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Increased heart rate in HT Yang Xu

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Dear All,

 

A common clinical feature of palpitations, Xiong Bi etc due to Heart Yang Xu

is a rapid heart rate. Modern CM textbooks usually explain this by deferring

to what I think is the more Western medical explanation of the heart

compensating for a lack of circulating blood volume by an increase in heart

rate eg Li & Zhao (Acupuncture Patterns and Practice p179).

 

Would anybody, particularly those who are more steeped in classical

literature than I am, be able to give a more classical CM explanation or

mechanism for this clinical feature or point me to classical references that

discuss this feature.

 

Regards

 

Derek High

--

 

 

Version: 7.1.413 / Virus Database: 268.18.8/716 - Release 09/03/2007

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" Internal medicine " from the thick

Series of high quality teaching books on chinese medicine, PMPH

 

Pathology of palpitation (xin-ji):

....

3)Heart Yang Xu: If after a fulminant or longterm disease the Yang-Qi

is weakened

or profuse sweating damaged the Heart-Yang, the Heart-Vessels

(xinmai) fail to be

nourished by means of warming and fail to move the blood, thus

leading to palpitations.

 

" Shang han ming li lun " - " On palpitation " :

And if the qi is xu, that means the Yang-Qi is weak in the inner, the

heart region is empty and xu, the zheng-qi agitates

in the inner and causes palpitation.

 

My internal medicine book cites

Su wen - On the pathology of pain (Ju tong lun )

on this topic:

Palpitations arise when the Heart is not supported,

when the Shen is without integrity,

when cogitation is undedicated,

the Qi gets deranged.

 

 

That`s my personal translation trying to catch the precise meaning.

One printed version interpretes just that same sentence as:

When one is in excessive anxiety, his heart will be injured and his

spirit will become dull.

(Yellow Empero's Canon Internal Medicine

Englished by Nelson Liangsheng Wu and Andrew Qi Wu)

....just citing the title page

 

Greetings, Tayfun.

 

 

 

> A common clinical feature of palpitations, Xiong Bi etc due to

Heart Yang Xu

> is a rapid heart rate. Modern CM textbooks usually explain this by

deferring

> to what I think is the more Western medical explanation of the heart

> compensating for a lack of circulating blood volume by an increase

in heart

> rate eg Li & Zhao (Acupuncture Patterns and Practice p179).

>

> Would anybody, particularly those who are more steeped in classical

> literature than I am, be able to give a more classical CM

explanation or

> mechanism for this clinical feature or point me to classical

references that

> discuss this feature.

>

> Regards

>

> Derek High

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