Multiple organ dysfunction and rhabdomyolysis associated with moonwort poisoning: Report of four cases

BACKGROUND Moonwort is a widely used Chinese herbal medicine. It has various pharmacological effects, such as relieving cough and preventing asthma. To date,multiple organ dysfunction and rhabdomyolysis caused by moonwort poisoning have not been reported.CASE SUMMARY Here we report four cases of moonwort poisoning that presented with multiple organ dysfunction and rhabdomyolysis accompanied by vomiting, fatigue, and muscle aches. One patient was an adult male, two were adult females, and one was a boy, with an age range of 7–64 years. The adults were treated with hemoperfusion and symptomatic therapies, while the child was treated with plasma exchange and symptomatic therapies. All four patients recovered.CONCLUSION Blood purification combined with symptomatic treatment may be an effective method for managing multiple organ dysfunction and rhabdomyolysis caused by acute moonwort poisoning.

黔产阴地蕨的化学成分预试分析

用水、乙醇和石油醚对黔产阴地蕨进行提取,根据颜色反应及沉淀反应初步判断所含化学成分。结果表明:阴地蕨中含有皂苷、酚类、糖、多糖、有机酸、鞣质、蛋白质、香豆素、内酯、强心苷、黄酮、挥发油、甾体和三萜类等化学成分;不含生物碱和油脂。

小春花对肝纤维化小鼠肝功能及TGFβ_1、CTGF水平的影响

目的研究小春花对肝纤维化的作用及其作用机制。方法通过建立肝纤维化小鼠模型给予药物治疗,检测小鼠肝功能的变化及转化生长因子(TGFβ1)、结缔组织生长因子(CTGF)表达的影响。结果结果表明小春花能有效的抑制小鼠肝纤维化,并可以减少小鼠肝脏TGFβ1、CTGF的表达。结论小春花不但能减轻肝细胞损伤,改善肝功能,而且通过抑制TGFβ1的产生,阻断和逆转肝纤维化的形成,对CCL4诱导的小鼠肝纤维化有明确的治疗作用,对肝脏没有明显的毒性作用。