Combination of Chinese and Western medicine for panic disorder

A middle-aged female patient was suffering from recurrent paroxysmal dyspnea, feeling unable to breathe, rapid heartbeat, and even a feeling of suffocation and near death. The patient was worried about heart or lung disease and consulted a general hospital, but no abnormalities were found on heart and lung-related tests. In fact, the patient was suffering from panic disorder and had developed anticipatory anxiety (fear of having another attack) and avoidance behavior (afraid to go out of the house, afraid to go out alone) due to repeated attacks. Panic disorder, also known as acute anxiety attack, is mainly manifested as a sudden, inexplicable panic experience, manifested as a severe sense of suffocation, near death or mental loss of control, as if on the verge of doom, or running away, or screaming, panic. It is often accompanied by severe autonomic dysfunction symptoms, mainly in the following three areas: cardiac symptoms: chest pain, tachycardia, irregular heartbeat; respiratory symptoms: chest tightness, dyspnea; neurological symptoms: headache, dizziness, vertigo, syncope and sensory abnormalities. Panic disorder has a rapid onset and is mistaken for organic disease because of the obvious autonomic nervous system symptoms, and is often brought to the emergency room of a general hospital with a sudden onset. Panic disorder usually has a rapid onset and termination, usually lasting 5-20 minutes, rarely lasting 1 hour; it can be recurrent, and some patients have only one episode in their lifetime. The prevalence of the disorder in the population is between 1% and 3%, often starting in late adolescence or early adulthood, and is 2-3 times more common in women than in men. Treatment of panic disorder lies in controlling panic attacks as soon as possible, preventing recurrences and causing generalized anxiety. Benzodiazepines are often used in acute attacks because of their rapid onset of action, and maintenance treatment may be with non-benzodiazepine anxiolytics or antidepressants. To improve anticipatory anxiety and avoidance behaviors, cognitive-behavioral therapy may be used in conjunction. In clinical treatment, benzodiazepines are often used in combination with 5-hydroxytryptamine reuptake inhibitors. In our department, western medicine is combined with traditional Chinese medicine and Chinese physical therapy (such as acupuncture and meridian point assessment therapy) to improve patient compliance and shorten the course of treatment, achieving better results.