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Herbal treatments

Our services

ChiMAS provides advice for the safe use of Chinese and other traditional medicines, responding to all levels of enquiry from health professionals.
 
The support we provide includes:
  1. General information on the use of Chinese herbal medicine
  2. Specific queries on safety/efficacy, including:
    • Safety assessment based on international literature, taking into account the medical history of the patient
    • Review of the prescription used by the patient
    • Warnings, if items of concern are identified
    • Specific guidelines for the doctor on benefits or possible side effects
  3. Investigation of suspected adverse reactions/interactions, including:
    • Identification of herbs and review of prescription
    • Review of medical history and results of relevant tests carried out by reporting doctor
    • Discussion with herbal practitioner to establish full medical history
    • Advice on management of the ADR
Enquiries are answered on a 24 hour basis by information scientists with experience in responding to enquiries from healthcare professionals. Our Chinese medicine experts review all enquiries and offer specific advice on more complex questions. In addition, a consultant physician is available to provide clinical advice for patient management as required.

ChiMAS also collaborate with a botanical institute enabling herbal material to be submitted for analysis where appropriate.

Requests for information should be made to:
Chinese Medicine Advisory Service (ChiMAS)
Medical Toxicology Information Services
Mary Sheridan House
Guy’s Hospital
London SE1 9RT
Telephone: 020 7188 0199
Fax: 020 7188 0700
Case history

Query 1

Patient wants to use Chinese herbs for his eczema as a work colleague recommended it because of good results. Will it work, is it safe, what precautions should be taken?    

Response

Clinical trials have shown the benefits of CHM for eczema1. There have been few side effects reported, but regular LFT monitoring, before and during treatment, is recommended as jaundice has been reported. 
 

Case history

Query 2

Female patient admitted with end stage renal disease. She had used 3 Chinese patent medicines for 2 years for psoriasis, but they don’t know what the ingredients were. Could this be a possible cause? 

Response

Product labels were translated, one product contained Aristolochia manshuriensis. Aristolochic acids are known to cause renal failure with long term use2. Aristolochic Acid Nephropathy was diagnosed following review of biopsy. Laboratory analysis of product confirmed presence of aristolochic acids.