hey there it's clarify market economy and today's video is all on TCM diagnosis made easy I'm going to talk about inquiry so part of TCM diagnosis of course if you haven't watched my observation video check it out it's also on my youtube channel but in the meantime let's start about TCM diagnosis and looking at inquiry we're gonna do on this video the heart system so subscribe if you want more and if you don't want to miss all the videos that I pull out please please please do leave your comments I love to hear from you guys and thank you for all your support oh let's get started before we start talking about inquiry and diagnosis of the height system in Chinese medicine let's just review quickly to put us in the mood the heart functions in Chinese medicine so one of the main one is of course it's in charge of controlling blood circulation it's also in charge of controlling sweat so when we see some abnormal sweating or look at the heart of course it opens into the tongue and affects the speech for better speaking for not getting anxious and not being able to speak right and open into the tongue also if there's issue on the tongue we look at the height as well right it manifests on the face so emotions shows on the face the color on the face we flex on the heart so for example a red face right this is more observation which is not quite what we're gonna talk about today because we're going to talk more about inquiry it also controls blood vessel and the strength of the pulse which is kinda like the same that Western medicine heart function right for blood pressure for pause function pause strength sorry that would be the same idea one of the emotion that's related to the heart is of course the chart it's in charge of happiness and joy and then the big big function of the heart it is to house the mind for mental activities memory and being in charge of sleep me mainly being in charge of being calm at night and being able to sleep well so the heart is really in trance medicine you know opens into the Shen the mind the spirit and it really houses the mind and everything that's happening in the brain activity which is interesting because in Western science now they are starting to connect the heart Oregon to the brain organs so I found that fascinating that Western medicine is catching up to Chinese medicine that's awesome so let's start looking at a heart system in Chinese medicine and inquiry so when we do the inquiry which means during the consultation we ask questions what we want to ask is how do you see right so I always ask my patients how do you sleep but you have to be a bit more specific because some people don't quite know what you're asking so my question is does it take you a long time to fall asleep or you do you fall asleep instantly another question would be do you wake up between 1:00 and 3:00 a.m. right do you wake up anytime and at what time do you usually wake up or do you toss and turn on the heights or you sleep like fully you and you fall asleep you stay asleep and you wake up and everything is just perfect right also do you have dream that disturb your sleep asking do you have nightmares right frequent nightmares and TCM are a little bit different from recurring nightmares which would be the same nightmare that keeps coming over and over and over right so when we ask those question the idea is to get as much information as possible as much detail as possible so we can put a picture together and put a puzzle together to try to figure out what's going on with the patient of course each system and each inquiry is its own entity but in the end we want to put them all together and form a Chinese medicine diagnosis so we can form a treatment plan accordingly so let's look at the answers to this question that I just asked previously right so someone that tosses and turns all night like on and off on and off this is usually a heart and kidney disharmony or a heart and kidney yin deficiency which really means the same thing heart and kidney the ceremony or heart and Canadian efficiency is the same thing and one of the main symptoms is tossing and turning all night this person also probably may have hot flash or night sweats or feeling kinda hot at night that also can be feeling Restless all night and some people will say oh I've been like this for a long time too tossing and turning for years doesn't mean that's a good family the most common one I would say it's the bottom one the counting sheep to go to sleep so the people that cannot fall asleep does it take you a long time to fall asleep and if the person says yeah it takes me a long time but once I'm asleep I stick asleep so if it takes you a long time to fall asleep either it is a spleen and heart blood deficiency or a liver overacting on screen and over actonel spin means that is liver Qi stagnation which means stress which overacting on spleen means create some worry and overthinking for the spleen okay which makes the spin Qi deficient so Little Rock Tom's penis Liberties donation creating some supreme Qi deficiency so how do we know which one it is well live over act on us being the person would have some liver Qi stagnation symptoms they're irritable they're feeling