• 제목/요약/키워드: Alanine aminotransferase(ALT)

검색결과 672건 처리시간 0.045초

미나리추출물이 사염화탄소에 의한 마우스 간손상에 미치는 영향 (Protective Effect of Oenanthe javanica Extract on the Carbon Tetrachloride-Induced Hepatotoxicity in Mice)

  • 이상일;박용수;조수열
    • 한국식품영양과학회지
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    • 제22권4호
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    • pp.392-397
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    • 1993
  • 미나리의 해독작용 기전을 구명하기 위하여 미나리n-butanol 추출분획을 실험동물에 전처치한 다음, 간독소인 사염화탄소를 투여하고 급성 간손상의 정도를 확인함과 동시에 조직손상과 관련된 free radical 생성계 및 해독계효소의 활성에 미치는 영향을 검토하였다. 사염화탄소를 투여하였을 때 혈청 ALT활성 및 간조직 과산화지질의 함량이 대조군에 비하여 현저히 증가되었으나, 미나리추출물을 전처치하므로서 증가현상이 유의하게 억제되었다. 한편 미나리추출물 (50mg/kg)을 실험동물에 투여하였을 때, 간조직의 free radical 생성계 효소인 aniline hydroxylase의 활성 및 free radical 해독계 효소인 catalase 및 glutathione S-transferase의 활성과 간조직 glutathione의 함량은 유의한 변동을 나타내지 않았다. 그러나 free radical 생성계 효소의 일종인 간조직 xanthine oxidase의 활성은 미나리추출물의 투여량과 투여기간에 반비례하여 감소되었으며, 50mg/kg 및 5일간 투여군에서 유의한 억제현상을 관찰할 수 있었다. 시험관내에 미나리 추출물의 첨가농도를 증가시켜가면서 간조직 xanthine oxidase의 활성을 측정하였을 때 효소의 활성은 변동이 없었다. 이상의 실험성적들을 종합해 볼 때, 미나리 n-butanol 추출분획은 free radical 생성계 효소인 간조직 xanthine oxidase의 활성을 조절하므로서 사염화탄소에 의한 간손상을 보호해 줄 것으로 사료되어진다.

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표고버섯 추출액이 loperamide로 유도된 변비에 미치는 영향 (Effects of Lentinus edodes Extract on the Loperamide-induced Constipation in Rats)

  • 진영건;김동건;진주연;이영재;박민경
    • 한국식품과학회지
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    • 제39권1호
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    • pp.88-93
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    • 2007
  • 표고버섯 추출액을 10, 20 및 40%로 30일간 음용수에 섞어 실험동물에 투여하고 실험 28-30일에 loperamide(4 mg/kg/day, s.c.)로 변비를 유도한 뒤 표고버섯 추출액의 변비 예방효과를 측정하였다. Loperamide를 단독 투여한 군은 정상 대조군과 비교하여 변의 개수 및 중량이 유의적으로 감소하였으며 원위 결장 내 변잔류의 증가 및 cecocolonic segment의 무게가 증가하였다. 표고버섯 추출액 및 loperamide를 투여한 군은 loperamide를 단독 투여한 군과 비교하여 변의 개수 및 중량이 유의적으로 증가하였으며 원위 결장 내 잔류 변 및 cecocolonic segment의 무게도 감소하였다. 이러한 결과는 표고버섯 추출액이 in vivo에서 변비 개선효과가 있음을 보여준다. 변의 수분함량은 실험군 간의 유의한 차이가 없었지만 loperamide에 의한 변비 유발 시 감소하는 경향이 있었으며, 표고버섯 추출액 투여군에서는 변의 수분함량 감소가 다소 완화되었다. 한편, 혈 중 WBC, RBC, HGB, HCT, PLT, MCV, MCH, MCHC치 및 혈청 ALT, AST, ALP, BUN 및 creatinine 수치는 정상 대조군, loperamide 처리군 및 표고버섯 추출액 처리군 사이에서 차이가 없었다. In vitro 실험결과, 회장 적출 절편에 표고버섯 추출액 동결건조물(0.5 mg/mL)을 전 처리 시 loperamide에 의한 장력과 진폭 억제가 부분적으로 차단되었으며, atropine에 의해 유도된 진폭의 억제도 효과적으로 차단되었다. 이러한 결과는 표고버섯 추출물의 변비 개선효과가 장의 운동성 촉진과 관련이 있음을 시사한다.

