The Hidden Dangers of Qingmuxiang: Understanding the Ban and Taboos

February 2, 2024

Medicines have their own toxicity. Do not use them indiscriminately without understanding or knowing them, even some common Chinese medicines. Before using Qingmuxiang, we need to first understand why it is banned?


Reasons for the Ban on Qingmuxiang

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

In fact, as early as 2004, it had attracted high attention from the country, and in 2004, the use of the roots of the Aristolochiaceae plant "Guangfangji" and the roots of the Aristolochiaceae plant Aristolochia and Asarum was banned due to high content of aristolochic acid.

In addition, the National Food and Drug Administration officially stated that traditional Chinese medicine preparations containing "Qingmuxiang" have been canceled their medicinal standards due to potential adverse reactions such as kidney damage. These drugs have been completely removed from the herbal medicine market.

Now, Guangmuxiang is used as a substitute for Qingmuxiang in prescriptions. If Qingmuxiang must be used, it should be used under the guidance of a qualified physician, with strict control of dosage and treatment duration.

During the treatment, attention should be paid to monitoring of renal tubular and glomerular function. However, it should be used with caution in children and the elderly, and pregnant women, infants, and those with renal insufficiency should be prohibited from taking it.


Taboos of Qingmuxiang

1. It has slight toxicity. It is used in folk medicine to treat abdominal pain. In clinical practice, it is also used in small doses to treat stomach pain and abdominal pain.

A slightly larger dose can cause nausea and vomiting. Long-term use can be nephrotoxic.

Therefore, it is now rarely used to treat hypertension. The National Medical Products Administration has canceled its medicinal standards.

2. It should be used with caution in patients with deficiency-cold syndrome.

"The Tang Materia Medica": "Do not take it in large doses, as it can cause persistent vomiting and diarrhea."

"The Classic of Herbal Medicine": "For lung-cold cough, cold phlegm causing wheezing, and stomach deficiency causing loss of appetite, do not take it, as it can cause dispersion due to its pungent and aromatic nature."

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