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The relation between clinical effects of Tokishakuyakusan and the identity of Paeonia lactiflora materials. | LitMetric

The relation between clinical effects of Tokishakuyakusan and the identity of Paeonia lactiflora materials.

J Ethnopharmacol

Graduate School of Pharmaceutical Sciences, Osaka University, 1-6, Yamada-oka, Suita, Osaka 565-0871, Japan.

Published: November 2010

AI Article Synopsis

  • The study aimed to explore the relationship between the clinical effects and the quality of Tokishakuyakusan (TS), which consists of six different crude drugs, focusing specifically on two formulations made with different types of Paeonia lactiflora.
  • Researchers conducted a cross-over study with 12 women suffering from anemia, comparing the effects of medicinal (MTS) and ornamental (OTS) TS over eight weeks, finding both to be effective but distinguishable in their overall effects.
  • While there were no significant differences in organic ingredients and iron content between the two formulations, Mössbauer analysis revealed distinct forms of iron ions, suggesting that the clinical effects of TS may be influenced by the quality of the Paeoniae Radix

Article Abstract

Aim Of The Study: To investigate the relation between the clinical effects and the quality of crude drugs, we focused on Tokishakuyakusan (TS), consisted of 6 crude drugs.

Materials And Methods: We prepared two kinds of TS containing either medicinal cultivar of Paeonia lactiflora (MTS) or ornamental one (OTS). Other components were the same. First, we assessed the clinical effects of two TS formulations by cross-over study among the anemia patients. Second, we investigated the chemical differences between them by using Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and Mössbauer analysis.

Results: The clinical effects of these formulations (3 g/day for 8 weeks) were tested in the cross-over study consisted of 12 women patients who were diagnosed as having anemia (Hb ≤ 11 g/dl) and consented to participate to this study. Both TS formulations were effective for anemia symptoms as shown by the improvement of several hematological parameters, whereas their comprehensive effects were distinguishable by Genetic Algorithm Partial Least Squares (GA-PLS) analysis. There were no significant differences in organic ingredients and Fe content measured by ultra performance liquid chromatography (UPLC) and ICP-MS, respectively. Interestingly, Mössbauer spectra of Fe ion were remarkably different between two formulations. Fe ion in MTS was only one form, but that in OTS was at least two forms.

Conclusions: This study suggested that clinical effects of TS formulation reflect the quality of Paeoniae Radix.

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Source
http://dx.doi.org/10.1016/j.jep.2010.08.023DOI Listing

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