Male, 20 years

Reason for consultation

Palpitations, shortness of breath for 10 days

Clinical history

Palpitations, sensations of chest oppression (worsened after playing 3 basketball games in three days where he had sweated a lot), anxiety, insomnia, dizziness, physical asthenia (unable to walk more than 20 meters continuously), dry mouth and throat, loss of appetite, scanty dark urine, normal stools.

Tongue: red with little coating. Pulse: fine rough.

Diagnosis

Rough -> lack of body fluids

• Heart-Yin deficiency
• Heart-Qi deficiency, significant fluid escape, chest oppression and tongue.

The weakened Heart starts to affect Spleen-Qi.

Therapeutic principles

• Restore fluid
• Calm shortness of breath and palpitations
• Tonify Heart-Yin and Qi

Treatment

• BL-15; BL-43.
• ST-36 raise energy.
• SP-6: strengthen Yin and calm the Shen.
• Heart yuan and luo: HT-7 + HT-5 -> tonify the Heart; also HT-3 (water point)
• KI-6(Yin Qiao Mai, sleep) + LU-7: dryness.
• PC-7 and PC-6: Ghost Point; (-> better NOT because it would extinguish too much, they are too potent)
• SP-4 carries Qi to the whole body