Medications for Coronary Heart Disease
Hello Dr.
Yan.
Regarding the issue I previously inquired about, there is still no "certainty" in the resolution to date.
All the examinations that the cardiology department can perform have been completed, and the physician indicated that everything is within normal limits, so there is no need for further imaging or catheterization.
In early December last year, I sought treatment from the Traditional Chinese Medicine (TCM) department of the same hospital for chest pain and sudden heart contractions.
After three sessions, the TCM physician adjusted the dosage based on the consultation each time (I have been seeing the same TCM physician).
Currently, I am taking Western medications: Aspirin (enteric-coated capsules, lowest dose before breakfast), antihypertensive medication (Candesartan, lowest dose, which the cardiologist has halved, taken after breakfast), angina medication (Bisoprolol, a beta-blocker, taken after each meal), and statin (Atorvastatin, lowest dose, taken after breakfast).
My main concern is still with Aspirin.
Additionally, due to the combination of Western and Chinese medications, I am unable to control the timing of the doses (and I do not want to be taking medication all day).
Therefore, I only take the Western medication Bisoprolol once in the morning and once in the evening.
The TCM dosage can only be taken once in the morning and once in the evening as well.
Below are the recent two prescriptions for TCM; if possible, please provide your opinion and suggestions.
Your insights will only be used for clarification and will not be used to consult my physician.
Thank you.
Chi Shao 0.50g, Xiang Fu 0.40g, Chuan Xiong 0.30g, Dan Shen 0.20g, Huang Qi 1.00g, Ban Xia 0.40g, Zi Su Zi 0.40g, Zhe Bei Mu 0.40g, Cang Zhu 0.40g, Yuan Zhi 0.20g, Huo Ma Ren 0.10g, Bai Ji 0.30g (previously, each prescription included Hong Hua, which has been removed).
The third prescription added Wu Ling Zhi 0.10g and Pu Huang 0.10g.
Other medications and dosages remain unchanged.
Li Yuan, 50~59 year old female. Ask Date: 2015/01/06
Dr. Yan Sumei reply Traditional Chinese Medicine
Mr.
Li: Hello! I am glad to receive your letter! Your chest pain and sudden heart contractions have been evaluated by a cardiologist, and everything is normal.
However, since you still experience discomfort, you have turned to traditional Chinese medicine.
You have listed the medications prescribed by your TCM physician and are asking for my opinion.
These medications were carefully considered by your TCM physician based on your symptoms, and they will gradually improve your condition.
After taking the medications, please communicate any feelings or changes you experience to your TCM physician, who will adjust the prescription according to your body's response.
Additionally, try to relax in your daily life and avoid putting too much pressure on yourself, as this may help reduce the occurrence of chest pain.
This is my response to you; I hope you find it satisfactory.
Wishing you health and happiness! Nantou Hospital, Department of Traditional Chinese Medicine, Yan Su-Mei.
Reply Date: 2015/01/06
More Info
Managing coronary heart disease (CHD) effectively often requires a multifaceted approach that integrates both Western medicine and Traditional Chinese Medicine (TCM). Given your current situation, where you have undergone extensive testing and have been prescribed a regimen of Western medications, it's crucial to consider how TCM can complement your treatment while ensuring safety and efficacy.
Understanding Your Current Medication
You are currently on several medications, including:
1. Aspirin: This is an antiplatelet medication that helps prevent blood clots, which is vital for patients with coronary artery disease.
2. Concor (Bisoprolol): A beta-blocker that reduces heart rate and blood pressure, helping to manage symptoms of angina and heart failure.
3. Lico (a sympatholytic agent): This medication helps to reduce heart workload and improve blood flow.
4. Cholesterol-lowering medication (冠脂妥): Essential for managing cholesterol levels and reducing cardiovascular risk.
Your concern about aspirin is valid, especially considering its potential side effects, such as gastrointestinal issues or bleeding. However, it is important to weigh these risks against the benefits it provides in preventing heart attacks and strokes.
Integrating Traditional Chinese Medicine
The herbal formula you are currently taking includes various herbs such as 赤芍 (Red Peony), 香附 (Cyperus), and 丹蔘 (Salvia), which are traditionally used in TCM to improve circulation, reduce inflammation, and support heart health. Each herb has specific properties:
- 赤芍 (Red Peony): Known for its ability to invigorate blood circulation and alleviate pain.
- 香附 (Cyperus): Often used to regulate Qi and relieve stress, which can be beneficial for heart health.
- 丹蔘 (Salvia): Traditionally used to improve blood flow and reduce blood stasis.
The adjustments made by your TCM practitioner based on your symptoms indicate a personalized approach, which is a cornerstone of TCM. It’s essential to communicate any changes in your symptoms to your TCM practitioner, as they can modify your herbal regimen accordingly.
Recommendations for Managing Your Condition
1. Communication with Healthcare Providers: Maintain open lines of communication with both your Western and TCM practitioners. Discuss any side effects from your medications and how the herbal treatments are affecting you. This collaboration can help tailor your treatment plan effectively.
2. Timing of Medications: Since you are concerned about the timing of your medications, it’s advisable to space out the intake of Western and Chinese medicines by at least two hours. This can help minimize potential interactions and ensure that each medication works effectively.
3. Lifestyle Modifications: Alongside medication, lifestyle changes play a crucial role in managing CHD. This includes:
- Diet: Adopt a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins while limiting saturated fats, trans fats, and sodium.
- Exercise: Engage in regular physical activity, as tolerated, to improve cardiovascular health.
- Stress Management: Techniques such as mindfulness, yoga, or tai chi can help reduce stress, which is beneficial for heart health.
4. Regular Monitoring: Continue to have regular follow-ups with your cardiologist to monitor your heart health and adjust medications as necessary. If you experience any new or worsening symptoms, seek medical attention promptly.
5. Educate Yourself: Understanding your condition and the effects of your medications can empower you to make informed decisions about your health. Consider discussing any concerns or questions with your healthcare providers.
Conclusion
Integrating TCM with Western medicine can provide a holistic approach to managing coronary heart disease. By maintaining communication with your healthcare providers, adhering to your medication regimen, and making lifestyle changes, you can effectively manage your condition and improve your quality of life. Always prioritize safety and consult with your healthcare team before making any significant changes to your treatment plan.
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