The heart resides in the chest, and the pericardium keeps the outside. The heart of the hand with little yin passes through the rear edge of the inner arm and collaterals the small intestine, which are exterior and interior to each other. The heart is realized by the tongue, the pulse is combined with the body, and its brilliance is in the face.
The main function of the heart is to control blood vessels, which have the function of promoting blood to circulate endlessly in veins to nourish internal organs, tissues and organs. The heart is also the master of the gods, the center of people's spiritual and conscious thinking activities and the master of life activities.
The pathological changes of the heart are mainly reflected in the dysfunction of the heart itself and its main blood vessels, as well as the abnormality of mental activities such as conscious thinking of the brain. Clinically, palpitation, palpitation, heartache, upset, insomnia, dreaminess, forgetfulness, unconsciousness, confusion, pulse knot or acceleration are common symptoms of heart disease. In addition, some tongue diseases, such as sore tongue and sore tongue, are often attributed to the heart.
Syndrome of heart disease can be divided into deficiency syndrome and excess syndrome. Deficiency syndrome is mostly caused by thinking too much, or congenital deficiency, weak dirty qi and long-term illness and sadness, leading to insufficient heart blood, heart yin, heart qi, heart yang deficiency, heart yang deficiency and so on; The excess syndrome is mostly caused by phlegm obstruction, fire disturbance, cold coagulation, qi stagnation and blood stasis. , leading to excessive heart fire, impassable heart pulse, phlegm disturbing the mind, phlegm disturbing the mind, blood stasis blocking the brain collateral.
First, cardiac insufficiency.
Refers to blood deficiency, mental dystrophy, characterized by palpitation, insomnia, dreaminess and blood deficiency.
The clinical manifestations are palpitation, dizziness, insomnia, dreaminess, forgetfulness, pale or sallow complexion, pale lips and tongue, and thready pulse.
Syndrome analysis This syndrome can be caused by excessive exertion and blood consumption, or excessive blood loss, or blood injury caused by a long illness. It may also be caused by the loss of spleen health or kidney essence and insufficient source of blood.
Blood deficiency, guilty conscience, arrhythmia, so see palpitations; Blood deficiency leads to malnutrition and distraction, which leads to insomnia and dreaminess; Blood deficiency cannot be superior to head and face, so dizziness, forgetfulness, pale or sallow complexion, pale lips and pale tongue are seen; The blood is less and the pulse is not full, so the pulse is thin and weak.
Most of this syndrome has a long history of illness and blood loss. Palpitation, insomnia, dreaminess and blood deficiency are the main basis of syndrome differentiation.
Second, heart-yin deficiency syndrome
Refers to deficiency of yin and body fluid, lack of mind, deficiency-heat disorder, and deficiency-heat syndrome characterized by upset, palpitation, insomnia and yin deficiency.
The clinical manifestations are upset, palpitation, insomnia, dreaminess, dry mouth and throat, emaciation, or fever in hands and feet, hot flashes and night sweats, flushing on cheeks, red tongue with little fur and rapid pulse.
Syndrome analysis this syndrome is mostly caused by thinking too much and wasting heart yin; Or burn the heart yin due to warm fire; Or because of liver and kidney deficiency, involving the heart.
Lack of vaginal fluid, loss of heart nutrition, arrhythmia, so palpitations; If the mind is out of support, deficiency fire disturbs the heart, and the mind is distracted, it will be upset, insomnia and dreaminess; Yin deficiency can't control yang, so dry mouth and throat, thin body; Hot hands and feet, hot flashes in the afternoon, night sweats, red cheekbones, red tongue with little body fluid and rapid pulse are all manifestations of internal heat due to yin deficiency.
The main symptoms of this syndrome are upset, palpitation, insomnia and yin deficiency.
Although palpitation, insomnia and dreaminess can all be seen in heart-blood deficiency and heart-yin deficiency syndrome, blood deficiency is white, cold, and yin deficiency is red, which belongs to heat.
Third, heart-qi deficiency syndrome
Refers to the weakness syndrome characterized by deficiency of heart-qi, agitation, palpitation, mental fatigue and qi deficiency.
Clinical manifestations include palpitation, chest tightness, shortness of breath, mental fatigue or spontaneous sweating. Symptoms get worse after exercise, with pale face, pale tongue and weak pulse.
Syndrome analysis This syndrome is mostly caused by physical weakness, or chronic malnutrition, or congenital deficiency, organ defect, or senile weakness of dirty qi.
