Diagnosis Of Chest Pain Ancient And Modern Experience

Objective:Chest impediment is equivalent to coronary atherosclerotic heart disease (CAHD) and Angina pectoris (AP) of Western Medicine. It is the clinical common disease and frequently occurring disease. The paper is intended for information relating to past and present with chest impediment to collate research, summarizing some rules of chest impediment’s notion, etiology and pathogenesis, diagnosis, syndrome, prescription, in order to provide reference for basic research and clinical practice.Method:The notion, etiology and pathogenesis, prescription, syndrome, medical etc about chest impediment of more than60kinds of books, more than80papers are organized, summarized and analyzed systematically. And to conduct the necessary analysis of statistics for this information on the use of SPSS software.And clear the academic origins of Chinese medicine’s chest impediment since ancient times.. And summarize the theory,method,prescription,medicine in the treatment of chest impediment.Conclusion:1. Chest impediment included precordial pain, angina pectoris and part of chest pain, heartache. It equivalent of CAHD, myocardial infarction, AP, hypertensive heart disease, cardiomyopathy and other organic heart disease, but not exactly the same. In general, all can cause anterior chest stuffiness pain diseases, can be called the chest impediment. It is a comprehensive syndrome, rather than single refers to a kind of disease, the corresponding syndrome is also very rich.2. In the process of formation and development of chest impediment, mostly deficiency resulted from excess, also excess resulted from deficiency. Chest impediment cause of many evils such as wind cold intrusion, eating disorders, emotional disloyal, exerting internal injuries and elderly physically weak. Its pathogenesis has two aspects of deficiency and excess. Deficiency is Qi deficiency, Yin injury, Yang bad, lung, spleen, liver, kidney deficiency, heart meridian dystrophy; Excess is cold coagulation, blood stasis, qi stagnation, phlegm-turbidity, stagnation of chest Yang, block heart vessels. The main pathogenesis of chest impediment is heart vessel obstruction. The location of disease in the heart, involving liver, lung, spleen, kidney and other dirty. We can use"deficiency in origin and excess in superficiality" to summarize the etiology and pathogenesis of chest impediment.3. The main features of chest impediment is chest oppressed and pain. If not serious,no heartache, just as stifled chest tightness, palpitations. If very serious, patients will feel chest tightness, heartache, pain potential severe, chest pain Toru back, back broke our hearts, sustained puzzled, with sweating, limb cold, white face, lips purple, palms,soles,fingers and toes turned blue, and even sick in the morning, die at night, or sick at Night, die in the morning. Most chest impediment is "deficiency in origin and excess in superficiality", so first distinguish excess and deficiency, superficiality and origin. General excess in superficiality in the period of onset, deficiency in origin in the remission stage.4. Throughout ancient and modern, physicians use remove impediment and activate yang as the main method for treatment of chest impediment. In practice, we must first distinguish superficiality and origin, excess and deficiency, and the severity of specimens, and then check against election party medication. Zhang Zhongjing in "synopsis of the Golden Chamber" recorded the prescription covering the main syndrome of chest impediment, we can receive the unexpected effect if we use them flexibly in practice. The prescription for treatment of chest impediment consists mainly of the medicine that reinforce the healthy and eliminate the cold, and combining regular regulating qi and resolving phlegm medicine, and blood and Qi medicine. Chest impediment is divided into seven kinds of syndromes:blood stasis syndrome; qi stagnation cardiothoracic syndrome; phlegm syndrome; cold coagulation heart vessel syndrome; syndrome of deficiency of both qi and yin; syndrome of yin deficiency of heart and kidney; syndrome of yang deficiency of heart and kidney.5. The acupuncture treatment for chest impediment is very convenient, and the effect is good, the key is checking against acupoints. Other therapeutic methods include cupping, fuming or steaming, collateral pricking and guiding technique etc.6. The complete consilia records for curing chest impediment mainly concentrated in the Qing Dynasty. It can be seen from these records that many people follow Zhang Zhongjing’s meaning, meanwhile they have many innovations, such as Wang Qingren’s Xuefu Zhuyu decoction. Based on the statistical analysis of these consilias, we can reach a conclusion that Yang deficiency and cold coagulation is one of the important pathogenesis of chest impediment.