Acupuncture and Herbal Medicine for Atrial Fibrillation: Can Traditional Chinese Medicine Offer Effective Treatment?

Traditional Chinese Medicine (TCM) has been increasingly recognized for its potential in managing atrial fibrillation (AFib), especially when used alongside conventional Western medical approaches. While TCM alone may not be sufficient for acute or severe cases, combining herbal remedies and acupuncture with standard treatments can enhance overall effectiveness and support long-term heart health.

Common TCM Treatments for Atrial Fibrillation

In the treatment of AFib, several TCM formulations have shown promise. Among the most widely used are patent medicines like Shensong Yangxin Capsules and Wenxin Granules, which are specifically designed to regulate heart rhythm and improve cardiovascular function. Additionally, classical herbal formulas such as Zhi Gancao Tang are often modified with additional herbs like Salvia miltiorrhiza (Danshen), Scrophularia ningpoensis (Xuanshen), Sophora flavescens (Kushen), Pseudostellaria heterophylla (Taizi Shen), and Rhodiola rosea (Gansong)—all of which are known for their anti-arrhythmic properties.

When Western Medicine Is Essential

Acute AFib and Initial Management

For newly diagnosed AFib or during acute episodes, Western medical interventions remain the gold standard. Procedures such as radiofrequency ablation, electrical cardioversion, or pharmacological cardioversion are typically the first line of treatment. These methods provide rapid and effective control of heart rhythm, which is crucial in preventing complications such as stroke or heart failure.

Complementary Role of TCM in Long-Term Care

Once the immediate danger has passed, TCM can play a supportive role in recovery and prevention. By improving overall constitution, reducing symptoms like fatigue and palpitations, and promoting better cardiovascular function, herbal medicine and acupuncture can help reduce the frequency and severity of AFib episodes. For patients with permanent AFib, long-term use of herbal formulations may help maintain quality of life and manage chronic symptoms effectively.

Conclusion

While Traditional Chinese Medicine should not replace conventional treatments for atrial fibrillation, especially in acute or high-risk situations, it can serve as a valuable complementary therapy. Integrating TCM into a comprehensive treatment plan may help improve symptom management, enhance well-being, and support heart rhythm stability over time.