TCM- Heart Patterns 1 (Test 2)

Pattern	Clinical Manifestations	Tongue/Pulse
Deficient Patterns
Heart Qi Deficiency:	Palpitations, SOB on exertion, sweating, pallor, tiredness, listlessness	Pale or Normal Empty
Heart Yang Deficiency:	Palpitations, SOB on exertion, tiredness, listlessness, sweating, feeling of stuffiness or discomfort in the heart region, feeling of cold, bright-pale face, cold limbs (esp. hands)	Pale, Wet, Swollen Deep-Weak of Knotted
Heart Blood Deficiency:	Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips	Pale, Thin, slightly Dry Choppy or Fine
Pattern	Clinical Manifestations	Tongue/Pulse
Heart Yin Deficiency:	Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, ‘uneasiness’, ‘fidgetiness’, malar flush, low-grade fever or feeling of heat especially in evening, ‘feeling hot & bothered’, night sweating, dry mouth & throat, 5-Palm heat.	Red-Peeled, no coating, Tip redder & swollen w/red points, deep midline crack reaching tip Floating-Empty & Rapid Or Fine & Rapid
Excess Patterns
Heart-Fire Blazing:	Palpitations, thirst, mouth & tongue ulcers, mental restlessness, feeling agitated, ‘impulsiveness’, feeling of heat, insomnia, red face, dark urine or blood in urine and bitter taste.	Red, Tip redder & swollen w/Red pts Yellow t.c. Possible mid-line crack to tip Full-Rapid-Overflowing OR Hasty
Phlegm-Fire Harassing the Heart:	Mental restlessness, palpitations, bitter taste, insomnia, dream-disturbed sleep, propensity to be startled, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or cry, agitation, shouting, muttering to oneself, mental depression and dullness; in severe cases aphasia and coma Key: all the various mental symptoms	Red w/yellow-sticky t.c. Midline crack w/yellow prickles Tip may be redder and swollen w/red points Full-Rapid-Slippery OR Rapid-Overflowing-Slippery OR Rapid-Full-Wiry
Phlegm Misting the Heart:	Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes	Swollen w/thick, sticky t.c. Midline crack reaching tip Slippery
Heart Qi Stagnation:	Palpitations, a feeling of distention or oppression of the chest, depression, a slight feeling of lump in the throat, slight SOB	Slightly Pale Purple on sides in chest area Empty but slightly Overflowing on HT position
Deficiency-Excess Patterns
Heart-Blood Stasis:	Palpitations, stabbing or pricking pain in chest that may radiate to inner aspect of the left arm or to the chest, cyanosis of lips and nails, cold hands	Whole tongue purple or only on sides in chest area Choppy, Wiry or Knotted