Week 3: Chest Impediment, Palpitations, Insomnia, Vertigo.

Question 1

Clinically characterized by paroxysmal subjective feeling of an uncertain heartbeat accompanied by terror and freight and restlessness?

Answer 1

Palpitations!

Question 2

Patterns:

Heart-Gallbladder Deficiency
Heart-Spleen Deficiency
Hyperactivity of Fire Due To Yin Deficiency

Answer 2

Palpitations! Deficiency Patterns.

Question 3

Chest impediment or chest obstruction could also be known in TCM as?

Answer 3

“Chest Bi”

Question 4

Clinically characterized by chest pain, pain radiating to the back, shortness of breath, and dyspnea?

Answer 4

Chest Impediment!

Question 5

Angina pectoris of coronary heart disease, coronary atherosclerotic cardiopathy, myocardial infarction, and pericarditis are called _______________ in TCM?

Answer 5

“Chest Bi” or Chest Impediment.

Question 6

Patterns:

Cold-Deficiency
Turbid-Phlegm
Blood Stasis

Answer 6

Chest Impediment!

Question 7

Clinically characterized by the inability to have normal sleep including difficulty in falling asleep, inadequate sleep, difficulty staying asleep or being awake all night in severe cases?

Answer 7

Insomnia.

Question 8

Patterns:

Heart-Spleen Deficiency
Qi Deficiency Of The Heart And Gallbladder
Disturbance Of The Heart By Liver-Fire

Answer 8

Insomnia

Question 9

Clinically characterized by dizziness and blurred vision, and an illusionary sense of rotation and movement accompanied by nausea and vomiting sometimes?

Answer 9

Vertigo.

Question 10

Patterns:

Liver-Yang Hyperactivity
Obstruction of Phlegm-Damp
Kidney Essence Deficiency
Qi and Blood Deficiency

Answer 10

Vertigo!

Question 11

Insomnia with improper diet leading to spleen and stomach disharmony, resulting in phlegm-fire disturbance.

Answer 11

Disharmony between the spleen and stomach pattern.

Question 12

Insomnia accompanied by restlessness, anxiety, irritability, dizziness, headache, fullness in the chest and hypochondriac regions, red tongue with yellow coating, and a wiry, rapid pulse.

Answer 12

Disturbance of the heart by liver-fire pattern.

Question 13

Insomnia with difficulty falling asleep, waking up often, restlessness, dream-disturbed sleep, poor appetite, pale complexion, and fatigue.

Answer 13

Heart-spleen deficiency pattern.

Question 14

Chest impediment symptoms like coronary atherosclerotic cardiopathy, myocardial infarction, and pericarditis with obstruction of qi and blood stasis.

Answer 14

Obstruction due to exogenous cold and heat pathogens.

Phlegm accumulation.

Emotional stress leading to stagnation of qi and blood.

Insufficiency of qi and blood due to improper diet or overexertion.

Question 15

Palpitations with a red tongue and symptoms of disharmony between the heart and kidney, such as flaring fire disturbing the mind.

Answer 15

Hyperactivity of fire due to yin deficiency pattern.

Question 16

Palpitations with dizziness, blurred vision, poor appetite, lusterless complexion, insomnia, profuse dreaming, pale tongue with a thin white coating, and a thready, weak pulse.

Answer 16

Heart-spleen deficiency pattern.

Question 17

Palpitations often provoked by fear, lassitude, insomnia, dreaminess, and light-colored tongue with a thin coating.

Answer 17

Heart-gallbladder deficiency pattern.

Question 18

Palpitations characterized by a subjective feeling of an uncertain heartbeat, nervousness, paroxysmal occurrence, induced by emotional fluctuation or overexertion, accompanied by insomnia, chest stuffiness, dizziness, and dyspnea.

Answer 18

Disturbance of the mind/spirit: Fright, internal phlegm-heat accumulation, mental depression, or anger.

Insufficiency of qi and blood: Weak constitution, loss of blood, or overthinking damages the heart and spleen.

Hyperactivity of fire due to yin deficiency: Disharmony between heart and kidney due to injury to kidney yin.

Retention of harmful fluid: Due to spleen and kidney yang deficiency, water-qi disturbs the heart.

Blood stasis: Obstructed heart vessels.