Palpitations in Traditional Chinese Medicine

Understanding different palpitations patterns according to TCM theory

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Condition Categories

12
TCM Patterns
61
Formulas
Overview
What causes it 12 TCM patterns documented
How to recognize Symptoms specific to each palpitations pattern
Classical remedies 61 herbal formulas documented

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.

TCM Patterns for Palpitations

Blood Deficiency

Insufficient blood to nourish the body, causing paleness, dizziness, and dryness throughout the system

Causes: Palpitations, Occasional palpitations, Palpitations with anxiety

11 variations documented
Onset Gradual
Location Systemic
Features Pale face/lips/nails • Blurred vision • Dizziness • Scanty menses • Numbness

Blood Deficiency represents a fundamental lack of blood volume or quality in the body, resulting in organs, tissues, and the mind being undernourished. In Traditional Chinese Medicine, blood not only refers to the red fluid in our vessels but encompasses the body's entire nourishing and moistening functions.

Qi and Blood Deficiency
How it presents with palpitations

Palpitations

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Dizziness,

Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory,

Heart Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Easily startled, Vivid dreaming, Hysteria, Neurasthenia

Liver and Heart Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled,

Pericardium Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Chest distension, Chest stiffness, Chest pain, Insomnia, Poor memory

Traditional Herbal Formulas
Spleen and Heart Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Dizziness, Insomnia, Vivid dreaming, Poor memory, Anxiety, Easily startled,

Traditional Herbal Formulas
Liver Yang Rising with Blood and Yin Deficiency
How it presents with palpitations

Occasional palpitations

Along with: Irritability, Insomnia, Anxiety, Dizziness

Traditional Herbal Formulas
Heart and Spleen Deficiency
How it presents with palpitations

Palpitations

Along with: Insomnia, Loss of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory,

Traditional Herbal Formulas
Heart and Spleen Qi and Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Poor memory, Restless sleeplessness, Fever, Loss of appetite, Generalized fatigue, Coughing,

Traditional Herbal Formulas
Blood Deficiency and Stagnation
How it presents with palpitations

Palpitations

Along with: Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Poor constitution,

Traditional Herbal Formulas
Yin and Blood Deficiency
How it presents with palpitations

Palpitations with anxiety

Along with: Irritability, Heart palpitations with anxiety, Generalized fatigue, Restless sleeplessness, Poor concentration, Nocturnal emission,

Traditional Herbal Formulas

Qi Deficiency

Insufficient vital energy causing fatigue, weakness, poor digestion, and reduced function of organs and protective systems

Causes: Palpitation, Palpitations

9 variations documented
Onset Gradual
Location Systemic
Features Fatigue • Weak voice • Shortness of breath • Spontaneous sweating • Poor appetite

Qi Deficiency is a fundamental pattern in Traditional Chinese Medicine where the body's vital energy is insufficient to maintain normal physiological functions, leading to weakness, fatigue, and various organ dysfunctions.

Spleen and Kidney Qi Deficiency
How it presents with palpitations

Palpitation

Along with: Excessive menstruation, Pale menstrual flow, Thin menstrual blood, Prolonged menstrual periods, Shortness of breath, Palpitations

Traditional Herbal Formulas
Qi Deficiency
How it presents with palpitations

Palpitations

Along with: General weakness, Weak voice, Generalized fatigue, Apathy, Dislike of speaking, Spontaneous sweat,

Qi and Blood Deficiency
How it presents with palpitations

Palpitations

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Dizziness,

Heart Qi Deficiency
How it presents with palpitations

Palpitations

Along with: Exertional dyspnea, Pale face, Spontaneous sweat, Generalized fatigue

Traditional Herbal Formulas
Lung and Heart Qi Deficiency
How it presents with palpitations

Palpitations

Along with: Shortness of breath, Coughing, Weak voice, Dislike of speaking, Pale face, Frequent colds or flu,

Traditional Herbal Formulas
Spleen or Kidney Qi Deficiency
How it presents with palpitations

Palpitations

Along with: Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia,

Heart and Spleen Deficiency
How it presents with palpitations

Palpitations

Along with: Insomnia, Loss of appetite, Generalized fatigue, Anxiety, Pale face, Poor memory,

Traditional Herbal Formulas
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat
How it presents with palpitations

Palpitations

Along with: Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination,

Traditional Herbal Formulas
Heart and Spleen Qi and Blood Deficiency
How it presents with palpitations

Palpitations

Along with: Poor memory, Restless sleeplessness, Fever, Loss of appetite, Generalized fatigue, Coughing,

Traditional Herbal Formulas

Heat

Intense, ascending pathogenic force that consumes body fluids, disturbs the mind, and accelerates all physiological processes

Causes: Palpitations

7 variations documented
Onset Can be sudden
Location Can be local or systemic
Features Red face/eyes • Thirst for cold drinks • Restlessness • Yellow/dark secretions

Heat is a major pathogenic factor in Traditional Chinese Medicine that can arise from external invasion or internal generation. Heat has the characteristics of burning intensity, rising upward, consuming qi and fluids, and generating wind and disturbing blood. In TCM philosophy, normal physiological warmth is called "minor fire" (少火) which maintains life functions, while pathological heat is "major fire" (壮火) which damages the body.

