Safety Concerns of Water Buffalo Horn Powder in Traditional Chinese Medicine - Traditional Chinese Medicine

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After visiting a traditional Chinese medicine practitioner, I was prescribed a self-paid medication (water buffalo horn powder).
Although I found that it is indeed a substitute for rhinoceros horn and can be used as a medicinal product, I could not find water buffalo horn in Taiwan's Chinese medicine pharmacopoeia or the list of approved medications.
I would like to ask if there are any safety concerns regarding this? (I am unsure if it went through customs inspection upon import.) Thank you for your response!

Rachel, 20~29 year old female. Ask Date: 2022/07/25

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello, you can visit the National Online Medical Inquiry, which provides detailed explanations on efficacy, dosage, contraindications, and more.
As for the issues you mentioned regarding customs declaration or safety inspections of traditional Chinese medicine, those responsibilities fall under the purview of traditional medicine vendors and government agencies, which is beyond my knowledge scope, making it difficult for me to answer.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/25

More Info


The use of Water Buffalo Horn Powder (水牛角粉) as a substitute for rhinoceros horn in Traditional Chinese Medicine (TCM) raises several safety and regulatory concerns. While it is acknowledged that Water Buffalo Horn Powder can be used medicinally, the absence of its listing in Taiwan's pharmacopoeia or approved drug list is indeed a red flag that warrants caution.

Firstly, the safety of any herbal or traditional remedy hinges on several factors, including the source of the ingredient, the method of preparation, and the presence of contaminants. In the case of Water Buffalo Horn Powder, if it is not sourced from a reputable supplier or if it has not undergone rigorous quality control, there could be risks associated with its use. Contaminants such as heavy metals, pesticides, or other harmful substances could pose health risks, especially if the product is not properly regulated.

Moreover, the lack of documentation regarding its approval and safety profile in Taiwan suggests that there may not be sufficient clinical evidence supporting its efficacy or safety. In TCM, the use of animal-derived products like rhinoceros horn has been controversial due to ethical concerns and the potential for overharvesting endangered species. While Water Buffalo Horn is a more sustainable alternative, it is essential to ensure that it is used appropriately and that its effects are well understood.

In terms of regulatory oversight, the responsibility for ensuring the safety of traditional medicines often lies with both the manufacturers and government health authorities. In Taiwan, the Ministry of Health and Welfare oversees the regulation of traditional medicines, but if a product is not listed in the official pharmacopoeia, it may not have undergone the same level of scrutiny as approved medications. This lack of regulation can lead to variability in product quality and safety.

If you are considering using Water Buffalo Horn Powder, it is advisable to consult with a qualified healthcare professional who is knowledgeable about TCM and can provide guidance based on your specific health needs. Additionally, you may want to inquire about the sourcing and testing of the product to ensure that it meets safety standards.

In conclusion, while Water Buffalo Horn Powder may serve as a substitute for rhinoceros horn in TCM, its safety and efficacy are not guaranteed without proper regulation and oversight. It is crucial to approach its use with caution, seek professional advice, and consider the potential risks associated with unregulated herbal products. Regular monitoring of your health and any adverse reactions is also advisable, especially when using products that are not well-documented in official medical literature.

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