Clinical with the point of lateral thinking

Chen Bo Hubei university of Chinese medicine

Liu ling Hubei province hospital of encephalopathy

China's traditional Chinese medicine to

        As an ever worship vulcans TCM doctor, clinical medicine often want to open this herbs, lateral root of aconite about herbs, dose and toxic will have to talk about it.

        The vulcans and fu Yang sent high-dose apply aconite root. Shanxi famous physician in the late zhang in "the zhang medical experience and selected," his father often used by large dose of save, dose between 30 ~ 60 grams, and said: "aconite root, or need not, use, reuse, quantity is little, the opposite effect." And explained: "aconite is lower, quantity is little not heavy drop sinks, in the upper energizer is on fire." Contemporary vulcans doctor Lu Chonghan has a similar view: "high-dose XinWen help Yang medicine and low-dose XinWen helps Yang medicine problems, whether or not a lot of problems will emerge, a small amount won't be a problem? I don't think anything is not absolute. Why use lightweight monkshood will sometimes fire? And with relatively large amounts of aconite root, the fire, instead of down? For example, big stones throw, just sink to the bottom, small, can play a lot of water", "fu Yang speak"). Said zhang, he is nothing but high doses of lateral root of aconite settling into the kidney has nothing to lose, and small dose of easy floating when hot. This view is probably vulcans (or make use of large doses of the physicians of aconite), large doses used the original basis of lateral root of aconite. But can that be?

        I have to pursue advanced study in a top three hospital of guangdong province, met a professor, curative effect is superior, and drug use is extremely light spirit, not to exceed 10 grams, lateral root of aconite I ever ask, give me the answer is, he saw a rheumatoid arthritis patients take 10 grams, lateral root of aconite appears aconitine poisoning, lead to serious cardiac arrhythmias, nearly fatal cases, so for the use or lateral root of aconite should be very cautious! I was very worship the confidence of the vulcans lay a very big a question mark. Later I went back to the clinic, to participate in a hypertrophic myocarditis casuistics death, finally the patient's Chinese medicine there are 6 g lateral root of aconite, the discussion mostly think, may be a aconitine poisoning death in severe arrhythmia. Analysis of the examples, it seems that the dose and lateral root of aconite vulcans differ.

        Is not all is so in clinic, and a large dose of aconitic example, one of my female colleagues, have low thyroid function, use western medicine may not be able to tolerate, oneself use the aconite decoction, use 100 grams of lateral root of aconite, I nervous about her, but used for a month, also did not see her obvious symptoms of poisoning, and complete control.

        This kind of situation is a bit messy! This kind of situation let I don't know what to do. So have to sink down and the thinking about the traditional Chinese medicine do a bit of magic:

        1. Whether monkshood poisoning associated with health, says a little bit more simple, which is a part of people allergic to monkshood exist, even allergic, and for some, the dosage of the same for others is very safe.

Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-03/08/content_70902.htm