CORONARY HEART (ARTERY) DISEASE

Clinical Manifestations
  • It may feel heavy or like someone is squeezing your heart. You feel it under your breast bone (sternum), but also in your neck, arms, stomach, or upper back
  • The pain usually occurs with activity or emotion, and goes away with rest or a medicine called nitroglycerin
  • Other symptoms include shortness of breath and fatigue with activity (exertion)
  • Women, elderly people, and people with diabetes are more likely to have symptoms other than chest pain, such as:
  • Fatigue
  • Shortness of breath
  • Weakness
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Headache
  • Chest and gastric fullness and oppression
  • Pain in the epigastrium and abdomen
  • Nausea and vomiting
  • Borborygmus
  • Diarrhea
  • Loss of taste
  • Aversion to Cold
  • Cough
  • Indigestion
  • No perspiration
  • Chest discomfort
  • Sore throat
  • Disorientation
  • Madness
  • General lassitude
  • Anorexia
  • Delirious speech
  • Maybe loss of voice
  • Intermittent chills and fever
  • Afternoon fever and tight
  • Sudden turmoil disorder
  • Malarial disorders
  • Loose stools
  • T: Normal
  • C: Greasy and white
  • P: Moderate and soggy or floating and forceful
Treatment Principle
  • Release the Exterior
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Sweating
  • Thirst
  • Dysenteric diarrhea
  • Foul-smelling stools
  • A burning sensation around the anus
  • Gasping
  • Ephidrosis
  • Palpitations
  • Tenesmus
  • Maybe red tinged urine
  • Irritability and Heat in the chest and epigastrium
  • Stiffness and spasms at the back of the neck
  • Dry mouth
  • Dyspnea with perspiration
  • Maybe wheezing
  • T: Red
  • C: Yellow (Greasy)
  • P: Rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak or Slow and sinking or Soft and weak
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieve distention
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea/vomiting
  • Hypogastric pain and distension
  • T:  Red
  • C:  Yellow
  • P:  Rapid and wiry
Treatment Principle
  • Relieve Gall Bladder Heat
  • Pacify The Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Abdominal fullness
  • Heavy head and body
  • Edema of the face and eyes
  • Watery diarrhea
  • Short, scanty urination
  • Epigastric distention and pain
  • Anorexia
  • Maybe loose stools with undigested food
  • Edema of the lower extremities
  • Thirst
  • Joint pain
  • Dysuria
  • T: Pink or Pale
  • C: White and greasy
  • P: Soft and thready or Relaxed
Treatment Principle
  • Dispels Dampness in the Spleen.
  • Regulates flow of Qi in the Spleen and Stomach.
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Reinforce the Spleen and Kidney
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Genital warts
  • Anal warts
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus D
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonizes the Stomach
  • Descends Rebellious Qi
  • Disperses clumping
  • Eliminates focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Chronic fixed, stabbing or piercing pain in the chest which may radiate to the upper back
  • The pain is worse at night
  • Pain in the hypochondrium
  • Bilateral flank distention and fullness
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Shortness of breath
  • Heart vexation
  • Chronic incessant hiccups
  • Five sole Heat
  • Restlessness
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Dark purplish lips and facial complexion
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • Irritability
  • Fidgeting
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctiva or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • T: Dark-red with purple spots on the edges and/or Purple, engorged and tortuous sublingual veins
  • P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry or Wiry and choppy and regularly interrupted or Bound
Treatment Principle
  • Move Qi
  • Invigorate the Blood
  • Transform Stagnation
  • Free the collaterals
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Chest pain
  • Palpitations
  • Chest oppression
  • Shortness of breath
  • Coughing up profuse, clear, watery sputum
  • A fat body
  • Bodily heaviness
  • Dizziness
  • Vertigo (when standing)
  • Dyspnea
  • A tendency to hypersomnia or somnolence
  • Anxiety
  • Tinnitus
  • Difficult urination
  • Mild edema
  • Cold feet
  • A heavy head
  • Headache
  • Migraine
  • Nausea
  • Anorexia
  • Poor memory
  • A sticky, slimy feeling in the mouth
  • Weak abdomen
  • T: Pale and swollen
  • C: White and slippery or greasy
  • P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle
  • Resolve Phlegm
  • Eliminate Dampness
  • Dispel Stasis
