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interesting material here!

http://hepcchallenge.org/choices/coverpagep.htm

 

Composition of Herbal Therapies

 

Capillaris Combination (plus blood cooling and toxin resolving herbs)

 

Artemisiae capillaris, Gardeniae fructus, Rhei rhizoma, Desmodii

herba, Paeoniae rubra radix, Polygoni cuspidati, Plantaginis herba,

Polyporus umbellatus, Scutellariae radix, Turmeric radix, Glycyrrhiza

uralensis fisch

 

Modified Formulas of Bupleurum and Tang-kuei Formula, and Bupleurum

and Peony and Six Major Herb Combination

 

Bupleuri radix polyporus, Poria (Hoelen), Atractylodes rhizoma,

Paeoniae alba radix, Urantii fructus, Fructus oryzae germinatus,

Fructus hordei germinatus, Endothelium corneum gigeriae galli, Fructus

citri sarcodactylis, Glycyrrhiza uralensis fisch

 

Modified Glehnia and Rehmannia Formula

 

Paeoniae alba radix, Aurantii fructus, Angelicae radix, Rehmanniae

radix, Ophiopogonis radix, Fructus lycii, Glehniae radix, Cortex

moutan radicis, Fructus meliae toosendan, Ligustri fructus, Polygoni

multiflori radix, Zizyphi spinosi semen

 

Modified Aconite, Ginseng, and Ginger Combination, and Gardenia and

Hoelen Formula (Four Major Herb Combination and Rehmannia Eight Formula)

 

Aconiti praeparata raix, Cinnamomi ramulus, Zingiberis rhizoma,

Atractylodes rhizoma, Dioscoreae batatis rhizoma, Polyporus, Poria

(Hoelen), Polyporus umbellatus, Alismatis rhizoma, Arecae pericarpium,

Glycyrrhiza uralensis fisch

 

Modified Persica and Achyranthes Combination, and Persica and Cinidium

Combination (Persica and Eupolyphaga Combination)

 

Carthami flos, Persicae semen, Cortex moutan radicis, Aurantii

fructus, Leonuri herba, Cyperi rhizoma, Turmeric radix, Rhei rhizoma,

Angelicae radix, Cnidii rhizoma, Rehmanniae radix, Paeoniae rubra

radix, Achyranthis radix, Citri aurantii fructus, Bupleuri radix,

Glycyrrhizae radix, Platycodi radix

 

AI #3 Capsule

 

Mucunae caulis, Sargentodoxae caulis, Paederiae caulis

 

Allicin Capsule

 

Allii sativum bulbus (garlic)

 

BM Capsule

 

Momordica charantia, Fagophyrum tatarium

 

Capillaris Combination

 

Artemisiae capillaris, Gardeniae fructus, Rhei rhizoma

 

Circulation No. 1 Capsule

 

Carthami flos, Persicae semen, Angelicae radix, Cnidii rhizoma,

Rehmanniae radix, Paeoniae rubra radix, Achyranthis radix, Citri

aurantii fructus, Bupleuri radix, Glycyrrhizae radix, Platycodi radix

 

Coptin Capsule

 

Coptis chinensis franch

 

Cordyceps Capsule

 

Cordyceps sinensis

 

Gall No. 1 Capsule

 

Bupleuri radix, Artemisiae capillaris herba, Desmodii herba,

Taraxaci herba, Gardeniae fructus, Saussureae radix, Citri

pericarpium, Citri immaturi pericarpium, Salviae miltiorrhziae radix,

Angelica radix, Scutellariae radix, Gentianae radix

 

Ginseng and Atractylodes Formula

 

Ginseng radix, Dioscoreae rhizoma, Dolichoris album semen,

Coicis semen, Nelumbinis semen, Atractylodis macrocephalae rhizoma,

Poriae alba, Glycyrrhizae radix, Amomi fructus, Platycodi radix, and

Zizipi jujubae fructus

 

Glycyrrihzin Capsule

 

Glycyrrhiza uralensis fisch (Licorice root)

 

Hepa Formula No. 2. Capsule

 

Schizandrae fructus, Artemisiae capillaris herba, Alismatis

rhizoma, Polyporus, Poria (Hoelen), Atractylodes rhizoma, Cinnamomi

ramulus, Citri pericarpium, Magnoliae cortex, Zingiberis rhizoma

(ginger), Glycyrrhizae radix (licorice)

 

HerbSom Capsule

 

Corydalis yanhusao rhizoma, Zizyphus spinosi semen, Schizandrae

fructus

 

