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Palpitations and Arrhythmias



Heart Tremors refer to Arrhythmia, irregular Heart beats. Tachycardia means a rapid Heart beat. Palpitations are notable rapid or irregular Heart beats which are felt. Both may come from either excess, deficiency or obstruction. Excess are from Heat or Phlegm; deficient types are from Qi, Yin or Yang deficiency; obstruction is of Qi and Blood stasis. Due to the fact that there is irregularity in the flow of Vital Spirit (Qi), medicines to settle and regulate the Wind are often used.

Special Herbs

1. Indian Spikenard has been widely used for Palpitations and Arrhythmias
i. Indian Spikenard, Arjuna
ii. Indian Spikenard, Arjuna, Boerhaavia, Sida cordifolia (Ayurveda)
iii. Indian Spikenard with Mastic, Aloeswood, Cinnamon (as in Aloeswood Powder for Palpitations)
iv. Indian Spikenard with Aloeswood, Rose, Mastic, Cinnamon, Clove, Nutmeg (as in Troches of Aloeswood)
v. Indian Spikenard with Mastic, Aloeswood, Cinnamon, Clove, Nutmeg, Cardamon, Citron peel, Musk
vi. Indian Spikenard, Isatis Folium Da Qing Ye, Codonopsis Dang Shen, Ginseng, Cinnamon twig (Gui Zhi), Bitter Orange (Zhi Ke), Licorice. This was used in a clinical trial with an effectiveness of 83%. (Chen & Chen)
Western Tradition

Simples
Rose
Basil seed
Emblic Myrobalan
Licorice
Amber
Musk
Sandalwood
Dodder
Yellow Myrobalan
Cinnamon
Pearl
Camphor
Cordis Tremori Conferunt
Heart Tremors, Arrhythmias
Irregular Heart rate

Infusion of Rose
Aloeswood Powder for Palpitations
Powder of Gems for Palpitations (Wirtzung)
Powder to Strengthen the Heart
Sweet Powder of Musk (Diamoschu Dulce) (Mesue)
Cooling Electuary of Musk (Rhazes)
Aromatic Musk Compound (Aromaticum Moschatum)
Electuary of Gems (Mesue)
Comp. Rosemary Powder (Dianthos)
Comp. Cooling Pearl Powder (Diamargariton Frigidum)
Troches of Musk (Gallia Muscata) (Mesue)
Troches of Nutmeg (Rhazes)
Syrup of Apple Simple
Sugar of Borage
Sugar of Bugloss
Vigorous Cakes

Aloeswood 8 (Tibetan Medicine)
Aloeswood Clear the Heart 8 Powder (Mongolian)
Prabhakara Vati


Tachycardia
Rapid Heart rate

Powder of Gems for Palpitation (Wirtzung)
Powder to Cool the Heart (Augustana)
Electuary of Gems (Mesue)
Royal Confection of Kermes (Mesue)

Aloeswood 8 (Tibetan Medicine)
Aloeswood Clear the Heart 8 Powder


Palpitations

Cordial Decoction (Florentini)
Hiera Logadii
Blessed Wine
Aloeswood Powder for Palpitations
Abbots Confect of Rose (Diarrhodon Abbatis) (Nicholas)
Aromatic Clove Powder (Aromaticum Caryophyllatum)
Aromatic Rose Powder (Aromaticum Rosatum)
Powder of Galangal (Diagalanga) (Mesue)
Powder of Lavender
Powder of Gems for Palpitations (Wirtzung)
Powder to Cool the Heart (Augustana)
Powder to Strengthen the Heart
Powder of Three Sandalwoods (Diatriasantalum)
Galens Powder of Happiness (Letificans)
Cooling Pearl Powder (Diamargariton Frigidum)
Sweet Powder of Musk (Diamoschu Dulce)
New Rose Powder
Cooling Electuary of Musk (Rhazes)
Royal Confection of Kermes (Mesue)
Aromatic Musk Compound (Aromaticum Moschatum)
Electuary of Aloeswood (Diaxyloaloes) (Mesue)
Electuary of Pearl (Actuarius)
Troches of Aloeswood
Troches of Musk (Gallia Muscata) (Mesue)
Troches of Myrrh (Rhasis)
Troches of Nutmeg (Rhasis)
Vigorous Cakes

Aloeswood 8 (Tibetan Medicine)
Aloeswood Clear the Heart 8 Powder
Prabhakara Vati

TCM Classifications

Palpitations and Arrhythmias
Heart Deficiency
palpitations, restless sleep, insomnia, shortness of breath, dizziness,  fatigue, pale complexion, spontaneous sweating, fearful
Gui Zhi Gan Cao Tang
Sheng Mai San
An Shen Ding Zhi Wan
Ding Zhi Wan
Huang Lian Wen Dan Tang
Heart Qi and Blood Deficiency
palpitations, insomnia, anxiety, poor concentration, poor memory, poor appetite, pale, heavy or prolonged menstruation, pale tongue
Gui Pi Tang
Zhen Zhu Wan
Zhi Gan Cao Tang
Heart Yin Deficiency Heat
Palpitations, insomnia, heat of the palms and soles, dry mouth and throat, dizzy, tinnitus, nightsweats or spontaneous sweating, forgetful, dry stool
Sheng Mai San
Suan Zao Ren Tang
Tian Wan Bu Xin Wan
Zhen Zhu Wan
Zhu Sha An Shen Wan
Phlegm Obstruction
Palpitations, heavy feeling of the chest, excess mucus, nausea, vomiting, dizziness
Yang Deficiency
palpitations, shortness of breath, tightness in the chest, fatigue, cold extremities, spontaneous sweating, fearful, pale or dull complexion, pitting edema, frequent urine.
Gui Zhi Gan Cao Long Gu
  Mu Li Tang
Zhen Wu Tang
Blood Stasis
Palpitations with sharp chest pain, heaviness or pressure of the chest, cyanosis of the lips, tongue and nail beds, spontaneous sweating, irritability, restlessness, dull tongue color and choppy pulse
Special Formula

Wen Xin Keli
    Indian Spikenard
    Codonopsis Dang Shen
    Notoginseng San Qi
    Polygonatum Huang Jing,
    Amber
This is used for Palpitations and Arrhythmisa. It has been studied for effectiveness.

 Powder for Palpitation from Heat 
  Melon seed
  Cucumber seed
  Gourd seed
  Barberry
  Armenian Earth Rose
  Tabssheer                           2 drams ea.
  Amber
  Aloeswood                         1 dram ea.
  Borneo Camphor              1/4 dram
  Mastic                                  1/3 dram
Powder and take with water of Apple or Pomegranate. (The Dispensatory of Ibn at Tilmid)

Pill for Palpitation
  Emerald
  Amber                           ½ dram ea.
  Hyacinth (Zircon)
  Basil seed                     2 scruple ea.
Form pills with Rose water qs. (Renou)

Cooling Musk Electuary (Rhazes)
  Rose
  Tabasheer
  Coriander
  Amber                           1 part ea.
  Pearl                              ½ part
  Musk                             1/6 part
Dissolve Sugar in sour apple juice, boil until like honey; add the above in powder. Strengthens the Heart without heating: Palpitations and Arrhythmia.