Heart Blood Stasis   心脉痹阻

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Heart Blood Stasis • 心脉痹阻 • Xīn mài bì zǔ
Classification
Category: Zang Fu Syndrome: Heart
Symptoms
Tongue: varies by pathogen[32] • Purple on the sides towards the front, purple and distended veins under the tongue[35] Pulse: varies by pathogen[32] • Choppy or knotted[35]
Indications: Palpitation, oppression and pain in the chest that radiate to the shoulder, back and medial aspect of the upper arms. BY BLOOD STASIS - Sharp, pricking or stabbing pain, worse at night Ⓣ purple Ⓟ choppy, thready. BY PHLEGM - Oppression, chocking pain, overweight body, profuse phelgm, Ⓣ white greasy coating Ⓟ slippery. BY COLD - acute severe pain, relieved by warms, hate cold, cold limbs Ⓣ pale Ⓟ deep, slow, tight. BY QI YU - distending pain, worse with stress, hypochondriac distention Ⓣslight red Ⓟ wiry[32] • Palpitations, intermittent cardiac pain (stabbing or stuffy in nature in the precordial region or behind the sternum) which often refers to the shoulder and arm, in severe cases, there may be cyanosis of the face, lips, nails, cold limbs and spontaneous sweating. ⓉDark Purplish or purple spots. ⓅThready and hesitant or knotted. [35] • Ren17 exhibits tenderness upon light touch. If tenderness is alleviated by touching, it indicates HT or LU deficiency. [35]
Keywords
chest pain radiate to the shoulder, back or arm [32]   
Treatment 
dispel phlegm and blood stasis
Acupuncture 
Herb
BLOOD STASIS: Xue Fu Zhu Yu Tang, Tong Qiao Huo Xue Tang. PHLEGM: Gua Lou Xie Bai Ban Xia Tang. COLD: Gua Lou Xie Bai Bai Jiu Tang. Qi: Mu Xiang Liu Qi Yin [32]
Etiology
refers to the syndrome caused by pathogenic factors (blood stasis, phlegm, cold, or qi stagnation, etc.) blocked heart vessels. [Qiao]
Notes
AKA: Heart Vessel Obstruction, Heart Phlegm Obstruction, Heart Cold Obstruction, Heart Qi Stagnation[32] • The 3 types of Blood Stasis are LV, HT, and ST. They can be differentiated by location of the stabbing pain. [35]
Use Case 1
Use Case 2