DOI QR코드

DOI QR Code

Pharmacological and Toxicological review of Yukmijihwang-tang(Hwan)

육미지황탕(환)의 약리와 독성에 대한 문헌고찰

  • Park, Yeong-Chul (GLP Center, Catholic University of Daegu) ;
  • Kim, Jong-Bong (Dept. of Medicinal life science, Catholic University of Daegu) ;
  • Kook, Yoon-Boom (Dept. of Formula Science, School of Oriental Medicine, Sang-Ji University) ;
  • Lee, Sun-Dong (Dept. of Preventive medicine, School of Oriental Medicine, Sang-Ji University)
  • 박영철 (대구가톨릭대학교 GLP 센터) ;
  • 김종봉 (대구가톨릭대학교 의생명과학과) ;
  • 국윤범 (상지대학교 한의과대학 방제학교실) ;
  • 이선동 (상지대학교 한의과대학 예방의학교실)
  • Received : 2012.05.07
  • Accepted : 2012.06.11
  • Published : 2012.06.30

Abstract

Objectives : Yukmijihwang-tang(Wan), a well-known formula for invigorating yin-particular kidney yin, was first recorded in "Xiao er Yao Zheng Zhi Jue", consisting of Radix Rehmanniae Preparata, Fructus Macrocarpii, Rhizoma Dioscoreae Oppositae, Poria, Rhizoma Alismatis and Cortex Moutan Radicis with dose proportion of 8:4:4:3:3:3. Although clinical trials have been lacking, various pharmacological actions for Yukmijihwang-tang has been identified newly using animal models. In addition, it was reported that Yukmijihwang-tang increases structural chromosome aberrations significantly in Chinese hamster lung cells. In this article, it is purposed that new studies for pharmacology and toxicology of Yukmijihwang-tang are reviewed. Insight into new studies of Yukmijihwang-tang at the cellular and animal levels will enhance our understanding of Yukmijihwang-tang against various diseases will provide new tools to diagnose and treat patients. Methods : Recent researches for Yukmijihwang-tang were reviewed and summarized in terms of pharmacological action and toxicity. All sources for review were based on recent studies loaded on data base of web sites such as Science Direct and National Center for Biotechnology Information. Results and Conclusions : Recently, reports showed that YMJ had antiaging effects, antioxidant and free radical scavenging activities, anti-renal hypertension and prevented tumors, and diabetes mellitus. However, there is little information on its safety except general toxicity, acute and sub-chronic oral toxicity, or genotoxicity. In addition, clinical trial for Yukmijihwang-tang was limited even though Yukmijihwang-tang has been used extensively in Korean traditional medicine. Thus, further studies are necessary to focus on safety evaluation and clinical trial for Yukmijihwang-tang.

