Elaboración de propuesta de manejo con acupuntura en pacientes con dolor torácico
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Amarís Peña, Óscar Ernesto
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El dolor torácico es un motivo de consulta frecuente tanto en medicina occidental como en medicina tradicional china (MTCh). En medicina occidental su enfoque ha sido dirigido hacia el descartar compromiso coronario, dejando casi olvidadas otras causas de dolor torácico. En MTCh su origen es variado y con frecuencia se solapan disarmonías múltiples que incluyen cuadros de exceso y deficiencia. Un síndrome antiguo se refería a él como “síndrome Bi de tórax” e incluía las disarmonías más frecuentes: estancamiento Qi en pecho que usualmente era precedido por estancamiento Qi en Hígado, estasis de sangre y presencia de flema, en algunas ocasiones acompañado de frío externo o interno. Se describirán las disarmonías productoras de dolor torácico y se expondrán algunos manejos acupunturales acorde con varios autores.
Abstract: Chest pain is a frequent consultation in both Western medicine and traditional Chinese medicine (MTCh). In Western medicine, his approach has been directed toward ruling out coronary compromise, leaving almost no other causes of chest pain forgotten. In MTCh its origin is varied and often multiple disharmonies that excessive and deficiency are frequently overlapped. An ancient syndrome was referred to as "bithorax syndrome" and included the most frequent disharmonies: Qi stagnation in the chest, which was usually preceded by Qi stagnation in the liver, blood stasis and phlegm presence, sometimes accompanied by external or internal cold. Disharmonies producing thoracic pain will be described and some acupuncture approach according to several authors will be discussed.
Abstract: Chest pain is a frequent consultation in both Western medicine and traditional Chinese medicine (MTCh). In Western medicine, his approach has been directed toward ruling out coronary compromise, leaving almost no other causes of chest pain forgotten. In MTCh its origin is varied and often multiple disharmonies that excessive and deficiency are frequently overlapped. An ancient syndrome was referred to as "bithorax syndrome" and included the most frequent disharmonies: Qi stagnation in the chest, which was usually preceded by Qi stagnation in the liver, blood stasis and phlegm presence, sometimes accompanied by external or internal cold. Disharmonies producing thoracic pain will be described and some acupuncture approach according to several authors will be discussed.