Pharmacological Effects of Polygonati Rhizoma on "Tonifying the Kidney" and Its Development Status in the Field of Health Care

Authors

  • Wenlong Zhang College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China Author
  • Kejian Wei College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China Author
  • Su Gao College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China Author
  • Zimo Dong College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China Author
  • Jie Su College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China Author

DOI:

https://doi.org/10.62767/jecacm502.9533

Keywords:

Polygonati Rhizoma, kidney-tonifying, prescription, pharmacological actions, health-care product

Abstract

Polygonati Rhizoma has traditional effects of tonifying the kidney, with a wide clinical application. The record of Polygonati Rhizoma can be traced back to Miscellaneous Records of Famous Physicians, where Polygonati Rhizoma was catalogued "to mainly tonify and replenish qi, and long-time administration can make the body agile, prolong life and relieve hunger". In modern times, Pharmacopoeia of the People’s Republic of China 2020 also records its effect of tonifying the kidney. In this study, the records of the related functions of Polygonati Rhizoma mainly in three aspects, "prolonging life", "tonifying essence and marrow", and "strengthening muscles and bones", were first sorted out in ancient and modern classics. This study also collected relevant prescriptions, such as Polygonati Rhizoma pill, and Polygonati Rhizoma and Radix Rehmanniae pill, with kidney-tonifying effects from 8 medical books including Arcane Essentials from the Imperial Library, Formulas from Benevolent Sages Compiled during the Taiping Era, Comprehensive Recording of Divine Assistance, etc. Through further retrieval of literature and analyses, it was confirmed that the pharmacological effects of Polygonati Rhizoma on "tonifying the kidney" contain improvement of arthritis and osteoporosis, anti-aging, immunoregulation, anti-fatigue, improvement of renal injury, improvement of reproductive function and anti-hypertension. The search and statistical analyses of special food information in State Administration for Market Regulation revealed that there are 409 kinds of health-care foods, with Polygonati Rhizoma as the main raw material, which have 15 kinds of health-care functions. Among them, "kidney-tonifying" health-care products that can enhance immunity, resist fatigue, elevate bone density or delay aging accounts over 80%. The last part of this study discussed and analyzed the pharmacological research progression of Polygonati Rhizoma on "tonifying the kidney" and its development status in the field of health care, so as to provide reference for in-depth development and application of Polygonati Rhizoma.

References

Chinese Pharmacopoeia Commission. Pharmacopoeia of the People's Republic of China 2020, Volume I; China Medical Science Press: Beijing, China, 2020; p. 319.

Zhao W, Zhao Y, Yiider T. Research progress on pharmacological effects of Polygonati Rhizoma. Chinese Herbal Hedicine 2018; 49(18): 4439.

Tu M, Ye W. Research Progress of Pharmacological Effects and Clinical Application of Polygonatum sibiricum. Journal of Yichun University 2018; 40(09): 27.

Zhu J, Feng X, Wang J, et al. Effect of Polygonatum Sibiricum Preparation on Serum IL-1 and MMP-13 in Patients with Knee Osteoarthritis. Chinese Journal of Surgery of Integrated Traditional and Western Medicine 2018; 24(05): 568.

Gongbao CD. Treatment of Rheumatoid Arthritis Using Tibetan Medicine Polygonatum Sibiricum Wine with Four Flavors. Journal of Medicine & Pharmacy of Chinese Minorities 2018; 24(12): 37.

Zhang L, Chen J, Luo L, et al. Study on the Regulation of Chondrocyte Proliferation and Apoptosis in Osteoarthritis by Combination of Polygona-polysaccharose and MiR-204. China Pharmacist 2021; 24(04): 641.

Zeng GF, Zhang ZY, Lu L, et al. Protective effects of Polygonatum sibiricum polysaccharide on ovariectomy-induced bone loss in rats. Journal of Ethnopharmacology 2011; 136(1): 224-229.

Yan F, Zeng G, Zong S, et al. The Effect of Polygonatum Sibiricum Polysaccharide on the Expression of OPG and RANKL in the Rat Model of Ovariectomy-Induced Osteoporosis. The Journal of Practical Medicine 2017; 33(08): 1243-1246.

Zhang L, Zeng G, Zong S, et al. Molecular Mechanism of Polygonatum Sibiricum Polysaccharide in the Prevention and Treatment of Postmenopausal Osteoporosis. Chinese Journal of Tissue Engineering Research 2018; 22(04): 493-498.

