Managing Cerebral Vasculitis: Transitioning from Steroids to Traditional Chinese Medicine - Traditional Chinese Medicine

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Cerebral vasculitis


I suspect I have cerebral vasculitis, and high-dose corticosteroids have been very effective.
I have transitioned to oral corticosteroids, starting with 12 pills and gradually tapering down to 3.5 pills.
I am considering switching to traditional Chinese medicine to adjust my constitution after stopping the medication.
I wonder if this would be effective, as I am very concerned about a potential relapse.

Lin Fu-Fu, 50~59 year old female. Ask Date: 2018/08/04

Dr. Peng Renyuan reply Traditional Chinese Medicine


Hello, Lin Fufu: After a period of treatment with Western medicine, you can consult a trusted physician to create a plan and make adjustments to your diet, lifestyle, and medication based on your physical condition.

Reply Date: 2018/08/04

More Info


Cerebral vasculitis is a serious condition characterized by inflammation of the blood vessels in the brain, which can lead to significant neurological deficits if not managed properly. The management of cerebral vasculitis often involves the use of corticosteroids to reduce inflammation and prevent further damage. As you mentioned, transitioning from high-dose steroids to a lower oral dose is a common practice in the treatment of this condition. However, the decision to switch to Traditional Chinese Medicine (TCM) after tapering off steroids should be approached with caution and under the guidance of a healthcare professional.

Firstly, it's important to understand that while corticosteroids are effective in managing inflammation, they come with a range of side effects, especially when used at high doses or for prolonged periods. These can include weight gain, osteoporosis, increased susceptibility to infections, and mood changes, among others. Therefore, tapering off steroids is a critical step in managing your health, and it’s good to hear that you are currently at a lower dose.

Regarding the use of Traditional Chinese Medicine, many patients seek alternative therapies to help manage their conditions, especially after experiencing the side effects of conventional medications. TCM often focuses on restoring balance within the body and may include herbal remedies, acupuncture, and dietary changes. Some studies suggest that certain herbal formulations may have anti-inflammatory properties and could potentially support vascular health. However, the scientific evidence supporting the efficacy of TCM in treating cerebral vasculitis specifically is limited.

One of the primary concerns with transitioning to TCM after steroid treatment is the risk of disease recurrence. Cerebral vasculitis can be a relapsing condition, and the inflammatory processes involved may require ongoing management. If you choose to pursue TCM, it is crucial to continue monitoring your condition closely with your healthcare provider. Regular follow-ups, including imaging studies and laboratory tests, can help detect any signs of recurrence early.

Additionally, it is essential to communicate openly with your healthcare team about your desire to incorporate TCM into your treatment plan. Some herbal remedies may interact with medications or may not be advisable for someone with a history of vasculitis. Your healthcare provider can help you navigate these options safely.

In summary, while transitioning from steroids to Traditional Chinese Medicine may be appealing, it is vital to approach this change thoughtfully. Ensure that you have a comprehensive plan in place with your healthcare provider, who can help monitor your condition and guide you in making informed decisions about your treatment. It is also important to maintain a healthy lifestyle, including a balanced diet, regular exercise (as tolerated), and stress management techniques, which can all contribute positively to your overall well-being and potentially reduce the risk of recurrence. Always prioritize open communication with your healthcare team to ensure the best outcomes for your health.

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