TCM Heart and Kidney Discord

1. What causes heart-kidney disharmony? Causes: Prolonged illness, excessive thinking, depression, joy, anger and sorrow, sexual indiscretion. According to the five-element theory of traditional Chinese medicine, the heart belongs to fire and the kidneys belong to water. The heart fire must descend to the kidneys so that the kidney water is not cold. The kidney fire must... 1. What causes the disharmony between the heart and the kidneys?

Causes: Prolonged illness, excessive thinking, depression, joy, anger and sadness, sexual indiscretion. According to the Five Elements Theory of Traditional Chinese Medicine, the heart belongs to fire and the kidneys belong to water. The heart fire must descend to the kidneys to keep the kidney water from being cold. The kidney fire must rise in the heart to keep the heart fire from being overactive. This is called the intersection of heart and kidney, or water and fire. Help each other. If you think too much, or if you feel depressed or have excessive heart fire, you will feel restless. If the kidney water is depleted downwards and the yin fluid is lost for nourishment, or if the kidneys are used too much, the patient will suffer from backache, dizziness, and forgetfulness. In addition, kidney yin is insufficient and kidney yang is relatively overactive, so you will feel hot palms, dry throat, dry mouth, red tongue and other symptoms of false heat.

2. What are the symptoms of heart-kidney disharmony and how to diagnose it?

Main clinical manifestations: upset and insomnia, palpitations, dizziness, tinnitus, forgetfulness, five upset stomachs and heat, dry throat and mouth, soreness and weakness in the waist and knees, spermatorrhea, red tongue, and thready pulse.

3. What diseases can easily be confused with heart-kidney incompatibility?

This syndrome is characterized by kidney yin deficiency and heart fire. Under physiological conditions, the heart fire flows down to the kidney water, and the kidney water supports the heart fire, so that the kidney water is not cold and the heart fire is not excessive. Then the water and fire help each other and the heart and kidneys intersect. If the kidney water is insufficient and the heart fire is out of control, the heart fire will be excessive, or the heart fire will be blazing alone, and the kidney water will be absorbed from the lower part, and the kidneys will be dark and depleted, resulting in a deficiency of kidney water from the lower part, excessive heart fire above, and disharmony between the heart and the kidneys. If the heart fire is too high, it will lead to restlessness, insomnia, palpitations, and forgetfulness. Insufficient kidney water will lead to empty marrow sea, dizziness, tinnitus, soreness and weakness in the waist and knees. Yin deficiency generates internal heat, which will lead to five heart upsets and heat, dry throat and mouth, red tongue, and thready pulse. . If the empty fire disturbs the sperm chamber, it will lead to nocturnal emission. Identification of similar syndromes: This syndrome should be distinguished from the syndrome of excessive heart fire. The syndrome of excessive heart fire only shows symptoms of excessive heart fire such as restlessness and insomnia, but no symptoms of kidney yin deficiency. This syndrome has symptoms of excessive heart fire and kidney yin deficiency.

Key points of syndrome differentiation: clinical manifestations of excessive heart fire, accompanied by symptoms of kidney yin deficiency.

4. What diseases can be complicated by heart and kidney disharmony?

Palpitations and forgetfulness, fatigue and insomnia, dizziness and tinnitus, soreness in the waist and nocturnal emissions, or soreness and coldness in the waist and knees, hot flashes and night sweats, restlessness and heat in the five palpitations, red tongue with little or no coating, and thready and rapid pulse. . Clinically, it is easy to induce diabetes, hypertension, heart disease, etc.

5. How to prevent heart-kidney disharmony?

1. If the patient has severe insomnia due to heart-kidney disharmony, the ward should be quiet, the room should be clean, and the temperature and humidity should be appropriate to ensure that the patient can get adequate rest.

2. Patients with frequent nocturnal emissions should be informed of the importance of personal hygiene, such as keeping the vagina clean and dry; underwear should not be too tight, and the vagina should not be too warm when sleeping at night.

