Stephania tetrandra

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Stephania tetrandra
Stephania tetrandra imported from iNaturalist photo 285506865 on 17 February 2024.jpg
Scientific classification OOjs UI icon edit-ltr.svg
Kingdom: Plantae
Clade: Tracheophytes
Clade: Angiosperms
Clade: Eudicots
Order: Ranunculales
Family: Menispermaceae
Genus: Stephania
Species:
S. tetrandra
Binomial name
Stephania tetrandra

Stephania tetrandra is a herbaceous perennial vine of the family Menispermaceae native to China and Taiwan. It grows from a short, woody caudex, climbing to a height of around three meters. The leaves are arranged spirally on the stem, and are peltate, i.e. with the leaf petiole attached near the centre of the leaf. [1] Its root is used in traditional Chinese medicine (TCM).

Contents

Distribution and habitat

Stephania tetrandra occurs in shrublands at village margins, open fields, and roadsides in South Central and East China in Anhui, Fujian, Guangdong, Guangxi, Hainan, Hubei, Hunan, Jiangxi, and Zhejiang provinces, and in Taiwan. [1]

Etymology in Chinese medicine

Stephania tetrandra is among the 50 fundamental herbs used in TCM. The standard pinyin according to the Chinese [Herbal] Pharmacopia of the People's Republic of China (Chinese :中华人民共和国药典; pinyin :Zhonghua Renmin Gongheguo Yao Dian) is: fen fang ji (Chinese :粉防己; pinyin :fěn fáng jǐ), but it is more commonly known as Han Fang ji (Chinese :漢防己; pinyin :hàn fáng jǐ).

Traditional medicine

Fen fang ji is used in traditional Chinese medicine to dispel wind and dampness to relieve pain and to promote diuresis.[ citation needed ] It is classified as acrid, bitter and cold. The part used is the root.

Chemistry

Stephania contains tetrandrine, a potent smooth muscle relaxant. [2] [3] [4] Stephania alkaloids have curare-like action, and can selectively inhibit T-cell-dependent immune reactions. The root contains many isoquinoline alkaloids: tetrandrine (0.6-0.9%), fangchinoline (0.5%), cyclanoline (0.1%) and dimethyltetrandrine iodide (muscle relaxant). The root also contains flavanoids. The main active alkaloids are: tetrandrine (12 to 23 grams/kg) and fangchinoline (0.3–3 mg/kg). Also present are: dimethyltetradine iodide, cyclanoline, menisine, menisidine, oxofangchirine, stephenanthrine, stepholidine and bisbenzylisoquinoline. [5] [6] Fenfangjines F, G, H, and I. [7]

Other herbs sometimes used as Fang Ji

Other plants named fang ji (Chinese :防己, roughly "snakebite remedy") are sometimes substituted for it. Notable among these is guang fang ji (Chinese :廣防己; pinyin :guǎng fáng jǐ), Aristolochia fanchi, whose main toxic component is aristolochic acid, a potent carcinogen and nephrotoxin. Other herbs sometimes used as Fang Ji include Cocculus trilobus , C. orbiculatus , Aristolochia fangchi , and Sinomenium acutum (Japanese Han Fang Ji or Qinfengteng).

Warnings, contraindications for substituted herbs

When Aristolochia fanghi is substituted for Stephania tetrandra, the resultant guang fang ji preparations can contain toxic amounts of aristolochic acid Ingestion can lead to renal failure and even death; Aristolochia is used in TCM only with great caution. In May, 2000, the FDA began detaining any plants or medicines suspected of containing aristolochic acid, unless laboratory testing indicated they were negative for aristolochic acid. [8] The traditional route of ingestion of guang fang ji is via water decoction. Since aristolochic acid has low water solubility, water decoction is believed to be a safer route than taking guang fang ji as an uncooked powder. [9]

Related Research Articles

<span class="mw-page-title-main">Aristolochic acid</span> Chemical compound

Aristolochic acids are a family of carcinogenic, mutagenic, and nephrotoxic phytochemicals commonly found in the flowering plant family Aristolochiaceae (birthworts). Aristolochic acid (AA) I is the most abundant one. The family Aristolochiaceae includes the genera Aristolochia and Asarum, which are commonly used in Chinese herbal medicine. Although these compounds are widely associated with kidney problems, liver and urothelial cancers, the use of AA-containing plants for medicinal purposes has a long history. The FDA has issued warnings regarding consumption of AA-containing supplements.

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<i>Aristolochia</i> Genus of plants in the family Aristolochiaceae

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<i>Aristolochia californica</i> Species of flowering plant

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<span class="mw-page-title-main">Balkan endemic nephropathy</span> Medical condition

Balkan endemic nephropathy (BEN) is a form of interstitial nephritis causing kidney failure. It was first identified in the 1920s among several small, discrete communities along the Danube River and its major tributaries, in the modern countries of Croatia, Bosnia and Herzegovina, Serbia, Kosovo, Romania, and Bulgaria. It is caused by small long-term doses of aristolochic acid in the diet. The disease primarily affects people 30 to 60 years of age. Doses of the toxin are usually low and people moving to endemic areas typically develop the condition only when they have lived there for 10–20 years. People taking higher doses of aristolochic acid have developed kidney failure after shorter durations of exposure.

