the Dosage and Effects of Traditional Chinese Herbal Powders - Traditional Chinese Medicine

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Traditional Chinese Medicine powder


Hello, Doctor Gao.
I bought a jar of Peach Kernel Chengqi Decoction from Shun Tian Tang, which states that adults should take it 3 to 4 times a day, with each dose being 4 grams.
However, my spoon, which is marked with Shun Tian Tang (one level spoon = 1 gram), indicates that for each dose, I should take 4 grams, which means I need to take 4 level spoons.
Is that correct? A level spoon is indeed a flat spoon, equivalent to 1 gram.

In addition to Peach Kernel Chengqi Decoction for bowel movements, what other Chinese herbs can aid in bowel regulation? Is it true that these should not be taken long-term? Do they have side effects similar to Western medications? It’s no wonder that I haven’t seen good results, as I’ve only been taking it twice a day, with each dose being only 1 gram, which is likely ineffective.
Long-term use of Peach Kernel Chengqi Decoction should not have significant side effects, especially considering my digestive system is not very good, and I sometimes experience issues, particularly with congenital constipation or irregular bowel movements.

Chen, 20~29 year old female. Ask Date: 2023/09/07

Dr. Gao Peiyi reply Traditional Chinese Medicine


Peach Kernel Chengqi Decoction is considered a relatively strong laxative in traditional Chinese medicine, and Shun Tian Tang is a leading brand.
If taking 2 level teaspoons per day is ineffective, you may try increasing to 3 level teaspoons per day.
There have been no reported side effects from long-term use.
Factors such as low intake of fruits and vegetables, insufficient water consumption, excessive sweating, lifestyle stress, and lack of exercise are more likely to be the causes of constipation, rather than poor gastrointestinal health.

Reply Date: 2023/09/07

More Info


When it comes to the use of Traditional Chinese Medicine (TCM) herbal powders, understanding the correct dosage and potential effects is crucial for safety and efficacy. In your case, you mentioned purchasing a product called 桃核承氣湯 (Peach Kernel Decoction), which is traditionally used to promote bowel movements and alleviate constipation.

Dosage Clarification
From your description, the recommended dosage on the packaging is 3-4 times a day, with each dose being 4 grams. If your measuring spoon indicates that one level spoon equals 1 gram, then you would indeed need to take 4 level spoons to achieve the recommended 4 grams per dose. Therefore, if you are currently only taking 1 gram per dose, you are significantly underdosing, which could explain why you are not experiencing the desired effects.

Effects and Mechanism
桃核承氣湯 is formulated to help with constipation by promoting bowel movements. It typically contains ingredients like 桃仁 (peach kernel), which is known for its ability to moisten the intestines and promote bowel movements. Other components may include herbs that help clear heat and resolve stagnation in the digestive tract.

Long-term Use and Side Effects
Regarding the long-term use of 桃核承氣湯, it is generally advised to be cautious with any laxative, whether herbal or pharmaceutical. While TCM herbs are often considered safer than Western medications, they can still have side effects, especially with prolonged use. Over-reliance on laxatives can lead to dependency, where the bowel becomes less responsive to natural stimuli.
In TCM, it is also important to consider the underlying cause of constipation. If your constipation is due to a deficiency (like a lack of fluids or a weak digestive system), then relying solely on a purgative formula may not be the best approach. Instead, a holistic treatment plan that includes dietary adjustments, lifestyle changes, and possibly other herbal remedies to nourish and strengthen the digestive system may be more beneficial.


Other Herbal Options for Constipation
If you are looking for other herbal options that can help with bowel movements, consider the following:
1. Senna: A well-known herb that acts as a stimulant laxative.

2. Aloe Vera: Known for its soothing properties and can help with digestion.

3. Flaxseed: High in fiber, it can help regulate bowel movements.

4. Psyllium Husk: A soluble fiber that can help bulk up stool and promote regularity.


Dietary Considerations
In addition to herbal remedies, dietary changes can significantly impact bowel health. Increasing fiber intake through fruits, vegetables, and whole grains can help promote regular bowel movements. Staying hydrated is also crucial, as adequate water intake helps soften stool.


Conclusion
In summary, it is essential to adhere to the recommended dosage for 桃核承氣湯 to achieve the desired effects. Be cautious with long-term use and consider consulting a healthcare provider or a qualified TCM practitioner to explore the underlying causes of your constipation and to develop a comprehensive treatment plan. This approach will not only address the symptoms but also support your overall digestive health.

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