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Neijing

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Coronary Heart Disease #4

Medicinals
9

Composition

  • Dan ShenRx. Salviae Miltiorrhizae15 g

    Invigorates the Blood, dispels Blood Stasis, clears Heat, soothes irritability, nourishes the Blood and calms the Spirit.

  • Yu JinRx. Curcumae12 g

    Invigorates the Blood, dispels Blood Stasis, regulates Qi flow, clears the Heart and Pericardium, opens the Orifices and alleviates pain.

    for Liver Qi and Blood Stagnation with flank pain and distention.
    for Heat with Blood Stasis causing chest Bi.
  • Chai HuRx. Bupleuri9 g

    Spreads Liver Qi and relieves Stagnation.

    • Bai Shao
    for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, due to Liver Qi Stagnation.
    • Xiang Fu, Bai Shao
    Zhi Shi, for Liver Qi* Stagnation with cold extremities.
  • Zhi ShiFr. Aurantii Immaturus9 g

    Breaks up Stagnant Qi, reduces accumulation, descends Qi and transforms Phlegm.

    • Bai Shao
    for abdominal pain due to Qi and Blood Stagnation.
  • Bai ShaoRx. Paeoniae Alba9 g

    Nourishes the Blood, astringes *Yin, calms Liver Yang and Liver Wind and alleviates pain.*

  • Chuan XiongRz. Chuanxiong9 g

    Invigorates the Blood, promotes the movement of *Qi and alleviates pain*.

  • Xiang FuRz. Cyperi9 g

    Spreads and regulates Liver *Qi and alleviates pain*.

    for Qi Stagnation.
    for pain and distention in the chest and flanks.
    for Qi Stagnation combined with Blood Stasis.
  • Gan CaoRx. Glycyrrhizae4.5 g

    Moderates and harmonizes the harsh properties of other herbs.

  • Jiang XiangLignum Dalbergiae Odoriferae1–2 g

    Disperses Blood Stasis, invigorates the Blood, promotes the movement of Qi and alleviates pain.

    (Powder and swallow with the decocted liquid.)

    for angina pectoris.

Actions

  • Relaxes the Liver
  • Regulates the Qi
  • Activates the Blood
  • Dissolves stagnation

Patterns treated

Stagnant Liver Qi accompanied by Cold moving in a counterflow direction

Manifestations

  • A dull ache in the Heart region and chest tightness that wax and wane, aggravated by emotional stress
  • Breathlessness
  • Emotional strain, or
  • A depressed emotional state
  • A restless, agitated state
  • A tendency toward frequent sighing
  • Discomfort on both flanks
  • Hands turning cold in response to stress
Tongue body
A tongue of normal appearance, or somewhat dark
Coating
A coating that is thin and white
Pulse
A pulse of wiry quality

Indications

  • Disease of the heart's coronary arteries
  • Disease affecting the arteries supplying the heart

Modifications