What is Palpitations?

Palpitations are sensations where an individual feels their heart is beating too hard, too fast, skipping a beat, or fluttering. These sensations can occur in the chest, throat, or neck and are often noticeable during rest or activities. While typically benign, palpitations can be unsettling and may occasionally signal underlying heart conditions that require medical evaluation. Understanding the context and frequency of these palpitations is essential for determining their significance and potential need for further investigation.

How Does TCM View Palpitations?

In Traditional Chinese Medicine (TCM), palpitations are viewed not merely as a cardiac symptom but as an indicator of systemic imbalance. TCM suggests that palpitations can arise from disharmonies in Qi (vital energy), Blood, Yin, or Yang within the body, affecting Heart function.

This perspective emphasizes the importance of diagnosing the specific underlying pattern of disharmony to effectively tailor the treatment, aiming to restore balance and address both the symptom and its root cause holistically.

Root Causes of Palpitations in TCM

TCM identifies multiple patterns that could lead to palpitations, each associated with different systemic imbalances. A prevalent cause is Qi Deficiency, where there is not enough energy to stabilize the Heart, leading to palpitations alongside symptoms like weakness and fatigue.

Another common pattern is Blood Deficiency, which fails to nourish the heart adequately, resulting in palpitations, dizziness, and insomnia. These conditions reflect the holistic approach of TCM, where the heart's health is intertwined with the overall vitality and balance of the body's energies.

Explore below more details about what might cause Palpitations according to TCM.

  • By Syndrome
  • By Organ
  • Blood Deficiency
  • Qi Deficiency
  • Heat
  • Yin Deficiency
  • Yang Deficiency
  • Phlegm
  • Blood Stasis
  • Mind Disturbance
  • Qi Stagnation
  • Cold
  • Dampness
  • Yang Excess
  • Heart
  • Kidney
  • Spleen
  • Pericardium
  • Liver
  • Uterus
  • Lung
  • Gallbladder
  • Stomach
Detailed description of the cause

Blood Deficiency

Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more

Blood Deficiency Patterns That Can Lead to Palpitations

Common Symptoms: Dizziness Poor Memory Insomnia Pale Lips Scanty Menstruation Anxiety Generalized Fatigue Vivid Dreaming

Pattern Name Relevant Symptoms Relevant Formulas
Qi and Blood Deficiency Palpitations, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | Ren Shen Yang Rong Tang | Shi Quan Da Bu Tang | Ba Zhen Tang | Guo Qi Yin | Zhi Gan Cao Tang
Blood Deficiency Palpitations, Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia... see more Gui Pi Tang | Ren Shen Yang Rong Tang | Si Wu Tang | Dang Gui Bu Xue Tang | Da Bu Yuan Jian | Liu Wei Di Huang Wan | Ren Shen Zi Xie Tang
Heart Blood Deficiency Palpitations, Easily startled, Vivid dreaming Gui Pi Tang | Bai Zi Yang Xin Wan | Si Wu Tang | Shen Qi Si Wu Tang | Gan Mai Da Zao Tang | Suan Zao Ren Tang | Zhen Xin An Shen Tang
Liver and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Blurry vision, Eye floaters, Night blindness, Tingling of limbs, Limb numbness, Scanty menstruation, Amenorrhea, Muscle cramps, Muscle weakness, Dry hair, Skin dryness, Depression, Lack of direction, Withered and brittle nails... see more Gui Pi Tang | Suan Zao Ren Tang | Sheng Yu Tang | Zhen Zhu Mu Wan
Pericardium Blood Deficiency Palpitations, Chest distension, Chest stiffness, Chest pain, Insomnia, Poor memory Shen Qi Si Wu Tang
Spleen and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Generalized fatigue, Muscle weakness, Diarrhea, Lack of appetite, Scanty menstruation... see more Gui Pi Tang
Liver Yang Rising with Blood and Yin Deficiency Occasional palpitations, Irritability, Insomnia, Anxiety, Dizziness Zhen Zhu Mu Wan
Heart and Spleen Deficiency Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips, Dizziness... see more Gui Pi Tang
Heart and Spleen Qi and Blood Deficiency Palpitations, Poor memory, Restless sleeplessness, Fever, Lack of appetite, Generalized fatigue, Coughing, Shortness of breath, Exertional dyspnea, Weight loss, Skin dryness... see more Ren Shen Yang Rong Tang
Blood Deficiency and Stagnation Palpitations, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain, Muscle contractions... see more Si Wu Tang | Tao Hong Si Wu Tang
Yin and Blood Deficiency Palpitations with anxiety, Irritability, Heart palpitations with anxiety, Generalized fatigue, Restless sleeplessness, Poor concentration, Nocturnal emission, Poor memory, Dry stools, Mouth ulcers, Menopausal symptoms... see more Tian Wang Bu Xin Dan
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Palpitations

Common Symptoms: Generalized Fatigue Shortness Of Breath Spontaneous Sweat Lack Of Appetite Pale Face Pale Menstrual Flow Thin Menstrual Blood General Weakness

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Kidney Qi Deficiency Palpitation, Excessive menstruation, Pale menstrual flow, Thin menstrual blood, Prolonged menstrual periods, Shortness of breath, Palpitations... see more Gu Chong Tang
Qi Deficiency Palpitations, General weakness, Weak voice, Generalized fatigue, Low energy, Reluctance to speak, Spontaneous sweat, Frequent colds or flu, Lack of appetite, Diarrhea, Shortness of breath... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | Gu Ben Zhi Beng Tang | Ju Yuan Jian | Si Jun Zi Tang | Liu Jun Zi Tang
Qi and Blood Deficiency Palpitations, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | Ren Shen Yang Rong Tang | Shi Quan Da Bu Tang | Ba Zhen Tang | Guo Qi Yin | Zhi Gan Cao Tang
Heart Qi Deficiency Palpitations, Exertional dyspnea, Pale face, Spontaneous sweat, Generalized fatigue Bai Zi Yang Xin Wan | Bao Yuan Tang | Bai Zi Yang Xin Tang
Lung and Heart Qi Deficiency Palpitations, Shortness of breath, Coughing, Weak voice, Reluctance to speak, Pale face, Frequent colds or flu, Generalized fatigue, Depression, Spontaneous sweat, Sighing... see more Bao Yuan Tang | Si Jun Zi Tang
Spleen or Kidney Qi Deficiency Palpitations, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Heart and Spleen Deficiency Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips, Dizziness... see more Gui Pi Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Palpitations, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Heart and Spleen Qi and Blood Deficiency Palpitations, Poor memory, Restless sleeplessness, Fever, Lack of appetite, Generalized fatigue, Coughing, Shortness of breath, Exertional dyspnea, Weight loss, Skin dryness... see more Ren Shen Yang Rong Tang
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Palpitations

