The Toxicity and Taboos of Qingmuxiang: A Cautionary Tale of Chinese Medicine

April 15, 2024

Chinese medicine Qingmuxiang, also known as Muxiang, refers to high-quality Muxiang. However, the use of Qingmuxiang in medicine may cause adverse reactions such as kidney damage. Therefore, modern medicine has mostly replaced Qingmuxiang with Guangmuxiang. Let me introduce Qingmuxiang to you!

Image of Qingmuxiang

  [Toxicity of Qingmuxiang]

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

In fact, as early as 2004, it has attracted high attention from the country, and in 2004, the use of "Guangfangji" and the root of Aristolochiaceae plants "Qingmuxiang" with high content of aristolochic acid in Aristolochiaceae plants was banned.

In addition, the National Food and Drug Administration officially issued a notice stating that Chinese medicine preparations containing "Qingmuxiang" have been cancelled their medicinal standards due to the possibility of causing kidney damage and other adverse reactions. These drugs have been completely removed from the market.

Now, if Qingmuxiang is required in a prescription, it is replaced by Guangmuxiang. If Qingmuxiang must be used, it should be used under the guidance of a qualified physician, with strict control of dosage and treatment duration, and monitoring of renal tubular and glomerular function during treatment. However, children and the elderly should use it with caution, and pregnant women, infants, young children, and those with renal insufficiency should not take it.

  [Taboos of Qingmuxiang]

Patients with deficiency-cold should use it with caution.

① "Tang Bencao": "Do not take it excessively, as it will cause continuous vomiting and diarrhea."

② "Ben Jing Feng Yuan": "For lung cold cough, cold phlegm causing asthma, and stomach deficiency with loss of appetite, do not take it, as its pungent aroma can scatter and disperse."

Dosage of Qingmuxiang:

Oral administration: decoction, 1-3 qian (3-9 grams); or in powder form. External application: grind into powder and apply, or grind into juice and apply.

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