Epidemic features, major causes, and diagnostic evaluation of herb-induced liver injury

With the wide application of Chinese herbal medicine around the world and the continuous perfection of adverse drug reaction monitoring system, herb-induced liver injury (HILI) has attracted more and more attention, but its actual incidence remains unknown.As is reported in the literature, its constituent ratio ranged from 20% to 30% and there are many clinical types, among which hepatocellular injury is the most common type.There are many causes of HILI, including pharmaceutical factors, factors associated with the human body, lack of preclinical evaluation, and unreasonable clinical application.Currently it is difficult to make a diagnosis of HILI, and tracing the source of Chinese herbal medicine may play an important role in the diagnosis of this disease.Liver injury induced by Chinese herbal medicine should be taken seriously and active diagnosis and effective prevention and treatment should be performed.