Guest guest Posted June 11, 2000 Report Share Posted June 11, 2000 Uh-oh! > >Chinese Herb Linked to Urinary System Cancers > > > >Updated 6:03 PM ET June 7, 2000 > > > >NEW YORK (Reuters Health) - Eighteen patients in Belgium inadvertently > >given the Chinese herb Aristolochia fangchi in weight-reducing pills > >developed cancers of the urinary system, according to a report. > > > >These patients had already experienced severe kidney failure as a result > >of taking a combination of two other Chinese herbs, Stephania tetrandra > >and Magnolia officinalis, and needed kidney dialysis or kidney > >transplants, according to Dr. Joelle Nortier from Universite Libre de > >Bruxelles in Brussels, Belgium, and associates. > > > >After discovering a urinary system cancer in one of their patients > >undergoing a transplant, the researchers offered preventive removal of > >the kidneys and ureters (the tubes connecting the kidneys to the > >bladder) to 43 other patients being treated for Chinese herb-related > >kidney disease. Thirty-nine patients accepted the offer. > > > >Eighteen cancers were discovered among the 78 ureters and 77 kidneys > >removed from the 39 patients, the authors report, representing a > >malignant cancer rate of 46%. > > > >In 19 of the 21 patients without cancer, mild to moderate precancerous > >abnormalities were found in the ureters or kidneys, according to the > >report in the June 8th issue of The New England Journal of Medicine. > > > >All the affected kidneys showed evidence of exposure to aristolochic > >acid, the harmful ingredient in Aristolochia fangchi, and lower levels > >were found in some of the ureters. > > > >Only four samples contained evidence of exposure to ochratoxin A, a > >possible carcinogen sometimes found in Stephania tetrandra, the > >researchers observe. > > > >The risk of cancer was greater for patients who had taken more > >Aristolochia fangchi, the investigators note. Eight of 24 patients who > >took 200 grams or less had urinary system cancer, compared with 10 of 15 > >patients who took 201 grams of more. > > > >Until recently, the outbreak of kidney failure--and now urinary system > >cancers--appeared to be limited to people in Belgium, the authors note. > > " Now, other cases have been reported in France, Spain, Japan, the United > >Kingdom and Taiwan, where cases of urothelial carcinoma (urinary system > >cancer) have also been detected, " > >Nortier and colleagues write. > > > >When patients develop kidney failure or urinary system cancers, doctors > >should ask them if they have ever taken Chinese herbs, the researchers > >conclude. > > >> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2000 Report Share Posted June 11, 2000 Greetings, IN addition to being proactive, it would be important to see all of the specifics surrounding this article, such as: was the extract or whole herb used? how long did these patients use them? was there a suspicion of cancer in these already very ill patients? etc. News articles are typically written by journalists, not medical personnel, and as such, tend to leave out important pieces of information. If anyone knows where a better, more complete source for this article is located, it might be helpful to share it. Thanks. for better health, susan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2000 Report Share Posted June 11, 2000 I agree entirely with Z'ev. It seems just as incubent upon on us as our state and political organizations since Todd has created a highly successful group who actively and frequently communicates. This group is probably as large and more varied than any school or political wing of Chinese medicine. A new type of professional organization (academy if you will) that could and should formally draft a response. If the political organizations for Chinese medicine have already drafted this kind of statement paper and are actively working on the public relations, we could review and endorse an existing one. Part of that statement should always mention our extensive training and formal education, as well as point out the fact that when these situations occur it is usually given by someone who is not trained in acupuncture and herbs. This would help preclude turning over control of herbs to mainstream medicine who are untrained and have an agenda antagonistic to herbs. Another, more sensitive, topic would be to always couch these discussions in the broader context of safety. Western pharaceuticals kill over 106,000 people a year (according to JAMA), making it about the 4th leading cause of death in the US. We can reassure the public that Chinese medicine, when handled by professionals, will not go down this