Evaluating the Effectiveness of a Traditional Herbal Formula for Diabetes

Diabetes formula

Consulting a pharmacist: The prescription includes 2 qian of Plantago seed, 4 qian of Angelica sinensis, 2 qian of Ligustrum lucidum, 3 qian of Schisandra chinensis, 2 qian of Aconitum carmichaelii, 2 qian of Dipsacus asperoides, 4 qian of Poria cocos, 4 qian of Codonopsis pilosula, 3 qian of Cistanche deserticola, 3 qian of Rehmannia glutinosa, 4 qian of Eclipta prostrata, 2 qian of Longan flesh, 1 tael of Turtle shell, 3 qian of Polygonatum odoratum, 3 qian of Dragon bone, 3 qian of Young deer antler, one pair of Gecko, 2 qian of Huai Zhi, 4 qian of Cynomorium songaricum, 4 qian of roasted Radix Astragali, 5 qian of Raspberry, and 5 qian of Goji berries, all ground into a powder.
It is recommended to take 1 teaspoon 2-3 times a day for about 4-5 months.
Is this prescription effective?

Wang, 60~69 year old female. Ask Date: 2005/07/03

Dr. Huang Yicheng reply Pharmacology

Traditional Chinese Medicine (TCM) treats diabetes primarily based on the symptoms presented by the patient (classified under "Xiao Ke" or "wasting-thirst syndrome"), rather than solely on blood glucose levels.
The goal is to enhance the body's cells' utilization of glucose.
There are many available herbal formulas, and some traditional herbs or formulas have been found in modern scientific studies to have certain blood glucose-lowering effects (such as Schisandra berries, Lycium berries, and Ligustrum lucidum), although these effects are generally much milder than those of Western medications.
Furthermore, the same prescription may not be suitable for everyone and should be adjusted according to the patient's constitution, including factors like cold, heat, deficiency, and excess.
Diabetes is a complex chronic metabolic disorder, and effective disease management requires a multifaceted approach that includes diet, exercise, and medication, along with rigorous blood glucose monitoring to effectively prevent or delay various acute and chronic complications.
Therefore, it is best to seek a thorough diagnosis and treatment from qualified practitioners of both Western and Traditional Chinese Medicine, and not to self-medicate.
Sincerely, Pharmacist Huang Yi-Cheng, Hualien Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/07/03

More Info

The effectiveness of traditional herbal formulas for managing diabetes has been a topic of considerable interest and research. The formula you mentioned includes a variety of herbs, each with its own potential therapeutic properties. However, it's essential to approach this subject with a balanced perspective, considering both the historical context of herbal medicine and the scientific evidence available.

Firstly, let's break down the components of the herbal formula you provided. The ingredients include herbs like 車前子 (Plantago asiatica), 當歸 (Angelica sinensis), 女貞子 (Ligustrum lucidum), and 枸杞 (Lycium barbarum), among others. Many of these herbs have been used in traditional Chinese medicine (TCM) for their purported benefits in enhancing overall health, improving circulation, and potentially aiding in blood sugar regulation.

Research has shown that some of these herbs may possess hypoglycemic effects. For instance, 枸杞 has been studied for its antioxidant properties and its potential role in glucose metabolism. Similarly, 女貞子 has been noted for its ability to improve insulin sensitivity in some studies. However, while these individual components may show promise, the effectiveness of the entire formula can vary significantly based on the specific ratios, preparation methods, and individual patient responses.

It's crucial to note that while traditional herbal remedies can complement diabetes management, they should not replace conventional treatments. Diabetes is a complex metabolic disorder that requires a multifaceted approach, including lifestyle modifications (diet and exercise), regular monitoring of blood glucose levels, and, when necessary, pharmacological interventions. The primary goal in managing diabetes is to maintain blood glucose levels within a target range to prevent complications.

Regarding the specific regimen you mentioned—taking the herbal formula 2-3 times daily for 4-5 months—it's important to consider the lack of rigorous clinical trials supporting the efficacy of this specific combination for diabetes management. While anecdotal evidence and some preliminary studies may suggest benefits, comprehensive clinical trials are necessary to establish safety, effectiveness, and appropriate dosing.

Moreover, the interaction between herbal supplements and conventional medications must be considered. Some herbs can affect the metabolism of diabetes medications, potentially leading to hypoglycemia or hyperglycemia. Therefore, it is vital for individuals considering this herbal formula to consult with healthcare professionals, including both licensed herbalists and medical doctors, to ensure a coordinated approach to their diabetes management.

In conclusion, while traditional herbal formulas may offer some benefits for managing diabetes, their effectiveness can vary widely, and they should be used as a complementary approach rather than a standalone treatment. Ongoing research is needed to better understand the potential of these herbs in diabetes care, and patients should always prioritize evidence-based practices and professional guidance in their treatment plans.

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