<i>Aristolochia clematitis</i> Species of plant

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<i>Stephania</i> Genus of plants

Stephania is a genus of flowering plants in the family Menispermaceae, native to eastern and southern Asia and Australia. They are herbaceous perennial vines, growing to around four metres tall, with a large tuber. The leaves are arranged spirally on the stem and are peltate, with the leaf petiole attached near the centre of the leaf. The name Stephania comes from the Greek, "a crown". This refers to the anthers being arranged in a crown-like manner.

<i>Aristolochia grandiflora</i> Species of vine

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<span class="mw-page-title-main">Tetrandrine</span> Chemical compound

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<i>Lindera aggregata</i> Species of flowering plant

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<i>Achyranthes bidentata</i> Species of flowering plant

Achyranthes bidentata Blume is a species of flowering plant in the amaranth family, Amaranthaceae. It occurs in India, Nepal, Korea, China, and Japan. It is the source of the Chinese herbal medicine Huai'niuxi(Chinese: 怀牛膝; pinyin: Huái'niúxī). In Nepal its root juice is used for toothache. Its seeds have been used as a substitute for cereal grains in famine years. The plant is used externally in the treatment of leech bites in Mizoram, India and a decoction as a diuretic.

<i>Aristolochia didyma</i> Species of vine

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<i>Tetradium ruticarpum</i> Species of tree

Tetradium ruticarpum is a tree that comes from China and Korea. It was previously classified in the genus Euodia as Euodia ruticarpa. The fruit is usually used, denoted sometimes as fructus. It has a strong bitter taste, and is used in traditional Chinese medicine (TCM) and is a recognized herb in Kampo. Both the former genus name and the species name are often misspelled, and the plant usually appears in sources dealing with traditional Chinese medicine as "Evodia(e) rutaecarpa".

<i>Aristolochia paucinervis</i> Species of plant

Aristolochia paucinervis is a herbaceous plant in the family Aristolochiaceae endemic to the western Mediterranean Basin.

Aristolochia fangchi, is a species of flowering plant in the family Aristolochiaceae, native to Vietnam and southeast and south-central China.

References

  1. 1 2 Qiming Hu, Xianrui Luo, Tao Chen & Michael G. Gilbert. "Stephania tetrandra". Flora of China. Missouri Botanical Garden, St. Louis, MO & Harvard University Herbaria, Cambridge, MA. Retrieved 24 August 2015.{{cite web}}: CS1 maint: multiple names: authors list (link)
  2. Xu, Wei; Debeb, Bisrat G.; Lacerda, Lara; Li, Jessica; Woodward, Wendy A. (2011). "Tetrandrine, a Compound Common in Chinese Traditional Medicine, Preferentially Kills Breast Cancer Tumor Initiating Cells (TICs) in Vitro". Cancers. 3 (2): 2274–85. doi: 10.3390/cancers3022274 . PMC   3757417 . PMID   24212809.
  3. Ng, LT; Chiang, LC; Lin, YT; Lin, CC (2006). "Antiproliferative and apoptotic effects of tetrandrine on different human hepatoma cell lines" (PDF). The American Journal of Chinese Medicine. 34 (1): 125–35. doi:10.1142/s0192415x06003692. PMID   16437745.
  4. Chen, YJ (2002). "Potential role of tetrandrine in cancer therapy". Acta Pharmacologica Sinica. 23 (12): 1102–6. PMID   12466047.
  5. Choi, HS; Kim, HS; Min, KR; Kim, Y; Lim, HK; Chang, YK; Chung, MW (2000). "Anti-inflammatory effects of fangchinoline and tetrandrine". Journal of Ethnopharmacology. 69 (2): 173–9. doi:10.1016/S0378-8741(99)00141-5. PMID   10687873.
  6. Ma, W; Nomura, M; Takahashi-Nishioka, T; Kobayashi, S (2007). "Combined effects of fangchinoline from Stephania tetrandra Radix and formononetin and calycosin from Astragalus membranaceus Radix on hyperglycemia and hypoinsulinemia in streptozotocin-diabetic mice". Biological and Pharmaceutical Bulletin. 30 (11): 2079–83. doi: 10.1248/bpb.30.2079 . PMID   17978479.
  7. Ogino, Tatsunori; Katsuhara, Takao; Sato, Toshitsugu; Sasaki, Hiroshi; Okada, Minoru; Maruno, Masao (1998). "New Alkaloids from the Root of Stephania tetrandra (Fen-Fang-Ji)". Heterocycles. 48 (2): 311. doi: 10.3987/COM-97-8028 . ISSN   0385-5414.
  8. "A Success Story on Aristolochic Acid". July 2001.
  9. Chen JK, Chen TT (2004). Chinese Medical Herbology and Pharmacology. City of Industry, CA: Art of Medicine Press. ISBN   978-0-9740635-0-8.