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Tai Yu-Chih1* Chen Wen2
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
2Department of Chinese Internal Medicine, Chang-Gung Memorial Hospital, Taoyuan, Taiwan
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"Chest pain" is one of patients’ common chief complaints. The clinical manifestations include chest tightness, chest pain, short breath, and hard to take a breather when lying. With detailed history, symptoms and physical examination, patient can be rule out potentially fatal diseases, including acute myocardial infarction, aortic dissection, pulmonary embolism, tension pneumothorax , and pneumonia. In modern medicine, chest pain generally be classified as psychogenic and non-psychogenic types. Psychogenic type includes angina pectoris, myocardial infarction, aortic dissection , myocarditis, pericarditis, pulmonary embolism,and so on. Non-psychogenic type common includes pneumothorax , pneumonia, gastroesophageal reflux, esophageal rupture ,herpes zoster, mediastinal abscess,musculoskeletal neuropathy. The diagnosis of 60 percent of chest pain is regarded as non-organic pain. This patient is about a 43-year-old man with chest pain lasting more than 15 years. After western medicine examination,excluded for nonorganic disease, he was diagnosed as costochondritis, and treated with Tofranil. In addition, OPD followed up. By the end of October 2013 , he began to accept TCM treatment, diagnosed of “chest impediment”. The patterns of TCM was liver depression and qi stagnation, blood stasis and phlegm congealing. The treatment goals were to relieve pain by sooth the liver and move qi, activat blood and eliminate stasis and resolve phlegm. After the treatment of finished herbal product of CHAI HU JIA LONG GU MU LI TANG, his uncomfortable symptoms were gradually relieved during two months and finally stop taking medicine. This case report displays the efficacy of the TCM treatment of intractable chest pain. So it is indeed worthy for spreading.
Keywords： Chest impediment, CHAI HU JIA LONG GU MU LI TANG, TCM
treatment
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201.16中医治疗顽固性胸痛之病例报告
