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Int.Med-Palpitations

QuestionAnswer
Describe fright palpitation. Mild conditional, functional disorder, periodic, temporary, provoked by sudden anxiety, fright, other emotion
Describe fearful throbbing. Severe, chronic, organic heart dysfunction; irregular, accelerated heatbeat; not initiated by fright, may be brought on by exercise or stress
What is the etiology of palpitations? 1. Constitutional weakness, 2. Irregular diet, 3. Emotional issues, 4. External evil qi, 5. Medicinal poison
What is the TCM pathology of palpitations? Deficiency: Yin/Yang/Qi/Blood fail to nourish the Heart; Excess: Phlegm-heat, Fluid accum., Blood stag which disturb qi & blood flow in the Ht
Which organs are involved in palpitations? Heart is the sire of the disease. Disorder of Sp, Kd, Lu, Lv, GB may be involved.
What are the crucial points for making a diagnosis for palpitations? 1. Differentiate excess from deficiency, 2. Distinguish fright palpation from fearful throbbing, 3. Pulse (check for underlying organ disorder), 4. Integrate western dx to identify pattern
What are the general treatment principles for addressing palpitations? 1. Def: Tonify the def. (qi, blood, yin, yang), add ingred that Nourish the Ht & Calm the Spirit; 2. Excess: Eliminate excess(qi stag, blood stasis, phlegm, congested fluids), add ingred that Sedate and Calm the Spirit; 3. Excess & Def: tx both
What are the common ingredients that Nourish the Heart & Calm the Spirit for palpitations? Wu Wei Zi, Suan Zao Ren, Bai Zi Ren, He Huan Pian, Yuan Zhi, Ye Jiao Teng
What are the common ingredients that Anchor, Settle & Calm the Spirit for palpitations? Long Gu, Long Chi, Mu Li, Hu Po, Ci Shi
What are the 7 TCM patterns assoc with palpitations? 1. Ht-GB qi vacuity, 2. Ht-Sp deficiency, 3. Ht yin def with vigorous fire, 4. Ht yang vacuity, 5. Water & phlegm-fluid overflowing to the Ht, 6. Obstruction of Ht by blood stasis, Phlegm-fire harassing the Ht
When treating palpitations due to Ht-GB Qi vacuity, what is the tx principle? Supplement Ht & GB, Suppress fright, Calm the spirit
When treating palpitations due to Ht-GB Qi vacuity, what is the best formula? An Shen Ding Zhi Wan (minus Zhu Sha)
When treating palpitations due to Ht-Sp deficeincy, what is the tx principle? Boost qi, Tonify blood, Strengthen Sp, Nourish Ht, Calm the spirit
When treating palpitations due to Ht-Sp deficeincy, what is the best formula? Gui Pi Tang
When treating palpitations due to Ht Yin deficiency with vigorous fire, what is the tx principle? Nourish yin, Drain fire, Supplement the Ht, Calm the spirit
When treating palpitations due to Ht Yin deficiency with vigorous fire, what are the preferred formulas? If Ht fire is mild: Tian Wang Bu Xin Dan; If Ht fire is strong: Huang Lian E Jiao Tang
When treating palpitations due to Ht yang vacuity, what is the tx principle? Warm & supplement Ht Yang, Quiet the spirit, Alleviate palpitations
When treating palpitations due to Ht yang vacuity, what is the best formula? Gui Zhi Gan Cao Long Gu Mu Li Tang
When treating palpitations due to Water & phlegm-fluid overflowing to the Ht, what is the tx principle? Warm the Ht Yang, Transform water & phlegm-fluid, Quiet the spirit, Alleviate palpitation
When treating palpitations due to Water & phlegm-fluid overflowing to the Ht, what is the preferred formula? Ling Gui Zhu Gan Tang
When treating palpitations due to Obstruction of the Ht by Blood Stasis, what is the tx principle? Invig blood, Dissolve blood stasis, Regulate the qi, Unblock the channels
When treating palpitations due to Obstruction of the Ht by Blood Stasis, what is the preferred formula? Tao Ren Hong Hua Jian (or Xue Fu Zhu Yu Tang)
When treating palpitations due to Phlegm-fire harassing the Ht, what is the tx principle? Clear heat, Resolve phlegm, Quiet the Ht, Sedate & Calm spirit
When treating palpitations due to Phlegm-fire harassing the Ht, what is the preferred formula? Huang Lian Wen Dan Tang
Created by: sralph