
Generally speaking, for something to qualify to be listed as a common side effect of a medication on that medication’s web page or WebMD, it must occur in 1-10% of the population taking the drug. For example, with Prilosec, a proton pump inhibitor used to treat acid reflux and/or gastric ulcers, they list headaches, nausea, vomiting, bloating, diarrhea, gas, or constipation. But at least the reflux is resolved!
From a Chinese medical perspective, this tells us that ultimately what Prilosec does in its process of reducing harmful stomach acids, is eradicates beneficial stomach acids as well. Our diagnostic concept of the “dry stomach” includes precisely, but not limited to this list of symptoms.
Some people have constitutionally strong guts. They are able to withstand the robbing Peter to pay Paul of reductionist medicine for some time, then when it catches up to them it doesn’t show itself as a digestive ail—but a sequelae to the dry stomach, i.e. the Chinese concept of “ministerial fire” (over)rising in the body—excessive movement and secretion of excitatory substances.
This might manifest as tightness in the chest or rib sides, a dry throat, dry mouth or eyes, dizziness, blurred vision, urinary irregularities, or various manifestations of headaches. Patients and some doctors will hear this and figure it can’t be from the medication because none of these symptoms are listed side effects. From a holistic perspective, this is an oversight.
The impression I’ve gotten in my 13 years in practice is that many doctors suggest to their patients that if a side effect doesn’t show itself in the early goings, the medication is likely not harming them at all, which in my opinion is like saying if a smoker doesn’t contract emphysema early on then they won’t.
Only 1 out of 100 patients have to report having diarrhea for it be listed as a side effect. But how many patients have to report sequelae of what the drug is fundamentally creating? That is, a “dry stomach” with inflammatory heat harassing the upper portion of the body? This logic suggests that many directly connected side effects are going unreported, undocumented, unnoticed by their own sufferers (sorry for that sentence. I think I’ve accidentally read too many AI-generated articles lately).
Whereas the purpose of allopathic medicine is to mute symptoms and improve lab work results, the of purpose of holistic medicine is to aim for perfection. To be so precise in our understanding of each patient’s pattern and corresponding prescription that not only are there no side effects, but other physiological symptoms improve that they weren’t even coming to us for. Obviously, this is not easy, but it is always the intention of “Jing Fang” (classical formula) practitioners and most good acupuncturists.
Please don’t get me wrong. There is nothing wrong with life-saving medicine, which is outside my scope, nor with temporary, band-aid reductionisms to improve quality of life when it is truly necessary. My intermittently humble opinion is there are many cases where we could stand to narrow the definition of “necessary,” while broadening our comprehension of “side effects.”


Word on the street—that is from a doctor’s blog that my wife follows, 

