Research advancement in mechanisms of processing and compatibility for detoxication of Aconitums.
10.19540/j.cnki.cjcmm.20190629.301
- Author:
Xu-Ya WEI
1
;
Zi-Dong QIU
1
;
Jin-Long CHEN
1
;
Rui-Qi SUN
2
;
Lu-Qi HUANG
1
;
Chang-Jiang-Sheng LAI
1
Author Information
1. State Key Laboratory Breeding Base of Dao-di Herbs,National Resource Center for Chinese Materia Medica,China Academy of Chinese Medical Sciences Beijing 100700,China.
2. School of Pharmacy and Chemistry,Dali University Dali 671000,China.
- Publication Type:Journal Article
- Keywords:
Aconiti Kusnezoffh Folium;
Aconiti Lateralis Radix Praeparata;
Aconiti Radix;
compatibility;
detoxication;
mechanism;
processing
- MeSH:
Aconitum;
chemistry;
toxicity;
China;
Drug Compounding;
methods;
Drugs, Chinese Herbal;
chemistry;
toxicity;
Medicine, Chinese Traditional;
Plant Leaves;
chemistry;
Plant Roots;
chemistry
- From:
China Journal of Chinese Materia Medica
2019;44(17):3695-3704
- CountryChina
- Language:Chinese
-
Abstract:
Aconitums,represented by Aconite Radix,Aconiti Lateralis Radix Praeparata and Aconiti Kusnezoffh Folium,is a kind of traditional Chinese medicine with a long medicinal history in China. They possess the significant toxicity and therapeutic effects simultaneously. Their potent effects of rescuing from dying,curing rheumatism,anti-inflammation,and analgesia make Aconitums highly regarded by physicians and pharmacists of various dynasties. However,countless poisoning cases caused by an irrational use of Aconitums were reported. In case of improper application and exceeding the therapeutic window,the acute cardiotoxicity and neurotoxicity would be caused,seriously threatening health and even life of the users. Therefore,the clinical application of Aconitums is limited to some extent. To avoid its toxicity and ensure the safety of medicinal use,Aconitums is usually used in a form of its processed products instead of the crude herbs,or combined with some other traditional Chinese medicines in a normal prescription. A proper processing and compatibility method can detoxicate its severe toxicity,reduce the adverse reactions,and also significantly broaden the indications and application range of Aconitums. This provides a guarantee for the secondary exploitation and utilization of Aconitums. In this paper,the traditional processing methods of Aconitums,along with the modern advancement were reviewed,and the mechanisms of detoxification by processing and compatibility were also illuminated. The physical detoxification mode and chemical detoxification mode were found as two main detoxification ways for Aconitums. In particular,the detoxification by hydrolysis,ion-pair,and saponification were three main means. The mechanisms illustrated in this paper can be a reference to the development of modern processing method and a guidance for appropriate use of Aconitums in clinical application.
