Diseases of the Heart

Picture Crooke, Mikrokosmographia, 1618
The Heart is a principal Organ of the Body and is one of the 5 Yin Organs of TCM.

The Heart distributes blood and Qi throughout the Body via the Arteries. Due to it being the most active organ and responsible for keeping the body warm, it is associated with the Fire Element in all systems. This means that it requires a lot of Yang Energy, and conversely, is easily affected by excess Heat. Due to its high rate of activity, it is also prone to disturbances in its rate which is generally a Wind / Qi disorder. The Heart also works closely with the Kidneys in maintaining balance of Fire and Water within the body. A weakness in either will cause dysfunction in the other.

The Heart is also regarded as the Seat of the Spirit in TCM. There is a close connection with the Heart and Spirit (Consciousness). Therefore, calming the Heart and Spirit is a treatment method often used when there is Insomnia, Restlessness, Emotional or Mental disorders. The Gems, Pearl, Coral and Amber are all examples of medicines which work to Cool the Heart and settle the Mind and Spirit.


The Signs of the Nature of the Heart
(Taken from Syrian ‘Book of Medicine‘, Budge, 1913)

Hot condition of the Heart:
‘… are made known by the
greatness (i.e., depth) of the breathing, and by the lightness and rapidity of the feel of the arteries, and by truculence, and wrath, and boldness, and by the hair that is on the breasts of [men of] this kind, and especially by a whistling sound over the heart … and in the majority of cases the whole body is hot; but, if the liver standeth much against it, and there is breadth of chest”
“Those who possess a very ardent temperament do not need any course of treatment, but easy walking and bathing are sufficient for them, and they will therefore rejoice in bathing after meals”

Cold condition of the Heart
“… diminishes the touch (or feel) of the arteries, and the men who possess
this temperament are naturally timid, and languid, and care less, and their breasts are smooth”.

Dry condition of the Heart
“… makes the feel of the arteries
hard, and causes a man to be slow to anger, but when his anger is roused up it becomes a savage passion, and in the majority of cases such anger subsideth with difficulty. And the whole of the bodies of men possessing this temperament is dry, provided that the liver be not found to be standing against it.
“Those who possess an exceedingly dry temperament need abundant nourishment, and they must abstain from violent and excessive exercise,such as it is well known that men abstain from in the season of summer. And frequent washing (or, bathing) is beneficial for them, and especially draughts of cold water after a meal, for these are the opposite of dry constitutions. And frequent copulation injureth them, and consequently it is meet for them to guard themselves against anger, and fatigue, and anxiety, and sleeplessness”

Moist condition of the Heart
“… causes the arteries to feel
soft to the touch. Those who possess this temperament are stirred up quickly to wrath, and this wrath subsideth quickly; and the whole of their bodies is moist, provided that in this case also the liver doth not stand against it.
“… a constitution that is moist naturally during the period of youth casteth its possessor into the pains of rheum, and of superfluity, and into the sicknesses of fluxes, and therefore young folks require much exercise, and complete digestion by the stomach; … and they will find themselves much benefited if they use water that is warm naturally. Now it is meet that we should be most careful about their evacuations which are to be brought about by means of frequent bathing and a purgative, or about the emptying of their bodies by means of the urine and faeces. And there is nothing to prevent them from making use of the helps that bring down phlegm, and purgative medicines, and foods that contain good chymes, and they may drink wine that will cause them to make water”.

Hot and Dry condition of the Heart
“… causes the arteries to feel hard, and large, and rapid, and light, and the breathing of men who possess this temperament becometh great, and
light, and frequent. Their breasts and the upper parts of their bellies are hairy, and their actions are fierce and savage, and they are disposed to wrath, and are truculent, and tyrannical, and they are swift to wrath, and their anger doth not quickly subside”.

Heat and Moist condition of the
Heart
“… they are less hairy than the class of men that hath just
been mentioned. Men possessing this temperament are prompt in action, and their wrath is not followed by cruel acts, for they are only prone to be angry, and their arteries are large, and full, and light, and rapid to the touch”

Cold and Moist condition of the Heart
“… they cause the arteries to feel soft to the touch.
Men who possess this temperament are timid, and languid, and careless in their works. And their whole body shaketh with their chest, and they do not nurse their wrath, because they are not prone to anger.
“Now, the cold constitution is evil, even when moistness predominates in it, and it casteth the possessor thereof into the pains of rheum. Abundant and light exercise, and the abstaining from washing, and the use of warming unguents, help men of this kind.