Heart qi is weak, agitation is weak, so palpitation and chest tightness are seen; Qi deficiency is not solid, so spontaneous sweating; Functional activities are weakened, so shortness of breath and mental fatigue; Exercise leads to gas consumption, so the symptoms are aggravated after exercise fatigue; Lack of qi and blood circulation, deficiency of qi and blood, and loss of honor of qi and blood, so pale face, pale tongue and weak pulse.
This syndrome is characterized by palpitation, mental fatigue and qi deficiency.
Fourth, heart-yang deficiency syndrome
It refers to deficiency-cold syndrome characterized by deficiency of heart yang, insufficient warm transport, restlessness, endogenous deficiency-cold, palpitation, chest tightness and yang deficiency.
The clinical manifestations are palpitation, chest tightness or pain, shortness of breath, spontaneous sweating, chills, mental fatigue, pale complexion, or blue face and lips, pale and dark tongue, white and slippery fur, weak pulse or knot or generation.
Syndrome analysis This syndrome is often caused by the further development of deficiency of heart-qi or the spread of heart-yang due to other visceral diseases. Yang deficiency of the heart leads to weak transport, while yang deficiency leads to endogenous deficiency of cold.
Deficiency of heart yang leads to weakness, restlessness, warmth and arrhythmia, so palpitations are light and heavy; Heart yang deficiency is weak, patriarchal spirit is weak, and chest yang is underdeveloped, so chest tightness and shortness of breath; Warm blood circulation is weak, and the heart pulse is blocked, you will see chest pain; Yang deficiency is endogenous to yin and cold, and it is warm and dereliction of duty, so it is cold and cool; Yang deficiency is not solid, and spontaneous sweating can be seen; Weak warm transport, insufficient qi and blood filling, cold coagulation and poor blood circulation, so the face is white or the lips are blue, the tongue is purple and dark, and the pulse is weak. The tongue is light and fat, and the coating is white and slippery, which is the image of yang deficiency and cold excess, and the water is not wet.
The main symptoms of this syndrome are palpitation, chest tightness and yang deficiency.
Symptoms such as palpitation, chest tightness and shortness of breath can be seen in both heart-qi deficiency and heart-yang deficiency, but symptoms such as chills, cold limbs and dull complexion are obvious in yang deficiency syndrome, and fatigue is obvious in qi deficiency syndrome.
Five, heart-yang deficiency syndrome
Refers to the critical syndrome of heart failure due to yang, which is characterized by palpitation, chest pain, cold sweat, limb syncope and weak pulse.
On the basis of heart-yang deficiency syndrome, the clinical manifestations are sudden cold sweat, cold limbs, pale face, weak breathing, palpitation, chest pain, unconsciousness or coma, cyanosis of lips and tongue, and slightly heartbroken pulse.
Syndrome analysis this syndrome is often the result of the further development of heart-yang deficiency syndrome; It can also be caused by sudden injury of yang by cold pathogen, or stagnation of heart pulse by phlegm and blood stasis; It can also be qi and blood loss, body fluid loss, and heart-yang detachment.
Heart yang fails, and if it cannot be fixed externally, cold sweat will drip; Can not warm limbs, so cold hands and feet; The leakage of ancestral qi can not help the lungs breathe, so the breathing is weak; When yang goes out, the pulse is not full, so the face is pale and unpretentious; Yang failure and cold coagulation, poor blood supply, blood stasis blocking the heart pulse, then you will see severe pain in the chest, blue lips; If you are distracted, you will see that your mind is blurred and even coma; The pulse is slightly heartbroken, which is the sign of yang dying from the outside.
The main symptoms of this syndrome are palpitation, chest pain, cold sweat, limb syncope and weak pulse.
Six, heart fire hyperactivity syndrome
Refers to excess-heat syndrome characterized by fever, upset, vomiting, tongue pain, red urine and burning pain.
Clinical manifestations include fever, thirst, upset, insomnia, constipation, yellow urine, red face, crimson tongue tip, yellow fur and strong pulse. Even ulcers, ulcers and pains in the mouth and tongue; Or see short and red urine, burning pain and astringent pain; Or see vomiting blood and nosebleed; Or see manic delirium and ignorance.
Syndrome analysis: this syndrome is mostly caused by emotional depression; Or the invasion of heat evil; Or overeating spicy, stimulating and warming products is caused by excessive accumulation of fire.
