BLACKBALLING CHINESE BLACK BALLS

A 71-year-old woman suffering from the arthritis-like pain of degenerative joint disease starts taking over-the-counter Chinese herbal pills marketed for the relief of joint stiffness. But after just a few months she develops a huge ulcer accompanied by internal bleeding. The culprit: an anti-inflammatory drug in the pills called mefenamic acid, which is supposed to be available by prescription only. It turns out that by taking the number of pills recommended on the label, the woman had been exceeding the maximum recommended daily dosage.

Another woman takes similar-looking herbal pills--small black spheres popularly known as Chinese black balls--for sleeplessness and depression. After just one evening she ends up in the hospital emergency room excessively sleepy and slow to respond. Lab tests show that the pills contain seven milligrams of Valium, a potentially harmful dose for someone unused to the drug. A typical initial dose is one to two milligrams.

These cases, uncovered by researchers at the St. Paul-Ramsey Medical Center in Minnesota, are just a couple of examples of an ongoing problem. Reports of adulterated Chinese black balls--sold under brand names like Miracle Herb with promises of pain relief for everything from arthritis to emphysema to liver and kidney ailments--have been making their way into the scientific literature for at least 20 years. Some of the prescription drugs the black balls have been found to contain: Librium, steroids such as prednisone, muscle relaxants, and diuretics, not to mention contaminants like lead.

Since Chinese black balls can present very serious, even life threatening, health hazards, people sufferring chronic pain and looking for any relief they can find should not adopt a "What have I got to lose?" attitude. At the very least, those who take the pills should alert their doctors. People "do not routinely notify physicians about the use of such products," say the St. Paul researchers, who reported five cases of adverse reactions to black balls altogether. But since the herb pills frequently contain potent drugs, doctors should be informed so that they might have a clue as to what's going on should someone suffer adverse effects from a medication they prescribed. It could be the patient is overdosing because he or she is already getting large amounts of the drug from an herbal preparation.

Crayhon, Robert, Vol. 13, Tufts University Diet & Nutrition Letter, 10-01-1995, pp 7.


Schizandra Chinensis

This information is taken from a CD-ROM called The Herbalist by David L. Hoffman, B.Sc.; M.N.I.M.H., author of The New Holistic Herbal.

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The Digestive System

The Liver

Schizandra Chinensis Lignoids

The herb is prepared from the ripe fruits of Chinese magnolia vine, Schizandra chinensis, and is extensively used in Oriental medicine. Since the initial isolation of lignans (schizandrin and deoxyschizandrin) from its seed oil, more than 30 lignans have been isolated and characterized.

*An extract of Schizandra reduced elevated GPT levels in mice treated with carbon tetrachloride or thioacetamide. Most of the lignans prevented the elevation of serum GPT levels and morphological changes, such as inflammatory infiltration and liver cell necrosis. A lignan named gomisin A was comparable to that of cortisone.

*Gomisin A inhibited liver lesions produced by a range of hepatotoxins, elevated liver microsomal drug metabolizing enzyme activities, and accelerated the proliferation of hepatocytes and the recovery of liver functions after partial hepatectomy in rats.

*in the face of carbon tetrachloride damage, gomisin A maintained bile flow and biliary output of electrolytes nearly to the levels of the normal.

*the lignans inhibit carbon tetrachloride induced lipid perodixation, decreased CO production, NADPH and oxygen consumption during the toxins' metabolism in the liver.

*the lignans induced increases of microsomal cytochrome P-450 concentration and NADPH cytochrome C reductase, aminopyrine demethylase and benzo(a)pyrene hydroxylase activities, as well as an increase in microsomal protein content. Remarkable enlargement of the smooth endoplasmic reticulum of liver cells was also observed.

*treatment with gomisin A and lipopolysaccharide increased the survival rate of mice with hepatitis from 7.5 to 80% and prevented liver cell necrosis histologically.

*Schizandra given to 189 patients manifesting chronic viral hepatitis with elevated serum GPT levels. 107 were given 100 mg. of the extract (= 1.5 g of the herb) 82 cases received a liver extract-vitamin E complex as control. After 16-24 weeks of treatment, 73 of those treated with Schizandra showed a fall of serum GPT to normal levels. No rebound was observed after withdrawal of the herb. The rate of effectiveness in lowering the GPT level was 68.2% in the treated group and 44% in the control group. The average time needed for lowering the level to normal was about 4 weeks for the treated group and 8 weeks for the control group.

Schizandra was effective in relieving symptoms of sleeplessness, fatigue, abdominal tension, and loose bowels. No side-effects were observed.

TCM TOC

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