Ligustrin Capsule

 

Ligustrum lucidum ait

 

Red Poeny Combination

 

Paeoniae rubra radix, Puerariae radix, Salviae miltiorrhziae

radix, Persicae semen, Artemisiae capillaris herba, Aristolochiae

fangchi radix

 

Rhubarbin Capsule

 

Rhei rhizoma

 

Tiao Ying Yin

 

Angelicae radix, Cnidii rhizoma, Paeoniae rubra radix, Rhei

rhzoma, Polyporus, Poria (Hoelen), Corydalis yanhusao rhizoma, Dianthi

herba, Zedoariae rhizoma, Mori radicis cortex, Leonuri fructus, Arecae

pericarpipum

 

Pharmacology of Herbs and Formulas

 

The following list of the pharmacology of the major herbal remedies is

for reference only. If you choose to take any of these herbal

remedies, it may be helpful to provide your western health care

provider with this information. It will help him or her better

understand what you are taking and how it may or may not affect any

treatment he or she is prescribing.

 

Herbs

 

Allicin

 

Allicin has a very wide spectrum of anti-infectious capabilities.

It is effective against bacteria, mycobacteria, fungi, protozoa,

and certain viruses.

It is potent enough to treat many common infections such as

bacillary dysentery, amebic dysentery, deep fungal infections,

whooping cough, endobronchial tuberculosis, oxyuriasis (pinworms),

trichomonas vaginitis, and others.

It has been used in China for more than 20 years. For most of

the above conditions, the cure rate is above 80%.

It is virtually nontoxic. Its LD50 is 134.9 times higher than

its therapeutic dose.

 

Artemisiae capillaris thunb herba

 

This is the main herb in TCM used to treat jaundice. It has the

following pharmacological actions.

It fosters bile secretion in both healthy or carbon tetrachloride

liver damaged animals. The dry weight of the bile is increased with

the increased secretion of the bile. Its decoction can decrease the

tone of the sphincter of Oddi in anesthetized dogs.

It has liver protective effects.

It reduces carbon tetrachloride-induced liver damage and ALT

elevation. It also helps recover liver glycogen and RNA.

It lowers blood lipids and has fibrolytic effects.

 

Bupleuri radix

 

Bupleuri radix has the following liver-protective and biliary effects.

It can protect the liver from toxic damage caused by

galactosalmine, Penicillium notatum and carbon tetrachloride.

It can increase bile secretion and the amount of bile salt in the

bile.

Its anti-inflammatory effect can be used to treat inflammation of

the liver and gall bladder.

 

Coptis chinensis franch

 

Coptis chinensis franch has antimicrobial properties.

It can strongly suppress Staphylococcus aureus, Streptococcus,

pneumococcus, Vibrio comma, anthrax bacillus, Bacillus dysenteriae,

hay bacillus, pneumobacillus, Bacillus diphtheriae, Bordetella

pertussis, Brucellaceae, and Mycobacterium tuberculosi.

It can suppress influenza viruses and Newcastle disease virus in

vitro.

It can act against ameba, Chlamydi trachomatis, trichomonad, and

Leptospira.

It is virtually nontoxic. The LD50 was 205mg/kg.

 

Cordyceps Capsule (Cordyceps sinesis)

 

In TCM, the various actions ascribed to Cordyceps Capsule are

lung-nourishing, kidney, vital-essence- and vital-energy-tonifying,

homeostatic, and phlegm-resolving (or mucolytic).

It is used in general debility after sickness, and for elderly

persons.

Its superior therapeutic effects have been confirmed in many

controlled, well-designed studies carried out by medical schools in

China including Beijing, Shanghai, and Nanjing.

It is virtually nontoxic.

The effects of this herb in chronic viral hepatitis have been

studied. The efficacy rate was reportedly above 80% in a 256 patient

clinical study. Cordyceps sinesis can lower ALT, improve liver

function, relieve liver related symptoms, and increase albumin. It has

also been used for cirrhosis caused by chronic viral hepatitis. In the

previously mentioned study, 17 out of 22 patients had increased

albumin levels after three months of treatment. Twelve of 17 patients

with ascites experienced complete resolution of ascites while the

other five had a reduction in ascites.1

This herb is helpful for immunodeficiency caused by viral

infection, chemotherapy, radiotherapy, major illness or surgery.

Cordyceps sinesis is used to treat impotence, premature

ejaculation, low libido, low sperm counts and/or activity, irregular

menstruation, and leukorrhea.

