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Chapter 91
Chapter contents
HEART-QI DEFICIENCY
HEART-YANG DEFICIENCY PATTERNS
Heart-Yang deficiency
Heart-Yang deficiency with Phlegm
HEART-YANG COLLAPSE
HEART-BLOOD DEFICIENCY
HEART-QI AND HEART-BLOOD DEFICIENCY
HEART-YIN DEFICIENCY PATTERNS
Heart-Yin deficiency
Heart-Yin deficiency with Empty Heat
HEART-QI AND HEART-YIN DEFICIENCY
DEFICIENCY OF BOTH HEART-YANG AND HEART-YIN
HEART-QI STAGNATION
HEART-FIRE BLAZING
PHLEGM PATTERNS
Phlegm-Fire harassing the Heart
Phlegm misting the Mind
HEART-BLOOD STASIS
HEART-VESSEL OBSTRUCTION
WATER OVERFLOWING TO THE HEART
TURBID DAMPNESS SURROUNDING THE HEART
COMBINED PATTERNS
Palpitations, shortness of breath on exertion, pale face, tiredness, slight depression, spontaneous sweating.
Pale.
Empty.
HE-5 Tongli, P-6 Neiguan, BL-15 Xinshu, Ren-17 Shanzhong, Ren-6 Qihai.
Bao Yuan Tang Preserving the Source Decoction.
Palpitations, shortness of breath on exertion, tiredness, slight depression, spontaneous sweating, a slight feeling of discomfort or stuffiness in the heart region, a feeling of cold, cold hands, bright-pale face, slightly dark lips.
Deep-Weak, in severe cases Knotted.
HE-5 Tongli, P-6 Neiguan, BL-15 Xinshu, Ren-17 Shanzhong, Ren-6 Qihai, Du-14 Dazhui.
Rou Fu Bao Yuan Tang Cinnamomum-Aconitum Preserving the Source Decoction.
Palpitations, a feeling of oppression of the chest, sputum in the throat, dizziness, tiredness, cold hands, numbness of the limbs, oedema of the hands, muzziness (fuzziness) of the head, poor memory, a feeling of heaviness, depression.
Pale, wet and Swollen.
Weak but slightly Slippery.
Ren-6 Qihai, Ren-4 Guanyuan, Ren-8 Shenque, Du-4 Mingmen, ST-36 Zusanli, P-6 Neiguan, BL-23 Shenshu, Du-14 Dazhui, BL-15 Xinshu, ST-40 Fenglong, Ren-12 Zhongwan, P-5 Jianshi, Ren-17 Shanzhong.
Ling Gui Zhu Gan Tang Poria-Ramulus Cinnamomi-Atractylodes-Glycyrrhiza Decoction plus Yi Yi Ren Semen Coicis lachryma jobi.
Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of the lips, greyish-white complexion, in severe cases coma.
Very Pale or Bluish-Purple, Short.
Hidden-Minute.
Ren-6 Qihai, Ren-4 Guanyuan, Ren-8 Shenque, Du-4 Mingmen, ST-36 Zusanli, P-6 Neiguan, BL-23 Shenshu, Du-20 Baihui, Du-14 Dazhui, BL-15 Xinshu. Moxa is applicable.
Shen Fu Tang Ginseng-Aconitum Decoction.
Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, dull-pale complexion, pale lips.
Pale and Thin.
Choppy or Fine.
HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20 Pishu.
Shen Qi Si Wu Tang Ginseng-Astragalus Four Substances Decoction.
Palpitations, shortness of breath, spontaneous sweating, depression, anxiety, tiredness, dull-pale complexion, insomnia.
Weak or Choppy.
HE-5 Tongli, HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20 Pishu, BL-15 Xinshu.
Ba Zhen Tang Eight Precious Decoction
Gui Pi Tang Tonifying the Spleen Decoction.
Palpitations, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, mental restlessness, uneasiness, dry mouth and throat in the afternoon or evening.
Normal-coloured without coating or with rootless coating.
Floating-Empty, especially in the left- Front position.
HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, HE-6 Yinxi, SP-6 Sanyinjiao, KI-7 Fuliu, KI-6 Zhaohai.
Tian Wang Bu Xin Dan Heavenly Emperor Tonifying the Heart Pill.