Cold and Dry condition of the Heart
“… they cause arteries to feel hard and small. Men
who possess this temperament do not become angry on small provocation, but when once they are moved to anger, their wrath endures for a long time, and they nurse their ire. And their bodies and breasts are wholly without hair.”
“There are three changes of the cold, evil condition of the heart, but the most evil of them all is the dry change, when it hath existed for a long time in those who possess a cold, dry constitution; therefore it is necessary to moisten and warm such men. This may be brought about by moderate exercises, and by the foods that are moistening and warming in character, and by the drink of hot, vinous drinks, and by abundant sleep, but we must take care that the body is emptied each day of the superfluity that is produced in their bodies. And copulation is injurious to all men with dry constitutions, and especially to .those who possess coldness as well as dryness”


Modern Classification of Heart Disease
In Modern Medicine, Heart Disease can be divided into:
  • Cardiomyopathies–diseases of the Heart Muscle
  • Coronary Heart Disease–obstruction of the blood supply to the Heart
  • Valvular Diseases–diseases of the Valves
  • Arrhythmias–irregular or abnormal Heart rhythm
  • Heart Failure–loss of the ability to pump adequate Blood supply
  • Congenital Heart Diseases–a condition present from Birth.


Treatment
Treatment of the Heart may require various strategies:
  • Clear Heart Heat–Pearl, Coral, Violet, Rose
  • Warm the Heart–Cinnamon, Nutmeg, Galangal
  • Regulate Heart Qi–Valerian, Aloeswood, Rose, Indian Spikenard
  • Move the Blood–Saffron, Frankincense, Amber, Salvia Dan Shen
  • Regulate the Heart–Hawthorn, Motherwort
  • Clear Obstruction of Heart vessels–Hawthorn, Garlic, Ginger, Turmeric etc.
  • Calm the Heart and Spirit–Balm, Sandalwood, Basil seed, Pearl, Coral
  • Strengthen the Heart–Soloman’s Seal, Ginseng, Licorice, Mastic
  • Nourish Heart Yin–Lily bulb, Asparagus root, Soloman’s Seal, Pearl

See also:
Heart Disease
Heart Weakness
Heart Pain, Angina Pectoris
Palpitations and Arrhythmias

Western Tradition

To Comfort the Heart
Wine
Egg Yolk
Confected Ginger
Rob of Currants
Conserve of Rose
Electuary of Citron
Aromaticum Rosatum
Diambra
Electuary of Aloeswood (Diaxyloaloes) (Mesue)
Electuary of Gems


Heart Weakness
Cordial Decoction (French Pharmacopoeia)
Syrup of Apple Simple
Syrup of Borage Juice
Syrup of Rose Solutive
Syrup of Water Lily
Syrup of Water Lily Flower Compound
Sugar of Rose
Sugar of Borage
Sugar of Rosemary

Tincture of Life (Mynsichts)
Electuary of Gems (Mesue)
Electuary of Aloeswood (Diaxyloaloes) (Mesue)

Royal Confection of Kermes (Mesue)
Aromatic Rose Powder (Aromaticum Rosatum)
Powder of Ambergris (Diambra) (Mesue)
Sweet Powder of Musk (Diamoschu Dulce) (Mesue)
Comp. Cooling Pearl Powder (Diamargariton Frigidum)
Aromatic Rose Powder (Aromaticum Rosatum)
Restorative of Nicholas (Pleres Arconticon)

Aromatic Musk Compound (Aromaticum Moschatum)
Cordial Powder
Troches of Gallia Muscata (Mesue)
Troches of Gallia Muscata (Nicholas)
Troches Gallia Sebellina (Mesue)
Troches of Ramich (Mesue)
Oil of Myrtle
Oil of Cinnamon


Nutmeg 14 (Dza ti bcu bzhi)


Strengthen the Heart
Cordial Decoction (Florentini)

Cordial Decoction (French Pharmacopoeia)
Rosemary Wine
Comp. Galangal Powder (Diagalanga) (Mesue)
Aromatic Rose Powder (Aromaticum Rosatum)
Restorative of Nicholas (Pleres Arconticon)
Letificans Almansoris (Rhasis)

Royal Confection of Kermes (Mesue)
Electuary of Gems (Mesue)
Electuary of Aloeswood (Diaxyloaloes) (Mesue)
Aromatic Musk Compound (Aromaticum Moschatum)
Nutmeg 14 (Dza ti bcu bzhi)


