Kidneys And Heart Not Harmonized

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Pattern factsheet

Chinese name: 心肾不交

Pinyin name: Xīn Shèn Bù Jiāo

Associated TCM concepts: Kidneys Heart


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

When Kidney Yin is Deficient and cannot nourish the Heart. 

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.

As such if 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 failing to nourish the brain and to open into the ear.

Diagnosing Kidneys And Heart Not Harmonized

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

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 Kidneys And Heart Not Harmonized will tend to exhibit deep (Chen), rapid (Shu), empty (Xu), weak (Ruo) or floating (Fu) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Kidneys And Heart Not Harmonized might experience symptoms like palpitations, restlessness, insomnia and dream disturbed sleep (full list here above).

Herbal formulas used to treat Kidneys And Heart Not Harmonized

Tian Wang Bu Xin Dan

Source date: 16th century

Number of ingredients: 14 herbs

Key actions: Nutritive tonic: Nourishes Yin, Blood and Vital Essence of the Heart and Kidney. Clears away pathogenic Heat, clears Deficient Heat. Sedative.

Formula summary

Tian Wang Bu Xin Dan is a 14-ingredient Chinese Medicine formula with Unprepared Rehmannia (Di Huang) as a principal ingredient. 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.

Read more about Tian Wang Bu Xin Dan

Diet 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.

Most important herbs used to treat Kidneys And Heart Not Harmonized