Angina - Xiong Bi

Definition

Xiong Bi is a syndrome of heart functional disorder caused by qi and blood blockage in the chest.
Its main symptoms include chest distension and pain, or in severe cases left chest gripping pain (angina) with radiating pain to the back and the upper arm, breathlessness and dyspnoea.
Occurs mainly in middle and old age people.

Symptoms: Chest stabbing and fixed pain more severe at night and palpitations.
Tongue: Dull and purple or blue tongue
Pulse: Deep and Uneven
Treatment strategy: Activate blood movement, resolve stasis and remove blockages to stop pain
Formula: Xue Fu Zhu Yu Tang
Acupoints:

Phlegm Stagnation

Symptoms: Choking chest pain, may or may not radiating to back and shoulder, short of breath, overweight, heavy limbs and body, large amount of phlegm.
Tongue: Greasy tongue coating
Pulse: Slippery
Treatment strategy: Activate yang to remove phlegm, turbidity and blockages
Formula: Gua Lou Xie Bai Ban Xia Tang
Acupoints:

Cold Blockage

Symptoms: Chest pain radiating to back and aggravated by cold, chest distension with short of breath, palpitation, unable to lie in supine position due to dyspnoea and breathing difficulties, extreme cold limbs and a pale complexion.
Tongue: White tongue coating
Pulse: Deep and Thready
Treatment strategy: Pungent and warm to activate yang, expel cold and remove blockages
Formula: Gua Lou Xie Bai Bai Jiu Tang
Acupoints:

Symptoms: Chest distension and dull pain, palpitation, night sweat, vexation, insomnia, lower back and knee aches, tinnitus and dizziness.
Tongue: Red tongue with or without ecchymosis and a little coating
Pulse: Thready and Rapid or Thready and an Uneven pulse
Treatment strategy: Nourish yin to strengthen kidney and nourish heart to pacify shen
Formula: Zuo Gui Wan
Acupoints:

Symptoms: On and off chest distension and dull pain, palpitation, short of breath, lassitude, indolence of speech, dull complexion, dizziness and blurred vision which is aggravated by exertion.
Tongue: Reddish tongue with or without teeth marks
Pulse: Weak and Thready pulse or Knotted and Intermittent pulse
Treatment strategy: Tonify qi and nourish yin, promote circulation and remove collateral blockage
Formula: Sheng Mai San and Ren Shen Yang Rong Tang
Acupoints:

Symptoms: Chest distension, short of breath, or even chest pain radiating to the back, palpitation, spontaneous sweating, aversion to cold, cold limbs, lower back ache and weakness and a pale complexion.
Tongue: Pale and blue purple lip and nail, pale or dull purple tongue
Pulse: Deep and Thready or Faint
Treatment strategy: Tonify qi and warm yang, promote circulation and remove collateral blockage
Formula: Sheng Fu Tang and You Gui Yin
Acupoints: