Not only Yunnan Baiyao, previously there have been a variety of proprietary Chinese medicines (not "Chinese herbs") preparations were exposed to contain Western prescription drugs added ingredients, and the scope of coverage is very broad, including colds, gastrointestinal, allergies, etc., and some claimed to be "pure Chinese medicine", Some health products claiming to be "pure Chinese medicine" and "natural", such as weight loss, breast enhancement ...... and other products also have similar problems, and even some of the products have been banned from being imported by the countries where they are located because of the detection of prescription drug ingredients in the customs tests abroad, which has caused international jokes.

This practice not only violates the law, but is also suspected of violating the law and ethics. The rationale is clear: since the principles and ingredients of Chinese medicine are labeled, but the active ingredients of Western medicine are added to the preparations, if the patient is cured, is the active ingredient of Chinese medicine labeled in the preparation really effective, or is it the Western medicine additives that play a role? If toxic side effects occur, is it the Chinese medicine ingredients or western medicine additives?

Not only that, doctors prescribe this kind of Chinese medicine, is labeled with the active ingredients of Chinese medicine as the reason for the promotion; patients to accept this kind of Chinese medicine, the same is to believe that the active ingredients of its medicines are actually symptomatic, and can avoid the so-called "serious side effects" of Western medicine as a prerequisite for the prescribing of traditional Chinese medicine, but secretly with Western medicine ingredients "! The prescription of Chinese medicine but secretly with western medicine ingredients "support", is no less than hanging sheep's head to sell dog meat, the doctor is contrary to medical ethics, the patient is a kind of misleading.

As far as I know, some proprietary Chinese medicine preparations have obviously added western medicine ingredients, but they are either not labeled, or the labeling is deliberately made inconspicuous (using special small letters, foreign languages, etc.), and such practices are very problematic.

At present, the relevant parties vigorously promote Chinese medicine, but the prerequisite is a clear prescription, truthful expression, so that doctors and patients have the right to know and the right to choose on the premise of knowledge. If we continue to allow the spread of this kind of "stuffy packets", adding Western medicine ingredients but not clearly labeled means, not only is it extremely irresponsible to the health of patients, but also seriously affect the reputation of Chinese medicine, affecting the effectiveness of the relevant parties to promote and advocate Chinese medicine. It will also seriously affect the reputation of Chinese medicine and the effectiveness of promoting and advocating Chinese medicine.

Thanks to Goku for inviting me to answer, this is the first time I know that toothpaste also has this medicinal ingredient!

Many proprietary Chinese medicines are added with Western medicines or even Western prescription medicines, a practice that has been controversial, especially in the case of over-the-counter medicines, which are generally not allowed to be added with prescription medicines, or else the safety of the medicines can hardly be guaranteed. Many scholars have also questioned why it is necessary to do so, and whether it is the Chinese medicine or the Western medicine that plays a role.

However, for the herbal toothpaste, which has the effect of invigorating blood circulation and removing blood stasis, relieving bleeding and pain, detoxifying and reducing swelling, the ingredient contains tranexamic acid, which I will not comment on specifically because I do not know how much the content is and I cannot find any relevant literature. Just explore the drug itself factors, talk about tranexamic acid this drug.

Tranexamic acid carries a risk of thrombosis if taken concurrently with oral contraceptives, estrogen, or other plasminogen complexes.

In addition, if the patient also has underlying diseases such as hypertension and diabetes, and is older, the risk of thrombosis may also increase, and should be alert to cerebral infarction and cardiac infarction.

The safety of tranexamic acid for use in pregnant and breastfeeding women is not conclusive, and there are no studies or literature to support the conclusions, meaning it is uncertain.

The fact that Yunnan Baiyao toothpaste adds hemostatic drugs doesn't surprise me at all.

Out of my professional habit as a doctor, I always check the active ingredients of any health product or medicine that claims to have certain therapeutic effects.

The characteristics of "Integrating Chinese and Western Medicine" are not only reflected in medicines, but also in health care products and even daily necessities.

Is this practice against the law? It's probably not against the rules, at least people have the guts to label it as such.