Heart Disease
Syrup of Balm (Fernelius)
Tincture of Saffron
Tincture of Musk
Tincture of Foxglove
Rosemary Wine
Aromatic Rose Powder (Aromaticum Rosatum)
Troches of Aloeswood (Mesue)
Common Pills



Heart Heat / Fire
1. Camomile boiled in Pomegranate juice
2. Rose, Violet, Pearl

Cordial Decoction (Florentini)

Cordial Decoction (French Pharmacopoeia)
Syrup of Pomegranate
Syrup of Sorrel
The Heavenly Cardiac
Syrup of Rose Water
Syrup of Dried Rose (Fernel)
Syrup of Borage

Syrup of Sandalwood (Unani)
Syrup of Violet Compound
Syrup of Violet (De morbus internis curandis)
Alterative Syrup of Apples (Fernel)
Syrup of Apples Purgative (Mesue)
Exhilarative Syrup (Laurent)
Confection of Hyacinth
Cooling Powder of Gems
Powder to Cool the Heart (Augustana)
New Rose Powder (Rosata Nouvelle)

Electuary of Gems (Mesue)

Aloeswood 8 (Tibetan)
Aloeswood Clear the Heart 8 Powder
Life Holding Jewel (Srog ‘dzin nor bu) (Tibetan)
Nutmeg 3 Decoction (Dza ti gsum thang) (Tibetan)
Undying Aloeswood 8 (Chi med a gar brgyad pa)


Heart Cold
Wine of Cinnamon
Syrup of Cinnamon
Electuary of Gems (Mesue)
Electuary of Aloeswood (Diaxyloaloes) (Mesue)

Aromatic Musk Compound (Aromaticum Moschatum)
Comp. Cinnamon Powder (Diacinnamonum) (Mesue)
Comp. Galangal Powder (Diagalanga) (Mesue)
Warming Powder of Gems (Mesue)
Warming Pearl Powder (Diamargariton Calidum) (Avic.)

Nutmeg 14 (Dza ti bcu bzhi)


Heart obstructed by Phlegm–Fluid
Electuary of Aloeswood (Diaxyloaloes) (Mesue)
Comp. Cinnamon Powder (Diacinnamonum) (Mesue)
Comp. Galangal Powder (Diagalanga) (Mesue)

Aloeswood 8 Water Transformer (Ar brgyad chu bsgyur)
Nutmeg 5 (Dza ti lnga pa)
Pearl 25 (Mu tig nyer lnga)
Pomegranate 5 (Se bru lnga pa)


Heart Wind (Arrhythmias)
Aloeswood 10 (A gar bcu pa) 
Caraway 8 (Go snyod brgyad pa)
Eleven Holders of Life (Srog dzin bcu gcig)
Nutmeg 3 Decoction (Dza ti gsum thang) (Tibetan)
Nutmeg 5 (Dza ti lnga pa)
Nutmeg 14 (Dza ti bcu bzhi)
Mental Happiness (Sems kyi bde skyid)
Yak Blood 8 (‘Brong rtse ar brgyad)


Heart–Melancholy of
Cordial Decoction (French Pharmacopoeia)
Powder of Happiness (Letificans Galeni)
Powder for Evil Complexion of the Heart (Isaac)
Electuary of Gems (Mesue)
Tincture of Life (Mynsichts)


To make the Heart Merry
Cordial Decoction (French Pharmacopoeia)
Powder of Happiness (Letificans Galeni)
Letificans Almansoris (Rhasis)

Electuary of Gems (Mesue)
Tincture of Life (Mynsichts)
TCM Classification

Heart Qi and Blood Deficiency
Palpitations, dizziness, insomnia, excess dreaming, poor memory, pale complexion, short of breath, spontaneous sweating, pale lips and tongue, fine and weak pulse.
More paleness and cold symptoms=Blood deficiency
More shortness of breath, paleness and tiredness=Qi deficiency
Ba Zhen Tang
Gui Pi Tang
Ren Shen Yang Rong Tang
Shen Qi Si Wu Tang
Yang Xin Tang


Aromaticum Rosatum
Powder to Strengthen the
  Heart


Heart Qi and Yin Deficiency
Palpitation, anxiety, breathless, tired but with insomnia and mental restlessness, sweating on exertion, dry mouth, night sweats, forceless pulse
Zhi Gan Cao Tang
Sheng Mai San


