By Dr Robert Zhao (Ph.D. Chinese Medicine)
In Traditional Chinese Medicine (TCM), chest and epigastric oppression syndrome is believed to be caused by external pathogens invading internally, irregular diet, phlegm-damp obstruction, and emotional imbalance. These factors lead to dysfunction in the ascending, descending, entering, and exiting movements of Qi, resulting in Qi stagnation. The primary clinical features include a sensation of fullness, tightness, or oppression in the chest or upper abdomen (epigastrium), which feels soft to the touch, is not painful under pressure, and lacks visible distention.
The pathological regions primarily involve the upper and middle burners (jiao), referred to respectively as "chest oppression" (胸痞) and "epigastric oppression" (心下痞 or 胃痞)—with "epigastrium" (心下) essentially referring to the region of the stomach.
Chest and epigastric oppression may be associated with conditions affecting the cardiovascular, respiratory, or digestive systems, so establishing a clear Western medical diagnosis and appropriate pharmacological treatment is crucial.
---
Self-Care Acupressure and Wellness Practices
Commonly Used Acupoint
Neiguan (PC6)
· Functions: Calms the heart and spirit, harmonizes the stomach, alleviates nausea and chest tightness.
· Neiguan is the Luo-connecting point of the Pericardium Meridian of Hand-Jueyin. It primarily regulates the flow of Qi throughout the body and is effective for treating symptoms related to the heart, chest, and stomach.
· Modern research shows that stimulating Neiguan can modulate autonomic nervous function and reduce myocardial oxygen consumption.
Location: On the inner forearm, 2 cun above the transverse crease of the wrist, located between the tendons of the palmaris longus and the flexor carpi radialis muscles.
Tanzhong (CV17) – Chest Center Point
Functions: Regulates Qi in the chest, relieves cough and asthma, promotes yang, and clears turbid Qi.
· Belonging to the Ren Mai (Conception Vessel), this point is where Zong Qi (Gathering Qi) converges.
· It is one of the Eight Influential Points, specifically the influential point of Qi, and a major point for Qi regulation.
· Tanzhong is the Front-Mu point of the Pericardium, which protects the heart, governs the mind, and is linked to emotional and respiratory symptoms.
· Used to treat chest tightness, chest pain, cough, asthma, as well as palpitations, irritability, and restlessness.
In The Yellow Emperor’s Inner Classic, it is said: “Tanzhong is the official of circulation and joy emanates from it.”
Location: At the center of the chest, on the midline, at the level of the fourth
intercostal space, midpoint between the nipples.
Zhiyang (GV9) – Reaching Yang Point
Functions: Disperses yang Qi, clears damp-heat, opens the chest and diaphragm, harmonizes the internal organs.
· As referenced in A-B Classic of Acupuncture and Moxibustion and Yulong Song of Acupuncture, Zhiyang is indicated for:
"Chills and fever, fatigue, heaviness and pain in the limbs, shortness of breath, reluctance to speak, mental exhaustion—Zhiyang governs them all."
Location: On the posterior midline, in the depression below the spinous process of the 7th thoracic vertebra (T7), approximately at the level of the inferior angles of the scapulae.
Wellness and Lifestyle Regulation
For those suffering from chest and epigastric oppression, lifestyle and dietary adjustments are essential for recovery and symptom management:
Dietary Guidelines:
· Eat small, frequent meals
· Focus on foods that are nutritious, light, and easy to digest
· Avoid alcohol, raw/cold foods, and spicy or greasy items
· Refrain from coarse or hard foods, overeating, or irregular eating habits
Emotional and Mental Regulation:
· Maintain a calm and joyful mood
· Avoid excessive worry, anger, or emotional stress
Rest and Activity Balance:
· Avoid overwork and ensure adequate rest
· Incorporate moderate physical activity to promote Qi movement and digestion