Ye S, Li Y. Effect of polysaccharide on bone repair and bone metabolic factor in rats with osteoporotic fracture. The Chinese Journal of Clinical Pharmacology 2019; 35(18): 2128.

Cheng Y, Zhang S, Li Y. Polygonatum Sibiricum Polysaccharides Affects Bone Metabolism of Diabetic Osteoporosis Rats via OPG/RANKL Signaling Pathway. Chinese Journal of Gerontology 2023; 43(16): 4029-4033.

Cao Y, Wang K, Wang Z, et al. Pharmacodynamics study of polysaccharide from Polygonatum cyrtonema on zebrafish model with type 2 diabetic and osteoporosis. Chinese Herbal Medicine 2021; 52(21): 6545.

Lu S, He Q, Lou F, et al. Effect of Polygonatum Sibiricum Polysaccharides on Osteogenic Differentiation of Adipose Derived Stem Cells in Osteoporosis Mice. Journal of Oral Science Research 2022; 38(02): 157.

Du L, Nong MN, Zhao JM, et al. Polygonatum sibiricum polysaccharide inhibits osteoporosis by promoting osteoblast formation and blocking osteoclastogenesis through Wnt/β-catenin signalling pathway. Scientific Reports 2016; 6: 32261.

Peng X, He J, Zhao J, et al. Polygonatum Sibiricum Polysaccharide Promotes Osteoblastic Differentiation Through the ERK/GSK-3β/β-Catenin Signaling Pathway In Vitro. Rejuvenation Research 2018; 21(1): 44.

Li B, Wu P, Fu W, et al. The Role and Mechanism of miRNA-1224 in the Polygonatum sibiricum Polysaccharide Regulation of Bone Marrow-Derived Macrophages to Osteoclast Differentiation. Rejuvenation Research 2019; 22(5): 420.

Zhao J, Lin F, Liang G, et al. Exploration of the Molecular Mechanism of Polygonati Rhizoma in the Treatment of Osteoporosis Based on Network Pharmacology and Molecular Docking. Frontiers in Endocrinology 2022; 12: 815891.

Feng F, Yang D. The Research Progress of TCM Anti-Aging. Chinese Journal of Aesthetic Medicine 2017; 26(1): 36.

Liu L, Li H, Yuan G. Effect of Polygonatum Sibiricum Polysaccharides on Learning and Memory in D-galactose-induced Aging Mice. Journal of Beihua University (Natural Science Edition) 2021; 22(02): 192.

Zheng S. Protective effect of Polygonatum sibiricum Polysaccharide on D-galactose-induced aging rats model. Scientific Reports 2020; 10(1): 2246.

Xie X, Hu G, Pan L, et al. Effect of Polygonatum sibiricum Extract in Improving the Organ Function of D-Galactose-induced Aging Mice and Its Mechanism. Science and Technology of Food Industry 2023; 44(18): 449-457.

Shi Y, Feng J, Liang M, et al. Effect of Polygonati Rhizoma Regulating ATR/Chk1 Pathway on Vascular Aging in Naturally Aged Rats. Traditional Chinese Drug Research and Clinical Pharmacology 2023; 34(06): 747-753.

Zhao H, Ye Y, Zhang C, et al. Protective effects of Polygonatum sibiricum on testicular spermatogenic dysfunction in natural aging rats based on Nrf2 signaling pathway. Chinese Medicinal Materials 2023; 46(02): 454-461.

Qian H, Xiao Y, Hou J, et al. Effect of Compatibility of Huangjing and Dilong on Learning and Memory and Hippocampal Nerve Apoptosis in Natural Aging Mice. Asia-Pacific Traditional Medicine 2021; 17(01): 25.

Qin Z, Wei Z, Xu J. The Effect of Polygonati Rhizoma on DNA Damage Checkpoint ATM/ATR of Endothelail Progenitor Cells in Aged Rats. Traditional Chinese Drug Research and Clinical Pharmacology 2019; 30(05): 529.

Luan Y, Jiang Y, Huang R, et al. Polygonati Rhizoma Polysaccharide Prolongs Lifespan and Healthspan in Caenorhabditis elegans. Molecules 2023; 28(5): 2235.

Xiao X, Shen X, Zhang G, et al. Effect of Polygonatum Sibiricum Polysaccharides on Erythrocyte Immune in Children with Idiopathic Nephrotic Syndrome. Journal of Gannan Medical University 2018; 38(02): 134.

