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Paroxysmal Tachycardia

How Chinese medicine differentiates paroxysmal tachycardia — sudden, unpredictable bursts of rapid heartbeat — into the seven patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Sudden episodes of a very fast heartbeat, especially with chest pain, fainting, or shortness of breath, need medical evaluation to rule out a dangerous arrhythmia before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for paroxysmal tachycardia — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
HE-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
BL-15Calms the Mind. Nourishes the Heart. Clears Heat. Regulates Heart-Qi and invigorates Blood.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Lifts Spleen-Qi.
ST-40Resolves Phlegm and Dampness. Calms the Mind and opens the Mind's orifices.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
BL-17Invigorates Blood. Cools Blood. Stops bleeding. Nourishes Blood.
REN-17Tonifies Qi and strengthens the Gathering Qi. Opens the chest.
BL-22Resolves Dampness. Opens the Water passages in the Lower Burner. Invigorates Blood.
REN-9Opens the Water passages and promotes the transformation of fluids.
The Seven Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Blood Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with fatigue, pale or sallow complexion, dizziness and light-headedness, insomnia with vivid dreams, easily startled or anxious temperament.
Tongue: Pale body with thin coating. Pulse: Fine and weak, possibly choppy, especially thin at the left Cun position.
Treatment principle: Nourish Heart Blood and anchor the Shen.
Note: moxa applicable on ST-36. Direct exact-name match with this site's own Heart-Blood-deficiency slide.

2. Heart Yin Deficiency View full pattern →

Clinical manifestations: Palpitations feeling hot or fluttering, worse at night or resting, night sweats, five-palm heat, dry mouth and throat, mental restlessness and agitation.
Tongue: Red especially at the tip, little or no coating, dry surface, possible midline crack. Pulse: Thin and rapid, weak at deep level, especially at the left Cun.
Treatment principle: Nourish Heart Yin and clear empty Heat.
Note: no moxa. Direct exact-name match with this site's own Heart-Yin-deficiency slide.

3. Heart and Spleen Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with fatigue, poor appetite and bloating after eating, pale or sallow complexion, fatigue and low energy, loose stools, insomnia with vivid dreams, easily startled or anxious.
Tongue: Pale and tender body with teeth marks along the edges, thin white coating. Pulse: Fine and weak, possibly choppy.
Treatment principle: Strengthen the Spleen to produce Blood, nourish Heart Blood.
Note: moxa applicable on BL-20/ST-36. Matched to this site's own Spleen-and-Heart-Blood-deficiency slide.

4. Phlegm-Fire Harassing the Heart View full pattern →

Clinical manifestations: Sudden onset palpitations, chest oppression and fullness, copious thick yellow sticky phlegm, mental restlessness and agitation, bitter taste in the mouth, flushed red face and red eyes.
Tongue: Red body, often swollen with a red prickly tip, thick yellow greasy coating. Pulse: Slippery and rapid, left Cun full and overflowing.
Treatment principle: Clear Heart Fire and transform Phlegm.
Note: no moxa. Direct exact-name match with this site's own Phlegm-Fire-harassing-the-Heart slide.

5. Heart Yang Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with exertion, cold hands and feet, chest stuffiness or mild chest pain, pale or sallow complexion, fatigue and low energy, spontaneous sweating, aversion to cold.
Tongue: Pale and puffy with teeth marks, white slippery coating. Pulse: Deep, weak, slow, may be knotted with irregular pauses.
Treatment principle: Warm and restore Heart Yang to propel circulation.
Note: moxa applicable on REN-4. Direct exact-name match with this site's own Heart-Yang-deficiency slide.

6. Heart Blood Stagnation View full pattern →

Clinical manifestations: Stabbing or pricking chest pain in a fixed location, cold hands and feet, sensation of suffocation or chest tightness, anxiety or restlessness during pain episodes, purple or dark lips and nails.
Tongue: Purple or dark-red body with stasis spots, distended sublingual veins, thin white coating. Pulse: Choppy or knotted, often irregular with pauses.
Treatment principle: Invigorate Blood circulation, dispel stasis, calm the Heart.
Note: no moxa. Direct exact-name match with this site's own Heart-Blood-stasis slide.

7. Water Qi Intimidating the Heart

Clinical manifestations: Palpitations worse when lying down, swelling of the lower legs or body, cold hands and feet, sensation of something rushing upward from the stomach to the chest, feeling of suffocation, chest oppression and fullness.
Tongue: Pale, swollen, tender body with teeth marks. Pulse: Wiry and slippery, or deep and fine.
Treatment principle: Warm Yang and transform fluid retention, strengthen the Spleen.
Note: no moxa. This site has no Heart-deck slide covering fluid-intimidating-the-Heart, the same gap confirmed on Mitral Valve Prolapse last round — no pattern link is given here; points still link fine individually.
Related conditions

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