Guest guest Posted December 27, 2004 Report Share Posted December 27, 2004 , @e... wrote: > I am worried about this development because this case is almost certain > to get get high profiling by the opponents of herbal medicine, and > because it must sow doubts in the minds of many herbalists, who must > ask themselves: > > Can we trust OUR suppliers of herbal formulas to be 100% above board > on their labeling, or are WE sure that what we prescribe is EXACTLY as > it says on the label? gosh, I'm so surprised. We had all pretty much agreed here 5 years ago that PC spes was an unlabeled drug. Perhaps the dated posts from the CHA archive could be used as some evidence of our innocence and outrage in this matter. As far as I know, no other TCM forum, journal or newspaper ever picked up this story, which makes us lookpretty bad indeed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2004 Report Share Posted December 27, 2004 Hi All, Attilio & Sammy (TCM List) flagged the decision of the court case against Dr. Chen and her associates (and others involved in promoting PC-SPES). Here are two excerpts from the PSA Rising pages: Dr. Sophie Chen Pleads No Contest, Company Pays More Than Half Million Dollars For Lacing Supplements: .... The Chens, Wang and IMR, Inc have been fined a total of $510 thousand. They now face class action and catastrophic personal injury law suits from prostate cancer patients and others who allege that BotanicLab's bogus herbal supplements caused death, addiction and bodily harm. ... In yesterday's plea bargain the trio pleaded no contest to a single felony -- actual knowledge of " serious concealed danger. " After FDA tests proved that PC-SPES and other BotanicLab products were spiked with warfarin, Xanax and other prescription drugs, Chen and her associates knowingly failed to inform public authorities of a hazard carrying " imminent risk of great bodily harm or death. " Penal Code section 387 (the California Corporate Criminal Liability Act of 1989) requires businesses to provide public authorities with prompt notice of concealed dangers in products so that the public will be made aware. Companies are required to make this notification within 15 days after the actual knowledge is acquired, or if there is imminent risk of great bodily harm or death, immediately. After the Federal Drug Administration notified BotanicLab on Jan 20, 2002 of dangerous hazards concealed in their products, the company sat on this information and denied it on their website. Sophie Chen told PSA Rising July 14 2001 that all her products were pure herbs and, if not, any " contamination " occurred in China beyond the reach of her quality control measures. But in January 2002 California health officials found the anti-anxiety drug Xanax (alprazolam) in SPES, a supplement labeled and sold as a pure herbal mixture. They found the blood-thinner Coumadin (warfarin) in PC-SPES. Other drugs hidden in BotanicLab's " herbal " products include the pain killer Indomethacin and two estrogens, estradiol and DES (diethylstilbestrol), which is banned in the USA as a cancer-causing agent. For more details see: http://psa-rising.com/pcspes/pleabargaindec182003.html IMO, the implications for herbalists of this finding, and especially if the subsequent Class Action case succeeds, are extremely serious. Modern WWW technology allows anyone with basic literacy and a website to post whatever comments or claims they may have on a medical Tx, herbal or otherwise. he search engines can locate similar hits very easil;y, allowing any lawyers who wish to drum up business to locate patients who may have adverse reactions to a prescribed Tx (say a herbal product). This will allow class actions in an unprecedented scale in the future. The Chen case shows the danger of using formulas from sources that are not 100% above board. Apparently, the adulteration of PC-SPES was not done in USA, but at the manufacturing end. The Chen's maintain that they did NOT know that the product was adulterated until they were informed of that by FDA. I am worried about this development because this case is almost certain to get get high profiling by the opponents of herbal medicine, and because it must sow doubts in the minds of many herbalists, who must ask themselves: Can we trust OUR suppliers of herbal formulas to be 100% above board on their labeling, or are WE sure that what we prescribe is EXACTLY as it says on the label? