Can patients with chronic nephritis take Codonopsis pilosula (a type of herb commonly used in traditional Chinese medicine)?

Sep 25, 2024 Source: Cainiu Health
Disease description:

My grandmother has chronic kidney disease. I heard that Codonopsis (Dang Shen) has many health benefits and is good for the body. May I ask, can patients with chronic nephritis take Codonopsis?

Doctor's answer (1)
Dr. Yang Guang

Whether patients with chronic nephritis can take Codonopsis pilosula needs to be comprehensively evaluated based on the individual patient's condition. Codonopsis pilosula is a traditional Chinese herb that has the functions of invigorating the spleen and lungs, replenishing vital energy, promoting the production of body fluids, and nourishing the blood. It may help improve symptoms such as qi deficiency and physical fatigue. Additionally, Codonopsis pilosula contains various nutrients, including amino acids, polysaccharides, and trace elements, which can be beneficial to the body.

If a patient's kidney function is normal or only mildly impaired, moderate consumption of Codonopsis pilosula may not cause significant problems. However, if kidney function is severely impaired, especially when there is a risk of hyperkalemia, caution should be exercised, as Codonopsis pilosula may affect electrolyte balance. Patients with chronic nephritis may be taking multiple medications, such as diuretics and angiotensin-converting enzyme inhibitors. Codonopsis pilosula may interact with these medications, affecting their efficacy or increasing the risk of adverse reactions.

Each individual's health status and response to herbal medicines can vary. Some patients may experience allergic reactions or intolerance to Codonopsis pilosula, resulting in adverse symptoms. Therefore, patients with chronic nephritis should consult their physician before consuming Codonopsis pilosula.