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Vacuity desertion of heart yáng
心阳虚脱 〔心陽虛脫〕xīn yáng xū tuō
Main name: Vacuity desertion of heart yáng (心阳虚脱 xīn yàng xū tuō)
Alternate name: Fulminant desertion of heart yáng (心阳暴脱 xīn yàng bào tuō)
Key signs: Sudden development of heart palpitation, chest pain, cold sweating, reversal cold of the limbs, clouded spirit, and a faint pulse in patients suffering from heart yáng vacuity.
Description: Dripping cold sweat; reversal cold of the limbs, somber-white complexion; weak faint breathing; in some cases, heart palpitation; acute pain in the heart; clouded spirit; green-blue or purple lips; a pulse that is faint on the verge of expiration. This pattern occurs in patients suffering from heart yáng vacuity and is of sudden onset.
Diseases: Heart palpitation; fearful throbbing; sweating; reversal patterns.
Pathogenesis: This is a severe condition of sudden onset that occurs when heart yáng vacuity reaches its extreme. In addition to heart yáng vacuity, other factors may contribute to this pattern:- sudden damage to heart yáng by cold evil;
- phlegm-stasis obstructing the heart vessels;
- loss of blood or liquid, depriving the heart’s yáng qì of its support.
Analysis of signs
- Heart and chest: Stifling oppression in the heart and chest and heart pain attributable to congealing cold that obstructs the movement of qì and blood.
- Breathing: Weak faint breathing that develops when ancestral qì discharges outward and fails to power respiration.
- Spirit-mind: Clouded spirit arising when the heart spirit is dissipated owing to lack of warmth and nourishment.
- Yáng collapse: Dripping cold sweat, reversal cold of the limbs; somber-white complexion and green-blue lips.
- Complexion: a somber white complexion reflecting the non-movement of blood.
- Tongue: Green-blue or purple, reflecting non-movement of blood.
- Pulse: Faint, on the verge of expiration.
Comparison: See v2/Table 11‑2 Comparison Between Heart Yáng Vacuity and Vacuity Desertion of Heart Yáng.
| Comparison Between Heart Yáng Vacuity and Vacuity Desertion of Heart Yáng | ||
|---|---|---|
| Heart Yáng Vacuity | Vacuity Desertion of Heart Yáng | |
| Common Signs | Heart pain and cold signs | |
| Breathing | Shortness of breath | Weak breathing |
| Cold Signs | Fear of cold; cold limbs | Reversal cold of the limbs |
| Sweating | Spontaneous sweating | Cold dripping sweat |
| Spirit Signs | None | Clouded spirit |
Treatment
- Medicinal therapy: Return yáng and stem counterflow [cold] using shēn fù tāng (Ginseng and Aconite Decoction) or shēn fù lóng mǔ tāng (Ginseng, Aconite, Dragon Bone, and Oyster Shell Decoction).
- Acumoxatherapy: Supplement/moxa BL-15 (xīn shù), CV-14 (jù què), CV-14 (jù què), GV-26 (shuǐ gōu), GV-25 (sù liáo), PC-6 (nèi guān), GV-20 (bǎi huì), CV-8 (shén què), CV-4 (guān yuán), and KI-1 (yǒng quán).