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Course:

Chart:

Diagnostics II
Heart and Small Intestine

Date:

Oct 17, 2007

Heart Deficiency (Xu) Syndromes


Most common heart symptoms:
palpitation, shortness of breath worse with exertion, spontaneous sweating,
pale tongue with white coat.
Heart Qi Xu

,Palpitation

Shortness of breath, worse with exertion


also termed: Oppression in the chest aggrivated by movement
Spontaneous sweating
Listlessness
Lassitude
Tongue: Pale body with white coat
Pulse: Thready and weak or irregular
Palpitation
Heart Yang Xu
Shortness of breath, worse on exertion
Spontaneous sweating
,Chills
,Cold Limbs
Tongue: Pale, swollen body with slippery coating
Alt: Pale, swollen body with purplish dark tongue, white slippery coating
Pulse: Deep, weak, slow
Heart Blood Xu
,Palpitation
,Insomnia
,Dream-disturbed sleep
Poor memory, poor concentration
Pallor (pale face)
Pale lips
Dizziness
Vertigo
Tongue: Pale body
Pulse: thready, weak
Heart Yin Xu
,Palpitation
,Insomnia
,Dream-disturbed sleep
Mental restlessness
Dryness of the mouth
,Five Palm Heat (heat sensation in the palms, soles, tidal fever)
Heat signs = key diff btwn ,Night sweating
Ht Yin & Ht Bld Defic
,Tongue: Red body with less fluid
,Pulse: Thready and rapid

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Heart Excess (Shi) Syndromes


Patient may also have palpitations, but less than deficiency syndromes.
Heart Fire Flaring Up

Phlegm Fire Disturbing Heart

Heart Blood Stagnation

Mental restlessness (may also be called irritable)


Insomnia
Red face (not just on cheeks)
Thirst
Ulceration, pain of tongue and mouth
Hot, dark urine, possibly hesitant and painful
Tongue: red body, possibly yellow coat
Pulse: rapid or fast
Delirium
Capriciousness
Laughter/crying
Insomnia and restlessness
Vertigo and dizziness
Fever
Red face and eyes
Sound of sputum in throat
Yellow sticky sputum with chest stuffiness
Tongue: red body with yellow, greasy coating
Pulse: slippery and rapid
Palpitation
,Cardiac Pain
,Tongue: purplish body with purple spots
Pulse: thready, choppy/irregular or- abrupt/irreg, fast

Small intestine
Excess Heat in Small Intestine

Restlessness
Thirst
Hesitant, scanty and dark urine
Burning pain in urinary tract
Bloody urine
Tongue: red body, yellow coat
Pulse: rapid
(Possible Shen disturbances)

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