비타민 A 및 피리딘으로 유발된 사염화탄소 유발성 간독성에 대한 2-(알릴티오)피라진의 보호효과: ${\Phi}$x-174 DNA 손상에 미치는 효과 (Protective Effects of 2-(Allylthio)pyrazine on Retinoyl Palmitate- and Pyridine-Potentiated Carbon tetrachloride- induced Hepatotoxicity: Effect on ${\Phi}x$-174 DNA Strand Breakage)

  • 김상건;조주연;최성희;김낙두
    • 약학회지
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    • 제40권6호
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    • pp.727-733
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    • 1996
  • 2-(Allylthio)pyrazine is effective in selectively suppressing constitutive and inducible expression of cytochrome P450 2E1. The effect of 2-(allylthio)pyrazine against potentiat ed chemical injury was studied in rats. Vitamin-A pretreatment of rats substantially increased carbon tetrachloride hepatotoxicity, as supported by an ~4-fold increase in serum alanine aminotransferase (ALT) activity. Concomitant pretreatment of rats with 2-(allylthio)pyrazine at the daily dose of 200mg/kg resulted in a 76% decrease in vitamin-A-potentiated hepatotoxicity, which supported the possibility that 2-(allylthio)pyrazine protects the liver against chemical-induced hepatic injury by the mechanism associated with Kupffer cell inactivation. Pyridine pretreatment caused substantial enhancement in carbon tetrachloride hepatotoxicity. 2-(Allylthio)pyrazine treatment of rats reduced the pyridine-potentiated toxicity in a dose-dependent manner. Animals treated with both pyridine and 2-(allylthio)pyrazine prior to intoxicating dose of CCl$_4$ resulted in 85% and 47% decreases in pyridine-increased triglycerides and cholesterol levels in the liver. The protective effect of 2-(allylthio)pyrazine on the DNA strand breakage induced by benzenetriol was assessed by measuring the conversion of supercoiled ${\Phi}x$-174 DNA to the open relaxed form. 2-(Allylthio)pyrazine blocked the benzenetriol-induced conversion of supercoiled DNA to open circular form in a dose-dependent manner. The presence of 2-(allylthio)pyrazine at the doses from I to 10mM in the incubation mixture containing 5 ${\mu}$M benzenetriol completely protected benzenetriol-induced DNA strand breakage with the EC50 for the 2-(allylthio)pyrazine blocking being noted as ~220 ${\mu}$M, whereas allyl disulfide exerted protecting effect at relatively high concentrations (i.e. ~850 ${\mu}$M), suggesting that 2-(allylthio)pyrazine effectively scavenges the reactive oxygen species. These results provide evidence that 2-(allylthio)pyrazine blocks vitamin A- or pyridine-potentiated CCl$_4$ hepatotoxicity and that the agent is active in protecting DNA by scavenging the reactive oxygen species.

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발열과 림프절 종대를 보인 환자에서 화농성 경부 림프절염과 가와사키병의 감별 진단 (Differential Diagnosis of Bacterial Cervical Lymphadenitis and Kawasaki Disease in Patients with Fever and Cervical Lymphadenopathy)

  • 장호민;하은교;김희진;이택진
    • Pediatric Infection and Vaccine
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    • 제23권3호
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    • pp.188-193
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    • 2016
  • 목적: 경부 림프절 종대를 먼저 보인 가와사키병(node-first presented Kawasaki disease [NFKD])에 대한 임상 연구를 통해 세균 경부 림프절염(bacterial cervical lymphadenitis [BCL]), 전형적인 가와사키병(Kawasaki disease [KD])과 구별되는 특징을 찾고자 하였다. 방법: 2007년부터 2015년까지 BCL, NFKD, 전형적인 KD로 입원한 환자들의 의무기록을 검토하여 인구학적 특성, 임상 양상, 혈액검사 및 영상의학적 검사 결과를 후향적으로 비교 분석하였다. 결과: 22명의 BCL, 37명의 NFKD, 132명의 전형적인 KD 환자가 연구에 포함되었다. BCL과 NFKD의 비교에서 BCL군의 입원 기간이 더 길었고 NFKD군은 양측, 다발형 림프절 비대를 보이면서 혈소판 수가 적고 호중구 백분율과 CRP 수치가 높았다. NFKD와 전형적인 KD의 비교에서 NFKD군의 나이가 더 많았고 백혈구 수, 호중구 백분율, 호중구 수, CRP 수치가 높고 혈소판 수와 ALT 수치가 낮았다. 결론: 발열과 경부 림프절 종대가 있는 환자에서 호중구 백분율과 CRP 수치가 높고 혈소판 수치가 높지 않으면서 양측, 다발형 경부 림프절 비대를 보인다면, KD의 진단 및 치료가 지연되지 않도록 NFKD 진단을 신속하게 고려하여야 한다.