If the heart is full of fire, it will disturb the heart, and if the mind is distracted, it will cause fever, upset and insomnia; Fire pathogen hurts body fluid, which causes thirst, constipation and yellow urine; When the fire burns, the face is red and the tip of the tongue is red; The faster qi and blood run, the stronger the pulse number.
If the main symptoms are sores and sores on the mouth and tongue, it is called inflammation of heart fire.
If the urine is red, astringent and burning at the same time, it is called heart fire moving downwards syndrome, commonly known as heart moving heat to small intestine. Because the heart fire is blazing, burning body fluid, resulting in less urine and burning pain in urine.
If vomiting blood and epistaxis are prominent, it is called the syndrome of heart fire forcing blood to go wrong.
If mania and delirium are the main symptoms, it is called heat disturbing god or heat closing god.
The main symptoms of this syndrome are fever, upset, vomiting, sore with red tongue and burning pain with red urine.
Seven, heart pulse obstruction syndrome
It refers to the syndrome of blood stasis, phlegm turbidity, yin cold, qi stagnation and other factors blocking the heart pulse, with palpitation, chest tightness and heartache as the main manifestations. Also known as blood stasis syndrome. Due to different inducements, there are clinical syndromes such as blood stasis blocking the heart pulse, phlegm blocking the heart pulse, cold coagulation of the heart pulse, qi stagnation of the heart pulse and so on.
The clinical manifestations are palpitation, chest tightness and pain, and the pain leads to the shoulders, back and inner arms. Or mainly tingling, dull tongue or blue spots, thin, astringent, knotted and irregular pulse; Or mainly chest tightness, excessive body fat and phlegm, drowsiness, white and greasy tongue coating, heavy and slippery pulse or astringent; Or it is mainly a cold pain drama, and the pain is relieved, and the cold limbs are cold, the tongue is pale with white fur, and the pulse is late or tight; Or mainly pain, which is related to emotional changes. I like to hyperventilate, my tongue is red and my pulse is string.
Syndrome analysis This syndrome is mostly due to deficiency of vital qi, weak heart-yang deficiency, and poor circulation of qi and blood, which leads to qi stagnation and blood stasis, phlegm and cold, and poor heart pulse, so its nature is mostly deficiency in essence but excess in substance.
Heart yang deficiency, loss of warm transport, or blood stasis, abnormal heartbeat, so see palpitations. Yang Qi did not announce, the blood circulation was weak, and the heart pulse was blocked, so the chest was depressed and painful. The meridian of the shaoyin heart of the hand passes through the armpit and follows the back of the shoulder and the rear edge of the inner arm, so the back of the shoulder and the inner arm are injured.
The pain of blood stasis blocking the heart pulse is characterized by tingling, accompanied by black tongue coating, or blue spots, thin and astringent pulse, and blood stasis.
The pain of phlegm blocking the heart pulse is manifested as dull pain, often accompanied by symptoms such as excessive phlegm in the body, heavy lethargy, white and greasy fur, heavy and slippery pulse or astringency.
The pain caused by cold coagulation of heart pulse is characterized by acute pain, sudden onset, aggravation of coldness, alleviation of warm pain, accompanied by chills, cold limbs, pale tongue with white fur, delayed or tight pulse and other symptoms.
The pain of qi stagnation in the heart pulse is characterized by distending pain, and its onset is often related to mental factors, often accompanied by qi stagnation symptoms such as hypochondriac fullness, shortness of breath and thready pulse.
This syndrome is mainly characterized by palpitation, chest pain and blood stasis. Because the causes of pain are different, it is necessary to distinguish the characteristics of pain and complicated diseases in order to check the causes.
Eight, phlegm full of mind syndrome
Refers to the syndrome that phlegm and turbidity blind the mind, with depression, unconsciousness, dementia and coma as the main manifestations. Also known as phlegm syndrome.
The clinical manifestations are dementia, confusion, even ignorance, or depression, indifference, mumbling and abnormal behavior. Or suddenly faint servant, unconscious, foaming at the mouth, throat sputum sound. And symptoms such as dull complexion, chest tightness and nausea, white and greasy tongue coating, and slippery pulse.
Syndrome analysis: this syndrome is mostly caused by dampness blocking qi movement; Or because of emotional frustration, qi stagnation produces phlegm; Or phlegm is filled in it, disturbed by liver wind, causing phlegm to blind the mind.
