Palpitations

Question 0

Etiology

Answer 0

1) EPF block vessels
2) diet->damp->phlegm—>phlegm-fire
3) emoions->LIV Qi stg—> HT blood stg

4) anxiety/overthink/overwork->consume HT blood/SP Qi—>HT/SP xu
5) constitution—> HT/KID/SP yang Qi xu ———————-\
6) prolonged illness—> HT/KID yin xu-> flaring up HT fire——Ben XU, Biao SHI

Question 1

Corresponding western diseases?

Answer 1

-coronary HT disease, hypertension, rheumatic disease, arrhythmia, neuralgia, asthma, dizziness, bi-syndrome,

Question 2

Patterns?

Answer 2

1) HT/SP xu
2) Ht yang xu
3) Yin xu with empty fire
4) Ht Qi and yin xu
5) disturbance of the mind
6) Ht blood stg
7) Phlegm-fire disturbs HT
8) Retention of harmful fluid

Question 3

worse with movement, chills, cold limbs, pale complexion, suffocation in chest, SOB

Answer 3

HT yang xu

Question 4

HT yang xu T/P

Answer 4

T- pale, puffy, white coat

P-deep, thready

Question 5

fatigue, suffocation in chest, SOB, sallow complexion, afternoon fever

Answer 5

HT Qi and Yin Xu

Question 6

Ht Qi and yin xu T/P

Answer 6

T- red, little coat

P- thready, rapid, intermittent

Question 7

timid people are likely to have palpitations when they are frightened by strange noises/surprising objects/dangerous environments, insomnia, dream-sleep

Answer 7

Disturbance of the mind

Question 8

Disturbance of the Mind T/P

Answer 8

T- thin white coat

P- rapid, thready, wiry

Question 9

What is another name for Disturbance of the mind?

Answer 9

HT and GB Qi xu

Question 10

stabbing cardiac pain, suffocation in the chest, purple complexion, purple lips/nails

Answer 10

Ht blood stg

Question 11

Ht blood stg T/P

Answer 11

T- purple, ecchymoses

P- choppy, knotted

Question 12

listlessness, SOB, poor memory, insomnia, dizziness, blurred vision, sallow complexion

Answer 12

Ht and Sp xu

Question 13

Ht and SP xu T/P

Answer 13

T- pale

P- thready

Question 14

What is Ht and Sp xu in?

Answer 14

Qi and blood

Question 15

worse with anger, restlessness, insomnia, dizziness, malar flush, feverish sensation of the 5 hearts, sore lumbar

Answer 15

Yin xu with empty fire

Question 16

Yin xu with empty fire T/P

Answer 16

T- red, thin yellow coat

P- thready, rapid

Question 17

scanty urine, edema, suffocation of chest, thirst with no desire to drink, chills, cold limbs, vertigo, nausea, vomitting

Answer 17

Retention of harmful fluid

Question 18

retention of harmful fluid T/P?

Answer 18

T- pale, puffy

P- slippery

Question 19

worse when frightened, suffocation in the chest, restlessness, dream sleep, dry/bitter taste in the mouth, insomnia, constipation, scanty yellow urine

Answer 19

Phlegm-fire disturbs HT

Question 20

Phlegm-fire disturbs HT T/P

Answer 20

T- red, yellow sticky coat

P- wiry, slippery

Question 21

What are the basic points?

Answer 21

UB-15/14, RN-14/17, HT-7, PC-6

Question 22

Ht/Sp xu points

Answer 22

UB-17/20, ST-36, SP-9, SP-6, RN-6

Question 23

HT yang xu points

Answer 23

ST-36, RN-8, RN-4

Question 24

Yin xu with empty fire points

Answer 24

UB-23, SP-6, K-3, HT-8, PC-8, LIV-2

Question 25

HT qi and yin xu points

Answer 25

Ht-5, LI-4, SJ-5

Question 26

disturbance of mind points

Answer 26

PC-5, GB-40, UB-19

Question 27

Ht blood stg points

Answer 27

PC-4, UB-17

Question 28

Phlegm-fire disturbs HT points

Answer 28

HT-5, ST-40, SP-9, GB-34/40, UB-19, HT-8, PC-8, LIV-2

Question 29

Retention of harmful fluids points

Answer 29

RN-4/6/8/9, SP-9

Question 30

Basic points

Answer 30

UB-14/15, RN-14/17, HT-7, PC-6

Question 31

Differentiation

Answer 31

1) rule out HT attack (chest pain, radiating pain)
2) SHI vs XU
3) Jing JI (mild) VS Zheng Zhong (severe)
emotional stress no emotional trigger
fright happens anytime
P=knotted, tight, hurried P=deep, slow, slippery, wiry

4) patient medical history

Question 32

POT

Answer 32

1) tonify yin/yang/Qi/blood (ben)
2) remove excess (biao)
3) **calm shen

Question 33

Alternative remedies

Answer 33

1) auricular (HT, chest, liv, subcortex, kid, brain)

(shenmen, occiput, sympathetic, adrenal, SJ)

Question 34

education

Answer 34

1) reg. stress/emotions
2) reg. exercise (mild= walk, taiqi, qi gong)
3) consult with GP to adjust medications (if affecting HT)
4) reg. diet (no meat, greasy, spicy)
5) reduce salt intake
6) reduce caffeine
7) avoid EPF