Chest Painful Obstruction
Terms
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- Pin Yin: Heart pain, pain in the chest
- Xin Tong
- pinyin: True heart pain, pain in the chest with cyanosis of face, arms, & feet
- Zhen Xin Tong
- pinyin: Yang collapse heart pain, pain in the chest with cold limbs
- Jue Xin Tong
- Aetiology of Chest Painful Obstruction
-
1. External Cold
2. Diet (Phlegm forming)
3. Emotions: worry, brooding, anger, resentment, frustration & depression
4. Old Age: Declining Kidney Yin or Yang -
Clinical Manifestations:
Distending pain in chest that moves from place to place
Tongue: Normal
Pulse: Wiry -
Stagnation of Qi in the Chest
Move Qi, relax the chest,
soothe the Liver & Heart,
stop pain -
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: ba -
Stagnation of Qi in Chest
Treatment -
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 -
Heart Blood Stasis
Move Blood, eliminate stasis,
invigorate the Connecting channels,
stop pain -
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: -
Heart Blood Stasis
Treatment -
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 -
Turbid Phlegm Stagnating in the Chest
Invigorate Yang, resolve Phlegm,
open the orifices -
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
- Turbid Phlegm Stagnating in the Chest Treatment
-
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 -
Stagnation of Cold in Chest
Invigorate Yang, scatter cold,
remove obstruction -
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 Xi - Stag. Cold in Chest Treatment
-
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 -
Heart & Kidney Yin Xu
Nourish Yin, benefit Kidneys, nourish Heart, calm mind, stop pain -
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 B - Heart & Kidney Yin Xu treatment
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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 -
Qi & Yin Xu
Tonify Qi, nourish Yin, move Blood, invigorate the Connecting channels -
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 - Qi & Yin Xu Treatment
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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- -
Spleen & heart Yang Xu
Tonify Qi, warm Yang, move Blood,
invigorate the Connecting vessels -
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: loca -
Spleen & Heart Yang Xu
Treatment