Zingiber officinale

Known Contraindications

• • Yin deficiency with heat (formula is warm and drying)
• • Excess damp-heat diarrhea with foul-smelling stool (clear heat first)
• • Acute dysentery with tenesmus
• • Bowel obstruction or ileus
• • Dysphagia (swelling risk if Isabgol not taken with adequate liquid)
• • Concurrent medications within 2 hours (Isabgol impairs absorption)
• • Dehydration (correct fluid deficit first)
• • Complete Agni suppression (Agnimasha — no digestive fire remaining)
• • Intestinal obstruction (Vibandha with Shotha)
• • Sue Mizaj Haar of stomach (hot stomach temperament)
• • Safra (yellow bile) excess
• • Active gastric ulcer
• • Concurrent anticoagulants (high doses)
• • Jitsu-Sho (excess pattern)
• • Yin deficiency with strong heat signs (use Rokumi-jio-gan instead)
• • Strong gastrointestinal symptoms
• • Caution with processed Bushi (aconitine content) — use only properly processed forms
• • Heat-type diarrhea (Netsu-Geri — use clearing formula instead)
• • Shinbu-to: caution with processed Bushi (aconitine content)
• • Monitor potassium with Ninjin-to (Kanzo content)
• • Not for acute infectious diarrhea (treat pathogen first)
• • Hot conditions (calor excess)
• • Active fever (except to break fever)
• • mKhris-pa excess (bile-heat conditions)
• • Active fever (tshad-pa)
• • None traditionally recognized at food-level doses
• • Severe Vatham (wind) disorders without Pitham involvement
• • Pregnancy
• • Concurrent immunosuppressive therapy
• • Extreme debility
• • So-Yang constitutional type as primary herb (too warming)
• • Yin deficiency with heat signs (night sweats, hot flashes)