Syndromes Flashcards
He qi xu
- Palpations (awareness of heartbeat) worse during day when tired and on exertion.
- shortness of breath on exertion
- spontaneous sweating
- bright pale face
- lack of joy
P - deficient
T - pale/normal
Aetiology
*Blood loss.
*Emotional problems (especially lack of joy or sadness).
*Chronic illness.
Pathology:
*Palpitations/awareness of the heartbeat - Heart Qi is not strong enough to adequately pump Blood.
*Other symptoms due to general Qi Deficiency. *Spontaneous sweating is due to Defensive Qi (Wei Qi) not “holding in” fluids.
*Shortness of breath is due to weak Gathering Qi (Zong Qi) impairing respiration.
*Lassitude is due to deficient Qi failing to transform and transport properly, thereby not sufficiently nourishing all the other organs of the body.
Pre - Kid qi xu, gall bladder qi xu
Post - Heart yang xu
Treatment Principle: Tonify Heart Qi
Points:
He 5, He 7, He 9,
Pc 6, Pc 7,
Bl 15, Bl 14, Bl 43, Bl 44,
Ren 6, Ren 14 Ren 17.
Needle technique: Tonification.
Other applicable techniques: Moxa
Heart yang xu
Same as heart qi xu but with cold
Palpitations awareness of heartbeat when tired on exertion or cold
Pale face
Spontaneous sweating
Lassitude
Feeling cold/ cold hands
Dark lips
P - Deep, weak, in severe cases, knotted.
T - pale and wet
Pathology:
*Heart Qi Deficiency symptoms (as Qi is part of Yang).
*Feeling of cold and cold hands are due to Heart Yang not transporting Blood to extremeties to warm them.
*Mild stuffy feeling in chest is due to Heart Yang failing to move Qi leading to Qi stagnation in chest.
*Lips may be slightly dark because deficient Yang fails to move Qi and Blood which leads to slight Blood stasis.
Aetiology:
*Emotional problems (especially lack of joy or sadness).
*Chronic illness.
*Kidney- Yang Deficiency.
*Heavy blood loss.
Pre -
*Kidney-Yang
*Stomach yang xu
*Spleen yang xu
*Heart-Qi deficiency
Post
*Heart qi stag leads to Heart-Blood stasis.
Treatment Principle: Tonify and Warm Heart Yang.
He 5, He 7,
Pc 6, Pc 7, Pc 9,
Bl 14, Bl 15, Bl 43, Bl 44,
Ren 6, Ren 14, Ren 17, Du 14.
Needle technique: Tonification.
Other applicable techniques: Moxa.
Heart Blood Deficiency
Key symptoms:
*Insomnia (difficulty falling asleep),
*poor memory,
*anxiety,
*easily startled.
Accompanying symptoms:
*Palpitations/awareness of the heartbeat which is worse during the afternoon and evening and when at rest and when anxious,
*dizziness,
*dull pale complexion,
*pale lips,
*feeling uneasy.
Pulse: Thin or Choppy, especially front left position.
Tongue Body: Pale, Dry. May be Thin in severe cases.
Pathology:
*Insomnia, anxiety, easily startled and poor memory due to Shen being deprived of its ‘residence’.
*In cases of Heart Blood Deficiency the Heart Qi is not rooted, causing palpitations/awareness of the heartbeat.
*Dizziness is caused by the Blood not nourishing the brain.
Aetiology:
*Poor diet – irregular eating habits and not enough Blood nourishing foods.
*Anxiety and worry.
*Heavy blood loss.
Pre - Liv Bl Xu
Post - He Yin Xu, Sp bl xu
Treatment Principles: Nourish Heart Blood. Pacify Shen.
Points:
He 7,
Ren 14, Ren 15, Ren 4,
Bl 17, Bl 20, Bl 43, Bl 15, Bl 44.
Needle technique: Tonification.
Other applicable techniques: Moxa.
He Yin Xu
Key symptoms:
*Palpitations/awareness of the heartbeat which gets worse as the day goes on and during the night and when at rest
*Insomnia (waking up during the night),
*feeling of heat (hot and bothered),
*easily startled,
*poor memory,
*anxiety.
