60 years, man

Reason for consultation

Angina Pectoris

Clinical history

For 6 months, he frequently has dull chest pain and palpitations. A few days ago, this intermittent, stabbing pain suddenly increased and radiates to the arm. The patient has cold sweats and a feeling of numbness at the tip of the tongue when the pain is strong. The face is pale.

Tongue: pale purple with cyanotic marks on the edges.

Pulse: fine and rough

Diagnosis

The chronic 6-month picture and the dull pain is of empty type. The acute picture corresponds to Heart-Blood stasis.

• Heart-Qi deficiency and Heart-Yang.
• Heart-Blood stasis which is consequence of Heart-Yang and Heart-Qi deficiency.

NB: Send to Cardiologist if not already under control and medical supervision, risk of infarction!

Therapeutic principles

• tonify Heart-Qi and Heart-Yang
• calm pain (MC Xi-Cleft point)
• move Blood to eliminate stasis.

Treatment

• BL-14: moves Qi and Blood;
• BL-15: moves Qi and Blood;
• BL-17: Blood gathering point.
• Biao: circulate Blood: PC-4: Xi-Cleft point + PC-6: activates Qiji,
• tonifies energy: ST-36; CV-6; SP-10 (we don't touch the energy much)