Deng X, Duan H, Liu Z et al. Effects of Polygonatum Sibiricum Polysaccharide on Immunosuppressive Action Induced by Cyclophosphamide in Mice. Journal of South-Central University for Nationalities 2018; 37(02): 49.

Zhang J, Liu N, Sun C, et al. Polysaccharides from Polygonatum sibiricum Delar. ex Redoute induce an immune response in the RAW264.7 cell line via an NF-κB/MAPK pathway. RSC Advances 2019; 9(31): 17988.

Shen H, Wang F, Sun J, et al. Kidney-tonifying and Yang-strengthening effects and Immune Regulation Effects of Renshen Huangjing Decoction and Xiyangshen Dihuang Decoction. World Chinese Medicine 2021; 16(15): 2306.

Yang Y, Hou T, Wang C, et al. Research on Preparation Technology of Polygonatum Sibiricum Tea and Its Immunoregulatory Effects. Journal of Food Safety and Quality 2022; 13(21): 7083.

Zhang M, Feng J, Liu Z, et al. Nutritional components of Polygonatum sibiricum and Silky Chicken Extract and their effects on the morphology and immune performance of intestinal mucosa in mice with different immune status. Food and Fermentation Industries 2024; 1-12.

Wang ZF, Hu YQ, Wu QG, et al. Virtual Screening of Potential Anti-fatigue Mechanism of Polygonati Rhizoma Based on Network Pharmacology. Combinatorial Chemistry & High Throughput Screening 2019; 22(9): 612-624.

Ma H, Fang H, Liu Z. Study on the anti-fatigue effect of Polygonatum sibiricum polysaccharide. Modern Communication 2017; 2017(09): 190.

Fu L. A Preliminary Study on Preparation Technology of Polygonatum kingianum Coll.et Hemsl polysaccharide buccal tablet and its anti-fatigue effect. Journal of Yunnan University of Chinese Medicine 2019.

Chen L, Ke X. Study on the anti-fatigue effect of extract from Polygonatum multiflorum processed by ancient methods and its mechanism. Scientific and Technological Innovation 2019; 2019(04): 3.

Chen Y, Hu H, Feng G, et al. Anti-Fatigue and Anti-Oxidant Effects of Crude and Processed Polygonatum Cyrtonema on Exhaustive Swimming Mice. Pharmacology and Clinics of Chinese Materia Medica 2021; 37(02): 92.

Li W, Zhang X, Yang B, et al. Preparation of Polygonatum Cistanche Capsule and Evaluation of Its Anti-fatigue Effect. Food and Fermentation Sciences & Technology 2022; 58(5): 72.

Yang Y, Li Y, Yu L, et al. Muscle Fatigue-Alleviating Effects of a Prescription Composed of Polygonati Rhizoma and Notoginseng Radix et Rhizoma. BioMed Research International 2020; 2020: 3963045.

Sun T. Protective effect of Polygonatum sibiricum polysaccharide on gentamicin-induced renal injury in rats. Journal of Anhui Agricultural University 2019.

Hua Y. Regulatory effect of polysaccharides on kidney injury induced by high-intensity exercise rats. Journal of Yangzhou University 2020; 41(01): 50.

Peng J. The Protective Effect of Polygonatum Sibiricum Saponins on Renal Injury in diabetes Nephropathy Rats and its Effect on Wnt/β-catenin Signal Transduction Pathway. Chinese Traditional Patent Medicine 2019; 41(10): 2518.

Yang M, Wang J, Zhang S, et al. Analysis of the mechanism of the effect of Chinese medicine actinolite on warming the kidney and strengthening yang. China Pharmaceuticals 2010; 19(10): 84.

Deng G. Clinical Observation on the Treatment of Asthenospermia and Hypospermia with Huangjing Zanyu Capsules. Nei Mongol Journal of Traditional Chinese Medicine 2017; 36(2): 14.

Chen S, Su J, Jin X, et al. Effect of superfine powder and aqueous extract of Polygonati Rhizoma on rats with natural perimenopausal syndrome. China Journal of Chinese Materia Medica 2023; 48(04): 1054.

Yang Z. Research on the protective effect of Polygonatum sibiricum on testicular injury in cadmium-exposed mice. Journal of Anhui Agricultural University 2018.

