Heart Yang Deficiency   心阳虚证

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Heart Yang Deficiency心阳虚证 • Xīn Yáng Xū Zhèng
Classification
Category: Zang Fu Syndrome: Heart
Symptoms
Tongue: pale, flabby, moist white coating Pulse: weak, deep, minute, knotted, intermittent
Indications: palpitations, fatigue, spontaneous sweating, chest pain, slight depression, sob-exertion worse, cold sensation, cold limbs, cold intolerance - better with warmth, dark lips, pale complexion, ankle and feet edema [Maciocia] • Palpitation, 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 are may edema in ankle and feet [Qiao]
Keywords
Heart Qi deficiency + yang deficiency symptoms (palpitations, chest pain) [Maciocia] • Palpitation, oppression and distress or pain in the chest, plus yang deficiency symptoms [Qiao] • Heart Yang Deficiency = Yang deficiency + palpitation, lassitude, spontaneous sweating, chest stuffiness, chest pain and cold sensation in the chest.[42]  
Treatment 
Tonify Heart Yang
Acupuncture 
GENERAL: PC6, REN17, REN6, HT5, DU14, BL15 [Maciocia] • PALPITATIONS: add HT06, HT07, HT08, REN14, BL19 [Qiao] • CHEST PAIN: add HT07, BL44, REN04, DU20 [Qiao] • FATIGUE: REN03, REN04, REN05, REN06, REN12, BL20, BL23, DU04 [Qiao]
Herb
GENERAL: Rou Fu Bao Yuan Tang [Maciocia] • Shen Fu Tang, Bao Yuan Tang [Qiao] • PALPITATIONS: add Si Jun Zi Tang + Huang Qi • CHEST PAIN: add Sheng Mai San + Shen Fu Tang • FATIGUE: Sheng Mai San + Si Jun Zi Tang
Etiology
Untreated Heart Qi deficiency resulting in Heart Yang Deficiency • A pattern caused by declination of the Heart yang, decreased motive force and warmth function, result internal deficient cold [Qiao].
Notes
Use Case 1
Use Case 2