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Angina is a suffocating, choking pain, usually
presented in the form of "angina pectoris" which is felt
in the chest.The pain is felt or brought on by exercise
and relieved by rest, and occurs when the blood supply
to the heart is inadequate.During exercise, the demand
for blood (supplied by the coronary arteries) is
increased and if the supply is insufficient, because the
arteries are damaged , chest pain results.The coronary
arteries may be damaged by atheroma (blood clot), the
most commom cause of angina.
(a) Angina feels like a pressing or squeezing pain,
usually in the chest under the breast bone, but
sometimes in the shoulders, arms, neck, jaws, or
back. Angina is usually precipitated by exertion. It
is usually relieved within a few minutes by resting
or by taking prescribed angina medicine.
(b) Angina may happen during physical exercise,
strong emotions or extreme temperatures. Some
people, such as those with a coronary artery spasm ,
may have angina when they're resting. There are four
types of angina: Overworked angina; Spontaneous
angina; Variant angina an Microvascular angina.
(c)The Diagnostic Tests include Electrocardiogram
(ECG) at rest and Coronary Angiography (examination
of coronary blood vessels).
This ailment,
according to TCM, has different syndromes. The treatment for
these syndromes using herbal medicine and acupuncture is shown
below.
Syndrome (a)
Obstruction of the
Chest-yang
Oppressed feeling in the chest, paroxysmal (in the form
of sudden attacks) chest pain with palpitation and
shortness of breath often brought out by the attack of
cold, white greasy fur of the tongue, and taut pulse.
To treat byHerbal
medicine Therapeutic principle: Warming up and benefiting
the chest-yang to remove obstruction of blood flow in
the heart-vessels.
Prescription/Formula: Decoction of Trichosanthes,
Macrostein and Pinellia with additional ingredients.
Trichosanthes fruit (Gua Lou) 20g, Macrostein onion (Xie
Bai) 12g, Pinellia tuber (Ban Xia) 10g, Cinnamon twig
(Gui Zhi) 10g, Red sage root (Dan Sheng) 20g. As for
patients suffering from stagnation of phlegm in the body
marked by pain and oppressed feeling in the chest,
obesity, heavy sensation of body and fatigue,
palpitation and shortness of breath, white greasy fur of
the tongue, taut and smooth pulse, the treatment should
be directed at regulating the spleen and elimination
dampness with aromatics. Decoction for Clearing Away
Gallbladder-heat with additional ingredients is the
chosen. Tangerine peel 10g, Pinellia tuber 10g, Poria
10g, Bamboo shavings 10g, Bitter orange 10g,
Trichosanthes fruit 20g, Round cardamon seed 10g, Red
sage root 15g, Curcuma root 12g.
To treat by Acupuncture and
Moxibustion Prescription: Neiguan (P 6), Xinshu (B 15),
Jianshi (P5), Daling (P 7) and Shanzhong (Ren 17).
Syndrome (b)
Blood stasis in
the Heart-vessel
Bouts
of sharp pain in the chest radiating to the shoulder and
back, stuffy sensation in the chest and shortness of
breath, deep purple tongue with ecchymoses (purple
mottling of surface), taut or uneven pulse.
To treat by Herbal
medicine Therapeutic principle: Promoting blood
circulation to remove blood stasis and promoting
circulation of Qi to relieve pain.
Prescription/Formula: Decoction for removing
blood stasis in the chest. Chinese angelica root 9g,
Chuanxiong rhizome 5g, Red peony root 9g, Peach Kernel
9g, Saffower 9g, Achyranthes root 9g, Bupleurum root 3g,
Balloonflower root 5g, Fruit of citron or trifoliate
orange 6g, Dried root of rehmannia 9g, Licorice root 3g.
Clinically, blood stasis often coexists with and
stagnation of qi. If stagnation of qi is dominative,
more drugs for regulating qi are supposed to be
administered. Sichuan chinaberry 12g and nutgrass
flatsedge rhizome 10g are recommended. Whereas, if blood
stasis is dominative, more herbs for activating blood
circulation to remove blood stasis should be prescribed,
such as cat tail pollen 10g, trogopterus dung 10g. If
precordial pain is companied with choking sensation in
the chest and it is closely related to emotional changes
which are characterized by unhappiness, eructation,
malaise in the bilateral hypochondriac regions and taut
pulse, it is advisable to aim the treatment at relieving
the depressed liver, regulating the circulation of qi
and promoting blood circulation to remove blood stasis.
