Coronary Heart Disease #4

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Salviae Miltiorrhizae	Dan Shen	15g	Calms the Spirit, Clears Heat, Dispels Blood Stasis, Invigorates the Blood, Nourishes the Blood, Soothes irritability.
Rx. Curcumae	Yu Jin	12g	Invigorates the Blood, dispels Blood Stasis, regulates Qi flow, clears the Heart and Pericardium, opens the Orifices and alleviates pain. With Chai Hu, for Liver Qi and Blood Stagnation with flank pain and distention. With Dan Shen, for Heat with Blood Stasis causing chest Bi.
Rx. Bupleuri	Chai Hu	9g	Spreads Liver Qi and relieves Stagnation. With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, due to Liver Qi Stagnation. With Xiang Fu, Bai Shao and Zhi Shi, for Liver Qi Stagnation with cold extremities.
Fr. Aurantii Immaturus	Zhi Shi	9g	Breaks up Stagnant Qi, reduces accumulation, descends Qi and transforms Phlegm. With Bai Shao, for abdominal pain due to Qi and Blood Stagnation.
Rx. Paeoniae Alba	Bai Shao	9g	Alleviates pain, Astringes Yin, Calms Liver Yang and Liver Wind, Nourishes the Blood.
Rz. Chuanxiong	Chuan Xiong	9g	Invigorates the Blood, promotes the movement of Qi and alleviates pain.
Rz. Cyperi	Xiang Fu	9g	Spreads and regulates Liver Qi and alleviates pain. With Chai Hu, for Qi Stagnation. With Chai Hu and Bai Shao, for pain and distention in the chest and flanks. With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
Rx. Glycyrrhizae	Gan Cao	4.5g	Moderates and harmonizes the harsh properties of other herbs.
Lignum Dalbergiae Odoriferae	Jiang Xiang	1-2g	Disperses Blood Stasis, invigorates the Blood, promotes the movement of Qi and alleviates pain. (Powder and swallow with the decocted liquid.) With Dan Shen, for angina pectoris.

Formula Actions

• Soothes the Liver
• Rectifies Qi
• Invigorates the Blood
• Transforms Stasis

Syndromes

• Liver Qi Stagnation with Counter flow Cold

Clinical Manifestations

Dull Heart pain with chest oppression which comes in waves and is worse with emotional stress Shortness of breath Emotional tension or Depression Restlessness

Maybe frequent sighing Bilateral flank discomfort Cold hands as a reaction to stress T: Normal or Slightly dark C: Thin and white P: Wiry

Treats

Coronary Heart Disease

Coronary artery disease

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe chest pain:		For insomnia:
+ 15g Rz. Corydalis	Yan Hu Suo	+ 15g Caulis Polygoni Multiflori	Ye Jiao Teng
+ 9g Fr. Toosendan	Chuang Lian Zi
For vomiting:		+ 15g Sm. Zizyphi Spinosae	Suan Zao Ren
+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
For anorexia:
+ 6g Rz. Zingiberis Recens	Sheng Jiang	+ 9g Fr. Crataegi	Shan Zha
+ 9g Massa Medicata Fermentata	Shen Qu
For Spleen Qi Deficiency:
+ 9g Rx. Codonopsis	Dang Shen	+ 9g Fr. Hordei Germinatus	Mai Ya
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
For Liver Qi Stagnation Transforming into Heat:
+9g Poria	Fu Ling	+ 9g Cx. Moutan	Mu Dan Pi
For Blood Deficiency:		+ 9g Fr. Gardeniae	Zhi Zi
+ 9g Rx. Angelicae Sinensis	Dang Gui	For Yang Deficiency:
+ 9g Ram. Cinnamomi	Gui Zhi
+ 3g Hb. Asari	Xi Xin