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2004 Report Share Posted December 27, 2004 Hi Phil and Sammy, Do I trust the patents or raw herbs for that matter, that come out from China. Of course not! After having spent 6 months in China, I question everything that comes out of there. The quality of food, water and air is seriously below standard, so what about the herbs? I raised the point of the quality of raw herbs coming out of China some time ago and got a silent smack-in-the-face back. I really wonder the amount of pesticides that are on the raw herbs, let along what's in the patents. Its a shame that someone doesn't right an expose on the quality of raw herbs and patents coming out of China. TCM practitioners need to know which companies to trust and which ones to avoid. If we are gonna start naming herbal suppliers, I only use Mayway. Kind regards Attilio D'Alberto Doctor of (Beijing, China) BSc (Hons) TCM MATCM 07786198900 attiliodalberto <http://www.attiliodalberto.com/> www.attiliodalberto.com [] 27 December 2004 17:16 Chinese Medicine ; Traditional Chinese Herbal Medicine Cc: vbma PC-SPES Court Finding: Implications for herbalists and suppliers? Can we trust OUR suppliers of herbal formulas to be 100% above board on their labeling, or are WE sure that what we prescribe is EXACTLY as it says on the label? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2004 Report Share Posted December 28, 2004 Hi Attilio, One of my Chinese lecturers informed me upon returning from a conference in PRC circa 2003 that a recently completed officeal government survey of raw herb quality testing revealed that over 60% of the raw herbs in China were below " acceptable quality " . Note this is acceptable quality (whatever that is and we can be pretty sure it would be lower than here), not high quality!! The Chinese government is very aware of the problem of pesticide, herbacide use in herb growing as well as the more subtle aspects of climate and time of picking/processing etc. and is trying to improve the situation. The theory goes that the west gets all the best raw herbs due to better prices obtained by selling to the international market, and this may be so. However, I have also spent time in China and have doubts about the quality of anything that comes from there. It is for this reason I do not use raw herbs in my practice and only use herbal extracts from GMP approved companies which are frequently audited. Even this is no guarantee of quality or safety, but it beats looking at and smelling a raw herb and deluding oneself the quality of production and possibility of contamination can be determined by any human senses. Best Wishes, Steve On 28/12/2004, at 5:20 AM, Attilio D'Alberto wrote: > > Hi Phil and Sammy, > > Do I trust the patents or raw herbs for that matter, that come out from > China. Of course not! > > After having spent 6 months in China, I question everything that comes > out > of there. The quality of food, water and air is seriously below > standard, so > what about the herbs? I raised the point of the quality of raw herbs > coming > out of China some time ago and got a silent smack-in-the-face back. I > really > wonder the amount of pesticides that are on the raw herbs, let along > what's > in the patents. > > Its a shame that someone doesn't right an expose on the quality of raw > herbs > and patents coming out of China. TCM practitioners need to know which > companies to trust and which ones to avoid. If we are gonna start > naming > herbal suppliers, I only use Mayway. > > Kind regards > > Attilio D'Alberto > Doctor of (Beijing, China) > BSc (Hons) TCM MATCM > 07786198900 > attiliodalberto > <http://www.attiliodalberto.com/> www.attiliodalberto.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2004 Report Share Posted December 28, 2004 Phil, The quote you mention was published on PSA Rising one day before the Press Release from Chen's lawyer. The latter puts a much more balanced view I believe. Considering there have been NO class action suits in the YEAR since the PR was published, it more or less speaks for itself. Sammy. ----- Original Message ----- Chinese Medicine ; Traditional Chinese Herbal Medicine Cc: vbma Monday, December 27, 2004 5:15 PM PC-SPES Court Finding: Implications for herbalists and suppliers? Hi All, Attilio & Sammy (TCM List) flagged the decision of the court case against Dr. Chen and her associates (and others involved in promoting PC-SPES). Here are two excerpts from the PSA Rising pages: Dr. Sophie Chen Pleads No Contest, Company Pays More Than Half Million Dollars For Lacing Supplements: ... The Chens, Wang and IMR, Inc have been fined a total of $510 thousand. They now face class action and catastrophic personal injury law suits from prostate cancer patients and others who allege that BotanicLab's bogus herbal supplements caused death, addiction and bodily harm. ... In yesterday's plea bargain the trio pleaded no contest to a single felony -- actual knowledge of " serious concealed danger. " After FDA tests proved that PC-SPES and other BotanicLab products were spiked with warfarin, Xanax and other prescription drugs, Chen and her associates knowingly failed to inform public authorities of a hazard carrying " imminent