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Tcm IntMed palpaitat

QuestionAnswer
In TCm what patterns cause palpitations Heart qi deficiency, Heart yang deficiency, Heart yin deficiency, Heart Blood and Spleen qi deficiency, Heart and Gall Bladder qi deficiency, Phlegm Heat, Spleen and Kidney yang deficiency, Blood stagnation
palpitations initiated or aggravated by exertion and relieved with rest • fitful sleep, insomnia • shortness of breath • dizziness • physical and mental fatigue • pale complexion • spontaneous sweating T pale with a thin white coat P threa Heart qi deficiency
Treatment principle for palpitations due to heart qi deficiency Tonify and nourish heart qi
Acu point Rx heart Qi deficiency Bl.15 (xin shu+), PC.5 (jian shi +), Ht.7 (shen men+), Ht.5 (tong It), Ren.14 (ju que+), St.36 (zu san li +), Ren.6 (qi hai +) • with spontaneous sweating, add Bl.43 (gao huang shu) and Du.14 (da zhui)
palpitations initiated or aggravated by exertion and relieved with rest • shortness of breath with exertion, in severe cases dyspnoea or orthopnoea • stuffiness or discomfort in the chest • listlessness and fatigue • cold extremities, aversion Heart yang deficiency
Treatment principle for palpitations due to heart yang deficiency Warm tonify and strengthen heart yang
Acu point Rx for palpitations due to heart yang def Bl.15 (xin sh, Bl.l4 (jueyin shu), PC.6 (neiguan), Ht.5. (tong It), Ht.7 (shen men), Ren.4 (guanyuan), St.36 (zu san fi)
palpitations, easily brought on by a start or fright • insomnia, waking with palpitations or panic attacks and anxiety • sensation of heat in the palms and soles ('five hearts hot') • night sweats • dry mouth and throat • dizziness and tinnitus Heart yin deficiency
Treatment principle for palpitations due to heart yin def Nourish heart yin, calm the shen, clear heat
Acu point Rx for palpitations due to heart yin def Bl.23 (shen shu+), Bl.15 (xin shu-), Kid.3 (tai xi+), Ht.5 (tong It), Kid.6 (zhao hai +), Ht.7 (shen men), PC.6 (neiguan), PC.7 (da lin, Liv.3 (tai chong+), Bl.18 (gan shu +), Ren.17 (shan zhon) • with Fire add Ht.8 (shao fu)
palpitations with or without anxiety, generally worse at night • insomnia, with particular difficulty falling asleep (and switching off the mind) and dream disturbed sleep • anxiety, phobias, panic attacks • forgetfulness, poor memory, poor conce Heart blood and spleen qi deficiency
Treatment principle for palpitations due to heart blood and spleen qi deficiency Strengthen and nourish the heart and spleen tonify qi and blood, calm the shen
Acu point Rx for palpitations due to heart blood and spleen qi deficiency Sp.6 (sanyinjiao +), St.36 (zu san fi +), Ht.5 (tong fi +), Bl.20 (pi shu+), yin tang (M-HN-3), Ht.7 (shen men+), Bl.15 (xin shu+), Bl.17 (ge shu+) • with forgetfulness, add Du.20 (bai hm), Bl.52 (zhi sht) • with much dreaming, ad
palpitations, which may be initiated by anxiety or a fright • apprehension, easily frightened and startled, timidity, anxiety • insomnia, dream disturbed sleep, waking feeling anxious • spontaneous sweating • shortness of breath • lethargy an Heart and gall bladder qi deficiency
Treatment principle for palpitations due to heart and gall bladder qi deficiency Settle the mind, calm the shen. Nourish and tranquilize the heart
Acu point Rx for palpitations due to heart and gall bladder qi deficiency BL15 (xin shu+), PC.6 (neiguan), Ht.5 (tong lz), Ht.7 (shen men+), Ren.14 (ju que), Du.20 (bai hut), GB.40 (qiu xu), Bl. 7 (tong tian), Ht.9 (shao chong), Du.19 (hou ding), Du.24 (shen tin)
palpitations with anxiety and nervousness • dizziness and vertigo • insomnia, with waking in the early hours, perhaps around 4am, unable to fall back to sleep • irritability and restlessness • nausea, vomiting or indeterminate gnawing hunger • Phlegm heat
Treatment principle for palpitations due to phlegm heat Clear heat. Transform phlegm. Harmonize the stomach, calm the shen
Acu point treatment for palpations due to phlegm heat
St.40 (jeng long-), GB.34 (yang ling quan -), PC.5 (/ian shz) Ht.5 (tong lz), PC.4 (xi men-), BL 13 (jei shu-), Lu.5 (chi ze -), • with insomnia add St.45 (fi duz) • with constipation add St.25 (tian shu-) • with anxiety add Du
palpitations and shortness of breath, which are worse for exertion • dizziness or vertigo • chest and epigastric fullness and discomfort • wheezing and coughing with thin watery sputum • low voice, reluctance to speak • nausea or vomiting †Spleen and kidney yang deficiency
Treatment principle for palpitations due to spleen and kidney yang deficiency Warm and transform phlegm fluide. Strengthen the spleen and resolve damp
Acu point Rx for palpitations due to spleen and kidney yang deficiency Bl.15 (xin shu +A), Bl.20 (pi shu +A), Bl.22 (san jiao shu +A), Bl.23 (shen shu+ A), Bl.13 ifei shu+ A), Ren.9 (shui fen+ A), PC.4 (xi men), St.40 (ifeng long-), St.28 (shui dao -), Du.4 (ming men+ A)
palpitations and occasional chest pain that are worse at night • stuffiness or fullness in the chest • irritability, restlessness, easy anger or depression • purplish lips, nails, sclera, conjunctiva • spider naevi on the chest and face • po Blood stagnation
Treatment principle for palpitations due to blood stagnation Invigorate the circulation of blood,expel stagnant blood. Regulate qi and open the channels.
Acu point Rx for palpitations due to blood stagnation Bl.15 (xin shu-), Bl.17 (ge shu-), Bl.14 (jueyin shu-), PC4 (xi men-), PC.5 (jian shi -), PC.6 (nei guan), Sp.6 (sanyinjiao -), Ll.4 (he gu-), Ht.5 (tong li ), Sp.10
Created by: Jkellycal