Soil-Plant Metal Relations in Panax notoginseng: An Ecosystem Health Risk Assessment

This study features a survey of the content of heavy metals (Pb, Cd, Cr, As, Hg and Cu) in root and cultivation soils of Panax notoginseng (P. notoginseng), carried out in China’s Yunnan Province. The average contents of Pb, Cd, Cr, As, Hg, and Cu in the soil were 61.6, 0.4, 102.4, 57.1, 0.3, and 35.1 mg·kg−1, respectively. The heavy metals’ pollution indexes can be ranked as follows: As > Cd > Hg > Cu > Cr > Pb. The proportion of soil samples at slight, middle, strong, very strong, and extremely strong levels of potential environmental risk had values of 5.41%, 21.62%, 35.14%, 10.81%, and 27.03%, respectively. The potential environment risk index (RI) showed that 29.73% out of the total sample sites were above the level of strong and extremely strong. The ranges of Pb, Cd, Cr, As, Hg, and Cu content in tuber were 0.04–3.26, 0.04–0.33, 0.22–5.4, 0.10–1.8, 0.00–0.02, and 5.0–20.9 mg·kg−1, respectively. In combination with P. notoginseng consumption data, the estimated heavy metal daily intakes (EDIs) were 0.08–0.23, 0.006–0.019, 0.17–0.52, 0.04–0.12, 0.001–0.002, and 0.59–1.77 μg·kg−1·bw/day. All target hazard quotients (THQs) of individual elements and hazard indexes (HI) were less than one. The present study indicates that most of the P. notoginseng cultivation soil in the province of Yunnan presented slight and moderate ecological risk. Thus, more attention should be given to the heavy metals As, Cd, and Hg when selecting planting areas for the cultivation of P. notoginseng. Health risks associated with the intake of a single element or consumption of the combined metals through P. notoginseng are absent.


Introduction
Radix et Rhizoma Notoginseng is the dry rhizome of Panax notoginseng (Burk) F. H. Chen (P. notoginseng) of the Araliaceae ginseng species. It is a precious traditional herb in China, which possesses the function of dissipating blood stasis and arresting bleeding, thereby promoting the subsidence of swelling and relieving pain. The world famous Chinese patent medicine Yunnan White Drug and Pianzihuang both use P. notoginseng as their primary raw material. Therefore, the demand for P. notoginseng in the global medicine market is increasing yearly.
In recent years, severe heavy metal pollution of P. notoginseng cultivation regions has attracted much attention from consumers and regulators. The pollution is mainly a result of high soil background values, mining activities, and the application of pesticides that contain heavy metals. Heavy metals in the soil directly influence the safe production and use of traditional Chinese medicine [1]. Intake of herbs polluted by heavy metals could lead to a series of acute and chronic poisoning reactions [2,3]. The tuber of P. notoginseng is the main medicinal part, and it possesses a strong heavy metal accumulation capacity, especially for Cd and As. Thus, events where the rhizome of P. notoginseng contains amounts above the average heavy metal content induced by soil pollution have been reported occasionally [4][5][6]. Thus, we must pay more attention to securing the safety of cultivation soil, and preventing the above average presence of heavy metals in P. notoginseng and corresponding products.
P. notoginseng cultivation soil may accumulate elevated levels of potentially toxic elements (PTEs) from both point and diffuse sources of pollution in Wenshan State and/or Yunnan Province [7,8]. Wenshan State is one of the main production areas of metal minerals (Sn, Zn, Mn, Sb, W, Al) in Yunnan Province. Abundant reserves of nonferrous metals lead to high levels of heavy metals in the arable land [9]. In addition, human activities (such as industrialization, traffic, dometic sewage, atmospheric deposition, and so on) exacerbate the pollution of arable soil [10,11]. Pollutants in soil represent a continuing risk to the urban ecological system, especially human health [12,13]. Prior research shows that herbs constitute an important link in the transfer of heavy metal from soil to man [14]. Intake of herbs polluted by heavy metals could cause a series of acute and chronic poisoning reactions [2]. Therefore, it is important to increase research on heavy metal pollution and risk assessments of P. notoginseng's cultivation soil and products.
Non-cancer risk assessments are typically conducted to estimate the potential health risks of pollutants using the target hazard quotient (THQ), a ratio of the estimated dose of a contaminant to the dose level below which there will be no appreciable risk [15]. To assess the overall potential risk for non-carcinogenic effects posed by more than one element, the hazard index (HI) approach has been developed by the U.S. Environmental Protection Agency (USEPA) [16]. This approach assumes that simultaneous sub-threshold exposures to several chemicals could result in an adverse health effects, and that the magnitude of the adverse effect will be proportional to the sum of the ratios of the sub-threshold exposures to acceptable exposures.
In order to guarantee the safety of medicinal products, we conducted a pollution status investigation and evaluation for heavy metals in P. notoginseng cultivation soil and raw materials. Acquiring data from the producing areas of P. notoginseng enabled us to conduct an assessment of both cultivation and health risks.

