1. Obstruction of the Chest-yang:

Clinical manifestations: Oppressed feeling in the chest, paroxysmal chest pain with palpitation and shortness of breath often brought out by the attack of cold, white greasy fur of the tongue, and taut pulse.

Therapeutic method: Warming up and benefiting the chest-yang to remove obstruction of blood flow in the heart-vessels.

Recipe: Decoction of Trichosanthes, Macrostem and Pinellia with additional ingredients:

Ingredients:

Administration: All the above drugs are to be decocted in water for oral administration.

2. Blood Stasis in the Heart-vessels:

Clinical manifestations: Twinge in the chest radiating to the shoulder and back, stuffy sensation in the chest and short-ness of breath, deep purple tongue with ecchymoses, taut or uneven pules.

Therapeutic method: Promoting the flow of qi and blood, removing blood stasis and activating the heart-vessels.

Recipe:Modified prescriptions of Red Sage Drink and De-coction of Four Ingredients with Peach Kernel and Safflower.

Ingredients:

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: Clinically, blood stasis often coexists with and stagnation of qi. If stagnation of qi is dominative, move drugs for regulating qi are supposed to be administered. Fruc-tus Meliae Toosendan 12g and Rhizoma Cyperi 10g are recom-mended.

Whereas, if blood stasis is dominative, more drugs for ac-tivating blood circulation to remove blood stasis should be pre-scribed, such as Pollen Typhae 10g. and Faeces Trogoptero-rum 10g or Resina Olibanum 10g and Myrrha 10g.

If precordial pain is accompanied with choking sensation in the chest and it is closely related to emotional changes which are characterized by unhappiness, eructation, malaise in the bilateral hypochondriac regions and taut pulse, it is advisable to aim the treatment at relieving the depressed liver, regulat-ing the circulation of qi and promoting blood circulation to re-move blood stasis. Recipe for the above syndrome is Powder for Treating Cold Limbs with additional ingredients, they are:

All the above drugs are to be decocted in water for oral administration.

As for patients suffering from stagnation of phlegm in the body marked by pain and oppressed feeling in the chest, obesi-ty, heavy sensation of body and fatigue, palpitation and short-ness of breath, white greasy fur of the tongue, taut and smooth pulse, the treatment should be directed at regulating the spleen and eliminating dampness with aromatics. Decoc-tion for Clearing Away Gallbladder-heat with additional ingre-dients is the chosen recipe:

All the above drugs are to be decocted in water for oral administration.

3. Deficiency of Both Qi and Yin :

Clinical manifestations: Indistinct pain in the precordial region, lassitude, palpitation, shortness of breath, sponta-neous perspiration, dry mouth, red tongue with little fur, taut and weak pulse.

Therapeutic method: Replenishing qi, nourishing yin and promoting blood circulation.

Recipe: Pulse-activating Powder with additional ingredi-ents.

Ingredients :

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: In addition, In case of excess of yang due to deficiency of yin marked by dizziness, tinnitus, restlessnexs and ir-ritation, add

If there appear palpitation and insomnia, add

In case of worsening of deficiency of yang marked by pro-fuse sweat, cold limbs, pale complexion and even syncope, the treatment should be focused on supplementing qi and yang to restore the vital function from collapse. The chosen recipe is Decoction of Ginseng, Prepared Aconite, Dragon's Bone and Oyster with additional ingredients. The compositions are:

The above drugs are to be decocted together in water for 0ral administration. Western medicine should also be adminis-tered to coordinate the treatment.

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