Do not see "Viagra" is also a prescription drug, but it is added to a variety of "aphrodisiac" health products, still sell well in the market. This is still openly write the ingredients in the product description of the "regular" products. Those secretly added, we have no way to verify.

Be wary of skin care products for beauty and wellness. There is no "natural plant extracts" is not important. If the so-called "whitening", "spot", "wrinkle" short-term effect is particularly obvious, we must pay attention to is not added drugs, hormones, heavy metals and other ingredients. Of course, the relevant industry standards clearly prohibit the addition of ingredients, is not dare to blatantly write to the instructions, so obviously is a violation.

There are also a variety of weight loss products, breast enhancement products, etc., etc., etc., etc., etc., etc., etc., etc., etc., etc., etc., etc., etc. It is almost an open secret that they add all kinds of western drugs.

Pharmaceuticals are more familiar to me. There are so many examples of combining Chinese and Western medicines, mostly with a self-advertising name (with a therapeutic effect in the name, such as "heart", "tranquilizer", "pain reliever", etc.), giving the impression of a purely Chinese medicine preparation, "cold and flu", etc.), giving the impression of a purely herbal preparation. I have repeatedly mentioned "thirst pills", various Chinese patent medicines to lower blood pressure, cold and flu medicines and so on.

However, the regulation of medicines may be more stringent. If certain ingredients of Western medicines are added but not specified in the instruction manual, they may be penalized as "fake medicines". For example, I once read a report that a certain "tranquilizing" Chinese medicine was found to contain sleeping pills.

@KingBureauChiAnn said something in the comments, "Chinese medicine is responsible for making money, western medicine is responsible for seeing patients."

It's a bit of a big hit, but the awkward truth makes it hard to argue with it.

Welcome to follow Dr. Cheng's 100 high and focus on the health issues around you.

There is a sense of not taking things personally!

and thirst-quenching pills with added hypoglycemic western drugs.

Acetaminophen added to 999 Cold and Flu.

What difference does it make if you forget to add Sanli pain inside an ancestral herbal soup that specializes in back pain? 😂😂😂😂😂😂😂😂😂

The products and advertisements borrowed from traditional Chinese medicine have been found to be more and more problematic, which shows that doctors are willing to do science, willing to talk to the people to say something practical, and also that the people's knowledge of medicine has improved, and they can identify with what the doctors say, which is a good thing.

Back to the point, the official science.

tranexamic acid

CFDA Indications

1. Mainly used for many kinds of bleeding caused by hyperfibrinolysis.

2. For traumatic or surgical bleeding of prostate, urethra, lung, brain, uterus, adrenal gland, thyroid gland, liver and other organs rich in fibrinogen activator.

3. Used as antagonist of tissue-type plasminogen activator (t-PA), streptokinase and urokinase.

4. Used for abortion, placental abruption, stillbirth and fibrinolytic hemorrhage caused by amniotic fluid embolism.

5. It is used for menorrhagia with increased local fibrinolysis, bleeding in the anterior chamber of the eye and severe nosebleeds.

Wait ............

[Use with caution]

1. Those with impaired heart, liver and kidney functions.

2. Those who have a tendency to thrombosis (e.g. patients with acute myocardial infarction).

3. Patients with massive hematuria occurring in parenchymal lesions of the renal pelvis (which can lead to secondary renal pelvic and ureteral clot obstruction).

4. Patients undergoing prostate or urinary tract surgery.

5. Patients with secondary hyperfibrinolytic state (before heparinization) due to disseminated intravascular coagulation.

6. Those with upper urinary tract bleeding.

7. Women during pregnancy.

8. Breastfeeding women.

Here itself is just a reference to gum bleeding toothpaste, it is surprising that the title is infinitely expanded to include herbal additions to prescription medications to stop bleeding, clearly blurring the lines.

First of all, toothpaste as a daily chemical product, if its formula is hemostatic will inevitably be adopted by many brands. I did find a paper.

To prove it, I found a recipe that someone posted up for various brands with gum stopping properties, so you might want to take a look at it!

