Cardiac Inquiry Consultation
Hello Dr.
Chang,
I had an electrocardiogram and echocardiogram done in early 2020, which showed that I only have mild regurgitation of the mitral and tricuspid valves, with no significant issues otherwise.
Over the past six months, I have occasionally experienced palpitations (such as heavy heartbeat, premature beats, or missed beats).
I would like to ask Dr.
Chang the following questions:
Q1.
Can heart problems be treated with Traditional Chinese Medicine (TCM)? In other words, is it possible to completely avoid Western medical examinations and directly consult a TCM practitioner, allowing them to diagnose my heart condition through methods such as pulse diagnosis?
Q2.
I tend to have a weaker digestive system.
Are there any TCM remedies that can be used to treat palpitations without harming the gastrointestinal tract?
Thank you, Dr.
Chang.
Axiang, 40~49 year old female. Ask Date: 2022/03/29
Dr. Zhang Weidong reply Traditional Chinese Medicine
Hello, Ah Xiang: Traditional Chinese medicine can identify issues related to the heart pulse (the pulse position corresponding to the heart), but it may not necessarily correlate with actual heart problems.
Therefore, strictly speaking, pulse diagnosis cannot definitively reveal heart issues; it can only suggest that there may be a condition with the heart.
Detailed examinations are required for accurate diagnosis.
Do you understand this explanation? You inquired about medications for treating palpitations without harming the gastrointestinal system; this should be based on the strength of your gastrointestinal health, as there is significant variability in gastrointestinal function, which affects treatment direction.
I recommend that you consult a traditional Chinese medicine practitioner nearby for proper diagnosis and treatment to address your concerns! Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare.
Reply Date: 2022/03/29
More Info
Consulting Traditional Chinese Medicine (TCM) for heart issues can be a viable option for many individuals, especially those who prefer a holistic approach to healthcare. However, it is essential to understand the limitations and the complementary nature of TCM in relation to Western medicine.
Q1: Can heart issues be treated with TCM without Western medical examinations?
While TCM practitioners can provide valuable insights and treatment options based on traditional diagnostic methods such as pulse taking and tongue examination, it is generally not advisable to completely bypass Western medical evaluations, especially for heart conditions. Heart issues can be complex, and diagnostic tools like electrocardiograms (ECGs), echocardiograms, and other imaging techniques play a crucial role in identifying structural or functional abnormalities in the heart.
For instance, your previous tests indicated mild mitral and tricuspid regurgitation, which may not present significant symptoms but could have implications for your heart health. TCM can be beneficial in managing symptoms such as palpitations or anxiety related to heart conditions, but it should ideally be used in conjunction with Western medical assessments. This integrated approach ensures that any underlying issues are adequately addressed and monitored.
Q2: Are there TCM remedies for palpitations that are gentle on the digestive system?
Yes, TCM offers various herbal remedies that can help alleviate palpitations without adversely affecting the digestive system. For individuals with a sensitive gastrointestinal tract, it is crucial to choose formulas that are not overly warming or harsh.
Some commonly used herbs in TCM for heart health include:
- Suan Zao Ren (Sour Jujube Seed): Known for its calming properties, it can help with insomnia and anxiety, which may contribute to palpitations.
- Dan Shen (Salvia Root): This herb is often used to invigorate blood circulation and can help alleviate symptoms of palpitations, especially when they are related to blood stasis.
- Bai Zi Ren (Biota Seed): It nourishes the heart and calms the spirit, making it suitable for those experiencing palpitations due to anxiety or stress.
- Fu Shen (Poria with Root): This herb is gentle on the stomach and can help with both digestive issues and heart-related symptoms.
When considering TCM treatments, it is essential to consult with a qualified TCM practitioner who can tailor a treatment plan based on your specific constitution and symptoms. They can also ensure that the herbs prescribed do not interact negatively with any medications you may be taking or exacerbate any existing digestive issues.
Conclusion
In summary, while TCM can be a valuable component of a comprehensive treatment plan for heart issues, it should not replace Western medical evaluations, especially for conditions that may have serious implications. A collaborative approach, where both TCM and Western medicine are utilized, can provide a more holistic and effective management strategy for heart health. Always communicate openly with both your TCM practitioner and your cardiologist to ensure that all aspects of your health are being considered and managed appropriately.
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