Palpitations Flashcards
Etiology
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
Corresponding western diseases?
-coronary HT disease, hypertension, rheumatic disease, arrhythmia, neuralgia, asthma, dizziness, bi-syndrome,
Patterns?
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
worse with movement, chills, cold limbs, pale complexion, suffocation in chest, SOB
HT yang xu
HT yang xu T/P
T- pale, puffy, white coat
P-deep, thready
fatigue, suffocation in chest, SOB, sallow complexion, afternoon fever
HT Qi and Yin Xu
Ht Qi and yin xu T/P
T- red, little coat
P- thready, rapid, intermittent
timid people are likely to have palpitations when they are frightened by strange noises/surprising objects/dangerous environments, insomnia, dream-sleep
Disturbance of the mind
Disturbance of the Mind T/P
T- thin white coat
P- rapid, thready, wiry
What is another name for Disturbance of the mind?
HT and GB Qi xu
stabbing cardiac pain, suffocation in the chest, purple complexion, purple lips/nails
Ht blood stg
Ht blood stg T/P
T- purple, ecchymoses
P- choppy, knotted
listlessness, SOB, poor memory, insomnia, dizziness, blurred vision, sallow complexion
Ht and Sp xu
Ht and SP xu T/P
T- pale
P- thready
What is Ht and Sp xu in?
Qi and blood
worse with anger, restlessness, insomnia, dizziness, malar flush, feverish sensation of the 5 hearts, sore lumbar
Yin xu with empty fire
Yin xu with empty fire T/P
T- red, thin yellow coat
P- thready, rapid
scanty urine, edema, suffocation of chest, thirst with no desire to drink, chills, cold limbs, vertigo, nausea, vomitting
Retention of harmful fluid
retention of harmful fluid T/P?
T- pale, puffy
P- slippery
worse when frightened, suffocation in the chest, restlessness, dream sleep, dry/bitter taste in the mouth, insomnia, constipation, scanty yellow urine
Phlegm-fire disturbs HT
Phlegm-fire disturbs HT T/P
T- red, yellow sticky coat
P- wiry, slippery
What are the basic points?
UB-15/14, RN-14/17, HT-7, PC-6
Ht/Sp xu points
UB-17/20, ST-36, SP-9, SP-6, RN-6
HT yang xu points
ST-36, RN-8, RN-4
Yin xu with empty fire points
UB-23, SP-6, K-3, HT-8, PC-8, LIV-2
HT qi and yin xu points
Ht-5, LI-4, SJ-5
disturbance of mind points
PC-5, GB-40, UB-19
Ht blood stg points
PC-4, UB-17
Phlegm-fire disturbs HT points
HT-5, ST-40, SP-9, GB-34/40, UB-19, HT-8, PC-8, LIV-2
Retention of harmful fluids points
RN-4/6/8/9, SP-9
Basic points
UB-14/15, RN-14/17, HT-7, PC-6
Differentiation
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
POT
1) tonify yin/yang/Qi/blood (ben)
2) remove excess (biao)
3) **calm shen
Alternative remedies
1) auricular (HT, chest, liv, subcortex, kid, brain)
(shenmen, occiput, sympathetic, adrenal, SJ)
education
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
