Which Chinese Medicine Ingredients Should Be Avoided?

Detailed guide on Chinese medicine ingredients to avoid for G6PD deficient patients

Important Warning

G6PD deficient patients should avoid Chinese medicines containing Calculus Bovis, Realgar, Cinnabar, Menthol, Camphor, and other risky ingredients. These components may trigger severe hemolytic reactions. Always consult professional TCM practitioners before using any Chinese medicine.

Prohibited Chinese Medicine Ingredients

Heat-clearing and Detoxifying

Calculus Bovis

High Risk

Calculus Bovis

Pearl

Medium Risk

Margarita

Realgar

High Risk

Realgar

Cinnabar

High Risk

Cinnabaris

Qi-regulating and Blood-activating

Mint

Medium Risk

Menthae Herba

Camphor

High Risk

Camphora

Borneol

High Risk

Borneolum

Exterior-releasing

Menthol

High Risk

Mentholum

Eucalyptus Oil

Medium Risk

Oleum Eucalypti

Common Prohibited Patent Medicines

Niuhuang Jiedu Tablets/Pills

Strictly Prohibited

Reason: Contains high-risk ingredients like Calculus Bovis and Realgar

Safe Alternatives: Consult doctor for safe heat-clearing medications

Angong Niuhuang Pills

Strictly Prohibited

Reason: Contains Calculus Bovis, Cinnabar, and Realgar

Safe Alternatives: Qingkailing Injection (under medical supervision)

Compound Menthol Nasal Drops

Use with Caution

Reason: Contains menthol

Safe Alternatives: Saline nasal drops

Fengyoujing (Medicated Oil)

Strictly Prohibited

Reason: Contains menthol and camphor

Safe Alternatives: Cooling oil (menthol-free)

Chinese Medicines Requiring Caution

Heat-clearing Herbs Requiring Caution

Isatis RootMedium Risk
HoneysuckleHigh Risk
ForsythiaHigh Risk
DandelionMedium Risk

Relatively Milder Chinese Medicines

Relatively Milder Herbs

  • Licorice
    Harmonizes formulas, relatively safe
  • Poria
    Spleen-strengthening, mild nature
  • Chinese Yam
    Food-medicine dual use, relatively safe
  • Jujube
    Qi-tonifying, mild nature

Cough Relief Requiring Medical Guidance

  • Fritillaria
    Lung-moistening, requires medical guidance
  • Loquat Leaf
    Lung-clearing, requires proper processing
  • Platycodon
    Lung-opening, use in moderation

Important Warning: Common heat-clearing herbs like Honeysuckle, Forsythia, and Isatis Root contain oxidative components and should be avoided by G6PD deficient patients. Even relatively mild herbs must be used under professional TCM practitioner guidance.

Precautions for Using Chinese Medicine

Read Ingredient Lists Carefully

Always check complete ingredient lists before purchasing patent medicines to avoid prohibited components

Consult Professional TCM Practitioners

Actively inform TCM doctors about your G6PD deficiency so they can choose safe herbs

Avoid Self-medication

Do not self-purchase and use patent medicines, especially complex compound preparations

Be Careful with Topical Preparations

Topical TCM preparations may also be absorbed through skin, requiring the same ingredient safety considerations

Emergency Symptom Recognition

If the following symptoms occur after using Chinese medicine, stop immediately and seek medical attention:

Yellow skin or eyes
Dark urine
Extreme fatigue
Shortness of breath

Medical Disclaimer: The information on this page is for reference only and cannot replace professional medical advice. Any Chinese medicine use should consult qualified TCM practitioners.