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om diagnosisC
Differentiation of Heart
| Differentiation of Heart | Aetiology | Symptoms | Tongue | Pulse | Treatment Principle | Herbal Formula | Acu Points |
|---|---|---|---|---|---|---|---|
| Ht Yang Def | may derive from Kd Yang Def | Ht Qi def + oppression of chest, feeling of cold, cold limb (hands) & bright pale face | Pale, wet, swollen | Deep & weak, severe case knotted pulse | warm & tonify Ht Yang | 1.Bao Yuan Tang | Ht5,Ren6, Ren17, Du14, UB15 |
| Ht Yang Collapse | severe case of Ht Yang Def | Palpitation, SOB, weak & shallow breathing, profuse sweating, cold limb, cynosis of lips, severe case Coma | very pale or bluish purple, short | deep weak knotted | rescue Yang | 1.Si Ni Tang 2.Du Shen Tang | Ren4, Ren6, Ren8, Du4, Du14, Du20, St36, UB15, UB23, PC6 |
| Ht Blood Def | Sp Qi Def, emotional factor(anxiety & worry disturb mind), severe hemorrhage | Palpitation, dizziness, insomnia, dream disturb sleep, poor memory, anxiety, propensity to be startly, dull pale face, pale lips | Pale thin sli dry | choppy or fine | nourish Ht Blood & calm Shen | 1.Dang Gui Bu Xue 2.Si Wu Tang 3.Severe case Gui Pi Tang | Ht7, Pc6, Ren14, Ren15, UB17, UB20 |
| Ht Yin Def | long standing emotional problem, unbalance lifestyle(exc busy), extnal heat attack & consume body-fluid & Ht Yin | palpitation, insomnia, dream disturb sleep, tend to startled, poor memory, anxiety, mental restlessness, uneasy, malar flush, fidget, low grade fever or hot feeling(evening), night seat, dry mouth & throat, 5 center heat | red no coating, red tip & swollen w/ red point, deep midline crack to the tip | floating empty & rapid | tonify & nourish Ht Yin, nourish Kd Yin & calm Shen | 1.Tian Wang Bu Xin Dan | Ht6, Ht7, Pc6, Ren14, Ren15, Sp6, K6, K7 |
| Ht Fire Blazing | long standing emotional problem(chronic anxiety, constant worrying & depression can lead Qi stag & give rise to Fire | palpitation, thirst, mouth & tongue ulcer, mental restlessness, feeling agitate, red face, impulsiveness, feeling of heat, insomnia, dark urine, blood in urine, bitter tast | red(tip more red), swollen with red point, yellow coating, may be midline crack reach to tip | full rapid esp. on left front position, Hasty or Abrupt | clear heat, pacify mind | 1.Dao Chi San | Ht7, Ht8, Ht9, Ren15, Sp6, K6 |
| Ht blood stag | long standing emotional problem(anxiety, grief, anger), derive from Ht Yang def, Ht Qi def, Ht blood def & Ht fire, exc indulgence in greasy food & alcohol drinking | palpitation, stab pain in chest which often radiate to inner aspect of left arm or shoulder, stuff of chest, discomfort or feeling of oppression or constrict of chest, in severe case: cyanosis of face, ,lip & nail, cold limb(hand) | purplish dark tongue or purplish spot on tongue | knotted | regulate blood, remove stasis, tonify & warm Ht Yang pacify mind | 1.Xue Fu Yu Tang | P4, P6, Ht7, Ren17, UB14, UB17, Sp10, K25 |
| Phlegm Misting Ht | 1.in children - Constitutional 2.In Adult:exc consump of greasy cold raw food leading to phlegm, formation w/ long standing emotional problem | mental confusion, unconscious, lethargic stupor, vomit, rattling sound in throat, aphasia | thick sticky slippery coating, midline crack reach to tip of tongue w/ prickle in it & swollen tongue body | wiry & slippery | open Ht, resolve phlegm, restore consciousness(if unconc) | 1.Dao Tan Tang 2.Ban Xia Bai Zhu Tian Ma Tang | Ht9, P5, UB15, UB20, St40, Du26, Ren12 |
| Phlegm Fire disturb Ht | long standing severe emotional problem(Qi stag turn to fire), exc. consumption of hot greasy food create heat & phlegm, extr. heat invade PC, extr. heat can also be contribute factor to the formation of Intr. Phlegm Fire | mental restlessness, palpitation, bitter taste, insomnia, incoherent speech, dream disturb sleep, uncontrollable laughter or cry, violent behavior, shouting, mental depression in severe case: aphasia, coma | red yellow sticky coating, midline crack to tip of tongue w/ prickle in it, tip may redder & swollen w/ red point | full rapid slippery or rapid full wiry | clear Ht fire, resolve phlegm & calm mind | 1.Wan Dan Tang | Ht7, Ht8, Ht9, P5, P7, Ren12, Ren15, Sp6, Liv2, Liv3, UB20, Du20, Du24, Gb13, Gb15 |
| Ht Qi Def | severe blood loss, emotional problem (sad) | general Qi def+palpitation | pale or normal color, severe case midline crack to tip w/ swelling on both side | empty or weak | Tonify Ht Qi | 1.Si Jun Zi Tang (4 Gentlemen Dec 2.Zhi Gan Cao Tang | Ht5, Pc6, Ub15, Ren17, Ren6, Du14 |
| Ht Qi Def | severe blood loss, emotional problem (sad) | general Qi def+palpitation | pale or normal color, severe case midline crack to tip w/ swelling on both side | empty or weak | Tonify Ht Qi | 1.Si Jun Zi Tang (4 Gentlemen Dec 2.Zhi Gan Cao Tang | Ht5, Pc6, Ub15, Ren17, Ren6, Du14 |
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