Experimental study on acute and sub-chronic toxicity of da day Phuong Dong herbal product

Nguyen Viet Tien, Vu Phuong Ngoc, Tran Quynh Trang, Pham Thi Van Anh, Le Thi Phuong, Dau Thuy Duong

Main Article Content

Abstract

Da Day Phuong Dong is a polyherbal product intended for the treatment of peptic ulcers and acute and chronic gastroesophageal reflux disease. The objective of this study was to evaluate the acute and sub-chronic toxicity of Da Day Phuong Dong capsules experimentally. Acute toxicity was evaluated in Swiss mice by administering escalating doses to determine the lowest dose causing 100% mortality and the highest dose causing no mortality. Sub-chronic toxicity was evaluated in Wistar rats at 0.48 capsules (equivalent to the intended clinical dose) and 1.44 capsules/kg/day (3 times the clinical dose) for 4 continuous weeks. The results showed that Da Day Phuong Dong at a dose of 50 capsules/kg caused no mortality and no abnormal sign in Swiss mice; at 0.48 capsules and 1.44 capsules/kg, it did not affect the general condition, body weight of the Wistar rats, or the hematological parameters, biochemical indices, and microscopic morphology of the liver and kidneys. Thus, Da Day Phuong Dong does not cause acute or sub-chronic toxicity when administered orally at the tested doses in experimental animals.

Article Details

References

1. Hooi JKY, Lai WY, Ng WK, et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology. 2017; 153(2): 420-429. doi:10.1053/j.gastro.2017.04.022.
2. Malfertheiner P, Camargo MC, El-Omar E, et al. Helicobacter pylori infection. Nat Rev Dis Primer. 2023; 9(1): 19. doi:10.1038/s41572-023-00431-8.
3. Savoldi A, Carrara E, Graham DY, et al. Prevalence of Antibiotic Resistance in Helicobacter pylori: A Systematic Review and Meta-analysis in World Health Organization Regions. Gastroenterology. 2018; 155(5): 1372-1382.e17. doi:10.1053/j.gastro.2018.07.007.
4. Vaezi MF, Yang YX, Howden CW. Complications of Proton Pump Inhibitor Therapy. Gastroenterology. 2017; 153(1): 35-48. doi:10.1053/j.gastro.2017.04.047.
5. Lanas A, Chan FKL. Peptic ulcer disease. The Lancet. 2017; 390(10094): 613-624. doi:10.1016/S0140-6736(16)32404-7.
6. Teschke R, Eickhoff A. Herbal hepatotoxicity in traditional and modern medicine: actual key issues and new encouraging steps. Front Pharmacol. 2015; 6: 72. doi:10.3389/fphar.2015.00072.
7. Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2014; 4: 177. doi:10.3389/fphar.2013.00177.
8. WHO. General guidelines for methodologies on research and evaluation of traditional medicine. Accessed January 20, 2026. https://www.who.int/publications/i/item/9789241506090.
9. OECD. Test No. 407: Repeated Dose 28-day Oral Toxicity Study in Rodents. OECD Guidel Test Chem Sect 4. Published online June 24, 2025. doi:10.1787/9789264070684-en.
10. OECD. Test No. 423: Acute Oral toxicity - Acute Toxic Class Method. OECD Guidel Test Chem Sect 4. Published online February 7, 2002. doi:10.1787/9789264071001-en.
11. Zhu B, Zhang Q long, Hua J wei, et al. The traditional uses, phytochemistry, and pharmacology of Atractylodes macrocephala Koidz.: A review. J Ethnopharmacol. 2018; 226: 143-167. doi:10.1016/j.jep.2018.08.023.
12. Nguyen DM, Tran QC, Do MT, et al. Anti-Ulcer Activity of Spray-dried Powders Prepared from Aerial Parts Extracts of Ampelopsis cantoniensis. Pharmacogn J. 2022; 14(2): 276-281. doi:10.5530/pj.2022.14.34.
13. Lazic SE, Semenova E, Williams DP. Determining organ weight toxicity with Bayesian causal models: Improving on the analysis of relative organ weights. Sci Rep. 2020; 10(1): 6625. doi:10.1038/s41598-020-63465-y.
14. Nazari S, Rameshrad M, Hosseinzadeh H. Toxicological Effects of Glycyrrhiza glabra (Licorice): A Review. Phytother Res. 2017; 31(11): 1635-1650. doi:10.1002/ptr.5893.
15. Chen M, Zhang S, Huang X, et al. The protective effects and mechanism of myricetin in liver diseases (Review). Mol Med Rep. 2025; 31(4): 1-9. doi:10.3892/mmr.2025.13452.
16. Tan Quoc LP, Tran N. Assessment of toxic effects of Hedyotis capitellata Wall. leaves ethanol extract via biological assays in mice (Mus musculus). Malays J Biochem Mol Biol. 2023; 26: 122-134.
17. Omar HR, Komarova I, El-Ghonemi M, et al. Licorice abuse: time to send a warning message. Ther Adv Endocrinol Metab. 2012; 3(4): 125-138. doi:10.1177/2042018812454322.
18. Uddin SJ, Mondal K, Shilpi JA, et al. Antidiarrhoeal activity of Cyperus rotundus. Fitoterapia. 2006; 77(2): 134-136. doi:10.1016/j.fitote.2004.11.011.
19. Abdel-Rahman M, Rezk MM, Ahmed-Farid OA, et al. Saussurea lappa root extract ameliorates the hazards effect of thorium induced oxidative stress and neuroendocrine alterations in adult male rats. Environ Sci Pollut Res. 2020; 27(12): 13237-13246. doi:10.1007/s11356-020-07917-y.