Recipe for the above syndrome is Powder for Treating
Cold Limbs with additional ingredients, namely:
Bupleurum root 10g, Immature bitter orange 10g, White
peony root 10g, Licorice root 6g, Chuangxiong rhizome
10g, Dalbergia wood 10g, Nutgrass flatsedge rhizome 10g,
Red sage root 15g, Curcuma root 12g.
To treat by Acupuncture and
Moxibustion Prescription: Neiguan (P 6), Xinshu (B 15),
Xuehai (Sp 10), Taichong (Liv 3) and Shanzhong (Ren 17).
Syndrome (c)
Deficiency of
both Qi and Yin
Indistinct pain in the precordial (area in front of the
heart) region, lassitude, palpitation, shortness of
breath, spontaneous perspiration, dry mouth, red tongue
with little fur, taut and week pulse.
To treat by Herbal
medicine Therapeutic principle: Replenishing qi, nourshing
yin and promoting blood circulation.
Prescription/Formula: Pulse-activating Powder
with additional ingredients. Astragalus root 15g,
dangshen 12g, opiopogon root 10g, schisandra fruit 10g,
Chinese angelica root 12g, red sage root 20g.
To treat by Acupuncture and
Moxibustion Prescription: Neiguan (P 6), Xinshu (B 15),
Shenmen(H 7), Zusanli (S 36), Sanyinjiao (Sp 6) and
Pishu (B 20).
Oppressed feeling in the chest, paipitation, dizziness,
tinnitus, soreness and weakness of the loins and knees,
pale tongue, slow and sunken pulse.
To treat by Herbal
medicine Therapeutic principle: Nourishing the heart and
kidney.
Prescription/Formula: Liuwei Dihuang Wan and
Decoction of Trichosanthes, Macrostein and Pinellia with
additional ingredients. Prepared rhizome of rehmannia
12g, Dogwood fruit 12g, Dried Chinese yam 12g, Oriental
water plantain 9g, Poria 9g, Moutan bark 9g,
Trichosanthes fruit 20g, Macrostein onion 12g, Pinellia
tuber 10g.
To treat by Acupuncture and
Moxibustion Prescription: Neiguan (P 6), Xinshu (B 15),
Shenmen(H 7), Sanyinjiao (Sp 6),Taixi (K 4) and Shenshu
(B 23).
Generally speaking, Qigong is good for healing
effect of this specific ailment, however
individual results may vary. It improves the
flow of the qi and the circulation of the blood,
so you'll experience more energy, but, you won't
see/ feel any immediate effects, as with many
exercises and therapies, it takes a few weeks or
even months of practice before you'll see any
significant improvements.
For the information of different types of Qigong
,just click a link above.
This information is for education purpose only.
We strongly advise you seek a licensed Qigong
master to learn the correct ways to conduct
these exercises before attempting them.
(b) Medicated diet
1) Put Tomato 100g into hot water, then take
them out and peel them, cut into small pieces.
Get Sago (Ximi) 100g, wash it and soak it. Add
water 750ml, sugar 5g, cook them into gruel. Eat
it every early morning.
2) Lotus Seed (Lianzi) 9g, Chinese Magnoliavine
Fruit (Wuweizi) 9g.
Grind them into powder, and put the powder with
Longan (Longyanrou) 15g into the pot to cook
into soup. Take one dose a day, take it twice a
day.
(c) Life style
1) Regulate the mind. Avoid being in an anxious
state of mind.
2) Strike a proper balance between work and
rest.
3) Pay attention to food adjustment. Abstain
from smoking and alcohol..
Acknowledgments:
Healthphone.com greatly acknowledges the support
and dedication of our
Healing Centre Panel, without whom this
section would not be possible.
We also greatly acknowedge Ms. Najaf Munir,
MBBS, for her editorial support. Ms. Munir
simplified the highly technical medical
documents into easy-to-read documents, for the
enjoyment and education of our numerous
visitors.
