Long-Term Consumption of Traditional Chinese Medicine (TCM): A Detailed Look at Three Outcomes and Four Changes

Long-Term Consumption of Traditional Chinese Medicine (TCM): A Detailed Look at Three Outcomes and Four ChangesZhang Auntie often says, "Traditional Chinese Medicine (TCM) is the best! I've been taking it for years, and I haven't had any major health problems!" This statement brings both relief and worry to her family. They're relieved by her good health, but concerned about the potential long-term effects of consistent TCM use

Long-Term Consumption of Traditional Chinese Medicine (TCM): A Detailed Look at Three Outcomes and Four Changes

Zhang Auntie often says, "Traditional Chinese Medicine (TCM) is the best! I've been taking it for years, and I haven't had any major health problems!" This statement brings both relief and worry to her family. They're relieved by her good health, but concerned about the potential long-term effects of consistent TCM use. Zhang Auntie, 65 years old, has been taking TCM for ten years. It started with sleep problems; a friend recommended a formula, and she continued because she felt better. This scenario is common in China, where many believe TCM is inherently harmless and suitable for long-term use. But is this truly the case? Subtle changes in Zhang Auntie's health have sparked a family discussion. This article will explore the potential outcomes and changes associated with long-term TCM use, using Zhang Auntie's case as an example, and offer scientific advice based on modern medical and TCM research. All content is based on authoritative medical information and personal opinions; some details are fictionalized for illustrative purposes only and should not be taken as prescriptive advice.

Three Potential Outcomes of Long-Term TCM Use

Outcome 1: Symptomatic Treatment and Gradual Restoration of Balance

Zhang Auntie initially took TCM to improve her sleep. The prescription included jujube seed (Suanzaoren), lily bulb (Baihe), and poria cocos (Fuling), herbs believed to nourish yin, calm the spirit, and soothe the mind. After two months, her sleep improved, and daytime fatigue lessened.

Scientific Explanation: TCM emphasizes "differentiated treatment based on syndrome differentiation," adjusting imbalances of yin and yang to restore balance. For instance, jujube seed is rich in triterpenoids, proven to have sedative effects and improve sleep. Modern medicine also acknowledges the benefits of certain TCM herbs for specific health issues.

Recommendation: Under a doctor's guidance, adjusting the TCM formula and dynamically adapting it to the individual's condition can help restore balance. However, this necessitates accurate diagnosis to avoid using a fixed formula blindly. Long-term use of any medication should always be under medical supervision.

Outcome 2: Accumulation of Herbs Leading to Increased Liver and Kidney Burden

Zhang Auntie's friend, Liu Auntie, also takes TCM, but her situation differs. Liu Auntie takes a long-term formula containing Astragalus (Huangqi) and Codonopsis (Dangshen), believing "more is better," but recent health checks revealed abnormal liver function. Her doctor suggested this might be related to long-term TCM use.

Scientific Explanation: TCM isn't entirely harmless. Some herbs, like Astragalus, Aconite root (Fuzi), and aconitum (Chuanwu), can increase the detoxification burden on the liver and kidneys when taken long-term. The liver is the body's detoxification factory; prolonged intake of herbal components, particularly heavy metals and pesticide residues, can damage liver cells. A study by the Chinese Academy of Medical Sciences indicates that long-term use of substandard TCM materials can cause drug-induced liver injury.

Recommendation: Caution is advised with long-term TCM use, especially with potent herbs. Ensure herbs are sourced from reputable suppliers to avoid long-term use of large doses of "tonic" herbs. Regular liver and kidney function tests are essential for early detection and management of potential problems.

Outcome 3: Dependence or Loss of Efficacy

Zhang Auntie tried stopping her TCM for a while, but her sleep problems returned, making her feel dependent on the medicine. Her son questioned, "Isn't TCM supposed to regulate the body? Why does it feel like an addiction?"

Scientific Explanation: TCM works gradually, but long-term use of a fixed formula can lead to adaptation and reduced efficacy. Some patients may develop psychological dependence. This isn't unique to TCM; similar situations can occur with Western medicine.

