Clinical Information For the Treatment Of Palpitations

What Is Palpitations?


Palpitations - Basics

A palpitation is characterized by an irregularly fast or hard heartbeat or the sensation of the heart fluttering or skipping a beat. Several different factors can cause a heart palpitation, most of which are not problematic. These include high emotions such as fear or stress, strenuous activity, hormones, certain medications or drugs, and some medical conditions such as hyperthyroidism and anemia. Sometimes, however, palpitations can be the symptom of an arrhythmia, which causes the heart to beat too fast, too slowly or irregularly. An arrhythmia can be the sign of an underlying heart problem such as heart failure or heart attack.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Palpitations.

What Patterns Are Related To Palpitations?


Palpitations - Diagnostic Patterns

The Chinese Medicine treatment of palpitations generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of palpitations:

Blood StagnationHeart Qi DeficiencyHeart Yang DeficiencyHeart Yin Deficiency

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Which Tam Healing and Tongren Therapy Protocols Apply To Palpitations?


Palpitations - Tam Healing and Tongren Therapy Protocols

Tong Ren Therapy is the energy healing/medical qi gong aspect of the Tam Healing System. The areas of focus for palpitations that we would use in Tong Ren techniques form the basis for our acupuncture treatments as well. Generally you would mix these primary points with points specific to the patients underlying TCM pattern and then our tuina (medical massage) would be largely focused on these points as well.

The following Tam healing and tong ren therapy protocols may be used with palpitations:

18 Points Are Empirically Important For Palpitations

5 TCM Herbs Are Potentially Used With Palpitations

Formulas and Products @ Our Store Associated With Palpitations

The Following (11)Formulas TCM Herbal Formulas May Be Useful For Palpitations

An Shen Bu Xin Wan (Calm the Shen and Supplement the Heart Pills)

Clinical Usages

  • Insomnia and palpitations
  • Anxiety, possible difficulty with concentration
  • Irritibility and restlessness
  • Tinnitus

    Clinical Categorization

    Dan Gui Shao Yao Wan (Dang Gui And Peony Powder)

    Clinical Usages

    • Blood deficiency with poor water circulation - generally used for abdominal pain during pregnancy - mild to moderate possibly with cramps, lower body edema and difficult urination.
    • Above issues with blood deficient signs - anemia, dizziness, palpitations, low energy, cold hands and feet.
    • May be appropriate for general hormonal/blood related issues - dysemenorrhea, irregular cycles, uterine bleeding, anovulation.

      Clinical Categorization

      Gui Pi Wan (Restore the Spleen Formula)

      Clinical Usages

      • The formula is used to tonify both the spleen and heart which can be damaged from excessive overthinking, compulsions, etc. along with poor dietary habits and stressful lifestyle.  
      • Anxiety, phobias, palpitations, insomnia, dream disturbed sleep, poor appetite, pallid complexion.
      • In women spleen and heart deficiencies may lead to prolonged periods with little flow or early periods, heavier with pale blood.

        Clinical Categorization

        Jia Wei Gui Pi Wan (Augmented Restore The Spleen Decoction)

        Clinical Usages

        • A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification.
        • A range of stress related issues - essentially mixes of stagnation with underlying deficiencies.
        • Potential uses with immune / idiopathic thrombocytopenic purpura (ITP) and other bruising/bleeding issues with appropriate diagnostic factors.

          Clinical Categorization

          Jia Wei Xiao Yao Wan (Free and Easy Wanderer Pills)

          Clinical Usages

          • Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat.
          • Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, breast distention, PMS, acne.
          • A range of mild to moderate psychological issues arising from liver qi stagnation such as anxiety, depression, panic disorder, insomnia, anger issues, etc.
          • Physical symptoms from liver qi stagnation such as headaches, tightness in the chest, cold hands and feet, various eye issues.

            Clinical Categorization

            Shen Jing Shuai Ruo Wan (Stress Reducing Pill)

            Clinical Usages

            • For common variants of the modern western lifestyle - in Chinese Medicine terms, calms the spirit, balance liver and kidney yin, for a range of psycho-emotional and physical issues from chronic stress and mental overwork.  Symptoms may include insomnia, dizziness, inability to focus, memory problems, fatigue, palpitations, and/or tinnitus. 

              Clinical Categorization

              Sheng Mai San Wan (Generate the Pulse Pills)

              Clinical Usages

              • Respiratory issues from lung qi and yin deficiencies - chronic cough, wheezing.
              • May be used for damage from longer term illnesses and/or the overuse of wind clearing formulas for colds/flus - nightsweats, spontaneous sweating.
              • With the right underlying patterns a range of respiratory and coronary issues.

                Clinical Categorization

                Shi Quan Da Bu Wan (Ten Tonics Nourishment Pills)

                Clinical Usages

                Coming Soon...

                  Clinical Categorization

                  Suan Zao Ren Wan (Sour Jujube Decoction)

                  Clinical Usages

                  • Shen related issues when arising from liver blood deficiency - anxiety, insomnia.
                  • Menopausal heat contributing to sleep and/or anxiety issues.
                  • Palpitations, night sweats, and general dryness.

                    Clinical Categorization

                    Tian Wang Bu Xin Wan (Emperor of Heavens Special Pill to Tonify the Heart)

                    Clinical Usages

                    • Anxiety, insomnia, irritability, night sweats, hot flashes, flushing or sensation of heat in the palms due to deficiency heat.
                    • Insomnia, poor memory, poor focus and concentration due to yin deficiency.

                      Clinical Categorization

                      Wen Dan Wan (Warm the Gallbladder Formula)

                      Clinical Usages

                      • Anxiety, depression, insomnia, and other shen disturbances caused by phlegm misting the mind.
                      • Seizures, convulsions or other types of involuntary muscle contractions that are caused by phlegm and heat.
                      • Nausea, vomitting, abdominal discomfort resulting from disharmony of the stomach and gallbladder/liver.
                      • Vertigo, dizziness or light-headedness.

                        Clinical Categorization


                          • Use with caution with patients that present with yin or blood deficiency.

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