CALE: Heart pt prescriptions Flashcards
these 6 points for what pattern:
P6 (#1 point for palpitations) UB 15 (back shu - moxa) Ren 17 (open chest) H 5 (qi) Du 14 (moxa - tonify heat) Ren 6 (tonifiess whole body)
Heart Qi Xu
also ht yang xu
Common S/S palpitations (in all heart problems) SOB worse on exertion spontaneous sweating slight depression fatigue/pale face
Tongue: pale
Pulse: weak, thready (EMPTY)
Heart Qi Xu
These S/S for what pattern: palpitations SOB worse on exertion tired spontaneous sweat feeling of stuffiness or discomfort in heart region feeling of cold cold hands cold limbs bright-white face slightly dark lips a little bit blue d/t/ cold
Tongue: pale, moist (wet), could be puffy
Pulse: deep, weak, could be knotted (irregular and slow)
Heart Yang Xu
P 6 (palpitations) H 5 BL 15 Ren 6 Ren 17 Du 14
*(same points as ht qi xu)
These points for what two heart patterns: P 6 (palpitations) H 5 BL 15 Ren 6 Ren 17 Du 14
heart qi xu
heart yang xu
Common S/S Palpitations Dizzy Pale complexion, tongue, lips, nails blurry vision Insomnia dream disturbed (shen is not anchored) trouble FALLING asleep poor memory anxiety (propensity for being startled)
Tongue: pale, could be dry, could be thin
Pulse: thin (fine), could be weak, hesitant (choppy)
Heart Blood Xu
these 7 points for what pattern:
P 6 (all heart def patterns, palpitations) H 7 (for blood)
Ren 4 (for yin and blood) Ren 14 (front mu for blood, back xu for qi and yang) Ren 15 (luo point, good for anxiety)
Bl 17 (infl. point of blood) Bl 20
Heart Blood Xu
hesitant pulse (aka choppy) could be what two patterns?
blood stagnation
blood xu
Common S/S of what patterns Palpitations Insomnia (waking often) Dream Disturbed sleep 5 center heat night sweats anxiety, restlessness, agitation, vexed, fidgeting malar flush thirsty, maybe dry mouth poor memory
Tongue: red, no coat, maybe midline crack to tip
Pulse: (rapid + thready) or (superficial + thready)
Heart Yin Deficiency
**remember EMPTY = any deficiency
these points for what pattern P 6 H 6 + K 7 (night sweats dui yao) H 7 Sp 6
Ren 4 (blood and yin)
Ren 14
Ren 15
heart yin xu
point dui yao for night sweats
1 point for sweat
1 point for yin xu
K 7
H 6
Comparing Heart Patterns:
Qi/Yang - Blood/Yin qi H5 - blood H7 back xu Bl15 - front mu Ren 14 qi Ren 17 - luo Ren 15 qi Ren 7 - yin/blood Ren 4
plus Du? - for blood add what two BL points
- for yin add what sp point & what point dui yao?
Du 14
for blood:
Bl 17
Bl 20
for yin
Sp 6
K7, H6
Common S/S for what pattern: Palpitations Mouth ulcers dark urine, could be blood Mental restlessness agitation thirsty feeling hot Dream disturbed sleep red face insomnia bitter taster after a bad night's sleep
Tongue: red, tip redder, red spots, yellow coat Pulse: (rapid + full + slippery) (rapid + overflowing + slippery) (rapid + full + wiry) (abrupt AKA hasty)
Heart Fire
These points for what pattern: H 7 (calming) H 8 (heat) H 9 (heat)
LI 11 (heat)
Dui Yao - Calm the Mind:
Du 19 + 24
Dui Yao - cool fire, promote yin
Sp 6 + K 6
Calm Mind, Clear Heat
Ren 15
Heart Fire
common S/S for what pattern:
mania, manic-depressive (bi-polar 1)
insomnia can’t fall asleep or stay asleep, dream disturbed sleep
lots of talking, incoherent speech, could be angry, yelling
mental confusion, agitation, rash behavior
bitter taste (from heat), red face, thirsty
might spit-up green or yellow phlegm
tendency to hit or scold
uncontrolled laughter or crying
talking to self, depression and manic behavior
Tongue - red w/THICK yellow coat, sticky, deep heart crack
Pulse - rapid slippery FULL wiry
Heart Phlegm Fire (harassing the mind)
these points are best for what pattern:
5 points to Resolve Phlegm: P 5 (invisible phlegm) St 40 (all phlegm)
Ren 12
Bl 20
Sp 6
5 points for Calming the Mind: Du 24, GB 13 (frontal 5- calms mind) Ren 15 H 7 (stream) P 7 (stream)
3 points for clearing heat
H8
H9
Liv 2
1 point to build heart
Bl 15
Reset/Restorative Du 20 (wake-up)
Open Mind/orifices
Gb 17
Heart Phlegm Fire Harassing the Mind
Common S/S for what pattern: LETHARGIC/STUPOR (always on test question) mental confusion, mental depression very dull eyes incoherent speech, slurred speech, aphasia vomiting of phlegm rattling sound in throat unconscious (sometimes)
Tongue: thick coat (could be swollen)
Pulse: slippery
Phlegm Misting the Mind
These points are best for what pattern”
4 points for \_\_\_\_\_\_ P 5 (in CAM used for malaria) St 40 Ren 12 B 20
Point to ___ __ ____
H9 (bleed)
Point to ___/____ heart
B15
Point that is ____
D 26
Point for the heart ___ function
Du 14
Phlegm Misting the Mind
- Phlegm
- Open the Orifices
- to Build/Protect Heart
- Restorative
- Heart Yang
Commons S/S of what pattern:
(this pattern is often on the boards)
palpitations
stabbing pain in chest, radiating down arm
emotional problems, anxiety, grief, worry
blue lips, nails
Tongue: purple (maybe only on sides)
Pulse: Choppy, Wiry, Knotted
Heart Blood Stasis
often caused by deficiency
these points for what pattern: Ub 14 (back xu) Ub 17 (influential point of blood) Sp 10 (sea of blood) H 7 (blood - yuan source) P 4(xi cleft) P 6 (heart def) Ren 17 (influential point of qi) K25 (local for stagnation in chest)
Heart Blood Stasis
Xi Cleft of point that stops chest pain
P4
If pain is radiating to the arm - refer patient out and the pattern is:
heart blood stasis
A deep pulse does not necessarily mean
deficiency
definitely deficiency: weak, empty, thready
deep pulse is the opposite of what pulse?
superficial
deep means
interior
Comparing Heart Patterns:
what heart point would you choose for qi/yang vs. blood/yin??
H5 Qi
H7 Blood
Comparing Heart Patterns:
what shu/mu point would you choose for qi/yang vs. blood/yin??
Bl 15 (back shu qi/yang) Ren 14 (front mu blood/yin)
Comparing Heart Patterns:
what ren points would you choose for
qi/yang vs. blood/yin??
Ren 7, 17 (qi/yang)
Ren 4, 15 (blood/yin)