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On the basis of theory of chest pain

 

 

ZhaiShuangQing Beijing university of Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        Chest pain in the chest pain for primary symptom refers to a syndrome, or some of the disease a symptom. Chest for cardiopulmonary besides profile, chest threat for the courage of meridian, qi lifting of the road, the meridians kidney from lung out complex in heart, therefore, chest pain and cardiopulmonary disease, hepatic QiNi, kidney qi deficiency and so on. In neijing article involve chest pain, such as "element asked · dirty air method in theory", "element asked · lift pain theory", "spirit pivot · five evil", "element asked · vein solution" and so on.

 

        Pathogeny and pathogenesis

 

        Neijing think, because of chest pain can feel the pericardium, qi depression water knot, qi, such as haemorrheological nature caused by etiology, stagnancy of qi and blood stasis is given priority to, pain are qi, stabbing pain are blood stasis. Empirical onset severe, the slow deficiency syndrome.

 

        pathogenic

 

        Neijing that cause chest pain syndrome of the pathogenic causes to cold, heat see more. If the ferrite Yang, the chest of Yang, Yin "evil easy to step in, can cause qi haemorrheological nature, cold evil most easily hurt Yang, appear chest Yang not exhibition, dull blood supply, and then bizu chest Yang hair for chest pain, Heat evil the most easy injury lung, heat and steam in the lung, the lung heat supplement fill, TanNing qi, hair for the chest pain syndrome.

 

        Internal injury

 

        Neijing that calm temperament disorders, can cause stomach qi, etc. Pass in the motive, vomiting hysteresis is lack of, so can cause chest pain, Body virtual LaoJuan long is kidney damage, the renal vein in the heart, kidney qi declination, kidney Yang deficiency failure will not be WenXinYang, the heart of the Yang haemorrheological nature in the chest to chest pain, Drink water of the evil is for Yin evil, make the most easily in mind injury of Yang, qi adverse, so see chest pain. Therefore, the overall chest pain when for synopsis of prescriptions of the mechanism were summarized "YangWei Yin string", from single pulse condition to see, before shut for Yang, after close for cloudy, YangWei refers to inch vein micro, Yin string refers to scale pulse string. From the pathology mechanism to see, here is the heart of YangWei Yang, Yang as the, Yin string for Yin cold inside the sign filled. So in the chest Yang, Yin "evil excellent, the hair for chest pain.

 

        classification

 

        Heart chest pain

 

        "Element asked · dirty air method in theory" yue: "heart person, in the chest pain, threat a full, breast pain, shoulder pain, prize back between two arm inside pass." This sentence words theheart sutra of the symptoms. ZhangJieBin note yue: "the reality of the evil also theheart sutra. Hand shaoyin heart vein, but from the heart on the lung, axillary; hand jue Yin heart envelope of the pulse, the branch is followed chest out threat, axillary, to follow in the Er into cubits, the arm line between two reinforcement, and small intestine for heart and the small intestine vein, around the shoulder blade, hand in shoulder, so therefore the card." Worth explanation is, heart chest pain by heart meridian qi stagnation, choroid closed resistance caused by, or by qi blood deficiency heart failure, can't affect embellish blood and become, therefore, heart chest pain also incomplete for empirical, clinical when to distinguish. With chest pain, two threat pain, the pain lead scapula and two arm medial for clinical characteristics.

 

        Lung heat chest pain

 

        "Element asked · thorn hot" cloud: "lung fever person... hot dispute is asthmatic cough, chest pain go above, and shall not heave a deep sigh back." ZhangJieBin note: "against heat in lungs, its change is out for cough. Lung in those the dirty, back in those of the government, the pain go chest and back above, and shall not heave a deep sigh." Heat evil make lung, lung heat supplement quickly, LianYe is phlegmy, phlegm heat supplement hysteresis, qi adverse, so for chest pain. Together with lung xuan drop of company, pulmonary gas adverse, so not heave a deep sigh. To prothorax, back all pain, gasp shortness of breath for clinical characteristics.

 

        Liver disease chest pain

 

        "Element asked · jade machine really dirty theory" yue: "spring pulse too less than, the disease is less than what the... is a chest pain lead back, the two threat Qu full." WuKun note yue: "on the liver meridian penetration ke, cloth threat rib, note in the lung, therefore, is less a chest pain, and lead back for two threat Qu pain also." 高世栻 note yue: "hepatic vein fail, not through diaphragmatic note lung, then a chest pain lead back. Can't close shaoyang and turning point, the two threat Qu full." From the above two said all meridians solution, because of hepatic vein qi adverse, qi so the chest pain lead and two threat and the lower abdomen. ZhangZhiCong note yue: "spring wood of Yang, born in renal water is cloudy, Yin qi deficiency cold, so that life Yang deficiency, the chest pain and lead back. Threat Qu kidney is the part, angry virtual and not outside of, the inverse full in also." This is from the hepatorenal Yin qi deficiency cold, born Yang deficiency Angle to explain, yi ke ginseng. With chest pain cause back pain, extended to two threat, the lower abdomen pain are for clinical characteristics.

