Dietary Considerations for Children with Arrhythmia: TCM Insights - Traditional Chinese Medicine

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Diet and Herbal Remedies for Arrhythmia


The child is currently a middle school student with arrhythmia and has an implanted cardioverter-defibrillator.
The heart rate is on the higher side.
I would like to ask the doctor if the child can consume dishes like ginger duck, medicinal herbal pork ribs, and lamb stew.
Are there any specific Chinese herbal ingredients that should be avoided? Thank you, doctor.

Mrs. Chen, 40~49 year old female. Ask Date: 2018/10/28

Dr. Hou Yuchang reply Traditional Chinese Medicine


Mrs.
Chen: Hello, currently, the literature on traditional Chinese medicine indicates that the herbs "Fuzi" (Aconiti Radix) and "Wutou" (Aconiti Carmichaeli Radix) are more likely to cause arrhythmias.
I recommend that if you have a habit of using traditional Chinese medicine for supplementation, you should avoid using these two herbs.
As for physicians, they may sometimes prescribe these herbs based on the patient's condition; please do not reject this practice, as traditional Chinese medicine believes that "there are symptoms, and there are corresponding herbs." It is reasonable for a licensed practitioner to assess and prescribe them as needed.
Regarding your inquiry about whether dishes like ginger duck, medicinal herbal pork ribs, and lamb stew are suitable for your son, these three types of food supplements are generally more appropriate for patients with what traditional Chinese medicine refers to as "deficiency and cold." Since I have not examined your son, I cannot determine if they are suitable for him.
Clinically, there are also patients with arrhythmias who fall under the category of "yang excess" in traditional Chinese medicine, and such patients are not suitable for these types of food supplements.
I suggest you take your son to a nearby traditional Chinese medicine clinic for an evaluation to see if these foods are appropriate.
Wishing you peace and health.
Sincerely, Dr.
Hou Yuchang, Director of the Department of Traditional Chinese Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/10/28

More Info


When it comes to dietary considerations for children with arrhythmia, especially those who have undergone procedures such as the implantation of a cardiac defibrillator, it is crucial to approach their nutrition with care and awareness of their specific health needs. Arrhythmia can manifest in various forms, and dietary choices can play a significant role in managing symptoms and promoting overall heart health.


General Dietary Guidelines
1. Balanced Diet: Ensure that the child consumes a well-balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. This helps provide essential nutrients that support heart health and overall well-being.

2. Limit Caffeine and Stimulants: Foods and beverages high in caffeine, such as coffee, tea, and certain sodas, should be limited or avoided as they can exacerbate arrhythmia symptoms.
3. Sodium Intake: High sodium intake can lead to increased blood pressure, which may worsen heart conditions. It’s advisable to limit processed foods, which often contain high levels of sodium.

4. Healthy Fats: Encourage the consumption of omega-3 fatty acids found in fish like salmon, walnuts, and flaxseeds. These fats can help reduce inflammation and support heart health.


Specific Foods and Herbal Considerations
Regarding the specific foods mentioned, such as ginger duck (薑母鴨), medicinal rib soup (藥膳排骨), and lamb hot pot (羊肉爐), there are several factors to consider:
1. Ginger: While ginger is often praised for its anti-inflammatory properties, it can also have a warming effect on the body. In Traditional Chinese Medicine (TCM), ginger is considered a warming herb, which may not be suitable for all children, especially those with a tendency towards heat in their body constitution. It’s best to consult with a TCM practitioner to determine if ginger is appropriate for your child.

2. Medicinal Soups: These soups often contain various herbs and spices that can have potent effects on the body. Some herbs may stimulate the heart or affect blood circulation, which could potentially exacerbate arrhythmia. It is essential to avoid any ingredients that are known to be stimulants or that could increase heart rate.

3. Lamb and Other Meats: Lamb is considered a warming food in TCM and may not be suitable for children with certain types of arrhythmia. It’s important to balance the intake of red meats with lighter proteins like chicken or fish, which are easier to digest and less likely to cause heat in the body.


Avoiding Certain Herbs
In terms of specific herbs to avoid, it is advisable to steer clear of:
- Stimulant Herbs: Such as ginseng and certain types of pepper, which can increase heart rate.

- Warming Herbs: Like cinnamon and clove, which may not be suitable for children with heat-related symptoms.


Conclusion
In conclusion, while dietary adjustments can significantly impact the management of arrhythmia in children, it is essential to tailor these adjustments to the individual’s health status and constitution. Consulting with a healthcare provider or a registered dietitian who understands both Western and Traditional Chinese Medicine can provide personalized guidance. This ensures that the child receives adequate nutrition while avoiding foods that may trigger or worsen their condition. Regular monitoring and open communication with healthcare professionals are key to effectively managing arrhythmia through diet.

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