Palpitations

Question 0

Western diseases associated with palpitations?

Answer 0

Coronary heart disease, Pulmonary Heart disease ( related to lungs), Rheumatic fever leading to Rheumatic heart disease, neurosis, arrhythmia

Question 1

4 vital substance of blood

Answer 1

Yin, Yang, Qi and Blood

Question 2

Differences between Jing Ji and Zheng Zhong, and which would be under mild and severe?

Answer 2

Jing Ji: Palpitations are triggered by emotions, such as stress and it is mild
Zheng Zhong: Palpitations triggered suddenly without emotional stress, it is severe

Question 3

How would you educate a patient with palpitations?

Answer 3

1. calm patient - Heart and mind are connect, advice to reduce stress
2. exercise regularly - moderate walking, Tai Qi
3. If palpitations are caused by drugs have them consult with their doctor.
4. Pregnancy - Consult with doctor
5. reduce salt intake, less spicy food, quit alcoholic drinks and tea
6. regulate emotions
7. prevent EPF invasion

Question 4

Other alternate remedies?

Answer 4

Electro acupuncture
1-2 pairs intermittent waves 15 -20 mins
auricular acupuncture
Heart, chest, liver, subcortex, kidney, brain 3-4 points ear seeds

Question 5

BL 17, BL 20, ST 36, SP9, SP6, CV6, REN 4, HT 6

Answer 5

Acupoints for Heart and Sp Xu

Question 6

List the deficiency patterns in Palpitations (There are 5)

Answer 6

Heart and Sp xu ( Qi and Blood Xu)
Heart yang Xu
Yin Xu with empty fire
Heart Qi and Yin Xu 
Disturbance of the mind (heart and GB deficient)

Question 7

palpitations, listlessness, shortness of breath, poor memory, insomnia, dizziness, blurred vision, sallow complexion, spontaneous sweating

Tongue: pale
pulse: thready

Answer 7

heart and spleen xu

Question 8

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

tongue: pale and puffy with white coating
pulse: deep and thready

Answer 8

heart yang deficiency

Question 9

palpitations, worse with anger, restlessness, insomnia, dizziness, tinnitus, malar flush, night sweats, feverish sensation of the 5 hearts, soreness in the lumbar region
Tongue: red with thin and yellow coating
Pulse: thready and rapid

Answer 9

Yin xu with empty heat

Question 10

palpitation, fatigue, suffocation in chest, SOB, swallow complexion, spontaneous sweating or night sweats, afternoon fever
Tongue: red, little coating
pulse: thready and rapid/intermittent

Answer 10

Heart Qi and Yin Xu

Question 11

list the excess conditions in palpitations (3 patterns)

Answer 11

heart blood stagnation
phlegm fire disturbs heart
retention of harmful fluid

Question 12

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

tongue: purple or ecchymoses
pulse: choppy or knotted

Answer 12

Heart Blood stagnation

Question 13

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

tongue: red, with yellow and sticky coating
pulse: wiry and slippery

Answer 13

Phlegm fire disturb the heart

Question 14

palpitations, scanty urine, edema, suffocation and fullness in the chest and epigastrium, thirst without desire to drink, chills, cold limbs, vertigo nausea, vomiting

tongue: pale and puffy with slippery coating
pulse: wiry and slippery or deep thready and slippery

Answer 14

Retention of harmful fluid

Question 15

BL 15, BL14, CV14, 17, HT7, PC6

Answer 15

common points for palpitations

Question 16

BL17, 20, ST36, SP6, 9, CV 6

Answer 16

points for heart and sp Xu

Question 17

ST 36, CV 8, CV 4 + add moxa

Answer 17

points for heart yang deficiency

Question 18

BL 23, SP6, KID 3, HT8, PC8, LV2

Answer 18

points for Yin Xu with empty fire

Question 19

HT5, LI4, SJ5

Answer 19

Heart Qi and Yin Xu