Why should traditional Chinese medicine be taken before meals?

Sep 19, 2024 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Taking Chinese herbal medicine before meals may cause mild discomfort due to factors such as the gentle nature of the herbs, high drug concentration, functional dyspepsia, chronic gastritis, or gastric ptosis. It is important in daily life to maintain a balanced diet and avoid overeating. Additionally, maintaining regular作息 habits and engaging in moderate physical exercise can enhance bodily functions and help sustain good health.

In general, taking traditional Chinese medicine (TCM) before meals may be due to factors such as the mild nature of the herbs, high drug concentration, functional dyspepsia, chronic gastritis, or gastric ptosis. If any of the above conditions occur, it is recommended to seek medical attention promptly. The specific analysis is as follows:

1. Mild Nature

Some TCM formulations with a mild nature cause minimal irritation to the gastrointestinal mucosa. Taking them before meals reduces the interference of food with drug absorption, thereby enhancing therapeutic effectiveness. Regular moderate exercise should be maintained to strengthen immune function.

2. High Drug Concentration

On an empty stomach before meals, the stomach contains no food, so taking TCM at this time allows for higher drug concentration, promoting rapid absorption and utilization. In daily life, maintain regular sleep patterns and avoid staying up late.

3. Functional Dyspepsia

This condition can be triggered by genetic, dietary, and lifestyle factors. Taking TCM before meals that help regulate spleen and stomach functions and enhance digestion—such as Baohe Pills or Jianpi Pills—can improve symptoms of indigestion. Symptoms may include early satiety and belching. Treatment under medical supervision may include medications such as octreotide injection, Qingyi Lidan Granules, or ulinastatin injection.

4. Chronic Gastritis

Chronic gastritis is usually caused by Helicobacter pylori infection, leading to prolonged inflammation of the gastric mucosa. Taking anti-inflammatory and stomach-nourishing TCM before meals can alleviate discomfort, hence the recommendation for pre-meal administration. Symptoms may include bloating and nausea. Patients should follow medical advice when using medications such as amoxicillin granules, cefaclor dispersible tablets, or rabeprazole sodium enteric-coated tablets.

5. Gastric Ptosis

Gastric ptosis may be related to weakened gastric ligament function. It impairs normal gastric motility and digestive function. Taking TCM before meals that help lift the stomach and improve gastric motility can relieve associated discomfort. Symptoms may include upper abdominal discomfort and indigestion. Under medical guidance, patients may use medications such as domperidone tablets, digestive enzyme tablets, or mosapride citrate tablets.

In daily life, maintaining a balanced diet and avoiding overeating are important. Additionally, keeping regular作息 habits and engaging in appropriate physical exercise can enhance bodily functions and support overall health.