Common Symptoms: Anxiety Insomnia Restlessness Bitter Taste In The Mouth Vivid Dreaming Thirst Flushed Face Stifling Sensation In The Chest

Pattern Name Relevant Symptoms Relevant Formulas
Heart Fire blazing Palpitations, Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat, Insomnia, Flushed face, Hematuria, Dark urine, Bitter taste in the mouth... see more Xie Xin Tang | Zi Xue Dan | Qing Xin Lian Zi Yin | Liang Ge San
Pericardium Fire Palpitations, Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers, Cardiac burning sensation, Rapid breath, Restlessness, Anxiety, Feeling of heat, Vivid dreaming, Excessive menstruation... see more Xie Xin Tang | Zi Xue Dan
Phlegm Fire harassing the Pericardium Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression, Stifling sensation in the chest, Chest pain, Rapid breath... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Zhi Bao Dan | Hui Chun Dan
Phlegm-Fire harassing the Heart Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Sheng Tie Luo Yin
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Palpitations, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Disharmony between Heart and Kidneys Palpitations, Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes, Blurry vision... see more Tian Wang Bu Xin Dan | Liu Wei Di Huang Wan
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Palpitations, Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Palpitations

Common Symptoms: Dizziness Night Sweats Insomnia Anxiety Poor Memory Tinnitus Restlessness Dry Throat

Pattern Name Relevant Symptoms Relevant Formulas
Heart Yin Deficiency Palpitations, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms Tian Wang Bu Xin Dan | Ren Shen Dang Gui Tang
Liver Yang Rising with Blood and Yin Deficiency Occasional palpitations, Irritability, Insomnia, Anxiety, Dizziness Zhen Zhu Mu Wan
Deficiency of both the Kidney Yin and Yang Palpitations, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Frequent urination... see more Er Xian Tang
Heart and Kidney Yin Deficiency Palpitations, Insomnia, Poor memory, Night sweats, Anxiety, Tinnitus, Dizziness, Vivid dreaming, Restlessness, Nocturnal emission... see more Tian Wang Bu Xin Dan | Jiao Tai Wan | Ci Zhu Wan
Disharmony between Heart and Kidneys Palpitations, Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes, Blurry vision... see more Tian Wang Bu Xin Dan | Liu Wei Di Huang Wan
Yin and Blood Deficiency Palpitations with anxiety, Irritability, Heart palpitations with anxiety, Generalized fatigue, Restless sleeplessness, Poor concentration, Nocturnal emission, Poor memory, Dry stools, Mouth ulcers, Menopausal symptoms... see more Tian Wang Bu Xin Dan
Detailed description of the cause

Yang Deficiency

Yang deficiency in TCM refers to a state where the body's Yang energy, which is responsible for warmth, activity, and function, is weakened or diminished. This pattern of disharmony often arises from chronic illness, aging, or inherent constitutional weakness. Symptoms of Yang deficiency are typically associated with cold and sluggishness, such as a feeling of coldness, cold extremities, pale complexion, low energy or fatigue, and a desire for warmth. Digestive issues like poor appetite, loose stools, and water retention can also be indicative of Yang deficiency.... see more

Yang Deficiency Patterns That Can Lead to Palpitations

Common Symptoms: Chills Hypertension Generalized Fatigue Shortness Of Breath Sciatica Osteoarthritis Rheumatoid Arthritis Lumbar Disc Disease

Pattern Name Relevant Symptoms Relevant Formulas
Heart Yang Deficiency Palpitations, Exertional dyspnea, Generalized fatigue, Spontaneous sweat, Slight feeling of stuffiness in the heart, Chills, Cold hands, Bright pale face, Dark lips... see more Gui Zhi Jia Long Gu Mu Li Tang
Kidney Yang Deficiency with Water overflowing Palpitations, Edema of the lower extremities, Cold sensation in legs and back, Abdominal distention, Lumbar pain, Chills, Scanty clear urination, Shortness of breath, Cold hands, White and watery sputum, Coughing, Asthma... see more Wu Ling San | Ji Sheng Shen Qi Wan
Painful Obstruction with Liver and Kidney Deficiency Palpitations, Lower back and leg pain and heaviness, Weakness and stiffness, Aversion to cold, General cold feeling, Shortness of breath, Chronic lower back pain, Sciatica, Osteoarthritis, Rheumatoid arthritis, Periarthritis of the shoulder... see more Du Huo Ji Sheng Tang
Deficiency of both the Kidney Yin and Yang Palpitations, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Frequent urination... see more Er Xian Tang
Spleen or Kidney Yang Deficiency Palpitations, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Coughing, Vomit, Congestive heart failure... see more Zhen Wu Tang
Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency Severe and continuous palpitations, Irritability, Restlessness, Severe heart palpitations, Cold sensation in lower limbs, Insomnia, Anxiety, Mental exhaustion, Dysautonomia, Hypertension... see more Jiao Tai Wan
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Palpitations

Common Symptoms: Depression Chronic Gastritis Peptic Ulcer Stifling Sensation In The Chest Sputum Vertigo Bitter Taste In The Mouth Insomnia

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Palpitations, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang
Phlegm-Fluids in the hypochondrium Palpitations, Hypochondrial pain that is worse on coughing and breathing, Shortness of breath, Hypochondriac distention... see more Ling Gui Zhu Gan Tang
Phlegm Fire harassing the Pericardium Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression, Stifling sensation in the chest, Chest pain, Rapid breath... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Zhi Bao Dan | Hui Chun Dan
Phlegm-Fire harassing the Heart Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Sheng Tie Luo Yin
Damp-Cold Phlegm Palpitations, Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum, Upper respiratory tract infections, Chronic bronchitis, Emphysema, Goitre... see more Er Chen Tang
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Palpitations, Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Palpitations

Common Symptoms: Stifling Sensation In The Chest Purple Lips Purple Nails Cold Hands Purple Face Shortness Of Breath Depression Chest Pain

