pectoral pain & stuffiness tcm diagnoses and treatments obstruction of qi & blood in the...
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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 - PowerPoint PPT PresentationTRANSCRIPT
Pectoral Pain & StuffinessPectoral Pain & Stuffiness
TCM Diagnoses and Treatments Obstruction of Qi & blood in the chest.
Main Symptoms:Main Symptoms: Chest & back pain, short breathing, asthma, even disability to lie down
In mile case:In mile case: Feels chest pain & breath with difficult
In more serious case:In more serious case: chest pain & palpitation, pericardial pain, back pain, cold limbs
OrgansOrgans: Heart & Lung
Western medicine disease related:Western medicine disease related: coronary; atherosclerotic cardiopathy; angina pectoris, myocardiac infarction, pericarditis
Etiology & Pathology:
Main Points for differentiationMain Points for differentiation
A) Def. & ExcessA) Def. & Excess
Most case: includes bothMost case: includes both
Def. : Ht. Qi, Ht. Blood, Ht. Yang, Sp & kid Def. : Ht. Qi, Ht. Blood, Ht. Yang, Sp & kid yang, Liv. & Kid Yin, yang, Liv. & Kid Yin,
Excess: Qi Stag. , Blood stasis, phlegm, Excess: Qi Stag. , Blood stasis, phlegm, cold heatcold heat
B) Properties of painB) Properties of pain1) Oppressive Pain
2) Stabbing pain
3) Burning pain
4) Colick or twisting pain
5) Dull pain
Pectoral pain & stuffiness
Stomach-ache
Chest pain
Location Left chest pain spreading to back
Stomach area
Not in the left chest
Other sym. Palpitating, short breathing, difficult to lie down
Belching, acid regurgitation, fullness or distention of abdomen, related to diet
Usually caused by tuberculosis cough, asthma, cold & heat
Main Points for therapeutic PrinciplesMain Points for therapeutic Principles
Treating the superficiality first & the Treating the superficiality first & the origin secondorigin second
But: But:
if superficiality is not severe & origin if superficiality is not severe & origin has been def. already, should treat has been def. already, should treat by both reinforcement & resolvingby both reinforcement & resolving
TreatmentTreatment 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
Formula:
Modifications:
Chest Pain -- Jiang Xiang, San Qi, Yu Jing, Yan Hu So
Oppressed feeling-- Xuan Fu Hua, Gua Lou Pi, Qing Pi, Sha
RenPalpitation
-- Long Gu, Mu Li, Dai Zhe Shi
Xue Fu Zhu Yu Tang
Dang Gui Sheng Di Tao Ren Hong Hua Zhi Ke
Cai Hu Gan Cao Niu Xi Chi Shao Chuan xiong
TreatmentTreatment 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.
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
Gua Lou Xie Bai Ban Xia Tang
Gua Lou Xie Bai Ban Xia
TreatmentTreatment 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
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
Gua Lou Xie Bai Bai JiuTang
Gua Lou Xie Bai Bai Jiu
TreatmentTreatment 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
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
renDizziness due to empty fire goes up
-- Shou Wu, Gou Teng, Shi Jue Ming, Sheng Mu LiOppressed feeling in chest & pain
-- dang gui, Dan Shen, Chuan Xiong, Yu Jing
Zuo Gui Yin
Shu Di Shan Yu rou San Yao Gou Qi Zi Fu Ling Gan Cao
TreatmentTreatment 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
Formula:
Modifications:
tonify Yin:
ren shen, mai dong, wu wei zi
Ren shen yang rong Tang
Ren shen Gan cao Dang gui Bai shao Shu di Rou gui
Da zhao Huang qi Bai zhu Fu ling Wu weizi Yuan zhi
TreatmentTreatment 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
Formula:
Modifications:
Yin def.-- Mai dong, wu wei zi
Kid yang def. cause water accumulation in the chest-- Zhen Wu Tang
You Gui Yin
Shu di Tu Si Zi Rou Gui Wu Wei Zi Lu Rong Gan cao
Shen Fu Tang
Ren shen Fu zi