Do These Symptoms Sound Familiar?
Take a look at the four groups below and see which one sounds most like you. Western medicine files all of this under one label — "anxiety disorder" — but we treat each pattern differently based on how your body is actually responding.
SNS Hyperactivity
- Outgoing, expressive, and talkative
- Competitive with high self-esteem
- Easily irritated or angered
- Face flushes when stressed or arguing
- Trouble falling asleep
- Sensitive skin
- Heartburn after spicy or rich food
- Frequent chest tightness and palpitations
PNS Under-response
- Introverted, prefers being alone
- Especially sensitive to caffeine
- Easily worn out by bright lights, strong smells, or loud noise
- Needs quiet time alone after a busy day
- Shy, easily startled
- Tenses up when watched or competing
- Cold hands and feet
- Trouble falling asleep, wakes often
Amygdala Hyperactivity
- History of a traumatic experience
- Startles and frightens easily
- Avoids horror movies
- Dislikes being alone
- Sleep problems that started after a specific event
- Frequent sighing, chest tightness
- Frequent heart palpitations
- Dry lips and mouth
Hepatic Hyper-metabolism
- Severe chest tightness
- Both depressed and anxious
- Holds anger in, rarely expresses it
- Wakes between 1–5am, can't fall back asleep
- Face flushes easily
- Frequent dizziness
- Either handles alcohol very well or can't tolerate it at all
- Localized heat in hands, feet, or other areas
What's Actually Causing This?
When you're under stress, your body prepares to fight or flee. Picture running into a bear in the woods — your heart races, blood rushes to your muscles, and digestion takes a back seat. When stress goes on too long, this response never fully switches off, which is why digestive issues, heartburn, palpitations, and sleep trouble often show up together.
Once the bear is gone, your parasympathetic nervous system is supposed to bring your heart rate back down and let your muscles relax. When that function is weak, your body keeps reacting as if the bear is still there — even small triggers can set off an outsized response.
The amygdala is the part of the brain that handles fear and avoidance. After trauma — an assault, an accident, a disaster — this alarm system can get stuck in the "on" position, so your body reacts as if you're in danger even when you're not.
Body heat is mainly generated by the muscles and the liver. When liver metabolism runs too hot, your internal temperature rises — and that can show up as anxiety, low mood, insomnia, and chest tightness.
How We Treat It
Diagnosis
We start with a detailed intake form and a close look at your physical symptoms. Western medicine has one label — "anxiety disorder" — but we distinguish between the four patterns above and treat accordingly.
Length of Treatment
Most patients need 3 to 6 months of consistent care. Weekly acupuncture combined with herbal medicine is our standard protocol.
Prescription Approach
Herbal formulas differ by pattern — Huang Lian, Ban Xia, and Gua Lou Shi for SNS hyperactivity; Long Gu and Mu Li for amygdala hyperactivity, for example. We build the formula around your specific pattern. Many patients see their symptoms significantly improve or fully resolve.
Working Alongside Medication
If you're on anti-anxiety medication or an SSRI, we can work alongside your physician as you gradually taper, combining acupuncture and herbal medicine throughout.
What to Expect, Week by Week
Acupuncture and herbal medicine begin. Sleep quality and digestive symptoms are often the first to stabilize.
Acute symptoms like palpitations and chest tightness become less frequent.
Your response to situations that used to trigger symptoms eases significantly or disappears. This is when we typically review whether to conclude treatment.
We've Treated Cases Like This
Summaries below are adapted from real patient cases (names changed, ages given as a range).
Group A · SNS Hyperactivity
Elizabeth, early 30s
Palpitations and facial flushing during meetings, tension that wouldn't ease even after getting home, along with heartburn and abdominal pain.
All symptoms resolved after 3 months of weekly acupuncture and an herbal formula built around Huang Lian, Ban Xia, and Gua Lou Shi.
Read the full case
Elizabeth had been under stress from a difficult dynamic with her coworkers. During meetings she'd feel a wave of heat rise to her face along with heart palpitations, making it hard to speak normally. Even after getting home, it took her one to two hours to calm down enough to fall asleep. She also had frequent heartburn and occasional abdominal pain.
This is a classic pattern of sympathetic nervous system (SNS) hyperactivity — the same fight-or-flight response that kicks in when you run into a bear in the woods. Blood rushes to the muscles, heart rate climbs, and digestion is pushed aside, which is why heartburn, bloating, and appetite loss often travel together with palpitations and sleep trouble.
Three herbs formed the core of Elizabeth's formula: Huang Lian (Coptis Rhizome), which calms an overactive SNS; Ban Xia (Pinellia Rhizome), which settles nausea and acid reflux by regulating mucosal secretions; and Gua Lou Shi (Trichosanthes Fruit), which relieves chest tightness and pain. Combined with supporting herbs and weekly acupuncture, her symptoms steadily eased and were fully resolved after three months.
