This document discusses potential causes and treatments for heart palpitations according to traditional Chinese medicine. It describes several potential differential diagnoses for heart palpitations including deficiencies of heart qi, heart blood, heart yin, or heart yang, as well as stagnation of heart blood or deficiencies of spleen and kidney yang. Treatments recommended include foot massage and acupuncture of specific points on the feet and hands.
This document discusses potential causes and treatments for heart palpitations according to traditional Chinese medicine. It describes several potential differential diagnoses for heart palpitations including deficiencies of heart qi, heart blood, heart yin, or heart yang, as well as stagnation of heart blood or deficiencies of spleen and kidney yang. Treatments recommended include foot massage and acupuncture of specific points on the feet and hands.
This document discusses potential causes and treatments for heart palpitations according to traditional Chinese medicine. It describes several potential differential diagnoses for heart palpitations including deficiencies of heart qi, heart blood, heart yin, or heart yang, as well as stagnation of heart blood or deficiencies of spleen and kidney yang. Treatments recommended include foot massage and acupuncture of specific points on the feet and hands.
Patients may have unrelieved heart palpitations due to uncontrollable fear.
Differential diagnosis: Patients with heart qi deficiency may suffer from fear, insomnia, dreaminess, pale tongue with thin and white coating, and feeble pulse. Patients with deficiency of heart blood may suffer from dizziness, sallow complexion, fatigue, pale tongue with thin and white coating, and weak pulse. Patients with heart Yin deficiency may suffer from annoyance, insomnia, dizziness, hotness in palms and soles, tinnitus, red tongue with thin and white or thin and yellow coating, and thready and rapid pulse. Patients with heart Yang deficiency may suffer from chest distress, shortness of breath, pale complexion, cold body and limbs, pale tongue with thin, white and slippery coating, and feeble and weak pulse. Patients with stasis of heart blood may suffer from chest distress, occasional precordinal pain, cyanosis of lips and nails, and dark purple tongue. Patients with deficiency of spleen and kidney Yang may suffer from distension of upper abdomen, reduced amount of urine, edema of lower limbs, thirst without desire to drink water, white and slippery tongue coating, and wiry and roiling pulse. Arrhythmia of different heart diseases and heart palpitations in iron deficiency anemia, aplastic anemia, hypothyroidism and neurasthenia recognized by modem medicine can be treated by the following methods.
Treatment:
Foot massage: The massage may be applied to the heart (33), kidney (22), spleen (34), head (1), thyroid gland (12) and adrenal gland (21) reflecting areas (Fig. 43).
Foot acupuncture:
1) Meridianal acupoints: Zulinqi (GB 41), Shenmai (BL 62), J inggu (BL 64), Taibai (SP 3) and Rangu (KI 2) are used; Xiangu (ST 43) and Neiting (ST 44) are added for patients with edema of lower limbs; the reinforcing technique of acupuncture is applied with moxibustion for patients with deficiency of heart qi, unsteady heart blood and heart Yang; the balanced reinforce-reducing technique is applied to patients with heart Yin deficiency; and the reducing technique is applied to patients with heart blood stasis. The needles are retained for 20 minutes. 2) Foot acupoints: At Heart (FA-P 5), Heart pain (FA-D 8) and Neizhiyin (EX-F 20) acupoint, a moderate twisting stimulation is applied and the needles are retained for 20 minutes.
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