stress frustrated overwhelmed they may have if it's a woman some PMS like breast tenderness and moody if it is often someone that stressed they may also have headaches at the end of the day or feel really bloated at the end of the day and then there's pinchy deficiency so the person is also fatigued they worry they overthink they feel bloated easily they have cravings they probably do appetizers all over the place the digestive system is not very great it's probably weak with loose stools right so that would be how we make the difference between that and spleen and heart blood deficiency so spleen and heart blood deficiency would be more blood deficiency for me as always thinking of pale and poor pnp pale and poor right so bare lips pale tongue pale face and lips relates to spleen face relates to heart and then of course the tongue is pale right I'm also poor so poor sleep in this case is cannot fall asleep that's to poor sleep because the person has usually anxiety so the anxiety all that thinking and worry in the head starts creating some issue in the person cannot fall asleep they're usually very fatigued they have poor memory as well right it's a pale and poor poor digestion as well because it's affecting this week another one that's very common it's the bottom right which is liver young rising or liver fire so the question that I would ask is do you wake up in the night someone says yes I always wake up around 3:30 or 2 o'clock or three o'clock so if it's between 1 & 3 a.m. it's either a liver young rising or liver failure because 1 to 3 a.m. is liver time so how do we know the difference is that we're living on rising is like it's state and stems from liver Qi stagnation and the person is stress and frustrated irritable probably overwhelmed maybe lots of pressure work or there's a lot to do and so they get really irritable at the end of the day maybe they have headaches at the end of the day especially temporal headaches they feel very easy short very irritable right with everybody around them live a fire is past liberalizing meaning it's worse the person is on top of all the things that I described they also may have high blood pressure they feel really hot they are thirsty their passive it about they angry okay now it's anger they're really lashing out so it's a bit more worse than the first one and then the last picture which is on the top right is heart phlegm fireball bladder Qi deficiency so this is all about nightmares remember I asked about do you have nightmares right so the nightmares that are recurring meaning it's the same nightmare over and over and over that's usually a gallbladder Qi deficiency the gallbladder is so depleted by years of having the same nightmare which usually can come from an emotional trauma which depletes the gallbladder and the self-esteem and self doubt and the person has that recurring which depletes the gallbladder if it is nightmares frequent nightmares but they do change all the time depending right that's more phlegm fire invading the heart mind soul aughts of children have that kind of thing right they're very they can have a lot of nightmares and then if you're restless and very hot and just you know very scared so that's usually more hard phlegm fire okay so that's kind of looking at sleep and insomnia from a point of view of the height system in Chinese medicine let's look at the other function of the heart which she is looking at in charge of sweat right the heart in TCM is in charge of sweat so we need to ask questions and this is very simple right if you sweat when you're anxious right it's like you're about to do a presentation or you're anxious a lot because the anxiety we obviously affects the heart with palpitation and feeling kind of really right on chest so usually if we sweat one more anxious that she of the heart is not able to control the sweat so it's a hard Qi deficiency if it's night sweats so the person has night sweats like maybe during menopause for women that is a hard yin deficiency because the person usually feels quite hot if a person never ever sweat I can tell you I to be in the fitness industry and I used to teach aerobics and dance and I had a participant that was super super nice and did all my classes and worked so hard like she worked really hard and no once like we were all drenched at the end of the class no once did she had even a bead a sweat on her shirt nothing she never sweats so someone that doesn't sweat at all that's not good neither right that means they're usually body fluid deficient they may be blood deficient often it's a heart yin and hard blood deficiency so as you can see when someone over sweats or doesn't sweat in Chinese medicine it's kind of like a deficiency in all aspect the only time sweating is an excess is when there's an acute sweating did you fever to do it external pathogen invasion but if it's a chronic sweat issue or no sweat issue it's always a deficiency affecting the heart let's look at kind of looking at one common heart pattern in TCM of diagnosis so let's look at heart fire in Chinese medicine so symptoms of heart fire can give you an idea right usually is palpitation because it's affecting the heart and if there's fire it is