Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese
Medicine Heart Disorders In Chinese Medicine, heart is in the chest and control blood circulation and spirit (Shen). The disorders may be heart organ, manifested as chest fullness, chest pain and palpitation; and also spirit (Shen), marked as insomnia, palpitation and mental disorders. 1. Xin Ji (Palpitation) 1.1
Etiologies and Pathogenesis Heart-mind disturbance Qi and blood deficiency Yin deficiency Heart yang deficiency Heart attacked by retained
fluid Blood stasis 1.2 Differentiations and
treatments 1.2.1 Heart-mind disturbance
Clinical
manifestation:
palpitation, easy frightening or fear, restlessness, white tongue Treatment
principle: Calm the heart and mind to sedate frightening
Herb
formula: An Shen Ding
Zhi Wan 1.2.2 Qi and blood
deficiency Clinical manifestation: palpitation, restlessness,
shortness of breath, lassitude, pale tongue, weak pulse Treatment
principle: Nourish
qi and blood to sedate palpitation Herb
formula: Gui Pi Tang 1.2.3 Yin deficiency Clinical
manifestation:
palpitation, restlessness, fullness sensation in the chest, red tongue with thin
yellow fur, and other yin deficiency symptoms Treatment
principle:
Tonifying yin and eliminating fire, Herb
formula: Tian Wang Bu
Xin Dan 1.2.4 Yang deficiency Clinical manifestation: palpitation, restlessness,
body cold, pale tongue with thin white fur, and other yang deficiency symptoms Treatment
principle:
Tonifying yang and calming the mind Herb
formula: Gui Zhi Gan
Cao Long Gu Mo Li Tang 1.2.5 Attack of the heart by
retained fluid Clinical
manifestation:
palpitation, restlessness, lower limbs oedema, pale tongue with white and
slippery fur Treatment
principle:
Invigorating heart yang and resolving fluid
Herb
formula: Ling Gui Zhu
Gan Tang 1.2.6 Blood stasis Clinical
manifestation:
palpitation, restlessness, chest pain, purple
tongue Treatment
principle:
Activate blood to remove stasis Herb
formula: Tao Hong Si Wu
Tang 2. Xiong Bi (Chest blocked syndrome) It is heart disease marked
as feeling of suffocation in mild cases, and chest pain penetrating to the back,
shortness of breath, dyspnea, or even orthopnea in severe cases.
It is similar as coronary heard disease. 2.1
Etiologies and Pathogenesis Pathogenic cold invading Diet disorder (Overeating
greasy, sweet food) Mind disorder Ageing
2.2 Differentiations and
treatments 2.2.1. Blood stasis
Clinical
manifestation:
chest picking pain or colic pain, radiating to back and left arm, palpitation
purple tongue Treatment
principle:
Activating blood and resolving stasis
Herb
formula: Xue Fu Zhu Yu
Tang 2.2.2 Turbid phlegm
retention Clinical
manifestation:
chest fullness pain, radiating to back and left arm, palpitation, and greasy
tongue fur Treatment
principle:
Promote yang-qi to remove phlegm Herb
formula: Gua Lou, Xie
Bai Ban Xia Tang 2.2.3 Chest invaded by cold
Clinical
manifestation:
chest cold and serious pain, and aggravated by cold, pain radiating to
back and left arm, palpitation white tongue Treatment
principle:
Activate yang, eliminate cold and promote the circulation of qi and blood
Herb
formula: Guo Lao Xie
Bai Bai Jiu Tang 2.2.4 Heart and kidney yin
deficiency Clinical
manifestation:
chest suffocate pain, pain radiating to back and left arm, palpitation,
night sweating, red tongue, thin pulse Treatment
principle:
tonifying yin and nourishing heart, promoting the circulation of qi and
blood Herb
formula: Zuo Gui Yin 2.2.5 Qi and yin deficiency
Clinical
manifestation:
chest dull pain and aggravated by labour working, pain radiating to back
and left arm, palpitation, pale tongue Treatment
principle:
Tonifying qi and yin, promoting the circulation of qi and blood
Herb
formula: Sheng Mai San 2.2.6 Yang deficient type
Clinical
manifestation:
chest cold pain and aggravated by cold, pain radiating to back and left arm,
palpitation, white tongue and other yang deficiency symptoms Treatment
principle:
Activating yang, promoting the circulation of qi and blood
Herb
formula: Shen Fu Tang 3. Bu Mei (Insomnia) 3.1 Etiologies and
Pathogenesis Over-working Emotional changes Diets disorders Constitution deficiency Disharmony between the heart
and kidney 3.2 Differentiations and
treatments 3.2.1 Excessive syndrome: (1) Liver qi stagnation
turning into fire Clinical
manifestation:
insomnia, irritation, bitter taste in the mouth, red tongue with yellow fur, as
