EP10｜中醫不傳說 TCM Not Myth｜中西藥可以一起服用嗎？ Can Chinese Medicine and Western Medicine be taken together?

 

EP10｜中醫不傳說 TCM Not Myth｜中西藥可以一起服用嗎？ Can Chinese Medicine and Western Medicine be taken together?
https://www.youtube.com/watch?v=_fXE1baB228

主講人｜ 國立陽明交通大學中醫系 張清貿 老師（Ching-Mao Chang, M.D.）
製作單位｜ 國立陽明交通大學國際宣傳辦公室 × 國立陽明交通大學中醫系 聯合製作

Speaker｜ Dr. Ching-Mao Chang, Assistant Professor, Department of Traditional Chinese Medicine, NYCU
Produced by｜ NYCU Office of International Promotion and Outreach × NYCU Department of Traditional Chinese Medicine

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很多人習慣看西醫也看中醫，但心中都藏著一個疑問：中西藥可以一起吃嗎？

常有人說：「只要間隔 2 小時，就不會衝突！」這個觀念看似簡單，實則暗藏風險。並非所有的中西藥都能靠「錯開時間」來解決藥物交互作用的問題。
中藥不是「天然就無害」，它一樣是「藥」，其中的成分可能與西藥產生複雜的交互作用，影響療效，甚至引發副作用。

⚠️ 活血中藥＋抗凝血藥？

例如中醫常用來活血的當歸、川芎，如果和西醫的抗凝血藥一起服用，可能大幅增加出血風險。
甚至連冬天常吃的藥膳、補湯（如麻油雞、當歸鴨）也可能因為藥材而干擾藥效。

🍊 特殊藥材＋慢性病用藥？

有些中藥材含有類似葡萄柚的成分，可能影響肝臟代謝藥物的功能，進而影響高血壓、心臟病等慢性病藥物的藥效或安全性，造成嚴重副作用。
對於長期服用西藥的三高、慢性肝炎、心臟病患者而言，中西藥的同時使用更需要加倍謹慎！

這集節目，張清貿老師將帶你徹底搞懂中西藥併用的三大安全重點：
哪些情況不能靠「間隔兩小時」解決，是絕對不能併用？
如何安全地享用藥膳補湯？
同時服用中西藥時，最重要的安全原則是什麼？
學會正確的用藥觀念，才能真正為自己的健康負責！


Many people consult both Western and Traditional Chinese Medicine (TCM) doctors, often asking one key question: Is it safe to take Western drugs and Chinese herbs simultaneously?

The common belief is that simply taking them two hours apart is enough to prevent conflict. However, this advice is dangerously oversimplified. Not all drug interactions between TCM and Western medicine can be solved just by staggering the timing.

TCM is not "naturally harmless"; it is medicine, and its compounds can interact complexly with Western drugs, potentially reducing efficacy or causing adverse effects.

⚠️ Blood-Moving Herbs + Anticoagulants?

Common blood-activating herbs like Angelica sinensis (當歸) and Ligusticum chuanxiong (川芎), when combined with Western anticoagulants, can significantly increase the risk of bleeding.

Even popular medicinal broths and winter tonics might interfere with medications due to their herbal ingredients.

🍊 Certain Herbs + Chronic Disease Medications?

Some TCM herbs contain components similar to those in grapefruit, which can inhibit liver enzymes responsible for drug metabolism. If you are taking medication for hypertension or heart disease, this interaction can destabilize drug concentration, leading to serious side effects.

Patients with chronic conditions like high blood pressure, diabetes, or heart disease must exercise extra caution when combining both types of medicine.

In this episode, Dr. Ching-Mao Chang will provide an essential guide to safely using TCM and Western drugs, covering three critical safety points:

Which combinations cannot be solved by the "two-hour gap" rule?

How to safely enjoy traditional medicinal cuisine (Yàoshàn)?

What is the most crucial safety principle to follow when taking both?

Learn the right concepts to ensure your medications work effectively and safely!