Treatment of Pulmonary Arterial Hypertension with Traditional Chinese Medicine

Pulmonary arterial hypertension (PAH) plays a critical role in the development of cor pulmonale, and effectively managing PAH is essential in slowing the progression of this condition. Among various treatment approaches, Traditional Chinese Medicine (TCM) has demonstrated certain therapeutic benefits. TCM treatments generally fall into two categories: external therapies and internal medicine therapies.

External Therapies for Pulmonary Arterial Hypertension

External treatment methods include acupoint injection, acupoint application, herbal steam inhalation therapy, acupuncture, cupping therapy, and electroacupuncture. These techniques aim to stimulate specific meridian points to improve circulation, reduce inflammation, and support overall cardiovascular and respiratory function.

Commonly Used Acupoints

Key acupoints often selected for treatment include Tian Tu (CV 22), Fei Shu (BL 13), Pi Shu (BL 20), Shen Shu (BL 23), and Ding Chuan (EX-B 1). These points are believed to help regulate lung function, strengthen the spleen and kidneys, and alleviate symptoms associated with PAH.

Internal Treatment with Herbal Medicine

In addition to external therapies, internal treatment with herbal decoctions is also widely used. These oral formulations are designed to inhibit vascular remodeling in the lungs, enhance immune function, and ultimately reduce pulmonary artery pressure. Commonly used herbs are selected based on individual patient symptoms and constitution, following TCM diagnostic principles.

Complementary Approach with Western Medicine

While TCM can offer supportive benefits in managing PAH, it is most effective when used in conjunction with conventional Western medical treatments. A combined approach ensures comprehensive care, helping to control symptoms, improve quality of life, and slow disease progression.