-IBIS-1.7.0-
tx
Chinese patterns
Heart Xue Yu (Blood Stasis)
Diagnoses

definition and etiology

» conventional diagnoses: angina pectoris; pericarditis; coronary artery disease; myocardial infarction

» etiology: often, Heart Yin Xu (Deficiency) -> Heart Yang Xu (Deficiency) -> Heart Xue Yu (Blood Stasis) as Yin and Yang Xu (Deficiency) impair flow of Heart Xue (Blood) producing Phlegm Turbidity and ultimately Obstruction and Stasis; usually underlying chronic emotional problems, esp. anxiety, resentment, grief or unexpressed anger, all of which contribute to Stagnancy in the chest

signs and symptoms

signs and symptoms:

• purple face and cyanosis of lips and nails

purple tongue

• lassitude

• shortness of breath

• palpitations

• tachycardia

stabbing PAIN or stuffiness in the precordial or substernal region

• possibly pain in the left shoulder or forearm

• cold extremities

» pulse: choppy, knotted or wiry; can also be hesitant, fine, deep, even faint; possibly irregular

» tongue: purplish, sometimes with purple spots; greasy coating due to Phlegm often accompanies sensation of stuffiness in chest

course and prognosis

» principle of treatment: resolve the Stagnancy; regulate Xue (Blood); tonify and warm Heart Yang; pacify the Shen

differential diagnosis

footnotes