Pattern Name Relevant Symptoms Relevant Formulas
Heart Blood Stagnation Palpitations, Stabbing chest pain, Chest constriction, Stifling sensation in the chest Xue Fu Zhu Yu Tang
Heart Vessel obstructed Palpitations, Shortness of breath, Depression, Restlessness, Stifling sensation in the chest, Heart pain, Chest pain, Sputum, Feeling of heaviness, Reluctance to speak, Cold extremities, Sighing, Purple lips, Purple nails, Purple face... see more Xue Fu Zhu Yu Tang | Chai Hu Shu Gan San | Di Tan Tang | Dang Gui Si Ni Tang
Pericardium Blood Stagnation Palpitations, Chest pain, Chest distension, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails, Menstrual cramps, Dark menstrual clots... see more Xue Fu Zhu Yu Tang
Blood Deficiency and Stagnation Palpitations, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Poor constitution, Irregular periods, Amenorrhea, Lower abdominal pain, Muscle contractions... see more Si Wu Tang | Tao Hong Si Wu Tang
Detailed description of the cause

Mind Disturbance

In TCM "Shen" refers to the mind or spirit, and a Shen disturbance is a pattern of disharmony that affects the mental and emotional state. This concept reflects the TCM belief in the deep interconnectedness of mind and body. Symptoms of Shen disturbance can vary widely but often include anxiety, insomnia, restlessness, confusion, or in severe cases, hallucinations or delirium. These symptoms indicate an imbalance in the body's energies affecting the heart, which in TCM is not only the center of blood circulation but also the seat of the mind and consciousness. The root of Shen disturbance can be traced to various factors, including emotional stress, physical illness, or an imbalance in fundamental substances like Qi, Yin, or Yang.... see more

Mind Disturbance Patterns That Can Lead to Palpitations

Common Symptoms: Thirst Restlessness Anxiety Insomnia Flushed Face Bitter Taste In The Mouth Vivid Dreaming Stifling Sensation In The Chest

Pattern Name Relevant Symptoms Relevant Formulas
Heart Fire blazing Palpitations, Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat, Insomnia, Flushed face, Hematuria, Dark urine, Bitter taste in the mouth... see more Xie Xin Tang | Zi Xue Dan | Qing Xin Lian Zi Yin | Liang Ge San
Pericardium Fire Palpitations, Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers, Cardiac burning sensation, Rapid breath, Restlessness, Anxiety, Feeling of heat, Vivid dreaming, Excessive menstruation... see more Xie Xin Tang | Zi Xue Dan
Phlegm Fire harassing the Pericardium Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression, Stifling sensation in the chest, Chest pain, Rapid breath... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Zhi Bao Dan | Hui Chun Dan
Phlegm-Fire harassing the Heart Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Sheng Tie Luo Yin
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Palpitations

Common Symptoms: Depression Chest Distension Stifling Sensation In The Chest Throat Lumps Shortness Of Breath Sighing Lack Of Appetite Cold Extremities

Pattern Name Relevant Symptoms Relevant Formulas
Heart Qi Stagnation Palpitations, Chest distension, Stifling sensation in the chest, Depression Ban Xia Hou Pu Tang
Pericardium Qi Stagnation Palpitations, Mild chest pain, Chest distension, Stifling sensation in the chest, Sighing, Throat lumps, Depression, Irritability, Lack of appetite, Weak limbs, Cold extremities... see more Ban Xia Hou Pu Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Palpitations, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Palpitations, Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Palpitations

Common Symptoms: Dizziness Chills Cold Extremities Pale Face Absence Of Thirst Low Energy Excessive Sweating Diarrhea

Pattern Name Relevant Symptoms Relevant Formulas
Empty-Cold Palpitations, Chills, Cold extremities, Pale face, Absence of thirst, Low energy, Excessive sweating, Diarrhea, Clear urination, Frequent urination... see more Huang Qi Jian Zhong Tang | Da Jian Zhong Tang | Ban Liu Wan
Damp-Cold Phlegm Palpitations, Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum, Upper respiratory tract infections, Chronic bronchitis, Emphysema, Goitre... see more Er Chen Tang
Exterior Cold invading the Interior Palpitations in the epigastrium, Abdominal pain, Constipation, Hypochondriac pain, Chills, Low grade fever, Cold extremities, Sweating that doesn't reduce fever, Epigastric palpitations, Dizziness, Twitching... see more Zhen Wu Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Palpitations

Common Symptoms: Nausea Dizziness Shortness Of Breath Vomit Tight Feeling In Chest And Stomach Focal Distention Profuse White Sputum Upper Respiratory Tract Infections

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency with Water overflowing Palpitations, Edema of the lower extremities, Cold sensation in legs and back, Abdominal distention, Lumbar pain, Chills, Scanty clear urination, Shortness of breath, Cold hands, White and watery sputum, Coughing, Asthma... see more Wu Ling San | Ji Sheng Shen Qi Wan
Damp-Phlegm in the Uterus Palpitations, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang
Damp-Cold Phlegm Palpitations, Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum, Upper respiratory tract infections, Chronic bronchitis, Emphysema, Goitre... see more Er Chen Tang
Detailed description of the cause

Yang Excess

Yang Excess in TCM refers to a state where there is an overabundance of Yang energy, leading to symptoms of heat and hyperactivity in the body. This pattern of disharmony often arises from factors like stress, excessive physical activity, overconsumption of spicy or heating foods, or an internal imbalance that causes Yang to flare up. Symptoms of Yang Excess include a feeling of heat, red face, irritability, restlessness, thirst, constipation, and a rapid, forceful pulse. Treatment in TCM for Yang Excess aims to cool down and subdue the excessive Yang while nurturing Yin energy to restore balance.... see more

Yang Excess Patterns That Can Lead to Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Liver Yang Rising with Blood and Yin Deficiency Occasional palpitations, Irritability, Insomnia, Anxiety, Dizziness Zhen Zhu Mu Wan
Detailed description of the cause

Heart

In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more

Heart Patterns That Can Lead to Palpitations

Common Symptoms: Insomnia Anxiety Vivid Dreaming Restlessness Poor Memory Dizziness Depression Generalized Fatigue

