Medication consultation
Dear Dr.
Chang,
I recently visited a Traditional Chinese Medicine clinic due to symptoms of palpitations, chest tightness, and gastroesophageal reflux.
After examining my pulse, the physician indicated that my heart pulse showed signs of "slight anxiety," which may be contributing to my palpitations and chest tightness.
The prescribed herbal formula is as follows:
1.
Tian Wang Bu Xin Dan 5g
2.
Ban Xia Xie Xin Tang 5g
3.
Dan Qi San 1g
4.
Long Gu 0.7g
5.
Mu Li 0.7g
6.
He Huan Pi 0.7g
The physician prescribed a total of 21 packets for a 7-day supply.
I have a couple of questions for you, Dr.
Chang:
Q1.
My usual heart rate is around 80 beats per minute, but it has recently dropped to approximately 65 beats per minute.
Could this decrease in heart rate be related to my recent use of the aforementioned herbal medicine? I have taken 10 packets so far; does any of these herbs have a "heart rate-lowering" effect?
Q2.
The herbal medicine has a "slightly sour and spicy" taste, and occasionally it causes discomfort in my gastrointestinal tract (similar to stomach pain).
Is this a normal reaction? Should I continue taking this herbal medicine?
Thank you, Dr.
Chang.
Axiang, 40~49 year old female. Ask Date: 2022/04/26
Dr. Zhang Chunfang reply Traditional Chinese Medicine
Hello: The Chinese herbal prescription is suitable for your condition.
Recently, the weather has been unstable, which may affect your spleen and stomach, leading to weakened digestive function and potential diarrhea.
Ingredients such as jujube or sour jujube seeds may have a sour taste.
Wishing you good health.
Department of Traditional Chinese Medicine - We care about you.
Reply Date: 2022/04/26
More Info
In Traditional Chinese Medicine (TCM), heart palpitations are often viewed through a different lens compared to Western medicine. TCM considers the heart not just as a physical organ but as a vital component of emotional and spiritual well-being. Symptoms like palpitations, anxiety, and chest discomfort can be attributed to imbalances in the body's energy (Qi), blood, and organ systems.
In your case, the herbal formula prescribed by your TCM practitioner includes several components that target both the physical and emotional aspects of your symptoms. Let's break down your questions:
Q1: Heart Rate Decrease and Herbal Effects
You mentioned that your heart rate has decreased from around 80 beats per minute to approximately 65 beats per minute since starting the herbal regimen. While it is possible that the herbs you are taking may have a calming effect on your heart rate, it is essential to consider other factors that could contribute to this change.
The herbs in your formula, such as Tian Wang Bu Xin Dan, are known for their ability to nourish the heart and calm the spirit. This can lead to a reduction in anxiety and stress, which may, in turn, help stabilize your heart rate. However, it is crucial to monitor your heart rate and overall well-being closely. If you experience any concerning symptoms, such as dizziness or extreme fatigue, it would be wise to consult your healthcare provider.
Q2: Gastrointestinal Discomfort
Regarding the gastrointestinal discomfort you experience after taking the herbal formula, it is not uncommon for some individuals to have mild digestive issues when starting a new herbal regimen. The "slightly sour and spicy" taste you describe could indicate the presence of herbs that stimulate digestion or have a warming effect.
However, if the discomfort persists or worsens, it is essential to communicate this to your TCM practitioner. They may need to adjust the formula or dosage to better suit your digestive system. TCM emphasizes the importance of individual constitution, and what works for one person may not be suitable for another.
Additional Considerations
1. Holistic Approach: TCM takes a holistic approach to health, meaning that emotional and physical symptoms are interconnected. Your feelings of anxiety may be contributing to your heart palpitations and gastrointestinal discomfort. Incorporating stress-reducing practices such as meditation, tai chi, or gentle exercise may complement your herbal treatment.
2. Diet and Lifestyle: Pay attention to your diet and lifestyle choices. Foods that are overly spicy, greasy, or heavy may exacerbate gastrointestinal discomfort. A balanced diet rich in whole foods, fruits, and vegetables can support your overall health.
3. Regular Monitoring: Keep track of your symptoms, heart rate, and any side effects you experience. Regular follow-ups with both your TCM practitioner and Western healthcare provider can ensure that your treatment plan is effective and safe.
4. Integration of Treatments: If you are also receiving Western medical treatment, it is crucial to inform both your TCM practitioner and your Western healthcare provider about all medications and treatments you are undergoing. This will help avoid potential interactions and ensure a coordinated approach to your health.
In conclusion, while the herbs you are taking may contribute to a decrease in heart rate and help with your symptoms, it is essential to monitor your body's responses and communicate any concerns with your healthcare providers. TCM can be a valuable part of your overall health strategy, especially when combined with appropriate lifestyle changes and medical oversight.
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