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[English Name] Giant Knotweed Rhizome
[Chinese Name] 虎杖  
[Pinying Name] Huzhang  
[Latin Name] Rhizoma Polygoni Cuspidati  
[Genera] Polygonaceae
[Efficacy] Damp-clearing drug
[Pictures] Plant picture Drug picture
Plant picture
 
Drug picture
 
[Alias]  
[Source] Polygonum cuspidatum Sieb. et Zucc.  
[Plant morphology]  
[Distribution]  
[Gathering and processing]  
[Characteristics]  
[Ecology]     It mostly grows in valleystream side or river bank.It distributs in the middle and south of China.  
[Chemical composition]  
[Pharmacological activities]

1 Cardiovascular Systemeffect: The blood pressure ofanesthetized rabbits was significantly decreased by giving anthraquinone. Theheart rates of the anesthetized rabbits were decreased significantly by givinganthraquinone, except that any other change was not found inelectrocardiograph[1]. PD could reduce the adhesion of neutrophil-EC directly,which may be one ofthe reasons that PD can improve the microcirculation [2]. Polydatin reducedFIB, PAdT in rat model remarkably. It obviously caused a reduction ofηp, whichinduced decrease ofηb. The effect was more significant than any other factorsin reducing blood viscosity and improving microcirculation [3]. PD did notchange the kATP channel conductance. However, PD changed the KATPchannel kinetics, Tom and Open probability (Po) increased significantly. Theresults suggested that KATP channels were activated. Polydatin hasthe effect of activating KATP channels of ASMCs, which mightcontribute to arteriolar dilation and microcirculation improvement byhyperpolarizing arteriolar smooth muscle cells. It decrease platelet free-Ca2+induced by thrombin without affecting the rate of Ca2+ uptake.Polydatin was shown to inhibit ADP, arachidonic acid, Ca2+ andclonidine-induced platelet aggregation significantly. In vitro, the rates ofinhibition were 1836% ADP-induced, 2658% arachidonic acid-induced and 4264% (Ca2+-induced). However, the inhibition of thrombin-inducedaggregation was not statistically significant [4-7]. In vivo experiments, 5, 30and 60 min after iv polydatin, the rates of inhibition were 5263% ADP-induced, 5976% arachidonicacidinduced and 1016% (Ca2+-induced) respectively. polydatin caused apersistent and dose-dependent increase of intracellular calciumconcentration[Ca 2+ ]i,which were inhibited partly by pretreatment with calciumchelator EGTA (2 mmol/L) and calcium channel blocker verapamil (50μmol/L)respectively 10 min prior to polydatin administration. polydatin-induced[Ca2+] alternation are not only due to extracellular Ca2+inflow but also Ca2+ release from intracellular calcium store. Polydatin-inducedalternation in [Ca2+] might be mainly due to the entry ofextracellular Ca2+ into cells and release from IP3 sensitiveintracellular calcium store, and ryanodine receptor system might regulatenegatively IP3 receptor system. And polydatin might induce the entry of sodiumion into cells and cause the depolarization of VSMC. The infusion of polygonumcuspidatum caused a continuous and dramatic reduction of the mean systolicpulmonary arterial pressure (P<0.01) and increase of cardiac index(P<0.05) while the systemic blood pressure, heart rate and indices of bloodgas analysis remained unchanged. The drug also significantly increased theactivity of tissue plasminogen activator (P<0.01) and decreased the activityof plasminogen activator inhibitor (P<0.05) [8-11]. The levels of D dimerand antithrombin showed no changes. It is concluded that Polygonum cuspidatum can ameliorate thehypoxic pulmonary hypertension, increase the cardiac output, and enhance thefibrinolytic activity, but with no effect on the systemic blood pressure andoxygenation of hypoxic pigs. PD enhanced the release of PGI2 and theenhancement was correlated to dosage. 6-keto-PGF1α were 430±220 and 330± 120pg/ml respectively when PD 0.46mmol/L and 0.15mmol/L were separatelyadministered by 10 minutes. The enhancing effect of the doses remainedsignificantly effective 30 minutes after administration. No enhancing responsewere seen using lower than the concentration of 0.15 mmol/L. There were noinfluence of PD on morphologic changes of endothelial cells of umbilical vein.Polydatin presented obvious antithrombotic effects, polydatin has evidentantithrombotic effects in artery, vein and micro-circulation. polydatin caninhibit the platelet aggregation and thrombosis. High-fat-diet causedhyperlipidemia [12-16]. The content of TC, TG, LDL-c and NO and activities ofNOS and iNOS in serum were decreased significantly in the hyperlipidemia ratswith the piceid compared with high lipid control group. In comparison with highlipid control group, activities of serum cNOS increased in the hyperlipidemiarats with the piceid. Moreover, piceid could decrease AI and increase ratio ofHDL-c/TC. Piceid can regulate blood lipid and free radical metabolism inhyperlipidemia rats. 3 Pol groups, cerebra l water content, MDA content, LAcontent and MAO activity were much higher in mo del group(P<0.01). The SODactivity was lower in model group with a signifi cant difference between shamand 3 Pol groups (P<0.01). Conclusion:Polydatin has a great protectiveeffect on cere bral ischemia-reperfusion injury. The activity of PKC ofmyocardial cells cytoplasm in normal situation after the cells were treated byPD decreased(vs normal group P<0.05), but membrane increased (vs normalgroup P<0.05). After myocardial cells were in ischemia and hypoxiasituation, the activity of PKC of cytoplasm and membrane decreased(vs normalgroup P<0.05), but activity of PKC increased again by PD treatment(vsischemia and hypoxia group P<0.05, vs normal group P>0.05). Afterinfusing introvanously polygonum cuspidatum injection,the mean value ofpulmonary artery pressure was significantly decreased than that before therapyin pigs and in controls (P<0.01);Cardiac Index was increased in treatmentgroups than that in controls (P<0.05);The mean value of t-PA was increasedthan that both before therapy in pigs and in controls(P<0.01);The mean valueof PAI was decreased than that both before therapy in pigs and incontrols(P<0.05). The results suggest that polygonum cuspidatum could significantlydecline the pulmonary artery pressure in hypoxic animals and it could increasethe cardiac output and improve the fibrinolitic activity. LPS may directlyinduce stress fiber formation, therefore cause damages to rat cardiac myocytes,which can be reverted by polydatin through the mechanism of participating inthe F-actin organization [17-20].

