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A disease pattern of heart blood vacuity and spleen vacuity (splenic transformation failure and the spleen failing to control blood). The main signs are heart palpitation and insomnia. Other signs may include fearful throbbing, forgetfulness, profuse dreaming, lusterless complexion, pale lips, and pale scant menstrual flow. The tongue is pale with scant fur. The pulse is fine, bound or intermittent.

Analysis: The heart governs the blood and stores the spirit. The spleen is the source of qì and blood formation and stores ideation. Heart-spleen blood vacuity deprives the spirit of nourishment, hence there is heart palpitation, insomnia, fearful throbbing, and forgetfulness. Blood vacuity deprives the face of nourishment, hence the complexion is lusterless. Insufficiency of the blood means less blood for menstruation, hence the menstrual flow is scant and pale.

Medicinal therapy: Boost qì and supplement the blood; fortify the spleen and quiet the heart. Use Spleen-Returning Decoction (归脾汤 guī pí tāng). Compare dual vacuity of the heart and spleen; heart-spleen qì vacuity.

Acumoxatherapy: Base treatment mainly on back transport points, HT, SP, and CV. Select BL-15 (Heart Transport, 心俞 xīn shù), BL-20 (Spleen Transport, 脾俞 pí shù), BL-17 (Diaphragm Transport, 膈俞 gé 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), SP-10 (Sea of Blood, 血海 xuè hǎi), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation and moxa.

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