Pattern Name Relevant Symptoms Relevant Formulas
Heart Yin Deficiency Palpitations, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms Tian Wang Bu Xin Dan | Ren Shen Dang Gui Tang
Heart Blood Deficiency Palpitations, Easily startled, Vivid dreaming Gui Pi Tang | Bai Zi Yang Xin Wan | Si Wu Tang | Shen Qi Si Wu Tang | Gan Mai Da Zao Tang | Suan Zao Ren Tang | Zhen Xin An Shen Tang
Heart Blood Stagnation Palpitations, Stabbing chest pain, Chest constriction, Stifling sensation in the chest Xue Fu Zhu Yu Tang
Heart Fire blazing Palpitations, Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat, Insomnia, Flushed face, Hematuria, Dark urine, Bitter taste in the mouth... see more Xie Xin Tang | Zi Xue Dan | Qing Xin Lian Zi Yin | Liang Ge San
Heart Qi Deficiency Palpitations, Exertional dyspnea, Pale face, Spontaneous sweat, Generalized fatigue Bai Zi Yang Xin Wan | Bao Yuan Tang | Bai Zi Yang Xin Tang
Heart Qi Stagnation Palpitations, Chest distension, Stifling sensation in the chest, Depression Ban Xia Hou Pu Tang
Heart Vessel obstructed Palpitations, Shortness of breath, Depression, Restlessness, Stifling sensation in the chest, Heart pain, Chest pain, Sputum, Feeling of heaviness, Reluctance to speak, Cold extremities, Sighing, Purple lips, Purple nails, Purple face... see more Xue Fu Zhu Yu Tang | Chai Hu Shu Gan San | Di Tan Tang | Dang Gui Si Ni Tang
Heart Yang Deficiency Palpitations, Exertional dyspnea, Generalized fatigue, Spontaneous sweat, Slight feeling of stuffiness in the heart, Chills, Cold hands, Bright pale face, Dark lips... see more Gui Zhi Jia Long Gu Mu Li Tang
Kidneys And Heart Not Harmonized Palpitations, Restlessness, Insomnia, Vivid dreaming, Anxiety, Poor memory, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emissions with dreams, Evening heat sensation, Dry mouth and throat at night, Preference for sipping, Night sweats, Heat sensation in palms, Scanty and dark urine, Dry stools... see more Tian Wang Bu Xin Dan | Jiao Tai Wan | Qing Xin Lian Zi Yin | Bai Zi Yang Xin Tang
Liver and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Blurry vision, Eye floaters, Night blindness, Tingling of limbs, Limb numbness, Scanty menstruation, Amenorrhea, Muscle cramps, Muscle weakness, Dry hair, Skin dryness, Depression, Lack of direction, Withered and brittle nails... see more Gui Pi Tang | Suan Zao Ren Tang | Sheng Yu Tang | Zhen Zhu Mu Wan
Lung and Heart Qi Deficiency Palpitations, Shortness of breath, Coughing, Weak voice, Reluctance to speak, Pale face, Frequent colds or flu, Generalized fatigue, Depression, Spontaneous sweat, Sighing... see more Bao Yuan Tang | Si Jun Zi Tang
Phlegm-Fire harassing the Heart Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Sheng Tie Luo Yin
Spleen and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Generalized fatigue, Muscle weakness, Diarrhea, Lack of appetite, Scanty menstruation... see more Gui Pi Tang
Heart and Spleen Deficiency Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips, Dizziness... see more Gui Pi Tang
Heart and Kidney Yin Deficiency Palpitations, Insomnia, Poor memory, Night sweats, Anxiety, Tinnitus, Dizziness, Vivid dreaming, Restlessness, Nocturnal emission... see more Tian Wang Bu Xin Dan | Jiao Tai Wan | Ci Zhu Wan
Disharmony between Heart and Kidneys Palpitations, Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes, Blurry vision... see more Tian Wang Bu Xin Dan | Liu Wei Di Huang Wan
Heart and Spleen Qi and Blood Deficiency Palpitations, Poor memory, Restless sleeplessness, Fever, Lack of appetite, Generalized fatigue, Coughing, Shortness of breath, Exertional dyspnea, Weight loss, Skin dryness... see more Ren Shen Yang Rong Tang
Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency Severe and continuous palpitations, Irritability, Restlessness, Severe heart palpitations, Cold sensation in lower limbs, Insomnia, Anxiety, Mental exhaustion, Dysautonomia, Hypertension... see more Jiao Tai Wan
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Palpitations

Common Symptoms: Dizziness Shortness Of Breath Insomnia Anxiety Tinnitus Restlessness Lower Back Pain Chills

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Kidney Qi Deficiency Palpitation, Excessive menstruation, Pale menstrual flow, Thin menstrual blood, Prolonged menstrual periods, Shortness of breath, Palpitations... see more Gu Chong Tang
Kidney Yang Deficiency with Water overflowing Palpitations, Edema of the lower extremities, Cold sensation in legs and back, Abdominal distention, Lumbar pain, Chills, Scanty clear urination, Shortness of breath, Cold hands, White and watery sputum, Coughing, Asthma... see more Wu Ling San | Ji Sheng Shen Qi Wan
Kidneys And Heart Not Harmonized Palpitations, Restlessness, Insomnia, Vivid dreaming, Anxiety, Poor memory, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emissions with dreams, Evening heat sensation, Dry mouth and throat at night, Preference for sipping, Night sweats, Heat sensation in palms, Scanty and dark urine, Dry stools... see more Tian Wang Bu Xin Dan | Jiao Tai Wan | Qing Xin Lian Zi Yin | Bai Zi Yang Xin Tang
Painful Obstruction with Liver and Kidney Deficiency Palpitations, Lower back and leg pain and heaviness, Weakness and stiffness, Aversion to cold, General cold feeling, Shortness of breath, Chronic lower back pain, Sciatica, Osteoarthritis, Rheumatoid arthritis, Periarthritis of the shoulder... see more Du Huo Ji Sheng Tang
Spleen or Kidney Qi Deficiency Palpitations, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Heart and Kidney Yin Deficiency Palpitations, Insomnia, Poor memory, Night sweats, Anxiety, Tinnitus, Dizziness, Vivid dreaming, Restlessness, Nocturnal emission... see more Tian Wang Bu Xin Dan | Jiao Tai Wan | Ci Zhu Wan
Disharmony between Heart and Kidneys Palpitations, Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes, Blurry vision... see more Tian Wang Bu Xin Dan | Liu Wei Di Huang Wan
Spleen or Kidney Yang Deficiency Palpitations, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Coughing, Vomit, Congestive heart failure... see more Zhen Wu Tang
Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency Severe and continuous palpitations, Irritability, Restlessness, Severe heart palpitations, Cold sensation in lower limbs, Insomnia, Anxiety, Mental exhaustion, Dysautonomia, Hypertension... see more Jiao Tai Wan
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Palpitations

Common Symptoms: Generalized Fatigue Lack Of Appetite Dizziness Shortness Of Breath Poor Memory Diarrhea Excessive Menstruation Pale Menstrual Flow

