Panax ginseng

Known Contraindications

• • Yin deficiency with heat signs
• • Excess heat patterns
• • External pathogen invasion (treat exterior first)
• • Yin deficiency with heat (formula is warm and drying)
• • Excess damp-heat diarrhea with foul-smelling stool (clear heat first)
• • Acute dysentery with tenesmus
• • Jitsu-Sho (excess pattern)
• • Heat patterns in the stomach
• • 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
• • Pure exterior pattern (Hyō-Shō — use diaphoretic instead)
• • Pure interior excess (Ri-Jitsu-Shō — use purgative instead)
• • Caution in interferon therapy (historical adverse events with combination)
• • Monitor for interstitial pneumonia (rare but serious — identified through Japanese pharmacovigilance)
• • 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)
• • So-Yang constitutional type (too warming — may cause heat symptoms)
• • Active inflammation with heat signs
• • Hypertension (use with caution)
• • Concurrent anticoagulants
• • Estrogen-sensitive conditions