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Long QT Syndrome

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Julie

Thanks... no that I know what it is in the western bio med terms I can think

about some herbs. Without looking back at the case ...I suppose Zhi Gan Cao

Tang ...may be considered

 

Heiko Lade

Registered Acupuncturist / Chinese Herbalist

2 Jenkins St.

Green Island, Dunedin

New Zealand

Tel: (03) 488 4086, Fax: (03) 488 4012

http://www.lade.com/heiko

Email: heiko

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  • 2 weeks later...

LQTS is " Long QT Syndrome " which means a prolonged QT interval, combined with

something called " torsade de pointes " which is an atypical rapid ventricular

tachycardia...the syndrome, if non-congenital, is usually drug-related.

 

courtesy of Dorland's

 

Julie

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Heiko, PQRST are all names of the various deflection points (indicators of

positive and negative potentials) in electrocardiography. So, there are PR

segments, ST segments, etc. Long QT interval is a rhythm disorder of the

heart.

 

Julie

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In a message dated 12/2/00 5:35:08 PM Pacific Standard Time, heiko

writes:

 

<< Without looking back at the case ...I suppose Zhi Gan Cao

Tang ...may be considered

>>

Or Sheng Mai San, or even Gui Pi Tang

 

Julie

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>Julie

>Thanks... no that I know what it is in the western bio med terms I can think

>about some herbs. Without looking back at the case ...I suppose Zhi Gan Cao

>Tang ...may be considered

>

>Heiko Lade

----

 

I'm not sure this is a conclusion I would draw. If long, (or short),

QT segments are the result of medication, adjustment of the dose is

probably the first thought. The drug is probably quinidine or a

related drug. If so, it's important to check that the patient is

taking the proper dose and at the correct intervals to avoid

toxicity. The QT segment relates to the depolarization and

repolarization of the ventricles, (ie contraction and relaxation),

and a long QT reflects the depression of this electrical activity

involved. A long QT is not something that you'd feel as an irregular

beat on the pulse, so the sense in which this is an arrhythmia is not

the same as in Chinese medicine. It may be that the medication is

being given for an arrhythmia, but you'll not know the pattern

without checking the medical record.

 

Rory

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, BoSchmidt-Ulmer@t... wrote:

> Ok, something about the history: she was loosening consciousnes since she

 

 

Is this the patients chief complaint, seizures and losing

consciousness? It would be most helpful to know what main sx the

patient now presents with in addition to the medical dx and the results

of a western test. If I missed that earlier, sorry.

 

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, BoSchmidt-Ulmer@t... wrote:

Now, last year she had theses seizures some

> more times and she was checked up new and properly: diagnosis: LQTS,

> (epilipsie was dropped) -

 

If seizures are the chief complaint, then a formula for internal wind

which also addresses the root pattern, seems most indicated. zhi gan

cao tang is mainly for palpitations and arrythmia, but it does address

the possible root of this disease (see a wind formula called san jia fu

mai tang for the remarkable similarity). While this patient is surely

vacuous after a lifetime of this disorder, chronic internal wind of

this severity is typically caused by yin xu/yang rising, possibly with

heat component. However this patient appears to have yang xu signs.

Does this indicate what Bensky calls quasi wind disorder (lei zhong

feng). I think it may be. See di huang yin zi for more about this.

It is for wind and phlegm with sudden collapse but no fire sx. Also see

wiseman entries for vacuity stroke, cold stroke, phlegm stroke, qi

stroke?

 

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, Rory Kerr <rorykerr@w...>

wrote:

 

>

> 1. You describe the patient as Kidney yang deficient - did you see

> the patient before she started the beta blockers,

 

Rory

 

good point, beta blockers seem to cause yang xu or combined yang and

yin xu - impotence is the key sx, followed by such as colitis, cold

hands and feet, tiredness, weakness, edema, joint pains, diarrhea.

 

And the syndrome it treats is usually more of fire or hyperactive

yang - high blood presure, migraine headache, agression, panic

I note now that the patient has red tongue with absent coating at

root.

Perhaps what underlies is yin essence xu. In which case we might be

back to kidney and heart nourishing, liver wind calming formulae like

zhen gan xi feng wan or tian ma gou teng yin.

 

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