Traditional Chinese Medicine Issues
Hello, Doctor.
My mother was previously diagnosed with depression and anxiety symptoms, including insomnia, loss of appetite, depression, restlessness, gastrointestinal discomfort, and constipation.
She is 63 years old, 165 cm tall, and her weight has dropped from 52 kg to 44 kg.
She has just started taking Western medication for treatment.
Recently, a friend of my mother visited and provided a prescription for us to obtain from a Chinese medicine shop: 8 grams of honeysuckle, 8 grams of gypsum, 4 grams of raw rehmannia, and 4 grams of ophiopogon, to be taken four times a day.
I would like to ask the doctor if this prescription is safe.
Today, she only took one dose and had watery stools, so I advised her not to take any more.
We went to a traditional Chinese medicine clinic, but the practitioner thought the friend wouldn't harm her and suggested trying it out.
However, I am very concerned about potential issues.
Thank you, Doctor.
elase, 60~69 year old female. Ask Date: 2019/09/16
Dr. Lü Bingcheng reply Traditional Chinese Medicine
1.
Firstly, the four herbs mentioned by the online user are cold and greasy.
Considering that your mother experienced diarrhea after taking them, it suggests that she may have a combination of spleen deficiency and cold symptoms.
It is advisable to stop the medication.
2.
According to several academic journals, the predominant constitutions in elderly patients with depression are often categorized as qi deficiency, yin deficiency, and yang deficiency.
Additionally, liver and kidney yin deficiency and liver stagnation with spleen deficiency are common patterns observed in elderly depression.
Furthermore, insomnia in the elderly is typically rooted in spleen, liver, and kidney deficiency, with phlegm-heat and food stagnation as secondary manifestations.
Treatment should focus on tonifying deficiencies and resolving excess, while balancing the yin and yang of the organs.
3.
However, each elderly individual has unique characteristics, and it is not appropriate to generalize.
Therefore, I personally recommend that your family seek a qualified professional traditional Chinese medicine practitioner for a detailed diagnosis to clarify her constitution before proceeding with targeted treatment.
In addition to the above suggestions, please encourage family members to spend time with her outdoors for relaxation, ensuring adequate sunlight exposure and physical activity to maintain mental and emotional stability.
Consistent efforts in this regard can help alleviate her physical and mental ailments and improve her overall constitution.
I hope these personal insights are beneficial to her health.
Wishing you all the best for her recovery and well-being!
Reply Date: 2019/09/16
More Info
When it comes to managing depression and anxiety, the integration of Traditional Chinese Medicine (TCM) with Western medicine can be a complex and nuanced topic. Your concerns regarding the herbal prescription provided to your mother, who is experiencing symptoms of depression and anxiety, are valid and warrant careful consideration.
Firstly, let's address the specific herbal formula your mother was given, which includes ingredients such as honeysuckle (金銀花), gypsum (石膏), raw rehmannia (生地黃), and ophiopogon (麥門冬). Each of these herbs has its own properties and potential effects on the body. For instance, honeysuckle is often used for its anti-inflammatory and cooling properties, gypsum is known for its ability to clear heat and drain fire, raw rehmannia is used to nourish the yin and replenish fluids, and ophiopogon is typically employed to moisten the lungs and nourish the heart.
However, the combination of these herbs may not be suitable for everyone, especially considering your mother's age and her current health status. The fact that she experienced diarrhea after taking just one dose suggests that her body may not tolerate this particular combination well. In TCM, the concept of "spleen deficiency" is often associated with digestive issues, and if your mother has a weak spleen, the cold and damp nature of these herbs could exacerbate her symptoms rather than alleviate them.
Given her symptoms of insomnia, lack of appetite, and significant weight loss, it is crucial to approach her treatment holistically. While TCM can offer supportive therapies, it is essential to consult with a qualified TCM practitioner who can assess her individual constitution and tailor a treatment plan accordingly. This practitioner should consider her existing medications and any potential interactions, as well as her overall health condition.
Moreover, it is important to recognize that while herbal remedies can provide benefits, they can also have side effects and interactions with Western medications. For instance, certain herbs may affect the metabolism of psychiatric medications, potentially altering their efficacy or increasing the risk of side effects. Therefore, it is vital to communicate openly with both her Western medicine provider and the TCM practitioner about all treatments being used.