Naturally, there's also Yunnan Baiyao toothpaste, as our question points out.

We see the picture is very obvious, some cover up written clotting acid, in fact, it is aminomethylcyclic acid, its Chinese alias: anti-4-(aminomethyl)cyclohexanecarboxylic acid, transaminic acid [1], hemostatic cyclic acid.clotting acid。

Moreover, if you pay attention, you will know that both Yunnan Baiyao and Pientzehuang write their ingredients separately from tranexamic acid, so why are a group of people excitedly pointing out that Yunnan Baiyao and Pientzehuang contain chemical pharmaceutical ingredients? Are they taking the opportunity to discredit them?

I also went a little bit into who first brought this up and found something very interesting:

Surprisingly no related tweets exist for the hematology meow sister he mentions, deleted or how unknown. On the contrary, in the headline that reads Dr. Koppel Boyer has this one

Apparently it's the same guy who tweeted it.

I also read her article, first of all, its pointing is very clear, that is against Yunnan Baiyao, just really want to pull out to say, I listed so many gum bleeding toothpaste are used on tranexamic acid, this hit a large area. However, her words even only for Yunnan Baiyao, the rest of a pass, but also not forget to put forward is the herbal toothpaste!

Purpose is clear, and points to clear, but the same can not resist a large group of good people are going to pick up, it is clear that not only herbal toothpaste to do so, basically engaged in the gums to stop bleeding toothpaste are added to the right.

So let's get back to the topic, is it legal to add tranexamic acid to toothpaste or not?

I did find a notice from the Guangzhou Quality Inspection Center.

It is very clear that the addition of tranexamic acid to toothpaste is permitted, but there are strict standards for the content, so the methods for sending the ingredients for determination are clearly defined in.

Obviously, this toothpaste incident is provoked by people against Yunnan Baiyao a smear, we must know that the drug factory and daily chemical factory itself is not the same factory ah, pointing to the purpose of toothpaste but the drug, ill-intentioned oh.

This practice is not a violation

Tranexamic Acid a.k.a. Clotting Acid, a.k.a. Tranexamic Acid, Clotting Acid, Hemostatic Cyclic AcidIt is a white crystalline powder with the local chemical name trans-4-aminomethylcyclohexanecarboxylic acid. It is not a drug per se, much less a prescription drug, but a chemical raw material, which of course can be made into prescription drugs, as well as an excipient in everyday chemicals, such as toothpaste and cosmetics.

Confusing tranexamic acid as a raw material with a manufactured drug.Calling tranexamic acid a prescription drug outright is ignorant and inappropriate.

Where is the evidence?

First of all, toothpaste belongs to the management of cosmetics, this country is a document clearly stipulated, the provisions are as follows:

And tranexamic acid, also known as clotting acid is in the catalog of cosmetic ingredient names (2015 edition):

And in section 04866 tranexamic acid is in plain sight:

Therefore, the addition of clotting acid, or tranexamic acid, to toothpaste is not a violation in terms of existing regulations.

So, is it China that has this rule?

Apparently, neither, because we can also find this ingredient in toothpastes from two major developed countries, such as Japan and the United States.

There are pictures and there is truth.

Here is the formula for a certain toothpaste from Oral-B in the US:

Then follows the Japanese Lion King toothpaste formula:

So what do they add this ingredient to their toothpaste to do?

On the official website of the Japanese Lion King toothpaste, the explanation is clear:

Investigating down through the layers in this way, we found that not only in China, but even in Japan and the United States, it is reasonable and legal to add clotting acid to toothpaste.

So, Yunnan Baiyao as a company, anDoes the brand have the right to produce a toothpaste that is close to the foreign formulation of a functional toothpaste that improves bleeding gums?

First of all, we have to know that "Yunnan Baiyao" is not only a centuries-old traditional Chinese medicine, but also the name of a company called Yunnan Baiyao Group Company Limited, which is also a trademark, as evidenced by the following.