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Kidney Qi Deficiency Palpitation, Excessive menstruation, Pale menstrual flow, Thin menstrual blood, Prolonged menstrual periods, Shortness of breath, Palpitations... see more Gu Chong Tang
Spleen and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Generalized fatigue, Muscle weakness, Diarrhea, Lack of appetite, Scanty menstruation... see more Gui Pi Tang
Spleen or Kidney Qi Deficiency Palpitations, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Spontaneous sweat, Generalized fatigue... see more Bu Zhong Yi Qi Tang | Gui Pi Tang | He Che Da Zao Wan
Heart and Spleen Deficiency Palpitations, Insomnia, Lack of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory, Diarrhea, Scanty menstruation, Pale lips, Dizziness... see more Gui Pi Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Palpitations, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Heart and Spleen Qi and Blood Deficiency Palpitations, Poor memory, Restless sleeplessness, Fever, Lack of appetite, Generalized fatigue, Coughing, Shortness of breath, Exertional dyspnea, Weight loss, Skin dryness... see more Ren Shen Yang Rong Tang
Spleen or Kidney Yang Deficiency Palpitations, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Coughing, Vomit, Congestive heart failure... see more Zhen Wu Tang
Detailed description of the cause

Pericardium

In TCM the Pericardium is more than a physical membrane protecting the heart; it's considered an organ system that acts as the "Heart's protector." It plays a crucial role in safeguarding the heart from external pathogenic factors and emotional disturbances. The Pericardium is also involved in regulating blood circulation and influencing emotional well-being, especially in terms of relationships and intimacy. When the Pericardium malfunctions or is imbalanced in TCM, it can lead to symptoms that mirror heart issues, such as chest pain or palpitations, but often with an emotional component like difficulty in forming emotional connections or excessive vulnerability to external stressors. Additionally, a disturbed Pericardium can result in sleep disturbances, anxiety, and in severe cases, mental confusion, reflecting its integral role in both physical heart protection and emotional balance.... see more

Pericardium Patterns That Can Lead to Palpitations

Common Symptoms: Stifling Sensation In The Chest Chest Distension Chest Pain Insomnia Shortness Of Breath Anxiety Vivid Dreaming Depression

Pattern Name Relevant Symptoms Relevant Formulas
Pericardium Blood Deficiency Palpitations, Chest distension, Chest stiffness, Chest pain, Insomnia, Poor memory Shen Qi Si Wu Tang
Pericardium Blood Stagnation Palpitations, Chest pain, Chest distension, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails, Menstrual cramps, Dark menstrual clots... see more Xue Fu Zhu Yu Tang
Pericardium Fire Palpitations, Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers, Cardiac burning sensation, Rapid breath, Restlessness, Anxiety, Feeling of heat, Vivid dreaming, Excessive menstruation... see more Xie Xin Tang | Zi Xue Dan
Pericardium Qi Stagnation Palpitations, Mild chest pain, Chest distension, Stifling sensation in the chest, Sighing, Throat lumps, Depression, Irritability, Lack of appetite, Weak limbs, Cold extremities... see more Ban Xia Hou Pu Tang
Phlegm Fire harassing the Pericardium Palpitations, Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming, Anxiety, Incoherent or confused speech, Confusion, Rash behaviour, Uncontrolled laughing or crying, Verbal aggression, Talking to oneself, Depression, Dull shallow face, Aggression, Stifling sensation in the chest, Chest pain, Rapid breath... see more Wen Dan Tang | Huang Lian Wen Dan Tang | Zhi Bao Dan | Hui Chun Dan
Detailed description of the cause

Liver

In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more

Liver Patterns That Can Lead to Palpitations

Common Symptoms: Irritability Dizziness Insomnia Anxiety Lower Back And Leg Pain And Heaviness Weakness And Stiffness Aversion To Cold General Cold Feeling

Pattern Name Relevant Symptoms Relevant Formulas
Liver and Heart Blood Deficiency Palpitations, Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled, Dull pale complexion, Pale lips, Blurry vision, Eye floaters, Night blindness, Tingling of limbs, Limb numbness, Scanty menstruation, Amenorrhea, Muscle cramps, Muscle weakness, Dry hair, Skin dryness, Depression, Lack of direction, Withered and brittle nails... see more Gui Pi Tang | Suan Zao Ren Tang | Sheng Yu Tang | Zhen Zhu Mu Wan
Liver Yang Rising with Blood and Yin Deficiency Occasional palpitations, Irritability, Insomnia, Anxiety, Dizziness Zhen Zhu Mu Wan
Painful Obstruction with Liver and Kidney Deficiency Palpitations, Lower back and leg pain and heaviness, Weakness and stiffness, Aversion to cold, General cold feeling, Shortness of breath, Chronic lower back pain, Sciatica, Osteoarthritis, Rheumatoid arthritis, Periarthritis of the shoulder... see more Du Huo Ji Sheng Tang
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat Palpitations, Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination, Excessive menstruation, Abnormal uterine bleeding, Tidal fever, Infertility... see more Jia Wei Xiao Yao San
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Palpitations, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang
Detailed description of the cause

Lung

In TCM the Lungs are seen as the organ responsible for controlling Qi and respiration, as well as being a key part of the body's defensive system. They are thought to maintain the balance and flow of air and moisture, and are closely linked to the skin and hair. When the Lungs are imbalanced or malfunctioning in TCM, it can lead to respiratory issues like coughing or asthma, a weakened immune system, dry skin, and emotional disturbances such as sadness or grief. These symptoms are believed to arise from disruptions in the Lungs' ability to regulate Qi and protect the body, highlighting their central role in maintaining overall health and well-being.... see more

Lung Patterns That Can Lead to Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Lung and Heart Qi Deficiency Palpitations, Shortness of breath, Coughing, Weak voice, Reluctance to speak, Pale face, Frequent colds or flu, Generalized fatigue, Depression, Spontaneous sweat, Sighing... see more Bao Yuan Tang | Si Jun Zi Tang
Detailed description of the cause

Gallbladder

In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more

Gallbladder Patterns That Can Lead to Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Palpitations, Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang
Detailed description of the cause

Stomach

In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more

Stomach Patterns That Can Lead to Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Palpitations, Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum, Hypertension... see more Wen Dan Tang

TCM Herbal Formulas for Palpitations

To treat palpitations, TCM practitioners often prescribe formulas that target the specific imbalances identified. For Qi Deficiency, the formula Bu Zhong Yi Qi Tang, which includes Milkvetch Roots (Huang Qi), helps to enhance the body's vital energy.

For Blood Deficiency, Gui Pi Tang, containing Ginseng (Ren Shen), works to enrich the blood and strengthen the heart. These formulas are selected based on the individual's unique pattern of symptoms and underlying disharmony, demonstrating TCM’s personalized approach to treatment.