Recommendation: TCM treatment should be phased. After treatment, doctors usually recommend gradual reduction or cessation to allow the body to return to its natural state. Establishing a healthy lifestyle is crucial to addressing the root cause of health issues rather than relying solely on medication.

Four Changes Associated with Long-Term TCM Use

Change 1: Improved or Disrupted Gastrointestinal Function

Zhang Auntie's appetite and digestion improved after taking TCM, possibly due to herbs like tangerine peel (Chenpi), poria cocos (Fuling), and yam (Shanyao), which aid digestion. However, a neighbor reported bloating, heartburn, and constipation from long-term TCM use.

Scientific Explanation: TCM's impact on the gastrointestinal tract varies. Suitable formulas can regulate the spleen and stomach, but cold herbs (like Coptis (Huanglian) and gypsum (Shigao)) can damage the stomach lining, causing discomfort. A study by Shandong University suggests long-term use of cold herbs can disrupt gut microbiota balance, leading to digestive problems.

Recommendation: Consider the "cold" and "hot" properties of herbs to avoid overtaxing the gastrointestinal system. Address any gastrointestinal issues by adjusting the formula or consulting a doctor.

Change 2: Enhanced or Disrupted Immunity

Zhang Auntie attributes her infrequent colds to TCM's immune-boosting effects. Many herbs, like Astragalus and Ganoderma (Lingzhi), support immune function. However, excessive use of tonics can be counterproductive.

Scientific Explanation: TCM may improve immunity by regulating the flow of "qi" and "blood." Modern medicine shows that immunity shouldn't be excessively strong; overactive immune systems can lead to inflammation or autoimmune diseases.

Recommendation: Immune system enhancement requires moderation; tonics aren't always beneficial in large quantities. Long-term TCM use should be moderate to avoid over-supplementation. Immune regulation requires a holistic approach, including lifestyle and diet.

Change 3: Changes in Skin Condition

Zhang Auntie's skin has become smoother and more radiant. TCM links skin condition to "qi" and "blood," suggesting improved circulation can enhance skin quality. However, some experience dull skin or allergies from long-term TCM use.

Scientific Explanation: Some TCM components (like Chuanxiong and Danggui) can improve microcirculation, but unknown ingredients or impurities may cause allergies. A study by the Guangdong Provincial Drug Administration found that some herbs may contain heavy metal residues, potentially causing pigmentation issues with long-term use.

Recommendation: Prioritize high-quality herbs to avoid impurity-related health problems. Address any skin issues by consulting a doctor rather than self-medicating.

Change 4: Improved or Fluctuating Mood

Zhang Auntie reports a calmer mood after taking TCM, while a friend experiences mood swings.

Scientific Explanation: TCM, by modulating neurotransmitter levels, might improve anxiety and depression. However, incorrect dosage or incomplete effects can cause mood swings.

Recommendation: Mood issues require a comprehensive approach, combining TCM with psychological adjustment and lifestyle regulation. Seek professional help for severe mood disorders.

Conclusion and Recommendations

Zhang Auntie's experience shows that long-term TCM use offers benefits but also carries risks. TCM emphasizes "differentiated treatment based on syndrome differentiation" and individual variation. To minimize risks:

1. Take TCM under a doctor's guidance; avoid self-prescribing or using fixed formulas long-term.

2. Purchase herbs from reputable sources to avoid heavy metal contamination and impurities.

3. Monitor health regularly, especially liver and kidney function, and adjust medication accordingly.

4. Avoid blind "tonification"; choose herbs based on individual constitution, following the principle of "tonifying what is deficient and purging what is excessive."

5. Understand TCM correctly and avoid over-reliance.

• As the classic TCM text, Huangdi Neijing, states: "The harm of medicine is worse than a tiger." TCM, while beneficial, can be harmful if misused. Scientific use can make it a health aid, not a burden. This article is for informational purposes only; consult a doctor for any health concerns.

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