''Aristolochia fangchi'' ( zh, 广防已 guang fang ji), is a species of flowering plant in the family

Aristolochiaceae The Aristolochiaceae () are a family, the birthwort family, of flowering plants with seven genera and about 400 known species belonging to the order Piperales. The type genus is '' Aristolochia'' L. Description They are mostly perennial, her ...

, native to Vietnam and southeast and south-central China. In 1993, a series of

end-stage renal disease Chronic kidney disease (CKD) is a type of long-term kidney disease, defined by the sustained presence of abnormal kidney function and/or abnormal kidney structure. To meet criteria for CKD, the abnormalities must be present for at least three mo ...

cases were reported from

Belgium Belgium, officially the Kingdom of Belgium, is a country in Northwestern Europe. Situated in a coastal lowland region known as the Low Countries, it is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeas ...

associated with a weight loss treatment, where ''

Stephania tetrandra ''Stephania tetrandra'' is a herbaceous perennial vine of the family Menispermaceae native to China and Taiwan. It grows from a short, woody caudex, climbing to a height of around three meters. The leaves are arranged spirally on the stem, and ar ...

'' ( zh, 粉防己 fen fang ji) in a herbal preparation was accidentally substituted with ''Aristolochia fangchi''. More than 105 patients were identified with

nephropathy Kidney disease, or renal disease, technically referred to as nephropathy, is damage to or disease of a kidney In humans, the kidneys are two reddish-brown bean-shaped blood-filtering organ (anatomy), organs that are a multilobar, multipap ...

following the ingestion of this preparation from the same clinic from 1990 to 1992. Many required

renal transplantation Kidney transplant or renal transplant is the organ transplant of a kidney into a patient with end-stage kidney disease (ESRD). Kidney transplant is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantati ...

dialysis Dialysis may refer to: * Dialysis (chemistry), a process of separating molecules in solution **Electrodialysis, used to transport salt ions from one solution to another through an ion-exchange membrane under the influence of an applied electric po ...

References

fangchi Flora of South-Central China Flora of Southeast China Flora of Vietnam Plants described in 2003 {{Piperales-stub