risk of great bodily harm or death. " Penal Code section 387 (the California Corporate Criminal Liability Act of 1989) requires businesses to provide public authorities with prompt notice of concealed dangers in products so that the public will be made aware. Companies are required to make this notification within 15 days after the actual knowledge is acquired, or if there is imminent risk of great bodily harm or death, immediately. After the Federal Drug Administration notified BotanicLab on Jan 20, 2002 of dangerous hazards concealed in their products, the company sat on this information and denied it on their website. Sophie Chen told PSA Rising July 14 2001 that all her products were pure herbs and, if not, any " contamination " occurred in China beyond the reach of her quality control measures. But in January 2002 California health officials found the anti-anxiety drug Xanax (alprazolam) in SPES, a supplement labeled and sold as a pure herbal mixture. They found the blood-thinner Coumadin (warfarin) in PC-SPES. Other drugs hidden in BotanicLab's " herbal " products include the pain killer Indomethacin and two estrogens, estradiol and DES (diethylstilbestrol), which is banned in the USA as a cancer-causing agent. For more details see: http://psa-rising.com/pcspes/pleabargaindec182003.html IMO, the implications for herbalists of this finding, and especially if the subsequent Class Action case succeeds, are extremely serious. Modern WWW technology allows anyone with basic literacy and a website to post whatever comments or claims they may have on a medical Tx, herbal or otherwise. he search engines can locate similar hits very easil;y, allowing any lawyers who wish to drum up business to locate patients who may have adverse reactions to a prescribed Tx (say a herbal product). This will allow class actions in an unprecedented scale in the future. The Chen case shows the danger of using formulas from sources that are not 100% above board. Apparently, the adulteration of PC-SPES was not done in USA, but at the manufacturing end. The Chen's maintain that they did NOT know that the product was adulterated until they were informed of that by FDA. I am worried about this development because this case is almost certain to get get high profiling by the opponents of herbal medicine, and because it must sow doubts in the minds of many herbalists, who must ask themselves: Can we trust OUR suppliers of herbal formulas to be 100% above board on their labeling, or are WE sure that what we prescribe is EXACTLY as it says on the label? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2004 Report Share Posted December 28, 2004 Hi Steve, Yes, I understand the theory that the best quality herbs are exported because of the financial benefit, but I'm not so sure if this really is the case. I was buying herbs every week whilst in China, taking my own medicine. I noticed that the herbal quality was good, even if it wasn't at the famous Tong Ren Tang. I think that as the competition is so high in China and that many patients can tell good herbs from bad, let alone the practitioners, that they are more likely to receive good quality herbs. To be honest, I'm not so sure that the majority of TCM practitioners in the west know what good quality herbs look like. I saw some from a UK supplier and compared them with another, there was a massive difference. I therefore wonder what the majority of practitioners are using in the UK and the West. So actually, we may not be getting the good quality herbs at all. Of course, the quality of the herbs will affect the therapeutic effect, and putting aside the contaminants, that's the big thing. Talking of differences, I mentioned some time ago when I was in South Korea, I went to the large raw herb market in Seoul and saw first hand the differences between the Chinese Huang Qi and the Korean Huang Qi. The Korean Huang Qi was older, larger and had more colour. The general consensus in Korea was that the Koreans herbs were more effective. Of course, there will be patriotic bias in their conclusions, but nevertheless I believe that they are right. I don't understand why we have to buy all our herbs from China anyway. A lot of the herbs used in TCM were found outside of China, in places such as Korea, Japan, Malaysia, India and Arabic countries. So what is it with us when we think that we practice TCM we have to buy all our stock from them? It's obvious that they are a new, heavily industrialised nation and so will use a lot of contaminants in everything including their medicine. I have never heard of any Korean herbs being wholesaled in the west. Does anyone know of any? They all seems to be the cheap, Chinese versions. Kind regards Attilio www.attiliodalberto.com Chinese Medicine , Steven Slater <laozhongyi@m...