Accompanying symptoms:
*Dream-disturbed sleep,
*mental restlessness,
*fidgeting,
*malar flush,
*feeling of heat in the afternoon and evening,
*night sweats,
*dry mouth and throat,
*5-palm heat.
Pulse: Floating, Empty, esp front-left position and Rapid.
Tongue Body: Red tip; partially Peeled, or Peeled; possibly Mid-line Crack reaching to the tip.
Pathology: Heart Yin Deficiency includes Heart Blood Deficiency (Blood is a part of Yin) leading to symptoms of Shen disturbance such as:
*insomnia,
*dream-disturbed sleep,
*easily startled,
* poor memory,
*anxiety.
*Malar flush,
*five-palm heat and feeling of heat are due to Empty Heat which arises from long- standing Yin Deficiency.
Aetiology:
*Long-standing anxiety and worry.
*Overwork - always on the go.
*After effect of external attack of Heat.
*May stem from Kidney Yin Deficiency (as deficient Kidney Yin cannot rise to nourish and cool the Heart).
Pre
Kidney Yin Xu
Liver Yin Xu
Post
May develop into empty heat
Treatment Principles:
*Nourish Heart Yin.
*Nourish Kidney Yin if necessary.
*Clear Empty Heat (if necessary).
* Pacify Shen.
He 7, He 3, He 6,
Pc 7, Pc 6,
Ren 14, Ren 15, Ren 4,
Kid 6,
Bl 15, Bl 44.
Needle technique: Tonification.
Heart Fire Blazing
Key symptoms:
*Strong palpitations/awareness of the heartbeat which tends to be worse when agitated,
*pronounced mental restless,
*panic attacks,
*agitation,
*insomnia,
*dream-disturbed sleep.
Accompanying symptoms:
*Thirst,
*mouth and tongue ulcers which are red and painful, *bitter taste after a bad night’s sleep,
*red face,
*feels hot,
*in severe cases dark urine or blood in urine.
Pulse: Full, Overflowing, especially front left position, Rapid.
Tongue Body: Red, Redder tip with Red Spots. May be a Midline Crack reaching the tip.
Tongue Coat: Yellow.
Pathology:
*Symptoms of Heat are thirst,
*red face and feeling hot.
*Mental restlessness and dream- disturbed sleep are due to Heat in the Heart disturbing the Shen.
*Ulcers due to Heat rising up to the tongue from the Heart.
*Heart opens into the tongue and controls taste therefore Heat may lead to a bitter taste.
*Heart Fire transfers to Small Intestine, and then Bladder, causing urinary symptoms.
Aetiology:
*Emotional problems, especially chronic anxiety, worry or depression.
*Poor diet – excessive consumption of spicy foods and alcohol.
*Recreational drugs
*Transferred from Liver Fire.
Pre - Liver Fire
After - He Yin Xu, Spleen heat, St Fire
Treatment Principles: Clear Heart Fire. Pacify Shen.
He 9, He 8, He 7, He 5, He 3,
Pc 6, Pc 8,
Ren 14, Ren 15,
Du 24,
Bl 15, Bl 44.
Needle technique: Even or Reduction.
Phlegm-Fire Harassing the Heart
Key symptoms:
Palpitations/awareness of the heartbeat which may be worse when agitated,
*mental restlessness and agitation, sometimes alternating with depression and dullness,
*confusion.
Accompanying symptoms:
In severe cases:
*Manic behaviour,
*incessant talking,
*over activity.
*red face,
*dream-disturbed sleep,
*bitter taste,
*thirst,
*feeling of oppression in the chest,
*expectoration of phlegm,
*rattling sound in the throat.
In less severe cases: Joy seems out of context,
*a tendency to be a bit ‘up’,
*some insomnia and,
*slight agitation.
Pulse: Full, Slippery, Wiry or Overflowing, especially in front left position, and Rapid.
Tongue Body: Red, Swollen, may be a deep Midline Crack which reaches to the tip.
Tongue Coat: Yellow, Sticky. Thickness of coating depends on severity
Pathology:
*All symptoms due to Fire and/or Phlegm.
