Should You Stop Taking These Chinese Herbal Medicines Before Heart Surgery? - Traditional Chinese Medicine

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When preparing for heart surgery, such as a cardiac catheterization, it is crucial to consider the medications and supplements you are taking, including Chinese herbal medicines. The question of whether to stop taking specific herbal remedies before such procedures is important for ensuring patient safety and minimizing potential complications.

In the case of the herbal medicines listed, it is essential to evaluate each one based on its properties and potential interactions with surgical procedures. For instance, "補陽還五湯" (Bu Yang Huan Wu Tang) is known for its blood-invigorating properties, which can increase the risk of bleeding during surgery. Therefore, it is advisable to discontinue this herbal remedy before the procedure.
Other herbs, such as "桂枝" (Gui Zhi) and "黃連" (Huang Lian), may also have effects on blood circulation and could potentially interfere with the surgical process. "桂枝" is often used for its warming and circulatory benefits, while "黃連" is known for its anti-inflammatory properties. However, both can influence blood flow and clotting, making it prudent to stop their use prior to surgery.

On the other hand, some herbs like "山藥" (Shan Yao) and "熟地黃" (Shu Di Huang) are generally considered safe and may not need to be discontinued, but it is always best to consult with a healthcare provider. "益智仁" (Yi Zhi Ren) and "二陳湯" (Er Chen Tang) may also have mild effects that are less likely to pose risks, but again, individual circumstances should be taken into account.

Herbs like "烏藥" (Wu Yao), "桑螵蛸" (Sang Piao Xiao), "薤白" (Xie Bai), and "栝蔞石" (Gua Lou Shi) should also be evaluated for their potential effects on the body. Some may have diuretic effects or influence heart function, which could complicate surgery.

In summary, it is crucial to communicate with both your cardiologist and any practitioners of traditional Chinese medicine before undergoing heart surgery. They can provide tailored advice based on your specific health conditions, the types of surgery being performed, and the medications you are currently taking.
In general, it is advisable to stop taking any herbal medicines that have blood-thinning properties or that could affect heart function at least several days before surgery. This precaution helps to minimize the risk of complications such as excessive bleeding or adverse reactions during the procedure. Always prioritize open communication with your healthcare providers to ensure a safe and effective surgical experience.