Aristolochiae Fructus (AF) and honey-fried Aristolochiae Fructus (HAF) have been used in China for thousands of years as an anti-tussive and expectorant drug. Few clinical cases were reported associated with the toxicity of AF and HAF, although relatively high contents of aristolochic acids (AAs) were found in them. This work was designed to compare the acute and subacute toxicity of AF and HAF in order to provide references for safe clinical use and to evaluate the possibility of reducing toxicity of AF by honey-processing. The extracts of the herb were fed to mice or rats via gastric tube. Various toxic signs and symptoms, body weights, serum biochemical assay, organ weights and histopathology were used to evaluate the toxic effects. The median lethal dose (LD 50 ) of AF and HAF are 34.1 7.2 g/kg/d and 62.6 8.0 g/kg/d with a 95% average trustable probability (p 0.95), respectively. The subacute results showed a dose-dependant relationship of the toxicity of AF and HAF. Even in the high dose groups, only moderate toxicity was observed. Honeyfrying and decoction with water can decrease the contents of AAs, and attenuate the toxic effects of AF. But sufficient attention should be still paid to the safety of AF and HAF due to the existence of AAs.
Key wordsacute toxicity; subacute toxicity; Aristolochiae Fructus; honey-fried Aristolochiae Fructus; honey-frying technology; herbal safety Aristolochiae Fructus (AF), the dry-ripe fruit of Aristolochia contorta BGE. or Aristolochia debilis SIEB. et ZUCC., has been used in China for thousands of years as an anti-tussive and expectorant drug.1) Honey-fried AF (HAF) has higher frequency of use than AF in clinic.The herbs and herbal remedies containing aristolochic acids (AAs) have drawn extensive attention because they are associated with the development of a chronic, progressive renal disease, designated as aristolochic acid nephropathy (AAN).2)The AAN case was reported initially in a group of women in Belgium who developed severe renal disease after ingesting slimming pills containing Aristolochia fangchi.3) Now, AAs have been proven to be nephrotoxic, 4-6) carcinogenic [6][7][8] and mutagenic. 8,9) Therefore, most AAs-generating herbs and herbal preparations have been banned in many countries, including China. Some literatures [10][11][12][13][14][15] have reported that AAs contents in herbs were in the following order: A. manshuriensis>A. fangchi>A. Ridix>A. Fructus (AF)>A. Herbra. However, few clinical cases were reported to be associated with the toxicity of AF, AF and HAF were still listed in Chinese Pharmacopoeia (CP).1) For safe clinical use, it is quite necessary to evaluate the toxicity of AF and HAF since relatively high contents of AAs are found in them. Up to now, the pharmacological and toxicological actions of AAs, [4][5][6][16][17][18][19][20] A. manshuriensis [21][22][23] and A. fangchi [24][25][26] were well known, but only one piece of literature could be accessed on the subchronic toxicity of the aqueous extract of AF.
27)Drug processing is a traditio...