Chest Painful Obstruction Syndrome (Xiong Bi)

Question 1

Etiology and Pathology

Answer 1

1. External Pathogenic Factors
2. Diet
3. Emotional Problems
4. Old Age

Question 2

Important Pathogenic Factors in Chest Painful Obstruction

Answer 2

Excess Patterns:
1.  Stagnation of QI/Blood *Blood Stag produces Phlegm-Blocks Circulation
2.  Phlegm
3.  Cold
Deficiency Patterns:
1.   Heart and Kidney Yin Deficiency
2.  Qi & Yin Deficiency
3.  Spleen & Heart Yang Deficiency (soon KI Yang deficiency comes)

Question 3

PRICKING Pain in Chest which is FIXED and WORSE at NIGHT, radiates to Shoulders & Back, unprovoked SIGHING, palpitations,
T: Purple especially in the chest area
P: Deep & Choppy

Answer 3

Xiong Bi d/t Stagnation of Blood in the Chest

TP: Move blood, eliminate stasis, invigorate connecting channels and Stop Pain

Question 4

Points for Xiong Bi d/t Stagnation of Blood in the Chest

Answer 4

UB 13, 14, 15, 17, Ren14, 17, PC 4, 6 ST 40,      SP 10, DU 10, 11, 12 (Qi & Blood in Chest)
SI 11 (moves blood in chest)

Question 5

Formula for Xiong Bi d/t Stagnation of Blood in Chest

Answer 5

Xue Fu Zhu Yu Tang

Blood Mansion Eliminating Stasis D.

Question 6

Pronounced feeling of Oppression of the Chest (more severe than pain), extending to shoulder or upper back, Breathlessness, Feeling of Heaviness in Extremities, dizzy, expec. of white sputum, Swollen body
T: Sticky White Coat P: Slippery

Answer 6

Xiong Bi d/t Turbid Phlegm stagnating in the Chest

TP: Invigorate Yang, Resolve Phlegm, Open the orifices

Question 7

Points for Xiong Bi d/t Turbid Phlegm in the Chest

Answer 7

PC 6, UB 13, 14, 15, Ren 9, 12, 14, 17, ST 40, SP 6, LU 7, 9

Question 8

Formula for Xiong Bi d/t Turbid Phlegm in the Chest

Answer 8

Gua Lou Xie Bai Ban Xia Tang

Trichosanthes-Allium-Pinellia D

Question 9

Severe CRAMPING chest pain extending to the Scapula, Feeling of tightness in Chest, Palpitations, Breathlessness, Difficulty lying down, Pale complexion, COLD Limbs, Pain induced by cold & alleviated by warmth
T: Pale or Bluish Purple P: Deep Weak Tight

Answer 9

Xiong Bi d/t Stagnation of COLD in the Chest

TP: Warm Yang, Scatter Cold and remove obstruction

Question 10

Points for Xiong Bi d/t stagnation of Cold in Chest

Answer 10

UB 14, 15, Ren 6, 8 Moxa, Ren 14, 17, PC 6,

DU 20 Moxa, ST 36 Moxa

Question 11

Formula for Xiong Bi d/t stagnation of Cold in Chest

Answer 11

Gua Lou Xie Bai Bai Zhu Tang
Severe Stabbing & Pain =
Tong Mai Si Ni Tang

Question 12

A feeling of Oppression and Pain in Chest, Palpitations, night Sweating, Insomnia, sore back and knees, tinnitus, dizziness, 5 palm heat
T: Red no coat, Heart Crack P: Thready, Rapid

Answer 12

Xiong Bi d/t Heart and Kidney Yin DEFICIENCY d/t Phlegm/def. condition
*Deficiency Pattern pain is milder

TP: Nourish Yin, Benefit Kidneys, Nourish Heart, Calm Mind, Stop Pain

Question 13

Points for Xiong Bi d/t Heart and Kidney YIN Deficiency

Answer 13

UB 14, 23, PC^, Ren 4, 17, KI 3, 25, HT 6

Question 14

Formula for Xiong Bi d/t Heart and Kidney YIN Deficiency

Answer 14

Zuo Gui Yin
(Restoring the Left Kidney Pill)

Tian Wang Bu Xin Dan
(Heavenly Emperor Tonifying the Heart Pill)

Question 15

Oppression and Pain in Chest which Comes & Goes (mild pain), Palpitations, Breathlessness, Tiredness, Dislike to Speak, Pale complexion, dizziness, blurred vision - All symptoms aggravated by Overexertion
T: Red no coat P: Fine or Weak

Answer 15

Xiong Bi d/t QI & YIN Deficiency d/t def qi and yin of HT, LU, SP

TP Tonigy qi, nourish yin, move blood, stop pain

Question 16

Points for Xiong Bi d/t Qi & Yin Deficiency

Answer 16

LU 9, UB 13, 15, HT 5, Ren 4, 17, PC6, ST 36,

SP 6

Question 17

Formula for Xiong Bi d/t Qi & Yin Deficiency

Answer 17

Zhi Gan Cao Tang + Qing Jiu (Rice Wine)

Glycyrrhiza D

Question 18

Oppression an Dull Pain in Chest, Palpitations, Brathlessness, Sweating, Feeling COLD, COLD Limbs, Bright pale Complexion, CYANOSIS of Lips and nails, Tiredness, poor appetite, Insomnia
T: Pale or Bluish Purple P: Deep weak

Answer 18

Xiong Bi d/t SPLEEN & HEART Yang Deficiency
(SP yang def leading to HT yand & KI Yang def)

TP: Tonify Qi, Warm Yang, Move Blood, Stop Pain

Question 19

Points for Xiong Bi d/t Spleen & Heart Yang Deficiency

*Yang Deficiency = Qi deficiency also

Answer 19

UB 13, 15, 20, 23, DU 4, Ren6, 12, 14, HT 5, PC 6

ST 36, SP 6, KI 25

Question 20

Formula for Xionb Bi d/t Spleen & Heart Yang Deficiency

Answer 20

Shen Fu Tang & You Gui Yin

Ginseng-Aconitum Dec, and Restoring the Right Kidney Dec.