2 Protectingliver: Polygoum cuspidatum sieb posseses oxidatico resistance and can reducethe intensity of liver function impeirment. The extracts of rizoma polygoni cuspidatican improve the adipose and glucose metabolism of NAFLD rats [21]. It candecrease the contents of triglycerde, total cholesterol, and glucose in liverand serum. PD could protect primary cultured rat hepatocytes against CCl4induced injury [22].

3 Antibacterial activityPCWEcan partly inhibit LP BM5 MuLV induced splenomegaly, immunodeficiency andviremia of C57BL/6 mice [24-26]. Antiviral effect of PCWE is more effectivebefore or at the same time of virus inoculation than after virus inoculation[27]. It indicates that the earlier treatment, the better. Continual treatmentcan partly improve splenomegaly and ConA response of infected mice, but theinhibition of PCWE on hypergrmmaglobulinemia of infected mice is non persistent[28-31] .

4 Gastrointestinal effect: The index of experimental gastricmucosal lesion in rats was inhibited after administration of PD, the decreaseof SOD of serum was elevated to normal level [32]. PD can possess protectiveeffect on experimental gastric mucosal lesion in rats.Its mechanism may berelated to antioxidative effect [33].

5 Relieving cough and Antiasthma: both Emodin and PD had relieving cough effects [32].

6 Antitumor: The effect compound (Resveratrol) can inhibitthe growth and proliferation of mouse hepatocellular carcinoma H22 in vitrowhose probable mechanism is induce apoptosis of H22 cells [34].

7 Hemostasis: Polygonihad obvious hemostatic effect on topical traumatic bleeding [28], andhemostatic effect of upper gastrointestinal bleeding.

