Most Acupuncturists know the best Acupuncture points to stop chest pain and move qi and blood in the chest. Nei Guan, Shan Zhong and Xin Shu are some of the most effective Acupuncture points to treat chronic Chest Pain.
But Herbal Medicine is more effective to move blood stasis, or to nourish the underlying deficiency which results in Chest pain. But which herbal formulas to use?
Well, that’s where the TCM differentiation according to syndromes shines. The following is a brief summary of the 6 main syndromes resulting in chronic chest pain, and their representative formulas. Thank you to Dr. Kai Chen of Oshio College for teaching us how to effectively differentiate and prescribe herbal formulas.
Xue Fu Zhu Yu Tang is of course the representative formula for Chest pain due to blood stasis in the mansion of the Blood. If the patient has Heart palpitations with an irregular, choppy pulse and other classic blood stasis symptoms, we can use this formula to Move blood and Open up the channels.
If the patient has a heavier sensation, along with the telltale signs of Phlegm Stagnation, we can give them Gua Luo Xie Bai Ban Xia Tang in order to open the chest and dissolve phlegm.
If they are suffering from Qi Stagnation, with distending pain and a wiry pulse, then a modification of Chai Hu Shu Gan San can be used to smooth liver Qi, open the meridians and stop pain.
If the Chest pain is due to cold invasion, and features a sharp, colicky sensation with a tight pulse and pale/purple tongue, then we can give them Gua Luo Xie Bai Bai Jiu Tang, perhaps with some warming herbs like Gui Zhi or a small amount of Fu Zi.
If the Chest pain is worse after exertion, better with rest, and we suspect that they have an underlying Yang Qi deficiency, then we can warm them and tonify their Yang Qi using the formula Shen Fu Tang.
If it’s not quite that bad, and they only suffer from Qi deficiency, then it’s better to use Sheng Mai San to nourish Yin and tonify Qi.
And if they have chronic, dull, burning chest pain with other Yin deficiency signs, then we can Nourish their Heart Yin using Liu Wei Di Huang Wan with Sheng Mai San.
Of course, if they are having an Acute attack of chest pain, we must refer them to the CICU: Cardiac Intensive Care Unit. Just remember to take out the needles first!!!
The students of Oshio College of Acupuncture and Herbology have been lingering and late for class today, due to the sunny springtime weather here in Victoria, BC.
However, Dr. Yin is giving a class on hard-to–treat case studies, so the Acupuncture students crowd in around him, as he shares his experience and wisdom with them.
Here at the Yates Street Clinic of Acupuncture and TCM, we treat many patients with a range of chronic pain disorders, including migraine headaches. Yesterday, I helped one of our 3rd year Acupunture students treat a patient who has been living with chronic migraines for over 25 years. Fortunately, the Acupuncture treatments that she has been receiving at our Student Clinic of Acupuncture have been helping her to reduce the intensity and frequency of her migraines. Of course, she knows that she must also make modifications to her diet and lifestyle to reduce stress and promote her health. But regular Acupuncture treatments help her to keep the tension at bay, and with our new summer promotion: 4 treatments in one month for $30 total, she is able to afford to receive regular Acupuncture therapy. This is of great benefit to her condition.
Meanwhile, the students are in class, hanging on Dr. Yin’s every word. They know that they are benefitting greatly from being in his presence and soaking up the knowledge of Traditional Chinese Medicine.
Oshio College has been accredited by the Private Career Training Institutions Agency (PCTIA) since November, 2001. See the PCTIA web site at www.pctia.bc.ca We are designated in British Columbia as an “eligible Institution” under the Canada Student Loans Act.
The 3 years Acupuncture program (distance Education) offered by Oshio college is recognized by Acupuncture and Traditional Chinese Medicine Association of Nova Scotia (www.atcmans.ca) and the national Association the Chinese Medicine and Acupuncture Association of Canada( Nova Scotia Chapter). All students completing the program successfully will be accepted into both association