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Dual vacuity of heart qì and blood
心气血两虚 〔心氣血兩虛〕 xīn qì xuè liǎng xū
心气血俱虚〔心氣血俱虛〕xīn qì xuè jù xū
Insufficiency of qì and blood depriving the heart of nourishment and making heart spirit fail to keep to its abode. Dual vacuity of heart qì and blood stems from constitution weakness, insufficiency of the source of transformation, or enduring illness that damages blood and wears qì. The chief signs are heart palpitation, shortness of breath, insomnia and profuse dreaming, dizzy head and vision, and a somber-white or withered-yellow facial complexion. Other signs include lassitude of spirit and lack of strength, spontaneous sweating, scantness of breath and laziness to speak, pale lips and nails, and lusterless hair. The tongue is pale and tender. The pulse is fine and weak, or fine and rapid. Alternatively, it is skipping, bound, or intermittent.
Analysis: When heart qì is vacuous, its propelling power is weak; when heart blood is vacuous, the heart is deprived of nourishment. Hence, there is heart palpitation. When heart qì is insufficient, the circulation of ancestral qì is weak, hence there is oppression in the chest and shortness of breath. Since exertion causes wear on qì, it exacerbates these signs. When qì and blood are both vacuous, the heart spirit is deprived of nourishment, hence there is insomnia and profuse dreaming. When heart qì is vacuous, it fails to contain the humor of the heart (sweat), hence the spontaneous sweating. When blood is vacuous, it fails to ascend to nourish the head, face, and brain, hence the lusterless withered-yellow or pale-white complexion, pale lips, dizziness, and forgetfulness.
Medicinal therapy: Supplement qì and nourish the blood. Use
Acumoxatherapy: Base treatment mainly on back transport points, HT, PC, and CV. Select BL-15 (Heart Transport, 心俞 xīn shù), CV-14 (Great Tower Gate, 巨阙 jù què), CV-6 (Sea of Qì, 气海 qì hǎi), BL-17 (Diaphragm Transport, 膈俞 gé shù), BL-20 (Spleen Transport, 脾俞 pí shù), PC-6 (Inner Pass, 内关 nèi guān), HT-7 (Spirit Gate, 神门 shén mén), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation and moxa.
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