 
[Clinical trial]

1. Herpes Zoster:

(1) 88 cases of facial herpes zoster patients were treated by Fufang Huzhang tincture(Huzhang 100g, Guanzhong50g, Banlangen50g, Zicao50g, Tenghuang50g, Baizhi50g, Moyao50g, Kufan50g). Results: All of the patients were cure with 100% effective rate. Average period was 6 days, and all the patients were found no sequelae and recureence within two years[1].

(2) 70 cases of facial herpes zoster patients were treated by Huzhangjiedu decoction(Huzhang15g, Banlangen20g, Huanglian4g, Huangqin10g, Shijieming30g, Chantui5g, Juhua10g, Danpi10g, Chishao10g, zicao10g, Baizhi10g, Gancao5g) with oral administration. Results showed that 29 cases were cure, 33 cases had significant effect and four cases' condition were impvoed, the overall response rate was 88.57% [2].

2. Cellulitis: Huzhang, Dahuan, Huangbai and Diyu were made into powder to treat 36 cases patients of Cellulitis. Results showed that 28 cases have significant effect and six cases had effect with the overall response rate were 94% [4].

3. Bedsore: Honghua lotion(Honghua 100g, Huzhang400g) combined with skin massage were used to prevent and treat 40 cases of bedsore. Results showed that 39 cases have effect with the overall response rate were 97.5% [4].

4. Chronic colonitis: Huzhang4g, prednisone 10mg and extract of scopolia were grind into powder and 60mL of salt water were added and mixed up, then used to treat patients of chronic colonitis with clysis before sleep and after cacation, with 15 days for one course of treatment. Results showed that 88 cases were cured (86.3%) and 14 cases' condition were improved (13.7%) within two course of treatment [5].

5. Acute joint sprain: Huzhang100g, Honghua20g, sumu50g were soak by 200mL ethanol with six months and filtrated, then the filtrate were used to embrocate on the sprain area of 57 cases of acute joint sprain with triple each day and last 5-7 days. Results showed that 52 cases were cured (91%) and five cases' condition were improved (9%)[6].

6. Hepatic Fibrosis in early stage of chronic hepatitis B: 62 cases were treated with oral administration of Huzhang tablet. Results showed that 26 cases have significant effect and 27 cases have effect, the overall response rate were 93.55 [7].

7. Radiodermatitis: 60 cases were embrocate Huzhang pigmentum on the affected area. Results showed that 40 cases were cured and 19 cases had effect after one course of treatment, the overall response rate were 98.33[8].

 
[Properties]  
[Medical and other Uses]  
[Dosage]  
[Cautions]  
[Traditional usage]

1.Stranguria

2.Amenorrhea

3.Internal abdominal mass like hard stone, with stabbing pain

4.Nameless disease due to qi rushing (subcutaneous sound, severe itching )

5.Consumptive thirst

 
[Toxicological studies]  
[Pharmaceutical preparations]  
[References]

Pharmacological Actions:

[1] Qiu-wen Fang, Xia Li, Su-ying Xu, Effect of Anthraquinone (One of Chemical Compositions of Polygonum Cuspidadum S.et Z.) on the Cardiovascular System, A cta Academine Medicinae Xian, 1982, 3 (4): 941.

[2] Chun-hua Jin, Jie Liu, Ke-sen Zhao, The Influence of Polydatin on the Adhesion of Neutrophil-endothelial Cells, Journal of Chinese Microcirculation, 1999, 3 (2): 82.

[3] Yu Wang, Jian Xue, Xiao-dong Sun, Study on Decreasing Effects of Polydatin on Blood Vi scosity in the Rat Model of Acute Blood Stasis, Chinese Pharmacy, 2004,15(5):275.

[4] Jie Liu, Chun-hua Jin, Ke-sen Zhao, Effects of Polydatin on ATP-Sensitive Potassium Channels of Arteriolar Smooth Muscle Cells, Chinese Journal of Microcirculation, 1999, 9 (4): 9.

[5] Chun-wen Dan, Acta Pharmacologica Sinica, 1990, 11 (6): 527.

[6] Chun-wen Dan, Effects of Polydatin on Platelet Aggregation, Acta Pharmacrutica Sinica, 1988, 23 (05): 394.

