Inquiry, Treatment Principles, and Plans in Integrative Cardiovascular Chinese Medicine : Volume 5

Inquiry, Treatment Principles and Plans in Integrative Cardiovascular Chinese Medicine, volume five in the Integrative Cardiovascular Chinese Medicine series, provides the benefits of using the intake form, patient narratives and proper inquiry based on Chinese and Western medicine methods within the clinical setting to establish reliable treatment plans for cardiovascular patients. This reference is organized systematically into three sections covering questionnaires and testimony from patients, inquiry and physical examination techniques that are useful for examining cardiac patients, and specific cardiovascular symptoms in the new and returning patient, including definition of the symptom and clinical significance from Chinese and Western perspectives and treatment principles. This important reference will aid cardiovascular researchers in the study of integrative Chinese and Western medicine with its clear, structured base to guide clinical practice and encourage collaboration between Chinese and Western medicine practitioners. Guides the identification of cardiovascular disease through western medicine and TCM differential diagnosing Provides examination and inquiry techniques using both Western and TCM methods Demonstrates a tailored approach to patient interaction that is specific to cardiology Front Cover Inquiry, Treatment Principles, and Plans in Integrative Cardiovascular Chinese Medicine Inquiry, Treatment Principles, and Plans in Integrative Cardiovascular Chinese Medicine: Volume 5 Copyright In Memory Dedication Contents Preface The Development, Promotion, and Ongoing Research of Integrative Cardiovascular Chinese Medicine Dr. Al-Shura biography Other Titles by Dr. Anika Niambi Al-Shura I - Intake and narrative 1 - Intake techniques Practitioner bedside manner Initiating discussion about cardiovascular history with patients Preparing for the visit to ensure focus on the patient Establishing or reinforcing the patient–practitioner relationship Collecting information: cardiovascular patient intake form Family cardiovascular disease history “Female only” history Cardiac disease symptoms Current medications/herbal formulas and nutritional supplements Surgical history Cardiac outpatient history Managing patient care Current vitals and cardiovascular profile Personal cardiovascular history Other comorbidities Further reading 2 - Patient narrative techniques Patient preparation for clinical visits Talking to the cardiologist and traditional Chinese medicine specialist Important logs to consider when a patient creates or modifies an ADL diary Further reading II - Inquiry and examination 3 - Inquiry and examination techniques Interviewing patients and reporting useful information Consider the culture of the patient Position your body comfortably at a speaking level where the patient is sitting or standing S.O.L.E.R Establish rapport with the patient Respect patient privacy Ask open-ended questions, then listen and provide insight that leads toward a path to diagnosis Recording information from the patient diary Documenting dates Time of day Medication and dosage Meal content Activities of daily living Health Further reading III - Disorders, treatment principles & plans 4 - Chest pain Part 1: Direct symptoms Definition Etiology Genetic factors Chinese medicine factors Part 2: Inquiry and examination Cardiovascular causes: ischemia and nonischemia Pulmonary causes of chest pain Other causes of chest pain Further reading 5 - Dyspnea and orthopnea Causes Congestive heart failure and pulmonary edema Dyspnea Paroxysmal nocturnal dyspnea Orthopnea Inquiry and examination of dyspnea and orthopnea in western medicine and traditional Chinese medicine Inquiry Physical examination Diagnosis Treatment Further reading 6 - Heart palpitations Etiology Associated conditions Physiological transitions and disease manifestations Inquiry and examination of palpitations in Western medicine and traditional Chinese medicine Patient symptoms Genetic factors KCNE2 gene KCNJ2 gene KCNQ1 gene ACE gene polymorphism Physical examination Blood pressure Pulse Common Chinese pulse diagnoses Western medicine EKG: detecting evidence of arrhythmias Paroxysmal atrial fibrillation Sinus tachycardia EKG confirmations Diagnosing the root cause of heart palpitations General integrative treatments for palpitations Nutritional supplements Further reading 7 - Syncope Etiology Syncope and lifestyle Cardiac concerns Arrhythmias EKG findings Structural problems Cardiac output Cerebral concerns Neurally mediated syncope and vasovagal syncope Cerebrovascular disease Imaging Cerebral blood flow Symptoms Skin Neurological Gastrointestinal/urinary Cardiovascular Activity Environmental Inquiry and examination of syncope in western medicine and traditional Chinese medicine Inquiry Physical examination Pulses Genetic factors Diagnosing factors Further reading 8 - Edema Etiology Renal factors Cardiopulmonary factors Hepatic factors Inquiry and examination in western medicine and traditional Chinese medicine Inquiry Physical examination Symptoms of edema Location of edema Blood pressure Pulses Genetic factors Hereditary angioedema Further reading 9 - Claudication Etiology Inquiry and examination of claudication in western medicine and traditional Chinese medicine Inquiry Physical examination Gait Mounting or dismounting the exam table Blood pressure and heart rate Genetic factors Diagnosis Diagnostic tests Further reading Index Back Cover