Explore below some TCM herbal formulas used to address palpitations, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Blood Deficiency
  • Qi Deficiency
  • Heat
  • Yin Deficiency
  • Yang Deficiency
  • Phlegm
  • Blood Stasis
  • Mind Disturbance
  • Qi Stagnation
  • Cold
  • Dampness
  • Yang Excess
  • Formulas that nourish the heart and calm the mind
  • Formulas that tonify blood
  • Formulas that tonify qi
  • Formulas that tonify qi and blood
  • Formulas that tonify yin and yang
  • Formulas that dry dampness and transform phlegm
  • Formulas that sedate and calm the mind
  • Formulas that clear heat and open sensory orifices
  • Formulas that nourish yin and tonify
  • Formulas that warm the middle and dispel cold
  • Formulas that clear heat and resolve toxicity
  • Formulas that promote qi movement
  • Formulas that dispel phlegm
  • Formulas that warm and transform water and dampness
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that tonify
  • Formulas that dispel wind-Damp
  • Formulas that warm and purge
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that clear heat from the organs
  • Formulas that warm interior cold
  • Formulas that rescue devastated yang
  • Formulas that harmonize liver-Spleen
  • Formulas that promote urination and leach out dampness
  • Formulas that warm yang and tonify

All Formulas Recommended for Palpitations Caused by Blood Deficiency

Formula Patterns Suitable For
Gui Pi Tang Qi and Blood Deficiency, Blood Deficiency, Heart and Spleen Deficiency, Heart Blood Deficiency, Liver and Heart Blood Deficiency, Spleen and Heart Blood Deficiency... see more
Ren Shen Yang Rong Tang Qi and Blood Deficiency, Blood Deficiency, Heart and Spleen Qi and Blood Deficiency... see more
Si Wu Tang Blood Deficiency, Heart Blood Deficiency, Blood Deficiency and Stagnation
Shen Qi Si Wu Tang Heart Blood Deficiency, Pericardium Blood Deficiency
Suan Zao Ren Tang Heart Blood Deficiency, Liver and Heart Blood Deficiency
Zhen Zhu Mu Wan Liver and Heart Blood Deficiency, Liver Yang Rising with Blood and Yin Deficiency... see more
Tian Wang Bu Xin Dan Yin and Blood Deficiency
Bu Zhong Yi Qi Tang Qi and Blood Deficiency
Liu Wei Di Huang Wan Blood Deficiency
Bai Zi Yang Xin Wan Heart Blood Deficiency
Shi Quan Da Bu Tang Qi and Blood Deficiency
Ba Zhen Tang Qi and Blood Deficiency
Guo Qi Yin Qi and Blood Deficiency
Zhi Gan Cao Tang Qi and Blood Deficiency
Dang Gui Bu Xue Tang Blood Deficiency
Da Bu Yuan Jian Blood Deficiency
Ren Shen Zi Xie Tang Blood Deficiency
Gan Mai Da Zao Tang Heart Blood Deficiency
Zhen Xin An Shen Tang Heart Blood Deficiency
Sheng Yu Tang Liver and Heart Blood Deficiency
Tao Hong Si Wu Tang Blood Deficiency and Stagnation

All Formulas Recommended for Palpitations Caused by Qi Deficiency

Formula Patterns Suitable For
Gui Pi Tang Qi Deficiency, Qi and Blood Deficiency, Spleen or Kidney Qi Deficiency, Heart and Spleen Deficiency... see more
Bu Zhong Yi Qi Tang Qi Deficiency, Qi and Blood Deficiency, Spleen or Kidney Qi Deficiency
Ren Shen Yang Rong Tang Qi and Blood Deficiency, Heart and Spleen Qi and Blood Deficiency
Si Jun Zi Tang Qi Deficiency, Lung and Heart Qi Deficiency
Bao Yuan Tang Heart Qi Deficiency, Lung and Heart Qi Deficiency
Bai Zi Yang Xin Wan Heart Qi Deficiency
Bai Zi Yang Xin Tang Heart Qi Deficiency
Gu Chong Tang Spleen and Kidney Qi Deficiency
Gu Ben Zhi Beng Tang Qi Deficiency
Ju Yuan Jian Qi Deficiency
Liu Jun Zi Tang Qi Deficiency
Shi Quan Da Bu Tang Qi and Blood Deficiency
Ba Zhen Tang Qi and Blood Deficiency
Guo Qi Yin Qi and Blood Deficiency
Zhi Gan Cao Tang Qi and Blood Deficiency
He Che Da Zao Wan Spleen or Kidney Qi Deficiency
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat

All Formulas Recommended for Palpitations Caused by Heat

Formula Patterns Suitable For
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Xie Xin Tang Heart Fire blazing, Pericardium Fire
Zi Xue Dan Heart Fire blazing, Pericardium Fire
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Tian Wang Bu Xin Dan Disharmony between Heart and Kidneys
Qing Xin Lian Zi Yin Heart Fire blazing
Liu Wei Di Huang Wan Disharmony between Heart and Kidneys
Liang Ge San Heart Fire blazing
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat
Zhi Bao Dan Phlegm Fire harassing the Pericardium
Hui Chun Dan Phlegm Fire harassing the Pericardium
Sheng Tie Luo Yin Phlegm-Fire harassing the Heart

All Formulas Recommended for Palpitations Caused by Yin Deficiency

Formula Patterns Suitable For
Tian Wang Bu Xin Dan Heart Yin Deficiency, Heart and Kidney Yin Deficiency, Disharmony between Heart and Kidneys, Yin and Blood Deficiency... see more
Jiao Tai Wan Heart and Kidney Yin Deficiency
Liu Wei Di Huang Wan Disharmony between Heart and Kidneys
Zhen Zhu Mu Wan Liver Yang Rising with Blood and Yin Deficiency
Ren Shen Dang Gui Tang Heart Yin Deficiency
Er Xian Tang Deficiency of both the Kidney Yin and Yang
Ci Zhu Wan Heart and Kidney Yin Deficiency

All Formulas Recommended for Palpitations Caused by Yang Deficiency

Formula Patterns Suitable For
Jiao Tai Wan Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency
Zhen Wu Tang Spleen or Kidney Yang Deficiency
Du Huo Ji Sheng Tang Painful Obstruction with Liver and Kidney Deficiency
Er Xian Tang Deficiency of both the Kidney Yin and Yang
Gui Zhi Jia Long Gu Mu Li Tang Heart Yang Deficiency
Wu Ling San Kidney Yang Deficiency with Water overflowing
Ji Sheng Shen Qi Wan Kidney Yang Deficiency with Water overflowing

