Traditional Chinese Medicine: Myths and Facts Explained - Family Medicine

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Traditional Chinese Medicine (TCM)


Hello, Doctor.
I have a few questions to ask you:
1.
I often hear that traditional Chinese medicine (TCM) has milder effects compared to Western medicine, which has significant side effects and can lead to drug resistance.
Is this really the case?
2.
Someone told me that staying up late can harm the liver, especially between 11 PM and 2 AM, and that one must sleep during that time.
Is there any scientific basis for this?
3.
Should I see a Western doctor or a TCM practitioner for a cold? I've heard people say that it's better not to take medication and let the body recover on its own.
Should I seek medical treatment and take medication, or should I just wait it out until I feel better? I've had these questions in my mind for a long time and feel that hearsay is not a solution, so I specifically came to consult you.
Thank you for addressing my concerns.

qq, 20~29 year old female. Ask Date: 2002/10/28

Dr. Luo Caizhang reply Family Medicine


1.
Traditional Chinese medicine is usually a compound formula, meaning it contains multiple ingredients and types.
The presence of side effects depends on the type of medication, the dosage, and the method of administration.
2.
Abnormal liver function is typically caused by viruses, alcohol, medications, fatty liver disease, and other liver or biliary tract diseases.
While staying up late is not a necessary cause of disease, individuals with pre-existing liver dysfunction who do not get adequate rest may rely on their immune system for gradual recovery.
However, patients with severe symptoms or those with weaker immune systems will require symptomatic treatment with medication to alleviate discomfort and prevent complications.
The choice between traditional Chinese medicine and Western medicine is subjective, as many people may not take medication, and symptoms may improve over time.

Reply Date: 2002/10/28

More Info


Understanding Traditional Chinese Medicine (TCM) involves navigating a landscape filled with both myths and facts. Let's address your questions one by one to clarify some common misconceptions and provide a more nuanced understanding of TCM.

1. The Perception of TCM as Gentle and Western Medicine as Harsh: It's a common belief that TCM is inherently milder and safer than Western medicine, which is often viewed as having significant side effects and the potential for drug resistance. While it is true that TCM often employs natural herbs and holistic approaches, this does not mean it is without risks. Herbal medicines can have side effects, interact with other medications, and may not be suitable for everyone. For example, certain herbs can be toxic in high doses or when used improperly. On the other hand, Western medicine, while sometimes associated with side effects, is based on rigorous scientific research and clinical trials that help to identify and mitigate these risks. The key is to use both systems judiciously and in a complementary manner, depending on the individual patient's needs.

2. The Myth of Nighttime Sleep and Liver Health: The idea that staying up late, particularly between 11 PM and 2 AM, can harm the liver is rooted in TCM's understanding of the body's energy cycles. In TCM, each organ is believed to have specific times when it is most active. The liver is thought to be most active during the early hours of the night. While there is some scientific basis for the importance of sleep for overall health, including liver function, the specifics of TCM's timing may not align perfectly with Western medical understanding. Sleep deprivation can lead to various health issues, including metabolic disorders and increased stress levels, which can indirectly affect liver health. Therefore, maintaining a regular sleep schedule is beneficial for both TCM and Western medicine perspectives.

3. Managing Colds: TCM vs. Western Medicine: The approach to treating a cold can vary significantly between TCM and Western medicine. In TCM, the focus is often on balancing the body's energy (Qi) and addressing the underlying imbalances that may have led to the cold. This can involve herbal remedies, acupuncture, and dietary adjustments. Conversely, Western medicine typically emphasizes symptomatic relief through over-the-counter medications. The advice to "let a cold run its course" is valid; many colds are viral and self-limiting. However, if symptoms are severe or prolonged, seeking medical attention is advisable. Ultimately, the choice between TCM and Western medicine may depend on personal preference, the severity of symptoms, and individual health conditions.

In conclusion, both TCM and Western medicine have their strengths and weaknesses. TCM offers a holistic approach that can be beneficial for preventive care and chronic conditions, while Western medicine excels in acute care and emergency situations. It is essential to consider each individual's unique health situation and preferences when deciding on a treatment approach. Integrating both systems can often provide the most comprehensive care, allowing patients to benefit from the strengths of each. Always consult with qualified healthcare professionals when making decisions about your health.

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