Int.Med-Palpitations Word Scramble
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| Question | Answer |
| 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 |
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