VIRAL CARDITIS

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

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 Irritability Easily startled Insomnia Much dreaming Poor memory Five sole heat Low grade fever Night sweats Restlessness Dry mouth Thirst Dry throat Malar flush 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 or Red, and dry C: White or Little or None P: Weak or Big and weak or Intermittent or Thready and weak or Thready and rapid or Knotted
Treatment Principle	Tonify and nourish Heart Yin and Yang Invigorate the Blood Dispel Stagnation
Herb Formulas	Yi Qi Huo Xue Fa
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	Zhu Sha An Shen Wan
Points