-IBIS-1.5.0-
tx
cardiovascular system
tachycardia/bradycardia
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Heart Xue Yu (Blood Stasis); Heart Xue Xu (Blood Deficiency); Heart Yin Xu (Deficiency); Kidney Yin Xu (Deficiency); dysfunction of the Chong Mai (Penetrating Vessel); Obstruction of the Xu Li channel

» illustrative combinations:
• Ht-5, GV-25 and xing fen for bradycardia (Shanghai, p. 252)
• UB-14, Ht-8 and Ht-5 for tachycardia (Shanghai, p. 200)
• Ht-5, GV-11 and GV-14; GB-20 and UB-10; Lv-2; UB-38/43, UB-39/44 and UB-13 for tachycardia (Mann, p. 118)
• Ht-8, Ht-5, PC-6 and PC-7 for cardiac arrhythmia (Shanghai, p. 254)
• UB-15, Ht-7, PC-6, GB-34 joined to Sp-9 for cardiac arrhythmia (Shanghai, p. 253)
• Ht-7, Ht-3 and UB-15; PC-6; Kd-24 and Kd-25; CV-12 and Lv-13; UB-10 and GB-20 for palpitations (Mann, p. 118)
• PC-6, Ht-7 and Sp-6 for palpitations due to Xue (Blood) and Qi Xu (Deficiency) (Jirui and Wang, p. 73)
• UB-14, UB-20, PC-6 and St-36 for palpitations due to Heart Xue (Blood) and Qi Xu (Deficiency); add Ht-7 and Sp-6 if insomnia is present; add CV-6 and CV-17 if with breathlessness (Qiu and Su, p. 28)
• CV-4, PC-7, UB-15, Ht-5 and St-36 for palpitations due to Xu (Deficiency) of Yin and Xue (Blood); consider Ht-7, PC-6 and/or CV-7 (McWilliams, et al, Lesson 31, p. 171)
• UB-17, CV-17, PC-6, UB-14 and Sp-6 for palpitations due to Stagnant Heart Qi and Xue (Blood) (Qiu and Su, p. 31)
• Ht-7, Kd-3, UB-15 and UB-23 for palpitations due to Yin Xu (Deficiency) causing Heat (Qiu and Su, p. 30)
• Ht-7, PC-6, Ht-5, UB-15 and UB-23 for palpitations due to Kidney Yin Xu (Deficiency) with Heart Fire Blazing; consider PC-7, St-36, GB-35 and/or St-41 (McWilliams, et al, Lesson 31, p. 171)
• UB-15, UB-23, GV-4, CV-4 and St-36 for palpitations due to Heart Yang Xu (Deficiency) (Qiu and Su, p. 32)
• St-41 and GB-35 for a strong treatment for "fright palpitations and racing of the heart" (Ellis, et al, 1988, p. 133)
Xu Li ashi (tender) points on left chest, including St-18, upper Kd points, PC-1, togther with CV-12, CV-17, PC-6, Ht-7, St-40, St-43; esp. with an overworked person who is flushed above the diaphragm and has a reddened face (Seem, p. 52)
• CV-14 and CV-15 (+): pacify the Shen, esp. with anxiety and restlessness
• PC-4 with Ht-7 (-): tranquilizes source of Heart Yang to reduce palpitations
• PC-5 and/or PC-6: clear Heart Fire and Heat; regulate and tonify Heart; calm Shen; relax and expand chest; dispel Wind


