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The Heart (Xin) in Traditional Chinese Medicine

Cherry Blossoms

In Traditional Chinese Medicine (TCM), the Heart is more than just an organ — it is considered the “Emperor” of the body and plays a vital role in overall health and well-being. In one school of thought, Japanese Meridian Therapy, they don’t feature any Heart patterns, or conditions, because they don’t believe the Heart can be ill or injured because the Heart is the emperor and if it has issues, the rest of the body will too. 

Functions of the Heart

The Heart’s primary functions extend beyond pumping blood. It is responsible for:

  • Governing Blood and Vessels: The Heart ensures the smooth flow of blood throughout the body’s vessels, providing nourishment and oxygen to all organs.
  • Housing the Shen: The Shen, often translated as “spirit” or “mind,” resides in the Heart. A harmonious Heart manifests as a peaceful mind, emotional stability, and good sleep. Any time we’re treating insomnia in TCM, we’re always thinking about the Heart and how to harmonize it to improve sleep. 
  • Manifesting in the Complexion: The Blood and Qi of all the meridians run up to the face, and the Heart’s health is reflected in the face. A healthy Heart typically results in a radiant complexion, while a deficiency may lead to a pale or dull appearance.
  • The Heart Controls Sweating: The Heart Essence and Heart Blood are the sources of sweat. If the Heart function of governing the Mind and Blood are normal, then sweat will be normal. 

Signs of Heart Imbalance

When the Heart is out of balance, various symptoms may arise, including:

  • Insomnia and Palpitations: Difficulty sleeping and heart palpitations almost always indicate a Heart disharmony.
  • Mental Health Symptoms: Mood changes, anxiety, restlessness, irritability, depression, or excessive joy can all stem from an imbalance in the Heart.
  • Other Symptoms: Additional signs of Heart imbalance may include a red complexion, excessive sweating, excessive fatigue, and poor circulation.

Nourishing the Heart

line drawing of a heart
The Heart considered the “Emperor” of the body and plays a vital role in overall health and well-being

Maintaining a healthy Heart is essential for overall well-being. Here are some ways to nourish your Heart according to TCM:

  • Diet: Eating a balanced diet rich in whole foods provides the Heart with the Qi it needs to function optimally. You have to eat Qi to have Qi, so it’s better not to skip meals. 
  • Stress Reduction: Managing stress through practices like acupuncture, exercise, yoga, meditation, and sleep hygiene supports Heart health.
  • Lifestyle: Regular exercise and maintaining healthy sleep habits are crucial for Heart health.
  • Joy: Do things that bring you joy. Joy is the emotion of the Heart and it’s important to cultivate joy for Heart health!

The Heart-Mind Connection

TCM emphasizes the connection between the Heart and mind. A harmonious Heart leads to a clear and focused mind. Stress and emotional turmoil can disrupt Heart Qi and lead to various health issues. Acupuncture and a customized TCM herbal formula can do wonders to help with insomnia, anxiety, and stress management

You Deserve to Feel Joy

Are you ready to spark joy in your body? Head to our booking page and schedule your appointment. If you’d like us to check your insurance benefits, we’d be happy to take care of that for you. Many insurance plans cover acupuncture as an adjunct therapy for mental health and insomnia. Our acupuncture and herbal medicine clinic in Washington, DC is in-network with CareFirst/BlueCross and Aetna.

About the Author

Elyse Rohrer Budiash, MSOM, Dipl. OM, L.Ac.
Founder & Clinic Director at  
 Learn more about me

Hi! I’m Elyse, the go-getter who founded Cherry Blossom Healing Arts. I’m 100% a healer who loves to help people feel better! I absolutely love practicing acupuncture in Washington, DC.

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