Fire Element = Heat and Small Intestine.
Heart- Xin
Functions
1. Rules Xue and Xue Mai
2. Stores Shen
3. Opens into the Tongue; Manifests in the Face

Heart Qi Xu
Causes: Chronic illness, Lung Qi Xu. Profuse perspiration weakens Heart Qi. Emotions- particularly excessive joy fear or sadness.
Signs: Facial pallor.. Palpitations. Shortness of Breath- especially on exertion.. Spontaneous perspiration intensified by exertion.. Symptoms worse after exertion or when overtired. Fatigue., weakness. Suffocating sensation in chest. T- Pale and flabby body.. White coating. P- Fine, weak..,   intermittent..
Associatied Western Conditions: Cardiac failure. Cardiac disease. Arrhythmia. Neurosis. 
Treatment: Reinforce & strengthen Ht Qi.
Points:
Xinshu- Bl 15 Back-Shu point.
Shenmen- H 7 Yuan source point of Heat channel .
Neiguan- PC 6 Regulated Heart Qi.
Juque- Ren 14 Front- Mu point for Heart.
Shanzhong- Ren 17 Meeting point of Qi; reinforces Zong Qi.
Zihai- Ren 6 Reinforces Qi.
Zusanli- St 36 Reinforces Stomach & Spleen, source of Qi and Blood; recent reasearch- Zusanli regulated cardiac rhythm. 
Herbs- Si Jun Zi Tang.(Four Gentlemen Decoction). Bao Yan Tang. Zhi Gan Cao Tang (Roasted Liquorice Combination). 
(JM,JR).

Heart Yang Xu
Causes: Complication of Heart Qi Xu. Ki Yang Xu.
Signs: Palpitations. Shortness of breath. Excessive perspiration (in daytime). Symptoms worse after exertion. Cold limbs.. Chills. Suffocating sensation in chest. Depression. Facial pallor.Aversion to cold.  T- Flabby.., and pale. Moist. P- Fine, weak or knotted and intermittent
Associated Western Conditions: Cardiac insufficiency. Cardiac failure. Coronary arteriosclerosis. Depressive neurosis. Arrhythmia. 
Treatment: Warm & clear Ht Yang.
Points:
Xinshu- Bl 15  Back Shu Point for Heart: Strengthen Heart and pacify Shen..
Jueque- Ren 14 Front Mu Point.
Shenmen- Ht 7 Yuan-source point of Heart Channel: Strengthen Heart and  pacify Shen..
Neiguan- PC 6 Strengthen Heart and  pacify Shen..
Tongli- Ht 5 Strengthen Heart and  pacify Shen - For bradycardia and arrhythmia..
Shaofu- Ht 8 Strengthen Heart and  pacify Shen- For rheumatic heart disease..
Jianshi- PC 5 Strengthen Heart and  pacify Shen: also resolves Phlegm in chest..
Ximen- PC 4 Xi-Cleft point of PC channel: Regulated Qi and expands diaphragm.
Quze- PC 3 Opens up the Heart Qi.
Shanzhong- Ren 17 Reinforces Zong Qi and expands the chest.
Suliao- Du 25 Raises Yang and restores Qi- for bradycardia, hypotension and resusciatation from shock in Yang Xu exhaustion.
Daling- PC 7 Expands the chest and clear the Heart.
Qihai- Ren 6 Strengthen Qi and Yang.
Guanyuan- Ren 4 Strengthen Shen Qi and shen Yang.
Sanjinjiao- Sp 6 Invigorates circulation of Qi and Blood.
Susanli- Sp 36 Regulates Qi and Bood. Useful in regulating blood pressure and cardiac rhythm.
Herbs- Gui Zhi Gan Cao Tang (Cinnamon & Liquorice). Gui Zhi Can Cao Long Gu Mu Li Tang (Cinnamon, Liquorice, Dragon Bone and Oyster Shell).
(JM,JR).