> wrote: > Hi Attilio, > > One of my Chinese lecturers informed me upon returning from a > conference in PRC circa 2003 that a recently completed officeal > government survey of raw herb quality testing revealed that over 60% of > the raw herbs in China were below " acceptable quality " . Note this is > acceptable quality (whatever that is and we can be pretty sure it would > be lower than here), not high quality!! The Chinese government is very > aware of the problem of pesticide, herbacide use in herb growing as > well as the more subtle aspects of climate and time of > picking/processing etc. and is trying to improve the situation. > > The theory goes that the west gets all the best raw herbs due to better > prices obtained by selling to the international market, and this may be > so. However, I have also spent time in China and have doubts about the > quality of anything that comes from there. It is for this reason I do > not use raw herbs in my practice and only use herbal extracts from GMP > approved companies which are frequently audited. Even this is no > guarantee of quality or safety, but it beats looking at and smelling a > raw herb and deluding oneself the quality of production and possibility > of contamination can be determined by any human senses. > > Best Wishes, > > Steve > > On 28/12/2004, at 5:20 AM, Attilio D'Alberto wrote: > > > > > Hi Phil and Sammy, > > > > Do I trust the patents or raw herbs for that matter, that come out from > > China. Of course not! > > > > After having spent 6 months in China, I question everything that comes > > out > > of there. The quality of food, water and air is seriously below > > standard, so > > what about the herbs? I raised the point of the quality of raw herbs > > coming > > out of China some time ago and got a silent smack-in-the-face back. I > > really > > wonder the amount of pesticides that are on the raw herbs, let along > > what's > > in the patents. > > > > Its a shame that someone doesn't right an expose on the quality of raw > > herbs > > and patents coming out of China. TCM practitioners need to know which > > companies to trust and which ones to avoid. If we are gonna start > > naming > > herbal suppliers, I only use Mayway. > > > > Kind regards > > > > Attilio D'Alberto > > Doctor of (Beijing, China) > > BSc (Hons) TCM MATCM > > 07786198900 > > attiliodalberto > > <http://www.attiliodalberto.com/> www.attiliodalberto.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2004 Report Share Posted December 28, 2004 I think the biggest issue is that Westerners are rarely trained in quality discernment of herbs and other medicinals. Consequently, people tend to blindly trust well-known suppliers like mayway to meet all their needs. Our Chinese counterparts know which herbs are best purchased from which merchant, and they often order different ingredients from different suppliers. While companies like mayway often have generally good herbs, they have some that are of very high quality and some that are of very average quality. Few of their customers know how to differentiate which are the good ones and which are the mediocre ones. Hardly any Westerners have ever even seen real chen xiang or high-grade hou po, for example. Because we don't know what to look for, we trust one major company, even though only maybe 50% of their products are truly of superior quality. Few Chinese merchants trained in pharmacy would buy everything from one supplier- if you know what to look for, you buy different things from different suppliers. Many pharmacies and doctors write prescriptions with specific names to indicate which grade they want the patient to buy. For example, some pharmacies will dispense low-grade huang qi when huang qi is written, but will dispense high-grade huang qi when hei jin qi is written. Same with hou po vs. zheng chuan po, or shu di huang vs. ge shu di. In China, all different grades and qualities are available, you just need to know how to ask for the grade that you seek. You also need to know where to buy which specific products. Going to Beijing Tong Ren Tang can give you predictable quality, but you will pay far more than you would if you know what to look for and you shop around. There is no one source that is good for everything. As for only buying GMP factory products, they are well-tested, consistent, and reliable. But a big factory never uses top-shelf herbs. Top-shelf herbs are sold intact to the consumer. For the best stuff, you have to use raw or prepare your own formulas. Many expensive herbs have counterfeits, and buying something with a huge variety in qualities and prices makes the novice buyer very susceptible to being overcharged or completely ripped off. Best, Eric Brand Chinese Medicine , " Attilio DAlberto " <attiliodalberto> wrote: > > Hi Steve, > > Yes, I understand the theory that the best quality herbs are exported > because of