Efficacy and Tolerance of Pegaspargase-Based Chemotherapy in Patients with Nasal-Type Extranodal NK/T-Cell Lymphoma: a Pilot Study

  • Wen, Jing-Yun;Li, Mai;Li, Xing;Chen, Jie;Lin, Qu;Ma, Xiao-Kun;Dong, Min;Wei, Li;Chen, Zhan-Hong;Wu, Xiang-Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6275-6281
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    • 2014
  • Nasal-type extranodal natural killer (NK)/T-cell lymphoma (ENKL) is a highly invasive cancer with a poor prognosis. More effective and safer treatment regimens for ENKL are needed. Pegaspargase (PEG-Asp) has a similar mechanism of action to L-asparaginase (L-Asp), but presents lower antigenicity. The aim of the present research was to evaluate the safety profile and the latent efficacy of a PEG-Asp-based treatment regimen in patients with ENKL. Data collected from 20 patients with histologically confirmed ENKL, admitted to the Third Affiliated Hospital of Sun Yat-Sen University from January 2009 to August 2013, were included in the study. All patients received $2500IU/m^2$/IM PEG-Asp on day 1 of every 21-day treatment cycle. Patients received combination chemotherapy with CHOP (n=5), EPOCH (n=7), GEMOX (n=7) or CHOP with bleomycin (n=1). After 2-5 treatment cycles (median, 4 cycles) of PEG-Asp-based chemotherapy, five patients (25%) showed a complete response (CR), and the overall response rate (ORR) was 60%. Grade 3/4 neutropenia occurred in fourteen patients (70%). Grade 3 alanine aminotransferase (ALT) elevation was observed in two. Grade 1-2 non-hematological toxicity consisted of activated partial thromboplastin time (APTT) elongation (n=9), hypofibrinogenemia (n=6), hypoproteinemia (n=17), hyperglycemia (n=3), and nausea (n=6). No allergic reactions were detected. No treatment related death was reported. Our results suggested that PEG-Asp-based chemotherapy presented an acceptable tolerance and a potential short-term outcome in patients with nasal-type ENKL.

알코올로 유도된 간 손상 동물모델에서 굴 추출물의 간 보호 효과 (Hepatoprotcetive Effects of Oyster (Crassostrea gigas) Extract in a Rat Model of Alcohol-Induced Oxidative Stress)

  • ;;김범식;이민재;정창식;강남길
    • 한국식품영양과학회지
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    • 제45권6호
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    • pp.805-811
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    • 2016
  • 본 연구는 에탄올로 유도한 알코올성 지방간 동물모델에서 굴 열수 추출물의 알코올성 간 손상 개선 효과를 평가하기 위해 수행되었다. 6주령의 SD rat(male)을 총 6개 군으로 분리하였으며, 양성대조군으로 헛개나무 열매 추출물(500 mg/kg b.w.)을 처리하였다. 6주 동안 하루 간격으로 CGW를 50, 200, 800 mg/kg b.w. 농도로 경구 투여하였으며, control군을 제외한 나머지군은 40% ethanol 5 g/kg b.w.를 6주간 투여하였다. 43일째 실험동물을 희생시켜 혈액 분석 및 간 조직의 항산화 효과 분석을 통해 에탄올로 유도한 동물모델에서 굴 열수 추출물의 알코올성 간 손상 회복 효과를 확인한 결과, 에탄올에 의해 증가한 ALT와 ${\gamma}-GT$의 수준이 CGW를 투여함으로써 유의적으로 감소하였으며, 항산화효소 활성이 증가한 것을 확인할 수 있었다. 에탄올에 의해 손상된 간 조직의 손상 정도를 평가하기 위해 수행한 조직병리학적 검사에서는 에탄올의 투여로 증가한 지방변성 비율 및 간세포 수와 같은 인자들이 굴 열수 추출물의 투여로 유의적으로 회복된 것을 확인하였다. 또한, 에탄올에 의해 증가한 CYP2E1의 발현이 굴 열수 추출물의 투여로 유의적으로 감소하였다. 이러한 연구 결과들로 보았을 때 본 실험에서 굴 추출물의 다당류 및 폴리페놀의 항산화 작용으로 알코올로 유도된 간 손상을 억제할 수 있음을 예상할 수도 있지만, 이후 추가적인 연구로 다른 활성성분의 규명과 관련 활성 기작을 탐구하고자 한다. 본 연구진은 이와 같은 결과를 바탕으로 굴 열수 추출물이 알코올성 지방간 동물모델에서 항산화 방어시스템의 강화를 통해 간 손상을 회복시킴을 확인할 수 있었고, 이러한 연구 성과들로 굴 추출물이 알코올성 간 손상 개선에 있어 효과적인 대안으로서 더욱 더 많은 분야에서 연구되기를 바라는 바이다.

