案例：患者，女，52岁，近因操劳过度出现，心前区疼痛，症见心胸疼痛，如刺如绞，痛有定处，甚则心痛彻背，背痛彻心，或痛引肩背，伴有胸闷，日久不愈可因暴怒而加重，舌质紫暗，有瘀斑，舌下瘀筋，苔薄，脉弦涩。辨证为

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