Acute Heart Failureaccording to TCM

Symptom family: Cardiac Disorders

Parent symptom: Heart Failure

What is acute heart failure?

Acute heart failure refers to the sudden onset of the heart's inability to pump blood sufficiently to meet the body's needs. This condition can arise from various underlying causes, including heart disease, high blood pressure, or cardiac abnormalities. Symptoms often include shortness of breath, swelling in the legs and ankles, and persistent coughing or wheezing. Acute heart failure requires immediate medical attention to manage symptoms and address the root cause. Without prompt treatment, this condition can result in severe health complications or even be life-threatening.

How does TCM view acute heart failure?

Traditional Chinese Medicine (TCM) approaches acute heart failure through a lens that integrates the physical symptoms with an understanding of the body's energetic balance. Unlike Western medicine, which focuses on the mechanical and biochemical dysfunctions, TCM examines heart failure as a manifestation of imbalances in vital energies — Qi, Blood, Yin, and Yang.

Identifying the specific pattern of disharmony affecting the patient is critical in TCM. This diagnosis guides the personalized treatment strategy, which may include herbal medicine, acupuncture, and dietary adjustments to restore harmony and improve cardiac function.

Causes of acute heart failure according to TCM

In Traditional Chinese Medicine, acute heart failure is often linked to the Cold Transformation of the Lesser Yin Stage of the 6 Stage Theory of Zhang Zhong Jin, which pertains to a significant Kidney Yang Deficiency. This Deficiency manifests as Empty-Cold symptoms, where there is an inadequate supply of Yang energy to warm and energize the body, particularly affecting the Heart and Kidneys.

This condition can lead to a cascade of symptoms including fatigue, feeling cold, and water retention, all of which exacerbate the heart's ability to function effectively. The concept highlights TCM’s focus on thermal balances within the body, illustrating how a Deficiency in Yang — the warming, active principle — can critically impact cardiac health.

TCM Herbal Formulas for Acute Heart Failure

To address acute heart failure, especially when associated with the Cold Transformation of the Lesser Yin Stage and Kidney Yang Deficiency, TCM recommends specific, targeted herbal formulas. Si Ni Tang, which prominently features Prepared aconite (Zhi Fu Zi), is central to treatment strategies for these conditions.

This formula is designed to intensely warm the Kidney Yang, dispel Cold, and invigorate the body's essential energies. By addressing the root cause of the Yang Deficiency and bolstering the body's warming energies, Si Ni Tang aims to restore balance and improve heart function, thus directly targeting the underlying conditions leading to heart failure. This therapeutic approach reflects the depth of TCM’s personalized and energetically aligned treatment methodologies.

See more details below about Si Ni Tang, a herbal formula used to address acute heart failure.

  • By Formula Type
  • Formulas that rescue devastated yang

TCM Herbs for Acute Heart Failure

See more details below about Prepared Aconite (Zhi Fu Zi), a herb used to address acute heart failure.

  • By Herb Category
  • Herbs that warm the interior and/or expel cold