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SICK SINUS SYNDROME

GENERAL

Clinical Manifestations	Sick sinus syndrome ( SSS ), also known as sinus node disease or sinus node dysfunction, is a relatively uncommon heart rhythm disorder. SSS is not a specific disease, but rather a group of signs or symptoms that indicate the sinus node, the heart's natural pacemaker, is not functioning properly. When they occur, sick sinus syndrome signs and symptoms might include: Slower than normal pulse (bradycardia) Fatigue Dizziness or Light-headedness Fainting or near fainting Shortness of breath Chest pains Confusion A sensation of rapid, fluttering heartbeats
Treatment Principle
Herb Formulas
Points

JUE YIN COLD AND HEAT

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

HEART QI DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Disinclination to talk Spontaneous perspiration Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue General debility Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent or Deep, slow and weak With Blood Stagnation: Stabbing pain in the chest T: Dark red with echymosis P: Deep, slow and hesitant
Treatment Principle	Reinforce and Strengthen Heart Qi Warm Yang to invigorate the Blood
Herb Formulas	Wu Wei Zi Tang Bao Yuan Tang modified Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Ren Shen Jian Pi Wan + Fu Fang Dan Shen Pian
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15 DU-19, DU-24, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Moxa or moxa needle DU-4, REN-6, UB-15, needle HT-7, REN-17, SP-10, ST-36 Ear: Shenmen, Heart, Subcortex, Sympathetic

HEART QI AND YIN DEFICIENCY

Clinical Manifestations	Chest stuffiness Shortness of breath Vague pain in the precordial region Dizziness Blurred vision Palpitations Insomnia Poor memory Spontaneous perspiration Dry mouth T: Pulse or Dark red C: Thin and white P: Thready and slow or Intermittent
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Zhi Gan Cao Tang modified Chinese Patent Medicines: Jian Nao Wan Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nao Wan An Shen Bu Nao Wan
Points	DU-19, DU-24, HT-5, HT-6, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Ear: Shenmen, Subcortex, Spleen, Heart, Sympathetic

HEART YANG DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Dizziness Aversion to Cold Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor Clear frequent urination Sudden fainting T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent or Deep and slow
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang modified Chinese Patent Medicine: Chu Xin Su He Wan
Points	Moxa or moxa needle DU-4, REN-4, REN-6, UB-15, UB-23, needle REN-9, ST-40 Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

HEART AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Chest stuffiness Twinges in the precordial region Palpitations Shortness of breath Dizziness Occasional fainting Fatigue Weakness Dizziness Low back weakness and pain Aversion to Cold Cold limbs Restlessness Insomnia T: Pale and thick or Dark red C: White P: Thready, slow and uneven or Intermittent
Treatment Principle	Warm Yang Replenish Qi
Herb Formulas	Sick Sinus Syndrome #1
Points

HEART BLOOD AND YIN DEFICIENCY

Clinical Manifestations	Severe palpitations Irritability Anxiety Easily startled Dry mouth and throat Night sweats Irritability Insomnia Much dreaming Poor memory Dizziness T: Red C: Little or None P: Thready and weak or Thready and slow or Sometimes slow and sometimes rapid
Treatment Principle	Nourish Yin Nourish Heart Blood Calm the Heart and Shen Unblock the channels
Herb Formulas	Sheng Mai San modified Chinese Patent Medicine: Yi Xin Kou Fu Ye
Points	KI-3, LIV-2, LIV-3, PC-8, SP-6, SP-10, UB-15, UB-23

HEART BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the heart and Spleen
Herb Formulas	Gui Pi Tang Zhi Gan Cao Tang modified Chinese Patent medicines: Gui Pi Wan Bai Zi Yang Xin Wan Dang Gui Ji Jing Bu Nao Wan An Shen Bu Nao Wan
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 DU-19, DU-24, HT-7, REN-12, SP-6, ST-36, UB-15, UB-17, UB-20, Yintang DU-19, DU-24, HT-7, REN-4, REN-6, ST-36, UB-15, UB-20, UB-23, Yintang With insomnia: + Anmian With abdominal distention: + ST-25 DU-20, HT-3, HT-7, REN-4, SP-6, ST-36, UB-15, UB-17, UB-20, UB-52, Yintang With much dreaming: UB-42 Ear: Spleen, Heart, Subcortex, Sympathetic

BLOOD AND YANG DEFICIENCY WITH COLD

Clinical Manifestations	Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points