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Rediscovering Traditional Chinese Medicine (TCM) » Traditional Chinese Medicine Had Antibiotics Earlier!
Author︰Shen Yaozi
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Bacterial infections have never left humanity; ancient people also suffered from bacterial infections, which could be life-threatening in severe cases. Most bacteria are invisible to the naked eye. Humans first saw bacteria under a microscope in the late 17th century. Although ancient people couldn't see bacteria, they rationally deduced that a certain "evil qi" or "toxic qi" must invade the body, causing infection symptoms. Severe bacterial infections can cause fever, and the infected area may become red, swollen, hot, and discharge pus. Therefore, ancient people named these external pathogenic factors "heat toxin," "damp toxin," or "damp-heat toxin." The medicines used were collectively called "Heat-Clearing and Toxin-Removing Medicinals". Modern pharmacological experiments and analysis have confirmed that these Chinese medicinals have considerable antibacterial, antifungal, and antiviral effects, similar to broad-spectrum antibiotics and broad-spectrum antiviral drugs in Western medicine.

The first antibiotic in Western medicine, Penicillin, was discovered accidentally in 1928. However, Chinese medicine's broad-spectrum antibiotic-like medicinals had been discovered and used for hundreds, even thousands, of years and are still widely used in Chinese medicine practice today. Many formulas with "Disinfect" in their names generally possess varying degrees of antibacterial and antiviral properties.

Incidentally, Wu Youke published Treatise on Pestilence in 1642 AD, proposing the "Lethal Qi" theory. He believed that epidemics were caused by external "Lethal Qi" entering the body through the mouth and nose, emphasizing that the transmission route differed from that of Cold Damage disorders. This so-called "Lethal Qi" was the prototype of the concept of pathogens, predating Western ideas by about 200 years.

Furthermore, the world's earliest record of something similar to a vaccine is found in Zhou Hou Bei Ji Fang (Handbook of Prescriptions for Emergencies) from the Eastern Jin Dynasty, used for treating rabies. During the late Ming and early Qing dynasties (1600-1644 AD), variolation for smallpox prevention was very common. The West did not invent the smallpox vaccine until 1796.

The Bottleneck of Antibiotics - Drug Resistance

Currently, all Western medical antibiotics are derived from low-grade molds or microorganisms. They consist of single components with simple structures, making it easy for bacteria to develop resistance against them. Furthermore, they have relatively high toxic side effects. This is an indisputable fact.

Chinese medicine's antibiotic-like medicinals, however, are complex formulas extracted from higher plants, featuring high molecular weight structures. Even after thousands of years of use, significant drug resistance has not been observed, and toxic side effects are relatively lower.

Western Antibiotics (Single component, small molecule): Like a precisely structured "key" that attacks only one critical "keyhole" of the bacteria (e.g., cell wall synthesis, protein synthesis). If the bacteria undergo a genetic mutation that slightly alters the shape of this "keyhole" (producing a drug-resistant gene), this key becomes ineffective.

Chinese Medicinal Formulas (Multiple components, mix of large/small molecules): Like a "special operations team" using multiple weapons (multiple active components) to simultaneously attack multiple targets of the enemy - such as the command center, ammunition depot, and supply lines (multiple sites of action). Even if bacteria develop defenses against one or two of these weapons, it's difficult to defend against all attacks simultaneously, making it harder overall to develop high-level drug resistance.

This "multi-target" theory is currently the mainstream scientific hypothesis explaining the advantages of Chinese medicinal formulas, and it is highly persuasive.

Additionally, Chinese medicine adopted a completely different philosophy from the start: it does not seek "annihilation" but rather "balance"; it does not launch an "all-out attack" but conducts "public security management." The multiple components in Chinese medicinal formulas do not attempt to completely eradicate bacteria. They might:

  • Component A: Inhibit bacterial quorum sensing, preventing them from "communicating" and acting cooperatively.
  • Component B: Disrupt bacterial biofilms, preventing them from establishing "strongholds."
  • Component C: Mildly interfere with their energy metabolism, making them "physically weak."
  • Component D (Supporting the Upright): Simultaneously enhance the patrolling and cleansing capabilities of the body's immune cells.
With this combination of strategies, the pathogenic ability of the bacteria is greatly weakened, transforming them from "ferocious invading armies" into "stragglers," which are eventually easily cleared by the body's own immune system.

Another factor making Chinese medicinals less prone to inducing resistance is the absence of "extinction pressure." When using a potent antibiotic aiming to kill all bacteria, this constitutes "natural selection" on the entire bacterial population: those who can resist the drug survive and reproduce, eventually causing the entire population to become drug-resistant.

In contrast, the "multi-target, low-intensity interference" of Chinese medicinals does not present bacteria with a clear "resist or die" selective pressure. The bacteria don't know which specific direction to mutate against, or may find it not worth the energy expenditure to evolve in response to this kind of "harassment." Those that survive are not necessarily "more drug-resistant," but more likely just "lucky." This fundamentally slows down the evolution of resistance.

Why Have Chinese Medicinals Remained Effective for Millennia?

