Department of Internal Medicine, Clinique Saint Pierre, Ottignies, Belgium.
Eur J Gastroenterol Hepatol. 2009 Aug;21(8):941-5. doi: 10.1097/MEG.0b013e3283155451.
In spite of the fact that severe side effects have been reported, black cohosh [Actaea racemosa (syn. Cimifuga racemosa)] is likely to be one of the most popular herbs used in the treatment of postmenopausal symptoms and menstrual dysfunction. We report the cases of two patients, one with submassive liver necrosis and the other with chronic hepatitis most likely related to the use of two different preparations containing black cohosh. This represents another advice for caution concerning this popular preparation of inconsistent therapeutic value.
尽管有报道称其存在严重的副作用,但黑升麻(Actaea racemosa(同义词:Cimifuga racemosa))可能仍是治疗绝经后症状和月经功能障碍最常用的草药之一。我们报告了两例病例,一例为亚大块肝坏死,另一例为可能与使用两种不同的黑升麻制剂有关的慢性肝炎。这再次提醒人们注意这种流行制剂治疗价值不一致的问题,使用时应谨慎。