Articles Vol. 67 No. CĐ11-NCKH 01/08/2026

ACUTE TOXICITY AND THERAPEUTIC RELEVANCE OF TIEU DOC DUONG PHU LIQUID EXTRACT FROM AN INTEGRATIVE TRADITIONAL–MODERN MEDICINE PERSPECTIVE

Nguyen Thi Phuong Thao1,2, Quach Thi Yen1,2, Nguyen Hoang Ngan3, Nguyen Thi Nhu Quynh4,5, Nguyen Thi Ngoc HA1,2, Nguyen Truong Nam4,5
1 Vietnam University of Traditional Medicine
2 Học viện Y dược học cổ truyền Việt Nam
3 Học viện Quân y
4 Phenikaa University
5 Đại học Phenikaa
DOI: 10.52163/yhc.v67iCD11.6086
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Abstract

Acute toxicity is a fundamental criterion in the preclinical safety evaluation of herbal medicinal preparations. However, the scientific basis for explaining the safety of traditional medicine formulas, particularly those with modified and combined compositions, remains limited when considering the interactions among their constituent components. This review aims to analyze the acute toxicity of the Tieu Doc Duong Phu formula from an integrative perspective combining modern pharmacology and traditional medicine theory. Experimental data indicate that the liquid extract of Tieu Doc Duong Phu does not cause mortality, behavioral abnormalities, or physiological dysfunction, and no LD₅₀ could be determined at the maximum tolerated dose, suggesting a high safety profile under acute toxicity testing conditions. From the standpoint of modern pharmacology, safety is assessed through standard acute toxicity parameters. In traditional medicine theory, safety is interpreted through the principle of herbal compatibility, which regulates pharmacological properties, maintains the balance of qi, blood, and body fluids, and minimizes the generation of medicinal toxicity. The convergence of these two approaches highlights the central role of formulation compatibility in ensuring the safety of the formula at the level of acute toxicity.

References
[1]
World Health Organization (2007). Guidelines for assessing quality, safety and efficacy of herbal medicines. Geneva: WHO. Google Scholar
[2]
Bộ Y tế (2017). Dược điển Việt Nam V. Hà Nội: Nhà xuất bản Y học. Google Scholar
[3]
Chen L, Fan B, Wang F, Song Y, Wang X, Meng Y, et al. (2024). Research progress in pharmacological effects and mechanisms of Angelica sinensis against cardiovascular and cerebrovascular diseases. Molecules. 29(9):2100. doi:10.3390/molecules29092100 Google Scholar
[4]
Wang L., Yang R., Yuan B., Liu Y., Liu C. (2020). The antiviral and antimicrobial activities of glycyrrhizin and its derivatives. Pharmacology & Therapeutics, 205, 107–115. doi:10.1016/j.pharmthera.2019.107442 Google Scholar
[5]
Zhou X., Seto S.W., Chang D., Kiat H., Razmovski-Naumovski V., Chan K., Bensoussan A. (2016). Synergistic effects and toxicity reduction in traditional herbal medicine combinations. Journal of Ethnopharmacology, 192, 56–65. doi:10.1016/j.jep.2016.07.033. Google Scholar
[6]
Wang J., van der Heijden R., Spruit S., Hankermeier T., Chan K., van der Greef J., Wang M. (2012). Toxicity of traditional Chinese medicine and the clinical application of detoxifying compatibility. Journal of Ethnopharmacology, 140(3), 545–553. doi:10.1016/j.jep.2012.01.044. Google Scholar
[7]
Đỗ Tất Lợi (2015). Những cây thuốc và vị thuốc Việt Nam. Hà Nội: Nhà xuất bản Y học. Google Scholar
[8]
Viện Dược liệu (2011). Cây thuốc và động vật làm thuốc ở Việt Nam. Hà Nội: Nhà xuất bản Khoa học và Kỹ thuật. Google Scholar