronounced. The psychotic symptoms should have a minimum of continuous duration of one month.
    1. Disorganized thinking
    2. Vivid hallucinations
    3. Emotional instability
    4. Childish or inappropriate behavior
    5. Excitable and compulsive behavior
  • Emotional tension and agitation
  • Breaking things
  • Injuring other people
  • Foul speech
  • An angry look in the eyes
  • A red complexion
  • Red eyes
  • Bound constipated stools
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Dizziness
  • Easily startled
  • Restlessness
  • A stuffy feeling in the chest
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Melancholy
  • Anxiety
  • Obsession
  • Irritability
  • Pain that is fixed, stabbing and/or severe or
  • Pains that move around
  • Distention
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Inappropriate anger
  • Irregular menses
  • Breast distention and pain before and during menses
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Pink or Purple, possible purple or red spots or Thick
  • C: White or Greasy and white or Greasy and yellow
  • P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Clear Heat
  • Relieve toxicity
  • Cool the Blood
  • Transform Phlegm
  • Relieve Food Stagnation
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Excessive thinking
  • Worry
  • Anxiety
  • Dreaming of ghosts
  • Confusion
  • Predilection to sorrow and a desire to cry
  • Difficulty thinking
  • Sluggishness
  • Illogical speech
  • A somber white complexion
  • Fatigue
  • Anorexia
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Lack of concentration
  • Palpitations
  • Apprehension
  • Fatigue
  • weakness
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
  • Tonify the Blood
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Taciturnity
  • Illogical speech
  • A tendency toward inappropriate anger
  • Suicidal thoughts
  • No desire to live
  • Self-injury
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Paranoia
  • Lots of worries
  • Illogical speech
  • Chest and flank distention and fullness,
  • No thought of food or drink
  • Tendency to profuse phlegm
  • Dull and silly
  • Mumbling to oneself
  • Temperamental
  • Frequent laughing and crying
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Hysteria
  • Tendency to sigh
  • Melancholy
  • Apathy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Premenstrual syndrome
  • Chronic cases:
    Red eyes
    Tidal fever
    A dry mouth
  • T: Pink
  • C: Thin and white or Slimy
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Hallucinations
  • Discussions with imaginary partners
  • Delusions
  • Paranoia
  • Jealousy
  • Hate
  • Guilt
  • Religious delusions
  • Strange movements
  • Strange clothing
  • A tendency to attack others
  • Repetitious speech or actions
  • Answers do not match questions
  • Sentences are not logically connected
  • A constant change of topics
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Calm the Liver
  • Regulate Qi
  • Relieve Stagnation
  • Calm the Shen
  • Descend Rebellious Qi
  • Activate the Blood
  • Break up Stasis
  • Clear Heat
  • Transform Phlegm
  • Purge accumulations
Herb Formulas
Points
Clinical Manifestations
  • Acute onset
  • Irascibility
  • Headaches
  • A quick temper
  • Resorts to violence
  • Abusive language
  • Destruction of goods
  • Attacking people
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • T: Red tip and edges or Purplish
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Purge the Liver
  • Clear Fire
  • Sedate the Heart
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • This pattern roughly corresponds to the chronic type of schizophrenia. Three of the five symptoms should be present or two should be pronounced. The psychotic symptoms should have a minimum continuous duration of two years.
    1. Lack of thought
    2. Dull appearance
    3. Lack of motivation
    4. Withdrawn behavior
    5. Disinclination to speak
  • Advanced age
  • Bodily weakness or
  • Enduring disease that does not heal
  • Difficulty thinking
  • Sluggishness
  • Inattention
  • Cowering
  • No thought for food or drink
  • Lack of strength
  • Lusterless complexion
  • A dull emotional expression
  • Dull eyes
  • A decrease in self-initiated activity
  • Talks little
  • Sentences have little content or are unfinished
  • Slow response
  • Poor hygiene
  • Loss of concentration
  • Decreased sex drive
  • Loner behavior
  • Low excitability
  • Disregard of social codes
  • Extremely cold extremities
  • Aversion to Cold
  • Sleeping with knees drawn up
  • Lethargy with a constant desire to sleep
  • Vomiting
  • Diarrhea with undigested food
  • Abdominal pain and Cold
  • Lack of thirst
  • Coma
  • Indigestion
  • Edema
  • Pale face
  • Superficial fever
  • Red face
  • Cyanosis of the lips and nails
  • T: Pale or Dark purple
  • C: White and slippery
  • P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle
  • Rescue Yang
  • Disperse Internal Cold
  • Warm and supplement the Spleen and Kidneys
  • Transform Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Mania has continued for a long period of time
  • Less violence
  • Exhaustion
  • Alternating spells of garrulousness and timidity
  • Occasional mania
  • Emaciation
  • Flushed face
  • A dry mouth and lips
  • Fatigue
  • Excessive speech
  • Susceptibility to fright
  • Anxiety
  • Tension
  • Occasional vexation
  • Emaciation
  • A red complexion
  • Five-Sole-Heat
  • A dry mouth with no desire to drink
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Fire
  • Stabilize the Mind
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • This pattern roughly corresponds to the hebephrenic or disorganized type of schizophrenia. Three of the seven following symptoms should be present or two of them should be pronounced. The psychotic symptoms should have a minimum one month continuous duration.