gonna reflect on the tongue because the heart opens into the tongue so we're gonna have canker sores on the tongue out the mouth the mouth is affecting the stomach but the tongue is affecting heart in some yeah so hard fire insomnia as a person doesn't sleep at all like at all not one minute so that's if someone is manic usually or has a disorder or is on medication that stops them but not sleeping at all that's a heart failure of course they're Restless because they can't sleep they are thirsty cuz they're hot especially for cold drinks of course because they feel really hot right there irritable they have a red face because their heart manifests on the face usually because the heart is connected to the small intestine and TCM and to remind us that hot the small intestine is in charge of separating the clear from the turbid for urination so if there's heart fire then usually those dark urine right the person is dehydrated so it's very dark urine a bitter taste in the mouth bitter taste correspond to fire or the five element fire and that's the heart element as well the tongue of course is red this fire with a yellow coat on the tongue and probably the tip of the tongue because that's the area of the heart may be a little red or even the pulse is very big very large and very rapid right it's a full rapid pulse because there's excess fire in the heart so I put some points for you to look at those are great to clear fire in the heart so clear fire in general stomach 44 large intestine 11 and then the other ones are specifically for firing a heart like PC 8 PC 7 hide seven heart 8 and I put a few food that is very cooling so dandelion is very cold so I wouldn't do it forever but just to cool the person up you can do them de Lyonne tea you can go dandelion salads lots of things you can do valerian roots which is more of a herb and a plant but you can do valerian tea to calm the mind celery celery juice very cooling lettuce spirulina which is seaweed so very cooling as well Apple watermelon of course is a summer fruit sprouts mint and cilantro those are all very cooling and very good for the heart and of course we want to avoid food that is going to bring more fire so alcohol brings heat Coffee brings heat but also lamb which is one of the hardest meat of all the meat lamb is the hardest meat so it makes everything a warmer spicy food of course this as well and we want to try to eat slow so be mindful and eat slowly to try to allow the that justice system to take this time and not to be on fire and super fast and have to burn really fast okay so kind of give you an idea so let's look at all the patterns when it comes to the heart diagnosis in TCM specifically with symptoms and inquiry right I put a bit of observation in there as well so let's separate heart she deficiency versus hye-young deficiency both of palpitation because it's the height of course but hard she's deficiencies gonna have sweating when anxious remember we talked about this a minute ago so the person's gonna sweat wobbly anxious so anxiety is part of it sure your breath palpitation and sweating when nervous when anxious of course it's a Qi deficiency so the person's fatigued every paleface right they also have a belt on most of the time not always depending how much she deficiency the person has and a weak pulse especially at the heart position which is on the left front part of the wrist the heart young deficiency is pretty much all the same symptom as hard she deficiency but more advanced right we have palpitation we have fatigue we have a weak pause where we build tongue right so that's also there but then we have the young deficiency symptoms which would be feeling cold like really cold limbs called body shivering kind of thing all the time wanting to be warm hating the cold but loving the heat specifically discomfort in the heart area not feeling right in the heart area and of course the pulse is gonna be a bit slower because there's no fire no young so it kind of slows down like a bit beep beep like it's quite soon oh and it's weak and very deep specifically again at the heart area the tongue is pale swollen when this heart did sorry when there's young deficiency it's swollen and a wet coat the next three I want to look at the next two first heart blood deficiency versus hardian deficiency so hard blood deficiency and hardian deficiency both again have palpitation because it's the heart remember heart blood deficiency is pale and poor so we have pale face pale lips right but we also and pale tone of course but we also have poor sleep so this is Sam Nia and poor sleep is difficulty and falling asleep that is typical hard blood deficiency and split blood deficiency they may have dream disturb sleep but not as much as cannot fall asleep poor memory this is usually poor memory because there's they have so much in their head they forget so it's short-term it's not long-term and of course anxiety is the big one that's why they can't fall asleep the pulse is thin or really thready and choppy so thin in in choppy choppy relates to blood and thin when it's the deficiency right so the tongue is pale and it's a thin looking tongue it's not thick oh it's not big it's pretty small