All Formulas Recommended for Palpitations Caused by Phlegm

Formula Patterns Suitable For
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Er Chen Tang Damp-Cold Phlegm
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus
Ling Gui Zhu Gan Tang Phlegm-Fluids in the hypochondrium
Zhi Bao Dan Phlegm Fire harassing the Pericardium
Hui Chun Dan Phlegm Fire harassing the Pericardium
Sheng Tie Luo Yin Phlegm-Fire harassing the Heart

All Formulas Recommended for Palpitations Caused by Blood Stasis

Formula Patterns Suitable For
Xue Fu Zhu Yu Tang Heart Blood Stagnation, Heart Vessel obstructed, Pericardium Blood Stagnation
Si Wu Tang Blood Deficiency and Stagnation
Chai Hu Shu Gan San Heart Vessel obstructed
Di Tan Tang Heart Vessel obstructed
Dang Gui Si Ni Tang Heart Vessel obstructed
Tao Hong Si Wu Tang Blood Deficiency and Stagnation

All Formulas Recommended for Palpitations Caused by Mind Disturbance

Formula Patterns Suitable For
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Xie Xin Tang Heart Fire blazing, Pericardium Fire
Zi Xue Dan Heart Fire blazing, Pericardium Fire
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Qing Xin Lian Zi Yin Heart Fire blazing
Liang Ge San Heart Fire blazing
Zhi Bao Dan Phlegm Fire harassing the Pericardium
Hui Chun Dan Phlegm Fire harassing the Pericardium
Sheng Tie Luo Yin Phlegm-Fire harassing the Heart

All Formulas Recommended for Palpitations Caused by Qi Stagnation

Formula Patterns Suitable For
Ban Xia Hou Pu Tang Heart Qi Stagnation, Pericardium Qi Stagnation
Wen Dan Tang Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
Jia Wei Xiao Yao San Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat

All Formulas Recommended for Palpitations Caused by Cold

Formula Patterns Suitable For
Zhen Wu Tang Exterior Cold invading the Interior
Huang Qi Jian Zhong Tang Empty-Cold
Da Jian Zhong Tang Empty-Cold
Ban Liu Wan Empty-Cold
Er Chen Tang Damp-Cold Phlegm

All Formulas Recommended for Palpitations Caused by Dampness

Formula Patterns Suitable For
Er Chen Tang Damp-Cold Phlegm
Wu Ling San Kidney Yang Deficiency with Water overflowing
Ji Sheng Shen Qi Wan Kidney Yang Deficiency with Water overflowing
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus

All "formulas that nourish the heart and calm the mind" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Tian Wang Bu Xin Dan Heart Yin Deficiency, Heart and Kidney Yin Deficiency, Kidneys And Heart Not Harmonized, Disharmony between Heart and Kidneys, Yin and Blood Deficiency... see more
Jiao Tai Wan Heart and Kidney Yin Deficiency, Kidneys And Heart Not Harmonized, Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency... see more
Bai Zi Yang Xin Wan Heart Blood Deficiency, Heart Qi Deficiency
Suan Zao Ren Tang Heart Blood Deficiency, Liver and Heart Blood Deficiency
Bai Zi Yang Xin Tang Heart Qi Deficiency, Kidneys And Heart Not Harmonized
Gan Mai Da Zao Tang Heart Blood Deficiency
Zhen Xin An Shen Tang Heart Blood Deficiency

All "formulas that tonify qi and blood" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Gui Pi Tang Qi Deficiency, Qi and Blood Deficiency, Spleen or Kidney Qi Deficiency, Heart and Spleen Deficiency, Heart Blood Deficiency, Blood Deficiency, Liver and Heart Blood Deficiency, Spleen and Heart Blood Deficiency... see more
Gu Ben Zhi Beng Tang Qi Deficiency
Ba Zhen Tang Qi and Blood Deficiency
Zhi Gan Cao Tang Qi and Blood Deficiency

All "formulas that tonify blood" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Si Wu Tang Blood Deficiency, Heart Blood Deficiency, Blood Deficiency and Stagnation
Shen Qi Si Wu Tang Heart Blood Deficiency, Pericardium Blood Deficiency
Dang Gui Bu Xue Tang Blood Deficiency
Sheng Yu Tang Liver and Heart Blood Deficiency
Guo Qi Yin Qi and Blood Deficiency
Ren Shen Zi Xie Tang Blood Deficiency
Tao Hong Si Wu Tang Blood Deficiency and Stagnation

All "formulas that tonify qi" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Bu Zhong Yi Qi Tang Qi Deficiency, Qi and Blood Deficiency, Spleen or Kidney Qi Deficiency
Bao Yuan Tang Heart Qi Deficiency, Lung and Heart Qi Deficiency
Si Jun Zi Tang Lung and Heart Qi Deficiency, Qi Deficiency
Ju Yuan Jian Qi Deficiency
Liu Jun Zi Tang Qi Deficiency

All "formulas that dry dampness and transform phlegm" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Huang Lian Wen Dan Tang Phlegm Fire harassing the Pericardium, Phlegm-Fire harassing the Heart
Er Chen Tang Damp-Cold Phlegm
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All "formulas that tonify yin and yang" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Shi Quan Da Bu Tang Qi and Blood Deficiency
He Che Da Zao Wan Spleen or Kidney Qi Deficiency
Er Xian Tang Deficiency of both the Kidney Yin and Yang
Gui Zhi Jia Long Gu Mu Li Tang Heart Yang Deficiency

All "formulas that sedate and calm the mind" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Zhen Zhu Mu Wan Liver and Heart Blood Deficiency, Liver Yang Rising with Blood and Yin Deficiency... see more
Ci Zhu Wan Heart and Kidney Yin Deficiency
Sheng Tie Luo Yin Phlegm-Fire harassing the Heart

All "formulas that clear heat and open sensory orifices" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Zi Xue Dan Heart Fire blazing, Pericardium Fire
Zhi Bao Dan Phlegm Fire harassing the Pericardium
Hui Chun Dan Phlegm Fire harassing the Pericardium

All "formulas that nourish yin and tonify" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Liu Wei Di Huang Wan Blood Deficiency, Disharmony between Heart and Kidneys
Da Bu Yuan Jian Blood Deficiency
Ren Shen Dang Gui Tang Heart Yin Deficiency

All "formulas that promote qi movement" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Ban Xia Hou Pu Tang Heart Qi Stagnation, Pericardium Qi Stagnation
Chai Hu Shu Gan San Heart Vessel obstructed

