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Heart TCM Pathology Patterns

Deficiency Patterns

Heart Qi Deficiency
Qi Deficiency signs
Shallow Breathing
Shortness of Breath
More Severe w/ Exertion
Possible Spontaneous Sweating
Pale-White or Bright-White Complexion
Heart Signs
Palpitations
Chest Tightness
Tongue/Pulse
Pale Tongue
White Coat
Weak Pulse

Heart Yang Deficiency


Yang deficiency signs
Spontaneous sweating
Shortness of Breath
Worse on Exertion
Bright-White or Dim Complexion
Cold Signs
Aversion to Cold
Cold Limbs
Heart Signs
Palpitations
Chest Stuffiness & Pain
Tongue/Pulse
Swollen, Pale Tongue
Slippery, White Coating
Weak or Faint Pulse

Heart blood Deficiency


Blood Deficiency Signs
Pale Lips
Pale/Sallow Complexion w/ Luster
Dizziness
Heart Signs
Palpitations
Pounding of the Heart
Shen Signs
Poor Memory
Forgetfulness
Insomnia
Dream-Disturbed Sleep - Can't Remember
Tongue/Pulse
Pale White Tongue
Fine, Weak Pulse

Heart Yin Deficiency


Yin Deficiency Signs
Night Sweats
Tidal Fever
Malar Flush
5 Palm Heat
Heart Signs
Pounding of the Heart
Palpitations
Shen Signs
Insomnia
Dream Disturbed Sleep - Very Vivid
Tongue/Pulse
Small, Dry, Red Tongue
Rapid, Fine Pulse

Excess Patterns

Obstruction of Heart Channel


General
Palpitations
Chest Stuffiness
Intermittent Pain radiating to medial shoulder, arm and small finger, to the
neck and back or epigastrium & abdomen
Blood Stasis
Stabbing Pain in Chest
Dark Purple/Purplish-Blue Tongue w/ ecchymosis
Fine-Choppy, Knotted or Intermittent Pulse
Phlegm
Full & Oppressive Pain in Chest
Obesity/Heaviness of Body
Much Phlegm
General Lassitude
White, Greasy Tongue Coat
Deep Slippery Pulse
Cold (Direct Attack)
Sudden, severe paroxysmal Chest Pain
Relieved by Warmth
Aversion to Cold
Cold Limbs
Pale Tongue w/ White Coat
Deep-Slow or Deep-Tight Pulse
Qi Stagnation (Emotions)
Distending Pain in Chest/Hypochondrium
That Fluctuates w/ Emotional Stress
Frequent Sighing
Pale-Red Tongue w/ Thin White Coat
String-Taut Pulse

Exuberance of Heart Fire


Heat/Fire Signs
Fever
Red Complexion
Thirst w/ Preference to Cold
Dark-Yellow Urine

Dry Stool
New node
Burning Pain in Urethra During Urination
Chest Signs
Chest Stuffiness
Shen Signs
Mental Restlessness
Insomnia
Mania & Delerium
Blood Signs
Bleeding
Sores/ Carbuncles (Skin & Tongue)
Tongue/Pulse
Crimson Tip or even ulceration/pain of tongue
Dry Yellow Coat
Rapid, Forceful Pulse

Phlegm Clouding the Shen


Phlegm Signs
Mental Depression
Suspiciousness/Apprehension
Blank Expression
Apathy
Vague Mind
Abnormal Behavoir (cry/laughing inappropriately,
nonsensical speech, muttering to oneself)
Gurgling Sounds in Throat
Unconsciousness in Severe Cases
Wind-Phlegm (epilepsy)
Falling Down
Foam on Lips
Gurgling Sounds inThroat
Screaming
Convulsion of the Limbs
Staring upward of the Eyes
Momentary Loss of Attention w/ Eyes Staring Directly Forward
All Symptoms Disappear after Recovery

Damp-Phlegm Signs
Dim/Dark Complexion
Epigatric Stuffiness
Nausea
Gurgling Sounds in Throat
Slurred Speech
Vague mind
Unconsciousness in Severe Cases
Tongue/Pulse
Greasy White Tongue Coat
Slippery Pulse

Phlegm Fire Clouding Shen


Fire>Phlegm
Heat/Fire Signs
Fever
Sleeplessness
Dark Urine
Red Face/Eyes
Phlegm Signs
Gurgling Sounds in Throat
Sticky Yellow Phlegm
Course Breathing
Shen Signs
Ascending to High Places & Singing
Yelling, Fighting, Swearing, Scolding
Uncontrollable Chaotic Movements
Psychotic & Uncontrollable Crying/Laughter
Running Naked
Digestion
No Hunger
Constipation
Phlegm>Fire
Phlegm Signs
Copious Phlegm
Chest Stuffiness
Blurred Vision
Dizziness/Vertigo

Heat/Fire Signs
Insomnia
Mental Restlessness
Shen Signs
Uncontrollable Crying/Laughter
Incoherent/Nonsensical Speech
Delerium
Coma (Shen going inward)
Tongue/Pulse
Red tongue
Greasy Yellow Coating
Slippery, Rapid Pulse