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July 7, 1999

Neonatal-Perinatal Medicine

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(1):28-29. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-1-jbk0707

To the Editor: Traditional Chinese herbs have widespread use outside of China by both emigrants and an increasing number of Western patients. Typically, 3 to 15 different drugs are combined in a prescription based on the patient's individual symptoms. While Chinese herbal remedies appear to be relatively safe, they are not free of risks, and a number of severe adverse events, including death, have been reported.1 Although hepatotoxic effects associated with Chinese drugs have been described,2,3 it is unclear how often such adverse effects occur.

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