Medication Consultation
Hello, Dr.
Yan.
I was diagnosed with interstitial cystitis three months ago and am currently undergoing treatment with Western medicine.
I am now seeking to balance my health with Traditional Chinese Medicine.
Since interstitial cystitis can be aggravated by foods or medications high in potassium, which may worsen symptoms like frequent urination and lower abdominal pain, I have a few questions:
1.
How can I determine if the Chinese herbal medicine prescribed by my practitioner contains high levels of potassium, oxalates, or ingredients that may irritate the bladder? Are there any websites or lists I can refer to?
2.
Could you please help me assess the following three herbal formulas for their potassium or oxalate content and their potential to irritate the bladder: Gui Pi Tang, Suan Zao Ren Tang, and Shen Ling Bai Zhu San?
3.
Some patients with interstitial cystitis report increased pain and frequency after consuming pork.
Would you recommend that we avoid Chinese herbal medicine altogether?
Thank you, Doctor.
Gina, 20~29 year old female. Ask Date: 2021/01/05
Dr. Yan Sumei reply Traditional Chinese Medicine
Hello Gina! Regarding whether traditional Chinese medicine is high in potassium, you can refer to the webpage https://www.cgmh.org.tw/cgmn/cgmn_file/1510071.pdf.
As for Gui Pi Decoction, Suan Zao Ren Decoction, and Shen Ling Bai Zhu San, there is currently no literature available regarding their potassium or oxalate content.
If you are experiencing increased pain and frequent urination after taking traditional Chinese medicine, it is advisable to consult a different traditional Chinese medicine practitioner or to refrain from taking it.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.
Reply Date: 2021/01/05
More Info
Interstitial cystitis (IC) is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain, which can significantly affect a person's quality of life. The management of IC often involves a multidisciplinary approach, including both Western and Traditional Chinese Medicine (TCM).
When considering TCM for the management of interstitial cystitis, it is essential to understand the principles behind TCM and how it can complement Western medical treatments. TCM views health as a balance of Yin and Yang, and it often focuses on restoring this balance through herbal remedies, acupuncture, dietary changes, and lifestyle modifications.
1. Understanding Herbal Ingredients: To determine whether the herbal formulas prescribed by your TCM practitioner contain high levels of potassium or oxalates, it is crucial to communicate openly with your practitioner. They should be able to provide you with detailed information about the ingredients in the herbal formulas. Unfortunately, there is no comprehensive online database that lists the potassium or oxalate content of all TCM herbs. However, some resources may provide general information about specific herbs. It is advisable to consult with a registered dietitian or a healthcare professional knowledgeable in both TCM and nutrition for personalized advice.
2. Specific Herbal Formulas:
- Gui Pi Tang (归脾汤): This formula is traditionally used to tonify the spleen and nourish the heart. It contains ingredients like ginseng and licorice, which are generally considered safe but may not be specifically high in potassium or oxalates. However, individual responses can vary, and it is best to consult your TCM practitioner.
- Suan Zao Ren Tang (酸枣仁汤): This formula is primarily used for calming the mind and nourishing the heart. It includes sour jujube seeds, which are not known to be high in potassium or oxalates. Again, individual tolerances should be considered.
- Shen Ling Bai Zhu San (参苓白术散): This formula is used to strengthen the spleen and resolve dampness. It typically contains ingredients like ginseng and white atractylodes, which are not known for high potassium or oxalate content.
3. Dietary Considerations: Regarding your concern about pork and its potential to exacerbate symptoms, it is essential to recognize that dietary triggers can vary significantly among individuals with IC. Some patients report that certain foods, including pork, can worsen their symptoms, while others may not experience any adverse effects. It is advisable to maintain a food diary to track your symptoms in relation to your diet. If you notice a pattern where certain foods consistently trigger your symptoms, it may be best to avoid them.
In conclusion, managing interstitial cystitis with TCM can be beneficial, but it requires careful consideration of the herbs used and their potential effects on your condition. Always communicate openly with your TCM practitioner about your concerns regarding potassium and oxalate levels in the herbs prescribed. Additionally, consider working with a healthcare professional who understands both TCM and Western medicine to create a comprehensive treatment plan tailored to your needs. Remember, the goal is to find a balance that alleviates your symptoms while promoting overall health and well-being.
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