 

Desmodii styracifolium her

 

This herb can facilitate bile secretion and help expel sandy gall

stones.

It can relax the sphincter of Oddi.

It can abate biliary obstruction and pain.

It prevents the precipitation of gallstone forming elements.

 

Glycyrrhizin (GL)

 

GL has various pharmacological actions that can be useful in

treating hepatitis C.

GL has antiviral effects. It can induce the generation of

interferon-gamma in test animals and humans. It can prolong the

survival of mice after being injected with mouse hepatitis virus

(MHV). In rabbits, it can inhibit vaccinia virus proliferation.

GL protects liver cells from chemical injuries. It can alleviate

histological changes due to carbon tetrachloride toxication, and lower

ALT. It can reduce liver cell degeneration and necrosis, and help

recover glycogen and RNA. Experimental hepatitis and cirrhosis studies

in rats found GL can promote regeneration of liver cells and inhibit

fibrosis. It can also reduce gamma globulin and interstitial

inflammation in the liver.

It has antiallergic, anti-inflammatory, and detoxifying activities

that resemble those of glucocorticoid. GL also inhibits the release of

histamine from mast cells.

Although licorice is a nontoxic herb, long-term use of GL can

cause adverse reactions in about 20% of patients. Adverse reactions

include edema, rise in blood pressure, low blood potassium, dizziness,

fatigued limbs, and others. People with hypertension should not take GL.

The glycyrrhizin capsule used at Zhang's Clinic in New York City

is a potassium salt of glycyrrhizic acid.

 

Ligustrum iucidum ait

 

Ligustrum is a highly purified extract of Ligustrum lucidum

fructus. Its active chemical component is oleanolic acid. It can

protect the liver from chemical and biological injuries.

Ligustrum can lower ALT levels. In experimental cirrhosis studies,

it has been found to inhibit degeneration and reduce necrosis of liver

cells.2 It can increase the glycogen in the liver, and accelerate the

regeneration of liver cells. It can also inhibit inflammation and

collagen formation.

It can raise the white blood cell count, and is used to treat

leukopenia caused by chemotherapy and radiotherapy.

In clinical trials for hepatitis, ligustrum reduced ALT, AST, and

jaundice.

It promotes lymphoblast cell transformation and macrophage

phagocytosis.

Ligustrum can increase coronary blood flow.

Acute and chronic toxicity tests have shown ligustrum has very low

toxicity. After injecting dogs with 50mg/kg IV and mice with 5mg/20g

IV, 24 hours of observation found no adverse reactions. After

injecting rabbits with 50mg/kg IP daily for 6-12 weeks, there were no

heart, liver, or kidney disorders found.

 

Marmodica charnatia (Bitter Melon)

 

A 1981 clinical trial in England found that bitter melon (BM)

can significantly improve glucose tolerance in type II diabetes.3 A

water soluble extract of BM can significantly reduce blood glucose

concentrations during oral glucose tolerance tests.

Animal studies with normal and diabetic rats and rabbits have

shown BM has a hypoglycemic effect.4 There are insulin-like molecules

in the extract of BM that have physiological effects similar to those

of insulin. The extract of BM can also stimulate the pancreas to

secret insulin, so it can help type II diabetics produce more insulin.

Some of the ingredients of BM can also prolong the effects of insulin.

The blood sugar regulating effects of BM have different time phases,

which make its blood sugar regulating effects gradual and steady.

Comparative studies conducted in China found that its blood sugar

reducing effects were similar to those of tolbutamide.5

In China and southeast Asia, BM is a commonly consumed

vegetable, which indicates that it is very safe.

 

Paederiae caulis

 

In TCM, this herb is considered sweet with a slightly bitter

aftertaste and a mild property.

It is antirheumatic, digestant, antitussive, mucolytic, and

analgesic. It also has sedative actions.

It can elevate the pain threshold.

Paederiae caulis inhibited spontaneous activity in mice

experiments, and prolonged pentobarbital-induced sleep5

The total alkaloids of this herb inhibit the contraction of the

isolated intestine, and antagonize spasm due to acetylcholine and

histamine.

Paederiae caulis has expectorant, antibacterial, hypotensive,

and local anesthetic actions. It also has corticosteroid-like effects.

Paederiae caulis has been used for many skin diseases such as

eczema, neurodermatitis, and leprosy.

This herb is also used to treat respiratory diseases such as

bronchitis and whooping cough.

It has a high LD50 and has virtually no toxicity.

