Impact of Herbal Prescription Changes on Health: A Patient's Experience

The impact of prescription types on the human body?

Hello Director Lin, I would like to ask a question regarding traditional Chinese medicine.
I have been experiencing autonomic nervous system dysfunction accompanied by panic disorder, and I am currently receiving treatment at Hualien Tzu Chi Hospital.
I have been on medication for a year and a half, primarily taking (Guanmai Dazao Decoction).
Later, based on the advice of the Tzu Chi Chinese medicine director, I switched to (Jiawei Xiaoyao San).
After starting this new medication, I noticed that I have been feeling short of breath and experiencing chest tightness.
Is this a side effect of changing medications, or is it possible that this type of medicine is not suitable for me? However, the Chinese medicine director strongly recommended this as a better option, so I felt I had to give it a try.

My second question is, since I have been continuously taking medication for about a year and a half, could taking too much medication actually worsen my health? I asked the Chinese medicine director about this, and he assured me that there would be no issues with taking traditional Chinese medicine.
He mentioned that some of his patients have been taking it for over ten years and are still doing well.

Lastly, I would like to express my gratitude to Director Lin for taking the time to answer my questions amidst your busy schedule.
Thank you very much.

SKY, 20~29 year old female. Ask Date: 2007/04/20

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Confused Netizen,
1.
Based on your initial correspondence, your symptoms primarily indicate "autonomic nervous system dysfunction complicated by panic disorder." You seem to experience a lot of insecurity and panic in daily life, along with symptoms such as insomnia, shortness of breath, chest tightness, and anxiety.
2.
Generally, patients with such conditions are often diagnosed with liver qi stagnation and spleen deficiency.
A commonly prescribed formula is "Jia Wei Xiao Yao San" to soothe the liver and relieve depression, improving mood.
"Gan Mai Da Zao Tang" is also a traditional Chinese medicine used for psychiatric conditions, but it is typically applied to women with mild mental symptoms.
The director of Tzu Chi's Traditional Chinese Medicine department prescribed "Jia Wei Xiao Yao San," which reflects his diagnosis and considerations.
Your symptoms of shortness of breath and chest tightness may be related to your condition of "autonomic nervous system dysfunction complicated by panic disorder," rather than the effects of changing medication.
It would be advisable to continue monitoring your symptoms and communicate with your physician.
If you remain concerned, you may consider undergoing an electrocardiogram to rule out any cardiac issues.
3.
Regarding your second question about taking traditional Chinese medicine for about a year and a half, my response is similar: it is unlikely that you are consuming too much of this type of medicine that would adversely affect your health.
If prescribed by a qualified traditional Chinese medicine practitioner, the side effects are generally minimal.
It is essential to consult a qualified practitioner to ensure safety.
4.
For managing the emotional aspects of "autonomic nervous system dysfunction complicated by panic disorder," in addition to medication, I often encourage patients to adjust their lifestyles by engaging in leisure activities, exercise, and spending time with close friends or mental health professionals to improve their condition.
Wishing you well,
Dr.
Lin Qingzhong
Director, Traditional Chinese Medicine Department
Fengyuan Hospital

Reply Date: 2007/04/20

More Info

The impact of herbal prescription changes on health can be significant, especially for patients with complex conditions such as autonomic nervous system disorders and panic attacks. In your case, you mentioned that you were initially prescribed a formula called Ganmai Dazao Tang (甘麥大棗湯), which is traditionally used to nourish the heart and calm the spirit. This formula is known for its gentle effects and is often used to address anxiety and stress-related symptoms.

However, after switching to a modified version of Xiaoyao San (加味消遙散), you experienced symptoms such as difficulty breathing and chest tightness. This reaction raises important considerations regarding the suitability of herbal formulas for individual patients. While Xiaoyao San is also used to relieve stress and promote emotional well-being, it contains different herbs that may have varying effects on the body. For instance, some components may stimulate the body in ways that could exacerbate anxiety or lead to feelings of discomfort, particularly if the patient is sensitive to certain herbs or if there is an underlying condition that makes them more reactive.

It is crucial to communicate any adverse effects you experience to your healthcare provider, especially when it comes to herbal medicine. Traditional Chinese Medicine (TCM) practitioners often adjust prescriptions based on a patient's response, so your feedback is invaluable in guiding your treatment. If you find that the new formula is causing discomfort, it may be worth discussing alternative options or adjustments with your TCM doctor.

Regarding your concern about taking herbal medicine for an extended period, it is generally accepted in TCM that many patients can safely take herbal remedies for long durations, sometimes even years, without adverse effects. However, individual responses can vary widely. Some patients may experience cumulative effects or develop sensitivities over time, which could lead to the symptoms you are experiencing. Regular follow-ups with your healthcare provider are essential to monitor your health and adjust your treatment as necessary.

In summary, while herbal medicine can be beneficial, it is essential to approach changes in prescriptions with caution and to maintain open communication with your healthcare provider. If you continue to experience discomfort or if your symptoms worsen, it may be prudent to seek a second opinion or consult with a different practitioner who can provide additional insights into your treatment plan. Your health and well-being should always be the top priority, and finding the right balance in your herbal therapy is key to achieving optimal results.

Similar Q&A

Herbal Remedies for Boosting Metabolism and Reducing Appetite: Safety and Long-term Use

Hello Doctor: Recently, I visited a Traditional Chinese Medicine clinic for weight loss, and the doctor prescribed me some medications: Guizhi Fuling Wan (4.0 grams), Sheng Di Huang (2.0 grams), Shuangjie Tongsheng San (7.0 grams), and He Ye (1.0 gram). I would like to ask if the...

Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Lisa/Netizen of 1/22, 1. Obesity is a common social issue in economically developed countries, with statistics showing that the obesity prevalence rate among the population exceeds 30%. 2. Obesity can lead to various serious health conditions, including hypertension, diabet...

Does Delaying Herbal Medicine Consumption Affect Its Efficacy?

Dear Dr. Yan, Hello, I am taking a scientific herbal medicine package. After I cut open the package with scissors, I suddenly needed to use the restroom, so I went first and returned to remember that the package had already been opened. About 10 minutes had passed, and I checked...

Dr. Yan Sumei reply Traditional Chinese Medicine
Dear online friend, Ah Xiang is very pleased to receive your letter. After opening the herbal medicine package, it can be left for about 10 minutes before consumption. As long as the medicine is not contaminated and remains in its original state, it will not affect its efficacy...

Herbal Medicine Precautions for Heart Disease and Diabetes Patients

1. Individuals with angina and diabetes should exercise caution when using traditional Chinese medicine. General dietary supplements such as Four Gods Soup, Four Substance Decoction, pork rib medicinal soup, Astragalus, and Ginseng can be acceptable, but it is essential to monito...

Dr. Ding Hanxiang reply Traditional Chinese Medicine
Hello: 1. The use of Traditional Chinese Medicine (TCM) is primarily based on an individual's constitution and symptoms, with the type of disease serving as a reference. It should not be limited to treating a specific disease with a specific medication. Regarding the issues ...

Long-Term Herbal Medicine Use: Impact on Kidney Health

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 ki...

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 bot...