Managing Heart Rhythm Issues: Traditional Chinese Medicine Insights - Traditional Chinese Medicine

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Hello, doctor.
I apologize for bothering you.
I have been receiving traditional Chinese medicine treatment for my arrhythmia, with prescriptions including Yangxin Decoction 2.1, Shengmai San 2.1, Ganmai Dazao Decoction 2.1, Xinyi Qingfei San 2.1, and Jiawei Xiaoyao San 2.1.
However, after taking these for over a month, I sometimes experience a faster heartbeat in the morning, with my heart rate reaching 110-125 while walking, and it only returns to 85-95 when sitting or lying down.
Could this prescription be causing my heart rate to increase? Additionally, is there any prescription that could help regulate my heart rhythm and prevent it from beating so fast? Thank you, and I wish you peace!

Niming, 20~29 year old female. Ask Date: 2021/06/11

Dr. Yan Sumei reply Traditional Chinese Medicine


Hello, Anonymous! This prescription does not contain any medications that are particularly known to increase heart rate, but individual responses may vary due to personal constitution.
As for which prescription can help normalize the heart rhythm and reduce the heart rate, there is currently no answer without a consultation.
If you are taking traditional Chinese medicine and your heart rate remains elevated, you should return to your TCM practitioner and inform them of your condition so they can adjust your medication.
In addition to consulting a TCM practitioner for your arrhythmia, you may also consider seeing a Western medicine cardiologist or an endocrinologist to clarify whether the issue is related to the heart or the thyroid.
Wishing you health and safety! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2021/06/11

More Info


Managing heart rhythm issues can be a complex process, especially when considering the integration of Traditional Chinese Medicine (TCM) with Western medical practices. Your experience with heart palpitations and the prescribed TCM formulas raises several important points worth discussing.

Firstly, the prescription you mentioned includes several herbal formulas: Yangxin Decoction (養心湯), Shengmai San (生脈散), Ganmai Dazao Decoction (甘麥大棗湯), Xinyi Qingfei San (辛夷清肺散), and Jiawei Xiaoyao San (加味逍遙散). Each of these formulas has specific indications and can be beneficial for various conditions, including heart rhythm disturbances.

1. Yangxin Decoction is traditionally used to nourish the heart and calm the spirit, which may help alleviate symptoms of anxiety and palpitations.

2. Shengmai San is often used to treat conditions related to heart rhythm disturbances, particularly those associated with fatigue and shortness of breath.

3. Ganmai Dazao Decoction is known for its calming effects and is often used in cases of insomnia and anxiety, which can accompany heart rhythm issues.

4. Xinyi Qingfei San is primarily used for respiratory issues but can also help clear heat and alleviate symptoms related to the lungs, which can indirectly affect heart health.

5. Jiawei Xiaoyao San is used to soothe the liver and relieve stress, which can be a contributing factor to heart palpitations.

Regarding your concern about whether this prescription could be causing an increase in heart rate, it is essential to understand that individual responses to herbal medicine can vary significantly. While none of these formulas are specifically known to cause an increase in heart rate, the body's reaction to herbs can depend on various factors, including your overall health, underlying conditions, and even psychological state.
If you are experiencing a heart rate of 110-125 beats per minute during physical activity and it only decreases to 85-95 when at rest, this could indicate a heightened sympathetic nervous system response, which may be influenced by stress, anxiety, or even the body's reaction to the herbal treatment. It is also worth noting that some individuals may experience a temporary increase in heart rate as their body adjusts to new medications or treatments.

To address your question about alternative prescriptions that may help normalize your heart rhythm, it is crucial to consult with your TCM practitioner. They can assess your specific condition and may consider adjusting your herbal regimen based on your current symptoms and overall health. Additionally, they may recommend lifestyle changes, dietary adjustments, or acupuncture to further support your heart health.

In conjunction with TCM, it may also be beneficial to consult with a Western medicine cardiologist, especially if your symptoms persist or worsen. They can perform diagnostic tests to rule out any underlying cardiac issues and provide additional insights into managing your heart rhythm problems.

In summary, managing heart rhythm issues through TCM involves a holistic approach that considers not only the herbs used but also the individual's overall health and lifestyle. Continuous communication with your healthcare providers, both TCM and Western medicine, is vital to ensure a comprehensive treatment plan that addresses your symptoms effectively. Remember to monitor your symptoms closely and seek medical advice if you experience any alarming changes, such as severe palpitations, chest pain, or shortness of breath. Your health and well-being should always be the top priority.

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