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- Location
references/TCM_YingWei_Deep_Dive.md:112- Finding
Unsafe and Overconfident Medical Diagnosis and Herbal Treatment Guidance
- Content
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Vulnerability Details
File Location:
references/TCM_YingWei_Deep_Dive.md:112,114-118;SKILL.md:195-204,214
Vulnerability Type:other: Unsafe Medical Guidance
Risk Level: HighVulnerable Content
references/TCM_YingWei_Deep_Dive.md:112(English translation of the audited source):markdown | Treatment | Pungent-cool exterior-releasing therapy (Yuebi Decoction/Yinqiao Powder) | Pungent-warm exterior-releasing therapy (Mahuang Decoction/Guizhi Decoction) | Tonify deficiency and reduce fire (Xiaojianzhong Decoction/Shenqi Pill) |references/TCM_YingWei_Deep_Dive.md:114-118(English translation of the audited source):markdown **Important warning — misuse of Yinqiao Powder:** - Misuse scenario: Classifying a wind-cold illness accompanied by sore throat as an externally contracted wind-heat illness and using Yinqiao Powder. - Consequence: The pungent-cool ingredients in Yinqiao Powder suppress defensive qi, causing fever and sore throat to improve temporarily, after which the cold pathogen penetrates more deeply and develops into cough, spleen-stomach deficiency-cold, and prolonged illness. - Key distinction: Fever, thirst, and absence of aversion to cold must all be present before externally contracted wind-heat disease can be diagnosed. - Systems-medicine interpretation: Defensive qi equals immune response; cold-natured medicine weakens defensive qi through immunosuppression, further weakens healthy qi, allows the pathogen to penetrate more deeply, and further destabilizes the neuroendocrine-immune network.SKILL.md:195-204(English translation of the audited source):markdown All diseases are essentially disorders of homeostatic regulation in the neuroendocrine-immune network. | Disease | Systems-medicine interpretation | TCM pathogenesis | Treatment direction | | Diabetes | Tissue and organ malnutrition | Dysfunction of spleen-stomach transportation and transformation; ...[truncated 4748 chars]- Remediation
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Remediation Suggestions
- Replace mandatory diagnostic rules with cautious educational language. State that symptom patterns are neither sufficient nor necessary to establish a medical diagnosis.
- Prohibit the Agent from recommending or selecting named herbal formulas for an individual unless a qualified clinician has evaluated that person.
- Expand the professional-review requirement beyond dosage to include formula selection, diagnosis, contraindications, preparation, duration, and monitoring.
- Require screening for pregnancy, breastfeeding, age, allergies, current medications and supplements, liver or kidney disease, bleeding risk, cardiovascular disease, and relevant comorbidities before discussing herbal products.
- Add explicit interaction warnings and advise consultation with a physician or licensed pharmacist before combining herbs with prescription or over-the-counter medication.
- Remove or qualify universal biomedical claims, including the assertion that all diseases are neuroendocrine-immune dysregulation and direct equivalences between defensive qi and immune response.
- Clearly distinguish historical or theoretical TCM interpretations from evidence-based biomedical conclusions.
- Expand emergency triage beyond the current limited examples. Include altered mental status, severe dehydration, persistent high fever, cyanosis, neurological deficits, anaphylaxis, uncontrolled bleeding, severe abdominal pain, and rapid clinical deterioration.
- For serious conditions such as tumors, diabetes, hypertension, chronic infection, and immune disease, require the Agent to prioritize licensed medical assessment and explicitly state that TCM discussion must not replace established treatment.
- Add a safe-response template that summarizes uncertainty, gives non-pharmacological general information, identifies red flags, and directs users to appropriate professional care.