Long-Term Herbal Medicine Use: Impact on Kidney Health - Traditional Chinese Medicine

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Long-term medication use?


Hello, doctor: I would like to ask, as I have been taking traditional Chinese medicine to regulate my body for over a month now, I have heard that taking too much medication can be harmful to the kidneys.
I am unsure if long-term use of these medicines could cause damage to my kidneys.
Could you please help me with this question? I would greatly appreciate it!

A-Liang, 20~29 year old female. Ask Date: 2004/06/03

Dr. Hou Yuchang reply Traditional Chinese Medicine


Mr.
Ah-Liang: This question is difficult to answer, as I do not know what specific condition or type of discomfort you are experiencing, and more importantly, which medications you have taken.
Generally speaking, the concept that "a drug is also a poison" applies to both traditional Chinese medicine and Western medicine.
Therefore, medications should be taken under the prescription or guidance of a physician.
Additionally, there are issues related to the misuse of medications, such as mistakenly taking Drug A instead of Drug B, which can naturally lead to toxicity or discomfort.
I recommend that you take medications only as prescribed or guided by a physician and avoid trusting the efficacy of medications with unclear ingredients.
Wishing you good health.
Sincerely, Dr.
Hou Yu-Chang, Department of Traditional Chinese Medicine.

Reply Date: 2004/06/03

More Info


When it comes to the long-term use of herbal medicine and its impact on kidney health, it's essential to consider several factors, including the specific herbs being used, the dosage, the duration of use, and the individual's overall health status. While herbal medicines are often perceived as natural and safe, they can still have significant effects on the body, including the kidneys.

Firstly, it's important to recognize that not all herbal medicines are created equal. Some herbs can be beneficial for kidney health, while others may pose risks, especially with prolonged use. For instance, certain herbs like dandelion and nettle are known for their diuretic properties and can support kidney function. However, other herbs, particularly those containing high levels of oxalates or nephrotoxic compounds, can lead to kidney damage if consumed excessively or over a long period.

A common concern with long-term herbal medicine use is the potential for cumulative toxicity. Some herbs may contain compounds that can accumulate in the body and lead to adverse effects on the kidneys. For example, herbs like Aristolochia, which has been linked to kidney damage and urinary tract cancers, should be avoided. Additionally, excessive use of diuretics, whether herbal or pharmaceutical, can lead to dehydration and electrolyte imbalances, which can further strain the kidneys.

In your case, having taken herbal medicine for over a month, it's prudent to monitor your kidney health. While a month of use may not necessarily be classified as "long-term," individual responses can vary significantly. If you have any pre-existing kidney conditions or other health issues, the risk of adverse effects may be higher. Therefore, it would be wise to consult with a healthcare professional who can evaluate your specific situation, including the types of herbs you are taking, and recommend appropriate tests to assess your kidney function.

Routine blood tests, such as serum creatinine and blood urea nitrogen (BUN), along with urinalysis, can provide valuable insights into your kidney health. These tests can help detect any early signs of kidney dysfunction, such as elevated creatinine levels or the presence of protein in the urine, which may indicate kidney damage.

Moreover, if you experience any symptoms such as changes in urination, swelling in the legs or ankles, fatigue, or unexplained weight gain, you should seek medical attention promptly. These could be signs of kidney issues that require further investigation.

In summary, while herbal medicines can be beneficial, their long-term use should be approached with caution, especially concerning kidney health. Regular monitoring and open communication with your healthcare provider are key to ensuring that your herbal regimen is safe and effective. If you have concerns about the specific herbs you are taking, consider discussing them with a qualified herbalist or a healthcare professional knowledgeable in both herbal medicine and kidney health.

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