heart patterns Flashcards
*HT Yang Collapse
Etiology
Progression of HT Yang vacuity that always involves KI Yang vacuity,
More severe, serious, acute and dangerous. Presentation corresponding to western diagnoses of myocardial infarction (heart attack) and is a major cause of death.
Patients who survive often experience symptoms of Blood stasis.
*HT Yang Collapse
S/SX
basically HT Yang vacuity plus loss of consciousness or coma
Palpitations
SOB; feeble & shallow breathing
profuse sweating & cold limbs
cynosis of lips,
loss of conciousness, mental cloudiness, coma
t: very pale or bluish, purple, short
P: feeble fading pulse
ie: Heart Attack; infarction
*HT Yang Collapse
Treatment
Tonify HT Qi and Warm HT Yang
NOTE: This is more a “HT attack” ; its Yang deficiency plus
rem there is insufficient yang
REN 6
REN 4
rEN 8
DU 4
ST 36
PC 6
UB 23
DU 20
DU 14
UB 15
Heart Qi Vacuity
etiology
REM: HT Qi that moves the Blood through the vessels.
HT Qi vacuity is a serious condition.
–usually develops slowly as a chronic condition. It can be the underlying cause of life threatening conditions.
– Can result from, or cause, vacuity of Lu and KI Qi, and well as GB Qi.
–Can develop from: •Extreme emotional problems, especially grief.
–Severe Blood loss due to chronic illness, chronic bleeding, or serious hemorrhaging; severe loss of fluids
Heart Qi Vacuity
Tmt
Boost/Tonify HT Qi
HT 5 - calm spirit, regulates heart rhythm; luo point
PC 6 - regulates qi, regulates heart calms spirit, luo point
UB 15 - back shu heart, regulatrs HT qi tonifies/nourishes heart; calms spirit
REN 17 regulates qi; front mu of PC, point of sea of qi
REN 6 this point is called the sea of qi; fosters original qi; tonifies qi
Heart Qi Vacuity
S/SX
Palpitations
SOB on exhertion
Spontaneous sweating (remember blood is fluid of HT)
Tiredness, litlessness, lassitde pallor
T: pale
P: weak pulse
HT BLOOD STASIS
treatment
(also known as Obstruction of HT Vessels)
Move HT Qi and Blood, Open Chest, Eliminate Stress, Resolve Phlegm, Expel Cold, Calm the Mind
Palpitations, intermittent cardiac pain (stabbing or stuffy in nature in the precordial region or behind the sternum) which often refers to the shoulder & arm,
in severe case there may occur cyanosis of face, lips & nails, cold limbs & spontaneous sweating:
note: this is a HT attack, congestive HT patient
PC 6 unbinds the chest & regulates qi; regulates the HT & calms the spirit; harmonises the ST & alleviates nausea & vomiting; clears heat & opes Yin wei; luo
PC 4 invigorates blood & dispels stasis; cools blood & stops bleeding; calms spirit; moderates acute conditions; xi-cleft of PC
HT 7 calms the spirit; regulates & toniefies the HT; shu streatm, yuan source
ren 17 fregulates qi & unbinds the chest; descends rebellion of LU & ST; benefits gathering qi; front mu PC; point of sea of qi;
UB 14 spreads LV qi & unbinds the chest; regulates HT; regulates & descends qi; PC back shu
UB 17 invigorates blood & dispels stasis; cools blood heat & stops bleeding; norishes & harmonises the blood; harmonises diaphragm & descends rebellious qi; influ point of blood
SP 10 invigorates the blood & dispels stasis; cools blood; harmonises menses, benefits the skin; “sea of blood”
KD 25 unbinds the chest; lowers rebellious LU & ST qi; “spirit storehouse”
HT BLOOD STASIS
s/sx
Palpitations, intermittent cardia pain (stabbing or stuffy in nature in the precordial region of behind the sternum - this your HT attack conjestive HT patient)
The pain often referes to the shoulder & arm, in severe cases there may occur cyanosis of face, lips & nails, cold limbs & spontaneous sweating.
