Can Traditional Chinese Medicine Replace Western Drugs for Heart Issues?

Can traditional Chinese medicine replace Western medicine (Concor)?

Hello Dr.
Yang,
Three years ago, I experienced a rupture of the chordae tendineae of my mitral valve, which caused severe regurgitation in the left ventricle and left atrium.
I underwent minimally invasive cardiac surgery for repair (not replacement), but since it could not restore full function, I need to take Concor 1.25 mg daily (with a follow-up every three months to refill my prescription).
After taking the medication, my heart rate is controlled at 70-75 beats per minute.
If I do not take the medication, my heart rate increases to 95-100 beats per minute, and after climbing 3-4 flights of stairs at a normal pace, it can reach 120-130 beats per minute.
However, this medication has significant side effects for me, including dizziness, drowsiness, fatigue, sleepiness, depression, irritability, and loss of sexual function, which severely impact my work and daily life.
When I mentioned this to my cardiac surgeon during my follow-up, the doctor only told me that this medication is very important for me and that I should continue taking it, with no other alternatives suggested.
I would like to ask you if traditional Chinese medicine could replace the Western medication (Concor) in my situation.
Thank you very much.

Jason, 50~59 year old female. Ask Date: 2015/11/06

Dr. Yang Junkui reply Traditional Chinese Medicine

Traditional Chinese medicine cannot replace the effects of Concor, but it can enhance the repair of heart valves and reduce blood regurgitation.
It is recommended to combine both Western and Chinese medicine treatments, but they should be taken 2 hours apart to strengthen the repair of the heart valves.
Once the condition stabilizes, a discussion with both Western and Chinese medicine practitioners about gradually reducing medication can take place.
Abruptly stopping medication may lead to heart discomfort.

Reply Date: 2015/11/06

More Info

The question of whether Traditional Chinese Medicine (TCM) can replace Western medications, particularly for heart issues, is complex and requires careful consideration of the individual patient's condition, the nature of their heart disease, and the specific medications involved.

In your case, you have a history of mitral valve chord rupture leading to significant regurgitation, which was addressed through minimally invasive cardiac surgery. Post-surgery, you are on Concor (Bisoprolol), a beta-blocker that helps manage your heart rate and reduce the workload on your heart. While it effectively controls your heart rate, you are experiencing notable side effects, including dizziness, fatigue, and mood changes, which are common with beta-blockers.

It is essential to understand that while TCM offers various herbal remedies and treatments that may support heart health, it is not a direct substitute for Western medications like Concor. TCM can potentially complement Western treatments by addressing underlying issues, improving overall well-being, and enhancing recovery. For instance, certain TCM herbs may help strengthen the heart, improve circulation, and reduce symptoms of anxiety or fatigue. However, these should not be seen as replacements but rather as adjunct therapies.

The integration of TCM and Western medicine is increasingly recognized in modern healthcare. Many practitioners advocate for a combined approach, where patients can benefit from the strengths of both systems. For your specific situation, it would be advisable to consult with a qualified TCM practitioner who can assess your condition holistically and suggest appropriate herbal treatments that may help alleviate your symptoms without interfering with your current medication.

It is crucial to maintain a gap of at least two hours between taking Western medications and TCM herbs to avoid potential interactions. This timing allows each treatment to work effectively without hindering the other. Additionally, any changes to your medication regimen should be discussed with your cardiologist or healthcare provider. Abruptly stopping or switching medications without professional guidance can lead to adverse effects or worsening of your heart condition.

In summary, while TCM can provide supportive care and may help manage symptoms, it should not replace essential Western medications like Concor, especially in cases of significant heart disease. A collaborative approach involving both TCM and Western medicine, under the guidance of qualified healthcare professionals, is likely to yield the best outcomes for your heart health. Always communicate openly with your healthcare providers about any new treatments you are considering, including herbal remedies, to ensure a safe and effective treatment plan.

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