  • Eliminate turbidity
  • Tonify Yang
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Chest pain with a sense of fullness in the chest
  • Cough with expectoration of yellow Phlegm
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Dizziness
  • Constipation
  • Much dreaming
  • Easily startled
  • Severe cases:
    Incoherent speech
    Crying and laughing without reason
    Manic agitation with irrational behavior
    May physically attack or abuse others
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
  • Promote Qi circulation
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dull pain in the chest
  • An empty sensation in the Heart region
  • Easily frightened
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue
  • Weakness
  • Suffocating sensation in chest
  • T: Pale and swollen
  • C: White
  • P: Weak or Weak and tight or Big and weak or Intermittent
Treatment Principle
  • Nourish the Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Pale face and lips
  • Irritability
  • Easily startled
  • Fatigue, weakness
  • Anxiety
  • Insomnia
  • Suffocating sensation in chest
  • Much dreaming
  • Poor memory
  • Dizziness
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent or Thready and weak
Treatment Principle
  • Tonify and augment Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations which are worse at night
  • Fearful throbbing
  • Heart and chest pain, sometimes with a hot, burning sensation
  • Restlessness
  • Insomnia
  • Five sole Heat
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • Maybe easily angered
  • Maybe a red face
  • Maybe aversion to Heat
  • T: Red
  • C: Little or None
  • P: Thready or Thready and rapid
Treatment Principle
  • Nourish Heart and Kidney Yin
Herb Formulas
Points
Clinical Manifestations
  • Cold limbs
  • Palpitations
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole Heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • T: Pale and swollen or Red and dry
  • C: White or Little or None
  • P: Thready and weak or Knotted or Intermittent or Thready and rapid
Treatment Principle
  • Nourish Heart Yin and Yang
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dysuria
  • Shortness of breath
  • Panting
  • Chest oppression
  • Inability to lie down comfortably
  • Aversion to Cold
  • Maybe cold sweats
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Generalized edema
  • Thoracic edema
  • Edema of limbs
  • Cough
  • Pale or cyanotic complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Low back pain
  • Scanty urination
  • Abdominal pain
  • Maybe abdominal distention
  • Anorexia
  • Diarrhea
  • Nausea
  • T: Pale or Purple (Lavender) with teethmarks
  • C: White and greasy
  • P: Deep or Deep and minute or Deep, thin and tight or Regularly interrupted
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Drenched with perspiration
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Cyanosis of mouth and lips
  • Faint, weak respiration
  • P: Minute (on the point of collapse)
Treatment Principle
  • Return Yang
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Panting
  • Cough
  • Dyspnea which prevents lying down
  • White, foamy Phlegm
  • Palpitations
  • Fearful throbbing
  • Rapid breathing
  • Restlessness
  • Sweating
  • Aversion to Cold
  • Dark purple lips
  • T: Dark purple
  • C: Glossy
  • P: Rapid and racing
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Severe chest pain, twisting and stabbing
  • Pain on the left side of the chest with a sharp or pressing sensation
  • The pain may occur due to fatigue, overwork, stress, poor diet or emotional upset
  • In severe cases the pain radiates to the left scapula and arm
  • Distention and fullness in the hypochondrium
  • Oppressive sensation in the chest
  • Palpitations
  • Stiffness of the chest
  • Dyspnea
  • Contracture of the limbs
  • Irritability
  • Profuse sweating
  • T: Deep red or Purplish or Purple spots on the sides
  • C: Thin and white or Dry
  • P: Rapid and taut or Wiry and choppy
Treatment Principle
  • Regulate Qi and Blood
  • Stop the pain
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Prolonged bouts of coughing with dyspnea
  • Expectoration of clear, watery Phlegm
  • Suffocating sensation in the chest
  • Spontaneous, weak perspiration
  • All of the above manifestations are exacerbated by exertion
  • Shiny white complexion
  • Weak voice
  • Catches colds easily
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Augment Heart and Lung Qi
Herb Formulas
Points
Clinical Manifestations
  • Chest pain with a stabbing sensation
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back and knee weakness and pain
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Dry eyes
