Managing Ventricular Premature Contractions: Traditional Chinese Medicine Insights - Traditional Chinese Medicine

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Ventricular premature contractions, medication consultation?


Hello Dr.
Peng, I apologize for bothering you.
Since last year, I have been experiencing a sensation of missed heartbeats.
After a cardiology examination, it was found that I had approximately 500 ventricular premature contractions (VPCs) in one day, the cause of which is unknown, but it may be related to autonomic nervous system dysregulation.
Although the doctor mentioned that there is no life-threatening risk, this sensation of missed beats has caused me extreme anxiety, and I have even experienced panic attacks.
I would like to know if traditional Chinese medicine combined with acupuncture can cure ventricular premature contractions.
Regarding the herbal prescriptions: Yangxin Decoction 2.1, Shengmai San 2.1, Ganmai Dazao Decoction 2.1, Xinyi Qingfei San 2.1, and Jiawei Xiaoyao San 2.1, could you please explain what these medicines are used for? Will they help with my autonomic nervous system dysregulation and ventricular premature contractions? Thank you, and I appreciate your hard work during the pandemic.
Wishing you safety!

Xiao Li, 20~29 year old female. Ask Date: 2021/06/01

Dr. Peng Renyuan reply Traditional Chinese Medicine


Hello, Xiao Guo: The choice of these medications depends on your current physical condition.
They may be helpful for your so-called autonomic nervous system dysfunction and premature ventricular contractions, but it ultimately depends on the symptoms you present during your consultation.
I hope this answers your question.
Thank you, and wishing you peace!

Reply Date: 2021/06/01

More Info


Managing Ventricular Premature Contractions (VPCs) can be a complex issue, especially when considering the integration of Traditional Chinese Medicine (TCM) with Western medical approaches. VPCs are characterized by premature heartbeats originating from the ventricles, which can lead to feelings of anxiety and discomfort, as you have experienced. While Western medicine often focuses on the physiological aspects and may suggest monitoring or medication, TCM offers a holistic perspective that addresses both the physical and emotional components of health.

In TCM, the heart is not only viewed as a physical organ but also as a vital component of emotional well-being. The symptoms you describe, such as the sensation of skipped beats and anxiety, may be linked to an imbalance in the heart and kidney systems, as well as disturbances in the qi (energy) and blood flow. TCM practitioners often use herbal formulas and acupuncture to restore balance and promote overall health.

The herbal prescriptions you mentioned—養心湯 (Yangxin Decoction), 生脈散 (Shengmai San), 甘麥大棗湯 (Ganmai Dazao Decoction), 辛夷清肺散 (Xinyi Qingfei San), and 加味逍遙散 (Jiawei Xiaoyao San)—each have specific functions:
1. 養心湯 (Yangxin Decoction): This formula is traditionally used to nourish the heart and calm the spirit, making it beneficial for anxiety and palpitations.

2. 生脈散 (Shengmai San): This formula is known for its ability to tonify qi and nourish the heart, which can help in cases of fatigue and palpitations.

3. 甘麥大棗湯 (Ganmai Dazao Decoction): This is often used to soothe the mind and alleviate anxiety, which can be particularly helpful for those experiencing panic attacks or heightened emotional stress.

4. 辛夷清肺散 (Xinyi Qingfei San): This formula is primarily used for respiratory issues but can also help clear heat and promote better circulation, which may indirectly support heart health.

5. 加味逍遙散 (Jiawei Xiaoyao San): This is a modified version of the classic Xiao Yao San, which is used to relieve stress and promote emotional balance, making it suitable for anxiety-related symptoms.

Regarding your question about the effectiveness of TCM in treating VPCs, studies have shown that acupuncture and certain herbal remedies can help regulate heart rhythm and reduce anxiety. Acupuncture, in particular, may help modulate the autonomic nervous system, which plays a crucial role in heart function and can alleviate symptoms associated with VPCs.

It is essential to consult with a qualified TCM practitioner who can assess your individual condition and tailor a treatment plan that addresses your specific symptoms and underlying imbalances. They may also recommend lifestyle changes, dietary adjustments, and stress management techniques to complement your treatment.

As for the interaction between TCM and Western medications, it is crucial to space out the administration of herbal remedies and pharmaceuticals to avoid potential interactions. Generally, a gap of at least one hour is recommended. Always inform both your TCM practitioner and your cardiologist about all the treatments you are undergoing to ensure a coordinated approach to your health.

In conclusion, while VPCs can be distressing, TCM offers valuable insights and treatment options that can complement Western medical approaches. By addressing both the physical and emotional aspects of your condition, TCM may help alleviate your symptoms and improve your overall quality of life. Always prioritize open communication with your healthcare providers to ensure the best possible outcomes for your health.

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