Herbal, Bio-nutrient and Drug Titration According to Disease Stages in Integrative Cardiovascular Chinese Medicine: Volume 1

By Anika Niambi Al-Shura

Herbal, Bio-nutrient and Drug Titration According to Disease Stages in Integrative Cardiovascular Chinese Medicine, the first volume in the Integrative Cardiovascular Chinese Medicine series, provides a comprehensive guide to improving outcomes with cardiovascular medicine therapy options. Coverage includes the three types of medicines used in disease stage treatment, Chinese medicine, nutritional supplements and pharmaceutical drugs. All sections are organized according to drug class in western medicine and chapters in each section are organized according to disease stage, providing ease in navigation and reference within the book.

This important reference will aid cardiovascular researchers in the study of integrative Chinese and western medicine as well as provide a clear, structured base to guide clinical practice and encourage collaboration between Chinese and Western medicine practitioners.

• Integrates Western and Chinese Medicine for a realistic and complete scope of cardiology treatment, establishing the basis for standardization and rationale of inclusion of Traditional Chinese Medicine in cardiology
• Presents a structure for prescribing herbal formulas and nutritional supplements with or without pharmaceutical drugs
• Examines diet and lifestyle according to constitution in Traditional Chinese Medicine to prevent the progression of disease and/or maintain health before or after chronic stages

• Language: English
• Publisher: Academic Press
• Release date: Oct 16, 2019
• ISBN: 9780128175811

Anika Niambi Al-Shura

Dr. Anika Niambi Al-Shura is originally from Louisville, Ky, USA. She has one son, one grandson and resides in Kentucky and Florida, USA. She enjoys cultivating medicinal plants and formulating medicinal herb recipes, soap making, fine art, travelling internationally to meet people for learning new cultures and ways of living, mountain hiking and relaxing on the beach near the ocean. Dr. Al-Shura has 14 continuous years of formal education involving Traditional Chinese Medicine (TCM) clinical practice, advanced medical study, research and education between the United States, Italy and China. In 2004, her master’s degree in Oriental Medicine was earned from East West College of Natural Medicine in Florida, USA. In mainland China between 2004 and 2014, she earned hospital study, advanced scholar and specialty certificates in Chinese medicine, internal medicine and surgery and cardiology from several university affiliated hospitals. Those hospitals include Shandong University of Traditional Chinese Medicine, Shandong Provincial Hospital and Tianjin University of Traditional Chinese Medicine. Her subspecialty training in TCM is in interventional cardiology involving the catherization lab. Dr. Al-Shura earned her PhD in medical education in 2014 through the University Ambrosiana program. Her dissertation on Integrative Cardiovascular Chinese Medicine (ICCM) became her first textbook entitled, “Integrative Cardiovascular Chinese Medicine: A Personalized Medicine Perspective”. This book was one of 7 textbooks written to introduce the concepts of ICCM. All were published and released together through Elsevier Academic Press in 2014. Those textbooks are utilized for the level 1 program studies in ICCM with continuing medical education (CME) courses. Eight additional textbooks were written on the establishment and development of intermediate ICCM theories and practices. Those textbooks are utilized for the level 2 program CME studies in ICCM. Those 8 textbooks are part of the Integrative Cardiovascular Chinese Medicine series and were published and released together through Elsevier Academic Press in 2019. Dr. Al-Shura is currently a faculty member at Everglades University in Florida, where she teaches medical and healthcare course in the Bachelors of Alternative Medicine program. She also has Niambi Wellness Institute, based in Florida and Kentucky, where Integrative Cardiovascular Chinese Medicine research and work continues. It includes a natural pharmacy lab and a continuing medical education (CME) program. The natural pharmacy researches, formulates, manufactures and distributes various patented and original formulations using TCM herbs. The CME program includes TCM cardiology courses which grant credits towards NCCAOM, state medical board and state TCM board license renewals in the United States.

Book preview

Herbal, Bio-nutrient and Drug Titration According to Disease Stages in Integrative Cardiovascular Chinese Medicine

Volume 1

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

1. Traditional Chinese Medicine

A brief history of medicine, pharmacology, and formula preparation in traditional Chinese medicine

Constitutional theories

Using traditional Chinese medicines: herbal preparation and delivery types

Most common herbs used in Chinese medicine cardiology

2. Nutritional supplements

History of nutritional supplement regulation in the United States

Early government regulations

Regulations for future practices

California proposition 65

3. Pharmaceutical drugs

Ancient influence on western medicine pharmacology

Recorded Transition toward modern pharmacology

Islamic medicine

Modern history

Section I. Anti-hypertensives

4. Acute, chronic, recovery, and prevention stages

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section II. Anti-arrhythmics