  • Red cheeks
  • Urine short and red
  • T: Red with purple spots
  • C: Little or None
  • P: Thready and rapid or Thready, choppy and irregular
Treatment Principle
  • Nourish Heart and Kidney Yin
  • Clear Deficient heat
  • Invigorate the Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden hot pain in the chest
  • Insomnia with much dreaming
  • Dysphoria with five sole Heat
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Restlessness
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • Constipation
  • T: Deep red
  • C: Little or None
  • P: Thready, taut and rapid
Treatment Principle
  • Nourish Heart and Kidney Yin
  • Generate Fluids
  • Invigorate blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence, spermatorrhea, premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow or Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm the Kidney and Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chest and abdominal distention
  • A stifling sensation in the chest and abdomen
  • Fixed pain in the hypochondria
  • Belching with a fetid odor
  • Nausea
  • Vomiting
  • Headache
  • Epigastric and abdominal fullness and pain
  • Acid reflux
  • Mild coughing with copious sputum
  • Reduced appetite
  • Indigestion
  • T: Normal
  • C: Thin and white or Greasy or Slippery,
  • P: Wiry and taut or Running
Treatment Principle
  • Regulate Qi
  • Release Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Dull Heart pain with chest oppression which comes in waves and is worse with emotional stress
  • Shortness of breath
  • Emotional tension or
  • Depression
  • Restlessness
  • Maybe frequent sighing
  • Bilateral flank discomfort
  • Cold hands as a reaction to stress
  • T: Normal or Slightly dark
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Rectify Qi
  • Invigorate the Blood
  • Transform Stasis
Herb Formulas
Points
Clinical Manifestations
  • A sensation of fullness, distention and pain in the chest which is improved with massage
  • Cough
  • Prefers warm drinks
  • P: Wiry and large
Treatment Principle
  • Unblock Yang
  • Expand the chest
  • Dredge Stasis
  • Transform clumps
Herb Formulas
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Heart palpitations
  • Fearful throbbing
  • Heart pain
  • Shortness of breath
  • Lassitude
  • Chest oppression which is worse at night and may awaken the patient
  • A white complexion
  • Malar flush
  • Aversion to Cold
  • Exacerbation of Heart pain when exposed to Cold
  • Cold extremities alternating with
  • Five sole Heat
  • Dizziness
  • Vertigo
  • Low back and knee soreness and weakness
  • Nocturnal polyuria
  • T: Pale with a red or dark purplish tip
  • C: Normal
  • P: Deep and thready or Bound and regularly interrupted
Treatment Principle
  • Warm Yang
  • Nourish Yin
  • Supplement the Kidneys
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Heart pain
  • Shortness of breath
  • Great perspiration with dibbling and dripping
  • Reversal Cold of the four limbs
  • Bluish-purple nail beds
  • A somber, white facial complexion
  • T: Dark
  • C: White
  • P: Thin, on the verge of expiring
Treatment Principle
  • Return Yang
  • Secure desertion
  • Invigorate the blood
  • Stem counter flow
Herb Formulas
Points
Clinical Manifestations
  • Pains that move around
  • Distention
  • Depression
  • Irritability
  • Pain is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Hemiplegia
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Move Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Insidious Heart pain
  • Long standing Heart illness
  • Chest oppression
  • Chronic cough or
  • Dry cough
  • Dry mouth
  • Dry throat
  • Chronic dyspnea
  • Dizziness
  • Insomnia
  • Restlessness
  • Thirst with a preference for hot drinks
  • Hungers easily with no desire for food
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Generalized fatigue
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None or White and dry
  • P: Thready and weak or Thready and rapid or Bound or Regularly interrupted or Slow and Choppy
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Invigorate the Blood
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Relatively superficial numbness without pain
  • Paresthesia and numbness of the skin and flesh
  • Paresthesia of the shoulders
  • Neck and shoulder stiffness and pain
  • Abdominal pain alleviated by warmth and pressure
  • Pale complexion
  • Hemiplegia
  • Stiff tongue
  • Flaccidity if the extremities
  • Migratory pain
  • Pain, weakness, tightness or spasms of the extremities
  • Spontaneous sweating
  • Shortness of breath
  • Aphasia
  • Excess salivation
  • Aversion to wind
