Fainting: Traditional Chinese Medicine Insights on Anxiety-Induced Episodes - Traditional Chinese Medicine

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Fainting


Since childhood, I have experienced uncontrollable fainting whenever I feel extremely nervous or scared.
My mother used to say that I was pretending to faint out of fear of getting punished, but I truly cannot control it.
Each time, I feel a darkness enveloping my vision before I faint.
Even as I grew older, this phenomenon persists.
How can this be explained?

Xiao Xuan, 20~29 year old female. Ask Date: 2003/06/26

Dr. Yan Sumei reply Traditional Chinese Medicine


Everyone reacts differently to their environment; some people are braver and less prone to fear, while others are more timid and cannot tolerate being startled.
Excessive tension and fear can lead to fainting.
From a psychological perspective, this can be seen as a protective mechanism, a special response by the body to preserve life.
This response mechanism is not present in everyone and may be a hereditary trait with a familial tendency.

From a physiological standpoint, there may be structural changes in certain blood vessels or nerves.
When a person is stressed, the sympathetic nervous system becomes activated, which can obstruct blood flow to the brain, resulting in insufficient cerebral blood flow and fainting.
Some individuals may experience arrhythmias, abnormal brain discharges, epilepsy, or asthma, which can lead to a rapid decrease in oxygen levels during episodes of tension and fear, causing fainting.

It is advisable to consult a family medicine or neurology specialist for an initial diagnostic evaluation.
If no issues are found, seeking help from a mental health expert is recommended.
If everything is clear, then it may be time to consult a traditional Chinese medicine practitioner.

Reply Date: 2003/06/26

More Info


Fainting, or syncope, is a temporary loss of consciousness that can be triggered by various factors, including anxiety and stress. In your case, it seems that your episodes of fainting are closely linked to feelings of extreme nervousness or fear. This phenomenon can be understood through both Western medical perspectives and Traditional Chinese Medicine (TCM).

From a Western medical standpoint, fainting often occurs due to a sudden drop in blood flow to the brain, which can be precipitated by various triggers, including emotional stress, anxiety, or panic attacks. When you experience intense anxiety, your body may go into a "fight or flight" response, leading to changes in heart rate and blood pressure. If these changes are significant enough, they can result in a temporary loss of consciousness. This is particularly common in individuals who may have a predisposition to vasovagal syncope, where the body overreacts to certain triggers, such as stress or fear.

In TCM, the understanding of fainting and anxiety is often related to the balance of Qi (vital energy) and the health of specific organs, particularly the heart and spleen. TCM practitioners may diagnose your condition as a result of "Qi deficiency" or "blood deficiency," which can lead to insufficient nourishment of the heart and brain. When the heart is weak or the blood is not adequately circulating, it can result in feelings of dizziness, lightheadedness, and fainting spells, especially during times of emotional distress.

The symptoms you describe—feeling a sense of darkness before fainting—could be interpreted in TCM as a sign of "Yin deficiency" or "Qi stagnation." In this context, the heart may not be receiving enough blood or Qi to function optimally, leading to episodes of fainting when faced with stress or anxiety. TCM treatments often focus on nourishing the heart and spleen, calming the mind, and promoting the smooth flow of Qi.

For your specific situation, TCM formulas such as "Gui Pi Tang" (Restore the Spleen Decoction) and "An Shen Ding Zhi Wan" (Calm the Spirit Pill) may be beneficial. "Gui Pi Tang" is traditionally used to strengthen the spleen and nourish the heart, which can help alleviate symptoms of anxiety and improve overall vitality. "An Shen Ding Zhi Wan" is designed to calm the spirit and reduce anxiety, making it potentially helpful for managing your fainting episodes related to stress.

However, it is essential to approach treatment holistically. While herbal remedies can provide support, addressing the underlying causes of your anxiety through lifestyle changes, stress management techniques, and possibly counseling or therapy can be equally important. Techniques such as mindfulness, meditation, and regular physical activity can help reduce anxiety levels and improve your overall well-being.

In conclusion, your experiences of fainting due to anxiety can be understood through both Western and TCM perspectives. It is advisable to consult with a qualified healthcare professional, whether in Western medicine or TCM, to explore appropriate treatment options tailored to your specific needs. Additionally, incorporating stress management strategies into your daily routine can significantly improve your quality of life and help you regain control over your anxiety and fainting episodes.

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