↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Palpitations worse with exertion, shortness of breath on mild activity, spontaneous daytime sweating, pale tired-looking face, weak voice with reluctance to talk, fatigue and lack of stamina.
Tongue: Pale, puffy tongue with thin white coating, midline crack toward the tip in chronic cases. Pulse: Empty/soft and large superficially but disappears under pressure, weakest at the left Cun position.
Treatment principle: Tonify Heart Qi to restore the vital force that keeps valve tissue firm.
Note: moxa applicable throughout. Direct exact-name match with this site's own Heart-Qi-deficiency slide.
Clinical manifestations: Palpitations with insomnia and vivid dreaming, poor memory and forgetfulness, pale lips/nail beds with a dull complexion, dizziness and general fatigue.
Tongue: Pale body, possibly thin, with thin white coating. Pulse: Fine and weak, possibly choppy, especially weak at the left Cun position.
Treatment principle: Nourish Blood to restore the material foundation supporting valve tissue.
Note: moxa applicable on ST-36. Direct exact-name match with this site's own Heart-Blood-deficiency slide.
Clinical manifestations: Stabbing or pricking chest pain in a fixed location, purple or dark lips and nails, palpitations with irregular/skipped beats, cold hands, anxiety or restlessness during pain episodes.
Tongue: Purple or dark-red body with stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or knotted, especially at the left Cun position.
Treatment principle: Invigorate Blood and dispel stasis to unblock the vessels nourishing the valve.
Note: no moxa. Direct exact-name match with this site's own Heart-Blood-stasis slide.
Clinical manifestations: Palpitations worse with exertion or cold, cold hands/feet with dislike of cold, bright pale/white face, chest stuffiness relieved by warmth, fatigue with low energy and spontaneous sweating.
Tongue: Pale, puffy, tender body with teeth marks and white slippery coating. Pulse: Deep and weak at the left Cun, may be knotted with irregular pauses.
Treatment principle: Warm and restore Heart Yang to strengthen the pumping action.
Note: moxa applicable throughout. Direct exact-name match with this site's own Heart-Yang-deficiency slide.
Clinical manifestations: Palpitations worse at rest or night, night sweats, mental restlessness and anxiety, feeling of heat in the palms/soles/chest, dry mouth and throat, malar flush, insomnia with vivid disturbing dreams.
Tongue: Red body especially at the tip, little or no coating, possibly midline crack, dry surface. Pulse: Fine and rapid, often empty on deep pressure, weak at the left Cun position.
Treatment principle: Nourish Heart Yin to settle restlessness and maintain valve tissue integrity.
Note: no moxa. Direct exact-name match with this site's own Heart-Yin-deficiency slide.
6. Water Qi Intimidating the Heart
Clinical manifestations: Palpitations worse when lying down, sensation of something rushing upward from the stomach to the chest, swelling of the lower legs or body, cold hands and feet, inability to lie flat due to breathlessness.
Tongue: Pale, swollen, tender body with teeth marks, white slippery water-slick coating. Pulse: Wiry and slippery, or deep and fine.
Treatment principle: Warm Spleen and Kidney Yang to transform retained fluids.
Note: moxa applicable on ST-36. This site's Kidney-Yang-deficiency-Water-overflowing slide is edema-framed rather than Heart-specific, and no Heart-deck slide covers this exact fluid-intimidating-the-Heart mechanism — no pattern link is given here; points still link fine individually.