T: purplish dark tongue or purplish spots,
P thready & hesitant or knotted
HT BLOOD STASIS
treatment
Move HT Qi and Blood, Open Chest, Eliminate Stress
PC 6 unbinds chest & regulates qi; LUO
PC 4 regulates the HT & calms the spirit; clears heat
HT 7 calms spirit; regulates & tonifies the HT; shu stream, yuan source
REN 17 regulates qi & unbinds the chest; benefits gathering qi; front mu of PC
UB 14 regulates the HT ; regulates & descends qi; back shu of PC
UB 17 invigorates blood & dispels stasis; cools blood heat & stops bleeding; nourishes & harmonises the blood; descends rebellious qi
SP 10 invigorates the blood & dispels stasis; cools blood; sea of blood
KD 25 unbinds the chest
HT Blood Vacuity
etiology
The HT governs Blood.
HT Blood keeps the Shen in its residence/ anchors it . Heart Blood vacuity allows Shen to escape, resulting in symptoms of Shen disturbance. Primary symptom is disturbance of Shen.
- Often seen in the combined pattern of HT/SP disharmony.*
- There are many causes of Blood vacuity:*
Blood loss •Poor diet •Emotional stress •Taxation fatigue •External or internal heat or dryness •SP vacuity •LV Blood vacuity •LV/KI Yin vacuity
HT Blood Vacuity
s/sx
Palpitations
insomia; dream-disturbed sleep
dizziness & vertigo
poor memory
Pallor, pale lips
anxiety, tendency to be startled
t: pale, thin, slightly dry
P: thready & weak - BECAUSE BLOOD ISNT FILLING VESSELS
NOTE: blood isnt filling the vessels, so pallor, pulse & dizziness & vertigo
HT Blood Vacuity
Treatment
Supplement/Nourish Blood, AND Quiet/Calm the HT & Shen
HT 7 - Calms Spirit and Regulates/Tonifies the Heart; shu stream & yuan source
PC 6 - regulates heart & calms spirit; unbinds chest & regulates Qi; luo connecting point
REN 14 - front mu of HT; regulates the Heart; calms spirit
REN 15 - Regulates the heart & calms the spirit; deLuo point
REN 4 - if the SP, LV or KD are involved ; front mu of SI; mtg point of SP LV KD
HT 6 - REGULATES HT blood; Calms spirit; xi cleft of HT;
SP 6 - calms spirit & invigorates blood; meeting point of SP, LV, KD
KD 7 - benefits kd’s; regulates the water passages & treats edema; jing river
KD 6 - nourishes kd’s & clears deficiency heat; calms the spirit; regulates lower jiao; confluent point of yin motitlity vessel
HT FIRE Excess
S/SX
(also called Hyperactivity of Heart Fire)
HT Fire (this is an excess pattern; the heat is pronounced/ it’s louder heat)
- -Palpitations*
- -Mental restlessness, feeling agitated, “impulsiveness”; angry; vexation*
- -insomnia*
- -flushed face,*
- -thirst, bitter taste,*
- -ulceration & pain of mouth & tongue*
- -hot & deep yellow urine, in severcase, hesitant & painful urine, dark urine or lood in urine; Patient may say they feel like they have an uti, but when they go to doctor they dont have one.*
- -T: red P: rapid*
- NOTE: can involve the following organs*
KI/HT: Insomnia, bad dreams, dry mouth &throat, flushed complexion
LV/HT: headache, red eyes, agitation, irascibility, bitter taste in mouth
SI/UB: Dribbling urination with reddish urine and stinging pain (UTI
HT FIRE Excess
etiology
Fire tends to rise upward and may harass the HT which affects the Shen.
HT fire may be passed on to Urinary Bladder via the Small Intestine.
Possible causes are: •Emotional problems •Poor diet •LV Fire •KI Yin vacuity
HT Fire Excess
Treatment
Drain HT Fire, Clear the HT, Nourish the Yin
HT 9 - revives consciousness; clears heat & benefits the tongue, eyes & throat; regulates HT qi & calms the spirit; Jing well
HT 8 - clears heat from the HT & SI; calms the spirit; regulates HT qi; activates the channel & alleviates pain; ying spring
HT 7 - calms the spirit; regulates & tonifies the HT; Shu stream, yuan source
REN 15 - regulates the HT & calms the spirit; descends lung qi & unbinds the chest; luo connecting
SP 6 - calms the spirit; invigorates blood; tonifies the SP & ST; tonifies the LV & tonifies KD; mtg point of the SP, LV, KD channels
KD 6
HT PHLEGM FIRE
etiology
(also known as Phlegm Fire Harassing the Heart)
Similar to Phlegm Misting the HT with fire rising often due to extreme, long-standing emotional disturbances, and diets of hot, greasy foods.
