Thoracic Bi

Question 1

Which pain happens at the epigastrium, usually distending pain and lasts for a long time? Combined with poor appetite, nausea, and vomiting.

Answer 1

Stomach pain.

Question 2

Which pain is aggravated during respiration, movement and cough? Usually combines with cough, panting and expectoration.

Answer 2

Chest pain due to LU disease.

Question 3

Which pain is located in the right hypochondriac region? Usually caused by liver and gallbladder problems. Combines with an aversion to greasy food, jaundice and fever.

Answer 3

Hypochondriac pain.

Question 4

Which pain is in the chest (L side or just the sternum) due to obstruction of qi, can include dull, distending, burning, and colic pain.

Answer 4

Thoracic bi.

Question 5

What are the seven patterns of thoracic bi?

Answer 5

Qi stagnation in the chest, obstruction of blood stasis in the HT vessels, retention of phlegm, coagulation of cold, HT and KI yin deficiency, deficiency of qi and yin, and deficiency of yang-qi.

Question 6

Which pattern includes fullness and stuffiness in the chest, paroxysmal dull pain, the pain is migrating, likes to sigh, the pain is aggravated by emotions, can combine with abdominal distention, thin or thin greasy tongue coating, thready and wiry pulse?

Answer 6

Qi stagnation in the chest.

Question 7

What is the tx principle for qi stagnation in the chest?

Answer 7

Soothe LV and regulate qi.

Question 8

What is the formula for qi stagnation in the chest?

Answer 8

Chaihu shu gan san.

Question 9

Which pattern includes pricking and fixed pain in the chest, severe at night, with palpitation, chest stuffiness and shortness of breath? Dark purple tongue, deep, uneven and knotted pulse.

Answer 9

Obstruction of blood stasis in the HT vessels.

Question 10

What is the tx principle for obstruction of blood stasis in the HT vessels?

Answer 10

Promote blood circulation and remove blood stasis, to dredge HT vessels and stop pain.

Question 11

What is the formula for obstruction of blood stasis in the HT vessels?

Answer 11

Xue fu zhu yu tang.

Question 12

Which pattern includes chest pain, stuffiness and choking, the pain can be radiated to the left shoulder and upper back, shortness of breath, dyspnea, heaviness in the whole body, broad stature, profuse expectoration, thick greasy coating, and a slippery pulse?

Answer 12

Retention of phlegm.

Question 13

What is the tx principle for retention of phlegm?

Answer 13

Open chest yang, eliminate phlegm, and stop pain.

Question 14

What is the formula for retention of phlegm?

Answer 14

Gua lou xie bai ban xia tang.

Question 15

Which pattern includes very severe pain radiating to the upper back, worse after catching of cold, chest stuffiness, shortness of breath, palpitation, in severe cases, dyspnea can’t lie flatly, pale complexion, cold limbs, white coating, deep and thready pulse?

Answer 15

Coagulation of cold.

Question 16

What is the tx principle for coagulation of cold?

Answer 16

Expel cold, promote blood circulation, and remove obstruction.

Question 17

What is the formula for coagulation of cold?

Answer 17

Dang gui si ni tang.

Question 18

Which pattern includes pain and stuffiness (more stuffiness) in the chest, palpitation, night sweating, restlessness, poor sleep, soreness and weakness in the lower back and knees, tinnitus, dizziness, red tongue with purple spots, thready rapid or thready and uneven pulse?

Answer 18

HT and KI yin deficiency.

Question 19

What is the tx principle for HT and KI yin deficiency?

Answer 19

Nourish yin, clear heat, and tonify HT.

Question 20

What is the formula for HT yin deficiency?

Answer 20

Tian wang bu xin dan.

Question 21

What is the formula for KI yin deficiency?

Answer 21

Zuo gui yin.

Question 22

Which pattern includes stuffiness and dull pain in the chest comes and goes, palpitation, shortness of breath, fatigue, pale complexion, dizziness, blurred vision, worse after work, red tongue with teeth marks, thready and weak pulse or with a knotted quality?

Answer 22

Deficiency of qi and yin.

Question 23

What is the tx principle for deficiency of qi and yin?

Answer 23

Nourish yin and tonify qi.

Question 24

What is the formula for deficiency of qi and yin?

Answer 24

Sheng mai yin.

Question 25

Which pattern includes chest stuffiness, or very severe pain in the chest and back, shortness of breath, palpitation, sweating, aversion to cold, cold limbs, soreness of lower back, fatigue, pale complexion, pale or purple lips and nails, pale or purple tongue, deep, thready or weak and fainting pulse?

Answer 25

Deficiency of yang-qi.

Question 26

What is the tx principle for deficiency of yang-qi?

Answer 26

To tonify Qi and strengthen Yang.

Question 27

What are the formulas for deficiency of yang qi?

Answer 27

Shen fu tang and gui zhi gan cao tang.