Heart Patterns (Deficiency Patterns)

Question 1

The heart governs …

Answer 1

Blood

Question 2

The heart controls the …

Answer 2

Blood Vessels

Question 3

The heart manifests in the …

Answer 3

Complexion

Question 4

The heart houses the …

Answer 4

Mind (Shen)

Question 5

The heart opens into the …

Answer 5

Tongue

Question 6

The heart controls …

Answer 6

Sweat

Question 7

What climatic factors affect the Heart directly ?

Answer 7

Fire and Heat are the ones that most affect the Heart. Generally speaking, exterior factors do not affect the Heart directly.

Question 8

What emotion is Heart related to ?

Answer 8

Joy

Question 9

“Joy” does what to Heart Qi?

Answer 9

Slows down Heart-Qi

Question 10

Name some clinical manifestations of Heart-Qi Deficiency ?

Answer 10

Fatigue, Palpitations, SOB on exertion, pale face, slight depression, Shen is slightly subdued/ungrounded, anxiety

Question 11

What is the tongue presentation for HT-Qi deficiency?

Answer 11

Pale, thin white fur or normal color

Question 12

What is the pulse for HT-Qi deficiency?

Answer 12

Empty

Question 13

Name the pathological precursors of HT-Qi deficiency.

Answer 13

HT-Qi deficiency may derive from KD-Qi deficiency OR

may also result from GB-Qi deficiency

Question 14

Name the pathological developments from HT-Qi deficiency.

Answer 14

HT-Qi deficiency frequently leads to HT-Yang deficiency.
It may also affect the Lungs and become associated with LU-Qi deficiency
(this happens especially when there is emotional stress).

Question 15

What is the treatment principal of HT-Qi deficiency?

Answer 15

Tony the HT-Qi

Question 16

What are the clinical manifestations of HT-Yang deficiency?

Answer 16

Feeling of cold, spontaneous sweating, cold hands, bright-pale face, slightly dark lips, chest discomfort relieved by heat.
Other symptoms are similar to HT-Qi deficiency; Fatigue, palpitations, SOB on exertion, feeling of discomfort of stuffiness in the HT region.

Question 17

What is the tongue presentation for HT-Yang deficiency?

Answer 17

Pale, slightly wet

Question 18

What is the pulse for HT-Yang deficiency?

Answer 18

Deep-weak, in severe cases Knotted.

Question 19

What are the pathological precursors of HT-Yang deficiency?

Answer 19

1. May develop from HT-Qi deficiency.
2. May derive indirectly from chronic KD-Yang deficiency
   (KD yang is the source if all Yang energies the body).
3. May also derive from Yang deficiency of ST and SP
   (The ST and SP also influence the HT directly).

Question 20

What are the pathological developments from HT-Yang deficiency?

Answer 20

Heart Blood Stasis

(Deficient HT-Yang fails to move Qi in the chest; this may lead first to HT-Qi stagnation and then to HT-Blood stasis. This pattern is clinically important because it is involved in Western medical diseases such as angina pectoris & coronary heart disease)

Question 21

What are the clinical manifestations of HT-Yang Collapsing?

Answer 21

Weak and shallow breathing, cyanosis of the lips, greyish-white complexion, in severe cases coma, palpitations, SOB

Question 22

What is the tongue presentation of HT-Yang Collapsing?

Answer 22

Very pale or Bluish-Purple, Short

Question 23

What is the treatment principal for HT-Yang deficiency?

Answer 23

Tonify and warm HT-Yang

Question 24

What is the pulse for HT-Yang Collapsing?

Answer 24

Hidden-Minute-Knotted

Question 25

What are the pathological precursors of HT-Yang Collapsing?

Answer 25

Chronic and severe KD-Yang deficiency OR | Yang deficiency of ST and SP

Question 26

What are the pathological developments from HT-Yang Collapsing?

Answer 26

HT-Blood Stasis (HT-Yang Collapsing is a very severe, serious, acute condition corresponding broadly to cardiac infarction in Western medicine. When it does not cause death, it causes severe Blood Stasis)

Question 27

What is the treatment principal for HT-Yang Collapsing?

Answer 27

Rescue Yang, Restore consciousness, stop sweating

Question 28

What are the clinical manifestations of HT-Blood deficiency?

Answer 28

Dream disturbed sleep, insomnia, dizziness, poor memory, propensity to be startled, dull-pale complexion, pale lips, palpitations, anxiety

Question 29

What is the tongue presentation of HT-Blood deficiency?

Answer 29

Pale, Thin, sl. dry

Question 30

What is the pulse of HT-Blood deficiency?

Answer 30

Choppy or Fine

Question 31

What are the pathological precursors of HT-Blood deficiency?

Answer 31

LV Blood deficiency (when blood is deficient, this usually starts with LV-blood deficiency: as the HT governs blood, HT-blood becomes deficient too. Also, LV is the Mother of the HT, a LV pathology is easily transferred to the HT)

Question 32

What are the pathological developments from HT-Blood deficiency?

Answer 32

HT-Yin deficiency (as Blood is part of Yin) OR SP-Blood deficiency (on a physical level, the SP affects the HT - Food-Qi produced by the SP is the origin of Blood. HT is also the Mother of SP)

Question 33

What is the treatment principal for HT-Blood deficiency?

Answer 33

Nourish Blood, tonify the HT, calm the Mind

Question 34

What are the clinical manifestations of HT-Yin deficiency?

Answer 34

Night sweating, dream-disturbed sleep, palpitations, insomnia, propensity to be startled, poor memory, anxiety, mental restlessness, uneasiness, fidgetiness, dry mouth and throat

Question 35

What is the tongue presentation of HT-Yin deficiency?

Answer 35

No coating, deep midline crack reaching the tip

Question 36

What are the pathological precursors of HT-Yin deficiency?

Answer 36

KD-Yin deficiency OR LV-Yin deficiency

Question 37

What are the pathological developments from HT-Yin deficiency?

Answer 37

Doesn't normally lead to other patterns, other than Empty-Heat

Question 38

What is the treatment principal for HT-Yin deficiency?

Answer 38

Nourish HT-Yin, calm the Mind. If Empty-Heat is present, Clear heat.