Chest Bi

Question 0

How would Chest Bi present in a mild case

Answer 0

tightness, pain, palpitations

Question 1

Chief pathology that leads to Chest Bi

Answer 1

Heart Yin/Yang Deficiency leading to xie Qi invasion (phlegm, blood stasis, Qi stagnation, cold dampness

Question 2

How would Chest Bi be presented in a severe case

Answer 2

Severe pain radiating/shooting pain down to the arm, cold sweat, cold limbs, unable to lie down

Question 3

which organ is the most common Z-F organ that is affected by Bi syndrome

Answer 3

Heart

Question 4

how would you educate the patient?

Answer 4

Keep warm and prevent EPF invasion
Regulate diet: decrease in damp/greasy food, decrease in smoking and drinking
avoid overstraining
gentle exercisesl

Question 5

Which auricular points would you use?

Answer 5

Ht, SI, shenmen, subcortex, sympathetic, kid, liv, sp, chest, adrenal, endocrine

Question 6

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

Answer 6

Heart blood stagnation

Question 7

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

Answer 7

Retention of turbid phlegm in the chest

Question 8

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

Answer 8

stagnation of cold in the chest

Question 9

Acupoints for heart blood stagnation

Answer 9

Liv 3, LI4, SP 10 Bl 17

Question 10

Points for retention of turbid phlegm in the chest

Answer 10

St40, Sp9, and GB 34

Question 11

Points for stagnation of cold in the chest

Answer 11

moxa CV 17, PC 8, and Kid 11

Question 12

Deficiency pattern of Chest Bi

Answer 12

Heart and Kid Yin Xu
Qi and Yin Xu
Yang Qi and Xu

Question 13

oppression and intermittent pain the chest, dizziness, tinnitus, dry throat, feverish sensation in 5 heart insomnia, restlessness, palpitations, lumbar soreness

Answer 13

Heart and Kid Yin Xu

Question 14

oppression and pain in the chest, palpitations, shortness of breath, dizziness, fatigue, insomnia, sallow complexion
Tongue and pulse:tender red, thready or knotted

Answer 14

Qi and Yin Xu

Question 15

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

Answer 15

Yang Qi Xu

Question 16

basic points for chest bi

Answer 16

CV 17, 14, Bl 14 and 15, PC 4/6, HT 6/7

Question 17

Acupoint for Heart and Kid Xu

Answer 17

Kid 6 or Sp 6

Question 18

Qi and Yin Xu acupoints

Answer 18

St36, CV 6, KID 6, Sp6

Question 19

Yang Qi Xu acupoints

Answer 19

GV 4, moxa CV 8 - CV 4

Question 20

List the patterns for Chest Bi

Answer 20

1. Heart and Kid Yin Xu
2. Yang Qi Xu
3. Qi and Yin Xu
4. Heart blood stagnation
5. Retention of turbid phlegm in the chest
6. Stagnation of cold in the chest