Ban Xia Rhizoma Pinelliae ternatae 9 g
Chen Pi Pericarpium Citri reticulatae 4 g
Huang Lian Rhizoma Coptidis 3 g
Gua Lou Fructus Trichosanthis 6 gGua Lou Fructus Trichosanthis and Huang Lian Rhizoma Coptidis were
added to continue to resolve Phlegm and clear Heat.Stagnation of Cold in the Chest
Clinical Manifestations
Severe cramping chest pain extending to the scapula, feeling of tightness of the chest,
palpitations, breathlessness, difficulty in lying down, pale complexion, cold limbs. The chest
pain is induced by exposure to cold and alleviated by warmth.
In very severe cases there would also be cyanosis of lips and nails, cold sweating, severe,
continuous stabbing pain in the chest, the tongue would be Purple and the Pulse would be
Knotted.
Tongue: Pale, Bluish-Purple.
Pulse: Deep-Weak-Tight.
This pattern is characterized by Cold obstructing the chest. Internal Cold derives from Yang
deficiency with which this pattern would always be associated. However, it describes a relatively
acute situation when the manifestations of Cold are predominant and the pain in the chest is
severe. In such cases one should treat the Manifestation (i.e. the Cold) rather than the Root (i.e.
Yang deficiency).
Treatment Principle
Invigorate Yang (in herbal therapy with warm-pungent herbs), scatter Cold, remove obstruction.
Acupuncture
General Prescription
BL-14 Jueyinshu, BL-15 Xinshu, Ren-17 Shanzhong, Ren-14 Juque, P-6 Neiguan, Du-20
Baihui, Ren-6 Qihai, Ren-8 Shenque, ST-36 Zusanli. Even method, except on ST-36, Ren-6 and
Ren-8 which should be reinforced. Moxa must be used.
Explanation