Heart Fire blazing
How it presents with palpitations

Palpitations

Along with: Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat,

Pericardium Fire
How it presents with palpitations

Palpitations

Along with: Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers,

Traditional Herbal Formulas
Phlegm Fire harassing the Pericardium
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Phlegm-Fire harassing the Heart
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat
How it presents with palpitations

Palpitations

Along with: Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination,

Traditional Herbal Formulas
Disharmony between Heart and Kidneys
How it presents with palpitations

Palpitations

Along with: Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain,

Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
How it presents with palpitations

Palpitations

Along with: Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest,

Traditional Herbal Formulas

Yin Deficiency

Depletion of cooling, moistening fluids causing dryness, false heat rising, and restless agitation throughout the body

Causes: Palpitations, Occasional palpitations, Palpitations with anxiety

6 variations documented
Onset Gradual
Location Systemic
Features Night sweats • Dry mouth/throat • Heat in afternoon/evening • Malar flush

Yin Deficiency represents a fundamental pattern in Traditional Chinese Medicine where the body's yin fluids - blood, essence, and body fluids - become depleted, losing their ability to cool, moisten, and anchor the yang energy, resulting in relative hyperactivity of yang and internal heat manifestations.

Heart Yin Deficiency
How it presents with palpitations

Palpitations

Along with: Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms, Hysteria, Neurasthenia

Liver Yang Rising with Blood and Yin Deficiency
How it presents with palpitations

Occasional palpitations

Along with: Irritability, Insomnia, Anxiety, Dizziness

Traditional Herbal Formulas
Deficiency of both the Kidney Yin and Yang
How it presents with palpitations

Palpitations

Along with: Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability,

Traditional Herbal Formulas
Heart and Kidney Yin Deficiency
How it presents with palpitations

Palpitations

Along with: Insomnia, Poor memory, Night sweats, Anxiety, Tinnitus, Dizziness,

Disharmony between Heart and Kidneys
How it presents with palpitations

Palpitations

Along with: Dizziness, Tinnitus, Insomnia, Poor memory, Lower back pain, Knee pain,

Yin and Blood Deficiency
How it presents with palpitations

Palpitations with anxiety

Along with: Irritability, Heart palpitations with anxiety, Generalized fatigue, Restless sleeplessness, Poor concentration, Nocturnal emission,

Traditional Herbal Formulas

Yang Deficiency

Insufficient yang qi causing coldness, fatigue, and diminished physiological functions throughout the body

Causes: Palpitations, Severe and continuous palpitations

6 variations documented
Onset Gradual
Location Systemic
Features Always cold • Fatigue • Pale face • Prefers warmth • Cold limbs

Yang Deficiency represents a fundamental weakness of the body's yang qi in Traditional Chinese Medicine. It manifests as an inability to warm the body, transform substances, and maintain normal physiological activities, resulting in various cold-type symptoms and functional decline.

Heart Yang Deficiency
How it presents with palpitations

Palpitations

Along with: Exertional dyspnea, Generalized fatigue, Spontaneous sweat, Slight feeling of stuffiness in the heart, Chills, Cold hands,

Traditional Herbal Formulas
Kidney Yang Deficiency with Water overflowing
How it presents with palpitations

Palpitations

Along with: Edema of the lower extremities, Cold sensation in legs and back, Abdominal distention, Lumbar pain, Chills, Scanty clear urination,

Traditional Herbal Formulas
Painful Obstruction with Liver and Kidney Deficiency
How it presents with palpitations

Palpitations

Along with: Lower back and leg pain and heaviness, Weakness and stiffness, Aversion to cold, General cold feeling, Shortness of breath, Chronic lower back pain,

Traditional Herbal Formulas
Deficiency of both the Kidney Yin and Yang
How it presents with palpitations

Palpitations

Along with: Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability,

Traditional Herbal Formulas
Spleen or Kidney Yang Deficiency
How it presents with palpitations

Palpitations

Along with: Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema,

Traditional Herbal Formulas
Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency
How it presents with palpitations

