Lung and Heart Qi Deficiency

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At a glance

Key attributes

Chinese name: 心肺气虚      Pinyin name: Xīn Fèi Qì Xū

Pattern nature: Empty combined pattern

Pattern(s) it combines from: Heart Qi Deficiency Lung Qi Deficiency

Causes

Precursor patterns: Kidney Qi not Firm Kidney Qi Deficiency

Common causes: 1. Emotional Stress, 2. Overwork

Diagnosis

Common symptoms: Coughing Tiredness Weak voice Depression Palpitations and six other symptoms

Pulse type(s): Empty (Xu)

Tongue description: Pale

Treatment

Treatment principle: Tonify Qi, strengthen the Heart and the Lungs, calm the Mind.

Common formulas: Si Jun Zi Tang Bao Yuan Tang

Pathology

In terms of typical manifestations, Heart Qi Deficiency and Lung Qi Deficiency share many common ones such as spontaneous sweating, fatigue and pale face. The combined Deficiency of both Organs is quite common to be seen as a result of emotional stress such as sadness, grief and worry.  

Other than that, palpitations are the typical symptom for Heart Deficiency, while slight short of breath and slight coughing are due to Lung Deficiency, because the Lung Qi fails to descend properly. Also, the Lungs control the voice by influencing the Gathering Qi, therefore impaired Lung Qi makes the patients dislike speaking due to a weaker voice.

The patients also don't like cold and is more likely to catch cold or flu due to Lung Deficiency. It is because the Lungs fails to disperse Defensive Qi in the space between skin and muscles and the body is more vulnerable to external Pernicious Evils

Causes

Precursor patterns: Lung and Heart Qi Deficiency can derive from Kidney Qi not Firm Kidney Qi Deficiency

Emotional Stress : Heart Qi Deficiency can be the result of emotional problems such as sadness or grief, while Lung Qi Deficiency is often the consequence of worry.

Overwork : Heart and Lungs' Qi can be greatly consumed by overwork, especially for these who need to speak a lot over a long period of time. It will become Yin Deficiency eventually.

Diagnosing Lung and Heart Qi Deficiency

Pulse type(s): Empty (Xu)

Tongue description: Pale

Main symptoms: Coughing Tiredness Weak voice Depression Palpitations Pale complexion Frequent sighing Aversion to speak Shortness of breath Spontaneous sweating Frequent Colds or Flu

Diagnosis commentary: Key characteristic symptoms of this pattern are the spontaneous sweating, pale face, fatigue and emotional problems such as sadness and grief.

Treating Lung and Heart Qi Deficiency

Treatment principle

Tonify Qi, strengthen the Heart and the Lungs, calm the Mind. 

Herbal formulas used to treat Lung and Heart Qi Deficiency

Si Jun Zi Tang

Source date: 1107 AD

Number of ingredients: 4 herbs

Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.

Formula summary

Si Jun Zi Tang is a 4-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that tonify Qi.

Besides Lung and Heart Qi Deficiency, Si Jun Zi Tang is also used to treat Qi Deficiency or Stomach Qi Deficiency.

Read more about Si Jun Zi Tang

Bao Yuan Tang

Source date: 1624

Number of ingredients: 4 herbs

Key actions: Tonifies the Qi and warms the Yang.

Formula summary

Bao Yuan Tang is a 4-ingredient Chinese Medicine formula. Invented in 1624, it belongs to the category of formulas that tonify Qi.

Besides Lung and Heart Qi Deficiency, Bao Yuan Tang is also used to treat Heart Qi Deficiency.

Read more about Bao Yuan Tang

Consequence patterns

Heart Blood Deficiency

The Deficiency of Lung and Heart Qi makes it difficult to create enough Blood for the Heart. 

Qi Stagnation

The Heart and the Lungs are located in the chest. The Qi Deficiency of these two Organs slows down the flow of Qi in the chest and thus the result of Qi Stagnation.  Qi Deficiency and Qi Stagnation can happen at the same time in the chest. 

Blood Stagnation

Prolonged chest Qi Deficiency and Stagnation can give rise to Blood Stagnation in the chest.