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Dosage in TCM, little versus a lot

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I see that someone posted this article from the JCM on the use of

large and small herbal doses in clinical practice.

 

The article makes a point of suggesting that dosage can be quite

different from the classically suggested dosage. Charles Buck goes

on to say that even small doses of herbs can have a positive effect

even more so than large doses.

 

I've seen in China that quite large doses are often used, both TCM

and allopathic. Has anyone had any experience on the different use

of doses in their practices? Can small doses really be more

effective than large doses?

 

Attilio

 

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I noted that in the dosage preview of Fratkin's Chinese Herbs it is

mentioned

that the 4X a day dosage can be increased by 100 % and that instead of

every 4 hours medicines can be taken every 2 hours in the acute stage.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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There is historical precedent for both small and larger doses. The

issue is appropriate dosage for the particular case and its patterns.

 

Physicians such as Ye Tian-shi, in his case history text used

relatively small dosages and few ingredients.

 

Other physicians used large dosages and many ingredients.

 

Acute cases need stronger ingredients in larger doses. Stronger

patients need larger doses, stronger prescriptions to eliminate

repletion.

 

Chronic cases or weaker patients need to be treated for longer periods

with smaller doses, milder ingredients.

 

It is all common sense. My impression is that you are seeing the

biomedicial influence on CM in the desire to get stronger reactions in

patients (in China) with herbs, to compete with powerful pharmaceutical

drugs which appear to act more quickly and with more strength.

 

Of course, this also means potentially more side effects and toxicity.

 

It seems, in general, that Western patients are more sensitive to

herbs, and need smaller dosages.

 

 

On Apr 23, 2004, at 10:11 PM, wrote:

 

> I see that someone posted this article from the JCM on the use of

> large and small herbal doses in clinical practice.

>

> The article makes a point of suggesting that dosage can be quite

> different from the classically suggested dosage. Charles Buck goes

> on to say that even small doses of herbs can have a positive effect

> even more so than large doses.

>

> I've seen in China that quite large doses are often used, both TCM

> and allopathic. Has anyone had any experience on the different use

> of doses in their practices? Can small doses really be more

> effective than large doses?

>

> Attilio

>

> Chinese Medicine ,

> Chinese Medicine wrote:

> >

> > Hello,

> >

> > This email message is a notification to let you know that

> > a file has been uploaded to the Files area of the

> Chinese Medicine

> > group.

> >

> >   File        : /Articles/Herbal/Dosage is the secret that is

> never taught.pdf

> >   Uploaded by : chinesedoc2000 <chinesedoc@h...>

> >   Description : Dosage is the secret that is never taught

> >

> > You can access this file at the URL

> >

> >

> Chinese MedicineArti

> cles/Herbal/Dosage%20is%20the%20secret%20that%20is%20never%

> 20taught.pdf

> >

> > To learn more about file sharing for your group, please visit

> >

> > http://help./help/us/groups/files

> >

> > Regards,

> >

> > chinesedoc2000 <chinesedoc@h...>

>

>

>

> Membership requires that you do not post any commerical, swear,

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Hi Zev,

 

A doctor told me that it's the doctor that cures the patient that

gets the recognition, a natural assumption. The need for recognition

amongst doctors in China, IMO is greater than elsewhere. This I

believe affects dosage levels. Higher doses of WM and TCM are used

to cure the patient quickly. As I stated before, in some integrated

hospitals, doctors use TCM to `mop-up' the side effects of WM.

Although it may be true that Asian people can withstand higher doses.

 

I haven't seen any competition as such between WM and TCM, doctors

are fully inetegrated into both WM and TCM. Of course, doctors have

a certain slance towards either WM and TCM. OF what I've noticed,

the older generation understand TCM more and use it more whilst the

younger generation use WM more.

 

I'm really not sure if westerners are more sensitive to higher doses

of herbs, I don't have the experience to comment. Having said that

I'm currently taking a formula with a small dose of herbs that I

would normally use. It's having surprising good effects.

 

Attilio

 

" <zrosenbe@s...> wrote:

 

> It is all common sense. My impression is that you are seeing the

> biomedicial influence on CM in the desire to get stronger

reactions in

> patients (in China) with herbs, to compete with powerful

pharmaceutical

> drugs which appear to act more quickly and with more strength.

>

> Of course, this also means potentially more side effects and

toxicity.

>

> It seems, in general, that Western patients are more sensitive to

> herbs, and need smaller dosages.

>

>

> On Apr 23, 2004, at 10:11 PM, wrote:

>

> > I see that someone posted this article from the JCM on the use of

> > large and small herbal doses in clinical practice.

> >

> > The article makes a point of suggesting that dosage can be quite

> > different from the classically suggested dosage. Charles Buck

goes

> > on to say that even small doses of herbs can have a positive

effect

> > even more so than large doses.

> >

> > I've seen in China that quite large doses are often used, both

TCM

> > and allopathic. Has anyone had any experience on the different

use

> > of doses in their practices? Can small doses really be more

> > effective than large doses?

> >

> > Attilio

> >

> > Chinese Medicine ,

> > Chinese Medicine wrote:

> > >

> > > Hello,

> > >

> > > This email message is a notification to let you know that

> > > a file has been uploaded to the Files area of the

> > Chinese Medicine

> > > group.

> > >

> > > File : /Articles/Herbal/Dosage is the secret that is

> > never taught.pdf

> > > Uploaded by : chinesedoc2000 <chinesedoc@h...>

> > > Description : Dosage is the secret that is never taught

> > >

> > > You can access this file at the URL

> > >

> > >

> >

Chinese MedicineArti

> > cles/Herbal/Dosage%20is%20the%20secret%20that%20is%20never%

> > 20taught.pdf

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