Angina Pectoris

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Xiao Chai Hu Tang
Points	GB-41, HT-3, HT-8, KI-2, KI-5, PC-1, PC-7, REN-3, REN-12, SI-1, SJ-7, SP-3, SP-4, SP-6, ST-19, ST-36, UB-17, UB-47, UB-60 GB-20, GB-21, LU-4, LU-5, PC-6, UB-11, UB-15, UB-18 LU-4, LU-6, PC-6 HT-5, PC-4, REN-14, UB-15 PC-5, PC-6, ST-36 HT-1, REN-7, SP-7 PC-6, ST-36, reduce REN-17

Spleen And Kidney Yang Deficiency

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	Strengthen the Spleen and Kidneys Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Blood Stagnation In The Stomach

Clinical Manifestations	Abdominal or epigastric pain which may radiate upwards to the back or scapula Poor appetite Shortness of breath Nausea Hypochondriac pain Heart pain Stomach pain Hiccups Stuffiness in chest Constipation Epigastric pain Anorexia T: Purple with purple spots C: Normal P: Choppy or Wiry and tight
Treatment Principle	Invigorate the Blood Relieve Stasis Stop pain
Herb Formulas	Dan Shen Yin
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17

Heart Qi , Blood And Yin Deficiency

Clinical Manifestations	Palpitations Anxiety Irritability Insomnia Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Tired body Dry, hard stool Coarse skin Dry throat Fatigue Weakness A skinny appearance T: Pale and shiny or Red C: Thin and white or None P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle	Augments Qi Nourishes Blood Enriches Yin Restores the Pulse
Herb Formulas	Zhi Gan Cao Tang Sheng Mai San With Yin and Blood Deficiency prominent: Tian Wang Bu Xin Dan
Points

Heart Yin Deficiency With Blood Stagnation

Clinical Manifestations	Severe chest pain The pain radiates to the shoulder and back Palpitations Headache Dizziness Five sole Heat Dry mouth A Red face T: Red or Dark purple C: Thin and white or None P: Thready and wiry or Thready and rapid - sometimes misses beats
Treatment Principle	Tonify Yin Invigorate the Blood Remove Stagnation Invigorate the channels
Herb Formulas	Angina Pectoris # 1 Shi Xiao San
Points	PC-6, REN-17, SP-6, ST-36, UB-15 Ear: Heart 1, Heart 2, Sympathetic, Shenmen

Heart Blood Stagnation

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe a drawing pain down internal aspect of arm (especially the left arm) Pain in the chest and/or arm which tends to be severe and intermittent Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Transform Stagnation
Herb Formulas	Guan Xin Er Hao Guan Xin Dan Shen Pian Shui Xiang Guan Xin Pian Guan Ning Zhu She Yi Coronary Heart Disease #3 Xue Fu Zhu Yu Tang Huo Luo Xiao Ling Dan Shi Xiao San Gua Lou Xie Bai Bai Jiu Tang Di Dang Tang Angina Pectoris #3
Points	UB-15, UB-17, REN-14, REN-17, PC-4, PC-6, HT-6, HT-7 May add: PC-3, PC-5, PC-7, HT-5 KI-3, PC-4, PC-6, REN-17, ST-36, UB-14, UB-17, UB-20, UB-23

Heart And Spleen Yang Deficiency With Phlegm Stagnation

Clinical Manifestations	Chest pain Palpitations Dizziness Shortness of breath Copious sputum Poor appetite Fatigue Loose stools Poor memory Insomnia T: Pink C: Sticky and white P: Soft or Deep and slippery
Treatment Principle	Tonify the Heart and Spleen Invigorate the Blood Eliminate Phlegm Invigorate the channels
Herb Formulas	Angina Pectoris #2
Points	PC-6, SJ-6, ST-40, UB-15 Moxa or moxa needle HT-5, HT-7, HT-8, PC-5, PC-6, REN-4, REN-6, REN-17, UB-15 Ear: Heart, Sympathetic, Shenmen

