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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Chest Painful Obstruction
Xiong Bi Etiology & Pathogenesis |
Invasion by exogenous cold
Improper diet Emotional stress Constitutional vacuity, aging |
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Chest Bi - Root
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Usually involves a deficiency of one or more of the following organs:
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HT, SP & KI
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Chest Bi - Branch
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Related to excess resulting from:
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blood stasis
congealed cold Qi stagnation &/or phlegm accumulation |
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Chest Bi
Nature of Pain Symptoms Chest Stuffiness or oppression that: |
- Qi Stagnation - changes in severity depending on emotional stress
- HT Qi Xu - is aggravated by exertion, accompanied by SOB, fatigue, spontaneous sweating - Phlegm Accumulation - is accompanied by obesity, cough w/copious sputum, and greasy tongue |
- Blood Stasis - stabbing, throbbing, crushing, fixed pain with purple tongue with petechiae and engorged sublingual veins
- Cold in HT Vessels - spasmodic pain, sudden onset of excruciating pain with cold limbs, sensation of suffocation & aggravated by cold - Yang Xu w/Empty Cold - aversion to cold, lying in fetal position & puffy, pale tongue |
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Chest Bi Complications
Zhen Xin Tong True Cardiac Pain |
CRITICAL SYMPTOMS - CALL 911
Constant, Severe & Stabbing pain accompanied by: perspiration, cold extremities, pale complexion, faint & thin pulse or intermittent pulse and cyanotic lips, hands & feet. |
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Chest Bi Complications
Irregular pulse (arrhythmia) |
Paroxysmal Chest Bi may give rise to irregular pulse. This is caused by:
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pathogenic factors obstructing the free flow of HT Yang Qi and impeding blood circulation. Irregular pulse manifests as subjective palpitations or a palpable intermittent pulse (skipping or knotted)
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Chest Bi Complications
Cold Congested Fluids Overflowing to the HT (heart failure) |
Extreme deficiency of HT & KI Yang causes water to spill over to the HT Yang ↓. Clinical manifestations include:
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cough
wheezing with copious watery sputum palpitations systemic pitting edema |
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Chest Bi
Wei Tong Epigastric Pain |
Atypical Chest Bi may present as pain in the Epigastrium and can be easily confused with Epigastric pain (Wei Tong).
The onset of Epigastric pain is not age specific and is usually caused by improper diet. |
True Epigastric Pain is:
distending pain which may radiate to the corresponding region in the back Other symptoms include: nausea vomiting belching acid regurgitation |
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Qi Stagnation in the Chest
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stuffiness or distention in chest
wandering pain in chest > w/emotional stress irritabliity sighing ab distention or pain breast tenderness dysmenorrhea irregular menstruation T: normal or slightly purple, thin, white coat P: wiry Course the LR, rectify the qi & relieve pain |
Chai Hu Shu Gan San
Pc6, CV14, 17, BL 15 +LR3, LI4, BL14 |
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Obstruction of the Heart by Blood Stasis
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*palps
*sharp stabbing pain cyanotic lips & nails T: purple w/stasis macules P: choppy, knotted or intermittent Quicken the blood, dissolve stasis, rectify qi, open the channels & collaterals, relieve pain |
Xue Fu Zhu Yu Tang
Pc6, CV14, 17, BL 15 +HT6, SP10, BL17 |
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Turbid Phlegm Stagnating in the Chest
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*sensation of congestion & pain in the chest
*possible radiation of pain to upper back, left shoulder and left arm obesity heaviness SOB or rapid breathing copious sputum T: white, greasy coat P: slippery Unblock the yang, dispel turbid phlegm, relieve pain |
Gua Lou Xie Bai Ban Xia Tang
Pc6, CV14, 17, BL 15 +PC4, LU9, ST40 |
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Congealed Cold
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*pain worse w/cold
*possible radiation of pain to upper back, left shoulder and arm Oppression in chest SOB palps dyspnea inability to lie flat, pale complexion cold extremities T: white coat (thicker) Unblock yang, scatter cold, relieve pain |
Gua Lou Xie Bai Bai Jiu Tang
Pc6, CV14, 17, BL 15 +CV4, 6, HT5, BL14 |
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Qi and Yin Xu
(HT Qi & Yin Xu) |
*fatigue
*SOB *pain aggravated by exertion *palps dizziness/vertigo disinclination to speak lusterless complexion T: slightly red, possibly scalloped P: thin, weak (sometimes rapid), knotted or intermittent Supplement qi, nourish yin, relieve pain |
Sheng Mai San
Pc6, CV14, 17, BL 15 +CV6, SP6, BL17, ST36 |
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HT and KI Yin Xu
(deficient heat) |
insomnia
irritability restlessness 5 center heat dizziness forgetfulness dry mouth night sweats sore low back T: red, scanty or no coat P: thin, rapid or choppy Nourish HT & KI yin, calm the shen & relieve pain |
Tian Wang Bu Xin Dan
Zuo Gui Yin Pc6, CV14, 17, BL 15 +HT6, KI3, BL23 |
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HT & KI Yang Xu
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*cold extremities & torso
fatigue, sore low back & knees pale complexion & pale or cyanotic lips & nails T: purple (drk) or blue P: deep, thin, small Warm the Yang, boost qi & relieve pain |
You Gui Wan + Shen Fu Tang
Pc6, CV14, 17, BL 15 +CV4, 6, 8, BL23, HT5, GV4, 14+moxa |
