Is long-term stagnation of liver qi depression?

Nov 14, 2024 Source: Cainiu Health

Dr. Gao Jun

Introduction

In most cases, long-term stagnation of liver qi is not depression. However, prolonged stagnation of liver qi may affect the circulation of qi and blood as well as the functions of internal organs, leading to imbalances in both physical and mental health. When emotions are not properly regulated and released in a timely manner, depression may gradually develop. Meanwhile, patients with depression may also exhibit symptoms of liver qi stagnation according to TCM syndrome differentiation.

Patients with depression may exhibit symptoms of liver qi stagnation; however, in most cases, long-term liver qi stagnation is not depression itself. Prolonged liver qi stagnation may increase the risk of developing depression. If concerned, it is advisable to seek medical consultation in advance. Detailed explanation is as follows:

From the perspective of traditional Chinese medicine (TCM), liver qi stagnation is a pattern of disharmony primarily caused by emotional distress and impaired qi circulation. Patients may experience symptoms such as distending pain in the hypochondriac region, chest tightness, frequent sighing, and emotional depression. Depression, on the other hand, is a mental health disorder characterized mainly by persistent and significant low mood. It is also accompanied by symptoms such as loss of interest, anhedonia, self-blame, sleep disturbances, changes in appetite, and suicidal thoughts. The two conditions differ in their concepts, diagnostic criteria, and treatment approaches.

Nevertheless, long-term liver qi stagnation may affect the circulation of qi and blood as well as organ function, leading to physical and psychological imbalances. When emotions are not properly regulated and released, depression may gradually develop. Meanwhile, patients with depression may also present with symptoms of liver qi stagnation according to TCM pattern differentiation.

For liver qi stagnation, TCM typically employs methods such as herbal medicine, acupuncture, and massage to soothe the liver, relieve depression, and regulate qi and blood. For depression, in addition to psychotherapy, antidepressant medications—such as fluoxetine hydrochloride tablets, paroxetine hydrochloride tablets, and fluvoxamine maleate tablets—should be used according to medical advice depending on the severity of the condition.

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