Kidneys And Heart Not Harmonized

At a glance

Key attributes

Chinese name: 心肾不交      Pinyin name: Xīn Shèn Bù Jiāo

Pattern nature: Empty combined pattern

Pattern(s) it combines from: Kidney Yin Deficiency Heart Yin Deficiency

Causes

Precursor patterns: Kidney Yin Deficiency Heart Yin Deficiency

Common causes: 1. Emotional stress, 2. Overwork, 3. Excessive sexual activity, 4. Depletion of Body Fluids, 5. Blood loss, 6. Chronic illness, 7. Overdose of Kidney Yang tonic herbs

Diagnosis

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

Treatment

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

Common formulas: Tian Wang Bu Xin Dan Jiao Tai Wan

Pathology

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.

Causes

Precursor patterns: Kidneys And Heart Not Harmonized can derive from Kidney Yin Deficiency Heart Yin Deficiency

Emotional stress: Anxiety, sadness and depression, if felt for a prolonged periods of time or very intensely during a short, can lead to this pattern. The emotional shock and sadness involved in the break-up of relationships are a common cause of Heart Yin Deficiency in this pattern.

Overwork: Working excessively long hours for many years weakens Kidney Yin and may lead to this pattern

Excessive sexual activity: Excessive sexual activity, especially masturbation, depletes Kidney Essence and Kidney Yin.

Depletion of Body Fluids: Depletion of Body Fluids, for instance if they are dried up by Heat after a febrile disease, may lead to Kidney Yin Deficiency.

Blood loss: Loss of blood over a long period of time (such as from chronic excessive menstrual bleeding) can cause Liver Blood Deficiency, which, in turn, can lead deplete Kidney Yin.

Chronic illness: A long chronic illness may lead to Kidney Yin Deficiency.

Overdose of Kidney Yang tonic herbs: If Kidney Yang is overstimulated by the administration of hot herbal medicine, Kidney Yin will be injured

Diagnosing Kidneys And Heart Not Harmonized

Pulse type(s): Deep (Chen), rapid (Shu), empty (Xu), weak (Ruo) or floating (Fu)

Tongue description: Red with redder tip without coating, midline Heart crack

Main symptoms: Anxiety Insomnia Tinnitus Dizziness Dry stools Poor memory Palpitations Restlessness Night sweats Five palm heat Lower back pain Diminished hearing Dry throat at night Dream disturbed sleep Scanty and dark urine Feeling of heat in the evening Nocturnal emissions with dreams Thirst with desire to drink in small sips

Diagnosis commentary: 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.

Treating Kidneys And Heart Not Harmonized

Treatment principle

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

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. 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

Jiao Tai Wan

Source date: 1522 AD

Number of ingredients: 2 herbs

Key actions: Restores the functional communication between the Heart and the Kidneys.

Formula summary

Jiao Tai Wan is a 2-ingredient Chinese Medicine formula. Invented in 1522 AD, it belongs to the category of formulas that nourish the Heart and calm the Mind.

Besides Kidneys And Heart Not Harmonized, Jiao Tai Wan is also used to treat Heart and Kidney Yin Deficiency or Disharmony between Heart and Kidneys caused by Kidney Yang Deficiency.

Read more about Jiao Tai Wan

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.

Consequence patterns

Heat in the Blood

The Empty Heat inherent in this pattern may Heat the Blood and cause bleeding