Heart and Kidney Yang Deficiency    心肾阳虚

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

Pattern Names
Heart and Kidney Yang Deficiency心肾阳虚 • Xīn Shèn Yáng Xū
Classification
Category: Zang Fu Syndrome: Complex
Symptoms
Tongue: Ⓣ pale, purple with slippery white coat Pulse: deep, weak, slow, thready
Indications: "Water overflowing to Heart": Edema in legs and ankles, cold limbs, cold back, abdominal distension, abdominal fullness, lower back pain, scanty urination, dislike cold, palpitations, breathlessness, cold hands, yin edema (below the waist), sexual problems [Maciocia] • Palpitations, edema on the face and lower extremities, scanty or difficult urination, fear of cold, cold limbs, physical and mental fatigue, sleepiness, dark and dim facial complexion and purplish lips, pale and purple tongue, a white slippery tongue coating, and a deep, faint and thready pulse[Qiao]
Keywords
weak, cold, palpitations, edema, cold hands [Maciocia] • Palpitations, edema, plus yang deficiency symptoms [Qiao]   
Treatment 
warm/tonify HT&KD Yang
Acupuncture 
PC 6, DU 4, KD 3, BL 15, BL 23, RN 4, RN 6, RN 9, RN 14, SP 9
Herb
Shen Qi Wan, Zhen Wu Tang
Etiology
1. Kidney yang xu 2. Chronic diseases 3. Lifestyle 4. Cold foods [Maciocia] • The pattern is characterized by an insufficiency of Heart and Kidney yang, and manifests with blood stagnation due to a lack of the Heart yang’s motive force, and dampness accumulation due to the Kidney yang’s weakened function of warming and transforming fluids. –  Chronic illness, aging, or overstrain –  Heart yang deficient: lack of motive force, slow the blood movement result palpitation –  Kidney yang deficiency: failed qi transformation lead water retention cause edema, difficult urine –  Yang deficient: failed to warm up, result cold limbs, desire for warmth [Qiao]
Notes
Source 1
ⓢ"Water overflowing to Heart": Edema in legs and ankles, cold limbs, cold back, abdominal distension, abdominal fullness, lower back pain, scanty urination, dislike cold, palpitations, breathlessness, cold hands, yin edema (below the waist), sexual problems [Maciocia,33]
Source 2
ⓢPalpitations, edema on the face and lower extremities, scanty or difficult urination, fear of cold, cold limbs, physical and mental fatigue, sleepiness, dark and dim facial complexion and purplish lips Ⓣ pale, purple tongue with a white slippery tongue coating Ⓟ deep, faint and thready pulse[Qiao,32]
Source 3