road. And the fact that this is why herbs became so necessary and important in the first place. A third issue may be to establish a profession-wide standard equivalent to the current GMP practice. We should list the manufacturers and distributors of Chinese medicine that we, as professionals, trust and who in turn can be trusted by the public. While it may not be prudent for our political organizations to do this, Todd has the ability to survey a representative portion of practitioners who use herbs. It may not be as strong an endorsement as a political organization, but it can go a long way to help assure people. The completed statement should be endorsed by state organizations and our political organizations; then sent out as a press release. The media should be warned we just don't passively listen to and accept their oversimplified version of this issue. If any of the state or political organizations have already undertaken this task, they should post their efforts to this group. We need not duplicate an effort already in progress. I'm not a political animal so I would like to hear other opinions. Jim , " " <zrosenberg@p...> wrote: > > > I think we need to draft a statement for the profession, act now before we > have real trouble. We can start by drafting a statement for the Chinese > Herb Academy, on the need to have herbal medicines regulated by the > profession, and supporting inclusion of herbal medicines from China in > state licensing. > > > > > > > >Uh-oh! > > > > > >> >Chinese Herb Linked to Urinary System Cancers > >> > > >> >Updated 6:03 PM ET June 7, 2000 > >> > > >> >NEW YORK (Reuters Health) - Eighteen patients in Belgium inadvertently > >> >given the Chinese herb Aristolochia fangchi in weight-reducing pills > >> >developed cancers of the urinary system, according to a report. > >> > > >> >These patients had already experienced severe kidney failure as a result > >> >of taking a combination of two other Chinese herbs, Stephania tetrandra > >> >and Magnolia officinalis, and needed kidney dialysis or kidney > >> >transplants, according to Dr. Joelle Nortier from Universite Libre de > >> >Bruxelles in Brussels, Belgium, and associates. > >> > > >> >After discovering a urinary system cancer in one of their patients > >> >undergoing a transplant, the researchers offered preventive removal of > >> >the kidneys and ureters (the tubes connecting the kidneys to the > >> >bladder) to 43 other patients being treated for Chinese herb- related > >> >kidney disease. Thirty-nine patients accepted the offer. > >> > > >> >Eighteen cancers were discovered among the 78 ureters and 77 kidneys > >> >removed from the 39 patients, the authors report, representing a > >> >malignant cancer rate of 46%. > >> > > >> >In 19 of the 21 patients without cancer, mild to moderate precancerous > >> >abnormalities were found in the ureters or kidneys, according to the > >> >report in the June 8th issue of The New England Journal of Medicine. > >> > > >> >All the affected kidneys showed evidence of exposure to aristolochic > >> >acid, the harmful ingredient in Aristolochia fangchi, and lower levels > >> >were found in some of the ureters. > >> > > >> >Only four samples contained evidence of exposure to ochratoxin A, a > >> >possible carcinogen sometimes found in Stephania tetrandra, the > >> >researchers observe. > >> > > >> >The risk of cancer was greater for patients who had taken more > >> >Aristolochia fangchi, the investigators note. Eight of 24 patients who > >> >took 200 grams or less had urinary system cancer, compared with 10 of 15 > >> >patients who took 201 grams of more. > >> > > >> >Until recently, the outbreak of kidney failure--and now urinary system > >> >cancers--appeared to be limited to people in Belgium, the authors note. > >> > " Now, other cases have been reported in France, Spain, Japan, the United > >> >Kingdom and Taiwan, where cases of urothelial carcinoma (urinary system > >> >cancer) have also been detected, " > >> >Nortier and colleagues write. > >> > > >> >When patients develop kidney failure or urinary system cancers, doctors > >> >should ask them if they have ever taken Chinese herbs, the researchers > >> >conclude. > >> > >> > >> > > >> > > > > > > >- ----- > >Take 20 friends to Vegas on New Year's courtesy of Expedia.com. > >Win the airfare, a suite at Bellagio and $15,000. Or win 2 roundtrip > >tickets anywhere in the U.S. given away daily. Click for a chance to win. > >http://click./1/5294/9/_/542111/_/960738177/ > >- ----- > > > >Chronic Diseases Heal - Chinese Herbs Can Help Quote Link to comment Share on other sites More sharing options...
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