Chest Painful Obstruction

Front 1

Pin Yin: Heart pain, pain in the chest

Back 1

Xin Tong

Front 2

pinyin: True heart pain, pain in the chest with cyanosis of face, arms, & feet

Back 2

Zhen Xin Tong

Front 3

pinyin: Yang collapse heart pain, pain in the chest with cold limbs

Back 3

Jue Xin Tong

Front 4

Aetiology of Chest Painful Obstruction

Back 4

1. External Cold

2. Diet (Phlegm forming)

3. Emotions: worry, brooding, anger, resentment, frustration & depression

4. Old Age: Declining Kidney Yin or Yang

Front 5

Clinical Manifestations:
Distending pain in chest that moves from place to place

Tongue: Normal
Pulse: Wiry

Back 5

Stagnation of Qi in the Chest

Move Qi, relax the chest,
soothe the Liver & Heart,
stop pain

Front 6

Points
Ren-17: move qi in chest

P-6: moves qi in chest, relaxes & opens chest

SJ-6,GB-34: moves qi in hypochondria

Liv-3: moves Liver qi

BL-15, BL-18: back shu of Heart & Liver

BL-14: back shu of pericardium

Formula: Xuan Fu Hua Tang

Back 6

Stagnation of Qi in Chest
Treatment

Front 7

Clinical Manifestations:
Pricking pain in chest which is fixed and worse at night, palpitations

Tongue: Purple, especially in chest area or on the sides (chest area)

Pulse: Deep & Choppy

Back 7

Heart Blood Stasis

Move Blood, eliminate stasis,
invigorate the Connecting channels,
stop pain

Front 8

Acupoints:
BL-13: descend qi, move blood & qi

BL-14, Ren-17, BL-15, Ren-14:
back shu and front mu Ht and Pc

P-4: stop pain

P-6, ST-40: open chest

SP-10,BL-17: move blood

Du-12, 11, 10: move qi & blood in chest

SI-11: Move blood in chest
when pain extends to scapula

Formula:
Xue Fu Zhu Yu Tang
Tao Hong Si Wu Tang variation
Guan Xin Su He Wan
Fu Fang Dan Shen Pian
Dan Shen Pian

Back 8

Heart Blood Stasis
Treatment

Front 9

Clinical Manifestations:
Pronounced feeling of oppression in chest, pain in chest extending to shoulder or upper back, breathlessness, heaviness, dizziness, white sputum

Tongue: Swollen, sticky, white coat

Pulse: Slippery

Back 9

Turbid Phlegm Stagnating in the Chest

Invigorate Yang, resolve Phlegm,
open the orifices

Front 10

Acupuncture:
P-6: opens chest

BL-14, BL-15, Ren-17, Ren-14:
shu/mu Pc & Ht

ST-40, Ren-12, Ren-9, SP-6:
resolve phlegm

BL-13, LU-7: open Lung passages

LU-9: resolve phlegm from Lungs

Formula:
Gua Lou Xie Bai Ban Xia Tang
(Phlegm)

Jia Wei Gua Lou Xie Bai Tang
(Phlegm & stasis of blood)

Huang Lian Wen Dan Tang
&
Xiao Xian Xiong Tang
(Phlegm Heat)

Back 10

Turbid Phlegm Stagnating in the Chest Treatment

Front 11

Manifestations: Severe cramping, chest pain extending to scapula, tightness in chest, palps, breathless, difficulty lying down, pale complexion, cold limbs, chest pain on exposure to cold, helped by warmth
Tongue: Pale, bluish-purple
Pulse:Deep-Weak-Tight

Severe:
cyanosis of lips & nails, cold sweat, severe stabbing pain in chest. purple tongue knotted pulse

Back 11

Stagnation of Cold in Chest

Invigorate Yang, scatter cold,
remove obstruction

Front 12

Acupuncture:
BL-14, BL-15, Ren-17, Ren-14, PC-6

Du-20: moxa, raise the yang

Ren-6 & Ren-8: moxa, warm yang & expel cold

ST-36: needle moxa, tonify yang, expel cold

Herbal Treatment:
Zhi Shi Xie Bai Gui Zhi Tang: cold with qi stag.

Gua Lou Xie Bai bai Jiu Tang: Cold

Dang Gui Si Ni Tang: cold, cold hands

Ling Gui Zhu Gan Tang: cold, phlegm fluids

Tong Mai Si Ni Tang & Su He Xiang Wan: severe cold, yang collapse

Kuan Xiong Wan: cold with phlegm obst. orifices.

Back 12

Stag. Cold in Chest Treatment

Front 13

Clinical Manifestations:
oppression & pain in chest, palps, night sweat, insomnia, sore back & knees, tinnitus, dizziness, 5-palm heat.

Tongue: Red, no coat, heart crack
Pulse: Fine-Rapid

Back 13

Heart & Kidney Yin Xu

Nourish Yin, benefit Kidneys, nourish Heart, calm mind, stop pain

Front 14

Acupuncture:
BL-14, PC-6, Ren-17: move qi

BL-23, Ren-4, KI-3: tonify kidneys

HE-6: nourish Heart-Yin, calms mind

KI-25: local, chest pain

Herbal:
Zuo Gui Yin: nourish Kidney Yin

Tian Wang Bu Xin Dan: tonify Heart & Kidney Yin

Back 14

Heart & Kidney Yin Xu treatment

Front 15

Clinical Manifestations:
oppressive feeling in chest (comes & goes), palps, breathless, tiredness, dislike speak, pale, dizziness, blurred vision, all aggravated by over-exertion

Tongue: Red, no coat
Pulse: Fine or Weak

Back 15

Qi & Yin Xu

Tonify Qi, nourish Yin, move Blood, invigorate the Connecting channels

Front 16

LU-9, BL-13, HE-5, BL-15: tonify lungs & heart

Ren-17 & PC-6: move qi & xue in chest

ST-36, SP-6, Ren-4: tonify Qi & nourish Yin

Herb:
Sheng Mai San & Ren Shen Yang Rong Tang:

Zhi Gan Cao Tang: tonify qi, yang, xue, & yin

Back 16

Qi & Yin Xu Treatment

Front 17

Clinical Manifestations:
oppression & dull pain in chest, breathless, palps, sweat, cold, cold limbs, bright-pale complexion, cyanosis of lips & nails, tired, poor appetite, insomnia

Tongue: Pale or Bluish-Purple
Pulse: deep-weak

Back 17

Spleen & heart Yang Xu

Tonify Qi, warm Yang, move Blood,
invigorate the Connecting vessels

Front 18

Acupuncture:
BL-15, Ren-14, HE-5: moxa, tonify Ht Yang

BL-20, Ren-12, Ren-6, ST-36, SP-6: moxa, tonify Sp yang

BL-23, Du-4: moxa, warm Ki yang

PC-6: open chest, stops pain, relieves oppression.

KI-25: local, move qi & blood

BL-13:moxa, tonify Lu yang - thus Ht.

Herbal:
Shen Fu Tang & You Gui Yin

Back 18

Spleen & Heart Yang Xu
Treatment