Antidotus Analeptica

Heart Yin Deficiency
Palpitation, insomnia, excess dream, poor memory, restlessness, dry mouth and throat, feels hot at night, floating, empty pulse
Tian Wan Bu Xin Wan
Huang Lian E Jiao Tang
(with Deficient Heat)


Cordial Decoction (F.P.)
Diamargariton Frigidum
Elect to Restore Humidity

Heart Yang Deficiency
Palpitation, shortness of breath, sweating, discomfort, restlessness, feels cold, cold hands, pale face, floating, deep, weak and slow pulse and a pale tongue
Bao Yuan Tang
Shen Fu Tang
Si Ni Tang


Diacinnamonum
Diagalanga


Heart Qi Stagnation
Palpitations, pressure of the chest, may feel like a lump in the Throat, short of Breath, sighing, poor appetite, emotional or irritable, maybe insomnia, pale, weak pulse
Ban Xia Hou Po Tang
Mu Xiang Liu Qi Yin



Pleres Arconticon
Letificans Almansoris

Letificans Galeni
Powder of Aloeswood

Heart Obstructed By Phlegm
Chest fullness and pain with oppression, cough and wheezing with excess phlegm, thick tongue coating
Gua Lou Xie Bai Tang

Heart Fire
Palpitations, thirst, mouth ulcers, restless, agitated, insomnia, excess dreaming, night sweats, red face with bitter taste, Red tongue with red tip, rapid pulse
Xie Xin Tang

Cordial Decoction (F.P.)
Troches of Rose (Mesue)
Diarrhodon Abbatis

Heart and Kidney Deficiency
Loss of Cummunication between Heart and Kidney
Palpitations, restless, insomnia, red tongue, thready and rapid pulse
Jiao Tai Wan


Heart Blood Stasis
Palpitations, pricking or sharp, stabbing pain in the chest maybe radiating to the shoulder or left arm, pressure feeling in the chest, breathless, a look of distress, pale or dull color, cyanosis of lips and nails, cold hands, purplish tongue, choppy or knotted pulse
Xue Fu Zhu Yu Tang
Dan Shen Yin
Troches of Saffron
Tincture of Saffron
Tincture of Musk

Heart Wind
Tibetan Medicine recognises Heart Wind as a disease. Wind in the upper body affects the Heart, Mind and Spirit. There will be chest pain and oppression, poor memory and concentration, irritability, fatigue, mental unrest, causeless depression, insomnia, insanity. In Tibetan texts it is stated the disease only becomes severe if there are influences of Demons. Heart Wind overlaps TCM diagnosis of Heart Qi Stagnation and Internal Wind.

Aloeswood 9 (A gar dgu pa) (Tibetan)
Aloeswood 11 (A gar bcu gcig) (Tibetan)
Bi Ma La (Tibetan)
Nutmeg 5 (Dza ti lnga pa) (Tibetan)
Nutmeg 14 (Dza ti bcu bzhi) (Tibetan)
Yak Blood 8 (‘Brong rtse ar brgyad) (Tibetan)

The Syrian “Book of Medicine” (translated by Wallis Budge, 1913) included several medicines for Heart Wind:
1. Dill seed in infusion mixed with Honey
2. Cumin, Terebinth gum, boiled in Goat Milk
3. Dill, Fennel, Rock Parsley, boiled in Goat Milk

Special Formulas

A BAG TO COMFORT THE HEART
    Red Sandalwood
    White Sandalwood
    Roses
    Red Coral
    White Coral
    Tabasheer
    Camphor.                         1 dram ea.
    Borage flower
    Bugloss flower
    Violet flower
    Myrtle flower
    Rosemary flower           1 handful ea.
    Cedar apples
    White Behen
    Red Behen                      1 dram ea.
    Nutmeg
    Indian Spikenard
    Bione of a Stag’s Heart
    Cloves
    Cubebs
    Laurel leaf
    Valerian.
    Balm
    Aloeswood
    Basil seed                         ½ dram ea.
    Musk
    Amber
    Saffron                              1 scruple ea.
Powder them all and put into a red silk bag to wear over the Heart. (Secrets of Alexis)
POWDER OF TABASHEER
    Tabasheer
    Rose                                3 drams ea.
    Coriander                       2 drams
    Walnut bark
    Amber
    Pearl                                5 drams ea.
    Camphor                        1 scruple
A special medicine for Heart Fire. Dose: 2 drams, with Syrup of Sour Quinces. (Pharmacopoeia Persica, 1681)