Sample Collection
We selected a genuine producing area of P. notoginseng in the Yunnan Province as our study area. Table 1 and Figure 1 show details of the sample sites and sampling points. The latitude is from N, 22.88 • to N, 25.73 • ; longitude is from E, 102.43 • to E, 104.88 • ; and the altitude is from 762 m to 2114 m.
Our sampling period took place from 18 October to 26 November 2013. We investigated 37 cultivation regions, 37 soil samples, and 22 plant samples. For soil sampling, we collected 0-20 cm soil from each cultivation region using a five-point method: the soil was mixed adequately and subsampled, then air-dried and finely ground, and finally prepared for heavy metal content determination. For plant sampling, we randomly collected 20 plants from three-year old P. notoginseng that would be harvested as a commodity. We then washed and dried these according to commercial instructions, then we separated the whole root from the rhizome and hair root (the three parts used according to the Chinese Pharmacopoeia), and then we collected the rhizome as our plant samples for this study. We finely ground and subsampled the rhizome samples for heavy metal content determination.  Our sampling period took place from 18 October to 26 November 2013. We investigated 37 cultivation regions, 37 soil samples, and 22 plant samples. For soil sampling, we collected 0-20 cm soil from each cultivation region using a five-point method: the soil was mixed adequately and subsampled, then air-dried and finely ground, and finally prepared for heavy metal content determination. For plant sampling, we randomly collected 20 plants from three-year old P. notoginseng that would be harvested as a commodity. We then washed and dried these according to commercial

Detection of Heavy Metals
We detected heavy metals (Pb, Cd, Cr, As, Hg and Cu) in soil and plant samples via the methods GB 15618-1995 [17] and WM/T2-2004 [18], with slight modifications. For heavy metal detection in the soil, we digested 0.25 g of soil samples with 10 mL HCl and 0.5 mL HClO 4 , and then diluted the mixture with 10 mL distilled water. Finally, we prepared the mixture for determination. We replicated the process three times for each sample.
For Pb, Cd, Cr, and Hg, we digested 2.00 g plant samples at 120 • C for 3.5 h with 3 mL HNO 3 and 2 mL H 2 O 2 . After cooling, we diluted the digested solution with 10 mL distilled water, and then prepared it for determination. For As, we digested 5.00 g plant samples with 10 mL HNO 3 -HClO 4 (4:1), and 10 mL H 2 SO 4 . We then cooled the mixture and diluted it with 50 mL distilled water, finally preparing it for determination. For Cu, we digested 1.00 g plant samples with 5 mL HNO 3 , then diluted the digestive solution with 10 mL distilled water, and finally prepared it for determination. We replicated the process three times for each sample.

Soil Heavy Metal Pollution and Quality Assessment
We used the pollution index (P i ) in this study. We measured the quality of soil environment classification using a single factor contaminant index and the comprehensive pollution index method. The single factor contaminant index calculation formula was as follows: single factor contaminant index: where P i is the pollution index; C i and S i represent the heavy metal (i) concentrations in the soil and evaluation standard values (GB15618-1995, Grade 2 for soil) [17], respectively. We evaluated soil quality by referencing to the state's soil environment quality standards (see Table 2). The Newmerow composite index method not only takes account of all the individual evaluation factors, but also highlights the importance of the most contaminated elements. Our comprehensive pollution index calculation formula was as follows: comprehensive pollution index: are the mean and maximum values of single factor contaminant index, respectively. Table 2 shows the classification standards of soil heavy metal pollution evaluation.

