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Pectoral Pain & Stuffiness TCM Diagnoses and Treatments Obstruction of Qi & blood in the chest.

Pectoral Pain & Stuffiness TCM Diagnoses and Treatments Obstruction of Qi & blood in the chest. Main Symptoms: Chest & back pain, short breathing, asthma, even disability to lie down In mile case: Feels chest pain & breath with difficult

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Pectoral Pain & Stuffiness TCM Diagnoses and Treatments Obstruction of Qi & blood in the chest.

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  1. Pectoral Pain & Stuffiness TCM Diagnoses and Treatments Obstruction of Qi & blood in the chest. Main Symptoms: Chest & back pain, short breathing, asthma, even disability to lie down In mile case: Feels chest pain & breath with difficult In more serious case: chest pain & palpitation, pericardial pain, back pain, cold limbs Organs: Heart & Lung Western medicine disease related: coronary; atherosclerotic cardiopathy; angina pectoris, myocardiac infarction, pericarditis Etiology & Pathology:

  2. Main Points for differentiation A) Def. & Excess Most case: includes both Def. : Ht. Qi, Ht. Blood, Ht. Yang, Sp & kid yang, Liv. & Kid Yin, Excess: Qi Stag. , Blood stasis, phlegm, cold heat B) Properties of pain 1) Oppressive Pain 2) Stabbing pain 3) Burning pain 4) Colick or twisting pain 5) Dull pain

  3. Main Points for therapeutic Principles Treating the superficiality first & the origin second But: if superficiality is not severe & origin has been def. already, should treat by both reinforcement & resolving

  4. Treatment 1). Heart blood stag. Signs & Symptoms: • Main Sym. : Stabbing pain in the chest, fixed, worse at night • Concurrent sym.: palpitating, restlessness, oppression in the chest, feel comfortable after massage • Tongue: dark purple • Pulse: deep & uneven • Treatment Protocol: • Prompting blood circulation • Remove blood stasis & stop pain

  5. Formula: Modifications: Chest Pain -- Jiang Xiang, San Qi, Yu Jing, Yan Hu So Oppressed feeling -- Xuan Fu Hua, Gua Lou Pi, Qing Pi, Sha Ren Palpitation -- Long Gu, Mu Li, Dai Zhe Shi

  6. Treatment 2) Phlegm accumulate in the chest Signs & Symptoms: • Main Sym. : Oppressed & asphyxia feeling & pain in the chest, pain sometime spreading to shoulder & back • Concurrent sym.: obesity, excessive sputum, fullness feeling in St. • Tongue: Mucous & greasy coating • Pulse: slippery • Treatment Protocol: • Activating Yang to eliminate phlegm • Relieving Stag.

  7. Formula: Modifications: Smooth Qi to relieve phlegm -- Su Zi, Su Geng, Zhi ke, Chen Pi, Fu Ling Fullness in the St. nausea, no appetite, bitter taste -- Huang Lian Weng Dan Tang

  8. Treatment 3) Cold Accumulation Signs & Symptoms: • Main Sym. : Chest pain spreading to back, worse by cold, onset after infect by cold • Concurrent sym.: oppressed feeling in the chest, short breathing, palpitation, asthma in severe case, disable to lie down, pale complexion, cold limbs. • Tongue: white coating • Pulse: deep thready & tense • Treatment Protocol: • Warm up Yang to release cold • Stop pain

  9. Formula: Modifications: Warm Upper Jiao & move Qi -- Tan Xiang Move Heart Blood -- Dan Sheng Move Stag. Qi -- Zhi Shi Cough with abundant sputum -- Sheng Jiang, Ju Pi, Fu Ling, Xin Ren Severe cold symptom -- Fu Zi, Wu Tou, Rou Gui, Gan Jiang, Shu Jiao

  10. Treatment 4) Kid. & heart Yin Def. Signs & Symptoms: • Main Sym. : Dull pain in the chest • Concurrent sym.: palpitation, night sweating, restlessness, sleeplessness, sore lower back, weakness of knee joints, dizziness, tinnitus • Tongue: red thin body, less coating • Pulse: thready & rapid • Treatment Protocol: • Nourish Yin & tonify Kid. • Nourish heart to calm down the mind

  11. Formula: Modifications: Tonify Kid Yin: -- Nu Zheng Zi, Han Lian Cao, Tian Dong, Mai Dong, Tonify Ht. blood: -- Dan Shen, Wu wei zi Restlessness: -- Dan Pi, Ze Xie, Mai dong, Wu wei zi, Bo zi ren, suan zhao ren Dizziness due to empty fire goes up -- Shou Wu, Gou Teng, Shi Jue Ming, Sheng Mu Li Oppressed feeling in chest & pain -- dang gui, Dan Shen, Chuan Xiong, Yu Jing

  12. Treatment 5) Qi & Yin Def. Signs & Symptoms: • Main Sym. : Oppressed feeling & dull pain in chest • Concurrent sym.: palpitation, short breathing, lassitude, don’t want to talk, dim complexion, dizziness, constipation or loose stools • Tongue: light red body with or without teeth mark • Pulse: thready & weak or knotted & intermittent • Treatment Protocol: • Nourish Qi & Yin • Prompting blood circulation & open the channels

  13. Formula: Modifications: tonify Yin: ren shen, mai dong, wu wei zi

  14. Treatment 6) Yang Qi Def. Signs & Symptoms: • Main Sym. : Oppressed feeling & dull pain in chest, getting worse by cold attacking • Concurrent sym.: palpitation, short breathing, cold limbs pain or sore on lower back or knee joints, pale complexion • Tongue: light whitish or dark purple body • Pulse: thready & deep • Treatment Protocol: • Warm yang Qi • Prompting blood circulation

  15. Formula: Modifications: Yin def. -- Mai dong, wu wei zi Kid yang def. cause water accumulation in the chest -- Zhen Wu Tang

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