Phlegm Obstructs The Heart Orifices - Yin Obstruction

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe falling to the ground Sound of phlegm in throat with gurgling Sudden collapse Clenched jaws Fullness, extreme pain, and a cold sensation in the chest and abdomen Purple or blue lips Sudden loss of consciousness Coma An urge to vomit and defecate without doing either Abdominal pain with chest distention Mental upset Paraphasia Diarrhea Vomiting Excessive mucus and saliva Breath cold Pale complexion Cold extremities Staring eyes T Pale or Pink C: White and slippery or greasy P: Deep and slippery or Deep, excess and slow or Wiry, tight and Excess
Treatment Principle	Warms and Aromatically Opens the Orifices Moves Qi Expels dirt Transforms turbidity
Herb Formulas	Li Zhong Tang Su He Xiang Wan
Points	Moxa  DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

Phlegm Obstructs The Liver And Gall Bladder

Clinical Manifestations	Spasms Tics Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Calm the Liver Transform Phlegm Sedate and calm the Spirit Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

Phlegm-Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gallbladder Harmonize the Stomach Clear Heat
Herb Formulas	Huang Lian Wen Dan Tang
Points	LIV-3, LIV-8, LIV-14, PC-6, PC-7, UB-18, SP-6, GB-26, GB-41, REN-3, ST-25 For depression and weeping: HT-5, HT-7, UB-15, LU-3 For breast pain: REN-17, ST-18, ST-34, LIV-14, GB-21 For Shao Yang headache: Taiyang, GB-8, GB38, SJ-5 For stiff neck: GB-20, GB-21, GB-39 For lower abdominal distention: REN-6 For irregular menstruation: GB-26, SP-10, LIV-5 For dream-disturbed sleep and insomnia: HT-7, UB-19, GB-12, GB-44 For constipation: SJ-6, SP-15

Phlegm Accumulation Above The Diaphragm And Below The Heart

Clinical Manifestations	Violent nausea and vomiting Severe vomiting of Phlegm and/or thin fluids Severe pain Migrating and shooting pain throughout the upper and lower back Chest pain Precordial pain T: Pale C: Greasy and white P: Deep and wiry
Treatment Principle	Dry Dampness Dissolve Phlegm Regulate Qi Subdue Rebellious Qi Relieve pain
Herb Formulas	Zhi Suo Er Chen Tang
Points

Middle Jiao Yang Deficiency

Clinical Manifestations	Diarrhea with watery stools Nausea and vomiting No thirst Anorexia Abdominal and/or epigastric fullness (likes pressure) Abdominal pain Gastrointestinal weakness Pale face Frequent urination Tends toward fatigue May have cold limbs May have headache with fever Body aches Epistaxis Hematemesis Shortness of breath Lassitude Epigastric pain All Blood from bleeding is pale Maybe scanty urine with edema Edema Insomnia Hemoptysis Intestinal bleeding Chronic bleeding Hemafecia Uterine bleeding Rectal bleeding Profuse menstrual flow Chest fullness and pain Hypochondriac pain that shoots toward the Heart Intolerance of Cold Rigid focal distention in the Heart region Excessive production or drooling of foamy saliva Emaciation T: Pale, may be moist C: White or None P: Deep, weak and slow or Deep and thready or Big and weak
Treatment Principle	Warm the Middle Jiao Dispel Cold Strengthen the Spleen and Stomach Tonify Qi
Herb Formulas	Li Zhong Tang
Points

Chest Bi

Clinical Manifestations	Fullness and pain in the chest or Stabbing pain that radiates from the chest to the back Wheezing Coughing with sputum Drooling Shortness of breath Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart T: Normal C: White and greasy P: Deep and wiry or Deep and tight
Treatment Principle	Unblock Yang Dissipate clumps Expel Phlegm Descend Qi
Herb Formulas	Zhi Shi Xie Bai Gui Zhi Tang
Points