The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The Kidneys in Chinese Medicine The Heart in Chinese Medicine
Key attributes
Chinese name: 心肾不交 Pinyin name: Xīn Shèn Bù Jiāo
Pattern nature: Empty combined pattern
Pattern(s) it combines from: Kidney Yin Deficiency Heart Yin Deficiency
Causes
Precursor patterns: Kidney Yin Deficiency Heart Yin Deficiency
Common causes: 1. Emotional stress, 2. Overwork, 3. Excessive sexual activity, 4. Depletion of Body Fluids, 5. Blood loss, 6. Chronic illness, 7. Overdose of Kidney Yang tonic herbs
Diagnosis
Common symptoms: Anxiety Insomnia Tinnitus Dizziness Dry stools and thirteen other symptoms
Pulse type(s): Deep (Chen), Rapid (Shu), Empty (Xu), Weak (Ruo), Floating (Fu)
Tongue description: Red with redder tip without coating, midline Heart crack
Treatment
Treatment principle: Nourish Kidney and Heart Yin, clear Heart Empty Heat, calm the Mind.
Common formulas: Tian Wang Bu Xin Dan Jiao Tai Wan Qing Xin Lian Zi Yin and one other formulas
This disharmony happens when Kidney Yin is Deficient and cannot nourish the Heart Yin, which then also become Deficient.
There is a strong relationship between Kidneys and Heart because Essence (Jing) housed in the Kidneys is the foundation for the Mind housed in the Heart. If Essence is Deficient, the Mind suffers. Therefore, patients suffer from some emotional symptoms such as anxiety.
When there is Kidney Yin Deficiency, Heart Yang proportionally becomes excessive and that results in symptoms of Empty-Heat such as mental restlessness, insomnia (waking up several times during the night), dream-disturbed sleep and nocturnal emissions. The feeling of heat in the evening, dark urine, Red tongue and Rapid pulse are also due to the emergence of Empty-Heat.
Poor memory, dizziness, tinnitus and diminished hearing are due to the Deficiency of Kidney Yin and Essence failing to generate Marrow to nourish the brain and to open into the ear.
Precursor patterns: Kidneys And Heart Not Harmonized can derive from Kidney Yin Deficiency Heart Yin Deficiency
Emotional stress: Anxiety, sadness and depression, if felt for a prolonged periods of time or very intensely during a short, can lead to this pattern. The emotional shock and sadness involved in the break-up of relationships are a common cause of Heart Yin Deficiency in this pattern.
Overwork: Working excessively long hours for many years weakens Kidney Yin and may lead to this pattern
Excessive sexual activity: Excessive sexual activity, especially masturbation, depletes Kidney Essence and Kidney Yin.
Depletion of Body Fluids: Depletion of Body Fluids, for instance if they are dried up by Heat after a febrile disease, may lead to Kidney Yin Deficiency.
Blood loss: Loss of blood over a long period of time (such as from chronic excessive menstrual bleeding) can cause Liver Blood Deficiency, which, in turn, can lead deplete Kidney Yin.
Chronic illness: A long chronic illness may lead to Kidney Yin Deficiency.
Overdose of Kidney Yang tonic herbs: If Kidney Yang is overstimulated by the administration of hot herbal medicine, Kidney Yin will be injured
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Deep (Chen), rapid (Shu), empty (Xu), weak (Ruo) or floating (Fu)
Tongue description: Red with redder tip without coating, midline Heart crack
Main symptoms: Anxiety Insomnia Tinnitus Dizziness Dry stools Poor memory Palpitations Restlessness Night sweats Five palm heat Lower back pain Diminished hearing Dry throat at night Dream disturbed sleep Scanty and dark urine Feeling of heat in the evening Nocturnal emissions with dreams Thirst with desire to drink in small sips
Diagnosis commentary: Palpitations, tinnitus, night sweats and a red tongue with redder tip, without coating and a midline Heart crack are enough in and of themselves to diagnose Heart and Kidneys not harmonized. Together with dizziness, they're the main symptoms of this pattern.
Nourish Kidney and Heart Yin, clear Heart Empty Heat, calm the Mind.
Source date: 16th century
Number of ingredients: 14 herbs
Key actions: Enriches the Yin. Nourishes the Blood. Clears Heat. Calms the Mind.
Tian Wang Bu Xin Dan is a 14-ingredient Chinese Medicine formula. Invented in 16th century, it belongs to the category of formulas that nourish the Heart and calm the Mind.
Besides Kidneys And Heart Not Harmonized, Tian Wang Bu Xin Dan is also used to treat Heart Yin Deficiency or Heart and Kidney Yin Deficiency.
The top herbs in Jiao Tai Wan are Goldthread Rhizomes (Huang Lian) and Cinnamon Bark (Rou Gui)
Source date: 1522 AD
Number of ingredients: 2 herbs
Key actions: Restores the functional communication between the Heart and the Kidneys.
Jiao Tai Wan is a 2-ingredient Chinese Medicine formula. Invented in 1522 AD, it belongs to the category of formulas that nourish the Heart and calm the Mind.
Besides Kidneys And Heart Not Harmonized, Jiao Tai Wan is also used to treat Heart and Kidney Yin Deficiency or Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency.
The top herbs in Bai Zi Yang Xin Tang are Biota Seeds (Bai Zi Ren), Ningpo Figwort Roots (Xuan Shen) and Prepared Rehmannia (Shu Di huang)
Source date: 1549 AD
Number of ingredients: 9 herbs
Key actions: Reinforces and strengthens Heart Qi. Calms the Mind. Nourishes and moistens the Heart Blood. Tonifies the Kidney Yin.
Bai Zi Yang Xin Tang is a 9-ingredient Chinese Medicine formula. Invented in 1549 AD, it belongs to the category of formulas that nourish the Heart and calm the Mind.
Besides Kidneys And Heart Not Harmonized, Bai Zi Yang Xin Tang is also used to treat Heart Qi Deficiency or Kidney Yin Deficiency.
The top herbs in Qing Xin Lian Zi Yin are Lotus Seeds (Lian Zi), Baikal Skullcap Roots (Huang Qin) and Goji Tree Root Bark (Di Gu Pi)
Source date: 1107 AD
Number of ingredients: 9 herbs
Key actions: Clears the Heart. Augments the Qi and Yin. Stops turbid painful urinary dribbling.
Qing Xin Lian Zi Yin is a 9-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that clear Heat from the Organs.
Besides Kidneys And Heart Not Harmonized, Qing Xin Lian Zi Yin is also used to treat Heart Fire blazing.
Avoid spicy and foods that are too hot in nature (such as beef or lamb meat for instance). If digestion is good, fruits are beneficial, especially berries and purple grapes. If digestion is not good, do not eat anything raw. Sufficient protein at each meal is important.
Aerobic exercise is contraindicated since it worsens Yin Deficiency. Favor light exercise such as Yoga, Tai Chi or Qi Gong. Walking and swimming are also not bad.
The Empty Heat inherent in this pattern may Heat the Blood and cause bleeding