    1. Delusions
    2. Hallucinations
    3. Suspiciousness
    4. Hostility
    5, Dull demeanor with occasional excitation
    6. Social withdrawal with a feeling of loneliness
    7. Prolonged stupor, possibly with sudden, brief excitatory states
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • Insomnia
  • Frequent dreams
  • Palpitations
  • Dizziness
  • Blurred vision
  • T: Red or Crimson
  • C: Little or None or Peeled
  • P: Slippery, strong and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • This condition corresponds with paranoid schizophrenia (3 of the next 5 symptoms should be present and psychotic symptoms should have a minimum continuous duration of one month:
    1. Primary hallucinations
    2. Verbal auditory hallucinations
    3. Loose associations
    4. Conflicting emotions
    5. Strange behavior
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue) with Blood Stasis and distention in the sublingual veins
  • C: Little
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Regulates Qi
Herb Formulas
Points
Clinical Manifestations
  • Mania that persists for an extended period of time
  • Agitation
  • Restlessness
  • Incoherent speech
  • Constant anger
  • A dark complexion
  • Pain and fullness of the chest and flanks
  • A headache
  • Palpitations
  • Severe: Climbing up to high places, singing and removing one's clothes
  • T: Purple with stasis spots
  • C: White
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Activate the Blood
  • Transform Stasis
  • Regulate Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Mania that persists for an extended period of time
  • Agitation
  • Restlessness
  • Incoherent speech
  • Constant anger
  • A dark complexion
  • Pain and fullness of the chest and flanks
  • A headache
  • Palpitations
  • Severe: Climbing up to high places, singing and removing one's clothes
  • T: Purple with stasis spots
  • C: White
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Activate the Blood
  • Transform Stasis
  • Regulate Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Emotional instability
  • Sometimes agitated, sometimes still
  • Speaking to oneself
  • Torpid Spirit
  • Paranoia
  • Delusional thinking
  • Auditory and visual hallucinations
  • A dark stagnant complexion
  • A piercing headache
  • Irritability
  • Fidgeting
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctiva or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • Chronic stabbing pain in the chest
  • Pain in the hypochondrium
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Chronic incessant hiccups
  • Five Sole Heat
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Palpitations
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • T: Dark-red with purple spots on the edges
  • P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle
  • Activate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
  • Resolve depression
Herb Formulas
Points
Clinical Manifestations
  • Firmness and distention in the lower abdomen which is painful and gives resistance on pressure
  • Smooth urination
  • Manic behavior
  • Forgetfulness
  • Black stools that are easy to expel
  • Delayed menstruation
  • Amenorrhea
  • Irregular menstruation
  • Coagulated blood
  • Thirst
  • Dry mouth
  • Polyuria
  • Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails
  • T: Purplish
  • C: Normal
  • P: Deep, slow and irregular
Treatment Principle
  • Break up and dispels Blood Stasis
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • This pattern roughly corresponds to the simple type of schizophrenia. Three of the five symptoms should be present or two should be pronounced. The psychotic symptoms should have a minimum continuous duration of two years.
    1. Difficulty thinking
    2. Emotional indifference
    3. Laziness and passivity
    4. Lack of motivation
    5. Impaired social skills
  • Inattentiveness
  • Slow movements
  • Fatigue
  • Lack of strength
  • Cowering
  • Solitariness
  • Possible visual and auditory hallucinations
  • Heart vexation
  • Insomnia
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Swollen, with teeth marks
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry or Deep and moderate
Treatment Principle
  • Warm Yang
  • Fortify the Spleen
  • Transform Phlegm
  • Open the orifices
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Drains Fire
  • Relieves toxicity
  • Drains Dampness
Herb Formulas
Points
Clinical Manifestations
  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
Herb Formulas
Points