Pattern Empty

Heart Yin Deficiency

Xin Yin Xu 心阴虚
Affects: Heart

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Tongue

Red or normal tongue with no coating, redder tip with swollen red pointes on tip, deep midline crack

Pulse

Rapid (Shu), Empty (Xu), Fine (Xi), Floating (Fu)

Diagnostic Considerations

The key characteristic symptoms of this pattern are the palpitations, mental restlessness, night sweating and tongue without coating.

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern often derives from Heart Blood Deficiency. Both patterns share similar symptoms such as palpitations, insomnia, dream-disturbed sleep, easily scared, poor memory, restlessness and anxiety.

Blood is a type of Yin element. If Heart Blood get insufficient over a long period of time without being treated, it can eventually develop to the Yin Deficiency. Therefore, middle-aged or elderly patients have more tendency to have Heart Yin Deficiency, while Heart Blood Deficiency is more seem among younger patients, especially young women.

Heart Yin Deficiency may also evolve to Empty-Heat pattern, with typical manifestations of malar flush,  five-palm heat and feeling of heat especially in the afternoon or evening.

Treatment Approach

Treatment Principle

Nourish Heart Yin, calm the Mind, clear Empty-Heat.

Diet & Lifestyle Recommendations

Avoid spicy foods. If digestion is good, fruit is beneficial, especially berries and purple grapes. If digestion is impaired, eat all cooked foods. Sufficient protein at each meal is important. Do not skip meals. Include black and adzuki beans, soya, tofu and milk in the diet.

As for other therapies, try oil massage, breathing exercises and cupping over the upper back to relieve Stagnation and Deficient Empty-Heat. Try go to bed as early as 9.30 PM and sleep for at least 8 hours. Try work out the emotional stress by taking some hobbies or works that are interesting and fulfilling.

As for sports, avoid intense aerobic exercises. It is better to do light sports such as Yoga, Tai Chi and Qi Gong. It is because they invite the Mind to participate in the Qi and Blood circulation of the body. Other than that, stretching, walking or swimming can be also beneficial.

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Pattern Relationships

Related Conditions

This pattern can manifest as:

Related TCM Concepts

Heart Yin Deficiency