 

Polygoni cuspidati rhizoma

 

The 10% decoction of this herb inhibited Asian influenza virus

type A, Jingke 68-1 strain, ECHO 11, and herpes simplex virus.6

A stronger inhibitory action was exhibited by a 2% decoction

against adenovirus type III, poliomyelitis virus type II, Coxsackie

virus group A and B, ECHO 11 group, encephalitis B virus, and herpes

simplex I strain. The MIC (minimal inhibitory concentration) against

these viruses were 1:1600, 1:400, 1:400, 1:2560, 1:10240, 1:3200, and

1:51200, respectively. A 20% solution showed significant inhibitory

action against the hepatitis B surface antigen (HBsAg). The active

principles I and II of the herb were able to decrease the HBsAg titer

eight-fold.

This herb has been used for chronic viral hepatitis, acute

inflammatory diseases, neonatal jaundice, and leukopenia.

 

Rhei rhizoma (Rhubarb root)

 

Extracts made by alcohol extraction of this herb contain aloe

emodin, rhein, and chrysophanol.

Pharmacological studies have found it has a wide antimicrobial

spectrum. It can effectively suppress Staphylococcus, anthrax

bacillus, Bacillus dysenteriae, Streptococcus, and E. coli.7 It is

especially effective for Staphylococcus and Streptococcus.

This herb also has antiviral effects. A strong inhibitory action

against the influenza virus was exhibited by the herb decoction.8 The

minimum effective dose in chicken embryos was 5 mg per embryo.

Clinically, rhubarb root has been used for indigestion,

constipation, acute inflammatory diseases, infectious and parasitic

diseases, hemorrhage, and thrombocytopenia (low platelets).

Its strong purgative and laxative effects can be used to treat

constipation.

Chrysophanol has hemostatic effects (stops bleeding), and is

often used for bleeding in the gastrointestinal system.

The LD50 of rhubarb root is 250-500mg/kg. The LD50 of

chrysophanol is 10grams/kg and is very safe.

 

Salviae miltiorrhziae radix (Salvia)

 

Salvia improves the microcirculation in the liver. It markedly

increases liver blood flow in acute and chronic carbon tetrachloride

(CCl4) toxic models.9 The fibrosis preventive effects of Salvia are

mainly the result of its microcirculation improving effects.

Salvia also improves microcirculation in people with coronary

disease. In one study, 70% of the patients' conjunctiva and nail fold

microcirculation improved with treatment.10 In animal studies, the

extract of this herb reversed the peripheral microcirculation blockage

caused by intravenous infusion of 10% dextran.10 It can increase blood

supply to the heart and ischemic tissue.

In the CCl4 toxic rat model, salvia can quickly lower ALT, and

reduce inflammation, necrosis, and steatosis (fatty liver

degeneration). In the control group, CCl4 caused liver collagen and

globulin to increase from 19.8 mg/g to 51.4 mg/g, and 14.21 mg/g to

23.04 mg/g, respectively. Every rat in the control group developed

cirrhosis. In the salvia treated group, not a single rat developed

cirrhosis, nor did the collagen and globulin increase.11

 

Schizandrae fructus

 

Animal studies have shown the alcohol extract of the kernel of

the fruit of schizandra (AEKFS) has many pharmacological activities

such as:

 

lowering ALT caused by CCl4 induced liver damage

 

reducing fat deposits in liver cells caused by CCl4 intake

 

reducing the histological damage of the liver cells caused

by CCl4

 

promoting glycogen and serum protein synthesis in the liver

 

promoting liver regeneration after partial removal of the

liver, and

 

ncreasing metabolic enzymes in the liver.

 

Clinical trials using tablets made from the whole AEKFS

conducted in three hospitals in China found that of 107 chronic viral

hepatitis cases, ALT was normalized for 73 with an associated

improvement in clinical symptoms. There were no serious side effects

reported.12

 

Sophorae subprostratae radix

 

The active ingredient of this herb is oxymatrine. In three

commonly used liver damage models (CCl4 induced rabbit, rat, and mouse

liver damage models), oxymatrine prevented liver cell damage. Compared

with the control group, the oxymatine treated group had much lower

ALT, less liver cell necrosis, and much less inflammation.13

Oxymatrine can increase cytochrome P-450 content and activity,

and increase the amount of smooth surfaced endoplasmic reticulum of

the liver cell.

This herb is an inducer of the cytochrome P-450 system. Thus, it

can strengthen the detoxification capability of the liver. It also has

viral suppressive, anti-inflammatory, immunoregulatory, anticancer,

and leukogenic (raising the white blood cell count) effects.