[7] Chun-hua Jin, Ke-sen Zhao, Jie Liu, The effects of polydatin on free calcium concentration of aorta smooth muscle cells in rats, Chinese Journal of Pathophysiology, 1998, 14 (2): 195.

[8] Chun-hua Jin, Ke-sen Zhao, Jie Liu, The Polydatin shock rat microvascular smooth muscle cells, calcium, pH and membrane potential, Chinese Pharmacological Bulletin, 1998, 14 (6): 539.

[9] Xiao-hong Li, Ling Yang, Jian-hai Lin, Polygonum cuspidatum injection swine model of acute hypoxic pulmonary hypertension, Chinese Journal of Tuberculosis and Respiratory Diseases, 2001, 24 (10): 633.

[10] Xiao-hong Li, Jian-hai Lin, Effectiveness of Polygonum cuspidatum on hemodynamics, blood gas analysis, and fibrinolysis, Shanghai Med J, 2001, 24 (10): 597.

[11] Yue-ping Gu, Chuan-lin Yu, Pei-wen Zhang, The Influence of Polydatin on Prostacycline release and morphologic changes of primary cultured endothelial cells of Human umbilical vein, Pharmacology and Clinics of Chinese Materia Medica, 1991, (05): 17.

[12] Peng Chen, Li-cuan Yang, Wei-ya Lei, Investigation on Antithrombotic Effects of Polydatin, Journal of Kunming Medical College, 2006, (01): 10 .

[13] Yu Wang, Xiao-dong Sun, Xiao-jiang Yu, Polydatin anti-thrombosis and microcirculation research, Shaanxi Journal of Traditional Chinese Medicine, 2003, 24 (07): 663.

[14] Muzihaozhi, Planta Med, 1983, 49: 51.

[15] Li-xian Zhu, Zheng-yu Jin, Resveratrol glycosides on blood lipid metabolism and its antioxidant effects, Chinese Traditional Patent Medicine, 2006, 28 (02): 260

[16] Li-xian Zhu, Zheng-yu Jin, Effects of piceid on blood lipid metabolism, nitric oxide and nitricoxide synthase in experimental hyperlipidemia rats, Pharmacology and Clinics of Chinese Materia Medica, 2005, 21 (03): 16.

[17] Sheng-lan Guo, Li-sha Sun, Yang-shi O, Cerebral Protective Effects of Polydatin on Cerebral Ischemia- Reperfusion Injury in Rats, Lishhizhen Medicine and Materia Medica Research, 2005, (05): 414.

[18] Yue-gang Wang, Chun-hua Jin, Hai-xiao Huang, Effect of polydatin on protein kinase Cactivity of myocardial cells in ischem ia and hypoxia, Chinese Pharmaco logical Bulletin, 2005, 21 (4): 461.

[19] Xiao-hong Li, Jian-hai Lin, Wen-jian Jiao, Effectiveness of polyonum cuspidatum on hemodynamics in animals with hypoxic pulmonary hypertension, Ningxia Med. J., 2001, 23 (09): 515.

[20] Ping Zhao, Hai-xiao Huang, Chun-hua Jin, Protective effect of polydatin against lipopolysaccharide-induced myocardial injury, J. First Mil. Med. Univ., 2003, 23 (4): 364.

[21] Yi Gao, Ji-zhen Yang, Xing-hai Yan, The effects of hepatic portal blockage on liver functions under room temperature and the protectiveness of polygoum cuspidatum sied, World Chinese Journal of Digestology, 1998, (6): 122.

[22] Qing-lan Jiang, Jun Ma, Bang-lao Xu, Effect of NAFLD rats intervened by the extracts of rizoma polygoni cuspidate, Guangzhou Medicine, 2005, 36 (3): 57.

[23] Yao-sheng Huang, Zhong-wei Wang, Ming-ping Liu, Polydatin protective effect on CCl4 injury of primary cultured rat hepatocytes, Chinese Pharmacological Bulletin, 1998, 14 (6): 543.