Phlegm is turbid in the heart, and the spirit loses its sense of division, so it leads to dementia, vague consciousness and even unconsciousness. Emotional failure, liver failure, stagnation of qi and phlegm, stagnation of phlegm and qi, blinding the gods, then you will see depression, indifference and dementia, or confusion, mumbling alone, and abnormal behavior. If there is too much phlegm, it will cause liver wind, liver wind mixed with phlegm, and unconsciousness, which can be manifested as sudden fainting, unconsciousness, spitting, and phlegm in the throat. Due to internal resistance of phlegm, stagnation of yang, excessive turbidity and poor qi and blood, the complexion is dull; Phlegm blocks chest yang, and the stomach loses balance and falls, resulting in chest tightness, nausea and vomiting. White and greasy tongue coating and slippery pulse are all manifestations of excessive phlegm.
This syndrome is based on symptoms of depression, confusion, dementia, coma and phlegm.
Nine, phlegm-fire disturbing the spirit syndrome
It refers to the syndrome that excess heat is turbid and disturbs the mind, with mania, coma and phlegm-heat symptoms as the main manifestations. Also known as phlegm-fire disturbing the heart [closing the orifices] syndrome.
The clinical manifestations are fever, thirst, chest tightness, shortness of breath, expectoration with yellow phlegm, purring in the throat, upset, insomnia, even delirium, or madness, beating people, destroying things, avoiding intimacy, nonsense, crying and laughing, blushing, red tongue, yellow greasy fur and slippery pulse.
Syndrome analysis this syndrome is mostly caused by mental stimulation, thinking about getting angry, qi stagnation turning into fire, semen being phlegm and phlegm-fire overflowing; Or warm, damp and hot and other exogenous pathogens, suffering from heat pathogens, phlegm-fire burning body fluid, phlegm-fire internal disturbance.
This syndrome can be seen in exogenous fever and internal injury miscellaneous diseases. In exogenous fever, due to internal heat transpiration, fever, red face and heavy breathing can be seen; Heat burns body fluid, so constipation leads to yellow urine; Phlegm fire disturbs or blinds the mind, showing restlessness and delirium. In internal injuries and miscellaneous diseases, due to mental stimulation, phlegm-fire overflows and disturbs the mind, from being upset and insomnia to being delirious and talking nonsense, crying and laughing, being manic and reckless, hitting people and destroying things. Phlegm fire is abundant, so there is yellow thick phlegm, or phlegm in the throat; Phlegm and turbidity block qi, and chest tightness is uncomfortable; Red tongue, yellow greasy fur and slippery pulse are all manifestations of phlegm-fire upwelling.
The main symptoms of this syndrome are delirium, delirium and phlegm-heat If you see the syndrome of heat without phlegm, it is the syndrome of heat closing [disturbing] the heart.
The three syndromes of phlegm blocking the mind, heat disturbing the mind and phlegm disturbing the mind all have abnormal mental symptoms, all of which can be unconsciousness, but phlegm blocking the mind is turbid, and its symptoms are mainly depression, dementia and unconsciousness, without heat syndrome; The syndrome of heat obstructing the spirit is fiery, and its symptoms are mainly mania, delirium and stupor, which are a group of fiery syndromes; Phlegm-fire disturbing the spirit syndrome [Guan] is both phlegm and fire, and its symptom is the combination of the former two.
Ten, blood stasis and brain collateral syndrome
Refers to the syndrome of blood stasis attacking the head and blocking the brain collaterals, with headache, dizziness and blood stasis as the main manifestations.
The clinical manifestations are dizziness, persistent headache, tingling, fixation pain, forgetfulness, insomnia, palpitation or unconsciousness after head trauma, dull complexion, purple tongue or spot, and thready pulse.
Syndrome analysis this syndrome is mostly caused by head trauma and blood stasis in the brain; Or long-term pain enters the collaterals, blood stasis stops, and the brain collaterals are blocked.
Blood stasis blocks the brain collaterals, and it hurts if you don't move, so the headache lasts and the pain is as painful as acupuncture. If the brain collaterals are blocked, qi and blood can't flow normally, and the brain loses nutrients, it will be dizzy; Blood stasis persists, new blood is not born, and the mind is malnourished, so there are symptoms such as forgetfulness, insomnia and palpitation; If the trauma is serious and the brain and mind are damaged, you will be unconscious; Dark complexion, purple or spotted tongue, thin and astringent pulse, etc. , are signs of internal resistance of blood stasis.
This syndrome is based on the symptoms of headache, dizziness and blood stasis.