Depression in TCM
Chinese medicine recognises depression most commonly as Liver Qi stagnation — blocked emotional flow manifesting as low mood, sighing, chest tightness, and loss of motivation. Secondary patterns include Heart Blood deficiency (emptiness, poor memory, insomnia) and Kidney Yang deficiency (cold body, extreme fatigue, loss of will to engage with life).
Neuroscience of Acupuncture for Depression
Research shows acupuncture:
- Increases serotonin and dopamine levels
- Reduces cortisol and the chronic stress response
- Upregulates BDNF (brain-derived neurotrophic factor) — supporting neuroplasticity
- Normalises the HPA axis dysregulation associated with depression
- Reduces inflammation (high CRP and IL-6 are associated with treatment-resistant depression)
Combining with Antidepressants
Acupuncture can be safely combined with antidepressant medications. Some research suggests it may improve antidepressant efficacy and reduce side effects. Always consult your prescribing doctor before making any medication changes — acupuncture supports but does not replace prescribed treatment.
Key Takeaways
- Acupuncture increases serotonin and dopamine — mood-supporting neurotransmitters
- It reduces the chronic stress response driving depression
- TCM identifies the specific pattern underlying each patient's depression
- Safe alongside antidepressant medications
- A course of 8–12 sessions is recommended for meaningful benefit
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