Chest Pain

Question 1

Heat Evil Obstructing Lung Pattern

Answer 1

Distending pain with cough, more  severe with deep breath 
w/ vigorous heat, coughing, panting
Coughing thick phlegm/blood streaked 
T: Yellow fur 
P: Rapid

Question 2

Cold Evil Settling in the Lung Pattern

Answer 2

Chest pain, Severe cold 
Coughing with white phlegm, pale complexion, cool limbs, lack of thirst, clear/ling urine
In Autumn/winter 
T: white fur  
P: Slow

Question 3

Chest Bind Pattern

Answer 3

Chest pain below heart refuses pressure
Serve = hard fullness and pain from the area below the heart
Stiffness in neck
Constipation, tidal fever
T: dry with thirst

Question 4

Consumption Pattern

Answer 4

Dull chest pain,
with yin def + internal heat
Cough with scanty phlegm, sticky/blood streaked
Red cheeks, tidal/ steaming bones fever
Vexing HT heat, insomnia, night sweating
T: purple/red with scanty fur + thin
P: Rapid

Question 5

Blood Stasis Chest Bind Pattern

Answer 5

Piercing pain in fixed position
w/ panting cough, sometimes spitting blood, dark facial  complexion, nails/skin dry
Dark purple lips/ tongue 
T: Ulcers, stasis dusky purple 
P: fine, rough/choppy

Question 6

Heart Vessel Obstruction Pattern (Blocked artery)

Answer 6

Oppressive pain or piercing pain
Radiates shoulder/back + inner aspect of upper arm + pain in St Duct
Pain comes and goes and may have HT palps
T: dark, with stasis macules
P: fine and rough/bound, regularly interrupted pulse

Question 7

Binding depression of Liver Qi Pattern (anxiety attack)

Answer 7

Pain in the chest + rib side pain
Usually distending pain although maybe piercing, flashes of bruins pain
Pain may increase/ decrease with emotions
Failure of LV to course/drain
Singing infrequency, emotionally repressed/ depressed

Question 8

Liver Fire Invading Lung Pattern

Answer 8

Pain is distending/ burning 
w/ rib side pain, blood-streaked cough, coughing blood 
W/ LV fire rising signs
Easily angered reddish urine 
P: string-like, rapid 
T: red