Soil Heavy Metal Potential Environmental Risk Assessment
In 1980, Hankanson proposed a potential environmental risk assessment [19]. The comprehensive potential environment risk index calculation formula was as follows: where RI is the comprehensive potential environment risk index; E i r is the potential ecological risk factor of a single metal; T i r represents for a certain kind of metal (i) toxicity response coefficient (Table 3) [20]; C i s -the measured value concentration of heavy metals (i) in the soil's surface; and C i n -the reference background content of Yunnan Province soil (Table 3) [21].

Estimated Daily Intakes (EDIs)
The estimated daily intakes (EDIs) of heavy metal (Pb, Cd, Cr, As, Hg, and Cu) depend on both the concentrations of heavy metal in P. notoginseng and consumption levels. The EDI of each heavy metal was determined by the following equation: E F is exposure frequency (365 days·year −1 ); E D is exposure duration (40 years, from age 30 to age 70 (equal to the average lifetime)); F IR is P. notoginseng ingestion rate (3-9 g·person −1 ·day −1 ) [22]. C is heavy metal concentration in P. notoginseng (mg·g −1 ); W AB is average body weight (60 kg was adopted in the present study); and T A is average exposure time for non-carcinogens (365 days· year −1 × number of exposure years, assuming 40 years).

Target Hazard Quotient (THQ)
We assessed the health risk through consumption of P. notoginseng based on the target hazard quotient (THQ). A methodology for estimating the THQ was described in detail by USEPA [23]. We can assess THQ for residents through consumption of P. notoginseng by comparison with the provisional tolerable weekly intake (PTWI) for each element. The health risks were separately considered, since the contact pathway with each exposure medium changes with age. In this respect, the THQ is determined based on the methods modified from Chien et al. [24] by the following equation: Tolerable intake values of heavy metals, called PTWI, are set by the Food and Agriculture Organization/World Health Organization (FAO/WHO) [25]. PTWI is the maximum amount of a contaminant to which a person can be exposed weekly over a lifetime without an unacceptable risk of negative health effects. Intake estimates were expressed as per unit body weight (µg·kg −1 ·bw·week −1 ). The applied PTWI for Pb, Cd, Cr, As, Hg, and Cu were 25 µg· Pb· kg −1 bw· week −1 , 7 µg·Cd·kg −1 ·bw·week −1 , 6.7 µg·Cr·kg −1 ·bw·week −1 , 350 µg·As·kg −1 ·bw·week −1 , 4 µg·Hg·kg −1 ·bw·week −1 , and 3500 µg·Cu·kg −1 ·bw·week −1 [25]. When THQ < 1, we assume that the effects of heavy metals ingested by humans are not obviously damaging to the body's health.

Hazard Index (HI)
Harrison and Chirgawi [26] reported that exposure to two or more pollutants may result in additive and/or interactive effects. Assuming the additive effects, THQs can be summed across constituents to generate a hazard index (HI) for a specific receptor-pathway combination. In this way, the potential risk of adverse health effects from a mixture of heavy metals in P. notoginseng can be calculated. We calculated the HI values through consumption of P. notoginseng for human beings as follows:

Statistical Analysis
We used DPS v7.05 software (Hangzhou Ruifeng Information Technology Co., Ltd., Hangzhou, China) for descriptive statistics, and used the ArcGIS 10.2 program (Esri China Information Technology Co., Ltd., Beijing, China) for producing spatial distribution maps by Kriging Geo-statistical Analysis.

