Mr. Gao, 53 years old

1st consultation on September 28th, 2009

The patient suffered from chest oppression and pain for over 1 year. An ECG at the county hospital showed: ST segment depression, T wave flatness and premature ventricular contraction. After taking western and Chinese formulas, he showed no obvious improvement and was unable to go back to work.

Symptoms: Left-sided front and back pressing and prickling chest pain with sporadic onset, however the pain would increase with exercise, so he rested at home for over a year. Slightly dry mouth, cold hands and feet, sweating easily, occasional headache, frequent urination, nocturia 3-4/night, white tongue coating with greasy root and a deep, wiry and thready pulse.

Six syndrome: Tai yang Tai yin Yang ming concurrent syndrome

Formula pattern: Yi Yi Fu Zi plus Wu Ling San

Result: After taking 3 packs, his frequent urination reduced as well as the onsets of his chest pains and oppression. Chuan Fu Zi was raised to 15g and after taking the formula for an extra week, he only suffered from occasional episodes of chest oppression and pain with normal urination. Chuan Fu Zi was raised to 18g and Zhu Ling, Ze Xie were removed. After a month of taking the last formula, he no longer suffered from chest pain or oppression and was able to do light work.

Note: In the《Jin Gui Yao Lue· On Chest Impediment, Heart Pain and Shortness Of Breath Disorders》line 7 says:

“[if there is] Chest obstruction and urgency, Yi Yi Fu Zi San governs.”

《金匮要略·胸痹心痛短气病》第7条：“胸痹，缓急者，薏苡附子散主之。”

This clause describes patients with chest obstruction, pain and chronic coronary heart diseases often present with deficient cold patterns.

In the case above the patient suffered from persistent damp stasis, presenting as stubborn chest pain and oppression. Since he suffered from disinhibited urination, sweating and headaches, there was an external pathogen with internal rheum. The static rheums transformed into heat, manifesting as a Tai yang Tai yin Yang ming concurrent syndrome and a Yi Yi Fu Zi San plus Wu Ling San pattern.

It is noteworthy that in this case the patient had taken blood moving and stasis expelling herbs for a long period of time with no effect. However only when undergoing correct Jing Fang six syndrome and formula pattern diagnosis, he was quickly cured, without taking any blood moving or stasis expelling medicinals.