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Depression

What is Depression?

Definition

Depression is a serious mental health condition characterised by persistent low mood, loss of interest, lack of drive, and further physical and emotional symptoms. It is one of the most common conditions worldwide.

Common Causes

  • Genetic predisposition
  • Neurochemical imbalances (serotonin, dopamine)
  • Stressful life events and trauma
  • Chronic illness
  • Hormonal changes
  • Social isolation and loneliness

Physiological and Pathological Mechanisms

  • Dysregulation of the neurotransmitters serotonin and dopamine
  • Structural changes in the hippocampus (stress response)
  • Overactivation of the stress axis (HPA axis)

How Traditional Chinese Medicine (TCM) understands Depression

Depression in TCM often corresponds to Liver Qi stagnation spreading to the Heart. The Spirit (Shen) loses its anchor; patterns such as Heart Blood deficiency, phlegm obstructing the Heart, or Kidney Yang deficiency may also be present.

Treatment Principles

Acupuncture

Points such as LR 3, HT 7, PC 6, GV 20, and SP 6 move Liver Qi, nourish Heart Blood, and anchor the Shen.

Tuina Treatment

Relaxing full-body massage with a focus on the back and solar plexus to promote Qi movement and emotional release.

Traditional Chinese Medicine

Tried-and-tested formulas such as Xiao Yao San (Free and Easy Wanderer) move Liver Qi and tonify the Spleen and Blood.

Lifestyle Adjustments

Regular physical activity, social contact, structured daily routine, sunlight, relaxation techniques.

When to See a Doctor Immediately

Warning Signs

  • Suicidal thoughts or plans
  • Self-harm
  • Complete loss of daily functioning

When to Contact a Clinic

If suicidal thoughts arise, contact the crisis helpline (Tel. 143) or emergency services immediately. TCM is used as a complement to conventional medical treatment.

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