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Internal Medicine A
Chest Painful Obstructiton Syndrome
| Disease | Clinical Manifestation | Tongue & Pulse | Acupunture | Formulas |
|---|---|---|---|---|
| Turbid Phlegm stag in chest | pronounced feeling of oppression chest, pain in chest extending to shoulder or upper back, breathlessness, feel heavy, dizzy, expectoration of white sputum | T: Swollen body, sticky-white t/o P: Slippery | PC6, [BL14, BL15, REN17], [ST40, REN12 REN9, SP6], [BL13, LU7], LU9 | -Gua Lou Xie Bai Ban Xia Tang -Wen Dan Tang Variation |
| Stagnation of cold in chest | severe cramping chest pain extend to scapula, feel tightness of chest, palpitation, breathlessness, diff lying down, pale complex, cold limb, chest worse of cold alleviate by warmth, in severe case cyanosis of lip & nails ,cold sweat, severe stab pain | T: Pale, Bluish-Purple P: Deep weak tight | [BL14, BL15, REN17, REN14, PC6], DU20moxa, [REN6, REN8moxa], ST36 | -Gua Lou Xie Bai Bai Jiu Tang -Si Ni Tang Variation |
| Liver-Fire harassing HT in chest | chest pain, palpitation, irri, propensity to outburst of anger, thirst, feel heat, bloodshot eyes, insomnia | T: red with redder side & tip, dry yellow coat P: wiry rapid | LIV2, ST40, PC6, [LI4, LU7] | Zhen Zhu Mu Wan Variation |
| Sp & Ht Yang Def | feel oppres & dull pain in chest, breathlessness, palpitation, sweating, feel cold, cold limb, bright pale complex ,cyanosis of lips & nails, tiredness, poor appetite, insomnia | T: Pale or Bluish purple P: deep weak | [BL15, REN14, HT5moxa], [BL20, REN12, REN6, ST36, SP6moxa], [BL23, DU4moxa] PC6, KI25, BL13 | You Gui Yin |
| Qi & Yin Def | feel oppress & pain in chest that come & go, palpitation, breathlessness, tiredness, dislike to speak, pale complex, dizzy, blurred vision, aggravate by overexertion | T: w/o coating P: fine or weak | [LU9, BL13, HT5, BL15], [REN17, PC6], [ST36 , SP6, REN4] | Shen Mai San |
| Ht & Kd Yin Def | feel oppression & pain in chest, palpitation, night sweat, insomnia, sore back & knee, tinnitus, dizzy feel heat in evening | T: w/o coating w/ ht crack, if empty heat t is red P: floating empty | [BL14, PC6, REN17], [BL23, REN4, KI3], HT6, KI25 | Tian Wang Bu Xin Dan |
| Ht-Bl Stasis | Prick pain in chest that fixed & worse at night, palpitation | T: Purple, espc in chest area or side P: Deep & Choppy | BL13, [BL14, REN17, BL15, REN14], PC4, PC6, ST40, SP10, BL17, [DU12, DU11, DU10], SI11 | Xue Fu Zhu Yu Tang |
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