Publication date: 20 January 2017
Source:Journal of Ethnopharmacology, Volume 196
Author(s): Tom Fleischer, Yi-Chang Su, Sunny Jui-Shan Lin
Ethnopharmacological relevanceThe regulation policies of substances used in Chinese Herbal Medicine (CHM), have a direct influence on the ability of health providers to practice in the clinic.Aim of the studyWe set out to assess the truth behind the assumption that practice of CHM in the west is constrained by the regulations imposed by authorities in western countries.Materials and methodsFor the first part of our study we surveyed and compiled lists of banned and restricted Chinese Materia Medica (CMM) from six countries: USA, UK, Germany, Israel, Canada and Australia. Afterwards, we estimated the relevant importance of the 300 CMM most-commonly-prescribed to the practice of CHM according to prescriptions from 2,000,000 randomly selected patients, from the Taiwanese National Health Insurance Research Database (NHIRD). We then compared both lists and determined the clinical importance of the banned and restricted CMM.ResultsExcept for regulations from Canada, most of the information of banned CMM proved to be difficult to organize. The USA was found to have the least amount of banned herbs, with 9 substances. Canada had the highest amount, with 98. In Germany, Australia, the UK, and Israel 10, 29, 36, 68 banned CMM were found, respectively. Apart from aristolochic acid containing substances, ma huang (麻黃, Ephedra sinica) was the only CMM banned in all countries. Most of the banned CMM were not found to be among the most-commonly-prescribed according to the NHIRD.ConclusionAuthorities should make this information more accessible. No clear relation exists between CHM regulations and any 'Western' common denominator, and the amount of banned CMM varied greatly among the surveyed countries. However, even among countries with a larger amount of banned CMM, the majority of these were in the bottom two-thirds in respect to the frequency of their use. Thus, regulations in some western countries surely influence the practice of CHM, however, the variability of CMM have been influenced by regulations only to a limited extent.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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Πέμπτη 22 Δεκεμβρίου 2016
How do government regulations influence the ability to practice Chinese herbal medicine in western countries
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- Excitation energy transfer in ruthenium (II)-porph...
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- A rapid screening platform for catalyst discovery ...
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- A case of abdominal mesenteric Castleman's disease...
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- The diagnosis of silent myocardial ischemia. Motio...
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- Quetiapine treatment reverses depressive-like beha...
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- Real-time near-infrared bioimaging of a receptor-t...
- Superparamagnetic iron oxide-encapsulating polymer...
- Effects of levothyroxine treatment on pregnancy ou...
- Cushing syndrome in a child due to pro-opiomelanoc...
- Negligible Thyroid Hormone Content Present in Nonp...
- Iodine Supplementation in Women During Preconcepti...
- Negligible Thyroid Hormone Content Present in Nonp...
- Iodine Supplementation in Women During Preconcepti...
- Regional cerebral blood flow changes in patients w...
- Regional cerebral blood flow changes in patients w...
- A case of abdominal mesenteric Castleman's disease...
- Cauda equina syndrome. An emergency, some unexpect...
- The diagnosis of silent myocardial ischemia. Motio...
- Is there a relationship between non-obstructive co...
- Photodynamic inactivation of oral paracoccidioidom...
- Causes and Cures XII: Public Health Approaches
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