Liver And Heart Patterns

Front 1

Shara complains of palpitations, with oppression in the chest, shortness of breath, worse with exertion, listlessness, fatigue, pale face, spontaneous sweating, a pale tongue with white coating, a weak pulse, or knotted, intermittent pulse. What is the diagnosis?

Back 1

Heart Qi Deficiency

- key symptoms: palpitation, chest oppression + qi deficiency symptoms

Front 2

What are the causes of Heart Qi Deficiency?

Back 2

Congenital weakness
Chronic illness
Improper diet, aging

Front 3

What organ is involved if there are palpitations and pain in the chest?

Back 3

Heart

Front 4

Px complains of palpitations, oppression and distress or pain in the chest, intolerance of cold, cold limbs, SOB, fatigue, listlessness, bright-pale face, spontaneous sweating, a pale flabby tongue with white slippery coating, a minute, or knotted, intermittent pulse, or a deep, slow and weak pulse. There may edema in ankle and feet. What is the pattern?

Back 4

Heart Yang Deficiency Pattern

- A pattern caused by declination of the Heart yang, decreased motive force and warmth function, result internal deficient cold.

Differentiating symptoms for Yang Deficiency (vs. Qi Deficiency):
Qi def. symptoms + intolerance cold, cold limbs; pale & flabby tongue; deep, white moist coating; slow and weak pulse.

Front 5

What are the indications of slow, irregular pulse?

Back 5

excess syndrome: stagnation, cold, tumor or
mass
deficiency syndrome: Heart qi deficiency

Front 6

Px has suddenly profuse cold sweating (pereal sweating), cold extremities, feeble and sallow breathing, pale complexion, or severe pain in the chest area, cyanosis of lips, scatter or minute pulse. In severe case, patient lost consciousness or in coma. What is the pattern identification?

Back 6

Heart Yang Collapse

- a critical condition due to Heart yang extremely exhausted, result yang collapse
- Key points: Suddenly severe palpitation, cold oil-like sweating, combine with Heart yang deficiency and yang collapse
symptoms and signs

Front 7

Palpitation, insomnia, dream disturbed sleeping,
dizziness, blurry vision, poor memory, dull pale complexion, pale lips and tongue, feeble and thready pulse. What is the pattern identification?

Back 7

Heart blood deficiency -

Key points: palpitation, insomnia, poor memory
plus blood deficiency pattern

Front 8

Palpitation, insomnia, dream disturbs sleeping,
feverish sensation in the five center, irritability, night sweating, hectic cheek, fever in the afternoon or evening, dry throat, red tongue with little coating, a thready and rapid pulse. What is the pattern identification?

Back 8

Heart Yin Deficiency

- a pattern occurs when the heart yin is too deficient to nourish the heart, leads to deficient fire disturbing inside

- Key points: palpitation, insomnia, plus yin deficiency

Front 9

Palpitation, SOB, spontaneous
sweating, oppression in chest, fatigue, listless, pale complexion, insomnia, poor memory, pale tongue, weak and thready pulse. What is the pattern?

Back 9

Heart qi and blood deficiency.

Front 10

Palpitation, SOB, uneasy (restless),
insomnia due to vexation, easy sweating, feverish sensation in palm and sole, dry mouth, red tongue tip, little coating, or peeling coating,
thready and rapid or abrupt pulse. What is the pattern?

Back 10

Heart qi and yin deficiency

Front 11

Vexation and hot sensation in chest, irritability,
agitated, insomnia, red face, thirst and desire for drinking, yellow urine, dry stool, deep red tongue tip, or tongue ulcers, rapid and forceful pulse. Or manic behavior, delirium, or even hemtemesis, nose bleeding. What is the pattern?

Back 11

Heart Fire Blazing

- excessive fire in the heart

Key points: insomnia, irritability, vexation, manic, delirium, red tongue tip or tongue ulcers

Front 12

Palpitation, oppression and pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms may attack fitfully. What is the pattern?

Back 12

Heart Vessel Obstructed

- pathogenic factors block heart vessels

Front 13

Px has palpitation, oppression and pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms may attack fitfully. The pain is sharp, pricking or stabbing pain, worse at night, purplish tongue or dark spots on front area, thready and choppy pulse.
What is the diagnosis?

Back 13

Heart Vessel Obstructed by blood stagnation.

Front 14

Px has palpitation, oppression and chocking pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms may attack fitfully. Px is overweight, has profuse phlegm, white greasy tongue coating, and slippery pulse. What is the pattern?

Back 14

Heart Vessel Obstructed by Phlegm

Front 15

Px has palpitations, sudden oppression and severe pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms may attack fitfully. The pain is relieved by warmth. Px has intolerance of cold, has cold limbs, pale tongue,& a deep, slow and or tight pulse. What is the pattern?

Back 15

Heart Vessel Obstructed by Cold

Front 16

Px has palpitation, oppression and pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms may attack fitfully. It is distending pain, induced or aggravated by emotional stress, hypochondriac distention, slight red tongue, wiry pulse. What is the pattern?

Back 16

Heart Vessel Obstructed by Qi Stagnation

Front 17

Px has flushed face, fever, thirst, harsh breathing, fidget, mania, restlessness, delirium, slurred speech, rattling sound in throat, yellow sputum, constipation, dark yellow urine. Or insomnia, vexation, incoherent speech, uncontrolled laughing or cry, muttering shouting, manic behavior. Red tongue with greasy yellow coating, a rapid and slippery pulse. What is the pattern diagnosis?

Back 17

Phlegm Fire harrasing the heart
- Yang Madness
Shen disturbed by Phlegm Fire

Front 18

Distinguish between Heart Fire Blazing and Phlegm Fire harrasing the heart Patterns.

Back 18

Phlegm Fire harrasing has manic behavior: slurred speech, incoherent speech, uncontrolled laughing or crying, muttering, shouting

Front 19

Px has irritability, insomnia, thirst and desire to drink, cold water, canker sours or tongue ulcers. Painful, urgent, frequent and burning urination, with scanty dark yellow urine, or urine with bleeding. Red tongue with yellow coating, and a rapid pulse. What is the pattern diagnosis?

Back 19

Excessive fire in the Small Intestine

key points: frequent, urgent, painful and burning urination, plus
excessive heart fire pattern

Front 20

Px has lower abdominal twisting pain, which may extend to back, abdominal distention, dislike of pressure on abdomen, borborygmi, flatulence, abdominal pain relieved by passing gas. A normal tongue with white coating, and a deep and wiry pulse

Back 20

Small Intestine Qi Pain

Key points: lower abdominal twisting pain, borborygmi, and pain
relieve by pass gas