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Internal Therapeutics 2 > Palpitations > Flashcards

Flashcards in Palpitations Deck (35):
0

Corresponding western diseases?

-coronary HT disease, hypertension, rheumatic disease, arrhythmia, neuralgia, asthma, dizziness, bi-syndrome,

1

Etiology

1)EPF block vessels
2) diet->damp->phlegm--->phlegm-fire
3) emoions->LIV Qi stg---> HT blood stg

4)anxiety/overthink/overwork->consume HT blood/SP Qi--->HT/SP xu
5) constitution---> HT/KID/SP yang Qi xu ----------------------\
6) prolonged illness---> HT/KID yin xu-> flaring up HT fire------Ben XU, Biao SHI

2

Patterns?

1) HT/SP xu
2) Ht yang xu
3) Yin xu with empty fire
4) Ht Qi and yin xu
5) disturbance of the mind
6) Ht blood stg
7) Phlegm-fire disturbs HT
8) Retention of harmful fluid

3

worse with movement, chills, cold limbs, pale complexion, suffocation in chest, SOB

HT yang xu

4

HT yang xu T/P

T- pale, puffy, white coat
P-deep, thready

5

fatigue, suffocation in chest, SOB, sallow complexion, afternoon fever

HT Qi and Yin Xu

6

Ht Qi and yin xu T/P

T- red, little coat
P- thready, rapid, intermittent

7

timid people are likely to have palpitations when they are frightened by strange noises/surprising objects/dangerous environments, insomnia, dream-sleep

Disturbance of the mind

8

Disturbance of the Mind T/P

T- thin white coat
P- rapid, thready, wiry

9

What is another name for Disturbance of the mind?

HT and GB Qi xu

10

stabbing cardiac pain, suffocation in the chest, purple complexion, purple lips/nails

Ht blood stg

11

Ht blood stg T/P

T- purple, ecchymoses
P- choppy, knotted

12

listlessness, SOB, poor memory, insomnia, dizziness, blurred vision, sallow complexion

Ht and Sp xu

13

Ht and SP xu T/P

T- pale
P- thready

14

What is Ht and Sp xu in?

Qi and blood

15

worse with anger, restlessness, insomnia, dizziness, malar flush, feverish sensation of the 5 hearts, sore lumbar

Yin xu with empty fire

16

Yin xu with empty fire T/P

T- red, thin yellow coat
P- thready, rapid

17

scanty urine, edema, suffocation of chest, thirst with no desire to drink, chills, cold limbs, vertigo, nausea, vomitting

Retention of harmful fluid

18

retention of harmful fluid T/P?

T- pale, puffy
P- slippery

19

worse when frightened, suffocation in the chest, restlessness, dream sleep, dry/bitter taste in the mouth, insomnia, constipation, scanty yellow urine

Phlegm-fire disturbs HT

20

Phlegm-fire disturbs HT T/P

T- red, yellow sticky coat
P- wiry, slippery

21

What are the basic points?

UB-15/14, RN-14/17, HT-7, PC-6

22

Ht/Sp xu points

UB-17/20, ST-36, SP-9, SP-6, RN-6

23

HT yang xu points

ST-36, RN-8, RN-4

24

Yin xu with empty fire points

UB-23, SP-6, K-3, HT-8, PC-8, LIV-2

25

HT qi and yin xu points

Ht-5, LI-4, SJ-5

26

disturbance of mind points

PC-5, GB-40, UB-19

27

Ht blood stg points

PC-4, UB-17

28

Phlegm-fire disturbs HT points

HT-5, ST-40, SP-9, GB-34/40, UB-19, HT-8, PC-8, LIV-2

29

Retention of harmful fluids points

RN-4/6/8/9, SP-9

30

Basic points

UB-14/15, RN-14/17, HT-7, PC-6

31

Differentiation

1) rule out HT attack (chest pain, radiating pain)
2) SHI vs XU
3) Jing JI (mild) VS Zheng Zhong (severe)
emotional stress no emotional trigger
fright happens anytime
P=knotted, tight, hurried P=deep, slow, slippery, wiry

4) patient medical history

32

POT

1) tonify yin/yang/Qi/blood (ben)
2) remove excess (biao)
3) **calm shen

33

Alternative remedies

1) auricular (HT, chest, liv, subcortex, kid, brain)
(shenmen, occiput, sympathetic, adrenal, SJ)

34

education

1) reg. stress/emotions
2) reg. exercise (mild= walk, taiqi, qi gong)
3) consult with GP to adjust medications (if affecting HT)
4) reg. diet (no meat, greasy, spicy)
5) reduce salt intake
6) reduce caffeine
7) avoid EPF