Depressive disorder is a mental illness that disrupts your life and can affect your whole body, from emotional experiences to somatic feelings, causing changes in many aspects of thinking, mood, behavior and the way you perceive yourself. In our life course, the following phenomena occur from time to time, but most of the time we are either used to them or ignore them, but the consequences of ignoring them bring about impairment in social functioning and a decrease in quality of life. Lu Weihong, a psychiatrist at Shanghai Mental Health Center For a period of time: My mood was depressed and low almost every day, or I felt numb and unhappy, or I was extremely prone to sadness, or I often sobbed uncontrollably. I lost my enthusiasm for study and work, and had to force myself to finish what I had to do. I was indifferent to things that I usually considered important, and even a small matter became a burden. I also felt fatigued and muddled throughout the day. I often felt tightness in my chest, panic attacks, and poor appetite. I often felt pain in my head, shoulders, back, waist and many other parts of my body, but I often went to the hospital and could not find out the cause. I wanted to leave this world. During the Spring and Autumn and Warring States periods, people were already aware of their inner depression, and there is an account in the Zuo Zhuan of the failure of the Chu state’s invasion of Wu, which was blamed on the state and led to his death from “heart disease”. During the Qin and Han dynasties, the Yellow Emperor’s Classic of Internal Medicine gradually gained a systematic understanding of the manifestations and pathological mechanisms of pathological depression: on the basis of the understanding of physical or organ function changes, it is believed that the “wood-shaped” physique is the personality basis of depression, and the dysfunction of internal organs is the internal cause of depression. Although there is no word for “depression” in the book, there are a lot of synonyms such as “sadness and sorrow” used to describe the phenomenon of depression. For example, in the Inner Classic “Ling Shu ž Ben Shen”, it is said that “if the spleen is sad and not relieved, it will hurt the will, and if the will is hurt, the i will be disordered, the limbs will not lift, the hair will be emaciated and the color will die in spring” (The spleen contains the will, and if the sadness is too much and cannot be relieved for a long time, the will will will be hurt. If the intention is injured, the person will feel bitter and disturbed in the heart and chest, and will have symptoms such as weakness in the movement of the hands and feet; further development, to the point where the hair is emaciated and withered, and the skin is withered and colorless, it will die in the spring when wood is flourishing and will be overcome). Chinese medicine will be divided into five types of human physique “gold, wood, water, fire and earth” Wooden physique characteristics: pale complexion, small head, long face, two broad shoulders, straight back, small weak body, flexible hands and feet. Fire-shaped human physique characteristics: red skin, broad back muscles, thin and pointed face, small head, shoulders and back thighs and abdomen proportional, small hands and feet, steady gait, anxious nature. The physical characteristics of the earth-shaped people: yellow skin, round face, large head, shoulders and back thick, large abdomen, thighs to jump shins are born strong, hands and feet are not large, full of muscle, the whole body is very proportional, stable gait Golden-shaped people physical characteristics: the body shape is relatively thin, but the shoulders and back wider, square face, straight nose and mouth wide, thin limbs, agile, white complexion Water-shaped people physical characteristics: the body shape is relatively fat, short, larger head, cheeks are wider, the skin color is black. Wide, large abdomen, dark complexion, slightly larger waist and hips, short fingers, dense and black hair, fear of cold and warmth From the Wei and Jin Dynasties to the Yuan Dynasty, Chinese medicine mostly classified pathological depression in the category of “deficiency disease” and explained its pathological mechanism as “deficiency of the five organs”, at this time there was no specific term for depression disorder. After the Ming and Qing dynasties, the understanding of depressive disorders in Chinese medicine has been more mature, mainly marked by the perfection in the diagnosis of disease classification. Although the earlier Chinese medicine practitioners unified pathological depression under the category of affective disorders similar to modern mental disorders, such as the earliest records of affective disorders and the term “yu zhi” both came from the Huangdi neijing, but