Palpitations, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, mental restlessness, uneasiness, ‘feeling hot and bothered’, dry mouth and throat in the evening, thirst with a desire to drink in small sips, a feeling of heat in the evening, malar flush, night sweating, five-palm heat.
Red, redder on the tip, without coating.
Floating-Empty, especially on the left-Front position and Rapid.
HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, HE-6 Yinxi, SP-6 Sanyinjiao, KI-7 Fuliu, KI-6 Zhaohai, P-7 Daling, LI-11 Quchi, HE-9 Shaochong.
Tian Wang Bu Xin Dan Heavenly Emperor Tonifying the Heart Pill plus Mu Dan Pi Cortex Moutan radicis.
Palpitations, anxiety, tendency to be easily startled, slight breathlessness, tiredness, insomnia, mental restlessness, sweating on exertion, dry throat, night sweating.
Normal-coloured without coating.
Floating-Empty.
HE-5 Tongli, HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, HE-6 Yinxi, SP-6 Sanyinjiao, BL-15 Xinshu.
Zhi Gan Cao Tang Glycyrrhiza Decoction
Sheng Mai San Generating the Pulse Powder.
Palpitations, tendency to be easily startled, shortness of breath, a slight feeling of oppression of the chest, a feeling of cold, cold limbs, mental restlessness, night sweating, poor memory, malar flush.
Pale or Red without coating depending on whether Yang or Yin deficiency predominates.
Weak or Floating-Empty.
HE-5 Tongli, HE-7 Shenmen, Ren-17 Shanzhong, BL-15 Xinshu, Ren-15 Jiuwei, SP-6 Sanyinjiao, ST-36 Zusanli.
Zhi Gan Cao Tang Glycyrrhiza Decoction.
Palpitations, a feeling of distension or oppression of the chest, depression, a slight feeling of a lump in the throat, slight shortness of breath, sighing, poor appetite, chest and upper epigastric distension, dislike of lying down, weak and cold limbs, slightly purple lips, pale complexion.
Slightly Pale-Purple on the sides in the chest area.
Empty but very slightly Overflowing on the left Front position.
HE-5 Tongli, HE-7 Shenmen, P-6 Neiguan, Ren-15 Jiuwei, Ren-17 Shanzhong, LU-7 Lieque, ST-40 Fenglong, LI-4 Hegu.
Mu Xiang Liu Qi Yin Aucklandia Flowing Qi Decoction
Ban Xia Hou Po Tang Pinellia-Magnolia Decoction.
Palpitations, thirst, mouth and tongue ulcers, mental restlessness, a feeling of agitation, insomnia, dream-disturbed sleep, a feeling of heat, red face, dark urine or blood in the urine, bitter taste (after a bad night’ sleep).
Red with redder tip and yellow coating. In more severe cases the tip could also be swollen.
Overflowing-Rapid especially on the left Front position. It could also be Hasty (rapid and stopping at irregular intervals).
HE-9 Shaochong, HE-8 Shaofu, HE-7 Shenmen, Ren-15 Jiuwei, SP-6 Sanyinjiao, KI-6 Zhaohai, LI-11 Quchi, Du-24 Shenting, Du-19 Houding.
Xie Xin Tang Draining the Heart Decoction.
Palpitations, mental restlessness, thirst, red face, a feeling of oppression of the chest, dark urine, expectoration of phlegm, rattling sound in the throat, bitter taste, insomnia, dream-disturbed sleep, a feeling of agitation, mental confusion, incoherent speech, rash behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, depression, manic behaviour.
Red with redder and swollen tip and a sticky yellow coating. In severe cases there will be a deep Heart crack with a sticky, dry yellow coating inside it.
Slippery-Rapid or Slippery-Overflowing-Rapid.
P-5 Jianshi, HE-7 Shenmen, HE-8 Shaofu, HE-9 Shaochong, P-7 Daling, Ren-15 Jiuwei, BL-15 Xinshu, Ren-12 Zhongwan, ST-40 Fenglong, SP-6 Sanyinjiao, BL-20 Pishu, Du-20 Baihui, GB-13 Benshen, GB-17 Zhengying, Du-24 Shenting.
Wen Dan Tang Warming the Gall-Bladder Decoction.
Mental confusion, lethargic stupor, unconsciousness, incoherent speech, vomiting of phlegm, rattling sound in the throat, aphasia, mental depression, emotional lability, very dull eyes.
