RAN Shan, FANG Zhonghong, HUANG Haiyin, et al. Problems in the Report of Traditional Chinese Medicine Drug-Induced Liver Injury and Recommondations[J]. Journal of Traditional Chinese Medicine2021, 62(7): 581-584.
RAN Shan, FANG Zhonghong, HUANG Haiyin, et al. Problems in the Report of Traditional Chinese Medicine Drug-Induced Liver Injury and Recommondations[J]. Journal of Traditional Chinese Medicine2021, 62(7): 581-584.DOI: 10.13288/j.11-2166/r.2021.07.007.
Problems in the Report of Traditional Chinese Medicine Drug-Induced Liver Injury and Recommondations
Objective To evaluate the papers reporting traditional Chinese medicine(TCM) drug-induced liver injury(DILI) in China
and to provide references for developing reporting standards of TCM DILI. Methods Terms including "Chinese herbal medicine(中药)"
"drugs(药物)"
and "liver damage(肝损伤)" were searched in CNKI for papers reporting TCM DILI. The basic characteristics regarding to the disease history
use of health-care products
drinking history
medications of both TCM and western medicine
source of Chinese medicinals and its identification were collected
and the problems in reporting TCM DILI were summarized. Results Totally
327 reports on TCM DILI were included. The number of papers reporting history of multiple diseases was 186(56.9%)
while that of history of multiple drugs
use of health-care products
drinking history
TCM medication history
use of western medicine drugs was 180(55.0%)
57(17.4%)
110(33.6%)
192(58.7%)
and 171(52.3%)
respectively. Information on manufacturers
batch numbers
dosage
duration
source of Chinese medicinals
and identification were reported in 21(6.4%)
15(4.6%)
95(29.1%)
253(77.4%)
9(2.8%) and 8(2.4%) papers respectively. One hundred and forty(42.8%) papers reported the correlation between TCM and DILI. Sixty nine papers were by clinical researchers
while 257 were retrospective studies based on medical records
and one was based on adverse drug reaction report(78.9%). Conclusion Current TCM DILI papers have not comprehensively reported both DILI-related patients′ information and TCM information
and mostly lacked the information on drug-related adverse reactions or adverse events
indicating a low reliability of the reporting. In future studies
full information on Chinese herbal medicine should be reported
confounding factors of western medicine should be excluded
and the standard procedures for reporting TCM DILI must be implemented.
Clinical Efficacy of Janus Kinase Inhibitors in Combination with Chinese Herbal Medicine for Rheumatoid Arthritis:A Retrospective Study and A Meta-analysis
Construction and Application of Liver Injury Risk Prediction Model of Chinese Medicinals based on Indirect Toxicity
The Philosophy and Practical Pathway of "Dao (道)-Shen (神)-Formula" in Traditional Chinese Medicine
Construction and Application of a Real-World Cohort of Community-Acquired Pneumonia Based on a Multimodal Large-Scale Traditional Chinese Medicine Big Data Platform
Differentiation and Treatment of Small Cell Lung Cancer from the Perspective of "Internal Wind in Hidden Circulation"
Related Author
YANG Shengqin
HUANG Runyue
LI Yanlin
CHEN Xiumin
MEI Liyan
WU Xiaodong
WANG Maojie
DU Haifang
Related Institution
The Second Clinical Medical College of Guangzhou University of Chinese Medicine
Guangdong Provincial Hospital of Chinese Medicine
Guangdong Provincial Key Laboratory of Clinical Research on TCM Syndromes
National Key Laboratory of TCM Dampness Syndrome (Co-built by Provincial and Ministry-level Institutions)
Zhongshan Hospital of Traditional Chinese Medicine