Chinese Journal of Pharmacovigilance ›› 2022, Vol. 19 ›› Issue (11): 1213-1217.
DOI: 10.19803/j.1672-8629.20210325

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Risk difference between aristolochic acid and clinical use of traditional Chinese medicines in aristolochiaceae

ZHU Wenjing1, ZHANG Lidan2, ZHOU Yue1, LEI Haimin2,*   

  1. 1Certification Center for Licensed Pharmacist of National Medical Products Administration, Beijing 100061, China;
    2Institute of Regulatory Science for Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100024, China
  • Received:2021-04-08 Published:2022-11-17

Abstract: Objective To study the difference between aristolochic acid toxicity and Aristolochiaceae in order to provide reference for rational use of toxic traditional Chinese medicines (TCM) and prevent confusion. Methods A series of problems with safe medication caused by aristolochic acid products was retrospectively analyzed through literature review. The risks of using Aristolochiaceae were summarized, and previous studies on aristolochic acid reduction were outlined. Results The problems caused by aristolochic acids were essentially different from those by Aristolochiaceae. Compliance with theories of TCM and rational use of Aristolochiaceae will not cause serious adverse reactions. Conclusion More rigorous supervision of toxic TCM are recommended. Irrational fears about the toxicity of TCM should be eliminated so as to boost the development of TCM industry.

Key words: aristolochis acids, aristolochiaceae, detoxification, scientific supervision

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