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Diagnosis - Class 03
Chinese Medicine Diagnostic Systems
By: David Botton

Heart Syndromes

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Heart Syndromes

Qi deficiency

symptoms

palpitations

light and occasional

on exertion

+ Qi deficiency (tiredness, etc.)

causes

blood loss

sadness

pulse

deficient, thin, sometimes missed beats

tongue

pale white coat

Yang deficiency

symptoms

palpitations

cold limbs, cyanosis of lips if extreme

stuffiness of the chest / heart region

+ Yang Qi deficiency (Qi Def. + Cold)

causes

blood loss

sadness

kidney yang deficiency

pulse

deep and week

or knotted (slow irregular stops)

tongue

pale, swollen, delicate posbile purple

complexion

bright - pale

Yang Collapse

extreme yang deficiency

cyanosis of the lips

pulse

hidden-minute-knotted / feeble fading

coma caused by deficiency

Blood deficency

symptoms

palpitations

at rest

evening

uneasy feeling in chest / anxiety

insomnia

difficult to fall asleep

poor memory

+ blood deficiency (dizziness, etc.)

causes

Spleen Qi deficiency

anxiety and worry

severe hemorrhage

pulse

thready, thin, weak and may be choppy

tongue

pale, dry, thin

complexion

dull - pale

Stagnation of heart blood

symptoms

palpitations

stabbing chest pain (radiates to arms or Jaw in women)

pulse

wiry, choppy

+ Blood stasis

if severe

cyanosis of lips, nails

cold limbs

spontaneous sweating

only occurs with other patterns

tongue

purple dark, purple spots

pulse

hesitant or missed beats

Yin deficiency

symptoms

malar flush

cheek bones

feeling of heat

metal restlessness

+  Yin deficiency (night sweats, etc.)

insomnia

difficult to fall asleep

wakes up often / dream disturbed sleep 

palpitations

causes

chronic anxiety and worry

attack of exterior heat

pulse

rapid, thin

floating empty or fine

tongue

red

peeled

deep mid-line crack

red / red dots at tip

Fire

symptoms

palpitations

thirst

mouth and tongue ulcers

dark urine

mental restlessness / agitation

insomnia

from disturbed dreams

red face

bitter taste in mouth

in the morning

causes

chronic anxiety and depression

often from liver-fire

pulse

full rapid overflowing

in particular front left position

or hasty

tongue

red with coating (yellow) and red/swollen tip

Phlegm misting the heart

symptoms

mental confusion

rattling sound in throat

mid-line crack reaching tip w/ prickles

causes

pulse

swollen body

tongue

sticky-slippery tongue

Phlegm-Fire disturbing the heart

symptoms

palpitations

manic-depression

causes

severe emotional issues

excessive hot greasy food consumption

fever from exterior heat invading peridcardium

pulse

full rapid slippery

or rapid overflowing slippery

or rapid full wiry

tongue

red with sticky yellow coating

also mid-line crack with yellow prickles in it

Phlegm obstructing the heart

coma caused by excess


(c) 2005 All Rights Reserved - David Botton