Severe and continuous palpitations

Along with: Irritability, Restlessness, Severe heart palpitations, Cold sensation in lower limbs, Insomnia, Anxiety,

Traditional Herbal Formulas

Phlegm

Thick, sticky pathological fluid that obstructs body functions and can manifest anywhere in the body

Causes: Palpitations

6 variations documented
Onset Gradual
Location Local or systemic
Features Nodules/lumps • Heavy sensation • Mucus/expectoration • Mental confusion (if affecting mind)

Phlegm is both a pathological product and a pathogenic factor in Traditional Chinese Medicine. It results from impaired fluid metabolism when the body's transformative functions fail, particularly affecting the Spleen, Lungs, and Kidneys. Classical texts emphasize that "the Spleen is the source of phlegm production, while the Lungs are the storage vessel for phlegm."

Damp-Phlegm in the Uterus
How it presents with palpitations

Palpitations

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Phlegm-Fluids in the hypochondrium
How it presents with palpitations

Palpitations

Along with: Hypochondrial pain that is worse on coughing and breathing, Shortness of breath, Hypochondriac distention

Traditional Herbal Formulas
Phlegm Fire harassing the Pericardium
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Phlegm-Fire harassing the Heart
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Damp-Cold Phlegm
How it presents with palpitations

Palpitations

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
How it presents with palpitations

Palpitations

Along with: Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest,

Traditional Herbal Formulas

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Palpitations

4 variations documented
Onset Gradual (trauma=sudden)
Location Often local, can be systemic
Features Fixed/stabbing pain • Purple/dark coloration • Masses/tumors • Pain worse at night

Blood Stasis represents blood that is no longer flowing smoothly through the vessels, either moving too slowly, pooling in certain areas, or congealing into clots. It's one of the most important pathological conditions in Traditional Chinese Medicine and can be both a result of disease and a cause of further illness.

Heart Blood Stagnation
How it presents with palpitations

Palpitations

Along with: Stabbing chest pain, Chest constriction, Stifling sensation in the chest

Traditional Herbal Formulas
Heart Vessel obstructed
How it presents with palpitations

Palpitations

Along with: Shortness of breath, Depression, Restlessness, Stifling sensation in the chest, Heart pain, Chest pain,

Pericardium Blood Stagnation
How it presents with palpitations

Palpitations

Along with: Chest pain, Chest distension, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails,

Traditional Herbal Formulas
Blood Deficiency and Stagnation
How it presents with palpitations

Palpitations

Along with: Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Poor constitution,

Traditional Herbal Formulas

Mind Disturbance

Disruption of consciousness, mental clarity, and emotional equilibrium causing restlessness, confusion, or withdrawal

Causes: Palpitations

4 variations documented
Onset Varies
Location Heart/Mind
Features Disturbed Shen • Anxiety/insomnia/palpitations • Emotional instability • Scattered thinking

Mind Disturbance represents a broad category of patterns in Traditional Chinese Medicine involving disruptions to consciousness, mental clarity, emotional stability, and cognitive function. These patterns affect the Shen (spirit/consciousness), which according to classical texts resides in the Heart and is distributed among the five organs.

Heart Fire blazing
How it presents with palpitations

Palpitations

Along with: Thirst, Mouth ulcers, Tongue ulcers, Restlessness, Anxiety, Feeling of heat,

Pericardium Fire
How it presents with palpitations

Palpitations

Along with: Stifling sensation in the chest, Bitter taste in the mouth, Insomnia, Thirst, Mouth ulcers, Tongue ulcers,

Traditional Herbal Formulas
Phlegm Fire harassing the Pericardium
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Phlegm-Fire harassing the Heart
How it presents with palpitations

Palpitations

Along with: Flushed face, Bitter taste in the mouth, Noisy breathing, Restlessness, Insomnia, Vivid dreaming,

Qi Stagnation

Blocked or disrupted flow of vital energy causing distending pain, emotional distress, and symptoms that worsen with stress

Causes: Palpitations

4 variations documented
Onset Gradual (can be sudden)
Location Can be local or systemic
Features Distending/moving pain • Emotional stress worsens • Sighing • Pain relieved by movement/burping

Qi Stagnation is a fundamental pathological pattern in Traditional Chinese Medicine where the smooth flow of vital energy becomes obstructed, creating areas of pressure, pain, and dysfunction throughout the body.