and it's slightly dry coat with high end efficiency again we have palpitation but now we have the yin deficiency sign which would be red cheeks dry mouth dry throat right low-grade fever so low-grade fever is a very specific Chinese medicine term that I think is badly translated from the textbook what it means is you just feel hot at night or at the end of the day right doesn't mean you have fever you just feel overheated at night specifically at the end time or at the end of the evening also looking at this we look at the heart symptoms so night sweat because Yin is nighttime so now a yin deficiency sweating is night sweat also we look at the fact that the insomnia for this is tossing turning so that's the toss and turning insomnia there can be some dream disto sleep as well and that's the Thompson turning with it also mental restlessness the person's very restless in general during the day and at night very fidgety I would say I'm easy right the pulse is a yin deficiency boss which is usually thin and rapid but when it affects the heart sometimes it could be also floating not always the tongue is red with a red tip and it'd be maybe it's cracked in the center of the tip right so a lot in the center of the tombola in the center of the tip heart yung collapse so when I teach this in class and my student I always say you're not gonna see that in your practice very often you may see it around you and and you know hopefully not but this is literally a heart attack in the making right it's palpitation it's not a heart attack as in angina pectoris but it's the person's heart is there's all the palpitation the person cannot believe but they have perfused sweat like cold sweat and they're sweating cold sweat the lips are turning purple they may faint may pass out and may end up in a coma so it's like the young the energy of the hearts fire collapsing so we're not gonna see it a lot and if we do probably gonna rush the person to the emergency rates obviously so the boss would be nodded it feels like a knot and tongue is like very pale or purple because this constriction the vein and arteries excess so we've locked on all the deficiency now let's look at the excess pattern and TCM heart we have heart fire blazing I love that's very romantic blazing and we have flam fire in the white so flam fire in the heart is the same as hard fire except hard fire does not have the flam right so let's look at the first one hard fire of course as palpitation because the heart of course and then the fire part of it would be agitation I would be red-faced red-faced because it's affecting the heart bitter taste may have blood in the urine very dark urine that's the fire right so fire means often there's blood right so there may be blood in the urine thirsty for cold drinks of course mouth ulcers or tongue ulcers that's again the fire affecting the heart if it's on the tongue if it's in the mouth it's just a fire is everywhere right that's a bit more tongue and sorry heart and stomach which can happen a lot as well and then insomnia for heart fire blazing the person is not sleeping at all right so a full big rapid pulse we saw this earlier when we looked at heart failure and then the same read reddit it went down prickle or strawberry perk or and yellow coat the difference with flam fire is that it has all the heart fire symptoms we just mentioned right there plus the flan so mental confusion incoherent speech and control behavior this is like a mental disorder like maybe manic-depressive or schizophrenia or bipolar those would be a flam file where it kind of like it is on the manic state and so there's a lot of of the mental confusion plus all the fire of the heart so the pulse is full and rapid but now it's slippery as well and on the tone there's a sticky or greasy yellow coat because now there's phlegm so there's more greasy to it and the last pattern that is common those are all common pattern of the heart we see in general is heart blood stasis and that's an excess pattern as well of course those palpitation as usual with the heart and then what happened with the blood stasis it's gonna constrict the vessel so now we have really enjoying our pectoris on the way so this is pain in the heart area radiating to the left arm so that's not good the lips are gonna turn purple because that's blood stasis the nails are going to turn purple the tongue is purple person may have cold hands so this is again an emergency situation with the pulse being knotted and a purple tongue I think again that's something we want to send a person to the emergency if it's that far advanced so hopefully you kind of got the idea about you know differentiating all the patterns in trans medicine diagnosis so I hope you enjoyed this and I wanted to say thank you for listening today and then watch the next video on the lung system and all inquiry and TCM diagnosis click on that one watch it next you're gonna love it it's the next part I hope you enjoyed my video please leave your comments and like and subscribe and then on my website and a Q for economy comm I got tons of resources courses blog post videos tons of great things so check it out have a fantastic day and keep rocking it using T see ya