HT PHLEGM FIRE
s/sx
(also known as Phlegm Fire Harassing the Heart)
Remember this insubstantial phlegm
- derangement of the mind, mania, inchohernt speech, mental confusion, aggressive & violent behavior, tendency to hit or scold people, uncontrolled laughter or cry, shouting muttering to oneself,
- palpitations, insomnia, dream disturbed sleep,
- flushed face, coarse breathing, bitter taste,
- constipation, deep yellow urine in severe case aphasia & coma
T: yellow, sticky coating (phlegm)
P: rolling, rapid & forceful (phlegm)
HT PHLEGM FIRE
treatment
Tx: Open Orifices, Clear Heart, Drain Fire, Resolve Phlegm, Calm Shen
PC 5 transforms phlegm; setttles & calms the spirit; descends rebellious qi & regulates the stomach; regulates menses; jing river
PC 7 clears het from the HT & calms spirit; harmonises the ST & Intestines; unbinds chest; clears the nutritive level & COOLs blood; shu stream yuan source
HT 8 clears heat from HT & SI; calms the spirit; regulates HT qi; ying spring
HT 9 clears heat & benefits the tongue, eyes & throat; regulates HT qi & calms the spirit; revives consciousness; jing well
REN 15 regulates the HT & calms spirit; descends lung qi & unbinds the chest; luo connecting point
REN 12 harmonizes the middle jiao & descens rebellion; tonifies ST & fortifies the SP; regulates qi & alleviates pain; front mu of ST
UB 15 tonifies & nourishes the HT; regulates HT qi; calms the spirit; unbinds the chest & resolves blood statis ; CALMS HT FIRE; HT shu
ST 40 transforms phlegm & dampness; clears phlegm from the lung & aalleviates cough & wheezing; clears phlegm from the HT & calms the spirit; LUO point
SP 6 tonifies SP & ST; resolves dampness; calms spirit; invigorates blood , etc. mtg point of SP, LV, KD
LV 3
LV 2 clears LV fire; spreads LV qi; pacifies LV wind; clears heat & stops bleeding benefits the lower jiao; ;ying spring;
UB 20 resolves dampness; tonifies SP qi & yang; raises SP qi & holds the blood; regulates & harmonises qi of the middle jiao; back shu of SP
DU 20 raises yang; nourishes sea of marrow; befits brain & calms spirit; subdues yang; mtg point of UB, GB, SJ & LV; point of sea of marrow
GB 14 elimates wind, benefits head & alleviates pain; benefits eyes
GB 15 eliminates wind, benefits the head U& alleviates pain; benefits nose & eyes
DU 24 benefits brain & calms the spirit; elimates wind & benefits head; mtg point of DU, UB & ST
HT PHLEGM
etiology
(also called Phlegm Misting the HT Phlegm)
NOTE: the HT fire is now worse and now we see pathological water
Phlegm Misting the Heart Phlegm obstructs the Qi of the HT/Mind, causing mental confusion, and of the tongue, causing difficulty speaking.
Can be congenital in children and in certain cases of mental retardation.
In adults, the causes tend to be: •Emotional disturbances •Improper diet •Yin vacuity •External Pathogenic Factors
•Wind-Stoke Western conditions that are associated with this pattern are stroke and mental disorders
HT Phlegm
s/SX
Remember the fire has become worse and now you see pathological water/fluids; note there are no heat signs
mental depress & dullnes; mental confusion
lethargic stupor or incoherent speech,
weeping & laughing w/o an apparent reason,
gurglind with sputum in throat
sudden collapes, coma
t: swollen body, white sticky coating (due to phlegm)
* P: string taut & rolling (**due to phlegm)*
HT PHLEGM
Treatment
Open the Orifices of HT and Mind, Resolve/Sweep Phlegm, Calm Spirit
HT 9 revives consciousness; clears heat & benefits the tongue, eyes & throat; regulates HT qi & calms the spirit; jing well
PC 5 transforms phlegm; settles & calms the spirit; descends rebellious qi & regulates the ST; regulates menses; jing river
UB 15 tonifies & nourishes the HT; regulates HT Qi; calms spirit; unbinds chest & resolves blood stasis; clears HT fire; back shue HT
ST 40 transforms phlegm & dampness; benefits chest; clears phlegm from the LU & alleviates cough & wheezing; clears phlegm from the HT & calms spirit; activates the channel; luo point
DU 26 restores consciousness & calms the spirit; benefits the face & nose & expels wind, spine & treats acute lumbar sprain; mtg point of DU, LI, ST & ghost point
REN 12 harmonises the middle jiao & descens rebellion; tonfies the ST & fortifies the SP; regulates qi & alleviates pain; front mu ST
UB 20 tonifies SP qi & yang; resolves dampness; raises SPqi & holds the blood; regulates & harmonises the qi of the middle jiao; back shu SP
HT Yang Vacuity
s/sx
Palpitations
SOB on exhertion
sweating
listlessness, lassitude
Chills, Cold Limbs
Cyanosis of Lips
t: pale, swollenn & delicate tongue or a purplish dark tongue
p: deep, weak or knotted
HT Yang Vacuity
etiology
Progression of HT Qi vacuity - more severe and includes cold signs and vulnerability to cold.
