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Friday, 29 November 2013

Fainting (Syncope) Treatments In TCM perspective

Fainting also known as Syncope of "black out" is defined as a condition of sudden loss of consciousness followed by the return to full wakefulness in a short duration as a result of  abnormally low blood pressure. In most cases, it is caused by hypotension, with blood pressure that's lower than 90/60 mmHg.(1). Even though Low blood pressure has mainly been regarded as good health for people who exercise, but recent studies have indicated an association with depression in elderly people. there are epidemiological evidence for an association of low blood pressure with anxiety and depression, which is not caused by cardiovascular disease.(2). In some case, severely low blood pressure can seriously impair adequate blood flow to vital organs and a life-threatening condition called shock.
Treatments 
In  Chinese medicine perspective
Depending to differentiation, some traditional Chinese TCM practitioners classify fainting (Syncope) as a result of (85)
C.1. Deficiency of the Heart yang and Kidney yang
1. Symptoms
a. Shortness of breath
b. Dizziness, occasional fainting,
c. Fatigue and weakness,
d. Tinnitus
e. Pain in the loins,
f. Aversion to cold,
g. Cold limbs,
h. Restlessness and insomnia
i. Pale thick or dark red tongue,
j. Thready,
l. Slow and uneven pulse
m. Etc.

2. Herbal treatment 
Modified prescriptions of Decoction for Protecting Primordial qi and Decoction of Ephedra, Aconite and Asarum. Prepared aconite root (Fu Zi) 6-20g, Red ginseng (Hong Seng) 10-30g, astragalus root (Huang Qi) 30g, Siberian solomonseal rhizome (Huang Jin) 30g, Cinnamon twig(Gui Zhi) 10g, Ephedra (Ma Huang) 6-12g, Asarum herb (Xi Xin) 3g, Prepared liquorice (Zhi Gan Cao) 6-30g

C.2. Deficiency of both qi and yin
1. Symptoms
a. Shortness of breath
b. Vague pain in the precordial region,
c. Dizziness
d. Blurred vision
c. Palpitation
f. Insomnia
g. Amnesia (memory loss
h. Dry mouth
i. Pale or dark red tongue with thin and white fur,
j. Slow or thready pulse
k. Etc.

2. Herbal treatment
Prescription/Formula: Modified Decoction of Prepared Licorice Prepared licorice root (Zhi Gan Cao) 30g, Dangshen (Dang Shen) 30g, Astragalus root (Huang Qi) 30g, Siberian solomonseal rhizome (Huang Jin) 30g, Dried rehmannia root Sheng Di Huang) 20g, Ophiopogon root (Mai Dong) 15g, Sesame kernel (Ma Ren)12g, Cinnamon twig (Gui Zhi) 10g, Chinese-date (Da Zao)10 pieces, Schisandra fruit (Wu Wei Zi) 10g
 

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Sources
(1) http://www.nhlbi.nih.gov/health/dci/Diseases/hyp/hyp_whatis.html  
(2) http://www.ncbi.nlm.nih.gov/pubmed/17183016
(85) http://www.healthphone.com/consump_english/a_healing_center/heart_circulation/heart_block.htm