Regarding the Chinese toon (Toona sinensis)
Hello Dr.
Yan,
My name is Ah Xiang.
Today I visited a physician regarding my lower abdominal pain.
The doctor suspected that there might be inflammation in the bladder or prostate.
I was prescribed a 7-day course of a scientific herbal powder, which includes one ingredient, Fructus Meliae, at a dosage of 1g per day, totaling 7g for the week.
After researching this herb online, I found that Fructus Meliae has mild toxicity and can have side effects on the liver, kidneys, and stomach.
Therefore, I would like to ask Dr.
Yan the following questions:
1.
Given that the doctor prescribed a 7-day supply of this medication, is there a risk of toxicity accumulating in my body?
2.
Does the transformation of Fructus Meliae into a scientific herbal powder reduce its toxicity or side effects?
3.
Is Fructus Meliae a commonly prescribed herb by traditional Chinese medicine practitioners?
I appreciate your response.
Thank you.
Axiang, 30~39 year old female. Ask Date: 2015/04/20
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear Online Friend - Ah Xiang: Hello! I am very glad to receive your letter! You found online that Melia toosendan has mild toxicity and can have side effects on the liver, kidneys, and stomach, and you have some questions about this medication.
I think your caution is commendable! If you have concerns, it is best to avoid taking this medication to prevent psychological effects from outweighing the benefits of the drug.
When you visit your traditional Chinese medicine doctor next time, please ask them not to prescribe this medication again.
The chance of accumulating toxicity from the medication taken over seven days is relatively low, so there is no need to worry too much.
The toxicity or side effects of powdered traditional Chinese medicine still exist.
Melia toosendan is considered a commonly used traditional Chinese medicine.
This is my response to you; I hope it meets your satisfaction.
Sincerely, Yan Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.
Reply Date: 2015/04/20
More Info
Hello Ah Xiang,
Thank you for your inquiry regarding the use of Chuan Lian Zi (Melia toosendan) in traditional medicine, especially in the context of your recent treatment for lower abdominal pain. I understand your concerns about the potential risks and benefits associated with this herb, and I will address your questions in detail.
1. Concerns about Toxicity and Accumulation: Chuan Lian Zi is known for its analgesic and anti-inflammatory properties, often used in traditional Chinese medicine (TCM) to treat conditions such as abdominal pain and urinary issues. However, it is true that Chuan Lian Zi contains compounds that can be toxic in high doses or with prolonged use. The recommended dosage in your case is 1g per day for seven days, which is generally considered a therapeutic dose. If taken as prescribed and for a limited duration, the risk of toxicity or accumulation in the body is minimized. However, it is essential to monitor for any adverse effects, such as gastrointestinal discomfort or changes in liver or kidney function. If you experience any unusual symptoms, it is crucial to consult your healthcare provider immediately.
2. Safety of Processed Herbal Forms: The transformation of Chuan Lian Zi into a scientifically formulated herbal powder can potentially reduce its toxicity and side effects. When herbs are processed, they are often standardized to ensure consistent potency and safety. This process can also help in removing some of the more harmful components while retaining the beneficial properties of the herb. However, it is important to note that the safety and efficacy of any herbal preparation depend on the quality of the processing and the dosage used. Always ensure that you are obtaining your herbal medications from reputable sources that adhere to safety standards.
3. Common Use in TCM: Chuan Lian Zi is indeed a commonly used herb in TCM, particularly for conditions related to damp-heat and stagnation in the liver and gallbladder. It is often included in formulas aimed at alleviating pain and inflammation. However, its use may vary depending on the practitioner's clinical judgment and the specific condition being treated. While it is a well-known herb, it is not universally prescribed for every patient, as TCM emphasizes individualized treatment based on a person's unique constitution and symptoms.
In conclusion, while Chuan Lian Zi has potential benefits for treating your condition, it is essential to use it under the guidance of a qualified healthcare professional. Always communicate openly with your practitioner about any concerns you have regarding the herbs you are taking, and do not hesitate to ask for clarification on their safety and efficacy. If you have any further questions or experience any side effects, please reach out to your healthcare provider for personalized advice.
Wishing you good health and a swift recovery!
Best regards,
Doctor Q&A Teams
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