This is what I found in the Trademark Office of the People's Republic of China:

As a matter of fact, Yunnan Baiyao Company, not only produces Yunnan Baiyao, but also produces daily necessities, even sanitary napkins.And the trademark Yunnan Baiyao can also be affixed to sanitary napkins.

Getting back to toothpaste, Yunnan Baiyao produces toothpastes that clearly have tranexamic acid (clotting acid) in them, such as the one below:

However, Yunnan Baiyao's toothpastes, also have tranexamic acid-free series, such as Yunnan Baiyao toothpaste Jinkoujian series:

In a sense, we can think of Yunnan Baiyao Toothpaste as taking on Biao's own competitors in order to improve its own production line for some of its products.

In a market economy, in order to gain a competitive edge, toothpaste manufacturers, whether it is Lion King of Japan or Unilever of the Netherlands, produce both herbal toothpastes and toothpastes that are comparable to the ingredients of Western functional toothpastes.

For example, Japan's Shishio Corporation produces both purely functional toothpastes and herbal toothpastes.

The evidence is as follows:

Of course, even the Japanese herbal toothpaste cannot be all Chinese medicine. If the toothpaste is to be molded, it is inevitable that some modern chemical excipients will have to be added, as long as they are in line with the industry norms and industry standards of their own countries.

Keeping herbal medicines and modern ingredients separate and distinct from each other is not only impossible to do, but pointless.

We can look at this behavior as a way to win the competition, learn from each other, and perfect the varieties under our own brand.

Obviously, Yunnan Baiyao toothpaste has had some success with this approach of keeping up with its rivals.

My answer is over, this article is very hard to test, but I think as a doctor, never think highly of yourself, blindly jump to conclusions, never be afraid of the word serious, always know how to make bold assumptions, be careful to seek evidence, and do all the test work.

Thank you guys, I know you've been watching really hard too. Good night.

Of course it's against the rules.

There are two main categories of medications, prescription and over-the-counter (many herbs are over-the-counter).

Prescription drugs can only be used with a doctor's prescription, which is why it's called a prescription drug, for the simple reason that they are very strictly indicated and can have more serious toxic side effects or long term consequences if not used properly.

To obtain the right to prescribe, a doctor needs to pass the state's licensing examination, and only after obtaining a medical license can he or she have the right to prescribe medicines. The elimination rate of this examination is as high as 80% every year, just because human lives are at stake and health is not a trivial matter.

And now some of the toothpaste under the signboard of Chinese herbs, quietly added to the Western medicine in the prescription drug tranexamic acid for hemostasis, which is not only harm to the consumer's body, but also to the deep trust in the magical efficacy of Chinese herbal medicine safe and non-toxic side-effects of the belief in the destruction of the.

Putting aside the labeling of prescription drugs, a closer look at the scope of application of tranexamic acid, there is no such scope of use for the gums to stop bleeding, toothpaste manufacturers will be added to the toothpaste belongs to the scope of use.

Finally, to make matters worse, bleeding gums are just a symptom, not something that can be solved by simply stopping the bleeding; simply stopping the bleeding puts a person off guard and can trigger more damage.

The common causes of bleeding gums are calculus, gingivitis and periodontal disease, and these problems require either a cleaning or a visit to the dentist for regular treatment to completely resolve the problem.

Value your health and stay away from deception.

There are not one or two cases of mixing Western medicines with Chinese medicine. Some people advocate "Chinese medicine conditioning", which is mixed with Western medicine, is it Chinese medicine or Western medicine?

First of all, let's look at the well-known traditional Chinese medicine "Yunnan Baiyao" function as "for bruises, blood stasis and swelling pain, vomiting blood, coughing blood, stool blood, hemorrhoidal blood, leakage of blood, etc.", the world knows more than its efficacy in stopping bleeding, because it contains a variety of active ingredients, the pharmacological effect is complex. Pharmacological effects are complex. Some studies believe that Yunnan Baiyao can accelerate hemostasis and shorten the course of the disease, and its pharmacological effect is mainly to shorten the bleeding time and clotting time. Yunnan Baiyao can shorten the prothrombin time, increase the content of prothrombin, and induce platelet aggregation and release. However, due to the Yunnan Baiyao prescription is confidential, in many cases we only know the "Yunnan Baiyao active ingredient", as to what exactly is the role of the ingredients, it is not known.

