Angina pectoris, typically chest pain, is a common presenting symptom among patients with coronary artery disease, caused by an imbalance between myocardial blood supply and oxygen demand. Myocardial ischemia can result from a reduction of coronary blood flow, abnormal construction of coronary vessels or a reduced oxygen carrying capacity of the blood. Causes of angina pectoris include atherosclerosis, coronary spasm and inflammatory vascular disease. A family history of the disease, cigarette smoking, diabetes mellitus, high cholesterol levels, obesity and systemic hypertension are known risk factors for this disease.
The Ayurvedic treatment of angina pectoris is aimed at relieving the symptoms, slowing the progress of the disease and reducing the possibility of future events like myocardial infarction and premature death. Medicines like Laxmi-Vilas-Ras, Shrung-Bhasma and Bruhat-Vat-Chintamani are used to treat the pain. In order to slow down the progress of the disease, atherosclerosis and hyperlipidemia have to be controlled. Medicin like Triphala-Guggulu, Medohar-Guggulu, Arogya-Vardhini, Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Pichali (Piper longum), Pichali (Piper nigrum), Vishwa (Zinziber officinalis) Guggulu (Commiphora mukul), Chitrak (Plumbago zeylanica), Psyllium (Plantago ovata), Lashuna (Allium sativum) and Kutki (Picrorrhiza kurroa) are used for this purpose.
Medicines like Sarpagandha (Rauwolfia serpentina), Jyotishmati (Celastrus panniculatus), Arjun (Terminalia Arjuna), Brahmi (Bacopa monnieri), Punarnava (Boerhaavia diffusa), Apamarga (Achyranthus aspera), Tankan (Purified borax) Khurasani Ova (Hyoscymus niger) are used to strengthen the heart muscle and control hyper tension. Medicines like Tapyadi-Loh, Ekang-Veer-Ras, Mahamanjishthadi Qadha, Chandraprabha-Vati, Saarivasav, Chandanasav, Manjishtha (Rubia cordifolia, Saariva (Hemidesmus indicus), Yashtimadhuk (Glycerrhiza glabra), Chandan (Santalum album) and Usheer (Vetiveria zizanioidis ) are used to reduce inflammation in the coronary arteries. To reduce or prevent spasm in the coronary vessels, medicines like Trayodashang-Guggulu, Vish-Tinduk-Vati, Kuchla (Strychnos nuxvomica), Vishwa, Dashmool (Ten roots), Nirgundi (Vitex) negundo), Ashwagandha (Withania somnifera) and Shatavari (Asparagus racemosus) are used.
Smoking cessation is a very important factor which can result in a significant reduction of acute adverse effects on the heart. Patients should be educated to adopt a healthy life style, stop smoking and alcohol consumption, adopt a healthy and balanced diet and increase regular physical activity. Exercise training results in improvement of symptoms, increase in the threshold of ischemia and improvement of patients' sense of well being. Yogic asanas and pranayam also help in decreasing symptoms and increasing physical and mental fitness. It is important to reduce stress. Since complications of angina pectoris include unstable angina, myocardial infarction and death, it is important that all people suffering from angina pectoris being under the regular care and supervision of a Cardiologist.