Heart Blood Xu
Causes: Blood damaged by chronic disease. Emotional stress. Hemorrhage. Inadequate production of Blood due to Spleen Qi Xu. Heat Yin Xu. Liver Blood Xu.
Signs: Palpitations. Irritability. Anxiety. Easily startled. Insomnia. Much dreaming. Poor memory. Dizziness. Pale face and lips. T- pale. P- Fine and weak.
Associated Western Conditions: Anemia. Neurosis. Asthenia. 
Treatment: Nourish Ht Blood and calm the Ht & the Shen.
Points:
Xinshu- Bl 15 Back- Shu point for Heart.
Shenmen- Ht 7 Yuan- Source point of Heart channel; Calms Ht & Shen.
Neiguan- PC 6 Calms Ht & Shen.
Pishu- Bl 20 Back- Shu point for Spleen = Source of Blood production.
Geshu- Bl 17 Meeting point for Blood.
Juque- Red 14 Front Mu- point for Heart.
Guanyuan- Ren 4 Meeting of three leg Yin:- Nourishes.
Zusanli- St 36 Reinforce Stomach and Spleen: source of Blood production.
Sanyinjiao- Sp 6 Calm Ht & Shen.
Yinbai- Sp 1 Rice-grain moxibustion: is specific for sleep disturbed by dreams.
Herbs- Dang Gui Bu Xue Tang.
(JM).

Heart Yin xu
Causes: Excesses of the Five Emotions transform into Fire and damage Yin.  Febrile disease consumes Yin. Ki Yin Xu fails to nourish Ht Yin.
Signs: Palpitations..  Easily startled. Insomnia. Irritability. Restlessness. Anxiety. Much dreaming.  Poor memory. Low grade fever.. Night sweats.. Malar flush. Five hearts hot- palms, soles and centre of chest.. Dry mouth. T- dry red. P- thin rapid.
Associated Western Conditions: Tachycardia. Hyperthyroidism. Hypertension. Neurosis. 
Treatment: Nourish Yin, clear Heat, reinforce Ht and calm the Shen.
Points:
Xinshu- Bl 15 Back-Shu point for Ht..
Shenmen- Ht 7 Yuan -source point of Ht channel. Calms the Shen & reinforces Ht- for Hot palms, insomnia, palpitations and poor memory.
Shaofu- Ht 8 Pacifies Ht Fire and Calms Shen.
Shenshu- Bl 23 Strenghens Ht.
Yingu Ki 10 He- sea point for Kidney. Strengthens Ht and dispels Heat.
Taixi- Ki 3 Shu- stream and Yuan- source point of Kidney. Strengthens Kidney Yin.
Juque- Ren 14 Front- Mu point for Ht.
Daling- PC 7 Clear Heat & calms the Shen- for palpitations and insomnia.
Neiguan- PC 6 Calms the Shen- for palpitations & insomnia. 
Herbs: Bu Xin Tang- Reinforce Ht.
(JM,JR).

Heart Fire Flaring up
Cause: Liver fire flaring. Perverse energy penetrated internally and transforms to fire. Excessive hot/pungent  or bitter food affects Ht. Excessive or inappropriate herbal remedies with aq Warm reinforcing quality generates Fire. Ki Yin Xu.
Signs: Restlessness. Irritability. Irascibility. Ulceration, erosion and pain of mouth and tongue.. Thirst with desire for cold drinks. Feeling of heat.., and disturbance in Heart. Insomnia. Flushed face.. Bitter taste in mouth. Dark urine. Pain on urination. T- Red body especially with red tip, central crack and thin yellow coat. P- full, rapid.
Treatment: Clear Heat & purge Fire. Calm Shen.
Points:
Laogong- PC8 Rong-Spring point of PC channel. Cools Ht & drains Heat- for mouth ulcers, irascibility
Shaochong Ht 9- Well point of Ht channel, pricket to bleed to reduce Ht Fire. 
Shenmen- Ht 7 Pacifies Ht & Calms the Shen. For insomnia, irritabiltiy, anxiety..
Daling- PC 7 Clears Heat from Ht & Calms the Shen. For anxiety, insomnia.
Xinshu- Bl 15 Back Shu point for Ht.
Shaofu- Ht 8 Rong-Spring point of Ht channel: Calms the Shen- used for drug withdrawals with Ki 6. Dysuria Ht transmits Heat to SI.
Herbs: Dao Re San. San Huang Xie Xin Tang = Three yellow purge Heart decoction.  Zhi Zi Jin Hua Tang = Jamine fruit & Honeysuckle
(JM,JR).

