Consultation on Traditional Chinese Medicine for Heart and Digestive Issues

Q: Consultation on Traditional Chinese Medicine for Heart and Digestive Issues

Hello, Ah Xiang：<br>The prescribed medication has calming and sedative effects, as well as properties that nourish yin and clear heat. <br>Therefore, it will help alleviate your emotions and improve your sleep, and it may cause your heart rate to become more regular, which is not

Prescription 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 "mild anxiety," which may be contributing to my palpitations and chest tightness.
Below are the details of the prescribed herbal formula:
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 course.
I have the following questions for you, Dr.
Chang:
Q1.
My usual heart rate has been around 80 beats per minute, but it has recently decreased to about 65 beats per minute.
Could this decrease in heart rate be related to my recent use of the aforementioned herbal medicine? I have already taken 10 packets and would like to know if 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 gastrointestinal discomfort (similar to stomach pain) or diarrhea.
Is this a normal reaction? Should I continue taking this herbal medicine?
Thank you, Dr.
Chang.

A-Hsiang, 40~49 year old female. Ask Date: 2022/04/27

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello, Ah Xiang:
The prescribed medication has calming and sedative effects, as well as properties that nourish yin and clear heat.
Therefore, it will help alleviate your emotions and improve your sleep, and it may cause your heart rate to become more regular, which is not a concern unless you experience worsening chest tightness or palpitations, in which case you should discontinue the medication.
Additionally, yin-nourishing herbs may have a mild laxative effect for some individuals.
You can simply inform your physician during your next visit, and they can make adjustments to support your gastrointestinal health.
There's no need to worry; you may continue taking the medication.
Wishing you a speedy recovery.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare

Reply Date: 2022/04/27

More Info

Hello,
Thank you for your inquiry regarding your recent experiences with heart palpitations, chest discomfort, and gastroesophageal reflux. It’s commendable that you are actively seeking to understand the implications of your treatment and the effects of the prescribed Traditional Chinese Medicine (TCM) on your health.

Q1: Heart Rate Changes and TCM
You mentioned that your heart rate has decreased from around 80 beats per minute to approximately 65 beats per minute after starting the prescribed TCM. It is indeed possible that the herbal formulations you are taking could influence your heart rate.
The formula Tian Wang Bu Xin Dan (Heavenly Emperor's Heart-Supplementing Pill) is known for its calming properties and is often used to nourish the heart and calm the spirit. It can help alleviate anxiety and stress, which may contribute to a more stable heart rate. The other components of your prescription, such as Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Heart), are also designed to harmonize the stomach and heart, potentially reducing anxiety-related symptoms.
While a decrease in heart rate can be a positive sign, indicating a reduction in anxiety or stress, it is essential to monitor how you feel overall. If you experience any symptoms of dizziness, fatigue, or other concerning signs, it would be wise to consult your healthcare provider.

Q2: Gastrointestinal Discomfort
Regarding the gastrointestinal discomfort you are experiencing, including a slightly sour and spicy taste and occasional stomach pain or diarrhea, this can be a common reaction to certain herbal formulas. Some ingredients in TCM can stimulate the digestive system, which may lead to temporary discomfort, especially if your digestive system is sensitive or if you have underlying gastrointestinal issues.

The presence of ingredients like Ban Xia (Pinellia) can sometimes lead to gastrointestinal upset in sensitive individuals. If the discomfort persists or worsens, it is advisable to discuss this with your TCM practitioner. They may adjust the dosage or modify the formula to better suit your digestive tolerance.

Recommendations
1. Continue Monitoring: Keep track of your heart rate and any symptoms you experience. If you notice significant changes or if your symptoms worsen, seek medical advice promptly.

2. Communicate with Your TCM Practitioner: Make sure to inform your TCM practitioner about the gastrointestinal discomfort. They may suggest dietary modifications or alternative herbal remedies that are gentler on your stomach.

3. Lifestyle Adjustments: Incorporate stress-reducing practices such as mindfulness, yoga, or gentle exercise, which can complement your TCM treatment and promote overall well-being.

4. Dietary Considerations: Pay attention to your diet. Avoiding spicy, greasy, or overly rich foods may help alleviate gastrointestinal symptoms.

5. Follow-Up: Regular follow-ups with both your TCM practitioner and your primary care physician are essential to ensure that your treatment plan is effective and safe.

In conclusion, while TCM can provide supportive care for heart and digestive issues, it is crucial to approach treatment holistically and in conjunction with conventional medical advice. Your health and comfort should always be the priority, and open communication with your healthcare providers will facilitate the best outcomes.

Wishing you good health and a smooth recovery journey!

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