Treatment and Medicinal Value of Guanmutong: A Toxic yet Valuable Chinese Herbal Medicine

February 13, 2024

Chinese herbal medicine Guanmutong is distributed in Heilongjiang, Jilin, Liaoning, Shanxi, Gansu, Shaanxi, and other regions. Guanmutong has high medicinal value, but it is also highly toxic. Do you know the treatment for Guanmutong poisoning?


Image of Guanmutong

[Treatment for Guanmutong poisoning]

Gastric lavage and enema. According to reports, early administration of adrenal cortex hormones can delay the progression of the disease.

Timely hemodialysis can achieve favorable treatment timing and effects.

For patients with significant renal function damage and end-stage renal disease, replacement therapy such as kidney transplantation is necessary.

[Medicinal value of Guanmutong]

Guanmutong, also known as Matrimony vine and Aristolochia heterophylla.

It is the dried woody vine stem of the plant Aristolochia manshuriensis, mainly produced in the northeastern region of China.

It is a commonly used traditional Chinese medicine with the effects of clearing heart fire, promoting urination, and regulating menstruation and lactation.

It is clinically used for oral ulcers, irritability with red urine, edema, hot and painful urination, and damp-heat arthralgia. It is a commonly used traditional Chinese medicine in clinical practice.

[Botanical characteristics of Guanmutong]

Guanmutong is a climbing woody vine. The stem has gray cork with longitudinal wrinkles.

Leaves are opposite; leaf stalk is 10-13 cm long; leaf blade is round-heart-shaped, 12-20 cm long and 15-23 cm wide, with a slightly blunt or pointed apex, a heart-shaped base, and entire or slightly wavy margins. The lower surface has sparse short hairs, and there are 5 main veins.

Flowers are axillary. The flower stalk base has 1-2 pale brown scales and is densely covered with fine hairs.

The corolla tube is 5-6 cm long, curved like a horseshoe, swollen at the upper part, pale green on the outside, and hairy on the inside near the stamen column. The tube is brown or pale yellowish-green, deeply 3-lobed, with broad triangular lobes. There are 6 stamens, paired and attached to the outside of the stigma column; the stigma column is triangular, with 3 shallow lobes; the ovary is cylindrical.

The capsule is hexagonal cylindrical, 9-11 cm long, 3-4 cm in diameter, pale yellowish-green, turning dark brown later, and splits into 6 segments from the top. The seeds are triangular and pale gray-brown. Flowering period is in May, and fruiting period is in August to September.

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