In my clinical practice, I see a significant number of women complaining of anxiety, depression, and insomnia. Chinese Medical diagnostics includes a model called the eight principles which I often employ in these cases. Amongst these principles are two etiologies or routes of pathogenesis; internal or external generated illness. More often than not, these anxiety cases fit the diagnosis of an external pathogen. In Western Medicine, these disorders are considered to be internal to a woman’s biochemistry. This Chinese differential diagnosis of external pathogen resulting in anxiety is a fundamental departure from the Western Model. Because diagnosis defines how the illness is viewed and treated, this departure has profound implications. These are of such potential import to patients and society that I am compelled to share them via publication versus one patient at a time in the clinic.