Heart Qi Stagnation
How it presents with palpitations

Palpitations

Along with: Chest distension, Stifling sensation in the chest, Depression

Traditional Herbal Formulas
Pericardium Qi Stagnation
How it presents with palpitations

Palpitations

Along with: Mild chest pain, Chest distension, Stifling sensation in the chest, Sighing, Throat lumps, Depression,

Traditional Herbal Formulas
Liver Qi Stagnation with Spleen Qi Deficiency that transforms into Heat
How it presents with palpitations

Palpitations

Along with: Irritability, Spontaneous sweat, Eye hyperemia, Dry mouth, Lower abdominal oppression, Painful urination,

Traditional Herbal Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
How it presents with palpitations

Palpitations

Along with: Nausea or vomiting, Vertigo, Vivid dreaming, Anxiety, Excessive hunger, Focal distention of the chest,

Traditional Herbal Formulas

Cold

Congeals body fluids, damages Yang Qi, and causes pain with fixed location

Causes: Palpitations, Palpitations in the epigastrium

3 variations documented
Onset Sudden
Location Can be local or systemic
Features Aversion to cold • Prefers warmth • Pain relieved by heat • Tight/contracted feeling

Cold is the predominant pathogenic factor of winter in Traditional Chinese Medicine. Cold represents an environmental pathogen that, when excessive, causes disease characterized by its cold, congealing, and contracting nature. While Cold is the main pathogen of winter, it can cause illness in any season through exposure to cold temperatures, getting caught in rain, sweating followed by wind exposure, or excessive air conditioning.

Empty-Cold
How it presents with palpitations

Palpitations

Along with: Chills, Cold extremities, Pale face, Absence of thirst, Apathy, Excessive sweating,

Damp-Cold Phlegm
How it presents with palpitations

Palpitations

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas
Exterior Cold invading the Interior
How it presents with palpitations

Palpitations in the epigastrium

Along with: Abdominal pain, Constipation, Hypochondriac pain, Chills, Low grade fever, Cold extremities,

Traditional Herbal Formulas

Dampness

Heavy, sticky moisture that obstructs body functions and creates sluggishness

Causes: Palpitations

3 variations documented
Onset Gradual
Location Systemic, especially digestive
Features Heavy/foggy feeling • Sticky/turbid discharges • Poor appetite • Bloating

Dampness manifests as swelling, bloating, a feeling of heaviness in the head and limbs, and digestive issues. It's like having waterlogged tissues that make everything feel heavy and slow. Common signs include a thick, greasy tongue coating, sticky mouth sensation, and stools that are difficult to flush.

Kidney Yang Deficiency with Water overflowing
How it presents with palpitations

Palpitations

Along with: Edema of the lower extremities, Cold sensation in legs and back, Abdominal distention, Lumbar pain, Chills, Scanty clear urination,

Traditional Herbal Formulas
Damp-Phlegm in the Uterus
How it presents with palpitations

Palpitations

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Damp-Cold Phlegm
How it presents with palpitations

Palpitations

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas

Yang Excess

Excessive yang energy that generates heat, agitation, and hyperactivity throughout the body systems

Causes: Occasional palpitations

1 variation documented
Onset Can be sudden
Location Systemic
Features True excess heat • Strong constitution • Full/forceful presentation • Red complexion

Yang Excess represents pathological hyperactivity of the body's yang qi in Traditional Chinese Medicine. It manifests as excessive heat, inflammation, and overstimulation that disrupts the normal balance between yin and yang, causing various acute and intense symptoms.

Liver Yang Rising with Blood and Yin Deficiency
How it presents with palpitations

Occasional palpitations

Along with: Irritability, Insomnia, Anxiety, Dizziness

Traditional Herbal Formulas

Herbal Formulas for Palpitations

Traditional Chinese Medicine formulas used to address palpitations

Gui Pi Tang

Addresses these palpitations patterns:

Qi Deficiency Blood Deficiency

Tian Wang Bu Xin Dan

Addresses these palpitations patterns:

Yin Deficiency Heat Blood Deficiency

Bu Zhong Yi Qi Tang

Addresses these palpitations patterns:

Qi Deficiency Blood Deficiency

Ren Shen Yang Rong Tang

Addresses these palpitations patterns:

Blood Deficiency Qi Deficiency

Si Wu Tang

Addresses these palpitations patterns:

Blood Deficiency Blood Stasis

Wen Dan Tang

Addresses these palpitations patterns:

Heat Phlegm Mind Disturbance Qi Stagnation

Xue Fu Zhu Yu Tang

Addresses these palpitations patterns:

Blood Stasis

Bai Zi Yang Xin Wan

Addresses these palpitations patterns:

Blood Deficiency Qi Deficiency

Ban Xia Hou Pu Tang

Addresses these palpitations patterns:

Qi Stagnation