 

        Nephropathy chest pain

 

        "Element asked · dirty air method in theory" yue: "nephrosis person... virtual is in the chest pain, areca small abdominal pain, clear jue the idea not joy." Wang2 bing note: "renal shaoyin vein from lung out complex heart, note in the chest, however kidney qi is virtual, the heart without by the system, motive smoked lung, the pain in the chest also together, but a full sun vein from item down to foot, kidney empty is the sun of the gas can't prevailed in the foot, the foot cold and QiNi also; clear call gas chilly," thought QiNi also. QiNi chilly, so areca small abdominal pain; lack of volunteers is god rashness, so don't music also." This note from meridians solution, kidney Yang deficiency failure can't top temperature in heart, heart of Yang, qi haemorrheological nature, so in the chest pain. 高世栻 note: "kidney qi deficiency micro, heart renal don't pay, it is in the chest pain, chest is the heart GongCheng also, big belly of kun soil, the lower abdomen main sun Microsystems, give birth to the sun be the spirit imaginary, not WenJiTu, therefore, areca lower abdomen is painful; Yin cold quickly, sun be the spirit virtual, so clear jue. Clear jue, slightly cold jue inverse also. The heart is" have the meaning of heart, kidney, not deliberately not joy." This note from the kidney, spleen, heart note, yi ke ginseng. With chest pain, lower limb cold, abdominal pain, restless joy as a clinical characteristics.

 

        Water drink chest pain

 

        "Element asked · vein solution" cloud: "the so-called chest pain less gas, the moisture in the zang-fu organs, water person, Yin qi, Yin qi in the chest pain, so less gas also." ZhangJieBin note: "evil the Yin of the water, not really Yin also. Yin evil in, so for chest pain. Yin excess is Yang failure, therefore, for less gas, little gas is shortness of breath and out of the self." Drink water of the evil made in mind, chest of Yang, qi lifting disorder, the hair for chest pain. Moisture make lung, lung lost xuan drop less gas, or asthma cough. Zhongjing developed the in synopsis of the name for this is suspended fluid syndrome. With chest pain, cough, shortness of breath gasp for clinical characteristics.

 

        treatment

 

        On the basis of the principle of treatment of chest pain with adjustable qi and blood, pass meridians is given priority to. Heart chest pain, acupuncture treatment, ZhangJieBin think "hand little Yin sun, the heart and the small intestine pulse also, when with the false or true and take heart. Lord tongue, so take sublingual blood to diarrhea actually". The transplant horse emphasize "take hand shaoyin meridian of the spirit way, hand the sun meridian si 5, by heart and small intestinal phase exterior-interior also, actually reducing its enough and to spare, and virtual is make up for its insufficiencies ear". Herbs on the treatment is different according to the heart chest pain pathogenesis, we adopt the corresponding treatment. In the case of fire and heat "person, can choose small in chest tonga reduced; The stagnancy of qi and blood stasis, can choose therapeutic tonga reduced; Yang phlegm turbidity person, can choose lingya guangxi art Kennedy decoction and trichosanthes kirilowii maxim allium macrostemon pinellia tuber tonga minus. Lung heat chest pain, herbs on the treatment can choose small in chest soup ZhuoJia quality phlegm. Liver disease chest pain, herbs on the treatment can choose the YiZong JinJian "load aromatized xiaoyao SAN add and subtract. Kidney disease chest pain, acupuncture treatment, ZhangJieBin cloud "full moon the sun to list all the way, stab, signed for virtual real diarrhea, however meridian blood, blood of" go to, and then flat its lack of more how ". The transplant horse that "when take full shaoyin meridian of foot slipped, complex of the sun, in order to out its meridian kunlun blood can also". Herbs on the treatment nephropathy chest pain can choose gold or kidney qi pill add and subtract. Drink water chest pain, herbs on the treatment can choose ten jujube soup or TingLi jujube purging lung soup and so on.

 

        This is to give a case to Ming the guide. The author had a patients diagnosis and treatment, women, 32. Always have "coronary heart disease" history years, hair in the chest stuffy pain, to the left shoulder and left arm medial radiation, sleep uneasy and much dream, often sleep because labored breathing and wake up with a start, woke up to punch others thump chest back number, the bosom is frowsty beginning can alleviate. And see upset, defecate dry. Tongue mass dark moss thin white greasy, vein string details law owe adjustment. The form is obese. Differentiation of symptoms and signs: card to belong to heart pulse stasis resistance, and clip phlegmy wet. Treatment: promoting blood circulation through vein, assist to do gas law of phlegm. Agent: inula flower tonga minus party, main drug composition for Indian buead, almond, born coix seed, madder, safflower, inula flower, etc. A week later return visit, tightness in the chest pain obviously reduced, seizure frequency also reduced, sleep I have held up, has no others beat can automatic relief, defecate modulated, tongue vein with the former. Still using the front ZhuoJia salvia miltiorrhiza, zhejiang bei. After ten three diagnostics, the effect is obvious, take medicine return home, did not return again.

 

        According to: the syndrome differentiation and treatment to the case with "heart person, in the chest pain" of the guide, after treatment markedly improved after clear. Patients with heart pulse stasis resistance mainly and clamp phlegmy wet, so use open meridians, promoting blood circulation to remove stasis is given priority to, choose inula flower tonga minus party, the party for WangHongTu tutor professor of treatment of chest pain commonly used formula, because the party is given.it promoting blood circulation, removing phlegm wet effect, can be used to in the chest stuffy pain, especially good except "long chest thing".