 

Herbal Formulas

 

Capillaris Combination

 

This is a very old and famous formula that was formulated by the

Chinese medical sage Zhang Zhongjing about 2,000 years ago.

Clinical Pharmacology

 

Clears dampness-heat type jaundice that manifests as bright

yellowish coloration of the eyes and skin, oliguria with dark yellow

urine, yellow and greasy fur on the tongue, a smooth and rapid pulse,

and other signs and symptoms.

 

The whole formula has cholegogic and choleretic (facilitating

bile secretion) effects. Intraduodenal administration of the alcohol

extracts of this formula in rats markedly increased the bile collected

by up to 51.28%, and increased the solid composition of the bile by

85%.14 Its choleretic effects are mainly due to increasing the

secretion of the bile in the micro bile ducts.

 

It has liver protective effects and can reduce the liver

damage caused by a-naphthylisothiocyanate (ANIT). While using this

formula, the ALP, total bilirubin, ALT, and AST elevations caused by

ANIT all improved dramatically.15

 

Histological examination revealed that hypertrophy of the

micro bile duct cells, necrosis of liver cells, and inflammatory cell

infiltration were much milder in treated animals compared with the

untreated control group. The liver glycogen and RNA content were

normalized, and the ALT activity was markedly reduced.16

 

Circulation No.1 Capsule

 

This is a modified formula based on Persica & Achyranthes

Combination and Persica & Cinidium Combination. Traditionally, these

formulas were used for blood stagnancy or stasis that manifests with

symptoms such as dark or purplish tongue, cold hands and feet, dark

rings around the eyes, liver palm, spider moles, dry and itchy skin,

rashes, lumps, and upper abdominal discomfort.

 

Clinical Pharmacology

 

This formula can noticeably ameliorate the acute

microcirculation disorder induced by macromolecular dextran in rats.17

It dilates the microcapillaries, accelerates blood flow, and opens

more micro-capillary networks. The result is to increase blood

infusion to the tissues and stop the pathology caused by the

microcirculation disorder. It can promote the phagocytosis by

macrophages (Kupffer cells) in the liver. It can also clear the

clotting factors in DIC (disseminated intravascular coagulation) and

stop the progress of DIC.18

 

It will not prolong the PTT or prothrombin time. It can

suppress the clustering of platelets.

 

It can improve phagocytosis by macrophages. It can also

regulate cellular and humoral immunity.

 

It can noticeably suppress granuloma formation (a fibrotic

activity).19

 

Ginseng and Atractylodes Formula

 

This formula was first created by the National Medical Bureau of

the Song Dynasty about 1,000 years ago.

 

Clinical Pharmacology

 

This formula is used for strengthening digestion and vital

energy. It is helpful for treating diarrhea, poor appetite,

emaciation, and white and greasy fur on the tongue.

 

This formula can improve absorption in the intestinal tract.

Giving the decoction of the formula increased water and chloride

absorption in the intestine of rabbits under anesthesia.20 It is an

antagonist to the spastic effects of acetylcholine on the intestine.

 

HerSom Capsule

 

Clinical Pharmacology

 

This formula has been studied in teaching hospitals in China.

Randomized, controlled clinical trials have shown that this formula

has sleep-inducing effects and improves the quality of sleep. In a

study of 374 patients, improvement in sleep was found to be

statistically equivalent to that of methaqualone.21 HerbSom formula is

not habit forming and has no hangover effect.

 

The pharmacological data of these herbs show that they may

also have many beneficial effects on the cardiovascular and

neurological systems of the body.

 

These herbs have no harmful effects on the liver.

 

Caution: Keep this formula out of reach of children. This product

should not be taken while driving a car or operating heavy machinery.

 

Yunnan Paiyao Capsule

 

This is a very famous traditional herbal medicine.

 

Clinical Pharmacology

 

This formula can quickly stop bleeding in rat and rabbit

liver injury models, and rabbit large artery injury models.22 It has

been shown to dramatically reduce clotting time in human and rabbit

experiments.23 The hemostatic effects begin 30 minutes after

administration, and peaks 2-3 hours after administration. These

effects can last for more than four hours. The hemostatic effect is

due to a permeability change in the cell membranes of platelets. This

causes the release of clotting factors from platelets that promote

clotting.

 

This formula can suppress inflammation in various animal

models.24 The strength of its antiinflammatory effect is similar to

that of corticosteroids.

 

It also has analgesic and antineoplastic (antitumor) effects.

 

©Copyright 2004 Hepatitis C Caring Ambassadors Program

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