Managing Palpitations: Traditional Chinese Medicine and Herbal Remedies - Traditional Chinese Medicine

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Palpitations, medication consultation?


Hello, Dr.
Yan.
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 around 500 ventricular premature contractions (VPCs) in one day, with the doctor unable to determine the cause.
However, it was suggested that it might be due to autonomic nervous system dysfunction.
Although the doctor mentioned that there is no life-threatening risk, this sensation of missed beats has caused me extreme anxiety and even 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 tell me what these medicines are used for? Will they be beneficial for my autonomic nervous system dysfunction and ventricular premature contractions? Thank you, and I appreciate your hard work during the pandemic.
Wishing you safety!

Nìmíng, 20~29 year old female. Ask Date: 2021/06/03

Dr. Yan Sumei reply Traditional Chinese Medicine


Hello, Anonymous! Yangxin Decoction is used to treat palpitations caused by deficiency of heart qi.
Shengmai San is suitable for arrhythmias and ventricular tachycardia.
Ganmai Dazao Decoction is used for autonomic nervous system disorders, neurasthenia, and insomnia.
Xinyi Qingfei San is used to clear lung heat.
Jiawei Xiaoyao San is used to treat liver qi stagnation with blood deficiency and restlessness.
These remedies are helpful for autonomic nervous system disorders and premature ventricular contractions.
Wishing you health and peace! Sincerely, Su-Mei Yen, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2021/06/03

More Info


Managing palpitations, particularly those caused by premature ventricular contractions (PVCs) and autonomic nervous system imbalances, can be a complex issue. Traditional Chinese Medicine (TCM) offers a holistic approach that may help alleviate symptoms and address underlying imbalances.

In TCM, palpitations are often viewed as a manifestation of disharmony within the heart and its associated organs, particularly the spleen and kidneys. The heart is considered the "Emperor" of the body, governing blood circulation and housing the mind (Shen). When the heart is weak or disturbed, it can lead to symptoms such as palpitations, anxiety, and even panic attacks.

The herbal formulas 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 that may be beneficial for your condition:
1. 養心湯 (Yangxin Decoction): This formula is designed to nourish the heart and calm the mind. It is often used for symptoms like palpitations, insomnia, and anxiety, particularly when there is a deficiency of heart blood or yin.

2. 生脈散 (Shengmai San): This formula is used to tonify the qi and nourish the yin. It can be helpful in cases of fatigue, shortness of breath, and palpitations, especially when they are accompanied by a feeling of weakness.

3. 甘麥大棗湯 (Ganmai Dazao Decoction): This is often used for emotional disturbances and can help calm the mind. It is particularly useful for those experiencing anxiety and restlessness, which can accompany palpitations.

4. 辛夷清肺散 (Xinyi Qingfei San): This formula is primarily used to clear the lungs and alleviate symptoms related to respiratory issues. While it may not directly address palpitations, it can help if there are accompanying symptoms like cough or phlegm.

5. 加味逍遙散 (Jiawei Xiaoyao San): This is a modified version of the classic Xiao Yao San, which is used to soothe the liver and relieve stress. It can be particularly beneficial for emotional stress that may contribute to palpitations.

In addition to herbal remedies, acupuncture can also play a significant role in managing palpitations and autonomic nervous system imbalances. Acupuncture works by stimulating specific points on the body to restore balance and promote the flow of qi (energy). Points that may be targeted include those that nourish the heart, calm the mind, and regulate the nervous system.

It's important to note that while TCM can provide supportive care, it should not replace conventional medical treatment, especially if you have been diagnosed with PVCs. It is crucial to work closely with your healthcare provider to monitor your condition and ensure that any treatment plan is safe and effective.

In terms of duration for herbal treatment, it can vary based on individual responses and the severity of symptoms. Generally, a course of herbal treatment may last from several weeks to a few months, with regular follow-ups to assess progress and make necessary adjustments.

Lastly, lifestyle modifications can also be beneficial. Practices such as stress management techniques (like meditation or yoga), regular physical activity, and a balanced diet can help support overall heart health and reduce the frequency of palpitations.

In conclusion, TCM offers a comprehensive approach to managing palpitations and autonomic nervous system imbalances through herbal remedies and acupuncture. It is essential to consult with a qualified TCM practitioner who can tailor a treatment plan to your specific needs and monitor your progress.

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