In addition to herbal therapy, lifestyle modifications can also play a significant role in managing depression and anxiety. Encouraging your mother to engage in gentle physical activity, maintain a balanced diet, and practice relaxation techniques such as meditation or tai chi can be beneficial. Social support is also crucial; spending time with family and friends can help alleviate feelings of isolation and improve her overall mood.
In summary, while TCM can be a valuable adjunct to the treatment of depression and anxiety, it is essential to approach it with caution, especially in older adults with complex health issues. Consulting with a qualified TCM practitioner who can provide personalized care, along with maintaining open communication with her Western healthcare providers, will help ensure a safe and effective treatment plan. Your concerns about the herbal prescription are justified, and it may be wise to discontinue the use of the herbs that caused adverse effects and seek professional guidance for a more suitable approach to her care.
Similar Q&A
Can Traditional Chinese Medicine Help Treat Anxiety Disorders?
I would like to ask the doctor if there are traditional Chinese medicine treatments for psychological disorders in addition to Western medicine. I have undergone psychological counseling for about six months and have also seen a Western doctor. The diagnosis is anxiety disorder a...
Dr. Su Zongwei reply Psychiatry
I apologize, but I am not familiar with traditional Chinese medicine, so I cannot answer your question. However, both Western medicine and traditional Chinese medicine have potential side effects. It is important to consult with a physician and not to delay treatment due to conce...[Read More] Can Traditional Chinese Medicine Help Treat Anxiety Disorders?
Exploring Traditional Chinese Medicine for Digestive and Anxiety Issues
Hello, doctor. I would like to ask about some health issues I've been experiencing over the past six months. I often have alternating diarrhea and constipation, frequent bloating, and gastroesophageal reflux. I've also been feeling anxious and have trouble sleeping, oft...
Dr. Lü Bingcheng reply Traditional Chinese Medicine
Hello, based on what you mentioned, it seems more likely that emotional anxiety is triggering a series of physiological issues, such as disturbances in sleep, sexual function, and gastrointestinal function. If you are interested in receiving Traditional Chinese Medicine treatment...[Read More] Exploring Traditional Chinese Medicine for Digestive and Anxiety Issues
Impact of Herbal Prescription Changes on Health: A Patient's Experience
Hello Director Lin, I would like to ask a question regarding traditional Chinese medicine. I have been experiencing autonomic nervous system dysfunction accompanied by panic disorder, and I am currently receiving treatment at Hualien Tzu Chi Hospital. I have been on medication fo...
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Confused Netizen, 1. Based on your initial correspondence, your symptoms primarily indicate "autonomic nervous system dysfunction complicated by panic disorder." You seem to experience a lot of insecurity and panic in daily life, along with symptoms such as insomn...[Read More] Impact of Herbal Prescription Changes on Health: A Patient's Experience
Struggling with Anxiety and Isolation: Seeking Help for Mental Health
Hello Dr. Chen! I am a finance professional working in mainland China. Over the past three years, I have experienced significant psychological changes. I had previously visited a family medicine doctor in Taiwan for issues such as anxiety, palpitations, and autonomic nervous syst...
Dr. Chen Wenyu reply Psychiatry
Hello LISA: Based on your description of symptoms, it appears to be depression. Currently, the first-line treatment for depression is pharmacotherapy, which can be combined with psychotherapy if deemed necessary. There are many advanced medications available now with fewer side e...[Read More] Struggling with Anxiety and Isolation: Seeking Help for Mental Health
Related FAQ
(Traditional Chinese Medicine)
Insomnia(Traditional Chinese Medicine)
Palpitations(Traditional Chinese Medicine)
Medication Consultation(Traditional Chinese Medicine)
Menopausal Disorders(Traditional Chinese Medicine)
Dietary Therapy(Traditional Chinese Medicine)
Acid Reflux(Traditional Chinese Medicine)
Asthma(Traditional Chinese Medicine)
Dizziness(Traditional Chinese Medicine)
Sexual Dysfunction(Traditional Chinese Medicine)