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Diet Herbal Medicine Side Effects — From Mahuang Ingredients to Chest Palpitations, Including Constitution Matching
Blog July 31, 2026

Diet Herbal Medicine Side Effects — From Mahuang Ingredients to Chest Palpitations, Including Constitution Matching

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Diet Herbal Medicine Side Effects — From Ephedra Ingredients to Heart Palpitations, Customized by Constitution

Have you ever taken a big step and started herbal medicine for weight loss, only to suddenly experience heart palpitations or insomnia and feel overwhelmed? Many people who take diet herbal medicine experience these symptoms and often worry, wondering, "Is this medicine not right for me?"

A cute character with hands on their chest, looking flustered with a palpitating expression. Small lightning-shaped effect lines around them.

Why Your Chest Pounds After Taking Diet Herbal Medicine

When I talk with patients in the clinic, the most frequently mentioned side effects are heart rate increases and excessive sweating. The key reason these phenomena occur is often the ephedra ingredient found in many diet herbal medicines.

A simple table contrasting the positive roles and negative reactions of ephedra. Divided into left (efficacy) and right (side effects) sections.

Ephedra increases the body's basal metabolic rate and affects the autonomic nervous system and hormone secretion, helping to suppress appetite. While it is a useful ingredient that increases satiety and aids in weight loss, physical reactions vary from person to person. In a recent broadcast, columnist Kwak Jeong-eun confessed that although ephedra had been fine for her in the past, her heart raced severely after she started taking it again as she got older, emphasizing that you should never take any medication arbitrarily.

Major Side Effect Symptoms You May Actually Experience

Beyond simply having a racing heart, various reactions can occur. The main ones include chest palpitations, excessive sweating, hand tremors, and insomnia. In particular, when the autonomic nervous system is stimulated and the body remains in a state of constant tension, many people have difficulty sleeping at night.

A simple pie chart showing the rate of side effects experienced by appetite suppressant users. The 73% section is highlighted.

According to a survey of people taking oral appetite suppressants, approximately 73% of users experienced side effects. This phenomenon appears not only with herbal medicines but across appetite suppressants in general, and serves as evidence that these drugs strongly interfere with the body's metabolism.

High-Risk Groups and Cases Requiring Caution

Even when taking the same dosage of medication, reactions vary greatly from person to person. Those with cardiovascular diseases must be especially careful. There are case reports of patients with a history of arrhythmia reacting sensitively to ephedra ingredients, resulting in cardiovascular adverse reactions.

In such cases, rather than abruptly stopping the medication, a strategy is needed to lose weight by carefully adjusting the ephedra dosage under expert diagnosis. Accurately disclosing your underlying conditions and current health status before receiving a prescription is the first step toward safe weight loss.

The Dangerous Trend of People Without Obesity Taking These Medications

Recently, due to pressure to lose weight, the number of people seeking diet pills has increased even among those who are not obese. According to the Korea Institute for Health and Social Affairs report "Public Perception of Drug Abuse and Policy Issues," approximately 60% (59.5%) of oral appetite suppressant users responded that they took medication to lose weight despite not having received an obesity diagnosis.

When strong appetite suppressant ingredients are used in situations where weight loss is not medically necessary, the risk of side effects inevitably increases. This is essentially forcefully applying external stimulation that the body does not need, making it easy for the body's balance to break down.

Baekrokdam Korean Medicine Clinic's Approach by Constitution

When I meet patients in the clinic, I think about "medicine that normalizes that person's metabolism" rather than simply "medicine to lose weight." Even with the same ephedra ingredient, the prescription composition and content must be completely different depending on the patient's constitution, current vital energy state, and metabolic capacity.

A 2x2 matrix showing prescription approaches by constitution. Differences in prescription based on [high anxiety/sleep disorders] vs [low metabolism/plateau period].

For example, prescribing strong stimulants to people who have high anxiety or sleep disorders can be harmful. On the other hand, appropriate stimulation can serve as a catalyst for people whose metabolism is too low and who are experiencing severe plateaus. If insomnia worsens during the diet process, complementary prescriptions to stabilize the body should be administered in parallel, like how certain dosages such as 2g[1] were referenced as benchmarks in other studies on sleep disorder improvement (such as research on Zaoren Anshen capsules, etc.).

Things You Can Do Right Now to Reduce Side Effects

If you are currently taking diet herbal medicine and feel discomfort, remember these three things:

A 3-item core checklist to immediately practice for side effect relief. Including checkbox icons.

A character smiling comfortably while drinking a cup of tea with a relieved expression. Soft pastel-toned light spreading in the background.

First, record when the symptoms appeared and their pattern. Note when your heart raced and whether it was worse before or after meals — having this information enables accurate dosage adjustment during your consultation. Second, boldly reduce your caffeine intake. Caffeine in coffee or energy drinks creates a synergistic effect with ephedra, amplifying palpitations and anxiety. Third, do not stop taking your medication arbitrarily or borrow someone else's medicine. The wisest approach is to consult with a Korean medicine doctor who knows your condition best to lower the dosage or change the ingredients.

Diet is not simply a process of reducing numbers; it is a process of communicating with your body. Rather than pushing your body too hard, finding a pace that suits your condition is important.

With the Baekrokdam Gambi-jung program, you can expect a more comfortable and effective outcome through prescriptions tailored to your individual constitution and metabolic state. If you have any questions about what we discussed today, or if you are experiencing discomfort from your current medication, please feel free to let me know. At your next visit, we will work together to find the most comfortable weight loss path for you.

References

[1] Efficacy and safety of Zaoren Anshen capsules in the treatment of insomnia: A meta-analysis of randomized controlled trials. (Medicine, 2020) — https://pubmed.ncbi.nlm.nih.gov/32028417/


References

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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