Characteristics of Heavy Metal Content in Different P. notoginseng Cultivation Region
Yunnan Province is one of the main metal mineral (Sn, Zn, Mn, Sb, W, Al) production areas in China. Abundant reserves of nonferrous metals induce high levels of heavy metals in arable land [9,12]. Liu et al. even concluded that the above-average contents of Cu, As, and Hg in P. notoginseng cultivation soil are a result of mother-material from the soil [27]. However, so far the heavy metal content of P. notoginseng cultivation system still lacks systematic investigation and study in the Yunnan province. The present study therefore investigates a wider scope of heavy metal (Pb, Cd, Cr, As, Hg and Cu) content in soil and P. notoginseng plants. Tables 4 and 5 show the heavy metal content of the soil samples, as well as the degree to which safety standards are exceeded. Soil pH ranged from 4.58 to 6.37 in all the sample sites in the present study. We considered environmental quality standard for our soil samples [17]. The average contents of Pb, Cd, Cr, As, Hg, and Cu were 61.6, 0.4, 102.4, 57.1, 0.27, and 35.1 mg·kg −1 , respectively. A comparison of the soil samples with the safety standard GB 15618-1995 showed that five (Cd, Cr, As, Hg, and Cu) of the six heavy metals exceeded the standard by more than the other soil samples. In the study area, the soil Pb content's spatial distribution pattern diminished from west to east, with the highest Pb concentration found around the Yuxi area (Figure 2a). However, no sample soil exceeded the safety standard (Tables 4 and 5). In thirteen soil samples, the Cd content exceeded the standard by a percentage of 35.14% (Tables 4 and 5). The spatial distribution map of Figure 2b illustrates that the Cd content in the northern and southern areas were lower than the safety standard, but were higher in the central areas. Most of the study areas had higher Cr content, which diminished from northwest to southeast (Figure 2c). However, only seven samples accounted for 18.9% of amounts above the safety standard (Tables 4 and 5). The highest soil Cr content was around the Qujing and Honghe areas (Figure 2c). The amount by which the As content exceeded the safety standard was 23 times, accounting for 62.2% (Tables 4 and 5). The spatial distribution of the As content in the topsoil decreased in areas away from the central area, and the highest As content area was around Qiubei (Figure 2d). The results of As distribution were consistent with Zu et al. and the reason for this is the mining of arsenic minerals around the Qiubei area [28]. Eleven soil samples accounted for 29.7% of the amounts above the Hg safety standard (Tables 4 and 5), and most above-average sites were distributed in the northeastern of the study area, especially around Qujing, Wenshan, Qiubei, and Xichou ( Figure 2e). The spatial distribution map of Cu showed that a small area in the southeastern was above the safety standard (Figure 2f). The number of samples exceeding the safety standard was three, which accounted for 8.1% (Tables 4 and 5). The number of sample sites that had above-average amounts of each heavy metal can be organized as follows: As > Cd > Hg > Cr > Cu. Thus, it can be seen that most of the P. notoginseng cultivation soil was polluted by As, Cd, and Hg. These survey results are inconsistent with the research of Chen et al. on Cd, Cr, Cu, and Pb [29], Lin et al. on As [30], and Yan et al. on Hg, As, Cd, and Cr in general [1]. The above-average rates mentioned in the literature are 48%-66.7% for As, 60%-75% for Cd, 73.7% for Hg, and all prior investigations indicate that the P. notoginseng cultivation soil is free from Pb contaminate. Therefore, more attention should be paid to As, Cd, and Hg when selecting land for the cultivation of P. notoginseng.

Pollution Status and Potential Environment Risk of P. notoginseng Cultivation Soil
The single factor pollution index and comprehensive pollution index are widely adopted when assessing the heavy metal pollution status of soil [31,32]. We firstly assessed the heavy metal pollution status of P. notoginseng cultivation soil by Pi and Pc. The single heavy metal pollution index

Pollution Status and Potential Environment Risk of P. notoginseng Cultivation Soil
The single factor pollution index and comprehensive pollution index are widely adopted when assessing the heavy metal pollution status of soil [31,32]. We firstly assessed the heavy metal pollution status of P. notoginseng cultivation soil by P i and P c . The single heavy metal pollution index of Cd, Cr, As, Hg, and Cu indicated that the soil was slightly over-polluted with all of these heavy metals. The pollution index of each heavy metal was in the order of As > Cd > Hg > Cu > Cr > Pb (Table 6). 35.1%, 18.9%, 18.9%, 13.5%, and 8.1% of soil samples were slightly polluted by As, Cd, Cr, Hg, and Cu. 21.6%, 13.5%, and 13.5% of soil samples were medium-polluted by As, Cd, and Hg. 5.4%, 2.7%, and 2.7% of soil samples were heavily polluted by As, Cd, and Hg, respectively. The range of comprehensive pollution index was 0.6-4.1, and the average value was 1.5. Twenty-six samples were over the slightly polluted level, with a pollution proportion accounting for 70.3%. The higher P c of heavy metals in P. notoginseng cultivation soil was mainly induced by the high P i of As. Only 18.9% of the samples' P c values were lower than 0.7 (safety degree). Thus, it can be seen that most of the P. notoginseng cultivation soil samples were polluted by Cd, Cr, As, Hg, and Cu (especially As, Cd, and Hg). This is consistent with the results of Wang and Yan [8], whose results indicate that the contents of As, Hg, and Cd in the soil are high P i in Yunnan Province.