Group B · PNS Under-response
Jessica, early 30s
Nausea and palpitations in crowded places, sensitivity to caffeine, and cold hands and feet.
All symptoms resolved after 3 months of herbal treatment built around Fu Ling.
Read the full case
Jessica had been living with anxiety for two years. Under stress, she'd feel her heart pounding, struggle to catch her breath, and often felt nauseated or bloated. Everyday errands like grocery shopping were difficult, since crowded spaces alone could bring on nausea and palpitations. She ran cold, needed to urinate frequently, and had severe menstrual cramps. Introverted by nature, she preferred quiet spaces where she could be alone, and caffeine made her sleep even worse.
Jessica's pattern points to an under-responsive parasympathetic nervous system. Once a stressful moment passes, the PNS is supposed to bring the heart rate back down and let the muscles relax. When that function is weak, the body keeps reacting as though the stressor is still present — even small sounds or smells can trigger an outsized response.
She was prescribed an herbal formula built around Fu Ling (Poria), a fungus that grows on the roots of pine trees and has long been used as both a diuretic and a mental stabilizer. It also has an activating effect when the PNS is underperforming — nourishing the body's cells, supporting brain function, and helping to steady the mind. After three months of consistent acupuncture and herbal treatment, all of her symptoms had resolved.
Group C · Amygdala Hyperactivity
Maggie, early 20s
Following a robbery, recurring breathlessness, palpitations, and trembling in quiet settings.
All symptoms resolved after 2 months of herbal treatment built around Long Gu and Mu Li.
Read the full case
A few years after being robbed, Maggie began experiencing panic symptoms — breathlessness, palpitations, and trembling, especially when she was under stress or alone in a quiet space. The episodes were infrequent at first, but became more frequent over time. She also had alternating diarrhea and constipation, cold and numb hands and feet, a tendency to startle easily, and occasional hot flashes.
This traces back to the amygdala, the part of the brain responsible for detecting fear and preparing the body for danger. After a traumatic event, the amygdala's alarm system can get stuck in the "on" position, so it keeps sending danger signals even when there's no actual threat — triggering a racing heart and rapid breathing as if the danger were still there.
Her treatment centered on Long Gu (Fossilized Bone) and Mu Li (Oyster Shell), two herbs traditionally used to help stabilize calcium levels. Since excitable cells like neurons are sensitive to shifts in calcium, keeping calcium levels steady can help calm an overactive amygdala. After two months on this formula, all of her symptoms had resolved.
Group D · Hepatic Hyper-metabolism
Emilie, early 20s
Chest tightness and stress-related loss of appetite and indigestion, worsening before her period.
Symptoms improved significantly after 3 months of herbal medicine and acupuncture built around Zhi Zi and Zhi Shi.
Read the full case
Emilie had been dealing with low mood for two years, alongside frequent sighing, a feeling of tightness from her stomach through her chest, appetite loss when stressed, indigestion, and dizziness after eating. She'd get hot flashes and felt drained in warm environments. Falling asleep wasn't an issue, but she woke up exhausted no matter how long she slept, and her symptoms worsened before her period.
This chest tightness is a common sign of stagnation in the chest's circulation, and often shows up alongside both physical and emotional symptoms in patients dealing with low mood, insomnia, or panic. Body heat is largely generated by the liver, and when liver metabolism runs too hot, the resulting rise in internal temperature can show up as anxiety, low mood, insomnia, and this same chest tightness.
Emilie's formula centered on Zhi Zi (Gardenia Fruit), which clears congestion from the blood vessels and supports smooth bile flow, and Zhi Shi (Immature Bitter Orange), which supports circulation in the chest and stimulates digestion. After three months of herbal medicine and acupuncture, her symptoms — including the chest tightness and indigestion — improved significantly.
In Their Own Words
I'd been dealing with anxiety and heart palpitations for a long time, and my symptoms started coming under control as soon as I began treatment.
I had a panic attack before my first visit. Every time I came in, I felt my condition improve quickly, and I fully recovered within about a month.
I came in for anxiety related to claustrophobia. After just 4 sessions I noticed a real change — now I can fly, take the train, and go into small spaces like underground parking without a panic attack.
Frequently Asked Questions
Can I continue my medication alongside acupuncture and herbal medicine?
Yes. We work alongside your physician as you gradually taper your prescribed medication.
How long does treatment take?
Most patients need 3 to 6 months of consistent care, depending on the type and severity of symptoms.
How is this different from medication?
Medication is often focused on suppressing symptoms. We focus on correcting the underlying physical response — nervous system balance, metabolism, and so on — that's causing them.
Is this covered by insurance?
Most extended health plans cover treatment here. See our Clinic Info (Hours & Fees) page for details.