Understanding the Contradictions of Qingmuxiang: A Powerful Medicinal Plant with Potential Risks

January 19, 2024

Qingmuxiang is the dried root of the Aristolochia plant in the Aristolochiaceae family. Its roots are slightly toxic and have the effects of soothing the liver, relieving pain, detoxifying, and reducing swelling. It can be used to treat dizziness, headaches, abdominal distension, abscesses, and snake or insect bites. Now let's take a look at the contraindications for the use of Qingmuxiang.


Image of Qingmuxiang

Qingmuxiang is a traditional Chinese medicinal plant that grows in Jiangsu and Zhejiang provinces in China. Sometimes we also use it in daily life. It can effectively treat diseases such as abdominal distension, enteritis with diarrhea, hernia, snake bites, hypertension, tetanus, abscesses, boils, itchy or damp skin, etc., and has a great impact on people's health.

However, although Qingmuxiang has many effects and functions, it contains a large number of chemical components. It should not be used excessively or indiscriminately, otherwise it will not only fail to treat the disease, but also cause side effects, which is not worth the loss. Therefore, it is necessary to have a correct understanding of Qingmuxiang, not only to know its effects, but also to grasp its contraindications.

The reason why Qingmuxiang is prohibited for use is because it has a very strong nephrotoxicity. Qingmuxiang contains aristolochic acid, which can cause severe toxic side effects such as acute renal failure and acute tubular necrosis.


Image of Qingmuxiang

In fact, as early as 2004, it has attracted high attention from the country, and in 2004, the plants "Guangfangji" and the roots of the Aristolochia plants "Qingmuxiang" and "Beimuxiang" with high content of aristolochic acid in the Aristolochiaceae family were prohibited from use.

It was used by the folk to treat abdominal pain, and in clinical practice, it was also used in small doses to treat stomach pain and abdominal pain. However, with slightly larger doses, nausea and vomiting reactions occur, and long-term use can cause nephrotoxicity. Therefore, it is now rarely used to treat hypertension, and caution should be exercised by patients with deficiency-cold syndrome.

In addition, the State Food and Drug Administration has officially issued a document stating that traditional Chinese medicine preparations containing "Qingmuxiang" have been canceled their medicinal standards due to their potential adverse reactions such as kidney damage. These medicines will be removed from the market as a result.

Now, if Qingmuxiang is needed in a prescription, Guangmuxiang is used as a substitute. If it is necessary to use Qingmuxiang, it should be used under the guidance of a qualified physician, with strict control of dosage and treatment duration.

During the treatment, it is necessary to monitor the function of the renal tubules and glomeruli. However, it should be used with caution in children and the elderly, and pregnant women, infants, young children, and those with renal insufficiency should not take it.

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