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A disease pattern characterized by heart yáng vacuity and spleen yáng vacuity signs. The chief signs are stifling oppression and pain in the heart and chest and thin sloppy stool. Other signs include heart palpitation, reduced eating, rumbling intestines, somber-white facial complexion, scantness of breath and laziness to speak, spontaneous sweating, lassitude of spirit, hypersomnia, and physical cold and cold limbs. The tongue is pale or dark and purple; the tongue fur is white; and the pulse is weak.

Analysis: When heart yáng is insufficient, heart qì is depleted, hence the heart palpitation, spontaneous sweating, lassitude of spirit, and hypersomnia. When yáng qì is too weak to move the blood, stasis obstruction of the heart vessels develops and qì dynamic stagnates, hence the stifling oppression and pain in the heart and chest. Spleen yáng vacuity develops from spleen qì vacuity. Spleen qì vacuity causing impaired movement and transformation of grain and water accounts for the reduced eating and for the internal collection of water-damp that manifests in rumbling intestines and sloppy stool diarrhea. Yáng vacuity deprives the limbs of warmth, hence the physical cold and cold limbs. The somber-white facial complexion, scantness of breath and laziness to speak, spontaneous sweating, pale or dark purple tongue with white fur, and the weak pulse, are all indications of heart-spleen yáng vacuity.

Medicinal therapy: Assist yáng and boost qì; fortify the spleen and nourish the heart. Use Origin-Preserving Decoction (保元汤 bǎo yuán tāng) plus Chinese angelica (Angelicae Sinensis Radix, 当归 dāng guī), white atractylodes (Atractylodis Macrocephalae Rhizoma, 白朮 bái zhú), tangerine peel (Citri Reticulatae Pericarpium, 陈皮 chén pí), and schisandra (Schisandrae Fructus, 五味子 wǔ wèi zǐ). For pronounced yáng vacuity, add aconite (Aconiti Radix Lateralis Praeparata, 附子 fù zǐ) and dried ginger (Zingiberis Rhizoma, 干姜 gān jiāng).

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), CV-4 (Pass Head, 关元 guān yuán), CV-6 (Sea of Qì, 气海 qì hǎi), GV-4 (Life Gate, 命门 mìng mén), PC-6 (Inner Pass, 内关 nèi guān), HT-7 (Spirit Gate, 神门 shén mén), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and LR-13 (Camphorwood Gate, 章门 zhāng mén); needle with supplementation and large amounts of moxa.

Compare dual vacuity of the heart and spleen.

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