Inquiry, Treatment Principles, and Plans in Integrative Cardiovascular Chinese Medicine

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
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