Module 6: Chest Opression

Question 1

Chest oppression causes

Answer 1

Pathogen, Qi stag, blood stag, phlegm, Xu

1) exopathogenic attack causes the accumulation of Lung Qi
2) internal production of qi stagnation, blood stasis or phlegm obstructs the Lung or Heart Qi.
3) qi deficiency leads to the inability of qi and blood to circulate in the chest which causes
stagnation

Question 2

acute onset, stifling sensation in the chest, cough, chills and fever, floating pulse.

Answer 2

Lung qi accumulation, wind cold attacks the Lung

Question 3

stifling or tight sensation in the chest, rapid and shallow respiration, cough or
asthma.

Answer 3

Lung qi accumulation, pathogenic heat lodged in the lung

Question 4

stifling sensation with dull pain in the chest, expectoration of thick yellow phlegm,
pus or blood with foul odor.

Answer 4

Lung qi accumulation, lung abscess

Question 5

stifling sensation in the chest, aggravated when lying horizontally, cough with
profuse sputum.

Answer 5

Phlegm accumulation in the lung

Question 6

stifling sensation in the chest which is worse at night, accompanied by chest pain or
pain that radiates to the shoulder.

Answer 6

Heart blood stagnation

Question 7

stifling sensation in the chest accompanied by frequent sighing and hypochondriac
pain.

Answer 7

Liver qi stagnation

Question 8

stifling sensation of the chest, shortness of breath, wheezing.

Answer 8

Qi and blood deficiency

Question 9

Chronic cough coming in bouts with profuse white sticky sputum that is easy to expectorate,
pasty-white complexion, a feeling of oppression in the chest, phlegm in the throat, shortness of
breath, dislike of lying down, wheezing, nausea, a feeling of heaviness, muzziness and dizziness
of the head.
Tongue: Swollen with a sticky white coating
Pulse: Slippery or soggy pulse

Answer 9

Lung Damp Phlegm

Question 10

Cough with expectoration of white watery sputum, aggravated by exposure to cold, feeling
cold, cold hands, phlegm in the throat, dizziness, a feeling of oppression of the chest, a feeling
of cold of the chest, a feeling of heaviness, muzziness and dizziness of the head.
Tongue: Swollen and wet with a sticky white coating
Pulse: Slippery-Slow

Answer 10

Lung Cold Phlegm

Question 11

Barking cough with profuse sticky yellow or green sputum, shortness of breath, wheezing, a
feeling of oppression of the chest, phlegm in the throat, a feeling of heat, thirst, insomnia,
agitation, a feeling of heaviness and muzziness of the head, dizziness.
Tongue: Red, swollen with a sticky yellow coating
Pulse: Slippery-Rapid

Answer 11

Lung Phlegm Heat

Question 12

Dry cough but with occasional, difficult expectoration of scanty sputum, shortness of breath, a
feeling of oppression of the chest, scanty phlegm in the throat, a feeling of heaviness and
muzziness of the head, dizziness, dry throat, wheezing, pasty-dry complexion.
Tongue: Swollen with a dry sticky coating.
Pulse: Fine-Slippery pulse

Answer 12

Lung Dry Phlegm

Question 13

Cough with expectoration of white watery sputum, breathlessness, splashing sound in the
chest, vomiting of white watery frothy sputum, a feeling of oppression of the chest, a feeling of
heaviness and muzziness of the head, dizziness, a feeling of cold, coughing that may be elicited
by a scare.
Tongue: Pale with thick sticky white coating
Pulse: Fine-slippery or Soggy or Wiry pulse

Answer 13

Lung Phlegm Fluids

Question 14

Slight shortness of breath, slight cough, weak voice, dislike of speaking, bright-white
complexion, propensity to catch colds, tiredness, palpitations, shortness of breath on exertion,
depression, spontaneous sweating, sighing.
Tongue: Pale
Pulse: Empty

Answer 14

Lung and Heart Qi Deficiency

Question 15

A feeling of stuffiness and discomfort of the chest, dull ache in the chest, very slight
shortness of breath, palpitations, anxiety, insomnia, dizziness, dream-disturbed sleep, poor
memory, propensity to be startled, dull-pale complexion, pale lips, cold hands.
Tongue: Pale, thin, slightly dry
Pulse: Choppy or Fine but very slightly hard on the left Front position

Answer 15

Pericardium Blood Deficiency

Question 16

Palpitations, a feeling of tightness and heat of the chest, slight chest ache, rapid breathing,
Thirst, mouth and tongue ulcers, mental restlessness, feeling of agitation, feeling of heat,
insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night’s sleep),
Tongue: Red, tip redder and swollen with red points, yellow coating
Pulse: Full-Rapid-Overflowing especially on the left front position

Answer 16

Pericardium Fire

Question 17

Palpitations, feeling of oppression and heat of the chest, chest pain, rapid breathing, thirst, red
face, bitter taste, expectoration of phlegm, rattling sound in the throat, mental restlessness,
insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash
behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting,
muttering to oneself, mental depression and dullness, manic behavior.
Tongue: Red, tip redder and swollen with red points, yellow coating
Pulse: Full-Rapid-Overflowing especially on the left Front position

Answer 17

Phlegm Fire Harassing the Pericardium

Question 18

A feeling of distension and slight pain of the chest, feeling of tightness of the chest, slight
shortness of breath, sighing, a feeling of lump in the throat, palpitations, depression, poor
appetite, weak and cold limbs, slightly purple lips, pale complexion.
Tongue: Slightly Pale-purple on the sides in the chest area
Pulse: Empty but very slightly Overflowing on the left Front position

Answer 18

Pericardium Qi Stag

Question 19

Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the
left arm or to the shoulder, a feeling of oppression or constriction of the chest, shortness of
breath, cyanosis of lips and nails, cold hands.
Tongue: Purple in its entirety or only on the sides in the chest area.
Pulse: Choppy Wiry or Knotted

Answer 19

Pericardium Blood Stasis

Question 20

Worse at night signifies what? What is the quality of pain?

Answer 20

Blood stasis, stabbing

Question 21

What constitutes a PC pattern vs Heart?

Answer 21

Chest mentioned more than once, maybe less mental/emotional symptoms and no urination