Post Traumactic Stress Disorder (PTSD) - A Chinese Medicine Perspective
What is PTSD?
Post-traumatic stress disorder (PTSD) is a debilitating mental disorder that can form following exposure to a traumatic event  such as a natural disaster, a serious accident, a terrorist act, war/combat, or rape or who have been threatened with death, sexual violence or serious injury. PTSD is often comorbid with depression and other anxiety disorders.
The American Psychiatric Association states that symptoms of PTSD fall into four categories, and specific symptoms can vary in severity.
Intrusion: Intrusive thoughts such as repeated, involuntary memories; distressing dreams; or flashbacks of the traumatic event. Flashbacks may be so vivid that people feel they are re-living the traumatic experience or seeing it before their eyes.
Avoidance: Avoiding reminders of the traumatic event may include avoiding people, places, activities, objects and situations that may trigger distressing memories. People may try to avoid remembering or thinking about the traumatic event. They may resist talking about what happened or how they feel about it.
Avoidance symptoms Include:
- Staying away from places, events, or objects that are reminders of the experience
- Avoiding thoughts or feelings related to the traumatic event
Avoidance symptoms may cause people to change their routines. For example, after a serious car accident, a person may avoid driving or riding in a car.
Alterations in cognition and mood: Inability to remember important aspects of the traumatic event, negative thoughts and feelings leading to ongoing and distorted beliefs about oneself or others (e.g., “I am bad,” “No one can be trusted”); distorted thoughts about the cause or consequences of the event leading to wrongly blaming self or other; ongoing fear, horror, anger, guilt or shame; much less interest in activities previously enjoyed; feeling detached or estranged from others; or being unable to experience positive emotions (a void of happiness or satisfaction).
Alterations in arousal and reactivity: Arousal and reactive symptoms may include: being irritable and having angry outbursts; behaving recklessly or in a self-destructive way; being overly watchful of one’s surroundings in a suspecting way; being easily startled; or having problems concentrating or sleeping.
Arousal and reactivity symptoms include:
- Being easily startled
- Feeling tense, on guard, or “on edge”
- Having difficulty concentrating
- Having difficulty falling asleep or staying asleep
- Feeling irritable and having angry or aggressive outbursts
- Engaging in risky, reckless, or destructive behaviour.
Arousal symptoms are often present—they can lead to feelings of stress and anger and may interfere with parts of daily life, such as sleeping, eating, or concentrating.
How Does Traditional Chinese Medicine View Post Traumatic Stress Disorder
Strong emotional responses to an event such as anger, sadness, fear, etc. can cause imbalance of the energy flow through the body and adversely affect one or more of the organs.
From a Chinese medical perspective the primary diagnostic patterns for PTSD are:
- Heart Shen (spirit) disturbance
- Liver Qi (energy) stagnation
- Kidney deficiency.
The following secondary patterns are:
- Liver Qi stagnation – Wood-Earth Disharmony
- Liver Fire
- Phlegm Fire
- Heart Fire
- Xu (deficiency) of: Heart, Kidney, and Spleen .
Studies have shown Acupuncture to be a safe, effecting and potentially non-stigmatising treatment that reduces symptoms of anxiety, depression, and chronic pain .
At Kurrajong Natural Medicine Centre our team of highly qualified and experienced practitioners are ready to help develop an individualised treatment programme with you. Simply call (02) 4573 0894
In Traditional Chinese Medicine (TCM) each of the elements represents organs and their associated emotional components. That is the Liver, for example, is associated the the element of WOOD and it’s associated emotion is ANGER.
What You Can Do to Help Yourself
It is important to know that, although it may take some time, you can get better with treatment. Here are some things you can do to help yourself:
- Talk with your health care provider about treatment options, and follow your treatment plan.
- Acupuncture and Chinese herbal medicine
- Engage in exercise such as Yoga, Tai Qi or Qi Gong, mindfulness/meditation, and other activities that help reduce stress, for example gardening.
- Try to maintain routines for meals, exercise, and sleep.
- Set realistic goals and do what you can as you are able.
- Spend time with trusted friends or relatives, and tell them about things that may trigger symptoms.
- Expect your symptoms to improve gradually, not immediately.
- Avoid use of alcohol or drugs.
1. Oh, J. Y., Kim, Y. K., Kim, S. N., Lee, B., Jang, J. H., Kwon, S., & Park, H. J. (2018). Acupuncture modulates stress response by the mTOR signalling pathway in a rat post-traumatic stress disorder model. Scientific reports, 8(1), 11864. https://doi.org/10.1038/s41598-018-30337-5
2. Sinclair-Lian, N., Hollifield, M., Menache, M., Warner, T., Viscaya, J., & Hammerschlag, R. (2006). Developing a traditional chinese medicine diagnostic structure for post-traumatic stress disorder. Journal of alternative and complementary medicine (New York, N.Y.), 12(1), 45–57. https://doi.org/10.1089/acm.2006.12.45
3. Engel, C. C., Cordova, E. H., Benedek, D. M., Liu, X., Gore, K. L., Goertz, C., Freed, M. C., Crawford, C., Jonas, W. B., & Ursano, R. J. (2014). Randomized effectiveness trial of a brief course of acupuncture for posttraumatic stress disorder. Medical care, 52(12 Suppl 5), S57–S64. https://doi.org/10.1097/MLR.0000000000000237