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Chapter I THE PROBLEM AND ITS SETTING Introduction There are as many as 4 billion people, or 80 percent of the earth’s population that are using a form of herbal medicine in their health care system (World Health Organization, 2008). According to Ernest (2002), Chinese herbal medicines holds a large section of users in this population and most of which are known to be unregulated treatments and are freely available to everyone is in concomitant treatment with synthetic medicine. Chinese herbal medicine and Ayurvedic herbal medicine have very sparse and no convincing evidence that it is effective in any indication as stated by Guo and Canter (2007). Chinese herbal medicine also has a high potential for adverse events and negative herb–herb and herb–drug interactions because it can act in the same way as drugs and may cause medical problems if not used correctly (Foti,2005). Today, mainstream medicine has finally taken note of the Herbal industry, alternative medicines have come to be the people’s first choice treatment for various chronic diseases; its progress in the market has greatly grown and hasmade a mark in the line of medicine. In the Philippines alone, the progress of natural food supplements, primarily herbal-based products, is estimated by

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independent surveys to have reached PhP700 million in sales in 2003 (absherbs.net, 2003). With the undeniable public’s lack of knowledge, over 100,000 people die in the United States per year of herbal-drug interactions (Bachmann, 2003). Its wide distribution in community pharmacies and its accessibility as sold as an over-the-counter drug makes it a common circumstance of today to find a person with a maintenance drug therapy for chronic illnesses to be in concomitant therapy with herbal supplements, thus the public’s health is in danger! Therein lies the problem, people of today’s era

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