This time, "Yunnan Baiyao" toothpaste was pointed out to contain the ingredient "tranexamic acid". It can be said to have set off a storm of public opinion. Maybe some friends still do not know much about this "tranexamic acid". In fact, this component, similar to the hemostatic aromatic acid, is used for a variety of bleeding disorders, acute or chronic, confined or systemic fibrinolytic hyper hyperinflammation caused by a variety of bleeding and abnormal bleeding during surgery, and so on. The hemostatic effect of this substance is still very strong. The "Yunnan Baiyao toothpaste" is claimed to contain Yunnan Baiyao active ingredients, with rapid resistance to bleeding gums. We do not care what the so-called "Yunnan Baiyao active ingredient" is, just this "tranexamic acid" has a very strong hemostatic function. But it can achieve the advertised therapeutic effect! However, this is known as herbal ingredients in the product to add Western drugs to achieve hemostatic publicity effect of whether suspected of fraud or false advertising, but also need to be assessed by the relevant units. However, by adding hemostatic drugs, to reduce the purpose of bleeding gums, but may cover up gingivitis, periodontal disease and other related oral diseases. It may make consumers delay treatment and aggravate the condition. In this regard, "Yunnan Baiyao" toothpaste can be said to violate the law.

However, is such a "table does not match" the product, in just 5 years, became the first in 1 year profit, 3 years cumulative sales of more than 600 million toothpaste brand. Also boasted that he created the so-called 'Yunnan Baiyao model', and into the CCTV announced the 'National Brand Program' ...... This, the water is too deep, not a doctor can say a clear range.

In fact, the same thing happens in our daily life in many herbs and health products. In some of the kidney products, which give you add some sildenafil ingredients, and then let you be surprised to find that after eating these products can be "a column of heaven", said very useful, really should be the words - really not a crook too smart ah! ......

Another uninformed spammer.

This chemical does make medicine, but it also has whitening properties. It is one of the daily chemical additives. Can such an old topic not be moved to hype in a couple of years please.

Will someone come out of nowhere tomorrow and say that there is actually dextrin in food ......... I've seen it in the formulas of prescription drugs .............

One intermediate ingredient for many things, please 🙏. Don't be showing your IQ. Not to mention it's an additive within the state's allowable limits.

Yunnan Baiyao and many other Chinese herbs have been accused of adding prescription drugs to stop bleeding, is this practice against the law?

When my wife told me this news yesterday, I couldn't help but let out a helpless sigh. In this world, what else can we feel at ease about. You can't eat, you can't drink, you can't vaccinate, and so on, and now you can't even brush your teeth?

I don't know how harmful adding prescription drugs can be, but I do know that over the years, I've mostly brushed Yunnan Baiyao toothpaste, and I do know that prescription drugs should be used under a doctor's supervision.

Therefore, I would like to know all the more what kind of harm will be done by brushing up Yunnan Baiyao with added prescription drugs. I would also like to ask the relevant parties or departments to give an authoritative answer, so as not to make me and other consumers confused.

If there are injuries, we consumers should be given an explanation of how to deal with the aftermath? If there is no harm, please also say, the reason is more convincing, do not let us all do not believe.

If it really can't be resolved, perhaps there is only one way out for consumers like us, and that is to choose not to use it. Perhaps there are no more individuals filing lawsuits, and perhaps it would be a huge step forward for the rule of law if there were public interest lawsuits that could help with the defense of rights.

To strengthen the regulation of products and services closely related to people's lives and health, it should be necessary to raise the awareness and capacity of regulation, and we must not wait until the problem has existed for a long time before taking action.

Therefore, the establishment of an open and transparent monitoring system, the strengthening of day-to-day supervision, the increase in penalties, and the implementation of zero tolerance for any irregularities and violations involving the food and drug sector are the only way to have a trusting and reassuring environment.