3. Masturbation by unmarried young men is often the cause of spermatorrhea due to heart-kidney incompatibility. We should be warned of its harmfulness and make patients determined to quit dangerous habits. If the foreskin of the penis is too long and the patient is not willing to have it removed, the penis and glans must be cleaned of urine dirt every day to prevent the foreskin from being embedded in the glans.

Traditional Chinese Medicine’s understanding of heart-kidney disharmony

Heart palpitations caused by arrhythmias are called heart-kidney disharmony. It usually occurs in men and is also known as the modern "disease of wealth". Traditional Chinese medicine can summarize the causes of disharmony between the heart and kidneys as follows:

(1) Weak constitution: weak constitution, listlessness, long-term illness or overwork, or various blood loss, resulting in qi and blood deficiency Deficiency of yin and yang causes the heart to lose its support, resulting in palpitations.

(2) Long-term illness and physical weakness: Yin damage caused by febrile disease, or excessive atrioventricular function, can lead to kidney yin deficiency, heart fire erratic action, disturbing the mind, and causing palpitations.

(3) Improper diet, work and rest: Excessive overwork damages the spleen, or sitting and lying down for a long time damages the qi, resulting in insufficient biochemical sources, resulting in insufficient heart and blood, the heart loses its nourishment, and the spirit cannot be hidden. Causes palpitations.

Improper diet or excessive drinking can produce phlegm, accumulate heat and turn into fire, or damage the spleen and breed phlegm, and phlegm-fire disturbs the heart and causes palpitations.

(4) Stimulation of the seven emotions: If a person who is usually timid is suddenly frightened, or feels unwell, is extremely sad, and is worried and confused, the seven emotions will be disturbed, which will offend his mind and make him unable to control himself. As for heart palpitations, it is said that "too many thoughts and worries will damage the heart" ("Treatise on the Causes and Symptoms of Diseases? 6.1 Heart Paralysis Symptoms"), and "sadness and worry will cause the heart to beat" ("Lingshu? 6.1 Kouwen").

Long-term worry and fear will result in excessive mental stress, weak heart Qi, dark depletion of yin blood, and inability to nourish the heart; or heart Qi stagnation, phlegm and fire, phlegm and fire disturbing the heart, and loss of peace of mind, leading to palpitations. .

Anger can damage the liver, fear can damage the kidneys, anger can cause qi to be reversed, fear can cause essence to disappear, yin deficiency at the bottom and fire at the top can also shake the mind and cause panic. If the stagnation of heat is accumulated, combined with anger, it will turn into liver fire, which will disturb the heart; or if phlegm fire will disturb the mind and the mind will lose peace of mind, it will easily lead to palpitations.

(5) Feeling of external evils: wind, cold, and dampness combine to form numbness. As the paralysis syndrome persists, exogenous evils may be felt again, causing internal damage to the heart. The evils may block the heart meridians, block the meridians, and hinder the movement of heart and blood; or external evils such as wind, cold, dampness, and heat may invade the heart from the blood vessels, consuming the heart Qi or Heart yin can also cause palpitations and anxiety. If the febrile disease or epidemic syndrome lasts for a long time, the evil poison burns the yin, causing the heart and kidneys to lose nourishment, or the evil poison spreads to the heart and disturbs the mind, it can also cause palpitations and dysphoria such as "big movements of heart and heart". Diseases such as spring temperature, wind temperature, summer dampness, diphtheria, syphilis, etc. are often accompanied by palpitations.

(6) Drug overdose: Drug overdose can damage the heart qi, or even damage the heart and body, causing palpitations. For example, overdose or improper use of antimony, digitalis, quinidine, epinephrine, atropine and other drugs in modern times can cause syndromes such as "pulse knotting and palpitations". Pathogenesis of Traditional Chinese Medicine This syndrome is a syndrome manifested by the imbalance of the relationship between yin and yang, water and fire between the heart and kidneys. It is often due to insufficient endowment, long-term illness that damages the yin, or lack of restraint in the bedroom, or excessive sexual indulgence; or overthinking, which results in long-term emotional depression; or exogenous febrile disease causing excessive heart fire, etc., which causes the heart to be dark and depleted, and the heart yang to be hyperactive. , the heart fire does not flow downwards to the kidneys, and the kidney water is deficient in the lower parts, unable to relieve the heart fire, resulting in heart fire not descending, kidney water not rising, and water and fire being ineffective. The disease location of this syndrome is in the heart and kidneys, and it is a syndrome of mixed excess syndrome. Treatment principles: Nourishing yin and reducing fire, communicating with the heart and kidneys.

