Angina Pectoris (heart pain, "chest bi")

Western medicine – angina

TCM – stagnation of Qi and blood, Phlegm-Damp, deficiency – lack of nourishment to Heart meridian.

Seen more in males after age 40.  Lasts a few seconds to a few minutes.  Pain radiates to left arm and/or neck, break sweat, become fearful/scared, breathing becomes difficult, can be crushing chest pain, palpitations, T- purple (especially sub-lingual), P- uneven, irregular, or wiry. 

Etiology - Sudden change to cold weather, overeating, excess emotional factors, over-fatigued

P/T – promote Qi circulation, connect Yang Qi, remove stagnation to relieve pain

Acupuncture Rx –

hand jueyin, front-mu, MH 6 (yin wei -heart & chest), HT 6 & MH 4 (xi-cleft –pain), RN 14 (mu), 17 (Qi influential, MH mu)
short of breath – RN 22, LU 6
excess Phlegm – RN 12, ST 40
Qi and blood stagnation – LR 3, BL 17
Kidney & Heart Yang deficiency – BL 14, 15, 23
Heart & Spleen Yang deficiency – BL 15, 20, ST 36

 Alternative treatment methods

auricular – Heart, Shenmen, sympathetic, brain
electro – Xi-cleft, RN 14 to 17, rapid continuous frequency
injection – Dan Shen, BL 14, 15, Xi-cleft