Heart-spleen qì vacuity

A disease pattern of spleen qì vacuity and heart qì vacuity. The main signs are heart palpitation, reduced eating, and abdominal distension. Other signs include white facial complexion, spontaneous sweating, fatigue and lack of strength, and shortness of breath with rapid breathing on exertion. The tongue is pale with a white fur. The pulse is forceless and vacuous.

Analysis: When heart qì is vacuous, the heart’s pumping action is weak, hence there is heart palpitation. When spleen qì is vacuous, movement and transformation breaks down, hence there is reduced eating and abdominal distension. In heart-spleen qì vacuity physiological functions are lowered, hence there is spontaneous sweating and shortness of breath with rapid breathing on exertion. When the source of qì and blood is reduced, the patient becomes improperly nourished, hence fatigue and lack of strength.

Medicinal therapy: Supplement the heart and spleen. Use Ginseng Spleen-Returning Pill (人参归脾丸 rén shēn guī pí wán).

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), CV-14 (Great Tower Gate, 巨阙 jù què), CV-4 (Pass Head, 关元 guān yuán), CV-6 (Sea of Qì, 气海 qì hǎi), 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-3 (Supreme White, 太白 tài bái), and LR-13 (Camphorwood Gate, 章门 zhāng mén); needle with supplementation and moxa.

Compare dual vacuity of the heart and spleen.