A Retrospective Analysis of Liver Function Test in Patients Taking Heshouwu

하수오를 복용한 환자의 간기능 검사에 대한 후향적 조사

  • Han, Chang-Woo (Dept. of Oriental Internal Medicine, Jaseng Hospital Of Oriental Medicine)
  • 한창우 (자생한방병원 한방내과)
  • Published : 2010.03.31

Abstract

Objectives : in recent years, there have been some case reports about liver injuries suspected to be caused by Heshouwu, the root of Polygonum multiflorum. So, I investigated liver function tests of patients who had taken Heshouwu, to know whether Heshouwu was hepatotoxic. Methods : I surveyed whether Heshouwu caused liver injury in patients, who had been admitted and taken Heshouwu at Dongguk University International Hospital, from May 2005 to July 2008. I looked over all the liver function tests of those patients, done during medication and 30 days after. Results : Among 1,449 inpatients, there were 124 patients who had taken Heshouwu. Among those 124 patients, 14 cases whose liver function tests were abnormal before medication were excluded. 69 cases who did not take liver function test 30 days after were also excluded. As a result, 41 patients were enrolled, and their mean dosage was 14.04(8-24) g/day, and the mean medication period was 13.8 (1-89) days. During and after medication, there were no abnormal liver function test results at all, in the enrolled cases. Conclusions : Roughly speaking, according to the above results, it seems that taking Heshouwu for about two weeks as per the commonly taken dosage did not cause hepatotoxicity, though we needs more laboratory and clinical research to reach a more definitive conclusion.

Keywords

References

  1. 황성하, 박진아, 장이선, 이강문, 이동수, 안병민 등. 개암풀(補骨脂; Psoralea dasycarpus)에 의한 급성 간염 1예. 대한간학회지. 2001;7(3):341-344.
  2. 이준혁, 이화영, 고광철, 이종균, 이풍렬, 김재준 등. 백선(Dyctamnus dasycarpus) 복용 후 발생한 간 손상 2예. 대한소화기학회지. 1998;31(2): 251-257.
  3. 서동진, 이헌경, 이영상, 최재원, 조재철, 정영화. 한약 하수오(Ho-Shou-Wu) 복용 후 발생한 급성 간염 1예. 대한내과학회지. 1999;56(6):753-756.
  4. 김미랑, 이은숙, 정병무, 윤철호, 서운교. 六味地黃元투여 후 발생한 간독성 간염 1예. 대한한방내과학회지. 2002;23(4):716-721.
  5. Benichou C. Criteria of drug-induced liver disorders. Report of an international consensus meeting. J Hepatol. 1990;11(2):272-276. https://doi.org/10.1016/0168-8278(90)90124-A
  6. Maria VA, Victorino RM. Development and validation of a clinical scale for the diagnosis of drug-induced hepatitis. Hepatology. 1997;26(3): 664-669. https://doi.org/10.1002/hep.510260319
  7. 전국한의과대학 본초학교수 공편저. 본초학. 서울: 영림사; 1992, p. 583-4.
  8. 허준저, 동의보감국역위원회 역. 대역동의보감. 서울: 법인문화사; 1999, p. 1957.
  9. But PP, Tomlinson B, Lee KL. Hepatitis related to the Chinese medicine Shou-wu-pian manufactured from Polygonum multiflorum. Vet Hum Toxicol. 1996;38(4):280-282.
  10. Park GJ, Mann SP, Ngu MC. Acute hepatitis induced by Shou-Wu-Pian, a herbal product derived from Polygonum multiflorum. J Gastroenterol Hepatol. 2001;16(1):115-117. https://doi.org/10.1046/j.1440-1746.2001.02309.x
  11. Mazzanti G, Battinelli L, Daniele C, Mastroianni CM, Lichtner M, Coletta S, et al. New case of acute hepatitis following the consumption of Shou Wu Pian, a Chinese herbal product derived from Polygonum multiflorum. Ann Intern Med. 2004;140(7):30.
  12. Panis B, Wong DR, Hooymans PM, De Smet PA, Rosias PP. Recurrent toxic hepatitis in a Caucasian girl related to the use of Shou-Wu- Pian, a Chinese herbal preparation. J Pediatr Gastroenterol Nutr. 2005;41(2):256-258. https://doi.org/10.1097/01.MPG.0000164699.41282.67
  13. Cardenas A, Restrepo JC, Sierra F, Correa G. Acute hepatitis due to shen-min: a herbal product derived from Polygonum multiflorum. J Clin Gastroenterol. 2006;40(7):629-632. https://doi.org/10.1097/00004836-200608000-00014
  14. 顔正華. 中葯學. 北京: 人民衛生出版社; 1991, p. 818-822.