5. Anti-arrhythmic Agents

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Section III. Anti-thrombotic

6. Acute, chronic, recovery and prevention stages of PVD and DVT

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section IV. Antibiotics

7. Antibiotics

Background

History and physical examination

Differential diagnosis

Clinical workup

Treatment approaches

Section V. Anti-atherosclerotics

8. Atherosclerosis: The acute, chronic, recovery and prevention stages

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section VI. Antiglycemics

9. Acute, chronic, prevention, and recovery stages

Background

History and physical examination

Clinical workup

Treatment approaches

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section VII. ACE inhibitors

10. The Chronic stage

Background

History and physical examination

Differential diagnosis

Clinical workup

Treatment approaches

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Chronic stages

Section VIII. Beta blockers

11. Acute to chronic stages

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Section IX. Calcium antagonists

12. Calcium channel blockers

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section X. Diuretics

13. Diuretics

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section XI. Nitrates

14. Nitrates

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Chronic stages

Recovery and prevention stages

Section XII. Lipid modifiers

15. Lipid modifiers

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section XIII. Positive inotropes

16. Inotropic Drugs

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

Section XIV. Vasodilators

17. Vasodilators

Background

Traditional Chinese medicine

Nutritional supplements

Pharmaceutical drugs

Acute and chronic stages

Recovery and prevention stages

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.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

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A catalogue record for this book is available from the British Library

ISBN: 978-0-12-817580-4

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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 restore health are used to make up a single formula or combination of formulations in acute, recovering, and preventive care in cardiology. Knowledge of nutritional deficiencies associated with cardiovascular symptoms helps in dietary planning over a short treatment course or a permanent lifestyle in acute, chronic, recovering, and preventive stages of care. Use of pharmaceutical drugs can assist with acute and chronic conditions where herbs and nutritional intervention is ineffective or the condition has reached a stage of no return to health restoration. Lifestyle modification that helps avoid preventable cardiovascular disorders leads to personal well-being.

Chapters in each textbook involve the latest published research from around the world that identifies agreement of theories of principles of ICCM with ongoing research and established protocols of medical science. On of the purposes of exposure of ICCM is to encourage practitioners and patient to adopt our principles when applicable to improve health outcomes and to encourage medical researchers to study our principles and publish results in internationally recognized journals. I welcome your constructive comments, suggestions, and ideas which may improve or enhance content for future editions and courses offered for learners. Please write to:

Dr. Anika Niambi Al-Shura

St. Petersburg, FL, USA

Dr. Al-Shura biography

Dr. Anika Niambi Al-Shura is originally from Louisville, Ky, USA. She has one son, one grandson, and resides in Kentucky and Florida, USA. She enjoys cultivating medicinal plants and formulating medicinal herb recipes, soapmaking, fine art, travelling internationally to meet people for learning new cultures and ways of living, mountain hiking, and relaxing on the beach near the ocean.

Dr. Al-Shura has 14 continuous years of formal education involving Traditional Chinese Medicine (TCM) clinical practice, advanced medical study, research and education between the United States, Italy, and China. In 2004, her master's degree in Oriental Medicine was earned from East West College of Natural Medicine in Florida, USA. In mainland China between 2004 and 2014, she earned hospital study, advanced scholar, and specialty certificates in Chinese medicine, internal medicine, and surgery and cardiology from several university-affiliated hospitals. Those hospitals include Shandong University of Traditional Chinese Medicine, Shandong Provincial Hospital, and Tianjin University of Traditional Chinese Medicine. Her subspecialty training in TCM is in interventional cardiology involving the catherization lab.

Dr. Al-Shura earned her PhD in medical education in 2014 through the University Ambrosiana program. Her dissertation on Integrative Cardiovascular Chinese Medicine (ICCM) became her first textbook entitled, Integrative Cardiovascular Chinese Medicine: A Personalized Medicine Perspective. This book was one of 7 textbooks written to introduce the concepts of ICCM. All were published and released together through Elsevier Academic Press in 2014. Those textbooks are utilized for the level 1 program studies in ICCM with continuing medical education (CME) courses. Eight additional textbooks were written on the establishment and development of intermediate ICCM theories and practices. Those textbooks are utilized for the level 2 program CME studies in ICCM. Those 8 textbooks are part of the Integrative Cardiovascular Chinese Medicine series and were published and released together through Elsevier Academic Press in 2019.

Dr. Al-Shura is currently a faculty member at Everglades University in Florida, where she teaches medical and healthcare course in the Bachelors of Alternative Medicine program.