point analysis

»
palpate and consider:
• GB-20 (-): subdues Liver Yang and Fire to calm and regulate the Liver; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
xing fen (=): regulates the Shen and Heart; located 0.5 cun superior to the depression posterior to the mastoid process
• GV-14 (-): cools and drains Heat; clears the Shen, calms the Soul, and pacifies the Will; spreads Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• GV-11 (d. D): pacifies the Shen and calms the Heart; relieves fright and dissipates Wind; sedates pain; five cones of direct moxa, green bean size moxa
• GV-4 (+): pacifies the Shen; strengthens the Kidney and nourishes the Yuan (Original) Qi; benefits and replenishes the Kidney Yang; relieves mental and physical exhaustion; reinforces and astringes the Jing (Essence); frees the channels and invigorates the collateral vessels
• UB-10 (-): clears Fire; regulates medullary functions (Mann, p. 32); Window of the Sky point; Sea of Qi general point
• UB-13 (- and/or +): clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Upper Warmer; regulates the Upper Warmer; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-14 (- and/or +): disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); regulates and tonifies the Heart (especially Qi and Yang); expands and relaxes the chest; spreads Liver Qi; frees the channels and invigorates the collateral vessels; Pericardium Shu Associated point
UB-38/43 (- and/or +): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; fortifies the Spleen and tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; Pericardium psychospiritual associated point
UB-15 (+ or -): calms the Heart and the Shen; quiets the Mind and the Soul; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart (-); calms sexual dreaming; cools Heat in the Xue (Blood); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
• UB-39/44 (- and/or +): pacifies the Shen; regulates the Heart Qi; expands and relaxes the chest; clears Heat; Heart psychospiritual associated point
UB-17 (= and/or D): tonifies the Qi; regulates and nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and disperses Obstruction; nourishes Dry Xue (Blood); enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
• UB-20 (+): tonifies the Spleen and regulates Spleen Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Heart (Ross, 1985, p. 130); strengthens Yang and Qi Hai; influences adrenals; counterbalances Liver Fire; Kidney Shu Associated point
GV-25 (-): dissipates Heat and resolves Stagnation; revives Yang; regulates the Heart; normalizes heart rate with bradycardia
• PC-4 (-): tranquilizes source of Heart Yang to reduce palpitations; calms the Shen and tranquilizes the Heart; regulates Heart Qi; detoxifies the Xue (Blood); relieves Obstruction in Jue Yin; clears the vessels; Pericardium Xi Cleft Accumulation point
• PC-5 (-): calms the Mind and quiets the Shen; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; nourishes the Heart and regulates Heart Qi; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (= and/or +): pacifies the Shen; tranquilizes the Heart; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); releases the diaphragm and relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
PC-7 (-): pacifies the Shen and stabilizes the emotions; clears Fire of the Heart and Pericardium; nourishes Heart Xue (Blood); opens Heart Orifices; relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Ht-5 (- or +): pacifies the Shen; regulates and tonifies Heart Qi; stimulates (-) or sedates (+) the heart rate; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); clears Heart Fire and Xu (Deficiency) Heat; benefits a slow pulse; benefits the Bladder; Heart Luo Connecting point
Ht-6 (-): pacifies the Shen; nourishes Heart Yin; clears Fire from the Heart; helps check Yang hyperactivity (EAMSS, p. 227); relieves bradycardia; clears Xu (Deficiency) Heat, esp. from Heart; reduces excessive perspiration, esp. night sweats; Heart Xi Cleft Accumulation point
Ht-7 (- and/or +): tranquilizes source of Heart Yang to reduce palpitations; opens the Orifices; stabilizes the Exterior and stops sweating, esp. night sweats; pacifies the Shen and calms the Heart; relieves palpitations, insomnia and fear; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); general sedative and regulating effect on the inner organs; regulates and tonifies the Heart, esp. Heart Qi; tonifies and nourishes Heart Yin and Xue (Blood); removes Qi Stagnation in the Heart; clears Heart Fire and Heat; frees the channels; treats palpitations, irregular cardiac rhythm and fibrillation; Heart Yuan Source, Earth and Dispersion point
• Ht-8 (-): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; regulates flow of Qi; facilitates the flow of Xue (Blood) through the vessels; Heart Fire and Horary point
• Ht-9 (+): sedates the Shen; clears Heat; restores Yang; opens the Heart Orifices; strengthens Heart Yin and Yang; regulates the Heart; tonifies Heart Qi; Heart Jing Well, Wood, Tonification and Exit point
• Kd-25 (=): pacifies the Shen; opens the chest; regulates flow of Qi; tonifies Kidney (especially Yang)
• Kd-24 (=): pacifies the Shen; opens and releases the chest; clears Heat; reverses Rebellious Qi; disperses swelling; tonifies the Kidney
PC-1 (- and/or +): influences Heart [(-) to stimulate, (+) to sedate]; opens the chest; supervises the Xue (Blood); removes Obstruction of Qi circulation in Jue Yin channels; Window of the Sky point; Pericardium Entry point
Xu Li (=): palpate circumference of left breast, i.e., encircling the heart, usually starting ca. St-18 or proceeding counterclockwise from the axilla, ca. PC-1; shallowly needle ashi (tender) points to calm the Shen, ease anxiety, and release Obstruction and/or Stagnation in this microchannel, the extra Luo Vessel of the Stomach (see Seem, p. 52)
CV-17 (=): calms the emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; reverses adverse flow of Qi in the chest; expands the chest and soothes the diaphragm; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi
• CV-15 (+): pacifies the Shen; nourishes Heart Yin; promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest; Luo Connecting point of the Ren Mai (Conception Vessel) with the Du Mai (Governing Vessel); Source point of the five Zang (Yin viscera)
CV-14 (+): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands and clears the chest; benefits the diaphragm; reverses adverse flow of Qi; acts on the nervous system and brain through the solar plexus and releases tension throughout whole body (Finkelstein, p. 90); esp. for palpitations due to fright; Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
• CV-13 (=): calms the Heart and Shen; invigorates the Qi; clears Heat of Heart and Stomach and relieves fullness in the chest and epigastric region; strengthens the Spleen and dissipates Dampness; esp. for fright, esp. with palpitations (Ellis, et al, 1988, p. 357)
• CV-12 (+): builds Heart Yang; strengthens and calms the Spleen; benefits and soothes the Qi; warms and tonifies the Middle Warmer; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
• CV-7 (+): warms and supplements Kidney Yang; regulates (D) and clears Obstruction from (-) the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates the Xue (Blood); acts as an abdominal reflection of Sp-6, which is also named "yin crossing"; also hardness to palpation indicates Kidney Xu (Deficiency) (Matsumoto); Mu Alarm point of the Lower Warmer
CV-4 (+): pacifies the Shen; grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; strengthens and replenishes the Kidney Qi; Small Intestine Mu Alarm point
St-36 (+ and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); disperses Stagnation in the Upper Warmer; builds Heart Yang; strengthens weak and Xu (Deficient) conditions; strengthens the Spleen and replenishes the Middle Warmer; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; esp. when Heart irregularities due to Yang Xu (Deficiency); Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• St-41 (-): clears the Mind and pacifies the Shen; clears and descends Fire; supports Spleen Qi; Stomach Fire and Tonification point
• Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; disperses Heart Fire; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen and tonifies the Qi; nourishes and moves the Xue (Blood); transforms Xue Yu (Blood Stasis) and frees Qi Stagnation; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi, esp. in the Middle Warmer; invigorates the Xue (Blood) and regulates the Chong Mai (Penetrating Vessel); regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; tonifies Yuan (Original) Qi; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
• GB-35 (=): pacifies the Shen; disperses Liver Fire; invigorates the Xue (Blood); Xi Cleft Accumulation point of the Yang Wei Mai (Yang Linking Vessel)
• Lv-2 (-): calms the Shen and eases the Mind; sedates fright; disperses Qi and clears Fire of the Heart; clears the Pericardium; disperses Stagnant Liver Qi; clears and drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens the Liver to release Liver Qi and remove Qi Depression; Liver Fire and Dispersion point
• Kd-3 (+ and/or D): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; pacifies Xu (Deficiency) Fire; tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point

