Managing Premature Ventricular Contractions with Traditional Chinese Medicine - Traditional Chinese Medicine

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Ventricular premature contraction (VPC)


Hello, doctor.
I would like to ask if traditional Chinese medicine can help control the symptoms of premature ventricular contractions (PVCs), which sometimes cause a sensation of missed heartbeats.
Western medicine only offers options like catheter ablation or long-term use of beta-blockers.
Additionally, could you please explain what the following prescription is intended to treat? Thank you!
- Tianma Gouteng Decoction 5g
- Qi Ju Di Huang Wan 4g
- Suan Zao Ren Tang 3g
- Huang Qin 1.5g
- Long Gu 1g
- Mu Li 1.5g
Thank you!

Xiao Yi, 20~29 year old female. Ask Date: 2020/11/19

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear online friend Xiao Yi, hello! Ventricular premature contractions can be managed with traditional Chinese medicine, but they cannot completely prevent recurrence.
The medications mentioned above primarily treat symptoms such as headaches, insomnia, dry eyes, and blurred vision.
Wishing you health and safety.
Sincerely, Yan Su-mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2020/11/19

More Info


Managing Premature Ventricular Contractions (PVCs) with Traditional Chinese Medicine (TCM) can be a viable option for patients seeking alternative therapies alongside conventional treatments. PVCs are common arrhythmias characterized by early heartbeats originating from the ventricles, which can lead to sensations of skipped beats or palpitations. While Western medicine often resorts to antiarrhythmic medications or procedures like catheter ablation, TCM offers a holistic approach that focuses on restoring balance within the body.

The prescription you mentioned includes several herbal formulations, each with specific properties aimed at addressing the underlying imbalances that may contribute to PVCs. Let's break down the components of your prescription:
1. Tian Ma Gou Teng Yin (天麻鉤藤飲): This formula is traditionally used to calm the liver and extinguish wind, which in TCM is often associated with symptoms like dizziness, headaches, and palpitations. It can be beneficial for patients experiencing anxiety or stress-related symptoms that may exacerbate PVCs.

2. Qi Ju Di Huang Wan (杞菊地黃丸): This formula nourishes the liver and kidneys, promoting overall vitality and balance. It is often used for symptoms related to yin deficiency, such as dryness, fatigue, and palpitations. By nourishing these organs, it may help stabilize heart rhythms.

3. Suan Zao Ren Tang (酸棗仁湯): Known for its calming properties, this formula is used to treat insomnia and anxiety. It can help soothe the mind and reduce stress, which may indirectly alleviate the frequency of PVCs.

4. Huang Qin (黃芩): This herb has anti-inflammatory and calming properties. It is often used to clear heat and toxins from the body, which can be beneficial if there are underlying inflammatory processes contributing to heart irregularities.

5. Long Gu (龍骨) and Mu Li (牡蠣): Both of these minerals are used in TCM to anchor the spirit and calm the heart. They are particularly useful for patients experiencing anxiety or restlessness, which can be associated with PVCs.

The combination of these herbs aims to address both the physical and emotional aspects of heart health. TCM practitioners believe that emotional stress and imbalances in the liver and kidney systems can contribute to heart irregularities. Therefore, by treating these underlying issues, TCM may help reduce the frequency and severity of PVCs.

Regarding your question about whether this prescription is effective for controlling PVC symptoms, it is essential to consult with a qualified TCM practitioner who can assess your individual constitution and tailor the treatment accordingly. TCM emphasizes personalized care, and the effectiveness of herbal remedies can vary based on individual health conditions and lifestyle factors.

In terms of safety and interactions, it is crucial to inform both your TCM practitioner and your Western medicine provider about all medications and supplements you are taking. While TCM herbs are generally safe, they can interact with certain medications, including beta-blockers or other heart medications. It is advisable to space out the intake of TCM herbs and Western medications by at least one hour to minimize potential interactions.

In conclusion, TCM can offer a complementary approach to managing PVCs by addressing the root causes of the condition. However, it is essential to work closely with healthcare providers from both disciplines to ensure a safe and effective treatment plan. Regular monitoring and open communication about your symptoms and treatment responses will be key to managing your heart health effectively.

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