Heart Yang Collapsing

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Pattern factsheet

Chinese name: 心阳下陷

Pinyin name: Xīn Yáng Xià Xiàn

Associated TCM concepts: Heart Yang

Diagnosis

Common symptoms: Coma Weak breath Purple lips Palpitations Heavy sweating and four other symptoms

Pulse type(s): Knotted (Jie), Minute (Wei), Hidden (Fu)

Tongue description: Short, very pale or bluish-purple

This pattern is similar to Heart Yang Deficiency, but much severe. Therefore the clinical symptoms are quite similar. The key different manifestation is the cyanosis of the lips. It is because the Blood flow are impaired due to lacking of Yang Qi's moving force. 

Coma happens in rare severe cases. It is because the Heart should house the Mind. However, the Mind has no 'residence' due to the overall collapse of Heart Qi. In this case, the patients might not even be able to move their tongue due to lack of Qi. Also, Yang Deficiency leads to internal Coldness which contracts the tongue muscles. Therefore,  the tongue can not be moved out of mouth. 

The Hidden pulse shows the severe degree of Yang Deficiency. It is an extreme case of the Deep pulse. The Knotted pulse also shows the severe Yang Deficiency, because the Heart has not enough energy to function properly. 

Diagnosing Heart Yang Collapsing

The Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine

Pulse type(s): Knotted (Jie), minute (Wei) or hidden (Fu)

Tongue description: Short, very pale or bluish-purple

Possible symptoms: Coma Weak breath Purple lips Palpitations Heavy sweating Pale complexion Shortness of breath Shallow Respiration Cold hands and feet

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. Here patients with Heart Yang Collapsing will tend to exhibit knotted (Jie), minute (Wei) or hidden (Fu) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Heart Yang Collapsing might experience symptoms like pale complexion, coma, palpitations and shortness of breath (full list here above).

Herbal formulas used to treat Heart Yang Collapsing

Shen Fu Tang

Source date: 1445 AD

Number of ingredients: 2 herbs

Key actions: Restores Yang. Strongly tonifies the source Qi. Saves Qi from collapsing due to devastated Yang.

Formula summary

Shen Fu Tang is a 2-ingredient Chinese Medicine formula with Ginseng (Ren Shen) as a principal ingredient. Invented in 1445 AD, it belongs to the category of formulas that rescue devastated Yang.

Read more about Shen Fu Tang

Most important herbs used to treat Heart Yang Collapsing