What is Chest Pain?

Chest pain, a common and often alarming symptom, can manifest in various forms, from sharp, stabbing pains to a persistent ache that encompasses the chest area. The experience of chest pain can greatly differ; some might feel an intense squeezing sensation that might suggest cardiac issues, while others experience a more generalized discomfort that can be caused by gastrointestinal, musculoskeletal, or respiratory issues. Sub-symptoms include mild chest pain that doesn’t escalate but persists, adding to discomfort and anxiety about one’s health.

How Does TCM View Chest Pain?

Traditional Chinese Medicine (TCM) perceives chest pain not just as a symptom but as a signal of deeper imbalances within the body’s energy system, or Qi. TCM teaches that chest pain often arises when Qi, the vital life force, becomes blocked. The proper flow of Qi and Blood through the body's meridians ensures health and vitality, while any disruption in this flow can lead to pain and illness. Therefore, identifying the precise pattern of disharmony—whether it be from Qi stagnation, blood stasis, or phlegm accumulation—is crucial for effective treatment in TCM.

Root Causes of Chest Pain in TCM

In TCM, the causes of chest pain are closely linked to the state of the internal organs and the flow of Qi and Blood. Two primary patterns often observed are Qi And Blood Stagnation and Heart Vessel Obstruction. Qi And Blood Stagnation manifests as chest distension, a stabbing pain, mood swings, and a dark complexion, suggesting significant disruptions in the body’s energetic pathways. In contrast, Heart Vessel Obstruction can lead to palpitations, shortness of breath, and an oppressive feeling in the chest, indicating more severe blockages affecting the heart.

Explore below more details about what might cause Chest pain according to TCM.

  • By Syndrome
  • By Organ
  • Blood Stasis
  • Heat
  • Qi Stagnation
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Chest Pain

Common Symptoms: Purple Lips Purple Nails Depression Palpitations Stifling Sensation In The Chest Chest Distension Menstrual Cramps Dark Menstrual Clots

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation Chest pain, Chest distension, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Ge Xia Zhu Yu Tang | Tao Hong Si Wu Tang | Shao Fu Zhu Yu Tang | Wu Yao Tang | Jia Wei Xiao Yao San | Wei Jing Tang | Xue Fu Zhu Yu Tang | Chai Hu Shu Gan San | Shen Tong Zhu Yu Tang | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin
Heart Vessel obstructed Chest pain, Palpitations, Shortness of breath, Depression, Restlessness, Stifling sensation in the chest, Heart pain, Sputum, Feeling of heaviness, Reluctance to speak, Cold extremities, Sighing, Purple lips, Purple nails, Purple face... see more Xue Fu Zhu Yu Tang | Chai Hu Shu Gan San | Di Tan Tang | Dang Gui Si Ni Tang
Pericardium Blood Stagnation Chest pain, Palpitations, Chest distension, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails, Menstrual cramps, Dark menstrual clots... see more Xue Fu Zhu Yu Tang
Heart Blood Stagnation Stabbing chest pain, Chest constriction, Stifling sensation in the chest Xue Fu Zhu Yu Tang

TCM Herbal Formulas for Chest Pain

To address these underlying causes, TCM employs several herbal formulas. For Qi And Blood Stagnation, Ge Xia Zhu Yu Tang, enriched with Szechuan Lovage Roots, invigorates the Blood to dispel stasis, alleviating fixed, stabbing chest pain. For cases involving Phlegm Heat, where symptoms include a stifling sensation in the chest and heavy Phlegm, Wen Dan Tang, with its phlegm-transforming properties, is recommended. These formulas, chosen based on the specific TCM diagnosis, aid in restoring the balance of Qi and promoting blood circulation, thereby relieving chest pain.

Explore below some TCM herbal formulas used to address chest pain, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Blood Stasis
  • Heat
  • Qi Stagnation

All Formulas Recommended for Chest Pain Caused by Blood Stasis

Formula Patterns Suitable For
Xue Fu Zhu Yu Tang Qi And Blood Stagnation, Heart Vessel obstructed, Pericardium Blood Stagnation, Heart Blood Stagnation... see more
Chai Hu Shu Gan San Qi And Blood Stagnation, Heart Vessel obstructed
Wei Jing Tang Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Tao Hong Si Wu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Wu Yao Tang Qi And Blood Stagnation
Jia Wei Xiao Yao San Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation
Di Tan Tang Heart Vessel obstructed
Dang Gui Si Ni Tang Heart Vessel obstructed

Acupoints for Chest Pain

Effective TCM treatment for chest pain often involves acupressure or acupuncture at specific points. Huagai REN-20 and Jiuwei REN-15, located along the midline of the body, are pivotal in opening the chest and regulating Qi, essential for alleviating pain. Additionally, points such as Shanzhong REN-17 not only regulate Qi but also promote lactation and benefit the breasts. These acupoints are integral parts of a holistic treatment plan aiming to harmonize internal energy, relieve pain, and address the root causes of chest discomfort.

Explore below some acupoints used to address chest pain, organized by meridian.

  • By Meridian
  • Directing Vessel
  • Bladder Channel
  • Kidney Channel
Yinjiao REN-7

Yinjiao REN-7

On the midline of the abdomen, 1 cun below the umbilicus.

Juque REN-14

Juque REN-14

On the midline of the abdomen, 6 cun above the umbilicus and 2 cun below the sternocostal angle.

Jiuwei REN-15

Jiuwei REN-15

On the midline of the abdomen, 7 cun above the umbilicus and 1 cun below the sternocostal angle. This point is located at the tip of the xiphoid process, which is commonly known as ‘dove-tail’ in China, hence the name of the point.

Shanzhong REN-17

Shanzhong REN-17

On the midline of the chest, on the level of the 4th intercostal space or nipples.

Yutang REN-18

Yutang REN-18

On the midline of the chest, on the level of the 3rd intercostal space.

Zigong REN-19

Zigong REN-19

On the midline of the chest, on the level of the 2nd intercostal space.

Huagai REN-20

Huagai REN-20

On the midline of the chest, on the level of the 1st intercostal space.

Xuanji REN-21

Xuanji REN-21

On the midline of the sternum, below the upper border of the manubrium sterni and midway between Huagai REN-20 and Tiantu REN-22.

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