Expression of Chest Pain in TCM

Arthralgia, in traditional Chinese medicine, refers to the disease of limb pain or numbness caused by wind, cold, dampness, etc. Chest arthralgia refers to chest pain, even chest pain, wheezing can not lie down as the main disease, mild chest tightness, shortness of breath, severe chest pain, severe heartache, back pain. The name of "chest arthralgia" was put forward in the synopsis of the Golden Chamber of Zhang Zhongjing in the Han Dynasty, and the pathogenesis was summed up as "Yang Weiyin string". The treatment should be warming and relieving cold, including Gualou Xiebai Liquor decoction and Gualou Xiebai Banxia decoction.

Chest arthralgia in traditional Chinese medicine generally refers to heart diseases in modern medicine, such as coronary atherosclerotic heart disease, such as angina pectoris, myocardial infarction and so on. Chest pain, also known as heartache. It is due to deficiency of vital qi, diet, emotion, cold evil, etc., which is caused by turbid phlegm, blood stasis, qi stagnation, cold stagnation blocking the heart pulse, and paroxysmal suffocation and pain in the middle or left chest as the main clinical manifestations, but not chest ruffian (stuffy chest or stuffy pain in the chest).

Chest pain, mild occasional temporary slight chest dull or dull pain, or paroxysmal middle or left chest vague discomfort; severe pain, or squeeze-like colic. Often accompanied by palpitations, shortness of breath, shortness of breath, even shortness of breath, panic, pallor, cold sweat and so on. It is often induced by fatigue, full meal, cold and emotional agitation, but there can be no obvious inducement or onset at rest.

According to traditional Chinese medicine, the formation and occurrence of chest arthralgia and heartache are mostly related to cold evil invasion, improper diet, mood fluctuations, overfatigue, old age and body deficiency and other factors. The basic pathogenesis is cardiac obstruction, including cold evil, phlegm-dampness, qi stagnation, blood stasis and so on. However, deficiency syndrome such as deficiency of qi, deficiency of yin, deficiency of yang and deficiency of both qi and yin can also lead to heart failure and obstruction of blood flow in the heart.

Therefore, there are three special clinical manifestations, one is the sudden suffocation and pain in the left chest or pain. Second, repeated attacks. Third, it is caused by emotional fluctuations. Chest pain is usually caused by sudden suffocation and pain on the left or in the middle of the chest, with burning pain, colic, tingling or dull pain, vague discomfort, and so on. Pain often extends to the shoulder, back, forearm, throat, epigastrium, etc., and even extends to the middle finger or little finger along the meridians of the hand Shaoyin and hand Jueyin, often with palpitations.

Chest arthralgia is angina pectoris of coronary heart disease, or myocardial infarction, pain often occurs suddenly, suddenly stop, the duration is usually a few seconds or dozens of seconds, and repeated attacks, rest or medication can quickly relieve the pain. In terms of age, chest arthralgia patients are more common in middle-aged people. The causes of chest arthralgia, that is, coronary heart disease, angina pectoris or myocardial infarction, are generally emotional sadness or overjoy and anger, and climate change, overeating, overwork, and so on. A small number of patients can also develop the disease without external causes and quiet.