↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Palpitations that worsen with exertion or after meals; poor appetite with bloating; a pale or sallow complexion; deep fatigue; insomnia with excessive dreaming; loose stools; a reluctance to speak; shortness of breath on activity; brought on by overthinking and worry, poor diet, overwork, or chronic illness; eased by rest and avoiding overthinking, warm nourishing food, gentle exercise, or calming meditation.
Tongue: Pale, puffy body with tooth marks, thin white coating. Pulse: Fine, Weak, empty at the left Cun position, soft and weak at the right Guan.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable.
Clinical manifestations: Palpitations that are worse at night or when lying down; night sweats; a hot sensation in the palms, soles and chest; anxiety and mental restlessness; red cheekbones; brought on by chronic stress, overwork, insufficient sleep, or a long illness; eased by rest, cooling hydrating food, avoiding overheating, or a calm evening routine.
Tongue: Red body, especially at the tip, little or no coating, dry surface, possible midline crack. Pulse: Fine, Rapid, weak at the deep level, especially at the left Cun position.
Treatment principle: Nourish Yin, nourish Blood, tonify Heart-Qi, clear deficiency Heat.
Note: no moxa (Yin deficiency).
Clinical manifestations: Palpitations worsened by exertion; shortness of breath on activity; fatigue and a lack of stamina; a pale complexion; reluctance to speak or a weak voice; brought on by overwork, chronic illness, a long-standing weak constitution, or lack of sleep; eased by rest, warm nourishing food, gentle exercise, or moxibustion.
Tongue: Pale, puffy body, thin white coating. Pulse: Empty, soft initially but disappears under pressure, weakest at the left Cun position.
Treatment principle: Tonify Heart-Qi, calm the Mind.
Note: moxa applicable.
Clinical manifestations: Palpitations that feel heavy or suppressed, worse with exertion; cold hands and feet; a bright, pale face; chest stuffiness or mild chest pain; mental listlessness and fatigue; deep fatigue and a lack of energy; brought on by ageing, chronic overwork, a long illness, or excessive strain on the Heart; eased by warmth, rest, warm nourishing food, or moxibustion.
Tongue: Pale, puffy, tender body with tooth marks, white slippery coating. Pulse: Deep, Weak, faint at the left Cun position, may be Knotted.
Treatment principle: Harmonize Yin and Yang, calm the Mind, relieve restlessness.
Note: moxa applicable.
Clinical manifestations: Palpitations with a sensation of heat or a forceful, pounding quality; chest oppression or fullness; palpitations that worsen after greasy or spicy food; a bitter taste in the mouth; mental restlessness and severely disturbed sleep; copious, thick, yellow, sticky phlegm; brought on by spicy or greasy food, alcohol, hot humid weather, or emotional outbursts; eased by cooling food and drinks, deep breathing, clearing phlegm from the throat, or avoiding alcohol and greasy food.
Tongue: Red, swollen body with a red prickly tip, thick yellow greasy coating. Pulse: Slippery, Rapid, forceful, full and overflowing at the left Cun position.
Treatment principle: Clear Heat, transform Phlegm, clear Liver and Gall Bladder Heat, harmonize the Stomach.
Note: no moxa.
Clinical manifestations: Stabbing chest pain in one spot, which may radiate to the shoulder, back, or inner left arm; dark, purplish lips and nail beds; cold hands; anxiety during pain episodes; brought on by an old injury, chronic untreated stagnation, cold exposure constricting circulation, or overexertion; eased by gentle movement, warmth, or gentle massage once the acute pain settles.
Tongue: Dark purple body with stasis spots, distended sublingual veins, thin white coating. Pulse: Choppy or Knotted, especially at the left Cun position.
Treatment principle: Invigorate Blood, dispel stasis, move Qi, alleviate pain, open the chest, disperse stagnation.
Note: no moxa. Stabbing chest pain radiating to the arm needs urgent medical evaluation before assuming it is this pattern.