Herb-herb combination for therapeutic enhancement and advancement: theory, practice and future perspectives.

Molecules

Department of Medicinal Chemistry and Pharmacognosy and WHO Collaborating Center for Traditional Medicine, College of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA.

Published: May 2013

Herb-herb combinations have been used in Chinese medicine practice for thousands of years, yet scientific evidence of their therapeutic benefits is lacking. With increasing interest in shifting from the one-drug-one-target paradigm to combination therapy or polypharmacy to achieve therapeutic benefits for a number of diseases, there is momentum to explore new knowledge by tapping the past empirical experiences of herb-herb combinations. This review presents an overview of the traditional concept and practice of herb-herb combination in Chinese medicine, and highlights the available scientific and clinical evidence to support the combined use of herbs. It is hoped that such information would provide a lead for developing new approaches for future therapeutic advancement and pharmaceutical product development. Very likely modern technologies combined with innovative research for the quality control of herbal products, identification of active components and understanding of the molecular mechanism, followed by well-designed animal and clinical studies would pave the way in advancing the wealth of empirical knowledge from herb-herb combination to new therapeutic modalities.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6269890PMC
http://dx.doi.org/10.3390/molecules18055125DOI Listing

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Article Synopsis
  • Oral administration of Chinese Herbal Medicine (CHM) faces challenges like absorption, metabolism, and systemic circulation, influenced by factors such as gut microbes and metabolic enzymes.
  • Interactions between different herbs can lead to structural changes in vitro and affect drug metabolism in vivo, impacting their therapeutic effects.
  • Although China has a long history of using multi-herb combinations to enhance efficacy and reduce side effects, there's a lack of systematic data supporting these practices, prompting this review to explore herb interactions and their potential risks.
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