Environmental Risk Assessment of Heavy Metals in P. notoginseng Cultivation Soil
We used a pollution index to assess the heavy metal content of heavy metal, but the same index cannot be used to indicate the toxic risk degree. Hankanson's potential environmental risk assessment mainly focuses on the toxic degree of heavy metals to the environment and humans. It consists of a single metal potential environment risk index E i r and a comprehensive potential environment risk index (RI). This evaluation method reflects the biological effectiveness, relative contribution, and geographic and spatial difference that form the index that comprehensively reflects the effects of heavy metals on the environment. We used this method to detect the potential environmental risk levels of heavy metals in P. notoginseng cultivation soil. Table 7 shows the single metal potential environmental risk index E i r classification of P. notoginseng cultivation soil samples. We can see that all 37 soil samples had low potential for environment risk of Pb, Cr, and Cu. Less consideration might be given to these elements when P. notoginseng producers select their cultivation regions. The E i r values of Cd for nine soil samples were at middle level, while four soil samples were at a strong level. Meanwhile, the E i r values of As for fourteen soil samples were at middle level, and at a strong level with one sample. The proportion of Cd and As E i r values that exceeded the middle level were 35.1% and 40.5%, respectively. These elements must therefore be considered when looking for cultivation land. The most serious pollution content for all soil samples was with Hg. The number of soil samples with E i r values of Hg that exceeded the middle level was 35, accounting for 73%. Therefore, land that will be used for P. notoginseng cultivation must be clearly separated from regions contaminated by Hg. The E i r mean values of the six kinds of heavy metal we studied followed this order: Hg > Cd > As > Pb > Cu > Cr. This was extremely different from the average value order of P i As > Cd > Hg > Cu > Cr > Pb (Table 6). This is due to the toxicity response coefficient of heavy metals. Higher T i r values induced heavy metals with relative low (Hg, Cd, As and Pb, Cu, Cr) P i values to increase. Numerous studies have reported similar results [33][34][35]. Our results indicate that toxicity response coefficients played an important role in assessing the E i r values, and that Hg, Cd, and As indicated a considerable level of risk. Table 8 shows the regional potential environment risk index (RI) classification of P. notoginseng cultivation soil. The range of RI was 95.8-895.1, with an average value of 318.7. Numbers of sample sites at the four RI degrees were 10, 16, six and five, respectively. The proportion of each risk degree was in the order of moderate > slight > strong > extremely strong. Sample site numbers above the level of strong and extremely strong were six and five, respectively (with 29.7% total). This proves that most of the P. notoginseng cultivation soil in the Yunnan province exhibits slight and moderate ecological risk. RI represents the sum E i r value of each heavy metal. Hg, Cd, and As are big contributors to the potential, heavy metal-based, ecological risk of P. notoginseng cultivation soil.

