Case No. 009 Melancholia

Male of 18 years old, a student studying for a college entrance examination

Chief complaint:

Feeling depressed and lacking motivation

Current medical history:

The patient was feeling depressed and in a state of depression for six months. His grandmother was consulting one of the clinics with extensive experience conducting the Nagano-style acupuncture treatment. According to his grandmother, the patient experienced depression after he got bullied at a cram school. As a result, he was reluctant to attend the cram school. He also became listless and unmotivated; while his character remained serious and socially introverted. Additionally, he is currently being prescribed an anti-depression medicine and a tranquilizer every other week at the psychiatric department of a university hospital in Kobe.


Chen-chi mai; Stiffness of left sternocleidomastoideus muscle; No obvious kaketu


Ttonsils treatment (zhao hai K-16, tian you TE-16, da zhui GV-14 and shou san li LI-10);
Dai mai GB-26;
Muscle relaxant treatment (right qiu xu GB-40, right si du TE-9 (usually little upper than si du TE-9);
Treatment for controlling the autonomic nervous system; and
Neburu 4 points (subsequently, pi nei zhen secured at neburu 4 points (at four points around the navel)).


The treatments were provided three times in five days. Though his appetite diminished, no particular changes were seen. Therefore, the approach in the fourth treatment was changed. Since he still had chen-chi mai, the following treatments were provided: fu liu K-17; shu fu KI-27; right qiu xu GB-40; lu zhen on right si du TE-9 (usually little upper than si du TE-9) for 15 minutes. In addition, a treatment for controlling the autonomic nervous system was provided.

On the following day (i.e., the fifth treatment), the patient admitted that he had been feeling better than the first visit. Taking his pulse (mai), chen-chi mai disappeared. The same treatments were provided.

He went back to his parents’ house in Kobe, then he visited again nine days later. In the sixth treatment, his pulse became better than before and chen-chi mai disappeared. He had a pulse that was reaching normal (ping mai). His left sternocleidomastoideus muscle tension was rather relaxed. He revealed that he had not been feeling depression, had an appetite and had been feeling better. Then, the following treatments were provided: lu zhen; tonsils treatment; and treatment for controlling the autonomic nervous system.

After that, he visited for five consecutive days. He experienced a full recovery and was also socially vibrant. He willingly talked before he was asked questions. His growing appetite also resulted in a heavy feeling in his stomach.

Then, after returning to Kobe, he started to go to the cram school again. I (practitioner) suggested him warming up for the entrance examination by taking as many prep tests as possible. He seemed to have taken several prep tests conducted outside the cram school. His condition seems to have almost recovered.

This case indicates very important factors. More specifically, in the condition of chen-chi mai, i.e, shen xu, when the adrenal cortex system is weaken, merely providing lu zhen (for 15 minutes) on fu liu K-17 of shen jing and shu fu KI-27 resulted in changing mai, and the patient’s complaints promptly and favorably changed. Such changes occurred the next day immediately following the treatments.

Shen jing relates to the endocrine system including the adrenal cortex. Providing lu zhen on shen jing could stimulate the hypothalamic area (i.e., the endocrine center) to allow adrenomedullary hormone to produce therefrom so that the adrenal cortex was revitalized to promote the change of mai and activate both mind and body.

In addition, lu zhen was provided for 15 minutes on right qiu xu GB-40, right si du TE-9 (usually little upper than si du TE-9), which is located on the opposite side of the left sternocleidomastoideus muscle. This took advantage of effects on shao yang jing and tractus pyramidalis systems. Further investigation confirms that this treatment relates to the motor area and the reticular formation of the brain stem of the cerebral cortex. The reticular formation is believed to receive various sensory information as input and activate and keep the whole area of the cerebral cortex in an awaken state. That is, providing lu zhen on right qiu xu GB-40, right si du TE-9 (usually little upper than si du TE-9) activated the reticular formation of the brain stem and awaked the cerebral cortex. As a result, chen-chi mai disappeared and the patient gradually felt better.


Method  Immune systems  Blood vessels  Autonomic nerve system  Muscle systems
Life energy  Melancholia  Pollen allergy  Cervical sprain