the term “yu zhi”, which is closest to the contemporary concept of depressive disorders, was not used until the Ming Dynasty. It was not until the Ming Dynasty that the medical name “yu zhi” was officially used as a disease name. The systematic description of pathological depression in the Jingyue Quanshu was highly praised by later authors, including Arthur Kleinman, who considered it the first to technically define depression as a detailed clinical category and to develop it conceptually into a separate disease category. The Su Wen – Yin Yang Ying Xiang Da Lun. It says: “People have five organs that transform five qi to produce happiness, anger, thought, grief and fear”. “The liver’s will is anger, the heart’s will is joy, the spleen’s will is thought, the lung’s will is sorrow, and the kidney’s will is fear”. Excessive thinking and stagnation of liver qi will lead to emotional discomfort and stagnation of qi, resulting in “depression”. The term “yu” refers to the meaning of “knotted” and “blocked”, which is a common clinical condition caused by disorders of the emotions. -The heart is happy, the liver is angry, the spleen is sad, the lungs are sad, and the kidneys are afraid and frightened. The seven emotions caused by excessive emotions is the disease of emotion. These include: (1) illnesses caused by emotional stimulation, such as depression, epilepsy, madness, etc.; (2) illnesses induced by emotional stimulation, such as chest paralysis, true heart pain, vertigo (hypertension) and other physical and mental diseases; (3) illnesses caused by other reasons but with abnormal emotional manifestations, such as thirst, malignant tumors, chronic liver and gallbladder diseases, etc. Most of them have abnormal emotional manifestations, and their conditions also change accordingly with their emotional changes. Yu Tuan (1438-1517 A.D.), a Ming dynasty physician, first cited yu as the name of the disease in his book “Medical Zhengzhuan”. There are many treatises on depression, but one of the more comprehensive and insightful was written by Zhang Jinyue (1563-1640), a Ming dynasty physician. According to Zhang Jinyue, the five elements of depression and the depression of emotion and will belong to two concepts in the Neijing, and his “Jing Yue Quan Shu – Depression Evidence” states: “Where the depression of the five qi is present in all diseases, this is due to the disease and depression. As for the depression of emotion and will, it is always caused by the heart, and this is a disease due to depression.” It is clear that the so-called “five qi of depression” is due to various causes of dysfunction of the internal organs, resulting in the body’s qi, blood and fluid stagnation, is due to disease and depression. The “depression of emotions” is due to the suppression of emotions and depression, resulting in the appearance of some physical symptoms, which is due to depression and disease. The “depression caused by sadness, worry and fear are always the same as depression. This is a very good description of the clinical manifestations of depression disorder. Zhang Jingyue also made a creative clinical classification of depressive disorders, saying that there are three subtypes of depressive disorders: anger-depression: “anger-depression” caused by excessive anger, thought-depression: “thought-depression” caused by excessive thinking, and worry-depression: “worry-depression” caused by excessive anxiety. “The description of “melancholy” is also closer to what Western medicine calls “melancholia”. The “Five Depressions” can lead to illnesses in the people, and the next day’s depression. The clinical meaning of yu refers to the symptoms of depression, restlessness, sadness and weeping, pain in the chest, and obstruction of foreign bodies in the throat caused by unrestrained emotions and qi accumulation. According to the theory of Chinese medicine, the excessive occurrence of the seven internal emotions, joy, anger, worry, thought, grief, fear, and fright, can cause the poor functioning of qi and blood, and the dysfunction of the internal organs, resulting in palpitations and palpitations, insomnia and forgetfulness, dizziness, impatience and irritability, distension and pain in the rib cage, loss of appetite, constipation, depression, and slow thinking. There may be suicidal thoughts, or symptoms such as insomnia, headache, chest pain, and back pain. According to Chinese medicine, the pathogenesis of depression is mainly due to the loss of drainage of the liver, the loss of health of the spleen, the loss of nourishment of the heart, the deficiency of the kidney essence, the dysfunction of the qi and blood of the internal organs, and the loss of nourishment of the vital essence. The disease is located in the brain and involves the heart, liver, spleen and kidney.