Theory

Chinese Herbal and Acupuncture Treatment Protocols for Palpitations - Formulas, Protocols, TCM Diagnoses


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.


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:



Palpitations - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating palpitations. For a complete list from our store with more details see our palpitations formula section.


Palpitations - Questions

Need treatment options for palpitations and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of palpitations.



Palpitations - Related Acupuncture Points

The following (18) acupuncture points may be useful for palpitations. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Palpitations - Related Chinese Herbs

The following (5) chinese herbs may be useful for palpitations. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (9) Formulas TCM Herbal Formulas May Be Useful For Palpitations

An Shen Bu Xin Wan

Gui Pi Wan

  • Restore the Spleen Formula
    • 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.
  • Tonify
  • Tonify the Qi and Blood

Jia Wei Gui Pi Wan

  • Augmented Restore The Spleen Decoction
    • 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.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Jia Wei Xiao Yao Wan

  • Free and Easy Wanderer Pills
    • 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.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Sheng Mai San Wan

Shi Quan Da Bu Wan

Suan Zao Ren Wan

  • Sour Jujube Decoction
    • 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.
  • Calm The Spirit
  • Nourish the Heart and Calm the Spirit

Tian Wang Bu Xin Wan

  • Emperor of Heavens Special Pill to Tonify the Heart
    • 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.
  • Calm The Spirit
  • Nourish the Heart and Calm the Spirit

Wen Dan Wan

  • Warm the Gallbladder Formula
    • 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.
  • Treat Phlegm
  • Clear Heat and Transform Phlegm
  • Cautions
    • Use with caution with patients that present with yin or blood deficiency.



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