The effectiveness of traditional Chinese medicine diminishes with prolonged use?
Hello, doctor.
I have been troubled by irritable bowel syndrome (diarrhea-predominant) for many years.
In the past, I have sought treatment from Western medicine or improved my condition through diet.
I started exploring Traditional Chinese Medicine (TCM) a few months ago.
Initially, during the first three weeks of taking the medication, I experienced significant improvement (shorter bowel movement times and less frequent diarrhea).
However, after that, I suddenly had my first episode of diarrhea after dinner, and since then, I have been experiencing diarrhea almost once a week (always after meals).
I feel that the effectiveness has suddenly diminished.
I discussed this with my TCM practitioner, who mentioned that although the medication was changed, the properties are quite similar, and it might be due to my overly sensitive gastrointestinal system.
I am concerned that my body may have developed a tolerance to the medication.
The TCM practitioner advised me to stop the medication for a week and reassess.
I would like to ask why the initial effectiveness diminished over time.
Has my gastrointestinal system started to adapt (or resist) the treatment? Should I continue taking TCM? (I have been taking it for about two months now).
Thank you for your response.
Niming, 30~39 year old female. Ask Date: 2021/04/21
Dr. Yan Sumei reply Traditional Chinese Medicine
Hello, Anonymous! Please take a break for a week and see if there is any improvement.
Traditional Chinese medicine, Western medicine, as well as coffee and tea, can lead to your body gradually becoming accustomed to them.
Additionally, pay attention to your daily diet, as certain foods may be more sensitive to your gastrointestinal system and could cause reactions.
Wishing you health and peace! Best regards, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.
Reply Date: 2021/04/21
More Info
The phenomenon you are experiencing with Traditional Chinese Medicine (TCM) losing its effectiveness over time can be attributed to several factors, including the nature of your condition, the body's response to treatment, and the principles of TCM itself.
Firstly, it's important to understand that TCM operates on a holistic approach, focusing on the balance of the body's energies (Qi), the state of the organs, and the overall constitution of the individual. When you first started the treatment, your body may have been in a state where the herbal remedies were effective in restoring balance and alleviating symptoms. However, as your condition stabilizes or changes, the same treatment may not yield the same results. This is because TCM emphasizes individualized treatment, and what works initially may need to be adjusted as your body responds to the therapy.
Secondly, the concept of tolerance or adaptation can play a role. Just like with many medications, the body can adapt to certain substances over time, which may lead to a diminished response. This is not unique to TCM; it can happen with Western medications as well. In your case, if your gastrointestinal system has become accustomed to the herbal formulations, it may not respond as effectively as it did initially. This is why your TCM practitioner suggested a break from the medication to allow your body to reset and potentially regain sensitivity to the herbs.
Additionally, the nature of your condition—irritable bowel syndrome (IBS) with diarrhea—can be inherently variable. IBS is known for its fluctuating symptoms, which can be influenced by various factors such as stress, diet, and lifestyle. Even if the TCM was effective initially, external factors could contribute to the recurrence of symptoms, making it seem like the treatment has lost its efficacy.
Regarding your question about whether to continue taking TCM, it may be beneficial to follow your practitioner's advice to pause the treatment for a week. This break can help assess whether your symptoms improve without the herbs, which may indicate that your body needs a different approach or a new formulation. After the break, your TCM practitioner may suggest a different herbal combination or treatment strategy tailored to your current state.
It's also worth noting that TCM is not a one-size-fits-all solution. Continuous communication with your practitioner is essential. They can adjust your treatment based on your feedback and any changes in your symptoms. This adaptability is a key strength of TCM, allowing for personalized care that evolves with your needs.
In conclusion, the loss of effectiveness of TCM over time can be due to the body's adaptation, the nature of your condition, and the need for individualized treatment adjustments. It's crucial to maintain an open dialogue with your TCM practitioner, who can guide you through this process and help you find the most effective treatment strategy for your ongoing symptoms.
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