CARDIAC ARRHYTHMIA, IRREGULAR HEARTBEAT, HEART MURMUR

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
  • Due to Coronary Heart disease or rheumatic Heart disease: PC-6, LIV-4, UB-15
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • Sinus tachycardia
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Fever
  • Moderately severe chills
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Costal distress
  • Tension in the rectus abdominus
  • Chest distension
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and releases the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Supraventricular tachycardia
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Depression
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Sedate and calms the Spirit
  • Regulate Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Palpitations, usually worse at night
  • Insomnia with difficulty falling asleep
  • Much dreaming
  • Easily startled
  • Poor memory
  • Poor concentration
  • Phobias
  • Panic attacks
  • Anxiety
  • Nervousness
  • Fatigue
  • Weakness
  • Low spirits
  • Positional dizziness
  • Blurred vision
  • Floaters
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow or pale, lusterless complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • Inability to get or maintain an erection
  • Impotence, worse with fatigue
  • Clammy palms
  • Bruises easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
  • Tonify Qi and Blood
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations with severe, sharp chest pain
  • Dark, purplish face and lips
  • Cold extremities
  • Dry throat
  • Dry mouth
  • Spider angiomas
  • Dry skin
  • T: dusky and Dry and may have purple spots or sublingual engorgement
  • P: Choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Resolve Stasis
  • Invigorate Qi
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Continuous palpitations
  • A sensation of Heat and irritability in the chest
  • A desire to vomit without result
  • Dream-disturbed sleep
  • Anxiety
  • Tongue ulcers
  • Fidgeting
  • Palpitations
  • Maybe a rancorous disposition
  • Irritability
  • Fear and fright
  • Night sweats
  • Shortness of breath
  • Nausea
  • T: Red or Red tip
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Sedate the Heart
  • Calm the Shen
  • Drain Fire
  • Nourish Yin
  • Relieve palpitations
Herb Formulas
Points
Clinical Manifestations
  • Mental agitation
  • Confused thinking
  • Restlessness
  • Vertigo
  • Insomnia
  • Epistaxis
  • Bleeding gums
  • Mouth ulcers
  • Mania
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • T: Red or Red tip
  • C: Greasy and yellow
  • P: Slippery, rapid and full and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Arrhythmia
  • Shortness of breath
  • Diminished vocal power
  • No desire to speak
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue
  • Weakness
  • Suffocating sensation in the chest
  • Cold extremities
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent
Treatment Principle
  • Reinforce and Strengthen Heart Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue, weakness
  • Suffocating sensation in chest
  • Irregular Heart beat
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • Maybe stabbing pain in the anterior region over heart
  • Maybe drawing pain down internal aspect of arm (especially left arm)
  • Maybe pain (in chest and/or arm)
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent or Thready and weak or Knotted
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Apprehension
  • Constant worry
  • Poor concentration
  • Irritability
  • Restless sleep
  • Insomnia
  • Dizziness
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five Sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Physical and mental fatigue
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Weakness
  • A skinny appearance
  • A pale complexion
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Nourish Yin and Blood
  • Restores the Pulse
  • Calm the Shen
Herb Formulas
  • Zhi Gan Cao Tang
  • Chinese Patent Medicines:
    Jian Nao Wan
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Yang Xin Ning Shen Wan
    Bu Nan Wan
    An Shen Bu Xin Wan
Points
Clinical Manifestations
  • Palpitations
  • Arrhythmia
  • Restlessness
  • Insomnia
  • Tidal fever
  • Poor memory
  • Tinnitus
  • Five sole Heat
  • T: Red
  • C: Little or None and often Dry
  • P: Thin and hard and may be Rapid
Treatment Principle
  • Nourish Yin
  • Sedate Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • Irregular heartbeat
  • Maybe stabbing pain in the anterior region over the Heart
  • Maybe drawing pain down internal aspect of arm (especially left arm)
  • Maybe pain (in chest and/or arm)
  • T: Pale and swollen or Red and dry
  • C: White or Little or None
  • P: Thready and weak or Knotted or Intermittent or Thready and rapid
Treatment Principle
  • Nourish Heart Yin
  • Tonify Heart Yang
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Arrhythmia
  • Sinus bradycardia
  • Chest pain
  • Shortness of breath
  • Diminished vocal power
  • T: Pale and moist maybe clear bubbles on the surface
  • C: Normal
  • P: Deep and feeble with a possible cotton-like sensation between the skin and wall of the vessel
Treatment Principle
  • Warn and tonify Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Cardiac arrhythmia
  • Chest and abdominal fullness
  • Vertigo
  • Scanty urine
  • Edema
  • Inability to lie down
  • There may be audible fluid sounds in the abdomen when palpitating
  • T: Pale
  • C: White
  • P: Slippery and maybe deep
Treatment Principle
  • Warm Yang
  • Transform Fluid
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Maybe arrhythmia
  • Pale nails
  • Pale lips
  • Pale inner surface of the eyelids
  • Restlessness
  • Insomnia
  • Poor memory
  • Vertigo
  • Numbness
  • T: Pale and dry and maybe thin
  • C: Thin and white
  • P: Thin
Treatment Principle
  • Nourish the Blood
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Restless sleep
  • May be night sweats
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • T: Red
  • C: Scanty
  • P: Small and rapid
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Ease tension
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough with sparse sputum
  • Sputum difficult to expectorate
  • Shortness of breath
  • Spontaneous perspiration
  • Dry mouth and tongue
  • Palpitations with a stifling sensation in chest
  • Fatigue
  • Irritability
  • Thirst
  • Dry throat
  • Insomnia
  • Listless speech
  • T: Red and dry or Pink and dry
  • C: Thin and dry
  • P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle
  • Augment Qi
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Dream disturbed sleep
  • Easily frightened or startled
  • Tends to wake up in fright
  • Easily unsettled by seeming trivial events
  • Anxiety
  • Timidity
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: wiry and thready
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Arrhythmia
  • Restlessness
  • Insomnia
  • Tidal fever
  • Poor memory
  • Tinnitus
  • Five sole Heat
  • T: Red
  • C: Little or None and often Dry
  • P: Thin and hard and may be Rapid
Treatment Principle
  • Nourish Yin
  • Sedate Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Pericardial pain
  • Arrhythmia
  • Palpitations
  • Paroxysmal chest pain that may refer to the hypochondrium, back and shoulder
  • Epigastric fullness
  • Restlessness
  • Impaired appetite
  • Bitter taste in the mouth
  • Dry throat
  • Symptoms are aggravated by anger or emotional upset
  • Slight relief after belching
  • T: Reddish
  • C: Greasy white or yellowish
  • P:Taut-tense, pounding and slippery in the Gall Bladder position
Treatment Principle
  • Relieve the Shao Yang
  • Harmonize the Exterior and Interior
  • Spread Liver Qi
  • Relieve Stagnation
  • Invigorate the Blood
  • Circulate Qi
  • Remove Blood Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough or
  • Dry cough
  • Insomnia
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Arrhythmia
  • Symptoms are worse during menstruation
  • T: Pale, dry and possibly dusky
  • C: Normal
  • P: Thready
Treatment Principle
  • Nourish Blood
Herb Formulas
Points