Traditional Chinese Medicine's perspective on Attention Deficit Hyperactivity Disorder (ADHD)
- samleeacu
- Oct 31, 2024
- 3 min read
Updated: Nov 1, 2024

Traditional Chinese Medicine (TCM) offers a unique perspective on Attention Deficit Hyperactivity Disorder (ADHD), viewing it as an imbalance in the body's energy systems rather than a specific set of symptoms.
In TCM, ADHD is primarily understood as a Liver-Kidney Yin deficiency, which can manifest in various ways. These manifestations include Liver Yang excess, leading to impatience and hyperactivity; Kidney Yin deficiency, causing poor memory and feverish sensations; and Heart Fire, resulting in restlessness and emotional instability.
TCM practitioners diagnose ADHD through a combination of methods, including careful observation of the patient's behavior and complexion, examination of the tongue and pulse, and detailed inquiries about symptoms and lifestyle factors. The goal is to identify the specific pattern of disharmony causing the ADHD symptoms.
Treatment in TCM aims to address these underlying imbalances rather than targeting individual symptoms. Common approaches include nourishing Liver and Kidney Yin, calming Liver Yang, clearing Heart Fire, and resolving Phlegm. Practitioners may use a variety of methods to achieve these goals, such as customized acupuncture protocols, dietary recommendations, and lifestyle modifications.
Below is more information regarding these imbalances and an example of some associated acupuncture/acupressure points used in treatment:
1. Liver System Imbalance:
In TCM, the Liver is responsible for the smooth flow of Qi (energy) throughout the body. When the Liver is imbalanced, it can lead to Liver Yang rising or Liver Fire, resulting in symptoms like irritability, impulsiveness, and hyperactivity.
Acupressure points:
Taichong (LV3): Located on the top of the foot between the big and second toes. Massaging this point can help soothe Liver Yang and reduce restlessness.
Xingjian (LV2): Found on the top of the foot between the first and second toes. This point helps clear Liver Fire and calm the mind.

2. Kidney System Imbalance:
The Kidneys are considered the foundation of one's constitution in TCM. Kidney deficiency can lead to poor memory, learning difficulties, and lack of willpower.
Acupressure points:
Taixi (KI3): Located on the inner ankle. Massaging this point can help nourish Kidney Yin and improve focus and memory.
Yongquan (KI1): Found on the sole of the foot. This point grounds energy and can help calm hyperactivity.

3. Heart System Imbalance:
In TCM, the Heart is considered the seat of the mind. Heart Fire or disturbance of the Heart Shen (spirit) can lead to restlessness, emotional instability, and sleep issues.
Acupressure points:
Shenmen (HT7): Located on the inner wrist. This point calms the mind and helps with sleep issues.
Neiguan (PC6): Found on the inner forearm. It helps reduce anxiety and calm the spirit.

4. Spleen System Imbalance:
Spleen deficiency in TCM can lead to poor digestion, fatigue, and difficulty concentrating. It's also associated with the formation of Dampness and Phlegm, which can obstruct clear thinking.
Acupressure points:
Sanyinjiao (SP6): Found on the inner lower leg. It harmonizes the Spleen and can improve concentration.
Zusanli (ST36): Located below the knee on the outer leg. This point strengthens the Spleen and improves overall energy.

Additional important points:
Baihui (GV20): Located at the top of the head, this point is believed to clear the mind and improve focus.
Yintang (EX-HN3): Located between the eyebrows, this point is used to calm the mind and relieve anxiety.

When applying acupressure, gentle but firm pressure should be applied to these points for about 1-2 minutes each, several times a day. It's often recommended to massage in a circular motion.
While acupressure can be a helpful approach conducted at home, it’s important to note that TCM views each case individually, and treatment plans are tailored to the specific pattern of disharmony observed in each patient. ADHD treatment should be multifaceted and overseen by healthcare professionals. Acupressure should be used in conjunction with, not as a replacement for, conventional treatments.
Citations:
[9] Deadman, P., Al-khafaji, M., & Baker, K. (2001). A Manual of Acupuncture. Hove, East Sussex: Journal of Chinese Medicine Publication
[10] Maciocia, G. (2008). The Practice of Chinese Medicine: The Treatment of Diseases with Acupuncture and Chinese Herbs (2nd ed.). Edinburgh : Elsevier.
[11] Maciocia, G. (2015). The Foundations of Chinese Medicine: A Comprehensive Text (3rd ed.). Edinburgh : Elsevier.
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