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Int.Med-Chest Bi

QuestionAnswer
What is the etiology & pathology of chest Bi? 1. Frail constitution with old age (declining Kd Yang/Yin fails to warm/nourish Ht Yang/Yin), 2. Improper diet (phlegm obstructs qi/blood flow), 3. Emotional stress (constrained qi, phlegm accum), 4. Invasion by external Cold (blocks yang qi, blood flow)
Chest Bi affects the Ht, but underlying casuses may be found in which organs? Lv, Sp, Kd, (sometimes Lu)
What are the deficiency aspects of chest bi? depleted yin, yang, qi, blood
What are the excess aspects of chest bi? blood stasis, qi stagnation, turbid phlegm, cold
What are the crucial points in making a dx for chest bi? Pain's site, character, degree; evidence includes sx, characteristics of onset, triggers, electrocardiogram
What is the general tx strategy for addressing acute episodes of chest Bi? Focus on manifestation, eliminate pahogenic factor, e.g. expel cold, resolve phlegm move qi, invig blood
What is the general tx strategy for addressing remission phase of chest Bi? Focus on root; e.g. tonify qi, nourish yin, generate blood
What are the 7 TCM pattern assoc. with Chest Bi? 1. Ht Blood Stasis, 2. Turbid Phlegm obstructing the chest, 3. Yin Cold congealing the Heart, 4. Stagnation of qi in the chest, 5. Heart Qi deficiency, 6. Heart Yin deficiency, 7. Heart Yang vacuity
When treating Chest Bi due to Heart Blood Stasis, what is the treatment principle? Invigorate blood, Dissolve blood stasis, Unblock the channels, Relieve pain
When treating Chest Bi due to Heart Blood Stasis, what is the preferred formula? Xue Fu Zhu Yu Tang
When treating Chest Bi due to Turbid phlegm obstructing the chest, what is the treatment principle? Unblock (the flow of) Yang, Dispel turbid phlegm, Promote the movement of qi, Stop pain
When treating Chest Bi due to Turbid Phlegm Obstructing the Chest, what is the preferred formula? Gua Luo Xie Bai Ban Xia Tang PLUS Huo Po, Zhi Shi, Gui Zhi, Fu Ling, Gan Jiang, Xi Xin
When treating Chest Bi due to Yin Cold congealing the Heart, what is the treatment principle? Dissipate cold, Unblock the yang, Invig blood, Stop pain
When treating Chest Bi due to Yin Cold Congealing the Heart, what is the preferred formula? Dang Gui Si Ni Tang
When treating Chest Bi due to Stagnation of Qi in the Chest, what is the treatment principle? Move the qi, Relax the chest, Soothe the Lv & Ht, Stop pain
When treating Chest Bi due to Stagnation of Qi in the Chest, what is the preferred formula? Chai Hu Shu Gan San
When treating Chest Bi due to Heart Qi deficiency, what is the treatment principle? Supplement Ht qi, Facilitate the Ht qi flow, Stop pain
When treating Chest Bi due to Heart Qi Deficiency, what is the preferred formula? Bao Yuan tang PLUS Gan Mai Da Zao Tang
When treating Chest Bi due to Heart Yin deficiency, what is the treatment principle? Nourish the (Ht & Kd) yin, Clear heat, Invig blood, supplement the Heart
When treating Chest Bi due to Heart Yin deficiency, what is the preferred formula? Tian Wang Bu Xin Dan
When treating Chest Bi due to HeartYang vacuity, what is the treatment principle? Warm the yang, Tonify the qi, Facilitate Ht yang qi flow, Stop pain
When treating Chest Bi due to Heart Yang vacuity, what is the preferred formula? Shen Fu Tang PLUS Gui Zi Gan Cao Tang
Created by: sralph