24/01/2026
🔰Clinical Algorithm:
Depression Vs Anxiety Vs Burnout
🔹STEP-1: Identify the Dominant Presentation
Ask first: Which system is failing most — mind speed, emotional tone, or vital energy?
A) ANXIETY Pattern (Hyper-arousal State)
Key Signs:
• Racing thoughts
• Palpitations
• Insomnia
• Panic
• Tremors
• Heat in head/chest
• IBS-D with stress
Unani Drift:
• Su-e-Mizaj Har of Dimagh
• Yubusat-e-A'sab
• Safra / Sauda intrusion
Primary Drugs:
• Balchhar (Jatamansi)
• Badranjboya
• Gul-e-Gaozaban
Avoid: strong stimulants
B) DEPRESSION Pattern (Cold-Heavy / Melancholic State)
Key Signs:
• Low mood
• Withdrawal
• Slow thinking
• Sleep excess or early waking
• Cold body
• Constipation
• Loss of interest
Unani Drift:
• Su-e-Mizaj Barid-Yabis
• Ghalba-e-Sauda
• Diminished Hararat-e-Ghariziya
Primary Drugs:
• Asgand
• Zanjabeel (low dose)
• Aftimoon (when Saudawi dominant)
C) BURNOUT Pattern (Neuro-Endocrine Collapse)
Key Signs:
• Extreme fatigue
• Brain fog
• Poor immunity
• Post-exertional crash
• Libido fall
• Sleep disturbed but weak
• Appetite low
Unani Drift:
• Inhidam-e-Quwa
• Hararat-e-Ghariziya depleted
• Balghami accumulation
Primary Drugs:
• Asgand
• Zanjabeel (digestive support)
• Musli / Salab
🔹STEP-2: Decide the Lead Axis
Dominant Axis Diagnosis
Cortex over-firing Anxiety
Mood collapsed + heaviness Depression
Energy system failed Burnout
🔹STEP-3: Combination Logic
• Anxiety + IBS → Balchhar + Zanjabeel
• Depression + coldness → Asgand + Zanjabeel
• Burnout + insomnia → Asgand + Balchhar
🔹STEP-4: Red-Flags
• Suicidal thoughts
• Psychosis
• Severe weight loss
• Uncontrolled HTN
• Substance dependence
🔸APPLIED UNANI GOLDEN RULE:
Do not treat labels.Treat the failing physiological axis:
• Hyper-aroused cortex → Anxiety
• Cold melancholic brain → Depression
• Collapsed vital force → Burnout.