*Mental symptoms due to the Heart orifices being obstructed by Phlegm, resulting in no resting place for the Shen.
*Phlegm derives from deficient Spleen Qi being unable to transform and transport fluids, which accumulate into Phlegm.
*Interior Heat facilitates this process by condensing fluids.
Other symptoms due to:
*Fire in the Heart.
*Phlegm leads to lack of clarity and
*Heat to manic behaviour.
Aetiology:
* Severe emotional problems.
*Poor diet - too much hot greasy food.
Pre
Treatment Principles: Clear Heart Fire. Resolve Phlegm. Pacify Shen. Open the Heart’s orifices.
7) Phlegm Misting the Heart
There is a spectrum of signs and symptoms found in people with this syndrome and we will more commonly see patients who are less extreme.
Key symptoms:
In severe: cases: Very dull eyes, confusion, consciousness diminished and severe depression.
In less severe: cases: Doesn’t think clearly, poor chain of thoughts, may be slightly depressed.
Accompanying symptoms: Palpitations/awareness of the heartbeat.
In severe cases rattling sound in throat, incoherent speech or aphasia, heavy feeling chest, unconsciousness, lethargic stupor, vomiting of phlegm.
In less extreme cases, inert or deadened, going blank.
Pulse: Slippery, especially front left position.
Tongue Body: Swollen, Midline Crack reaching the tip.
Tongue Coat: Thick, Sticky. . Thickness of coating depends on severity
Pathology: All symptoms due to Phlegm (no Fire symptoms). Heart opens into the tongue and Phlegm prevents the tongue from moving causing aphasia. Phlegm obstructs the Heart orifices causing mental symptoms. Vomiting and rattling sound in the throat caused by Phlegm obstructing the chest. There is normally a background of Spleen Qi Deficiency which contributes to the formation of Phlegm.
Aetiology: a) Children – constitutional. b) Adults – i) Poor diet - excess cold, greasy, raw food ii) long-standing emotional problems. c) May occur after an attack of Wind-stroke.
Treatment Principles: Open the Heart’s Orifices. Resolve Phlegm. If necessary restore Consciousness.
NB: Patients may swing between Phlegm Misting the Heart and Phlegm Fire Harassing the Heart.
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ExamplesofPoints: Pc5,He7,He8,He9,Pc7, Ren14,Ren15,St40, Liv2,Liv3,Du20, GB 13 and Du 24, GB 15, Bl 15, Bl 44.
Needle technique: Even or Reduction.
Phlegm Misting the Heart
There is a spectrum of signs and symptoms found in people with this syndrome and we will
more commonly see patients who are less extreme.
Key symptoms:
In severe: cases:
*Very dull eyes,
*confusion,
*consciousness diminished and
*severe depression.
In less severe cases: *Doesn’t think clearly,
*poor chain of thoughts, *may be slightly depressed.
Accompanying symptoms: *Palpitations/awareness of the heartbeat.
In severe cases
*rattling sound in throat, *incoherent speech or aphasia,
*heavy feeling chest,
*unconsciousness, *lethargic stupor,
*vomiting of phlegm.
In less extreme cases,
*inert or deadened,
*going blank.
Pulse:
Slippery, especially front left position.
Tongue Body: Swollen, Midline Crack reaching the tip.
Tongue Coat: Thick, Sticky. . Thickness of coating depends on severity
Pathology: All symptoms due to Phlegm (no Fire symptoms). Heart opens into the tongue and
Phlegm prevents the tongue from moving causing aphasia. Phlegm obstructs the Heart orifices causing
mental symptoms. Vomiting and rattling sound in the throat caused by Phlegm obstructing the chest.
There is normally a background of Spleen Qi Deficiency which contributes to the formation of Phlegm.
Aetiology: a) Children – constitutional. b) Adults – i) Poor diet - excess cold, greasy, raw food ii)
long-standing emotional problems. c) May occur after an attack of Wind-stroke.
Treatment Principles: Open the Heart’s Orifices. Resolve Phlegm. If necessary restore
Consciousness.
