One of the United States’ top hospitals, the Cleveland Clinic, has begun dispensing herbal remedies at a newly opened Chinese herbal therapy center. It’s a surprising venue for such treatments — though the practice is well established in China and other Eastern countries, it has yet to make inroads in the U.S. because of a lack of evidence proving their effectiveness. Still, many patients are gravitating to such clinics when other options have failed them. As the WSJ’s Sumathi Reddy reports:
“Western medicine does acute care phenomenally.… But we’re still struggling a bit with our chronic-care patients and this fills in that gap and can be used concurrently,” says Melissa Young, an integrative medicine physician at Cleveland Clinic.
While acupuncture programs have sprouted across the U.S., there are only a handful of herbal clinics. Osher Center for Integrative Medicine at Northwestern University and NorthShore University HealthSystem, affiliated with the University of Chicago, both include herbal medicine among their offerings.
“I’m getting more and more physician referrals [for herbal treatments], which to me is a sign of greater acceptance,” says Leslie Mendoza Temple, medical director at NorthShore’s Integrative Medicine Program. “When I first started here we were pounding on doors to prove we’re not crazy and we’re legitimate and safe.” Referrals come from neurology, oncology, gastroenterology and rheumatology, among other departments, she says.
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Quality and potential contamination are issues. At Cleveland Clinic, premade herbal formulas are bought and ordered through KPC Products, a subsidiary of Taiwan’s Kaiser Pharmaceutical Co. Custom-blends are made by Crane Herb Co., based in Massachusetts and California.
At the Cleveland Clinic’s herbal center, new patients are given a one-hour consultation that may include a battery of questions (How’s your sleep? Body temperature? Ringing in your ears? Headaches?), a physical examination of the tongue, and the traditional Chinese method for pulse-taking (three fingers on each wrist to check different pulses corresponding to various organ systems). They are asked to sign a waiver acknowledging that “herbal supplements are not a substitute for a medical diagnosis.”
Consultations are $100 and are not covered by insurance. Follow-ups are $60 and a one-month supply of herbal formulas costs on average about $100. On one day at the clinic last month patients had needs ranging from chronic pain to anxiety, digestive issues and multiple sclerosis.
Date: Apr 22, 2014