ear:
tachycardia: heart, sympathetic, shen men, spleen, small intestine

» illustrative combinations:
• Ht-5, GV-25 and xing fen for bradycardia (Shanghai, p. 252)
• UB-14, Ht-8 and Ht-5 for tachycardia (Shanghai, p. 200)
• Ht-5, GV-11 and GV-14; GB-20 and UB-10; Lv-2; UB-38/43, UB-39/44 and UB-13 for tachycardia (Mann, p. 118)
• Ht-8, Ht-5, PC-6 and PC-7 for cardiac arrhythmia (Shanghai, p. 254)
• UB-15, Ht-7, PC-6, GB-34 joined to Sp-9 for cardiac arrhythmia (Shanghai, p. 253)
• Ht-7, Ht-3 and UB-15; PC-6; Kd-24 and Kd-25; CV-12 and Lv-13; UB-10 and GB-20 for palpitations (Mann, p. 118)
• PC-6, Ht-7 and Sp-6 for palpitations due to Xue (Blood) and Qi Xu (Deficiency) (Jirui and Wang, p. 73)
• UB-14, UB-20, PC-6 and St-36 for palpitations due to Heart Xue (Blood) and Qi Xu (Deficiency); add Ht-7 and Sp-6 if insomnia is present; add CV-6 and CV-17 if with breathlessness (Qiu and Su, p. 28)
• CV-4, PC-7, UB-15, Ht-5 and St-36 for palpitations due to Xu (Deficiency) of Yin and Xue (Blood); consider Ht-7, PC-6 and/or CV-7 (McWilliams, et al, Lesson 31, p. 171)
• UB-17, CV-17, PC-6, UB-14 and Sp-6 for palpitations due to Stagnant Heart Qi and Xue (Blood) (Qiu and Su, p. 31)
• Ht-7, Kd-3, UB-15 and UB-23 for palpitations due to Yin Xu (Deficiency) causing Heat (Qiu and Su, p. 30)
• Ht-7, PC-6, Ht-5, UB-15 and UB-23 for palpitations due to Kidney Yin Xu (Deficiency) with Heart Fire Blazing; consider PC-7, St-36, GB-35 and/or St-41 (McWilliams, et al, Lesson 31, p. 171)
• UB-15, UB-23, GV-4, CV-4 and St-36 for palpitations due to Heart Yang Xu (Deficiency) (Qiu and Su, p. 32)
• St-41 and GB-35 for a strong treatment for "fright palpitations and racing of the heart" (Ellis, et al, 1988, p. 133)
• CV-14 and CV-15 (+): pacify the Shen, esp. with anxiety and restlessness
• PC-4 with Ht-7 (-): tranquilizes source of Heart Yang to reduce palpitations
• PC-5 and/or PC-6: clear Heart Fire and Heat; regulate and tonify Heart; calm Shen; relax and expand chest; dispel Wind


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.

Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.