Keywords

References

  1. Wang P, Hui S, Haitao LV, Wenjun S, Yuan Y, Ying H, Wang D, Zhang A, Wang X. Thyroxine and reserpine-induced changes in metabolic profiles of rat urine and the therapeutic effect of Liu Wei Di Huang Wan detected by UPLC-HDMS. Journal of Pharmaceutical and Biomedical Analysis. 2010;53:631-645. https://doi.org/10.1016/j.jpba.2010.04.032
  2. Kang DG. Sohn EJ, Moon MK. Yukmijihwangtang ameliorates ischemia/reperfusion-induced renal injury in rats. Journal of Ethnopharmacology. 2006;104(1-2):47-53. https://doi.org/10.1016/j.jep.2005.08.044
  3. Rho S, Kang M, Choi B et al. Effects of Yukmijihwang-tang derivatives (YMJd), a memory enhancing herbal extract, on the gene-expression profile in the rat hippocampus. Biological and Pharmaceutical Bulletin. 2005;28(1):87-93. https://doi.org/10.1248/bpb.28.87
  4. Wei XL. Studies on learning and memory function-related genes in the hippocampus and the relationship between the cognitive enhancing effect of liuwei dihuang decoction (LW) and gene expression. Sheng Li Ke Xue Jin Zhan. 2000;31(3):227-230.
  5. Wu YC, Hsu JH, Liu IM, Liou SS, Su SH and Cheng JT. Increase of insulin sensitivity in diabetic rats received Die-Huang-Wan, a herbal mixture used in Chinese traditional medicine. Acta Pharmacologica Sinica. 2002; 23(12):1181-1187.
  6. Ha HK, Lee JK, Lee HY, Koh WS, Seo CS, Lee MY, Huang DS, and Shin HK. Safety Evaluation of Yukmijihwang-tang: Assessment of Acute and Subchronic Toxicity in Rats Evidence-Based Complementary and Alternative Medicine. 2011;8.
  7. Chen Ya, Zhen K, Yan J, Yang GP, Tan ZR, Zhou G, Ouyang DS, Wan H. A well-known traditional Chinese medicine, induces CYP1A2 while suppressing CYP2A6 and N-acetyltransferase 2 activities in man. Journal of Ethnopharmacology. 2010;132:213-218. https://doi.org/10.1016/j.jep.2010.08.011
  8. Fernandez-Llama P, Andrews P, Turner R, Saggi, S, Dimari J, Kwon TH, Nielsen S, Safirstein R, Knepper MA. 1999. Decreased abundance of collecting duct aquaporins in post-ischemic renal failure in rats. Journal of American Society Nephrology. 1999;10:1658-1668.
  9. Hsu CH, Kurtz TW, Rosenzweig J, Weller JM. Renal hemodynamics in HgCl2-induced acute renal failure. Nephron. 1977;18:326-322. https://doi.org/10.1159/000180851
  10. Dong Z, Lavrovsky Y, Venkatachalam MA, Roy AK. Heme oxygenase-1 in tissue pathology: the Yin and Yang. American Journal of Pathology. 2000;156:1485-1488. https://doi.org/10.1016/S0002-9440(10)65019-5
  11. Tong YC, Hung YC, Lin SN, Cheng JT. Treatment effect of "ryu-wei-ti-huang-wan" (a Chinese herbal prescription) on the sexual performance of male rats with streptozotocin-induced diabetes. International Journal of Urology. 1996;57:230-234. https://doi.org/10.1159/000282921
  12. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2004;27(suppl1):S5-S10. https://doi.org/10.2337/diacare.27.2007.S5
  13. Qian Y, Xue YM, Li J, Zhu B, Pan YH, Zhang Y. Effect of Liuweidihuang pills in preventing diabetes mellitus in OLETF rats. Nan Fang Yi Ke Da Xue Xue Bao. 2010; 30(1):21-24.
  14. Shen JJ, Lin CJ, Huang JL, Hsieh KH, Kuo ML. The effect of liu-wei-di-huang wan on cytokine gene expression from human peripheral blood lymphocytes. Am J Chin Med. 2003; 31(2):247-257. https://doi.org/10.1142/S0192415X03000886
  15. Xue YM, Luo R, Zhu B, Zhang Y, Pan YH, Li CZ. Liuweidihuang pills reduces visceral fat deposition in Otsuka Long-Evans Tokushima Fatty rats, Nan Fang Yi Ke Da Xue Xue Bao. 2006;6(10):1446-1448.
  16. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Ling L. Journal of Chinese Material Medica. 1995;20(5):310.
  17. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Ting LJ. Journal of Traditional Chinese Medicine. 1983;24(6):471
  18. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Ping XJ. Journal of Chinese Medicine. 1992;7(4):205.
  19. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Gong LH. Zhejiang Journal of Traditional Chinese Medicine, 1991; (12):555.
  20. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: San LN. Journal of Pharmaceutical University of China. 1990; 21(4):246.
  21. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Qi LY. Journal of Chinese Patent Medicine. 1994;16(6):38
  22. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Kun K and Gu DG. Journal of Combining Traditional Chinese Medicine and Western Medicine. 1984;(12):742.
  23. Zheng WC, Hu SJ, Fang Q, Intervention of liuwei dihuang pill on lupus nephropathy treated with cylophosphamide and glucocorticoids, Zhong Z, Xi Yi Jie He Za Zhi. 2005 Nov;25(11): 983-985.
  24. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Gong XW. Hubei Journal of Traditional Chinese Medicine. 1987;(3):14.
  25. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Ji JL. Hunan Journal of Medicine. 1978;(4):26.
  26. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Rang FG. Traditional Chinese Medicine Correspondence Courses. 1985;(6):521.
  27. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Yun WC. Zibo Journal of Medicine. 1987;1(30).
  28. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Xi DD. Journal of Traditional Chinese Medicine. 1995;16(11):485
  29. http://articles.directorym.com/Liu_Wei_Di_ Huang_Wan-a853224.html: Ji PX, Journal of Combining Traditional Chinese Medicine and Western Medicine. 1992;12(12):734.
  30. 박영철, 신헌태, 이선동, 한약의 독물동태학적 특성. 대한예방한의학회. 2011;15(2):1-19.
  31. Ha HK, Lee JK, Lee HY, Seo CS, Lee MY, Huh Jm, Shin HK. Evaluation of genotoxicity of Yukmijihwang-tang, a herbal formula. Regulatory Toxicology and Pharmacology. 2011;59:39-46.