Heart HEART_QI_DEF_BLOOD_STASIS

Heart Qi Deficiency with Blood Stasis

💊 Treatment principle: Strengthen Heart Qi, resolve stasis, circulate blood.

Description

Palpitations, fatigue, stabbing chest pain, dark lips.

Clinical features

Palpitations, fatigue, shortness of breath, stabbing chest pain, dark purple lips, purple tongue, choppy pulse.

🏥 Scientific research

Western understanding:

Heart Qi deficiency with Blood stasis correlates with heart failure, cardiomyopathy, and chronic angina. Characterized by shortness of breath, chest pain, palpitations, purple tongue, and a weak choppy pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for cardiovascular disease, respiratory conditions, and digestive disorders. Studies demonstrate efficacy for heart failure, COPD, chronic kidney disease, and IBS. Large-scale RCTs recommended for complex pattern differentiation.

⚠️ Cautions

Caution in patients on anticoagulants. Use shallow needling. Monitor for bleeding.

📚 References

Zhang Y, et al. Acupuncture for heart failure. J Card Fail. 2019. Wang L, et al. Acupuncture for COPD. Chest. 2020. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective
Technique: Moving
⏱️ Duration: 15 minutes
📅 Frequency: 1x per week
💪 Intensity: Moderate
Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:
LI4 primary
Hegu 合谷
View point details →
LR3 primary
Taichong 太冲
View point details →
SP10 primary
Xuehai 血海
View point details →
BL-18 primary
Ganshu 肝俞
View point details →
GB34 secondary
Yanglingquan 阳陵泉
View point details →
TE-5 secondary
Waiguan 外關
View point details →
BL-12 secondary
Fengmen 風門
View point details →

📍 Acupuncture points

PC6 Primary
Neiguan 内关
View point details →
HT7 Primary
Shenmen 神门
View point details →
SP10 Secondary
Xuehai 血海
View point details →
SP6 Adjuvant
Sanyinjiao 三阴交
View point details →

🔥 Moxa advice

strongly recommended
Recommended moxa points:
ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
View point details →
BL15 indirect moxa (ginger)
Xinshu 心俞
⏱️ Duration: 600 seconds
View point details →

📜 Herbal formulas

Buyang Huanwu Tang 补阳还五汤
🧠 TCM pattern:

Qi deficiency with blood stasis

📋 Indications:

Ischemic stroke (subacute phase, 7 days to 6 months) with hemiparesis and fatigue

📖 Classical source: Yilin Gaicuo (Qing dynasty)
🚫 Contraindications:

Hemorrhagic stroke, acute phase

⚠️ Safety warnings:

Monitor bleeding risk if combined with anticoagulants

Ganmai Dazao Tang 甘麦大枣汤
🧠 TCM pattern:

Heart-qi deficiency

📋 Indications:

Anxiety with tearfulness, restlessness, poor appetite

📖 Classical source: Jingui Yaolue
🚫 Contraindications:

Phlegm pattern

⚠️ Safety warnings:

Safe; may cause mild bloating

Xuefu Zhuyu Tang 血府逐瘀汤
🧠 TCM pattern:

Blood stasis

📋 Indications:

Angina pectoris, migraine, insomnia, chest tightness

📖 Classical source: Yilin Gaicuo
🚫 Contraindications:

Severe qi deficiency

⚠️ Safety warnings:

Monitor bleeding risk with anticoagulants