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h English (en) | TCM recognizes [[bear bile]] as a medicinal. In 1988, the Chinese Ministry of Health started controlling bile production, which previously used bears killed before winter. Now bears are fitted with a sort of permanent [[catheter]], which is more profitable than killing the bears. More than 12,000 [[asiatic black bears]] are held in "bear farms", where they suffer cruel conditions while being held in tiny cages. The catheter leads through a permanent hole in the abdomen directly to the [[gall bladder]], which can cause severe pain. Increased international attention has mostly stopped the use of bile outside of China; gallbladders from butchered cattle ({{zh|labels=no|t=牛膽|s=牛胆 |p=niú dǎn}}) are recommended as a substitute for this ingredient. |