Long-Term Use of Traditional Chinese Medicine: Potential Side Effects and Concerns - Traditional Chinese Medicine

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Issues with Long-term Use of Traditional Chinese Medicine


Hello, doctor.
I have been taking traditional Chinese medicine to help with my constipation for five years without any breaks, following the prescription provided by my physician.
The doctor recommended two packets a day, but I have been taking only one packet daily.
The prescriptions include: (Run Chang Tang, Dang Gui Yin Zi, etc.).
However, I am unsure if it is psychological, but over the past year, I have experienced the following symptoms: 1.
Anxiety (excessive worry over minor issues) 2.
Insomnia 3.
Poor memory 4.
Mental fog 5.
Continuous weight loss.
I am considering stopping the medication to see if my symptoms improve, but I am afraid of being unable to have a bowel movement.
I would like to ask the doctor if long-term use of traditional Chinese medicine could potentially cause these symptoms.
Thank you.

Pei Chen, 20~29 year old female. Ask Date: 2024/06/14

Dr. Lai Huilian reply Traditional Chinese Medicine


Dear Miss Pei-Chen,
Based on the symptoms you described, they do not appear to have a significant correlation with prolonged use of traditional Chinese medicine.
They may be more related to lifestyle stress.
It would be advisable to discuss with your physician whether any adjustments to your medication are necessary.
Additionally, if you are experiencing unintentional weight loss without any specific dieting or weight loss efforts, I recommend a comprehensive health check-up to rule out any endocrine disorders or other medical conditions.
Dr.
Lai Hui-Lian, Department of Traditional Chinese Medicine, Nantou Hospital

Reply Date: 2024/06/14

More Info


Long-term use of Traditional Chinese Medicine (TCM) can raise several concerns, particularly regarding potential side effects and the overall impact on health. In your case, having taken herbal remedies for constipation for five years without interruption, it is understandable that you are experiencing symptoms such as anxiety, insomnia, memory issues, cognitive sluggishness, and weight loss. While these symptoms may seem alarming, it is essential to approach the situation with a comprehensive understanding of TCM and its effects on the body.

Firstly, it is crucial to recognize that TCM operates on the principle of balancing the body's energies (Qi), blood, and organ functions. Herbal formulas like the ones you mentioned (e.g., Run Chang Tang and Dang Gui Yin Zi) are designed to address specific imbalances. However, prolonged use of any medication, including herbal remedies, can lead to unintended consequences. The body may become accustomed to the herbs, potentially leading to diminished efficacy over time. Moreover, if the underlying issue is not adequately addressed, symptoms may persist or even worsen.

Your reported symptoms could be influenced by various factors, including lifestyle, stress levels, and dietary habits. Chronic stress and anxiety can significantly impact physical health, leading to issues such as insomnia and cognitive difficulties. It is essential to evaluate whether these symptoms are directly related to the herbal remedies or if they stem from external stressors in your life.

Regarding the concern about stopping the herbal treatment, TCM is generally considered to have a gentler withdrawal profile compared to conventional medications like antibiotics. Stopping TCM does not typically lead to withdrawal symptoms; however, it is advisable to consult your healthcare provider before making any changes to your regimen. They can help assess your current health status and determine whether a gradual reduction in dosage or a complete cessation is appropriate.

Additionally, it is essential to monitor your body's response after stopping the herbal treatment. If you find that your constipation returns or if other symptoms worsen, it may indicate that the underlying issue requires further investigation or a different treatment approach. Regular follow-ups with your healthcare provider can help ensure that you are on the right track and that any new symptoms are addressed promptly.

In summary, while long-term use of TCM can be beneficial for managing certain conditions, it is essential to remain vigilant about potential side effects and the overall impact on your health. Open communication with your healthcare provider is vital to ensure that your treatment plan is effective and that any concerns are addressed. If you are considering stopping your herbal remedies, do so under the guidance of your healthcare provider to ensure a safe and effective transition. Remember, your health is a holistic matter, and addressing both physical and mental well-being is crucial for achieving optimal health outcomes.

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