Talking about heart and stomach pain and Zhiyang point

  The chapter “Ling Shu – Syncope” says: “Syncope heart pain, abdominal distension and chest fullness, heart especially painful, stomach heart pain also.” This is the earliest description of the heart and stomach being sick together. The heart lives in the chest, the stomach lives under the diaphragm, the two are adjacent to each other with the diaphragm, the meridians and veins are close to each other, such as “Su Wen – Ping Ren Weather Theory” day: “the stomach of the large complex, the name of the day Xu Li …… out of the left breast under, its movement should be clothing, the pulse Zong Qi also”, pointed out that the Xu Li beat, that is, the heart of It is pointed out that the pulsation of the Xuri, that is, the beating of the heart, originates from the large luo of the stomach. The Ling Shu – Jing Bu chapter also says: “The positive of the foot Yang Ming …… passes up to the heart.” It is pointed out that both the large luo of the stomach and the meridian of the foot Yangming are connected to the heart, which explains the relationship between the heart and the stomach. Clinically, according to statistics, 1/3 of patients with early acute myocardial infarction can be accompanied by varying degrees of gastrointestinal symptoms such as nausea and vomiting, abdominal distention, and diarrhea¨. Conversely, many gastric diseases can reflexively cause dysfunction of the cardiovascular system, which is known as the gastrocardiac syndrome. Therefore, Prof. Zhou Fusheng and other professors proposed the “heart-gastric correlation theory”…. Many physicians have also placed clinical emphasis on the causal pathogenesis of the heart and stomach, and thus put forward many claims of “heart disease treating the stomach” and “stomach disease causing the heart”, but here I only want to talk about the utility of Zhiyang in relation to pain.  Whether it is “true heart pain”, “syncope heart pain”, or later “stroke heart pain”, “long heart pain “, “diaphragmatic heart pain”, “heart and stomach pain”, the prescriptions of the past generations often confuse heart pain with stomach pain. However, the focus is still on the word “pain”, and its location is all in the middle of the chest under the diaphragm. In clinical practice, I have found that many patients with gastroparesis and angina pectoris have pressure pain at the Zhiyang point, and the pain decreases when pressure is applied. The reason for this is the “warming” and “beneficial” function of Zhiyang.  Why does it cause pain? If it does not pass through, it hurts, and if it does not glory, it hurts. If the blood is stagnant due to cold condensation, it will be painful if it does not pass through; if the Qi is deficient, the blood is deficient and it will be painful if it is not glorified. To the one who is also the extreme. The point is a place where the Qi of the Directing Vessel reaches the Yang in the Yang, which is the extreme of Yang Qi, and the prick or moxibustion can lead Yin from Yang, invigorate the Yang Qi in the chest, warm the Yang and broaden the chest, regulate the Qi and relieve pain; furthermore, the point is also known as Jin Yang, which means that the Qi and blood in the point is the pure Yang Qi of the nature of lung gold, and the moxibustion can benefit the Qi and strengthen the Yang, nourish the blood and open the channels. In addition, from the anatomical point of view, the spinal nerve that governs the heart and the spinal nerve that governs the stomach cross at the thoracic 3-5, and the thoracic 5-8 overlap, and Zhiyang is located under the spinous process of the 7th thoracic vertebra, which is in the intersection of the spinal nerve that governs both, so it can be pricked to treat heart and stomach pain.