Which acupoint should be scraped for cardiac premature beats?

Mar 20, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In general, cardiac premature beats refer to premature contractions. For premature contractions, acupoints such as Neiguan (PC6), Shenmen (HT7), Shanzhong (CV17), Xinshu (BL15), and Jueyinshu (PC8) can be stimulated. Normally, one should avoid intense emotional fluctuations and reduce stimulation from negative emotions such as tension, anxiety, and anger. Relaxation methods such as listening to music or meditation may help alleviate these emotions and prevent emotional factors from triggering premature contractions.

Generally speaking, cardiac premature beats refer to premature contractions. Acupressure or acupuncture on points such as Neiguan (PC6), Shenmen (HT7), Shanzhong (CV17), Xinshu (BL15), and Jueyinshu may help alleviate premature contractions. Detailed explanations are as follows:

1. Neiguan Point (PC6)

Neiguan belongs to the Pericardium Meridian of Hand-Jueyin and is located in the anterior forearm region, two cun above the distal palmar wrist crease, between the tendons of the palmaris longus and the flexor carpi radialis. In traditional Chinese medicine (TCM), the heart governs blood circulation and the pericardium meridian serves as the heart's protective system. Stimulating the Neiguan point can calm the heart and mind, regulate qi to relieve pain, improve cardiac function, and alleviate symptoms such as palpitations caused by premature contractions.

2. Shenmen Point (HT7)

Shenmen is the Yuan-Source point of the Heart Meridian of Hand-Shaoyin, located in the anterior wrist region at the ulnar end of the wrist crease, on the radial border of the tendon of the flexor carpi ulnaris. According to TCM theory, the heart houses the mind. The Shenmen point can nourish the heart and calm the spirit, promoting circulation of qi and blood. It is effective in regulating cardiac blood and treating premature contractions caused by heart blood deficiency and impaired mental nourishment.

3. Shanzhong Point (CV17)

Shanzhong belongs to the Conception Vessel (Ren Meridian) and is located on the chest midline at the level of the fourth intercostal space. As the meeting point of qi, Shanzhong can widen the chest and regulate qi, promote blood circulation, clear the lungs and relieve asthma, and soothe the heart and chest. Stimulating this point can regulate chest qi, improve cardiac blood circulation, and reduce symptoms of premature contractions.

4. Xinshu Point (BL15)

Xinshu is the Back-Shu point of the heart, located in the spinal region, 1.5 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra. Back-Shu points are locations where the qi of internal organs is transmitted to the back. Xinshu regulates heart function, calms the mind, and regulates qi to relieve pain. It improves blood and qi supply to the heart and alleviates premature contractions.

5. Jueyinshu Point

Jueyinshu is located in the spinal region, 1.5 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra. It is the Back-Shu point of the pericardium. Stimulating Jueyinshu can widen the chest and regulate qi, promote blood circulation, and improve heart and pericardial function, thereby providing therapeutic benefits for premature contractions.

In daily life, one should avoid intense emotional fluctuations and reduce negative emotions such as tension, anxiety, and anger. Listening to music or meditating can help relax the mind and prevent emotional factors from triggering premature contractions.

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Are heart palpitations a sign of myocarditis?

Premature contractions are not the same as myocarditis. Premature contractions refer to irregular heartbeats that may represent normal physiological phenomena but could also be associated with organic heart disease. Myocarditis, on the other hand, is usually related to viral infections. These two conditions are distinct; however, severe myocarditis may trigger premature contractions, leading to irregular heartbeats.

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Can a cold cause premature heartbeats?

Whether a cold causes premature contractions mainly depends on the type and severity of the cold. Non-viral colds or mild colds usually do not cause premature contractions, whereas viral or severe colds may induce viral myocarditis, thereby leading to premature contractions and associated symptoms. Therefore, it is important to promptly identify the cause of the cold and provide targeted treatment accordingly.

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Can ventricular premature beats in trigeminy rhythm return to normal?

Whether premature contractions can be restored mainly depends on the underlying cause. If caused by physiological factors, they may return to a normal state after improving lifestyle habits and generally do not require special treatment. However, premature contractions caused by pathological factors such as cardiomyopathy or coronary heart disease, especially in severe cases, are usually difficult to reverse and require treatment of the underlying disease or catheter radiofrequency ablation.

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How to manage heart palpitations caused by premature heartbeats

In general, cardiac premature beats refer to premature contractions. Premature contractions and palpitations may be caused by factors such as autonomic nervous system dysfunction, medications or exogenous stimuli, diabetic cardiomyopathy, acute pericarditis, or high-altitude heart disease. It is recommended to seek medical attention promptly and, under a doctor's guidance, undergo general treatment, medication, or other appropriate interventions for adjustment.