Can Smectite Powder alleviate poisoning caused by eating Enoki mushrooms?

Generally,蒙脱石散 (Smectite Powder) can alleviate some symptoms of poisoning caused by Flammulina filiformis (Enoki mushroom), but it cannot completely cure the poisoning. The detailed explanation is as follows:

Flammulina filiformis poisoning typically occurs due to improper preparation methods. Consuming raw Flammulina filiformis may lead to poisoning because it contains colchicine, which can be converted into dihydrocolchicine in the stomach. This substance is toxic and can cause food poisoning. Smectite Powder is a commonly used gastrointestinal mucosal protectant that can adsorb and immobilize viruses, bacteria, and their toxins. If the poisoning symptoms are mild, such as diarrhea and abdominal pain, Smectite Powder may help alleviate these symptoms by adsorbing toxins.

However, if the poisoning symptoms are severe, such as intense abdominal pain, fever, and electrolyte imbalance, using Smectite Powder alone may not be effective. In such cases, more comprehensive treatment measures should be taken under a doctor's guidance, including inducing vomiting, gastric lavage, and enema, to reduce toxin absorption. Additionally, medications for spasm relief and pain control should be administered as directed by a physician.

During the recovery period, patients should maintain adequate hydration and avoid consuming foods that may加重 gastrointestinal burden, which will help accelerate recovery.