the financial benefit, but I'm not so sure if this really > is the case. I was buying herbs every week whilst in China, taking my > own medicine. I noticed that the herbal quality was good, even if it > wasn't at the famous Tong Ren Tang. I think that as the competition > is so high in China and that many patients can tell good herbs from > bad, let alone the practitioners, that they are more likely to > receive good quality herbs. > > To be honest, I'm not so sure that the majority of TCM practitioners > in the west know what good quality herbs look like. I saw some from a > UK supplier and compared them with another, there was a massive > difference. I therefore wonder what the majority of practitioners are > using in the UK and the West. So actually, we may not be getting the > good quality herbs at all. Of course, the quality of the herbs will > affect the therapeutic effect, and putting aside the contaminants, > that's the big thing. > > Talking of differences, I mentioned some time ago when I was in South > Korea, I went to the large raw herb market in Seoul and saw first > hand the differences between the Chinese Huang Qi and the Korean > Huang Qi. The Korean Huang Qi was older, larger and had more colour. > The general consensus in Korea was that the Koreans herbs were more > effective. Of course, there will be patriotic bias in their > conclusions, but nevertheless I believe that they are right. > > I don't understand why we have to buy all our herbs from China > anyway. A lot of the herbs used in TCM were found outside of China, > in places such as Korea, Japan, Malaysia, India and Arabic countries. > So what is it with us when we think that we practice TCM we have to > buy all our stock from them? It's obvious that they are a new, > heavily industrialised nation and so will use a lot of contaminants > in everything including their medicine. > > I have never heard of any Korean herbs being wholesaled in the west. > Does anyone know of any? They all seems to be the cheap, Chinese > versions. > > Kind regards > > Attilio > www.attiliodalberto.com > > Chinese Medicine , Steven Slater > <laozhongyi@m...> wrote: > > Hi Attilio, > > > > One of my Chinese lecturers informed me upon returning from a > > conference in PRC circa 2003 that a recently completed officeal > > government survey of raw herb quality testing revealed that over > 60% of > > the raw herbs in China were below " acceptable quality " . Note this > is > > acceptable quality (whatever that is and we can be pretty sure it > would > > be lower than here), not high quality!! The Chinese government is > very > > aware of the problem of pesticide, herbacide use in herb growing as > > well as the more subtle aspects of climate and time of > > picking/processing etc. and is trying to improve the situation. > > > > The theory goes that the west gets all the best raw herbs due to > better > > prices obtained by selling to the international market, and this > may be > > so. However, I have also spent time in China and have doubts about > the > > quality of anything that comes from there. It is for this reason I > do > > not use raw herbs in my practice and only use herbal extracts from > GMP > > approved companies which are frequently audited. Even this is no > > guarantee of quality or safety, but it beats looking at and > smelling a > > raw herb and deluding oneself the quality of production and > possibility > > of contamination can be determined by any human senses. > > > > Best Wishes, > > > > Steve > > > > On 28/12/2004, at 5:20 AM, Attilio D'Alberto wrote: > > > > > > > > Hi Phil and Sammy, > > > > > > Do I trust the patents or raw herbs for that matter, that come > out from > > > China. Of course not! > > > > > > After having spent 6 months in China, I question everything that > comes > > > out > > > of there. The quality of food, water and air is seriously below > > > standard, so > > > what about the herbs? I raised the point of the quality of raw > herbs > > > coming > > > out of China some time ago and got a silent smack-in-the-face > back. I > > > really > > > wonder the amount of pesticides that are on the raw herbs, let > along > > > what's > > > in the patents. > > > > > > Its a shame that someone doesn't right an expose on the quality > of raw > > > herbs > > > and patents coming out of China. TCM practitioners need to know > which > > > companies to trust and which ones to avoid. If we are gonna start > > > naming > > > herbal suppliers, I only use Mayway. > > > > > > Kind regards > > > > > > Attilio D'Alberto > > > Doctor of (Beijing, China) > > > BSc (Hons) TCM MATCM > > > 07786198900 > > > attiliodalberto > > > <http://www.attiliodalberto.com/> www.attiliodalberto.