Comparative Study on the Effects of Herbal Medicine and Western Medicine on the Liver Function Based on Cross-Sectional Design

  • Park, Hae-Mo (Department of Preventive Medicine, School of Oriental Medicine, Sangji University)
  • Received : 2009.12.17
  • Accepted : 2010.04.22
  • Published : 2010.04.30

Abstract

Objective : The purpose of this study is to examine safety of herbal medicine on liver function and compare with western medicine. Method : 303 subjects of skin disease(vitiligo and psoriasis) were chosen at a local oriental medical clinic, and tested with a spot liver function test from Sept 1, 2006 to Dec 31, 2006. Subjects were grouped into untreated, herbal medicine, western medicine, and combination group by treatment record. Total bilirubin, AST, ALT and LDH was compared in each group, odds ratio and regression coefficient was calculated. Results : Subjects comprised of 116 individuals receiving western medication(38.28%), 54 receiving herbal medication(17.82%), 107 receiving combined forms of medication(35.31%), and 26 individuals without any types of medication(8.58%). With the mean age of 37.0 yr. 204 were male(67.3%), 99 were female(32.7%). Comparing variables of liver functions, there was no significant difference between the control and experiment groups. After adjusting potential confounders, monthly $\beta$(SE) of multiple regression -0.009~0.000 for the herbal group, -0.005~0.000 for the western group, and -0.001~0.001 for the combination group. No significant difference between the groups. OR of T-bilirubin were 1.02, 1.05, and 1.04. AST were 0.92, 0.94, and 0.98. ALT were 0.85, 0.99, and 0.97. LDH were 0.96, 1.06, 1.00 for the herbal, western, and combination group, respectively. Conclusion : Comparing with western medication, herbal medication did not cause special ill-effect on the liver function based on liver function tests.

Keywords

References

  1. Anonymous program profile. International liaison brings global vision to OAM. complementary and alternative medicine at the NIH. 1996. 3 : 3
  2. David M. Eisenberg, Roger B. Davis, Susan L. Ettner. Trend in Alternative Medicine Use in the United States, 1990-1997. Results of Follow-up National Survey. JAMA. 1998 ; 280(18) : 1569-1575 https://doi.org/10.1001/jama.280.18.1569
  3. Opher Capsi. Integrated medicine : orthodox meets alternative. BMJ. 2001 ; 322 : 168 https://doi.org/10.1136/bmj.322.7279.168
  4. Dennis L. Kasper, Eugene Braunwald, Anthony S. Fauci, et al. Principles of Internal Medicine, 16th ed, NY ; McGraw- Hill ; 2006. 1838
  5. Lesley Rees, Andrew Weil. Integrated medicine : Imbuse orthodox medicine with the values of complementary medicine. BMJ. 2001 ; 322 : 119-20 https://doi.org/10.1136/bmj.322.7279.119
  6. Simon Y Mills. Regulation in complementary and alternative medicine. BMJ. 2001 ; 322 : 158-60 https://doi.org/10.1136/bmj.322.7279.158
  7. Richard L Nahin, Stephen E Straus. Research into complementary and alternative medicine : problems and potential. BMJ. 2001 ; 322 : 161-4 https://doi.org/10.1136/bmj.322.7279.161
  8. Dong-Woong Kim, Eun-Jung Lee, Il-Hoe An, Ji-Sook Ban, Chang-Yul Lyu, Seung- Mo Kim, Seung-Woo Lee. Effects of Several herbal prescription on Liver function of Patients of Stroke. Journal of Korean Oriental Medical Society. 1993 ; 14(2) : 245-253
  9. Yeo-Kwang Yoon, Sung-Soo Han, Jae- Yeon Yoo, Ip-San Joo, Bon-Soo Koo. Effects of long-term herbal medication on liver function, Journal of Korean Oriental Adults Disease Association. 2002 ; 8(1) : 30-34
  10. Young-Suk Kim, Jin-Hwan Rho, Sang- Kwan Moon, Ki-Ho Jo, Hyung-Seop Bae, Kyoung-Seop Lee. Effects of longterm herbal medication on Liver function. Journal of Kyounghee medicine. 1999 ; 15(1) : 71-7
  11. Tae-Sik Kim, Han-Su Jung, Hee Jung. Effects of Herbal Medicine on Patients of Liver Disease-Case Study. Journal of Korean Oriental Internal Medicine. 2000 ; 21(2) : 349-354
  12. Stata Corp. 2001. Stata Statistical Software release 7.0. College Station, Tx : Stata corporation
  13. Young-Chul Park, Sun-Dong Lee, Kyoung- Sik Park. Basic concept of Toxicology and LD50 of Herbal medicine. Korean Society for Oriental Preventive Medicine. 1999 ; 3(2) : 91-100
  14. Ryan J. Huxtable : The Harmful Potential of Herbal and Other Plant Products, Drug Safety, 5(Suppl. 1) : 126-136, 1990
  15. Edzard Ernst. Harmless Herbs? A Review of the Recent Literature, Am J Med. 1998 ; 104(2) : 170-178 https://doi.org/10.1016/S0002-9343(97)00397-5
  16. Peter A.G.M., De Smet : Health Risks of Herbal Remedies, Drug safety. 1995 ; 13 (2) : 81-93 https://doi.org/10.2165/00002018-199513020-00003
  17. Jung-Seok Lee, Sun-dong Lee. Effects on Liver Function in Blood of Drug Users(Herbal and Western) among Koreans. Korean Society for Oriental Preventive Medicine. 2004 ; 8(1) : 59-78
  18. Anthony J. Tomassoni, Karen Simone : Herbal medicines for children : an illusion of safety?, Current Opinion in Pediatrics. 2001 ; 13(2) : 162-169 https://doi.org/10.1097/00008480-200104000-00014
  19. Athur B. Abt, John Y. Oh, Richard A. Huntington, Keith K. Burkhart : Chinese Herbal Medicine Induced Acute Renal Failure. Arch Intern Med. 1995 ; 155(2) : 211-212 https://doi.org/10.1001/archinte.1995.00430020103013
  20. Perter A. G. M, De Smet : Overview of Herbal Quality Control, Drug Information Journal. 1999 ; 33 : 717-724
  21. Paul Pui-Hay : Attitudes and Approaches of Traditional Chinese Medicine to Herbal Toxicity, Journal of Natural Toxins. 1995 ; 4(2) : 207-217