Several Key Questions about Rational Use of Toxic Chinese Medicine Based on Clinical Thinking
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摘要: 从临床角度分析探讨有毒中药使用后出现毒副反应的关键环节, 包括对中药毒性的重视度、传统中医减毒控毒知识的掌握度、有毒中药临床使用的规范性、药材基原考证与炮制品使用的准确性、现代使用方法及剂型与传统的统一性、了解病情和诊后医嘱的全面性, 提出应谨慎对待有毒中药的使用剂量和时间, 选用正确的药材基原、炮制品、剂型及服药法, 了解现代毒理知识, 注意多种药物同时服用对机体的损害等, 从而安全合理使用有毒中药。Abstract: From the clinical perspectives, toxic side effects occur after using toxic Chinese medicine. There are multiple reasons, such as lack of attention towards toxicity of Chinese medicine, ignorance of detoxification and controlling knowledge, excessive and long-term use of toxic Chinese medicine, improper use of medicinal materials and processed products, inconsistency between tradition and its usage and dosage, inadequate medical advice after diagnosis and etc. Therefore, it is suggested that Chinese medical practitioners should pay attention to the toxicity and toxic side effects of traditional Chinese medicine; master the theory and methods of controlling and detoxification. They should also select the correct medicinal materials, processed products, dosage forms and medication methods; understand the contemporary toxicological knowledge, and pay attention to the key problems such as the damage to the body caused by taking multiple drugs, so as to use toxic traditional Chinese medicine safely and reasonably.
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