Han C, Zhu Y, Yang Z, et al. Protective effect of Polygonatum sibiricum against cadmium-induced testicular injury in mice through inhibiting oxidative stress and mitochondria-mediated apoptosis. Journal of Ethnopharmacology 2020; 261: 113060.

Chen T, Li Z, Wang B, et al. Effects of Hailong Huangjing powder on the damaged spermatogenic cells of oligoasthenospermia mice induced by microwave radiation. Journal of Shaanxi University of Chinese Medicine 2022; 43(07): 823.

Hu Y, Yang C. Exploring the relationship between liver, spleen, and kidney with risk factors for hypertension in the perspective of traditional Chinese medicine. Journal of Changchun University of Chinese Medicine 2013; 29(03): 438.

Huang S, Ou S. Diagnosis and treatment of renal injury induced by hypertension. Chinese Journal of Nephrology 2005; 2005(10): 16.

Ning W. Study on the clinical effect of Huangjing Sicao Decoction combined with amlodipine on patients with Yin deficiency and Yang hyperactivity hypertension. Clinical Journal of Chinese Medicine 2020; 12(06): 52.

Wu Y, Yang S. The influence of the Huangjing Yiyin decoction on blood pressure, blood lipid and function of liver and kidney in elderly patients with hypertension. Clinical Journal of Chinese Medicine 2016; 8(29): 69.

Tao C. Clinical Observation on the Treatment of Early Renal Damage in Hypertension Due to Deficiency of Liver and Kidney Yin with Modified Huangjing Sicao Decoction. Journal of Hebei North University 2021.

Su J, Wang Y, Yan M, et al. The beneficial effects of Polygonatum sibiricum Red. superfine powder on metabolic hypertensive rats via gut-derived LPS/TLR4 pathway inhibition. Phytomedicine 2022; 106: 154404.

Zhou F. A Brief Discussion on Clinical Manifestiatons of “Kidney Deficiency”. Nei Mongol Journal of Traditional Chinese Medicine 2014; 33(32): 88.

Yu X. Clinical Research Progress in Osteoporosis. Chinese Medical Innovations 2022; 19(21): 175.

Peng J, Wu D. Health Aging- The Fundamental Measure to Solve Aging Problem. Medical Journal of Chinese Civil Administration 2001; 2001(02): 126.

Chen Y, Feng X, Sun Y, et al. Understanding of kidney deficiency syndrome under the guidance of syndrome differentiation health care theory. China Journal of Traditional Chinese Medicine and Pharmacy 2022; 37(09): 5043.

Liang Q. Urban youth health concept survey report: health consumption into universal fashion sub-health problems. Economic Information Daily (9 November 2022).

Zhao H, Wang X, Rong W, et al. Analysis of Circumstance of Health Foods Registered from 2003 to 2005. Chinese Journal of Food Hygiene 2008; 2008(01): 52.

Zheng L, Ma X, Sun Y. Research Progress of the Resource Distribution and Application Status of Polygonatum Sibiricum with Homology of Medicine and Food. Journal of Zhejiang Agricultural Sciences 2022; 63(08): 1679.

Qin Y, Zhang L, Zhao Q, et al. Research progress on Polygonatum cyrtonema processed by nine times steaming and nine times shining. Chinese Herbal Medicine 2020; 51(21): 5631.

Cai J, Zhu Y, Yi G, et al. Screening Processing Technology of Huangjing (Polygonatum sibiricum) by Orthogonal Test and Study on Its Validity. Liaoning Journal of Traditional Chinese Medicine 2020; 47(05): 153.

Rong X. Changes of Polygonatum sibiricum chemical constituents and contents during the processing. The Department of Oral Medicine Electronic Magazine 2019; 6(02): 31.

Zhang X, Tang Y, Tang L, et al. Research progress of processing and quality analysis of Polygonatum Sibiricum. Modern Chinese Doctor 2018; 56(22): 165.

Li W, Sun Y, Yin W, et al. Study on aging health care products consumption behaviors and influence factors. Chinese Journal of Gerontology 2021; 41(19): 4394.

He P, Zhang J, Zhao Y, et al. Advances of Medicinal Value and Health Food Application of Polygonatum. Strait Pharmaceutical Journal 2021; 33(12): 31.

Published

2024-06-04

Data Availability Statement

The data presented in this study are available on request from the corresponding author.

Issue

Section

Review

Similar Articles

1-10 of 25

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

<< < 4 5 6 7 8 9