Safe Use Of Herbs
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Recently, I responded to an article I read in an industry magazine for Pharmacists regarding the the "safe use of Chinese medicinal herbs." Since I am a licensed Pharmacist (Pharm.D.) with a post doctorate degree in Traditional Chinese Medicine, state licensed acupuncturist and herbalist and a board certified TCM medicial practitioner I felt compelled to respond. These types of articles and the issues discussed should not be the private domain of any particular group of health care professionals whether they be Pharmacists, Medical Doctors, Nurses, or research scientists, rather, they should be part of the public debate as to what is going on in the exploding market of herbal supplements. So, it is all the more reason that a general response be printed in a daily newspaper for the public at large to read.
I will attempt to set the record straight on this article as well as any other negative or inflammatory articles you may have seen in the recent past or in the future for that matter regarding the safe use of Chinese medicinal herbs.
Specifically, this article had to do with an outbreak of kidney failure caused by a particular species of Chinese herb called Guang Fang Ji (Aristolochia fangchi). This occured when Belgium physicians mistakenly prescribed Guang Fang Ji to a group of patients for weight loss purposes. Several months later they developed kidney failure.
This tragic epiosde is an example of serious misuse and abuse of medicinal herbs. The public needs to know that the toxic effects are not caused by the ingestion of herbs as they are properly prescribed by a trained practitioner but by the consumption of a toxic product for an extended period of time as a result of human error and inadequate training of the practitioner.
The original formula for dietary treatment should have contained han fang ji (Stephania tetrandra) but the formula, used for a period of more than 12 months by the pateints with renal failure, contained guang fang ji (Aristolochia fangchi) which contains the renal toxic component of aristolochic acid. It is clear from the Chinese National Pharmacopoeia that han fanj ji is from a completely different plant than guang fang ji!
The moral of this story is that Chinese medicinal herbs are safe and highly effective when prescribed by a qualified Chinese herbalist, a professional practitioner who has undergone pre-med courses and has had extensive course work in herbology culminating with a graduate degree from an accredited college which includes, I might add, a clinical internship on the use of herbs.
The general public is certainly entitled to seek out herbal information from whatever source they choose. But the prudent consumer would be wise not to ingest any herbal supplement, including Chinese medicinals without consulting a qualified practitioner. On the same token, other healthcare practitioners whos conventional training does not include medicinal herbal training should consult or refer their patients to qualified practitioners as well.
If this advice is not taken, and as these mishaps occur out of no fault of the wisdom of Chinese medicinal herbology which spans thousands of years of safe and effective practice, one by one these herbs will be banned by the FDA.
In the state of California look for Oriental Medical Practitioners or Traditional Chinese Medicine practitioners with L.Ac. (licensed acupuncturist) behind their name to denote qualification. As they are the only healthcare practitioners who are required to study herbal medicine, be examined for competency and specifically licensed to prescribe herbs. L.Ac.'s, therefore, have extensive training in TCM medical theories, herbal medicine, acupuncture, acupressure, tui-na massage, moxibustion, cupping, medical exercises, food therapy, etc.. In the state of California, TCM medical practitioners/L.Ac.'s are primary care providers and are authorized under the Labor Code to be pre-designated treating physicians.
















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