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2004 Report Share Posted December 29, 2004 I've visited a few Korean herbalists in L.A. and Denver, and they seem to have their own separate herb supplies directly from Korea. Some of the herbs look different, but that is often because of how they are cut and processed. A few were used as I.D. herbs on the California state boards a few years back and caused some problems! On Dec 28, 2004, at 8:50 AM, wrote: > > I don't understand why we have to buy all our herbs from China > anyway. A lot of the herbs used in TCM were found outside of China, > in places such as Korea, Japan, Malaysia, India and Arabic countries. > So what is it with us when we think that we practice TCM we have to > buy all our stock from them? It's obvious that they are a new, > heavily industrialised nation and so will use a lot of contaminants > in everything including their medicine. > > I have never heard of any Korean herbs being wholesaled in the west. > Does anyone know of any? They all seems to be the cheap, Chinese > versions. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2004 Report Share Posted December 29, 2004 I think it would be a wonderful idea if someone anonymously complied a list in which different herb qualities are matched against the various suppliers, with the supplier being the best one that sold that particular herb. This could be done geographically, i.e. a American, European, Australian, etc. Different people could undertake to comply the different regions. It could be sent to me and then I would upload it onto the files section of the group, without giving the identity of the author away to anyone. This would allow many inexperienced herbal practitioners the valuable 'inside' knowledge of the different herbal qualities and where to buy them. This will of course, be a great benefit to TCM worldwide. Kind regards Attilio D'Alberto Doctor of (Beijing, China) BSc (Hons) TCM MATCM 07786198900 attiliodalberto <http://www.attiliodalberto.com/> www.attiliodalberto.com smilinglotus [smilinglotus] 28 December 2004 23:02 Chinese Medicine Re: PC-SPES Court Finding: Implications for herbalists and suppliers? I think the biggest issue is that Westerners are rarely trained in quality discernment of herbs and other medicinals. Consequently, people tend to blindly trust well-known suppliers like mayway to meet all their needs. Our Chinese counterparts know which herbs are best purchased from which merchant, and they often order different ingredients from different suppliers. While companies like mayway often have generally good herbs, they have some that are of very high quality and some that are of very average quality. Few of their customers know how to differentiate which are the good ones and which are the mediocre ones. Hardly any Westerners have ever even seen real chen xiang or high-grade hou po, for example. Because we don't know what to look for, we trust one major company, even though only maybe 50% of their products are truly of superior quality. Few Chinese merchants trained in pharmacy would buy everything from one supplier- if you know what to look for, you buy different things from different suppliers. Many pharmacies and doctors write prescriptions with specific names to indicate which grade they want the patient to buy. For example, some pharmacies will dispense low-grade huang qi when huang qi is written, but will dispense high-grade huang qi when hei jin qi is written. Same with hou po vs. zheng chuan po, or shu di huang vs. ge shu di. In China, all different grades and qualities are available, you just need to know how to ask for the grade that you seek. You also need to know where to buy which specific products. Going to Beijing Tong Ren Tang can give you predictable quality, but you will pay far more than you would if you know what to look for and you shop around. There is no one source that is good for everything. As for only buying GMP factory products, they are well-tested, consistent, and reliable. But a big factory never uses top-shelf herbs. Top-shelf herbs are sold intact to the consumer. For the best stuff, you have to use raw or prepare your own formulas. Many expensive herbs have counterfeits, and buying something with a huge variety in qualities and prices makes the novice buyer very susceptible to being overcharged or completely ripped off. Best, Eric Brand.attiliodalberto.com <http://www.attiliodalberto.com> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2005 Report Share Posted January 12, 2005 In a message dated 12/27/2004 2:36:04 PM Eastern Standard Time, writes: gosh, I'm so surprised. We had all pretty much agreed here 5 years ago that PC spes was an unlabeled drug. I am interested in searching the archives, but am not sure how to get there. Could someone point me in the right direction? Thanks, Chris Quote Link to comment Share on other sites More sharing options...
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