  • T: Normal or Thick
  • C: White or Smooth and white or White and greasy
  • P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle
  • Tonify Qi and Blood
  • Warm and harmonize the channels and collaterals
  • Harmonize the Ying and Wei
  • Unblock painful obstruction
  • Warm the Middle Jiao
  • Dispel Cold
  • Alleviate pain
  • Harmonize Yin and Yang
Herb Formulas
Points
Clinical Manifestations
  • Chest pain
  • Shortness of breath
  • Lassitude
  • Fatigue
  • Listlessness
  • Severe palpitations
  • Worse with movement
  • T: Dark with echymosis
  • C: Normal
  • P: Thready and choppy
Treatment Principle
  • Tonify Qi
  • Invigorate the Blood
  • Eliminate Stagnation
Herb Formulas
  • Bu Yang Huan Wu Tang
  • Chinese Patent Medicines: Bu Zhong Yi Qi Tang (1 bolus 3 times/ day) + Fu Fang Dan Shen Pian (4 tablets 3 times/day)
    Bu Zhong Yi Qi Tang (1 bolus 3 times/ day) + Xin Ling Wan (1 bolus 3 times/ day)
Points
Clinical Manifestations
  • Palpitations
  • Pain in the lower abdomen and pelvic region
  • Heavy and/or irregular periods
  • Abdominal swelling
  • Painful bowel movements
  • Low back pain
  • Painful urination
  • Abdominal tenderness
  • Pressure and pain before or during periods
  • A preference for warmth
  • An aversion to Cold
  • Blood clots with periods
  • The pain relieved after the periods
  • Pale complexion
  • Nausea or vomiting with severe menstrual pain
  • Headaches
  • Low grade fevers
  • Depression
  • Anxiety
  • T: Pale and purplish with spots
  • C: White
  • P: Wiry and tight
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Heart pain often induced by Cold
  • Shortness of breath
  • Suffocating sensation
  • Productive cough
  • Restlessness
  • Chest oppression
  • Palpitations
  • Sweating
  • Cold extremities
  • Severe:
    Heart pain radiating to the back
    Maybe loss of consciousness
  • T: Normal
  • C: Slimy and white
  • P: Wiry, slippery and regularly interrupted or Bound or Deep, slippery and thready
Treatment Principle
  • Unbind the chest
  • Free the Yang
  • Resolve Phlegm
  • Resuscitate
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Palpitations
  • Shortness of breath
  • Coughing up clear, watery sputum
  • Dizziness
  • Vertigo (when standing)
  • Dyspnea
  • Anxiety
  • Tinnitus
  • Difficult urination
  • Mild edema
  • Cold feet
  • Headache
  • Migraine
  • Weak abdomen
  • T: Pale and swollen
  • C: White and slippery or greasy
  • P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle
  • Resolve Phlegm
  • Eliminate Dampness
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Early-Stage: Food Stagnation + Qi and Blood Stagnation with Heat
    Alternating fever and chills
    Fullness in the chest and hypochondrium (with or without pain)
    Bitter taste in mouth
    Nausea
    Continuous vomiting
    Hard focal distension in the epigastrium
    Fullness and pain in the epigastrium
    Burning diarrhea or no bowel movement
    Despondency
    Slight fidgeting
    Slight irritability
    Headache
    Constipation or discharge of fluids rectally
    Tinnitus
    Diminished hearing
    Diminished vision
    Red eyes
    Manic behavior
    Asthma
    Mental instability
    T: Normal or red
    C: Yellow or Thick and yellow
    P: Wiry and forceful or Wiry tight and forceful
  • Middle-Stage: Both Excess and Deficiency + Qi and Blood or Qi and Yin Deficiency of multiple organs + External Excess or Phlegm Stagnation or Blood stagnation
    Lassitude
    Fatigue
    Shortness of breath
    Dizziness
    Tinnitus
    Palpitations
    Emaciation
    Lack of strength
    Dry, rough eyes
    Possible distended feeling in eyes
    A pale, lusterless face
    Possible malar flush
    Restless
    Insomnia
    Poor memory
    Dry, parched throat
    Tasteless feeling in the mouth
    Low back and knee soreness and
    weakness
    Low grade fever
    Five sole heat
    Possible sweating
    Possible tremors of the hands and tongue
    Scanty intake
    Abdominal distention after meal
    Loose stools
    T: Red
    C: Thin or Peeled
    P: Empty and rapid or Thready and rapid
Treatment Principle
  • Early-Stage:
    Relive Stagnation
    Clear Heat
  • Middle-Stage:
    Reduce Excess
    Tonify Deficiency
    Resolve Phlegm
    Invigorate the Blood
    Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Chest pain of a cramping or compressing nature
  • Pain comes with emotional disturbance or stress
  • Fullness in the chest and hypochondriac regions
  • Irritability
  • A bitter taste in the mouth
  • Dream-disturbed sleep
  • T. Pink
  • C: Thin white and dry
  • P: Wiry
Treatment Principle
  • Promote Qi Circulation in the chest
  • Stop pain
Herb Formulas
Points