Chronic heart failure is a serious heart disease that poses significant challenges to the quality of life and prognosis of patients. Integrated traditional Chinese and Western medicine treatment, as a comprehensive and individualized treatment method, has received much attention in recent years. This article explores the treatment methods of combining traditional Chinese and Western medicine for chronic heart failure, hoping to provide useful references for individualized and comprehensive treatment of patients.
1、 Western medicine's treatment methods for chronic heart failure
(1) Classification of commonly used drugs
In Western medicine, commonly used drugs for treating chronic heart failure mainly include diuretics, angiotensin-converting enzyme inhibitors (ACEIs), etc. Diuretics reduce fluid load in the body by promoting urine excretion, alleviating edema and load dependent symptoms. ACEI inhibits angiotensin-converting enzyme, reduces angiotensin II levels, dilates blood vessels, reduces cardiac load, and improves cardiac function.
（2） Cardiac resynchronization therapy
Cardiac resynchronization therapy is a method of adjusting the ventricular contraction sequence through a pacemaker and cardiac recovery synchronization device. For patients with chronic heart failure accompanied by ventricular ectopic rhythm, interventricular septal bundle branch block, etc., this method can be used to help restore a reasonable ventricular contraction sequence, improve cardiac pumping efficiency, and enhance the patient's quality of life.
2、 Traditional Chinese Medicine's Treatment Methods for Chronic Heart Failure
(1) Analysis of Traditional Chinese Medicine Theory
Traditional Chinese Medicine believes that the heart is one of the main organs in the human body, which has the function of regulating qi and blood circulation and controlling emotions. According to traditional Chinese medicine theory, insufficient heart function and circulatory system disorders can lead to chronic heart failure. Traditional Chinese medicine emphasizes a holistic approach, improving the symptoms of chronic heart failure through methods such as balancing yin and yang, regulating qi and blood, and regulating the spleen and stomach.
（2） TCM treatment
1. Prescription treatment: Traditional traditional Chinese patent medicines and simple preparations prescriptions are widely used in the treatment of chronic heart failure. For example, Taoren Fuzheng Tang can increase coronary flow and reduce myocardial oxygen consumption; Dangshen Huangqi decoction can enhance myocardial contractility; Danggui Sini Jia Wu Zhu Zhu Jiang Tang has the effect of relaxing blood vessels and improving heart function. The efficacy mechanisms of these prescriptions include regulating heart function, enhancing the circulatory system, and improving edema.
2. acupuncture and moxibustion treatment: As an important treatment of traditional Chinese medicine, acupuncture and moxibustion has certain effect on chronic heart failure. Stimulating specific acupuncture and moxibustion points can improve heart function and relieve symptoms. For example, acupoints such as Zusanli, Guanyuan, and Chize are believed to have a protective effect on the heart and promote blood circulation. Acupuncture and moxibustion can also relax blood vessels and reduce blood pressure by adjusting the balance of autonomic nervous system.
3、 The application of integrated traditional Chinese and Western medicine in the treatment of chronic heart failure
(1) Drug combination therapy
1. Compatibility of traditional Chinese medicine and Western medicine
In the integrated traditional Chinese and Western medicine treatment, the principle of reasonable compatibility and mutual enhancement should be followed. Precautions include considering drug interactions, dosage adjustments, and the risk of adverse reactions. For example, when traditional Chinese medicine and diuretics are used in combination, it is necessary to monitor electrolyte balance and renal function; When used in combination with ACEI, it is necessary to closely monitor changes in blood pressure and renal function.
（2） Comprehensive Application of acupuncture and moxibustion and Rehabilitation Training
1. acupuncture and moxibustion: acupuncture and moxibustion can improve heart function by stimulating specific points to regulate autonomic nervous system, enhance myocardial contractility, improve microcirculation, etc. For example, the Zusanli acupoint is believed to have a protective effect on the heart, and stimulation of this acupoint can increase coronary flow and improve ventricular contractility.
2. Rehabilitation training: Rehabilitation training includes aerobic exercise, resistance training, and psychological support. Aerobic exercise such as walking and cycling can improve heart and lung function; Resistance training such as lifting dumbbells can increase muscle strength and endurance; Psychological support can help alleviate patients' anxiety and depression.
In summary, the combination of traditional Chinese and Western medicine has broad application prospects in the treatment of chronic heart failure. Drug combination therapy can fully leverage the advantages of different drugs and improve treatment efficacy. The comprehensive application of acupuncture and moxibustion and rehabilitation training can improve the heart function and promote the rehabilitation of patients. Therefore, we should actively adopt a combination of traditional Chinese and Western medicine treatment strategy, develop individualized treatment plans to achieve better clinical outcomes and improve patients' quality of life.