Pattern Empty

Kidneys And Heart Not Harmonized

Xīn Shèn Bù Jiāo 心肾不交
Affects: Kidney Heart

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Diagnostic Considerations

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.

Causes & Pathology

Common Causes

Pathological Mechanism

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.

Treatment Approach

Treatment Principle

Nourish Kidney and Heart Yin, clear Heart Empty Heat, calm the Mind.

Diet & Lifestyle Recommendations

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.

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Pattern Relationships

Derives From

Yin Deficiency

Can Develop Into

Related TCM Concepts

Kidneys Heart