Chest Bi Flashcards
How would Chest Bi present in a mild case
tightness, pain, palpitations
Chief pathology that leads to Chest Bi
Heart Yin/Yang Deficiency leading to xie Qi invasion (phlegm, blood stasis, Qi stagnation, cold dampness
How would Chest Bi be presented in a severe case
Severe pain radiating/shooting pain down to the arm, cold sweat, cold limbs, unable to lie down
which organ is the most common Z-F organ that is affected by Bi syndrome
Heart
how would you educate the patient?
Keep warm and prevent EPF invasion
Regulate diet: decrease in damp/greasy food, decrease in smoking and drinking
avoid overstraining
gentle exercisesl
Which auricular points would you use?
Ht, SI, shenmen, subcortex, sympathetic, kid, liv, sp, chest, adrenal, endocrine
fixed stabbing pain in the chest which becomes more severe at night, pain may radiate to the shoulder and upper back or left arm
tongue: dark purple with ecchymoses
pulse: wiry, choppy or intermittent
Heart blood stagnation
suffocation of turbid phlegm in the chest, SOB with a large amount of sputum
accompanied sns: cough, asthma, overweight, heaviness of body
tongue: thick, sticky and turbid
pulse: soft and moderate
Retention of turbid phlegm in the chest
sudden attack of severe pain which can be relieved by warmth and aggravated by cold, chills and cold limbs
accompanied symptoms: palpitations, pale complexion
tongue: white and slippery, or white and sticky
pulse: deep and slow
stagnation of cold in the chest
Acupoints for heart blood stagnation
Liv 3, LI4, SP 10 Bl 17
Points for retention of turbid phlegm in the chest
St40, Sp9, and GB 34
Points for stagnation of cold in the chest
moxa CV 17, PC 8, and Kid 11
Deficiency pattern of Chest Bi
Heart and Kid Yin Xu
Qi and Yin Xu
Yang Qi and Xu
oppression and intermittent pain the chest, dizziness, tinnitus, dry throat, feverish sensation in 5 heart insomnia, restlessness, palpitations, lumbar soreness
Heart and Kid Yin Xu
oppression and pain in the chest, palpitations, shortness of breath, dizziness, fatigue, insomnia, sallow complexion
Tongue and pulse:tender red, thready or knotted
Qi and Yin Xu
oppression and intermittent pain the chest, SOB, palpitations, lumbar soreness, chills and cold limbs, pale complexion and lips
Tongue and pulse: dark purple and white coating
Deep thready or intermittent
Yang Qi Xu
basic points for chest bi
CV 17, 14, Bl 14 and 15, PC 4/6, HT 6/7
Acupoint for Heart and Kid Xu
Kid 6 or Sp 6
Qi and Yin Xu acupoints
St36, CV 6, KID 6, Sp6
Yang Qi Xu acupoints
GV 4, moxa CV 8 - CV 4
List the patterns for Chest Bi
- Heart and Kid Yin Xu
- Yang Qi Xu
- Qi and Yin Xu
- Heart blood stagnation
- Retention of turbid phlegm in the chest
- Stagnation of cold in the chest
