Angina Management with Traditional Chinese Medicine: Effective Herbal Remedies for Different Stages

Angina pectoris, a symptom of coronary artery disease, can be broadly categorized into two phases: the acute attack phase and the remission phase. In traditional Chinese medicine (TCM), treatment strategies vary according to the stage of the condition. Herbal remedies are selected based on their ability to address specific symptoms and imbalances in the body during each phase.

Acute Attack Phase: Immediate Relief with Fast-Acting Herbs

During an angina attack, patients often experience chest tightness, shortness of breath, chest pain, and in severe cases, a sense of impending doom. At this stage, the priority is to provide rapid symptom relief. TCM emphasizes the principle of "treating the symptoms first in an emergency," which calls for fast-acting formulations that can quickly alleviate discomfort.

Two of the most commonly recommended remedies for acute angina are Fu Fang Dan Shen Di Wan (Compound Salvia Miltiorrhiza Dropping Pills) and Su Xiao Jiu Xin Wan (Quick-Acting Cardioprotective Pills). Fu Fang Dan Shen Di Wan typically begins to work within 5–10 minutes after sublingual administration, while Su Xiao Jiu Xin Wan acts even faster, usually within 2–3 minutes. For quicker absorption and faster relief, patients can chew the Su Xiao Jiu Xin Wan before placing it under the tongue.

Fu Fang Dan Shen Di Wan is particularly versatile, as it can be taken regularly as part of a maintenance regimen or used during acute episodes for immediate pain relief.

Remission Phase: Tailored Herbal Therapy Based on Body Constitution

During the remission phase, the focus shifts from immediate symptom relief to long-term management and prevention of future episodes. TCM practitioners customize herbal treatments based on the patient's underlying constitution and specific imbalances. Here are some common patterns and corresponding herbal recommendations:

Qi Deficiency Pattern

Patients with Qi deficiency often feel fatigued and experience weak energy flow. For these individuals, Qi Shen Yi Qi Dropping Pills or Bu Zhong Yi Qi Granules are often prescribed to replenish Qi and support cardiovascular function.

Blood Stagnation Pattern

Those with a blood stasis constitution may suffer from fixed, stabbing pain and poor circulation. In such cases, Tong Xin Luo Capsules or Xue Fu Zhu Yu Capsules are commonly used to promote blood circulation and resolve stasis, helping to prevent future angina episodes.

Phlegm-Dampness Pattern

Patients with phlegm obstruction may feel chest oppression and have a heavy sensation in the chest area. Kuan Xiong Aerosol (Chest-Relieving Aerosol Spray) is often recommended for quick relief, especially during moments of chest discomfort. This formulation helps to clear phlegm and open the chest, providing noticeable improvement in symptoms.

By combining both acute and long-term herbal strategies, Traditional Chinese Medicine offers a comprehensive and personalized approach to managing angina effectively. Always consult with a qualified TCM practitioner before starting any herbal treatment to ensure safety and appropriateness for your specific condition.