The Ninth Academic Exchange Meeting of the Branch of Spleen and Gastrointestinal Diseases of Zhejiang Traditional Chinese Medicine Society was held two days ago in Ningbo, where the branch chairman, Professor Qin Danping of Zhejiang Provincial Hospital of Traditional Chinese Medicine, spoke specifically about drug-induced liver damage. He said that the incidence of drug-related liver damage has reached 10%, and the incidence in the elderly is as high as 40%, and the trend is increasing year by year. Clinical data also show that 10-20% of patients with fulminant liver failure are caused by drug-related liver damage, which has become a serious public health problem that cannot be ignored. Among the many patients, some of them, Professor Qin felt sorry for, mostly due to bruises, swollen and painful joints, believed in folk remedies and took herbs privately to eat, which induced drug-related liver damage. Zhejiang mountains, this aspect of the patient is also particularly large. The other day, he met a patient who treated a sprained foot with earth panax pseudoginseng and ended up suffering from hepatic small vein occlusion, liver swelling and liver ascites. After a few months of eating earth panax pseudoginseng, his stomach became bigger and bigger, and his face became more and more yellow. Master Zhang, 70 years old, a native of Dongyang, Jinhua, sprained his left ankle while doing farm work. The Zhang said, this is their village has been passed down for a long time the native method, I heard that many people have used, very bright. But what puzzles Master Zhang is that once not eaten, within a few days the foot pain will recur. For this reason, he ran to the mountains from time to time to dig earth panax ginseng. Gradually, Master Zhang’s stomach grew bigger and bigger, and his lower limbs began to swell, so his family thought he was gaining weight. It was only when his face became increasingly yellow, his appetite gradually decreased, and his urine decreased day by day that he realized he was ill and rushed to the hospital with him. After examination, he was found to be suffering from hepatic vein occlusion, with hepatomegaly, jaundice and ascites. It is a herb that has been recorded in many herbal books and has the effect of breaking blood and dispersing stasis, stopping bleeding and reducing swelling, mainly treating bruises and bleeding wounds. However, the side effects are also great, such as the development of hepatic vein occlusion. As the name implies, some small veins in the liver are blocked and blood flow is obstructed, resulting in gradual necrosis of surrounding liver cells. Over time, cirrhosis ensues and eventually patients can die of liver failure. The common symptoms in the early stage include abdominal distension, abdominal pain, hepatomegaly, jaundice and ascites. The mechanism of hepatic small-vein occlusive disease caused by Triticum aestivum is not well understood. Small hepatic vein occlusive disease is irreversible liver damage and there is no specific drug available clinically. 45% of drug-related liver damage caused by Chinese herbs He Shou Wu, Chai Hu and Lei Gong Tang are more common Professor Qin Dan Ping searched the medical database from 2000 to 2011, 166 cases of hepatic vein occlusion caused by indiscriminate use of Chinese herbs have been reported nationwide, half of which occurred in Zhejiang, with 85 cases, among which Jinhua Wuyi and Taizhou Xianju have the most cases, with 42 and 30 cases respectively. “In life, many people have great misconceptions about herbal medicine, thinking that herbal medicine is safe and has no toxic side effects. It is a medicine with three toxins, herbal medicine also has toxic side effects. Some data show that 45% of drug-related liver damage is caused by herbs, and 55% is caused by western drugs (antibiotics, hormones, etc.), and the difference between the two is not large.” In addition to the earth Panax ginseng, He Shou Wu, Senna, Chai Hu, Lei Gong Vine, etc. eat too much, but also more likely to trigger drug liver damage. Some people go to the mountains to harvest He Shou Wu for black hair, Senna leaves have laxative effect, Chai Hu can be used to treat colds, and Lei Gong Vine has good effect on pain caused by rheumatoid arthritis. “This has a lot to do with people’s irregular use, such as excessive doses, long courses of treatment and misuse of abuse.” Professor Qin Danping said, or that, there is a disease to go to the hospital, do not easily use folk remedies. Even if there are people around who have used this method with effect, it does not mean that it is suitable for everyone.