The taste of medication?
My daughter has been regularly visiting a large hospital for traditional Chinese medicine.
Today, the physician prescribed her Gui Pi Decoction, Wen Jing Decoction, Gui Zhi Decoction, Ejiao, and Xianhe Cao.
However, she found the taste very unpleasant tonight.
I later thought that Ejiao must be quite expensive; do hospitals usually prescribe this kind of medicine? Also, it seems that fake Ejiao can have a very foul smell.
Could it be that what she received is actually fake Ejiao? Or could it be the smell of other medications?
Emily, 40~49 year old female. Ask Date: 2017/05/06
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear Emily,
Thank you for your letter.
Among the herbs you mentioned—Gui Pi Decoction, Wen Jing Decoction, Gui Zhi Decoction, Ejiao, and Xianhecao—only Ejiao has a somewhat unique taste with a hint of fishiness.
Ejiao is available as a scientifically formulated herbal medicine, and if the hospital has it in stock, it can be prescribed.
As for whether this Ejiao is genuine or not, we cannot discuss that at this time.
Wishing you health and safety!
Sincerely,
Yen Su-mei
Department of Traditional Chinese Medicine
Nantou Hospital
Reply Date: 2017/05/06
More Info
When it comes to Traditional Chinese Medicine (TCM) for children, particularly regarding the taste and acceptance of herbal remedies, there are several factors to consider. Your daughter's experience with the herbal formulas prescribed, such as Gui Pi Tang, Wen Jing Tang, Gui Zhi Tang, Ejiao, and Xianhe Cao, is not uncommon. Many children find the taste of TCM remedies to be quite unpleasant, which can lead to reluctance in taking them.
First, it's important to understand that TCM often utilizes a variety of herbs, each with its own distinct flavor and aroma. Some of these herbs can be quite bitter or pungent, which may be off-putting for children. For instance, Ejiao (donkey-hide gelatin) is known for its rich, gelatinous texture and is often used for its nourishing properties, but its taste can vary depending on the quality and preparation. If the Ejiao is of lower quality or improperly processed, it may have an unpleasant odor, which could contribute to your daughter's negative experience.
Regarding the concern about the authenticity of the Ejiao, it is crucial to source herbal medicines from reputable practitioners or licensed pharmacies. The market for TCM can sometimes include counterfeit products, which may not only lack efficacy but could also pose health risks. Genuine Ejiao is typically odorless or has a mild, pleasant scent. If there is a strong, foul smell, it may indicate that the product is not genuine or has deteriorated.
In terms of the specific formulas prescribed, each one serves a unique purpose in TCM. For example, Gui Pi Tang is often used to tonify the spleen and nourish the heart, while Wen Jing Tang is aimed at warming the meridians and promoting blood circulation. The combination of these herbs is tailored to address your daughter's specific health needs, which a qualified TCM practitioner would have assessed through a detailed diagnosis.
To help your daughter better accept these herbal remedies, consider the following strategies:
1. Mixing with Food or Drink: While it is generally advised to take TCM with warm water, some practitioners may allow for the mixing of herbal powders with small amounts of honey, fruit juice, or warm soup to mask the taste. However, be cautious with this approach, as certain foods may interact with the herbs.
2. Encouraging Positive Associations: Help your daughter associate the remedies with positive experiences. For instance, you could create a calming ritual around taking her medicine, such as reading a story or playing soothing music.
3. Consulting the Practitioner: If the taste is a significant issue, discuss this with the TCM practitioner. They may be able to adjust the formula or suggest alternative methods of administration, such as granules or capsules, which can be easier for children to take.
4. Quality Assurance: Ensure that the herbal products being used are from reputable sources. Ask the practitioner about the quality of the herbs and whether they can provide information on their sourcing.
5. Gradual Introduction: If your daughter is particularly sensitive to taste, consider introducing the remedies gradually, allowing her to acclimate to the flavors over time.
In conclusion, while the taste of TCM can be challenging for children, it is essential to approach the situation with understanding and creativity. By working closely with a qualified TCM practitioner and exploring different methods of administration, you can help your daughter receive the benefits of her treatment while minimizing discomfort. Always prioritize quality and authenticity in the herbal products used to ensure safety and efficacy.
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