Chinese medicinal materials such as Honeysuckle Flower (Jinyinhua), Forsythia Fruit (Lianqiao), Great Burdock Achene (Niubangzi), Baical Skullcap Root (Huangqin), Coptis Rhizome (Huanglian), and Glabrous Greenbrier Rhizome (Tufuling) - all Heat-Clearing and Toxin-Removing medicinals - are still widely used effectively in clinical practice today. This is primarily due to the following reasons:
  • Multi-Target, Low Selective Pressure (Core Reason): Chinese medicinal formulas are the "special operations team." Unlike single antibiotics that deliver a devastating blow to one specific survival mechanism of the bacteria (high selective pressure), forcing them to mutate or die, Chinese medicinal formulas simultaneously "harass" multiple, less critical pathways (low selective pressure). Bacteria are not faced with a life-or-death situation demanding mutation, so the evolutionary pressure driving the development of high-level resistance genes is much smaller.
  • Different Standard for "Effectiveness": Modern medicine requires antibiotics to reach the Minimum Inhibitory Concentration in the body and completely kill or inhibit the pathogenic bacteria within a specific timeframe. In many infectious diseases, the goal of Chinese medicine treatment is not entirely to "kill all bacteria." More often, it aims to restore the body's balance by regulating the human immune system ("Supporting the Upright") and assisting with antibacterial effects from the medicinals ("Expelling Pathogens"), allowing the body's own immunity to clear the pathogen. In this model, the drug itself does not bear 100% of the bactericidal task, thus reducing the demand for resistance prevention.
  • The Human Body as a "Buffer System": The effective components of Chinese medicinals typically reach much lower concentrations in the body compared to Western antibiotics. They often assist the body's immune system rather than replace it. The human immune system itself is multi-targeted and dynamic, making it harder for bacteria to develop a single resistance mechanism against the complex system of medicinals and the human body.
There is one more absolutely crucial reason: these medicinal materials are natural plants. To survive in challenging microbial environments, these plants spontaneously "developed" these antibacterial and antiviral components. Bacteria, of course, would "try every means possible" to counter them, leading to an arms race between plants and bacteria. This has resulted in the "miracle" that these medicinals, even after thousands of years, have not encountered significant drug resistance.

The Advantage of Chinese Medicine Against Toxins - Supporting the Upright and Expelling Pathogens

When using Heat-Clearing and Toxin-Removing medicinals, Chinese medicine also considers the body's "Upright Qi," meaning the patient's physical strength and immunity. If the patient has a deficient or insufficient condition, besides using Heat-Clearing and Toxin-Removing medicinals to help the patient dispel bacteria and viruses, it is also necessary to boost the patient's Upright Qi and provide some tonifying medicinals. This is collectively called the "Method of Supporting the Upright and Expelling Pathogens". This is a concept that exists in Western medicine but is not yet fully developed.

Based on the author's years of experience, Heat-Clearing and Toxin-Removing Chinese medicinals alone can treat acute urethritis, acute suppurative tonsillitis, acute sinusitis, acute folliculitis, acute upper respiratory tract infections, gum swelling and pain from plaque infection, etc. Since the author learned Chinese medicine, the entire family has never taken Western antibiotics or anti-inflammatory drugs again. For any acute infection, the author's family has been cured by taking Chinese medicinals. It has been N years since any family member last took Western antibiotics. The fact that ancient Heat-Clearing and Toxin-Removing Chinese medicinals can achieve this level is already impressive to the author. Moreover, Chinese medicine has just emerged from the low point of being suppressed last century and is gradually recovering its vitality.

The advantages of Chinese Heat-Clearing and Toxin-Removing medicinals are low toxic side effects, effective components being complex, large molecular structures making it difficult for bacteria to develop resistance, and being broad-spectrum antibacterial and antiviral. They can currently fully serve as the first-line treatment for mild to moderate infections. If ineffective, or in cases of severe infection, Western antibiotics should of course be used.

Reborn from the Wisdom of Chinese Medicine - The Next Generation of Antibiotics

Western medicine is currently troubled by increasing bacterial resistance and decreasing development of new antibiotics, often facing the dilemma of antibiotics becoming ineffective: use an antibiotic for a period → resistance develops → develop a new drug → use it for a period → resistance develops again → ... a vicious cycle.

How much manpower and resources does it take to develop one antibiotic? In contrast, planting medicinal herbs, improving varieties, and extracting more potent antibacterial and antiviral components from them - which approach has the higher cost-performance ratio?

Unfortunately, current national policies clearly lean towards Western medicine, and Chinese medicine can obtain relatively limited funding. If relevant institutions were willing to invest in research and strongly support the development in this field, it is believed that the concentration and efficacy of Chinese Heat-Clearing and Toxin-Removing medicinals could achieve significant leaps forward. It is highly possible to develop a completely new generation of antibiotics in the future with more advanced concepts, higher efficiency, and lower toxic side effects, safeguarding the health of all humanity!

Due to the bullying by Western powers a hundred years ago, the East began to lose confidence in its own culture, leading to repeated suppression and neglect of Chinese medicine. This caused the development of Chinese medicine to stagnate for a century without progress. Originally at the forefront, Heat-Clearing and Toxin-Removing Chinese medicinals could only lose ground to Western antibiotics. But the advantages of ancient wisdom are still evident and highly worthy of reference by modern people.

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