Clinical Study of Hepatectomy Combined with Jianpi Huayu Therapy for Hepatocellular Carcinoma

  • Zhong, Chong;Li, Hui-Dong;Liu, Dong-Yang;Xu, Fa-Bin;Wu, Jian;Lin, Xue-Mei;Guo, Rong-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5951-5957
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    • 2014
  • Background: Traditional Chinese Medicine (TCM) possesses several advantages for treating patients with hepatocellular carcinoma (HCC). The theory of 'Jianpi Huayu Therapy' rooted from 'Jin Kui Yao Lue'is one of the most important therapies in this respect. This study was conducted to investigate the clinical effect and safety of hepatectomy combining with 'Jianpi Huayu Therapy' in the treatment of HCC. Materials and Methods: One hundred and twenty patients with HCC were randomized allocated into hepatectomy combined with 'Jianpi Huayu Therapy' group (treatment group, n=60) and hepatectomy alone group (control group, n=60). Disease- free survival (DFS) and overall survival (OS) were the primary end-points. Liver function at the end of one week after surgery, complications, average days of hospitalization as well as performance status (PS) at the end of one month post operation were also compared. Results: No significant differences existed between two groups on baseline analysis (p>0.05). No treatment related mortality occurred in either group. Post-operative complications were detected among 14 patients (23.3%) in the treatment group, and 12 (20.0%) in the control group (p=0.658). Alanine aminotransferase (ALT) at the end of one week after operation was lower in the treatment than control groups (p=0.042). No significant differences in other indexes of liver function were discovered between two groups. Average days of hospitalization reduced by 0.9 day in treatment group than in control (p=0.034). During follow-up, 104 patients (86.6%) developed recurrence. The rates of 1-, 3-, and 5-year DFS and median DFS for all patients were 77.4%, 26.3%, 9.0% and 25.6 months (range, 6.0~68.0), respectively (78.2%, 29.2%, 14.3% and 28.7 months for the 48 patients in the treatment group and 75.0%, 23.3%, 6.4%, and 22.6 months for the 56 patients in the control group (p=0.045)). 101 patients had died at the time of censor, with 1-, 3-, and 5-year overall survival rates and median survival for all patients of 97.5%, 76.4%, 40.5% and 51.2 months (range, 10.0~72.0), respectively (98.3%, 78.0%, 43.6% and 52.6 months, for treatment and 96.7%, 74.7%, 37.4%, and 49.8 months, for controls, respectively (p=0.048)). Conclusions: Hepatectomy combined with 'Jianpi Huayu therapy'was effective in the treatment of HCC, and reduced post-operative recurrence and metastasis and improved DFS and OS of HCC patients.

Sweet 봉약침과 저준위 레이저침이 Complete Freund's Adjuvant로 유발된 관절염 백서 모델에 미치는 영향 (Effects of Sweet Bee Venom Pharmacopuncture and Low Level Laser Acupuncture on a Rat Model with Complete Freund's Adjuvant-induced Arthritis)

  • 이정훈;김경옥;김경수;박수연;양승정;최창원;나창수;위통순
    • Journal of Acupuncture Research
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    • 제32권3호
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    • pp.1-13
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    • 2015
  • Purpose : This research was conducted to investigate the effect of sweet bee venom pharmacopuncture and low level laser acupuncture on paw edema, pain index, anti-inflammatory factor, AST, ALT and complete blood cell count of a rat model with Complete Freund's Adjuvant-induced arthritis. Methods : Five experimental groups were formed with each consisting of six rats: normal group, control group, sweet bee venom pharmacopuncture group, lower level laser acupuncture group, and sweet bee venom pharmacopuncture, lower level laser acupuncture group. The experimental model of arthritis was induced by two injections of Freund's adjuvant into the left knee joint of Sprague Dawley(SD) rats. The second injection of Freund's adjuvant was given ten days after the first one. Ten days later, sweet bee venom pharmacopuncture and low level laser acupuncture were administered separately or together by assigned groups at $GB_{34}$ and $GB_{39}$ of rats twice a week for a total of six times. Thereafter, edema rate, pain index, tumor necrosis factor-${\alpha}$, interleukin-6, aspartate aminortansferase, alanine aminotransferase and complete blood cell count were measured. Results : We noticed synergic effects of sweet bee venom pharmacopuncture and low level laser acupuncture according to the results of the paw edema and Von Frey pain index. The sweet bee venom pharmacopuncture(BVA) and sweet bee venom pharmacopuncture+ low level laser acupuncture(BVA+LLA) groups experienced a more significant effect when compared with the control group. Conclusions : These results suggest that Sweet Bee Venom Pharmacopuncture and low level laser acupuncture at GB34 and GB39 have a significant anti-inflammatory effect on Freund's adjuvant arthritis in rats.

