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

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Long-term medication for adjusting body constitution?


Hello, doctor.
I have been experiencing hair loss and have been taking traditional Chinese medicine for nearly six months.
I would like to ask if long-term use of Chinese herbal medicine places a burden on the liver and kidneys.
Since this treatment seems to require continuous long-term use, I have this concern.
Wishing you all the best.

Mao Mao, 20~29 year old female. Ask Date: 2013/06/16

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello, Mao Mao.
Medicine can be toxic; even supplements can have adverse effects if taken by individuals with incompatible symptoms.
Therefore, if you trust your physician, please communicate openly with them to clarify any doubts.
This way, you can feel assured while taking the medication long-term, and your body can experience positive improvements.
Wishing you all the best.
Zhang Wei Dong.

Reply Date: 2013/06/16

More Info


Long-term use of Chinese herbal medicine can raise valid concerns regarding its impact on liver and kidney health, especially for individuals who are on prolonged treatment regimens. As you mentioned, you have been taking Chinese herbal medicine for hair loss for nearly six months, and it’s understandable to be cautious about potential side effects.

Chinese herbal medicine is often considered to be gentler than Western pharmaceuticals, but it is not without risks. The effects of long-term use depend on several factors, including the specific herbs used, the dosage, the duration of treatment, and the individual's overall health status, including pre-existing conditions such as liver or kidney disease.

1. Liver and Kidney Function: The liver and kidneys are crucial organs for metabolizing and excreting substances from the body. Some herbs can be hepatotoxic (toxic to the liver) or nephrotoxic (toxic to the kidneys). For instance, certain herbs like Aristolochia (which contains aristolochic acid) have been linked to kidney damage and should be avoided. However, reputable practitioners of Traditional Chinese Medicine (TCM) are generally aware of these risks and tend to avoid such herbs.
2. Monitoring and Assessment: It is essential to have regular check-ups with your healthcare provider to monitor liver and kidney function, especially if you are on long-term herbal therapy. Blood tests can help assess liver enzymes (like ALT and AST) and kidney function markers (like creatinine and BUN). If any abnormalities are detected, your practitioner may need to adjust your treatment plan.

3. Individual Variation: Each person’s response to herbal medicine can vary significantly. Factors such as age, sex, body weight, and existing health conditions can influence how your body metabolizes these herbs. Therefore, what may be safe for one individual might not be for another.

4. Herb-Drug Interactions: If you are taking other medications, it is crucial to inform your healthcare provider. Some herbs can interact with prescription medications, potentially altering their effectiveness or increasing the risk of side effects. For example, certain herbs may affect the metabolism of drugs processed by the liver, leading to either increased toxicity or reduced efficacy.

5. Consultation with Qualified Practitioners: It is advisable to work with a qualified TCM practitioner who can tailor the herbal formula to your specific needs and health conditions. They should also be aware of your medical history and any medications you are currently taking.

6. Lifestyle Considerations: In addition to herbal treatment, maintaining a healthy lifestyle can support liver and kidney health. This includes a balanced diet, regular exercise, adequate hydration, and avoiding excessive alcohol consumption and other substances that may stress these organs.

In conclusion, while long-term use of Chinese herbal medicine can be beneficial for various conditions, including hair loss, it is essential to approach it with caution. Regular monitoring of liver and kidney function, consultation with qualified practitioners, and awareness of potential herb-drug interactions are crucial steps to ensure your safety and well-being. If you have any concerns or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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