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Coronary and Peripheral Vascular Disease

Why Has Vascular Disease Become the Greatest Threat to Modern People?

Modern blood vessels have no time to rest.

Blood becomes sticky due to westernized diets (Hyperlipidemia), vessels constrict due to stress (Hypertension), and the motive force of circulation is lost due to lack of exercise.

As a result, inflammation occurs on the inner vessel walls, plaque accumulates, and Atherosclerosis begins.

Narrowed vessels suffocate the heart, causing Angina and Myocardial Infarction, block leg vessels leading to Claudication and Gangrene, and cause the aorta to lose elasticity, ballooning into an aneurysm that threatens life if it ruptures.

BM's Perspective: It is Not Just the Vessel That is Blocked.

BM Korean Internal Medicine Clinic asks, "Why did the blood vessel become sick?"

The narrowed vessel seen in imaging is just the result; the root cause lies where it is unseen.

From the perspective of Korean Medicine, vascular disease is a combined result of Blockage of Vessels by Stasis (Maengnak-eojo / 脈絡瘀阻), Qi Stagnation and Blood Stasis (Giche-hyeoleo / 氣滯血瘀), and Internal Accumulation of Phlegm-Turbidity (Damtak-naeon / 痰濁內蘊).

  • Blockage by Stasis (Maengnak-eojo): A state where debris (blood stasis) accumulates in the vascular network, blocking the flow.

  • Qi Stagnation and Blood Stasis (Giche-hyeoleo): A state where the energy (Qi) pushing the blood is blocked, causing the blood to stop as well.

  • Internal Accumulation of Phlegm-Turbidity (Damtak-naeon): A state where waste products (Phlegm-turbidity) formed due to lowered metabolism adhere to vessel walls, causing inflammation.

We look beyond the diameter of the narrowed vessel to see the turbidity of the blood flowing through it and the energy of the internal organs governing circulation.

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Atrioventricular Block (Bradyarrhythmias)

When the Heart's Gateway, the AV Node, Closes

For electrical signals to pass from the heart's upper chamber (atrium) to the lower chamber (ventricle), they must pass through a gateway called the AV Node.

This acts as a 'station' that briefly delays the signal so the ventricle can fill sufficiently with blood.

However, if this gateway narrows or blocks due to aging, ischemia (lack of blood), or inflammation, signal transmission problems arise.

  • 1st Degree Block: Signals arrive late. (Almost no symptoms)

  • 2nd Degree Block: Signals are occasionally cut off, causing the pulse to skip. (Dizziness, palpitations)

  • 3rd Degree Block: Signals are completely blocked, causing the atrium and ventricle to beat independently. (Syncope, heart failure, risk of sudden death) Particularly, Mobitz II or 3rd-degree block are dangerous conditions where the heart could stop at any moment.

BM's Perspective: Clearing Blocked Paths, Connecting Severed Pulses.

BM Korean Internal Medicine Clinic asks, "Why was the electrical signal blocked?"

While conventional medicine views fibrosis or sclerosis of the conduction system as irreversible aging, from the perspective of Korean Medicine, this is the result of Stasis of Heart Vessel (Sim-maek-eo-jo / 心脈瘀阻) and Internal Accumulation of Phlegm-Turbidity (Dam-tak-nae-on / 痰濁內蘊).

  • Stasis of Heart Vessel (Sim-maek-eo-jo): A state where blood stasis accumulates in the microvessels and conduction tissue of the heart, interfering with signal transmission.

  • Internal Accumulation of Phlegm-Turbidity (Dam-tak-nae-on): A state where waste products (Phlegm-turbidity) accumulate, hardening tissues and blocking electrical flow.

Before simply connecting the severed signal with a machine, we perform treatment that clears waste blocking the conduction system and opens the path of circulation.

Bradyarrhythmias (SA Node)

When the Heart's Conductor, the SA Node, falls Silent

Our heart has a natural conductor, the Sinoatrial Node (SA Node), which creates 60–100 electrical signals per minute.

However, as we age, if Fibrosis progresses around the SA node or blood supply is not smooth, the conductor gradually becomes exhausted.

This leads to Sinus Bradycardia, Sinus Arrest, or Tachy-Brady Syndrome, where the pulse alternates between fast and slow.

Patients experience shortness of breath even with exercise because the heart rate does not increase (Chronotropic Incompetence), and may feel dizzy or faint due to reduced blood flow to the brain.

This is not just aging; it is a crisis signal that the heart's vitality is fading.

BM's Perspective: Before the Machine Takes Over, We Must Reawaken the Heart.

BM Korean Internal Medicine Clinic asks, "Why is the SA node trying to stop?"

While conventional medicine views this as simple aging or degenerative change, from the perspective of Korean Medicine, these are typical symptoms of Heart Yang Deficiency (Sim-yang-heo / 心陽虛) and Heart Qi Deficiency (Sim-gi-heo / 心氣虛).

  • Heart Yang Deficiency (Sim-yang-heo): A state where the warm driving force that makes the heart beat has cooled down. It is like an engine that has become too cold to start easily.

  • Heart Qi Deficiency (Sim-gi-heo): A state where the driving force to pump blood to the whole body has weakened.

Before applying mechanical electrical stimulation, we prioritize treatment to revive the extinguished spark of the heart so it can beat on its own again.

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