랫드에서 thioacetamide의 반복 투여로 유도된 간 손상에 대한 민들레 추출물의 효과 (Protective effects of dandelion extract against liver damage by repeated administration of thioacetamide in rats)

  • 문선진;신성식;손창호;오기석;김하정;정지영;서국현
    • 한국동물위생학회지
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    • 제40권2호
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    • pp.107-117
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    • 2017
  • This study was conducted to investigate of hepatoprotective effect of dandelion water extract (DWE) according to repeated administration of thioacetamide (TAA) induced hepatotoxicity in Spraque-Dawley rats. Thirty rats were randomly assigned to 5 groups; normal control, DWE-control, TAA-control (TAA injection during the feeding of normal diet), TAA&DWE600 (TAA repeated injection during the feeding of DWE 600 mg/kg BW), TAA&DWE1200 (TAA repeated injection during the feeding of DWE 1,200 mg/kg BW). Rats in DWE-control and TAA&DWE groups were treated with DWE (600 or 1,200 mg/kg BW daily) by gavage for 20 days (twice a day). All the rats in the TAA-control and TAA&DWE groups were repeated injection of TAA (100 mg/kg BW) into the abdominal cavity 3 days interval and 12 hrs later, all rats were sacrificed. At the same time, normal control and DWE-control groups were injected normal saline. In TAA&DWE groups, serum alanine and aspartate aminotransferase (ALT, AST) were significantly decreased and triglyceride (TG) synthesis was significantly increased compared to TAA group. As well as total billilubin and GGT were slightly decreased by the treatment of DWE. Lipid peroxidation (MDA) concentration was significantly decreased and hepatic GSH content was slightly or significantly increased in the TAA&DWE groups compared to TAA group. Hepatic anti-oxidative enzyme activities, such as GSH, GST, SOD and catalase were slightly or significantly elevated by the treatment of DWE. According to these results, When dandelion extract was long term supplied, it could be used as a potential protective material for a longer time liver damage by repeated adminstration of the TAA.

한약 복용이 간기능에 미치는 영향 : 국내 문헌에 대한 체계적 고찰 (Korean Herbal Medicine on Liver Function : A Systematic Review in Korean Literature)

  • 윤영주;신병철;이명수;조성일;신우진;박히준;이혜정
    • 대한한방내과학회지
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    • 제30권1호
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    • pp.153-172
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    • 2009
  • Background : The safety of Korean herbal Medicine (KHM: prescribed herbal medicine by doctors of traditional Korean medicine) is an important issue in Korea. Although both fields. western medicine and traditional Korean medicine. have been studied on the safety of herbs and KHM, their results were not concordance with each other. Objectives : This study aims to review the influence of KHM on liver function in Korean literature systematically. Additionally, we tried to estimate the change of data of liver function test (LFT) and the incidence of liver injury (LI) after the use of KHM. Methods : Systematic literature searches were performed on 4 major databases of Korea from their inception to May 2008. Screening and selection of the studies and the extraction of data were performed independently by two authors. There were no restrictions on the types of publication including grey literatures. Results : Forty studies were included. Only sixteen studies were performed prospectively and fifteen studies collected data from outpatients. Only 8 studies reported the occurrence of LI after the use of KHM. Nineteen cases of LI showed no or mild symptoms and the elevation of LFT was not high. All of LI patients used conventional western drug and KHM concomitantly. and causality of LI was not assessed properly. The incidence of LI related to the use of KHM was estimated as 0.59%-0.76% from all data of these studies. The conflicting results were shown on the change of alanine aminotransferase (ALT) and total bilirubin (TB) after the use of KHM. Conclusions : KHM might be a minor cause of LI in Korea. However the results are not strongly supported as enough to make the safety issue clear because of the limitations of original studies. More rigorous studies are required for answering the safety issue of KHM with the cooperative investigation of both fields of Korean traditional medicine and western medicine.

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