Characteristics of Heavy Metal Content in P. notoginseng Root of Different Cultivation Regions
The tuber of P. notoginseng is the main raw material in some Chinese patent medicine preparations. Plants readily assimilate elements from soil through roots. The content of heavy metals in plants' roots directly affects the safety and quality of plant-based medicines [1]. Reports of above-average heavy metals in the P. notoginseng tuber have occasionally been made [4]. Therefore, a comprehensive understanding of heavy metal pollution in cultivation regions will help us avoid the contamination of P. notoginseng. Table 9 shows the content of six different heavy metals in P. notoginseng rhizome samples, while Table 10 shows the number for each heavy metal that exceeds the safety standard. Pb, Cd, Cr, As, Hg, and Cu contents in P. notoginseng tuber samples ranged between 0.04-3.3, 0.04-0.33, 0.2-5.4, 0.1-1.8, 0.00-0.02, and 5.0-20.9 mg·kg −1 , respectively. Average and median values of the 22 plant samples for six kinds of heavy metal were all lower than the safety standards established by the WM/T2-2004 [18] and Chinese Pharmacopoeia [20] methods. However, a few samples showed Cd, Cr, and Cu contents that exceeded the standards mentioned above [18,22]. The above-average rates were 13.6%, 22.7%, and 9.1%, respectively (in this order: Cr > Cd > Cu). The contents of Pb, As, and Hg in all plant samples were below the safety standard. Table 9. Heavy metals contents in rhizome of P. notoginseng (mean ± SD, mg·kg −1 ). Safety regulations of various regions strictly manage the heavy metal content of traditional Chinese medicine preparations [22,36,37]. However, rare events of above-average heavy metal poisoning have occurred in the past [38][39][40][41]. Above-average contents of heavy metals in P. notoginseng, which is a primary raw material of many Chinese patent medicines, are also occasionally reported. The results of Lin et al. indicate that the concentrations of As and Pb in P. notogiseng exceed the limit standards by 56% and 97%, respectively [40]. The excessive degree of heavy metals' content in P. notoginseng plants can be numbered as follows: As > Pb > Cr > Cd. Meanwhile, Hg content is within the safety standards' limit [5,6,29]. Surprisingly, in our investigation the content of Hg, As, and Pb were all under legal limits [18,22]. In addition, contents of the six heavy metals we studied in P. notoginseng were lower than as shown in prior research. This might be caused by sampling time and sites, as well as drying method. The prior researches dried the samples with a drying oven [5,6,29] whereas we used air drying. However, the results obtained in the present study were consistent with the results of our previous study, where we stated that proper processing decreases the content of heavy metals. Moreover, we indicated that the content of Cd in the tuber only exceeds the standards when the roots do not go through appropriate processing [27]. Table 11 shows the estimated daily intakes (EDI) for P. notoginseng consumers exposed to heavy metals. The EDIs for adults were averaged similarly for women and men. The EDIs range of Pb, Cd, Cr, Hg, As, Hg, and Cu were 0.077-0.231, 0.006-0.019, 0.174-0.523, 0.040-0.120, 0.001-0.002, and 0.591-1.773 µg·kg −1 ·bw·day, all of which were significantly below the respective PTWI values recommended by international regulation bodies. The root of P. notoginseng is usually used in drug and health care products. EDIs of heavy metal through P. notoginseng consumption are not an important pathway for dietary exposure (rice, vegetables, fruits, fish, meat, eggs, and water) in the population. Thus, the EDIs of heavy metals through P. notoginseng consumption are much lower in practice. Table 11. Estimate daily intakes (EDI, µg·kg −1 ·bw·day), target hazard quotients (THQs) and hazard index (HI) for intake of potential health risk individual from P. notoginseng. THQs are also recognized as useful parameters for the evaluation of risk associated with the consumption of food contaminated with heavy metals. Table 11 lists the THQs of individual heavy metals, through P. notoginseng consumption, for humans. The range of the THQs of Pb, Cd, Cr, Hg, As, Hg, and Cu were 0.022-0.065, 0.008-0.023, 0.182-0.547, 0.013-0.040, 0.004-0.011, and 0.001-0.004 µg· kg −1 · bw· day. No individual heavy metal THQ values exceeded the maximum recommendation value, suggesting that the population would not be confronted with a significant potential health risk by intake of Pb, Cd, Cr, Hg, As, Hg, and/or Cu through P. notoginseng consumption. The THQs of heavy metals from P. notoginseng consumption were in the order of Cr > Pb > Cd > Cu > Hg > As. It can be seen that Cr ingestion had the highest potential health risk of adverse effects, while ingestion of As had the minimum risk.

Pb
In the present study, the HI value was ranged from 0.230 to 0.689, and lower than the standard value of one. We demonstrated that ingestion of P. notoginseng produced in Yunnan would not result in overexposure of heavy metals. Thus, no adverse effect is posed to consumers' health. We may conclude that there is only a low health risk, even with long-term intakes of P. notoginseng following the recommendation of the Chinese Pharmacopoeia [22]. The present results indicate that the relative contributions of Cr to the HI were over 85%, and were therefore the major contributions to the potential health risk of non-carcinogenic effects.

Conclusions
The soil samples analyzed from a variety of producing areas of P. notoginseng demonstrate that most of the P. notoginseng cultivation soil is polluted by As, Cd, and Hg, with a considerable level of risk. This proves that most of the P. notoginseng cultivation soil in the Yunnan province is characterized by slight and moderate ecological risk. Therefore, we must carefully consider the presence of As, Cd, and Hg when selecting cultivation land for P. notoginseng. The contents of Hg, As, and Pb we obtained were all under legal limits. EDIs of heavy metals through P. notoginseng consumption are not a significant pathway for dietary exposure of the population. No THQ values for an individual element exceed the value of one. The HI value we obtained indicated that there is a very low health risk even with long-term intake of P. notoginseng following the recommendations of the Chinese Pharmacopoeia.