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Pain Management

Chinese Medicine for Chronic Pain

Corydalis, a plant used for centuries in Chinese medicine, may be just what we in the West need to relieve chronic pain, according toa study done at the University of California-Irvine and published in the journal Current Biology on January 2nd 2014. A key pain-relieving ingredient is a compound known as dehydrocorybulbine (DHCB) found in the roots of the flowering plant, which is a member of the poppy family.

A release from the publisher quotes researcher Olivier Civelli as saying, “Our study reports the discovery of a new natural product that can relieve pain. This analgesic acts in animal assays against the three types of pain that afflict humans, including acute, inflammatory, and neuropathic or chronic pain.”

The release notes that Civelli, along with Xinmiao Liang, made the discovery as part of the “herbalome” project, an effort to catalogue all of the chemical components of traditional Chinese medicine. The Corydalis plants that were the focus of the new study grow mainly in central eastern China where underground tubers are harvested, ground, and boiled in hot vinegar. Those concoctions are often prescribed to treat pain, including headaches and back pain.

The researchers looked for compounds in Corydalis that appeared likely to act in a manner similar to morphine. “We landed on DHCB but rapidly found that it acts not through the morphine receptor but through other receptors, in particular one that binds dopamine,” Civelli said. The discovery adds to earlier evidence showing that the dopamine D2 receptor plays a role in pain sensation.

While Corydalis extracts or isolated DHCB work against all types of pain, they hold special promise for those who suffer with persistent, low-level chronic pain. For one thing, DHCB doesn’t appear to lose effectiveness with time in the way that traditional opiate drugs do.

“We have good pain medications for acute pain: codeine or morphine, for example,” Civelli said. “We have pain medication for inflammatory pain, such as aspirin or acetaminophen. We do not have good medications for chronic pain. DHCB may not be able to relieve strong chronic pain, but may be used for low-level chronic pain.”

Although Corydalis preparations of various types can already be purchased online, Civelli and Liang say DHCB isn’t ready for prime time just yet. Further testing for toxicity is needed before doctors should consider prescribing it to patients.

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