Yang is the moving aspect of Qi – HT Yang moves Blood sooooooooooooo HT Yang vacuity can lead to Blood stasis with chest pain.
NOTE:
KI is source of Yang so HT/KI vacuity pattern is often involved. Western conditions include angina pectoris and coronary heart disease.
HT Yang Vacuity
TMT
Boost/Tonify HT Qi and Warm HT Yang
HT 5 - calms the spirit; regulates heart rhythm; activates channel; luo point
PC 6 - unbinds the chest & regulates qi; regulates the HT calms the spirit; luo point & confluent of yin linking vessel
UB 15 - Back shu of HT; tonifies & nourishes the Heart; regulates HT qi; calms spirit; unbinds the chest & resolves blood stasis; clears HT fire
REN 17 - regulates qi & unbinds the chest; descends rebeallion of the LU & ST; benefits gathering qi; benefits front mu of PC point on sea of qi;
REN 6 - fosters original qi; tonifies qi; tonifies kDs & fortifies yang; rescues collapese of yang regulates qi & harmonises blood; called the sea of qi
DU 14 - clears heat regulates the du
HT YIN Deficiency
etiology
May be seen as a progression of HT Blood vacuity.
May be due to general vacuity of Yin, especially KI Yin.
Similar to HT Blood vacuity plus heat and/or dryness.
Often seen in the combined pattern of HT/KI disharmony.
HT Blood vacuity & HT Yin vacuity often appear together in varying degrees.
Additional western conditions seen with HT Yin vacuity are tachycardia and hyperthyroidism.
HT YIN Deficiency
s/sx
HT Yin deficiency (there are heat signs; rem this is deficiency heat)
- -Palpatations,*
- -insomnia, deam-disturbed sleep,*
- -poor memory*
- -mental restlessness, uneasiness, fidgetiness*
- -heat sensation in the palms & soles; tidal fever, malar flush, low grade fever in the evening; feeling hot and bothered; night sweating*; 5 palm heat
- dry mouth & throat
t: red no coating
p: thready & rapid - rem: burnout is HT + deficiency symptoms*
HT YIN Deficiency
Tmt
Enrich/Nourish the HT Yin, Quiet/Calm the Shen
HT 7 - calms the spirit, regulates & tonifies the HT; shu stream, yuan source
PC 6 - regulates the HT & calms the spirit; unbinds the chest & regulates qi; clears heat; luo point
REN 14 - front mu of the HT; regulates the HT & alleviates pain; descend lung qi & unbinds the chest; calms the spirit
REN 15 - regulates the HT & calms the spirit; descends lung qi & unbinds the chest; luo onnecting point
REN 4 - fortifies the original qi & benefits essence; regulates SI qi; tonifies & nourishes the KD’s; front mu of SI
HT 6 - regulates HT blood; calms the spirit; moderates acute c onditions; clears deficiency fire & alleviates night sweating; xi cleft
SP 6 - CALMS THE SPIRIT; harmonizes the LV & tonifies KD; harmonizes lower jiao; mtg pt of SP, LV & KD
KD 7 - benefits kd’s; regulates watter passages & treats edema; regulates sweating; jing river
KD 6 - nourishes kd’s & clears deficiency heat;calms spirit; regulates lower jiao; confluent point of yin motility vessel
