Can people with excessive stomach acid consume Cornus officinalis (Shanzhuyu)?
Patients with excessive gastric acid generally are not advised to consume Cornus officinalis (Shanzhuyu). If in doubt, it is recommended to seek medical advice in advance. Detailed explanation is as follows:

Cornus officinalis has an acidic and astringent taste and a warm nature. It is commonly used to treat symptoms such as liver and kidney deficiency, nocturnal emission, enuresis, and metrorrhagia. Its acidic nature may affect the gastric mucosa of patients with excessive gastric acid, potentially increasing gastric acid secretion, thereby worsening symptoms such as stomach pain, bloating, and acid reflux.
In addition to patients with excessive gastric acid, because Cornus officinalis is warm in nature, individuals with a damp-heat constitution may experience an exacerbation of internal damp-heat symptoms after consumption. Individuals allergic to Cornus officinalis should avoid taking it to prevent allergic reactions. Pregnant women and women during their menstrual period should avoid taking blood-activating medications to prevent potential effects on the fetus or menstrual cycle.
Patients with excessive gastric acid should pay special attention to dietary and medication choices, avoiding foods and medicines that may stimulate gastric acid secretion.