Cardiac Diseases and TCM
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Treatment of Cardiac Diseases with Traditional Chinese Medicine References: 1. The Treatment of Cardiovascular Diseases with Chinese Medicine,
Simon Becker, Bob Flaws, Robert Casanas, MD
2. Integrative Cardiology, John Vogel, Mitchell Krucoff
copyright 2012 Tansy Briggs
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Cardiovascular System: 3 main functions � 1. Delivery of oxygen and nutrients to
organs and tissues
� 2. Removal of waste from organs and tissues
� 3. Transportation of hormones and distribution of heat around body
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Electrophysiology of the Heart � Sinoatrial (SA) node: right atrial wall – Initiates heartbeat
� Atrioventricular (AV) node: Interatrial septum – picks up SA node action and passes to AV bundle
� Atrioventricular (AV) bundle: Top of interventricular septum – picks up action from AV node and passes to bundle branches
� Bundle Branches: Inverventricular septum – picks up action and passes to conduction
� Conduction Myofibers: Ventricular Myocardium – picks up action from bundle branches and pass to ventricular mycardial cells
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TCM Disease Causes
� External Causes ◦ Wind ◦ Cold ◦ Summerheat ◦ Damp ◦ Heat and Fire ◦ Dry
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TCM Disease Causes � Internal Causes ◦ Deficiency: � Heart Qi � Heart Yang � Heart Blood � Heart and Gallbladder Deficiency � Liver and Kidney Yin Deficiency
◦ Psycho-emotional issues/Lifestyle � Qi Stagnation � Blood Stasis � Phlegm Accumulation � Heat
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TCM Herbal Therapy
� Blood Stasis Transforming Herbs � Phlegm Transforming Herbs � Cold Dispelling and Qi Moving Herbs � Calming Spirit and Orifice Opening Herbs � Supplementation and Boosting Herbs
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Cardiac Arrhythmias 5 main types
� 1. Premature beat ◦ common and mostly benign
� 2. Atrial Fibulation ◦ 2 upper atrial chambers quiver erratically: problematic: strokes
� 3. Bradycardia ◦ Slowed heartbeat: problematic: dizzy, feinting
� 4. Tachycardia ◦ Rapid heartbeat: problematic: dizzy, feinting
� 5. Ventricular Arrhythmias ◦ Ventricles go out of control stopping pumping action:
problematic: life threatening
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Clinical Signs and Symptoms
� Symptomatic: ◦ 1. Palpitations: aware of heartbeat
described as: skipping, pounding, fluttering, flip flopping, racing, sudden stopping and starting of heart beat
◦ Asymptomatic: ◦ 1. Hemodynamic: fatigue, lightheadedness,
dizzy, syncope
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TCM Patterns
� Palpitations Differentiation – see Handout
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Integrative Approaches
� Therapeutic Nutrition: Based on Metabolism of the Heart
◦ Magnesium/electrolytes ◦ CoQ10 ◦ D-Ribose ◦ L-Carnitine ◦ Essential Fatty Acids
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Integrative Approaches
� Homeopathic Medicine � Energy Medicine � Stress Management � Family and Friends Support � Supporting Western approaches:
surgeries, ablations and medications
copyright 2012 Tansy Briggs