Swollen with sticky coating.
Slippery.
HE-9 Shaochong, P-5 Jianshi, BL-15 Xinshu, ST-40 Fenglong, Du-26 Renzhong, Ren-12 Zhongwan, BL-20 Pishu, Du-20 Baihui, Du-14 Dazhui.
Di Tan Tang Scouring Phlegm Decoction
Gun Tan Wan Vapourizing Phlegm Pill.
Palpitations, stabbing or pricking chest pain which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands.
Purple in its entirety or only on the sides in the chest areas.
Choppy, Wiry or Knotted. The pulse will be Knotted if Heart-Blood stasis occurs against a background of severe Heart-Yang deficiency.
P-6 Neiguan, P-4 Ximen, HE-7 Shenmen, Ren-17 Shanzhong, BL-14 Jueyinshu, BL-17 Geshu, SP-10 Xuehai, KI-25 Shencang.
Xue Fu Zhu Yu Tang Blood-Mansion Eliminating Stasis Decoction.
Palpitations, shortness of breath with an inability to lie down, depression, mental restlessness, a feeling of stuffiness under the hypochondrium, a flustered feeling, a feeling of oppression of the chest, stabbing or pricking pain in the heart region which comes and goes, and which may radiate to the upper back or shoulder, pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, epigastric or hypochondrial distension, a feeling of heaviness, dislike of speaking, cold hands, sighing, purple lips, face and nails.
Purple on the sides in the chest areas, Swollen with a sticky coating.
Wiry, Choppy or Knotted. It could also be Slippery if Phlegm is predominant.
This is a complex pattern due to Qi stagnation, Blood stasis, Cold and Phlegm occurring simultaneously.
P-6 Neiguan, LU-7 Lieque, P-5 Jianshi, Ren-17 Shanzhong, LI-4 Hegu, ST-40 Fenglong, Ren-12 Zhongwan, Ren-15 Jiuwei, Ren-14 Juque, BL-17 Geshu, BL-14 Jueyinshu, Du-14 Dazhui (with moxa).
Zhi Shi Gua Lou Gui Zhi Tang Citrus-Trichosantes-Ramulus Cinnamomi Decoction plus Dan Shen Radix Salviae miltiorrhizae.
Palpitations, dizziness, nausea, vomiting of watery, frothy white fluid, a feeling of cold, cold limbs, severe shortness of breath, a feeling of fullness and stuffiness of the chest and epigastrium, thirst with no desire to drink, urinary retention.
Pale, Swollen and wet.
Deep-Wiry or Deep-Fine-Slippery.
This pattern is seen only in the elderly.
HE-5 Tongli, HE-6 Yinxi, BL-15 Xinshu, Ren-12 Zhongwan, Ren-9 Shuifen, KI-7 Fuliu, Ren-17 Shanzhong. Moxa is applicable.
Ling Gui Zhu Gan Tang Poria-Ramulus Cinnamomi-Atractylodes-Glycyrrhiza Decoction.
Zhen Wu Tang True Warrior Decoction.
Palpitations, cold hands, scanty urination, oedema of the ankles, sleepiness, mental confusion, sallow complexion, dizziness, frontal headache, blurred vision, nausea, vomiting, a feeling of oppression of the chest, poor appetite, abdominal fullness, loose stools, excessive salivation.
Pale, Swollen with sticky white coating.
Soggy or Deep-Slippery.
HE-5 Tongli, BL-15 Xinshu, Ren-17 Shanzhong, Ren-12 Zhongwan, Ren-9 Shuifen, ST-28 Shuidao, SP-9 Yinlingquan, SP-6 Sanyinjiao.
Wen Pi Tang Warming the Spleen Decoction plus Su He Xiang Wan Styrax Pill.
The Heart combined patterns are:
• Heart- and Liver-Blood deficiency (see under Liver combined patterns)
• Heart- and Spleen-Blood deficiency (see under Spleen combined patterns)
• Heart- and Kidney-Yin deficiency with Heart Empty-Heat (see ‘Heart and Kidneys not harmonized’ under Kidney combined patterns)
• Heart- and Lung-Qi deficiency (see under Lung combined patterns).
Diagnosis in Chinese Medicine A Comprehensive Guide
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