Treatment methods:

(1) Oral prescriptions

1. Basic prescription: (1) Tianwang Buxin Dan and Cinnabar Anshen Pills plus or minus: 15 grams of Rehmannia glutinosa, 10 grams of Scrophulariaceae, 10 grams of Poria cocos, 10 grams of Schisandra chinensis, 10 grams of Chinese angelica, 12 grams of Ophiopogon japonicus, 10 grams of Bai Ziren, and 10 grams of Zizyphus spinosum. 6 grams, Coptis chinensis 6 grams. This prescription is used for those with insufficient heart yin due to disharmony between the heart and kidneys. (2) Zhibai Bawei Pills are flavored with: 10 grams of Anemarrhena, 10 grams of Cortex Phellodendron, 12 grams of Rehmannia glutinosa, 10 grams of Cornus, 6 grams of paeonol, 6 grams of Alisma, 10 grams of Poria, 18 grams of Nocturnal Vine, and Albizia Julibrissin. 12 grams of skin, 10 grams of Acorus calamus, and 10 grams of lotus heart. This prescription is suitable for those whose heart and kidneys are not in harmony but suffer from kidney yin deficiency. Decoction the above medicines and extract 200-300 ml of juice. Take 1 dose per day, take it warmly, 3 times a day.

2. Additions and subtractions: If there is both excessive fire and yin damage, and a red and crimson tongue without coating, add 12 grams of dendrobium and 12 grams of Adenophora adenophora to the basic prescription (2) to nourish yin with sweetness and coldness; if there is both dampness and heat, and yellow and greasy tongue coating. Add 10 grams of gardenia to the basic recipe (1). 6 grams of horsetail root, 15 grams of plantain, and 15 grams of coix seed to clear away heat and promote dampness; if the person suffers from yin deficiency and night sweats, add 15 grams each of calcined dragon and peony, 15 grams of floating wheat, and 15 grams of dried peach to the basic prescription (2). Yin and antiperspirant; if combined with inflammation of liver fire and severe dizziness and dizziness, add 12 grams of chrysanthemum, 10 grams of mulberry leaves, 10 grams of skullcap, and 12 grams of Uncaria to clear away liver fire; if heat disturbs the sperm chamber and frequent spermatorrhea occurs The author adds 10 grams of golden cherry seeds, 10 grams of lotus root, 15 grams of Tribulus terrestris, and 10 grams of hedgehog skin to nourish the kidneys and strengthen essence. (2) Diet therapy

(1) Yam and lychee porridge: Take 100 grams of fresh yam, 15 to 30 grams of lychee meat, 15 grams of cinnamon meat, 3 grams of schisandra chinensis, and an appropriate amount of rock sugar. First cut the yam into thin slices, cook it with lychee meat, cinnamon meat, and schisandra chinensis. Take the juice and add 100 grams of japonica rice to cook it into porridge. Add rock sugar and it is ready. It can be taken in the morning and evening.

(2) Maogen and red bean porridge: First take 30 grams of fresh Imperata cogongrass root, decoct the soup to get the juice, then cook 30 grams of red beans until the beans are cooked, add 200 grams of japonica rice to cook the porridge, and boil the beans until they are tender. , ready to eat.

