People's Daily: traditional Chinese medicine cannot be tied hands and feet

01-21 hundred

On the Internet to see a friend to make a poem sigh Chinese medicine said: "thousands of years too who? But now people everywhere suspicion; Even if it is a difficult precipice, carefully care for the people. There is sympathy in the heart.

Recently saw an old medical case: a male patient myocardial enlargement, on the verge of death. Li kilian, an old Chinese medicine doctor, prescribed three doses of medicine: the first dose of aconitum aconitum 200 grams, the second dose of 400 grams, the third dose of 500 grams, the disease began to slow down, recuperation after a week after discharge.

Large doses of poisonous aconite to save lives, I am afraid to become a swan song.

Curative effect is the key to the survival and development of traditional Chinese medicine.

The ancients said: "the secret of traditional Chinese medicine is the quantity". The ability to control the dosage of traditional Chinese medicine is an important measure to measure a doctor's clinical level.

Without a certain amount, there is no certain effect. Heavy agent from the rottenness, can pull the tide in an instant, help in the face of danger. If the dose is too small, for critical illness, it is a drop in the bucket, to no avail.

Chinese medicine master deng tietao used 250g astragalus to treat myasthenia gravis. Wang chengbai, a famous doctor in Beijing, used 300g of red peony root to treat severe cholestasis, with excellent results.

Professor tong xiaolin of guang 'anmen hospital, Chinese academy of traditional Chinese medicine, found that when treating diabetic ketoacidosis, the daily routine dose of 30 grams of coptis chinensis was "niuniuhai", when the dosage increased to 120 grams, it can rapidly reduce blood sugar and improve symptoms.

In traditional Chinese medicine, medicine is like military force. But clinically, the dosage of traditional Chinese medicine is not like "han xin points out that the more the better".

Safety is the first element of a drug.

Increasing the dosage of traditional Chinese medicine and improving the clinical efficacy must not be at the cost of increasing the safety risk, let alone arbitrarily increasing the dosage. The dosage should be large or small and should be sufficient at the discretion of the clinician.

If the dosage exceeds the standard, a double signature system will be implemented. In addition to the signature on the prescription, the doctor shall also stamp an insignia beside the relevant medicine to ensure the medication safety.

The dosage in the pharmacopoeia is only recommended, not the maximum limit. How you use the starting dose, that's the key. The dose-effect relationship of traditional Chinese medicine has become an urgent problem to be solved in the modernization of traditional Chinese medicine.

However, the dose-effect relationship is more complex. In terms of composition, traditional Chinese medicine is compound, unlike chemical medicine with definite composition.

In terms of prescription, the dosage involves the total prescription dose, single drug dose, compatibility between drugs, etc., which affects the whole body.

Fortunately, the dose-effect relationship of traditional Chinese medicine is listed as the national 973 project, which integrates modern scientific and technological means. According to the utility quantity, is no longer by the experience at will to add, but has "the sentiment" may drink.

The relationship between quantity and effect has entered the "quantitative era", which is expected to open the "black box" of TCM.

In recent years, Chinese medicine has been frequently labeled as "poisonous", making many people talk about poison. The doctor USES "poisonous Chinese traditional medicine" timid, curative effect nature is greatly compromised.

The toxicity of traditional Chinese medicine is different from that of western medicine. The western medicine is the ingredient enters the medicine, in the medicine contains the toxic ingredient to be able to produce the toxic reaction.

However, in the prescription of traditional Chinese medicine, each kind of traditional Chinese medicine is not fought by a single soldier, but in accordance with the principle of "jun-chen assisting", and coordinated fighting is not a single component working.

In particular, a series of methods such as compatibility and processing can reduce toxicity and increase efficacy of toxic Chinese medicine.

The well-known niuhuang jiedu tablets and angong niuhuang pills all contain realgar and cinnabar. Realgar mainly contains arsenic oxide and cinnabar contains mercury sulfide, but they are very effective therapeutic drugs in clinical practice.

People often say, it is drug 3 cent poison, avirulent do not enter medicine. TCM has always advocated the theory of "fighting poison with poison". Poisonous traditional Chinese medicine often has distinctive curative effect, its toxic component is its efficacy component.

For certain diseases, the more toxic the drug, the more effective it is. As long as the doctor's guidance, in accordance with the safe dose, there will be no toxic reaction.

To be clear, you can't take a pill without some risk. Neither traditional Chinese medicine nor western medicine is 100 percent safe among all drugs approved for marketing.

Traditional Chinese medicine (TCM) has been rooted in Chinese traditional culture for thousands of years.

Traditional Chinese medicine pays attention to individuation, while western medicine pays attention to standardization. Traditional Chinese medicine emphasizes treatment based on syndrome differentiation, while western medicine emphasizes norms and standards.

The two kinds of thinking have their own advantages, not favoritism, mutually exclusive. The development of traditional Chinese medicine needs a loose policy and legal environment.

It is chilling that Chinese medicine is now seen as something you can do without, something you can eat without dying, rather than something that is expected to be therapeutic.

Thousands of years of ancient learning, the treasure of the country, by the descendants so slight or even disdain.

I really hope that the Chinese people will wake up and have more real inheritors of TCM and more pure TCM like deng tietao and li ke.

But is not now on the clinical some hangs the traditional Chinese medicine brand actually to walk the western medicine method and relies on the western medicine thought practice medicine "the false brand" in the doctor.