Phlegm Fire disturbs Heart
Causes: Emotional turmoil, depression, frustration or obsession creates Qi stagnation which leads to
Phlegm Fire.
Signs: Irritability.. Insomnia.. Restlessness. Bitter taste in mouth..Palpitations.  Much dreaming. Easily startled. Feelings of heat, flushed red face. Thirst. Dark Urine. Dysuria. Hematuria. Mouth and tongue ulcers.
In severe cases: Incoherent speech. Crying and laughing without reason. Manic agitation with irrational behaviour. 
T- Red,especially with red tip, central fissure. Thin yellow coat. P- Full rapid.
Associated western conditions: Manic psychosis. Schizophrenia. Epilepsy, Neurosis. 
Treatment: Clear Heart and break through Phlegm.
Points:
Xinshu- Bl 15 Back- Shu point for Ht.
Juque- Ren 14 Front- Mu point for Ht.
Shenmen- Ht 7 Reduces Ht Fire and calms Shen.
Shaochong Ht 9 Well point of Heart channel, pricked to bleed to reduce Ht Fire.
Neiguan- PC 6 Calms Shen.
Daling- PC 7 Clears Ht & calms Shen.
Laogong- PC 8 Cools Ht & drains Heat.
Jianshi- PC 5 Resolves Phlegm & clams Shen.
Fenglong- St 40 Resolves Phlegm.
Bleeding Jing-Well points of the six hand channels Manic psychosis.
Renshong- Du 26 Clear the mind and calms the Shen.
Baihui- Du 20 Clear the senses & calms the Shen. 
(JM,JR).


Phlegm Obstructs Heart Orifice
Causes: In a pre-existing Phlegm condition, Liver Yang transforms into Wind and generates Heat.  Signs:: Sudden collapse with loss of consciousness. Lockjaw, trismus. both fists clenched. Retention of urine, constipation. Stiffnes and spasm of limbs. Red face. Body feels hot. Coarse breathing. Bad breath. Restless, involuntary movements. T- Yellow greasy coating. P- Wiry, slippery and rapid.
Associated western conditions: Acute cerebrovascular accident. 
Treatment: Clear Phlegm & open the Orifice.
Points
Renshong- Du 26 Clears the senses & cools Heat, eliminates Wind.
Baihui- Du 20 Clears the sense & elminates Wind.
Bleed Jing-Well point of the six hand channels Clear Heat.
Yongquan- Pacifies Fire in the head: "conducts Heat downward"
Tainchong- Liv 3 Extinguishes Liver Wind and pacifies Liver.
Fenglong- St 40 Resolves Phlegm.

Stagnation of Heart Blood
Causes: Ht Qi Xu or Ht Yang Xu leads to an inadequacy of blood circulation allowing blood to stagnate. Emotional factors causing Qi to stagnate leading to Blood stagnation. Phlegm accumulates in chest and obstruct circulation of Blood. Overword of fatue impairs blood circulation. Invasion of External Cold obstructs circulation of Blood.
Signs: Palpitations. Stabbing pain in anterior region over Heart. Suffocating sensation in chest. Drawing pain down internal aspect of  left arm. Cold limbs. Cyanosis of lips and nails.
Associated western conditions: Angina pectoris. Myocardial infarction. 
Treatment: Clear Yang.
Points
Xinshu- Bl 15 Back- Shu point for Ht.
Juque- Ren 14 Front- Mu point for Ht.
Ximen- PC 4 Xi- Cleft point of PC channel.
YinXu - Ht 6 Xi- Cleft point of Ht channel.
Yinxi- Ht 6 Xi- Cleft point of Ht channel.
Neiguan- PC 6 Relieves pain & regulated Ht Qi.
Deshu- Bl 17 Reinforces Zong Qi & hence blood circulation.
Shenmen Ht 7 Yuan- Source point of Ht channel.
Herbs: Gua Lou Xie Bai Bai Jiu Tang = Blood Palace Expel stagnation decoction.
(JM).

Small Intestine- Xiao Chang
Small Intestine Full Heat
Irritability. Ulceration and erosion of mouth and tongue. Sore thoat. dry mouth, desire for drinks. Deafness. Urination short, dark, difficult and painful, hematuria or pain in urethra. Fullness and distension in lower abdomen. T- Red tongue, yellow coating. P- Slippery and rapid.

Small Intestine Empty Cold
Vague lower abomdinal pain. Feelings of cold and heaviness. Fond of warmth and pressure. ABodminal fullness intermittently. Borborygmus, unformed loose stools or chronic incessant diarrhea. Urinary frequency. T- Pale body, thin white coating. P- Deep and relaxed.