(3) Qigong therapy: Patients with heart-kidney disharmony can use Qigong as an auxiliary treatment. It is better to practice Qigong in a sitting position and focus on tranquility. The practice method requires a quiet environment. After sitting, relax your whole body, keep your eyes open, pay attention to the tip of your nose, and touch the tip of your tongue to the roof of your mouth. Swallow slowly after there is a lot of saliva. If you have distracting thoughts and forget to recite the number, you should take it back in time and start reciting it from the beginning. If you have recited it 100 times without forgetting it, start from 1 again. You can also use the breath-following method, that is, your thoughts are highly concentrated on your breathing. When you inhale, the air sinks into the lower abdomen, and when you exhale, it gradually rises and is exhaled carefully. If you have too many distracting thoughts during practice or feel irritated, stop the practice immediately and practice again next time. Gradually improving the state of tranquility and extending the practice time often have better curative effects.

Key points of treatment:

(1) There are many signs of heart and kidney disharmony in the sequelae of traumatic brain injury. This disease is caused by concussion of the brain, and should be treated with beneficial drugs. The kidneys mainly replenish essence, because the kidneys govern the bones and produce marrow, and the brain is the sea of ??marrow. The medicines available are raw and cooked rehmannia, fleece-flower root, antler glue, tortoise shell glue, dodder, purple river cart, fish fat glue and other products. Then you can add or subtract appropriately according to the symptoms. It is not necessary to use more medicine to relieve heart-fire to prevent excessive bitter cold from damaging yin.

(2) It is generally believed that the heart and kidneys are not in harmony. From the pathogenesis analysis, it is mostly caused by the heart fire being strong at the top, the kidney yin being deficient at the bottom, and the water and fire not interacting. For this kind of "excessive heart fire and deficiency of kidney yin", Coptidis donkey-hide gelatin decoction is commonly used to relieve heart fire and nourish kidney yin; clinical analysis shows that there are still cases of "excessive heart fire and deficiency of kidney yang". "Heart qi deficiency, kidney yang deficiency" or "heart qi deficiency, kidney yin deficiency" can also be said to be heart and kidney disharmony syndromes. For the treatment of "strong heart fire and deficiency of kidney yang", Jiaotai Pills can be used to relieve heart fire and help kidney yang; for "deficiency of heart qi and kidney yang", use Futu Pills to nourish heart qi and replenish kidney yang; for "deficiency of heart qi and kidney yang" "Mingxu" use Tianwang Buxin Dan to replenish heart qi and nourish kidney yin. The main acupuncture points can be Xinshu, Neiguan, Daling, Taixi, and the accessory points can be Taichong, Shenmen, Shenshu, Hegu, etc. The technique is suitable for flat tonifying and diarrhea, leaving the needle for 15-20 minutes, twisting and lifting combined with insertion. Once a day. Wrist and ankle acupuncture can also be used for treatment, and the acupuncture points are Neiguan and Shenmen. The method of inserting the needle is: routine disinfection. After the needle tip quickly penetrates the skin, make the needle body and the skin surface form an angle of 30 degrees. The needle body is under the skin and should be as close as possible to the dermis without going too deep. Insert the needle block and push the needle. Slowly, don't twist, pay attention to the surface, and be relaxed. If you encounter resistance or feel soreness, numbness, swelling and pain when inserting the needle, the needle has been inserted too deeply. The needle tip should be withdrawn under the skin and then inserted along the superficial layer. Insert the needle for 2-6 minutes and leave the needle for 20-30 minutes. minute. Mild stimulation is tonic, while severe stimulation is diarrhea. To treat heart and kidney yin deficiency, the method of flat tonic and flat diarrhea can be used. Nursing 1. If the patient suffers from severe insomnia due to heart-kidney disharmony, the ward should be quiet, the room should be clean, and the temperature and humidity should be appropriate to ensure that the patient can get adequate rest. 2． If the patient shows frequent sperm loss, he should be informed of the importance of personal hygiene, such as keeping the vagina clean and dry; underwear should not be too tight, and the vagina should not be too warm when sleeping at night.

3. Masturbation among unmarried young men is often the cause of spermatorrhea due to heart-kidney disharmony. We should be warned of its harmfulness and make patients determined to quit dangerous habits. If the foreskin of the penis is too long and the patient is not willing to do it, he must clean the penis and glans every day to prevent the foreskin from getting stuck in the glans.