- P-ISSN 1010-0695
- E-ISSN 2288-3339
Objective:The purpose of this study was to investigate the level of safety on liver functions when Korean herbal medicine was taken internally. Method:101 inpatients who took Korean herbal medicine were enrolled and liver function test (aspartic aminotransferase, alanine aminotransferase, alkaline phosphatase, total bilirubin, gamma glutamyltranspeptidase, albumin, lactate dehydrogenase) was performed on admission and 1 month later. Results:In 101 patients, alkaline phosphatase and gamma glutamyltranspeptidase decreased significantly compared with the value taken on admission (p<0.05) but aspartic aminotransferase, alanine aminotransferase, total bilirubin, albumin, and lactate dehydrogenase were not significantly changed (p>0.05). In the patients who took Scutellaria baicalensis (n=34), alkaline phosphatase decreased and albumin increased significantly (p<0.05). Among the patients who took Atractylodes macrocephala (n=29), alkaline phosphatase decreased significantly (p<0.05). In the patients who took Glycyrrhiza uralensis or Paeonia lactiflora, liver function parameters were not significantly changed (p>0.05). On admission 11 patients had abnormal liver function and 2 patients had liver injury while 7 patients had abnormal liver function and 2 patients showed liver injury 1 month later. Conclusions:This study suggests that prescribed Korean herbal medicine does not injure liver function.
1 Koo BS, Kim TK, Han JA, Moon SK, Kim YS. The pilot study of the hepatotoxicity of Aconiti Radix Lateralis Preparata contained herbal medicine in 6 cases. J Korean Oriental Med. 2002;23(1):177-82.
2 Lekehal M, Pessayre D, Lereau JM, Moulis C, Fouraste I, Fau D. Hepatotoxicity of the herbal medicine germander : Metabolic activation of its furano diterpenoids by cytochrome P450 3A Depletes cytoskeleton-associated protein thiols and forms plasma membrane blebs in rat hepatocytes. Hepatology. 1996;24(1):212-8.
3 의학교육연수원. 가정의학. 서울:서울대학교출판부. 2003:1324.
4 Chun WJ, Yoon BG, Kim NI, Lee Goo, Yang CH, Lee CW, et al. A clinical study of patients with acute liver injury caused by herbal medication in Gyeongju area. Korean J medicine. 2002;63(2):141-50.
5 Park GJ, Mann SP, Ngu MC. Acute hepatitis induced by Shou-Wu-Pian, a herbal product derived from Polygonum multiflorum. J Gastroenterol Hepatol. 2001;16:115-7.
6 Cho JC, Lee HK, Choi JW, Lee YS, Jung YW, Seo DJ. A case of acute hepatitis related to the Chinese Medicine Ho-Shou-Wu. Korean J Med. 1999;56:753-6.
7 Young CY. Neonatal hyperbilirubinemia in chinese. Trop Geogr Med. 1973;25:151.
8 McRae CA, Agarwal K, Mutimer D, Baseendine HF. Hepatitis associated with chinese herbs. Eur J Gastroenterol Hepatol 2002;14:559-62.
9 Lee JH, Lee HY, Koh KC. Drug induced liver disease caused by ingestion of Dictamnus dasycarpus. Korean J Gastroenterol. 1998;31:251-7.
10 Nadir A, Agrawal S, King PD. Acute hepatitis associated with the use of a chinese product, Ma-Huang. Am J Gastroenterol 1996;91:1436-1438.
11 Mantani N, Kogure T, Sakai S, Goto H, Shibahara N, Kita T, et al. Incidence and clinical features of liver injury related to kampo (Japanese herbal)medicine in 2,496 cases between 1979 and 1999: Problems of the lymphocyte transformation test as a diagnostic method. Phytomedicine. 2002;9:280-7.
12 Lee HU, Baek HK, Baek KM, Kim JH, Kim JW, Shim JC, et al. Comparison of liver function and kidney function test score by administration period of herbal medication. Korean J Orient Int Med. 2006;27:1-10.
13 Lee SW, Park SW, Lee HC, Ko CN, Yun SW, Han JY. The effects of constant use of herbal medicine with western medicine on liver and kidney functions. Korean J Orient Int Med. 2003;24:531-42.
14 Shimizu I, Ma YR, Mizobuchi Y, Liu F, Miura T, Nakai Y, et al. Effect of Sho-Saiko-To, A japanese herbal medicine on hepatic fibrosis in rat. Hepatology. 1999;29:149-60.
15 Al-Khafji M. Monitoring of liver enzymes in patients on chinese medicine. J Chinese Med. 2000;62:6-10.
16 Yun YJ, Park HJ, Paeck EK, Park JH, Jeong SK, Park HM, et al. Safety of prescribed korean herbal medicine on liver function : Prospective multi-center pilot Study. Korean J Oriental Physiology & Pathology. 2009;23(3):715-22.
17 WHO Traditional Medicine Strategy 2002-2005. World Health Organization; 2002.
18 Anonymous program profile : International liaison brings global vision to OAM. Complementary and alternative medicine at the NIH. 1996;3:3.
19 김동준. 식이유래 독성간염의 진단 및 보고체계 구축을 위한 다기관 예비연구 최종보고서. 국립독성연구원. 2003:8.
20 Soo JI. A review on the report about drug induced hepatitis published by the national institute of toxicological research. J Korean Oriental Med. 2004;25(3):78-89.
21 Yun YJ, Shin BC, Lee MS, Cho SI, Shin WJ, Park HJ, Lee HJ. Korean herbal medicine on liver function : A systematic review in korean literature. Korean J Orient Int Med. 2009;30(1):153-72.
22 Benichou C. Criteria of drug-induced liver disorders - Report of an international consensus meeting. J Hepatol. 1990;11:272-6.
23 경희의료원. 경희한방처방집. 서울:경희대학교 한의과대학 부속한방병원. 2007.
24 Danan G, Benichou C. Causality assessment of adverse reaction to drugs - I. A novel method based on the conclusions of international consensus meetings ; applications to drug induced liver injuries. J Clin Epidemiol. 1993;46:1323-30.
25 Melchart D, Linde K, Weidenhammer W, Hager S, Shaw D, Bauer R. Liver enzyme elevation in patients treated with traditional Chinese medicine. JAMA. 1999;282:28-9.
26 Lee CH, Wang JD, Chen PC. Case-crossover study of hospitalization for acute hepatitis in Chinese herb users. J Gastroenterol Hepatol. 2008;23(10):1549-55.
27 Itoh S, Marutani K, Nishijima T, Matsuo S, Itabashi M. Liver injuries induced by herbal medicine, Syo-Saiko-To (Xiao-Chai-Hu-Tang). Dig Dis Sci. 1995;40(8):1845-8.