well as rapid and taut pulse Treatment
principle: soothing the
liver and clearing away heat to calm mind Herb
formula: Long Dan Xie
Gan Tang (2) Disturbance of
phlegm-heat Clinical
manifestation:
insomnia, heavy feeling on the head, profuse sputum, red tongue with yellow
greasy fur, rapid and smooth pulse Treatment
principle: resolving phlegm
and clearing away heat to calm mind Herb
formula: Qing Dan Tang 3.2.2 Deficiency syndrome (1) Yin deficiency Clinical
manifestation:
insomnia, restlessness, dizziness, poor memory, lumbar soreness, and other yin
deficiency symptoms, red thin tongue with thin yellow fur or without fur, thin,
weak and rapid pulse Treatment
principle: tonifying yin and
clearing away heat to calm mind Herb
formula: Huang Lian E-jiao
Tang, Zhu Sha An Shen Wan (2) Heart-spleen deficiency Clinical
manifestation:
insomnia, shallow sleep, dream-disturbed sleep, restlessness, dizziness, poor
memory, and other qi and blood deficiency symptoms, pale tongue with white fur,
weak pulse Treatment
principle: tonifying qi and
nourishing heart and spleen to calm mind Herb
formula Gui Pi Tang (3) Qi deficiency of heart
and gall bladder Clinical
manifestation:
insomnia, timidity, and easily frightened, pale tongue with white fur, weak
pulse Treatment
principle: tonifying qi ,
soothing heart to calm mind Herb
formula: An Shen Ding
Zhi Wan It is mental disorder marked
as reticence, mental dullness, incoherent speech, silent and happy,
restlessness, irritability, and unsuitable behaviors.
If the symptoms are quirt and not violent, the disorder is named as Dian
syndrome; if very noisy and violent, Kuang syndrome.
It is similar as modern medical schizophrenia. 4.1 Etiologies and
Pathogenesis Emotional changes Upward disturbance of
phlegm-fire Stagnation of qi and blood 4.2 Differentiations and
treatments 4.2.1 Dian Syndrome (1) Stagnation of phlegm qi
Clinical
manifestation:
reticence, mental dullness, incoherent speech, silent and happy, greasy fur and
smooth pulse Treatment
principle:
removing phlegm and regulating qi Herb
formula: Shun Qi Dao
Tan Tang (2) Heart and spleen
deficiency Clinical
manifestation:
reticence, mental dullness, incoherent speech, silent and happy, pale
complexion, pale tongue with white fur, weak pulse Treatment
principle:
Tonifying spleen and heart Herb
formula: Yang Xin Tang 4.2.2 Kuang Syndrome (1) Heart disturbed by
phlegm-fire Clinical
manifestation:
shouting, restlessness, irritability and violent behaviors, red tongue with
yellow fur, rapid pulse Treatment
principle:
soothing the heart, eliminating phlegm, reducing fire and dispersing heat in the
liver Herb
formula: Sheng Tie Luo
Yin (2) Yin deficiency Clinical
manifestation:
shouting, restlessness, irritability and violent behaviours, red
tongue with yellow fur, weak pulse Treatment
principle:
Tonifying yin to clearing fire Herb
formula: Er Yin Jian 5.
Depression (Yu Syndrome) It is mental disorder marked
as mental depression, restlessness, distension and non-interesting for anything.
It is similar as western medical depression. 5.1 Etiologies and
Pathogenesis Emotional changes cause
liver qi stagnation. 5.2 Differentiation and
treatment 5.2.1 Excessive syndromes (1) Stagnation of liver qi Clinical
manifestation:
mental depression, restlessness, distension and non-interesting for anything,
hypochondriac full pain, taut pulse Treatment
principle:
regulating liver qi Herb
formula: Xiao Yao San (2) Qi stagnation and phlegm Clinical
manifestation:
Foreign substance blocking sensation in the throat, mental depression,
restlessness, distension and non-interesting for anything, greasy fur, smooth
pulse Treatment
principle:
regulating qi and removing phlegm Herb
formula: Ban Xie Hou Po
Tang 5.2.2 Deficiency syndromes (1) Heart and spleen
deficiency Clinical
manifestation:
mental depression, restlessness, distension and non-interesting for anything,
pale complexion, pale big tongue with white fur, weak pulse Treatment
principle:
Tonifying spleen and heart Herb
formula: Gui Pi Tang (2) Yin deficiency Clinical
manifestation:
mental depression, restlessness, distension and non-interesting for anything,
hypochondriac full pain, red and thin tongue, weak and thin pulse Treatment
principle:
Tonifying yin and clearing heat Herb
formula: Zi Sui Qing
Gan Yin Copyright by Kai Chen Ph.D. in Chinese Medicine
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