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MYOCARDIAL INFARCTION (Incomplete)

HEART YANG DEFICIENCY EXHAUSTION: YANG XU JUE NI

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue, weakness Suffocating sensation in chest Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor All four limbs cold Watery stools with undigested food Maybe loss of consciousness T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Return Yang Relieve Contravection
Herb Formulas	Si Ni Tang Hui Yang Jiu Ji Tang
Points	Moxa REN-8, REN-6, REN-4, ST-36, needle DU-25, DU-26, PC-6, PC-9, KI-1

HEART YANG DEFICIENCY EXHAUSTION: VANQUISHED YANG

Clinical Manifestations	Palpitations Shortness of breath Drenched with perspiration Above symptoms worse with exertion Four limbs cold Cyanosis of mouth and lips Faint, weak respiration P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate exhaustion.
Herb Formulas	Shen Fu Tang
Points	Moxa REN-8, REN-6, REN-4, ST-36, needle DU-25, DU-26, PC-6

HEART BLOOD STAGNATION

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe a drawing pain down internal aspect of arm (especially the left arm) Pain in the chest and/or arm which tends to be severe and intermittent Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Transform Stagnation
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang Xue Fu Zhu Yu Tang Tao He Cheng Qi Tang Guan Xin II Hao With Heat: Kang Xin Gen He Ji
Points	UB-15, UB-17, REN-14, REN-17, PC-4, PC-6, HT-6, HT-7 May add: PC-3, PC-5, PC-7, HT-5

HEART QI AND YIN DEFICIENCY

Clinical Manifestations	Chronic cough or Dry cough Insomnia Night sweats Spontaneous perspiration Weakness Palpitations Shortness of breath Fever Irritability T: Red and dry or Red and swollen C: Little or None P: Thready and weak
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Sheng Mai Yin Wan
Points

HEART AND LUNG QI DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Clear Heat
Herb Formulas	Sheng Mai San
Points	HT-7, LU-9, REN-17, UB-13, UB-15