This patient is a woman in her late 40s, with a fair complexion and average build. Ten years ago, her husband passed away from a sudden heart attack, leaving her to raise her son alone. Her son moved away for college a year ago, after which she began experiencing these symptoms. Two weeks ago, after a minor stressful event, her symptoms intensified to the point where they began to interfere with her daily life. She is easily startled by small sounds, with persistent anxiety and insomnia. She suffers from frequent indigestion and dry mouth, chest tightness, and sensation of heat.
She visited us, having already tried hormone therapy for possible menopause symptoms, but it had not helped. She also has been taking anti-anxiety medication from a psychiatrist as needed, with recent increases in frequency. She was diagnosed as having moderate depression (BDI-2: 14) and high anxiety levels (STAI X 1/2: 66/58). Her pulse was weak and tense, and her tongue appeared red with an especially red tip. Her abdomen was tense with several tender spots.
She was diagnosed with “Ganbi Disharmony Syndrome,” which relates to liver and digestive system issues, along with generalized anxiety disorder. The treatment plan included herbal medicine, acupuncture, moxibustion, oriental psychotherapy, and aromatherapy.
- After the second week, the patient felt emotionally relieved after expressing her pent-up feelings, though she was still easily startled and had intrusive thoughts. Physical symptoms like palpitations and indigestion slightly improved.
- After week six, her abdominal tension and constipation improved with a prescription adjustment, leading to better digestion and reduced palpitations.
- After week 10, she was less frequently startled in daily life. Her sleep improved, with fewer nighttime awakenings.
- After week 13, symptoms like palpitations, appetite, and digestion had improved. Dry mouth was much better, and she felt less tired and more energetic.
- Treatment concluded. The patient shared that she felt more relaxed and less rushed. She expressed satisfaction, realizing she had been feeling unnecessarily stressed and pressured.