Perspectives of Ayurveda in Integrative Cardiovascular Chinese Medicine for Patient Compliance: Volume 4

Perspectives of Ayurveda in Integrative Cardiovascular Chinese Medicine for Patient Compliance

Volume 4

Anika Niambi Al-Shura, BSc, MSOM, PhD

Niambi Wellness Institute, Integrative Cardiovascular Chinese Medicine, St. Petersburg, Florida, USA

Table of Contents

Cover image

Title page

Copyright

Dedication

Dedication

Preface

Dr. Al-Shura biography

Part I. The homeostasis of body, mind & spirit

1. The science of personal autonomy

The Shad Darshan

The five elements in traditional Chinese medicine

The five elements in Ayurvedic medicine

The tridosha

Agni fire as an aspect of the five elements

Agni and the individual self

Vatika Hrudyoga in Cardiology

Part II. Responsibility, awareness & guidance

2. Heart function and shen

Shen in Chinese medicine

Etiology of shen disturbance and pathology within six cardiovascular disease symptoms

Edema

Neurohumoral mechanisms involved in the heart failure process

3. Tridosha and pathology

Ayurveda and the body constitution

The tridosha, foundations of Ayurvedic medicine

4. Agni in digestion and life expression

Overview of heart function

Functions of agni

Expression of life: important body sites of the doshas

Subtypes of vata dosha

Subtypes of pitta dosha

Subtypes of kapha dosha

Srotamsi: meridian system in Ayurvedic medicine

Consciousness: prana, tejas, and ojas

5. Constitution and pathology

Constitutional theories in Chinese medicine

Prakruti as constitution in Ayurvedic medicine

Panchakarma

Part III. Strategies of compliant patients

6. Digestion and nutrition in ayurveda and Chinese medicine

The digestive tract in descending order

Ayurvedic medicine

Traditional Chinese medicine

7. Recovery techniques according to disease stage

Acute stage

Lipidemia/statins

Positive inotropes

Chronic stage

Arrhythmia

Common symptoms associated with taking common antiarrhythmic agents

Beta blockers

Antithrombotics

Atherosclerotics

Antiglycemics

Hypertension

Hypertension/beta blockers

Hypertension/calcium channel blockers

Diuretics

Positive inotropes

Recovery stage

Nitrates

Prevention stage

8. Utilizing the systems for benefit

Generally permissible food choices

Generally prohibited food choices

Incompatible food choices

Panchakarma: concise overview of Ayurvedic health care practices

Methods of diagnosis

Treatment methods

9. Characteristics of compliance

Acute stage

Chronic stage

Recovery stage

Prevention stage

10. Partnering with the health care team

Medical empathy

Patient compliance

Physician–patient relationship

Index

Copyright

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Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

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Dedication

In Memory

This textbook is dedicated in memory of my late parents. To Mary A Cummings (1954–2006) who passed away of heart failure and other related diseases, I am continuing to keep my promise of finding out what was wrong with you and what could have been done to prevent some of them. To my father Abdur-Rahman Qurban Al-Shura (1949–80), I followed what you advised me to do in life, and taught me to always find a way to make it happen.

Dedication

The writing of this textbook is dedicated to my son, Khaleel Shakeer Ryland, and his son, my grandson Khaleem Qurban Ryland. Your ancestors motivated me to find important solutions that may help some people in this world be relieved of suffering. May this legacy inspire and guide you to do the same in this life and to pass our ways on to future descendants.

Preface

The Development, Promotion, and Ongoing Research of Integrative Cardiovascular Chinese Medicine

Integrative Cardiovascular Chinese Medicine (ICCM) is an area of medical study, research, and education with basic medical sciences, theories, and practices. It was created by Dr. Anika Niambi Al-Shura in 2014 as part of her doctorate degree. Cardiology in Chinese Medicine first became an interest during her early years of study in Chinese hospitals in China in 2004–06. At the time Dr. Al-Shura got a great opportunity to travel to China to work and study. It had dawned on her that before her father died in 1980, he predicted that she would study sciences and travel east to do something important. Dr. Al-Shura decided that she could search for ways to improve on her skills and master's degree in Oriental Medicine education to help her mother, Mary, suffering from advancing cardiovascular diseases. Before important revelations in medicine and health care became understood in her mission, Mary passed away in her early 50s in 2006.

Dr. Al-Shura continued her study and went on to hospital research in China between 2006 and 2014. She was recycling what her father had predicted directly to her word for word, realizing it may have been bigger than finding ways to only help her mother. Realizing that her father's prediction seemed to be coming true, she used this period to learn and think about how she could have been able to care for Mary and possibly relieved or cured certain cardiovascular disorders had she survived. It became apparent that Mary's ignored genetic predispositions, lifestyle, and practitioner racial/cultural profiling assumptions about prescribing, maintaining, and prolonging pharmaceutical drug use, and without access to gold star therapies even though the means to afford such therapies were available, were contributors to her advancing condition. Consideration and empathy for these factors from her health-care team and a careful analysis of the condition early on, the method of combining herbal therapy, nutrition, and pharmaceutical drug therapy, had this method been available at the time, may have had a positive impact.

Today, Dr. Al-Shura's work in developing her subject of ICCM is partially in memory of her mother who lived before the dawning of the integrative medicine era.

Health-care practitioners, cardiovascular patients, and the public who study from the textbooks in the Integrative Cardiovascular Chinese Medicine series should note the basic medical sciences, theories, and practices which revolve throughout the textbooks, making it necessary to read them first in order then randomly several times. The reader who studies among the integrative cardiovascular Chinese medicine series embarks on a leg of the life journey, discovering what small and significant accomplishments one may achieve in their own well-being.

Themes which can be found in the textbooks throughout the series are as follows:

1. ICCM acknowledges and integrates the history of the ancient and modern medicine perspectives from cultures around the world. Science and medicine was shared and preserved on some continents while being destroyed or lost on others.

2. ICCM establishes the belief that the human body can be explained through static scientific explanations of anatomy and physiological mechanisms and actions and through dynamic perspectives which brings people together in common and makes each person unique. Personalizing medicine can put analysis and insight into focus and tailor treatment more effectively.

3. ICCM acknowledges that patient autonomy and responsibility is a necessary and primary factor in health and well-being. Patients must enter the health care arena with a clear intention to heal and a detailed narrative that assists in that purpose. They must partner with providers in compliance with what is required to assist health restoration.

4. ICCM establishes the belief in practitioner empathy and the ability to listen, teach, and guide patients. Also, the ability to discern when utilizing one or more than one system of medicine to help a patient who also helps themselves heal.

5. ICCM considers the etiology of diseases as dynamic as the constant changes in modern and urban life.

6. ICCM considers genetic information as crucial as the patient family and personal history. Physical exam and diagnostic methods should involve routine practices of more than one system of medicine.

7. ICCM considers genetic information, innate and seasonal adaptions in body constitution are as crucial as the patient family and personal history. Certain key factors in a patient's health-care profile make a significant difference when choosing a herbal formula, nutritional supplement, and pharmaceutical drugs singly or in combination in therapy.

8. ICCM establishes the belief that knowledge of herbal constituents in herbs that combine to swiftly