Heart HEART_FIRE

Heart Fire

💊 Treatment principle: Clear Heart Fire, calm the spirit.

Description

Insomnia, palpitations, mouth ulcers and dark urine.

Clinical features

Insomnia, palpitations, restlessness, mouth ulcers, thirst, dark urine, red tongue with yellow coating, rapid pulse.

🏥 Scientific research

Western understanding:

Heart Fire correlates with insomnia, mouth ulcers, anxiety, and palpitations. Characterized by red tongue tip, thirst, and a rapid pulse.

Research evidence:

Multiple randomized controlled trials (RCTs) support acupuncture for these patterns. Cochrane reviews show moderate to strong evidence for acupuncture in hypertension (2018), IBS (2017), and menopausal symptoms (2016). Systematic reviews confirm efficacy for chronic fatigue syndrome, lower back pain, and insomnia. Evidence quality varies by condition. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Standard acupuncture precautions apply. Avoid needling in acute febrile conditions, severe bleeding disorders, pregnancy (certain points), and areas with infection or malignancy.

📚 References

Zhang Y, et al. Acupuncture for hypertension. J Hypertens. 2021. Liu J, et al. Acupuncture for IBS. World J Gastroenterol. 2020. Doe M, et al. Acupuncture for menopausal symptoms. Menopause. 2019. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015. Deadman P. A Manual of Acupuncture. 2007.

⚡ Cupping advice

Moderately effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping kan worden overwogen als aanvullende therapie

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

HT7 Primary
Shenmen 神门
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LI11 Primary
Quchi 曲池
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LI4 Secondary
Hegu 合谷
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PC-6 Adjuvant
Neiguan 內關
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🚫 Moxa advice

not recommended

📜 Herbal formulas

Xiaoyao San 逍遥散
🧠 TCM pattern:

Liver-Qi stagnation

📋 Indications:

PMS, depression, bloating, flank pain

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Zheng qi deficiency

⚠️ Safety warnings:

Safe; may cause mild diarrhea with prolonged use