Background/Aims: Jin Bu Huan and other Chinese herbal products are wid
ely taken remedies. They have been developed as a natural alternative
to traditional drugs in the treatment of various ailments, Their abili
ty to induce several side effects such as acute hepatitis has already
been described, We report a case of chronic hepatic damage following a
dministration of Jin Bu Huan Anodyne tablets, Methods: The patient, a
49-year-old man, developed biochemical signs of liver damage 2 months
after beginning Jin Bu Huan intake (3 tablets/daily) including biopsy-
proven chronic hepatitis with moderate fibrosis, Virological, autoimmu
ne, metabolic or other hepatotoxic causes were excluded. Liver functio
n impairment was resolved by discontinuing Jin Bu Huan intake, Conclus
ions: This case reinforces the already known hepatotoxicity of this pr
oduct and should make us think more about the uncontrolled use of alte
rnative products.