All "formulas that warm and transform water and dampness" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Zhen Wu Tang Spleen or Kidney Yang Deficiency, Exterior Cold invading the Interior
Ling Gui Zhu Gan Tang Phlegm-Fluids in the hypochondrium

All "formulas that clear heat and resolve toxicity" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Xie Xin Tang Heart Fire blazing, Pericardium Fire
Liang Ge San Heart Fire blazing

All "formulas that dispel phlegm" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Di Tan Tang Heart Vessel obstructed
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus

All "formulas that warm the middle and dispel cold" recommended for palpitations

Formula Patterns Suitable For (if applicable)
Huang Qi Jian Zhong Tang Empty-Cold
Da Jian Zhong Tang Empty-Cold

Acupoints for Palpitations

TCM also incorporates acupoint therapy to manage palpitations effectively. Points like Neiguan P-6, located on the wrist, are renowned for their ability to calm the mind and stabilize the heart’s rhythm. Shenmen HE-7 on the wrist is another critical point that helps to nourish Heart Blood and calm the spirit. These acupoints are strategically stimulated to regulate energy flow and alleviate symptoms, complementing herbal treatments and providing a comprehensive approach to restoring cardiac and systemic health.

Explore below some acupoints used to address palpitations, organized by meridian.

  • By Meridian
  • Pericardium Channel
  • Heart Channel
  • Bladder Channel
  • Kidney Channel
  • Gall Bladder Channel
  • Governing Vessel
  • Spleen Channel
  • Liver Channel
  • Stomach Channel
  • Extra Points: Head and Neck (EX-HN)
  • Directing Vessel
  • Lung Channel
  • Triple Burner Channel
Tianquan P-2

Tianquan P-2

2 cun below the end of the anterior axillary fold, between the two heads of biceps brachii muscle.

Quze P-3

Quze P-3

On the transverse cubital crease, at the ulnar side of the tendon of biceps brachii muscle.

Ximen P-4

Ximen P-4

5 cun above the transverse crease of the wrist, on the line connecting Quze P-3 and Daling P-7, between the tendons of palmaris longus and flexor carpi radialis muscles.

Jianshi P-5

Jianshi P-5

3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Neiguan P-6

Neiguan P-6

2 cun above Daling P-7 on the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Daling P-7

Daling P-7

In the depression in the middle of the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Zhongchong P-9

Zhongchong P-9

In the center of the tip of the middle finger.

Jiquan HE-1

Jiquan HE-1

In the center of the axilla, on the medial side of the axillary artery.

Tongli HE-5

Tongli HE-5

On the radial side of the tendon of flexor carpi ulnaris muscle, 1 cun above the transverse crease of the wrist when the palm faces upward.

Yinxi HE-6

Yinxi HE-6

On the radial side of the tendon of flexor carpi ulnaris muscle, 0.5 cun above the transverse crease of the wrist when the palm faces upward.

Shenmen HE-7

Shenmen HE-7

On the transverse crease of the wrist, in the articular region between the pisiform bone and the ulna, in the depression on the radial side of the tendon of flexor carpi ulnaris muscle.

Shaofu HE-8

Shaofu HE-8

On the palmar surface, between the 4th and 5th metacarpal bones. When a fist is made, the point is where the tip of the little finger rests.

Shaochong HE-9

Shaochong HE-9

On the radial side of the little finger, about 0.1 cun posterior to the corner of the nail.

Jueyinshu BL-14

Jueyinshu BL-14

1.5 cun lateral to the lower border of the spinous process of the 4th thoracic vertebra (T4).

Xinshu BL-15

Xinshu BL-15

1.5 cun lateral to the lower border of the spinous process of the 5th thoracic vertebra (T5).

Danshu BL-19

Danshu BL-19

1.5 cun lateral to the lower border of the spinous process of the 10th thoracic vertebra (T10).

Gaohuangshu BL-43

Gaohuangshu BL-43

3 cun (about 4 finger-breadths) lateral to the lower border of the spinous process of the 4th thoracic vertebra (T4).

Jinggu BL-64

Jinggu BL-64

On the lateral side of the foot dorsum, below the tuberosity of the 5th metatarsal bone, at the border of the red and white skin.

Dazhong KID-4

Dazhong KID-4

Posterior and inferior to the medial malleolus, in the depression medial to the Achilles tendon, superior to its insertion at the calcaneus.

Zhubin KID-9

Zhubin KID-9

On the line drawn from Taixi KID-3 to Yingu KID-10. It is located at the lower end of the belly of gastrocnemius muscle in the medial aspect, about 5 cun above Taixi KID-3.

Qixue KID-13

Qixue KID-13

3 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Futonggu KID-20

Futonggu KID-20

5 cun above the umbilicus, 0.5 cun lateral to the anterior midline.

Yuzhong KID-26

Yuzhong KID-26

In the 1st intercostal space, 2 cun lateral to the anterior midline.

Tianchong GB-9

Tianchong GB-9

Posterior and superior to the auricle, about 0.5 cun posterior to Shuaigu GB-8.

Naokong GB-19

Naokong GB-19

Directly above Fengchi GB-20, level with Naohu DU-17, on the lateral side of the external occipital protuberance.

Shendao DU-11

Shendao DU-11

On the back midline, in the depression below the spinous process of the 5th thoracic vertebra (T5).

Xinhui DU-22

Xinhui DU-22

On the head midline, 3 cun anterior to Baihui DU-20, 2 cun posterior to the front hairline.

Sanyinjiao SP-6

Sanyinjiao SP-6

3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia, on the line drawn from the medial malleolus to Yinlingquan SP-9.

Xingjian LIV-2

Xingjian LIV-2

Between the first and second toe, on the dorsum of the foot, 0.5 cun proximal to the interdigital fold.

Zusanli ST-36

Zusanli ST-36

3 cun below Dubi ST-35, one finger breadth lateral to the anterior crest of the tibia, on the tibialis anterior muscle.

Anmian EX-HN

Anmian EX-HN

Posterior to the ear and to the mastoid process, between Yifeng TB-17 and Fengchi GB-20.

Jiuwei REN-15

Jiuwei REN-15

On the midline of the abdomen, 7 cun above the umbilicus and 1 cun below the sternocostal angle. This point is located at the tip of the xiphoid process, which is commonly known as ‘dove-tail’ in China, hence the name of the point.

Lieque LU-7

Lieque LU-7

Above the styloid process of the radius, about 1.5 cun proximal to the wrist crease (wrist joint space) in a V-shaped depression.

Tianjing TB-10

Tianjing TB-10

When the elbow is flexed, Tianjing TB-10 is in the depression about 1 cun superior to the olecranon.