What precautions should be taken when using Tongren Anshen Pills?

Tongren Anshen Pills, as a commonly used traditional Chinese medicine, require particular attention to safe medication practices, including syndrome differentiation-based use, cautious use in special populations, avoidance of drug interactions, dietary adjustments, and standardized medication monitoring. A detailed analysis is as follows:

1. Clear Syndrome Differentiation Required: This medicine is suitable for insomnia, palpitations, and memory loss caused by deficiency of both the heart and spleen. It is contraindicated in patients whose symptoms do not match this pattern. For example, using it in cases of real-heat syndromes or insomnia due to phlegm-fire disturbing the heart may worsen symptoms such as irritability and bitter taste in the mouth.

2. Cautious Use in Special Populations: Pregnant and lactating women should use the medicine only under a physician's guidance to avoid potential effects on the fetus or infant. Dosage should be reduced appropriately in children and elderly or frail individuals, with adult supervision required. Patients with chronic conditions such as hypertension, heart disease, or liver disease should inform their physician of their medical history before use.

3. Avoid Drug Interactions: Concomitant use of drugs containing ingredients such as *Li Lu* (Veratrum) or *Wu Ling Zhi* (Pentaphylla) should be avoided during treatment, as they may trigger adverse reactions. If combination therapy with Western sedative-hypnotic drugs is necessary, administration should be spaced 1–2 hours apart, and must be done under medical supervision to prevent excessive drowsiness or dizziness due to enhanced drug effects.

4. Dietary Adjustments During Treatment: Spicy, greasy, raw, and cold foods should be avoided during treatment, as they may impair spleen and stomach function and reduce drug absorption. Smoking and alcohol consumption should also be avoided. Alcohol may stimulate the central nervous system, interfere with the drug’s therapeutic effect, and potentially cause physical discomfort.

5. Standardized Medication Monitoring: Long-term continuous use of this medicine is not recommended. If symptoms do not improve within seven days, discontinue use immediately and seek medical advice. Monitor your condition closely during treatment; if abnormal reactions such as dizziness, nausea, or skin rash occur, stop taking the medicine, record the symptoms, and consult a physician for treatment adjustment.

The medicine should be stored in a cool, dry place out of reach of children to prevent moisture damage and deterioration. Always check the expiration date before use—expired products must not be taken. Combining regular sleep patterns and emotional regulation with medication use will enhance therapeutic outcomes.