TCM pattern

Heart 心

The Heart governs blood and vessels, and houses the Shen — the classical term for the mind and consciousness.

Pinyin: Xin · Five Element: Fire · updated

In classical Chinese medicine the Heart is two things at once: it governs blood and vessels, and it houses the Shen. The Shen is the mind, consciousness and sleep — so Heart patterns show up as either circulatory symptoms or as a mind that cannot settle.

This is why insomnia with a racing mind is the most recognisable Heart-pattern complaint, and why it so often sits alongside palpitations. The classical instruction is to rest deeply rather than merely to reduce effort. The Heart's own period runs from 11am to 1pm, and the classical guidance for this window is a short nap rather than pushing through.

Its element is Fire, and its season is summer. Supporting it means protecting sleep above all, moderating stimulants including caffeine, and building in genuine quiet. Warm and joyful activity helps; overstimulation reliably makes it worse.

Signs that suggest this pattern

No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the Zang-Fu Organ Check to see what the combination scores.

  • Palpitations or an awareness of the heartbeat
  • Restlessness, or a mind that will not settle
  • Poor sleep with a racing mind
  • Chest tightness under stress
  • Forgetfulness or a foggy head
  • Sweating at night without heat

Acupoints used for this pattern (2)

Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.

Foods listed against this pattern (5)

Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.

Tea formulas listed against this pattern (2)

These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.

Which assessment identifies this pattern

Patterns that often appear alongside this one

Related vocabulary

Search terms this page covers: heart tcm, heart meridian, shen, palpitations, heart mind.

This page is wellness education within a traditional framework, not a medical diagnosis. Pattern differentiation in Chinese medicine is not a biomedical diagnostic category and nothing here establishes that you have any condition. Do not use it to decide whether to start, stop or change any treatment. See our disclaimer and editorial policy.