Is Your Chinese Herbal Medicine Causing Frequent Diarrhea? - Traditional Chinese Medicine

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Diarrhea?


I have been experiencing frequent diarrhea lately, and I am wondering if it is related to the Chinese herbal medicine rhubarb that I am taking.

Zhang Lao, 20~29 year old female. Ask Date: 2015/11/08

Dr. Lin Qingzhong reply Traditional Chinese Medicine


Dear Zhang, 26 years old, male netizen: Hello, I have recently been experiencing frequent diarrhea and am unsure if it is related to my use of rhubarb in traditional Chinese medicine.
It is possible that rhubarb is the cause.
Try discontinuing its use and see if the diarrhea resolves; if it does, then we can confirm that rhubarb is the culprit.
Wishing you good health.
Dr.
Lin Qingzhong, Director of the Traditional Chinese Medicine Department at Fengyuan Hospital and Associate Professor at the General Education Center of Chung Tai University.

Reply Date: 2015/11/08

More Info


Frequent diarrhea can indeed be a concern when taking certain Chinese herbal medicines, particularly those that contain ingredients known for their laxative effects. One such ingredient is Da Huang (Rhubarb), which is commonly used in Traditional Chinese Medicine (TCM) for its purgative properties. Da Huang is often included in formulas aimed at clearing heat and resolving constipation, but it can also lead to diarrhea if taken in excess or if the individual's constitution is not suited for its use.

In TCM, Da Huang is classified as a bitter and cold herb. Its primary functions include promoting bowel movements, clearing heat, and detoxifying the body. While it can be beneficial for individuals suffering from constipation or heat-related conditions, it can also cause gastrointestinal upset, including diarrhea, especially in those with a weaker digestive system or in cases where the herb is used inappropriately.

If you are experiencing frequent diarrhea after starting a herbal regimen that includes Da Huang, it is essential to consider the following factors:
1. Dosage: The amount of Da Huang in your herbal formula may be too high for your body to handle. It's crucial to follow the dosage recommended by your healthcare provider or herbalist.

2. Individual Constitution: TCM emphasizes the importance of individual constitution. If you have a "cold" or "deficient" constitution, taking cold and bitter herbs like Da Huang may exacerbate your symptoms, leading to diarrhea.

3. Combination with Other Herbs: The overall formulation of the herbal medicine can influence its effects. Some herbs may counteract the laxative effects of Da Huang, while others may enhance them. Understanding the complete formula is essential.

4. Underlying Health Conditions: If you have pre-existing gastrointestinal issues, such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), the introduction of Da Huang may trigger or worsen your symptoms.

5. Dietary Factors: Your diet can also play a significant role in digestive health. Consuming spicy, greasy, or overly rich foods alongside herbal treatments may contribute to gastrointestinal distress.

If you suspect that Da Huang is causing your diarrhea, it is advisable to consult with a qualified TCM practitioner or healthcare provider. They can assess your symptoms, review your herbal regimen, and make necessary adjustments. This may include reducing the amount of Da Huang, substituting it with a milder herb, or providing dietary recommendations to support your digestive health.

In conclusion, while Da Huang is a powerful herb with many therapeutic benefits, it can lead to diarrhea if not used appropriately. Monitoring your body's response to herbal treatments and maintaining open communication with your healthcare provider is vital for achieving the best outcomes in your health journey.

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