Nadir A, Agrawal S, King P D, Marshall J B
Division of Gastroenterology, University of Missouri Hospital and Clinics, Columbia 65212, USA.
Am J Gastroenterol. 1996 Jul;91(7):1436-8.
Herbal medicines are widely perceived by the public as being healthful and innocuous. A number of herbal medicines have now been linked with hepatotoxicity. We report a case of acute hepatitis associated with the use of ma-huang, a herbal product derived from plants of the Ephedra species, which is advertised as being useful for causing weight loss and enhancing energy levels. Given the lack of reports in the literature of hepatotoxicity with ma-huang and ephedrine, we speculate that the ma-huang product our patient took contained some other ingredient or contaminant or was misidentified. Our report and others in the literature, which we review, indicate that the clinician should consider herbal medicines as a possible cause of unexplained liver injury.
草药被公众广泛认为是有益健康且无害的。现在已有多种草药与肝毒性有关。我们报告一例急性肝炎病例，该病例与服用麻黄有关，麻黄是一种源自麻黄属植物的草药产品，宣传称其有助于减肥和提高精力水平。鉴于文献中缺乏麻黄和麻黄碱肝毒性的报道，我们推测我们的患者服用的麻黄产品含有其他成分或污染物，或者被误认了。我们的报告以及我们所回顾的文献中的其他报告表明，临床医生应将草药视为不明原因肝损伤的可能原因。
