What to do if you have an irregular heartbeat? Treating the cause is crucial

The incidence of arrhythmia is currently very high, and when the disease occurs, it does great harm to the patient's health and will also hurt the patient's psychology. The important thing in treating arrhythmia is to find the cause, especially some organic heart diseases. Traditional Chinese medicine can also be chosen for treatment.

1. Eliminate the cause:

Eliminate various factors that can cause arrhythmia. People with arrhythmia should avoid smoking, drinking, and drinking strong tea and coffee. If the arrhythmia is caused by drugs, stop taking the drugs.

2. Treat the cause:

Treating the cause is the main method to cure arrhythmia. Etiological treatment includes correcting pathological changes in the heart and adjusting abnormal pathophysiological functions (such as dynamic coronary artery stenosis, pump insufficiency, changes in autonomic nervous system tone, etc.). For example, sinus tachycardia caused by hyperthyroidism will be corrected after the thyroid function returns to normal; arrhythmias mediated by myocardial ischemia in coronary heart disease will disappear if the stenosis of the arteries is relieved and the myocardium receives normal blood perfusion; atrioventricular reentrant or atrioventricular nodal reentrant tachycardia will block the redundant channels that cause reentry and the tachycardia will be terminated.

3. TCM treatment of arrhythmia

1. Weak heart yang

[Symptoms] Palpitations and shortness of breath, aggravated by movement, or sudden fainting, sweating, fatigue, pale face, or cold body and limbs. Pale tongue with white coating, weak or slow pulse

【Treatment Principle】Warming Yang and Invigorating Qi

[Prescription] Ginseng Sini Decoction (Treatise on Febrile Diseases) combined with Ling Gui Zhu Gan Decoction (Golden Chamber) with modifications. Medicinal red ginseng, processed aconite root, dried ginger, roasted licorice root, cinnamon twig, white atractylodes, poria

Add or subtract: If edema is seen, add Stephania tetrandra, Alisma orientalis, Plantago seed, Leonurus japonicus and Salvia miltiorrhiza to promote blood circulation and diuresis. If there is blood stasis, add salvia miltiorrhiza, red peony root, safflower, and fructus aurantii to promote blood circulation and remove blood stasis.

2. Deficiency of heart and kidney yang

[Symptoms] Palpitations and shortness of breath, which worsens with movement, pale complexion, cold body and limbs, sore waist and knees, dizziness and tinnitus, clear and long urination, pale tongue with white coating, slow and intermittent pulse

【Treatment principle】Warm and nourish the heart and kidney

[Prescription] Shenfu Decoction (Zhengti Leiyao) combined with Youguijiu Decoction (Jingyue Quanshu) with modifications. Medicinal ginseng, astragalus, cooked rehmannia, prepared aconite root, wolfberry, cinnamon twig, deer antler glue

Additions and subtractions: If the edema is severe, add Poria cocos, Zanthoxylum bungeanum, and Citrus grandis peel to promote diuresis and reduce swelling. If there is blood stasis, add motherwort, zelan and safflower to promote blood circulation and remove blood stasis.

3. Deficiency of both Qi and Yin

【Symptoms】Palpitations, shortness of breath, fatigue, insomnia, spontaneous sweating, night sweats, dry mouth, fever in the five parts of the body, red tongue with little fluid, weak or intermittent pulse

【Treatment principle】Yin-tonifying Qi and nourishing Yin

[Prescription] Shengmai San (from "Neiwai Shang Bian Huo Lun") and Zhigancao Tang (from "Shang Han Lun") plus or minus. Medicinal ingredients include Codonopsis pilosula, Zhigancao, Ophiopogon japonicus, Schisandra chinensis, Salvia miltiorrhiza, Dragon bone, Oyster, Radix Rehmanniae, Cinnamon bark.

Add or subtract: If blood stasis is severe, accompanied by chest tightness and pain, and ecchymosis on the tongue, add Chuanxiong, Carthami, Red Peony Root, and Dalbergia Odorifera to promote blood circulation and remove blood stasis. If there is phlegm and dampness, and the patient feels dizzy, vomits phlegm, or has chest and abdominal distension after discharge, add Trichosanthes, Pinellia, Rhizoma Anemarrhenae, and Arisaema to remove phlegm and resolve turbidity.