Traditional Chinese medicine toxicity cannot "oolong"

May 13, 2016

Source: People's Daily

The dialectical view of Chinese traditional medicine toxicity, inseparable from the promotion of public health literacy. Medicine is a double-edged sword, scientific and rational to treat Chinese traditional medicine, to make good medicine for health

35, ms ho to prepare to have two children, feel the body is weak, so looking for a Chinese medicine. However, when she saw the doctor's prescription medicine of fleece-flower root, immediately angry, because she thinks fleece-flower root is hurt liver medicine.

Also many similar examples. State drug supervision administration issued a bulletin of adverse drug reactions information prompt fleece-flower root and its oral drugs preparations may cause the risk of liver damage. In recent years, with the extensive application of Chinese herbal medicine in the world, Chinese medicine cause liver injury disputes more and more.

In fact, the so-called "Chinese medicine hurt liver," mostly "errors" and "misjudged cases". In traditional Chinese medicine clinical, pay attention to "drugs such as fight", not just a certain ingredients or a certain drugs play a role, and can be a bit more > > > joint operations, multiple drug combination in multiple targets, achieve compatibility between drugs, achieve the function of attenuated synergies. With standard to evaluation of traditional Chinese medicine, western medicine would inevitably make traditional Chinese medicine nursing "time". Current clinical applications often combined Chinese medicine and western medicine, such as vitamin C fructus forsythiae piece, cold ling granules contain acetaminophen can cause liver damage, as a result it is difficult to determine clinical liver injury medicine source disease is western medicine or Chinese medicine. Part of notoginseng, confused Chinese herbal medicines such as notoginseng and soil quality is uneven, even by toxic pollution. There is so much confounding factors influencing liver toxicity of Chinese herbal medicines, cut constantly, science also disorderly, "misjudged cases" correct up also really a little difficult.

Recently, the group of China association of Chinese medicine standard "Chinese herbal medicine related to guide clinical diagnosis and treatment of liver, this is the first specialized liver damage diagnosis technology at home and abroad. Because of "the western medicine, Chinese medicine" biased diagnosis thinking, at present most of the research of Chinese herbal medicine as a whole, with one kind of chemical medicine and even a certain kind of chemical medicine, often one-sided conclusion - accounted for a higher cause liver damage drugs of Chinese herbal medicine. The guide effect of Chinese herbal medicine according to the divided into nourish, 21 categories, such as clear heat medicine chemical medicine into anti-tb drugs, antineoplastic drugs such as 11 categories, in order to Chinese herbal medicine and chemical medicine as a whole respectively parallel comparison, found that Chinese herbal medicine proportion of liver damage caused by lower than chemical medicine.

The results though washed white the stigma of traditional Chinese medicine liver damage, and can't deny the lack of research on adverse reactions caused by common Chinese patent medicine in our country. Modern medicine to drug-induced liver injury have in-depth understanding, specific to certain types of drugs such as "anti-tb drugs" "antitumor drugs" "antibiotics", even detail to a specific chemical composition. More than 900 kinds of chemical medicine is clear as drugs can cause drug-induced liver disease, and become the modern drugs delisting of the most common cause. In contrast, traditional Chinese medicine (TCM), due to the complexity of Chinese native medicine ingredient, also lack of security research data at home and abroad, people do not understand Chinese herbal medicine of the risk of liver damage, rational couldn't say for sure. For adverse drug reactions, the doctor of traditional Chinese medicine can't "talk about liver damage and color change", lose your voice can only be charging, it is important to establish the objective diagnostic evidence from clinical and laboratory chain, clarify the relationship between the drug-induced liver disease and Chinese herbal medicine science.

The ancients said: "the danger of drugs in medical is not medicine". Whether rational drug use, is the key to the doctor. On the basis of the accurate syndrome differentiation of traditional Chinese medicine, clinical exquisite small amount first, in the disease. For toxic drugs, must go through the corresponding processing to the attenuated synergies. Fleece-flower root, for example, can be divided into raw radix polygoni multiflori and radix polygoni multiflori, the former raw processing, the latter has been treated. Nine steam nine sun fleece-flower root of processed products and raw radix polygoni multiflori, in clinic the medicinal efficacy difference is very big, this is western medicine is difficult to understand Chinese traditional medicine. An incomplete statistics show that about 70% of China's proprietary Chinese medicine is composed of general hospital in western medicine physicians to prescribe. Put an end to open Chinese traditional medicine western medicine is not reality, more feasible way is, open Chinese traditional medicine western medicine related training, in the "western" qualified can open Chinese traditional medicine.

The dialectical view of Chinese traditional medicine toxicity, inseparable from the promotion of public health literacy. Drug is a double-edged sword. On the one hand, the public can not blindly long-term use of certain drugs; , on the other hand, also can't remember "is a medicine three minutes poison", while ignoring the "seven points effect". Scientific and rational to traditional Chinese medicine, to make good medicine for health.