If it is appropriate, and will enhance the treatment plan, I usually write custom powdered herbal formulations for my patients. This is done following a thorough health history and diagnosis according to the principles of TCM, as well as consideration of all of the above factors, particularly with respect to prescription medications and any possible interactions or contraindications.
Custom formulations, which are prepared by Mayway and shipped directly to the patient, are comprised of anywhere from 4 to 17 herbs, which are selected to work in harmony with each other. Herbs are of plant based origin, except for a few mineral based instances. Formulas are chosen and modified based on classic TCM principles and diagnosis patterns.
Compared to conventional medications, herbal medicine works gradually, and one should expect to allow at least 4-6 weeks to see results. Several courses may be needed, and the length of treatment will vary with individual presentation. Some formulas are appropriate for long term use.