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한의약융합데이터센터


근거중심한의약 DB

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Title

Adverse events associated with metal contamination of traditional Chinese medicines in Korea: a clinical review.

Authors

Kim H, Hughes PJ, Hawes EM.

Journal

Yonsei Med J.

Year

2014

Vol (Issue)

55(5)

Page

1177-1186.

doi

10.3349/ymj.2014.55.5.1177.

PMID

25048473

Url

http://www.ncbi.nlm.nih.gov/pubmed/25048473

MeSH

Drug Contamination*
Drugs, Chinese Herbal/adverse effects*
Drugs, Chinese Herbal/chemistry
Humans
Medicine, Chinese Traditional
Medicine, Korean Traditional
Metals, Heavy/poisoning*
Poisoning*
Republic of Korea
Risk Assessment

Keywords

Medicine; Korean traditional medicine; chinese traditional medicine; metals; heavy

한글 키워드

의학; 한의학; 중의학; 금속; 중증

KMCRIC
Summary & Commentary

KMCRIC 비평 보기 +

Korean Study

Y

Abstract

This study was performed to review studies carried out in Korea reporting toxic reactions to traditional Chinese medicines (TCMs) as a result of heavy metal contamination. PubMed (1966-August 2013) and International Pharmaceutical Abstracts (1965-August 2013) were searched using the medical subject heading terms of "Medicine, Chinese Traditional," "Medicine, Korean Traditional," "Medicine, Traditional," "Metals, Heavy," and "Drug Contamination". For Korean literature, Korea Med (http://www.koreamed.org), the Korean Medical Database (http://kmbase.medric.or.kr), National Discovery for Science Leaders (www.ndsl.kr), Research Information Sharing Service (http://www.riss.kr), and Google Scholar were searched using the terms "Chinese medicine," "Korean medicine," "herbal medicine," and "metallic contamination" in Korean. Bibliographies of case reports and case series, identified using secondary resources, were also utilized. Only literature describing cases or studies performed in Korea were included. Case reports identified clear issues with heavy metal, particularly lead, contamination of TCMs utilized in Korea. No international standardization guidelines for processing, manufacturing and marketing of herbal products exist. Unacceptably high levels of toxic metals can be present in TCM preparations. Health care providers and patients should be educated on the potential risks associated with TCMs. International advocacy for stricter standardization procedures for production of TCMs is warranted.

국문초록

Language

영어

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