[24] Honghui-Zhou, Polygonum cuspidatum antibacterial screening of the active component, Journal of Chinese Medicinal Materials, 1989, 12 (11): 48.

[25] Ying-ru Zhu, Su-xian Wang, Yue-hu Pei, Study of the antimicrobial active ingredients of traditional Chinese medicine Polygonum cuspidatum, Journal of Chinese Medicinal Materials, 1985, 16 (3): 117.

[26] Yu-shu Ma, Foreign Medical Sciences. Chinese medicine Chinese medicine Volume, 1989, 11 (4): 253 .

[27] Yu-hua Zhang, Study of the antimicrobial active ingredient of Polygonum cuspidatum root, Foreign pharmacy, herbal Volume, 1982, (2): 24.

[28] Mudaozhengfu, Dictionary of medicinal plants (days). Guangzhou bookstore, 1977: 28.

[29] Tianjin Public Health and Epidemic Prevention Station hepatitis group. Chinese and Western drugs on the inhibition of hepatitis B antigen test. Tianjin Medical, 1975, 3 (7): 343.

[30] Medicine Research Institute Institute of Chinese Medicine virus group. Chinese herbal medicine respiratory virus induced cytopathic effect. New medical Journal, 1973, (1): 26.

[31] Yan Jiang, Hong-xia Wang, Evaluation of Antiviral Effect of Polygonum cuspidatum Water Extract with a Model of Murine Acquired Immunodeficiency Syndrome, VIROLOGICA SINICA, 1998, 13 (4): 306.

[32] Word the first 173 troops of the People's Liberation Army wide Department of Chemistry, Pingshi town hospitals in Guangdong Province, Guangdong Province, Luo Jia Du mine hospital. Chronic bronchitis diagnosis of Integrative Medicine, assigned to the clinical study report. Journal of new medicines. 1973, (12): 471.

[33] Jie-yun Guo, Wen-qing Zhu, Wei-zhong Zhao, Protective Effect of Polydatin on Experim ental Acute Gastric Mucosal Lession in Rats, Lishizhen Medicine and Materia Medica research, 2006, 17 (11): 2183 .

[34] Hong-shan Liu, Yong Qi, Qing-guang Liu, Polygonum cuspidatum extract resveratrol on mouse hepatoma cell H22 growth and proliferation effects, Journal of Xinxiang University of Traditional Chinese Medicine, 2001, 18 (6): 381.

Clinical trial:

[1]Chen GuangLiang, Liu HaPing, Mo SunLian. Fufang Huzhang Tincture for Herpes Zoster in 88 Cases. Guangxi Journal of Traditional Chinese Medicine,1993,16(6):2021.

[2]Cao YaoWu, Huang GuoLin. Observation of Therapeutic Effect of Huzhangjiedu decoction in Treating 70 Cases of Herpes Zoster. Chinese Journal of Current Traditional and Western Medicine2004,2(7):623624.

[3]Wang MeiQin. Fufang Huzhang powder for Cellulitis in 36 Cases. Jilin Journal of Traditional Chinese Medicine,1997,1:14.

[4]Chen XuPin. Analysis of The Effect of Honghua Lotion for Bedsore. Qinghai Medical Journal, 2004,34(8):15.

[5]Yu QingShan, Min CaiQin. Huzhang Powder Treat Patients of Chronic Colonitis with Clysis in 102 Cases. Shanxi Medical Journal,1996,25(4):309310.

[6]Zhu YuPing, Zhou HaiPin. Huzhang Honghua Sumu Liniment for Acute Joint Sprain in 57 Cases. Shandong Journal of Traditional Chinese Medicine,2006,25(10):681.

[7]Chen XiaoLi, Chen JianZong, Zhou GuangYing. Clinical Observation of Therapeutic Effect of Huzhang Tablet on Treating Hepatic Fibrosis in Early Stage of Chronic Hepatitis B. Journal of Chengdu University of Traditional Chinese Medicine, 2003,26(2):69.

[8]Zhang Qiang, Huzhang Pigmentum for Radiodermatitis in 60 Cases. Chinese Journal of Information on Traditional Chinese Medicine, 1999,6(1):51.