Let western medicine accept "learning from the west" training and rational use of traditional Chinese Medicine

The State Food and Drug Administration announced recently that it decided to add warning words to the instruction manual of Chaihu Injection, and revise the adverse reactions, taboos, precautions, etc under the taboo item, it also added "children forbidden" When it comes to Chaihu Injection, many people are no strangers Chaihu Injection is the first Chinese medicine injection in the world, with a clinical application history of more than 70 years It is an unavoidable fact that children use injection frequently According to the report of adverse drug reactions in children in 2017, 83.5% of the drug formulations involved were injections, significantly higher than the proportion of injections in the overall report Children are not miniaturized adults Adults can use drugs Children don't necessarily use them This is also a wake-up call for the safety research of traditional Chinese medicine Traditional Chinese medicine has the characteristics of green and little side effects According to the monitoring data of adverse drug reactions in China over the years, more than 80% of adverse drug reactions are caused by chemicals, while less than 20% by traditional Chinese medicine However, some people think that traditional Chinese medicine is toxic, causing liver injury and kidney injury and even carcinogenesis The reason for this lies in the historical debt of traditional Chinese medicine in safety research The manual of Western medicine can list several pages of adverse reactions, many taboos can be written, and there are many precautions For most traditional Chinese medicine, no matter adverse reactions, taboos or precautions, there are only four words: not clear yet Such a vague specification cannot satisfy the public's right to know how to use drugs Some people say that the adverse reactions of traditional Chinese medicine are "not clear", that is, no adverse reactions can be found, which just shows the safety of traditional Chinese medicine In fact, the safety of traditional Chinese medicine is mainly reflected in clinical taboos One is the taboo of quantity Traditional Chinese medicine, such as military use, is not more beneficial, but accurate dosage, to ensure the advantages of medicine and eliminate the disadvantages of medicine, to prevent the bias of medicine will correct the human body The second is the taboo of syndrome The key of using traditional Chinese medicine lies in syndrome differentiation and treatment Cold has the distinction between wind cold and wind heat cold It doesn't work if people take the medicine to treat wind heat cold Take Bupleurum chinense as an example It is not effective for other heat type children to use it as clearing away heat and relieving external symptoms Only when it is treated properly can it be safe Third, taboos The symptoms of the same disease are different in different people, and the medication is also different In the 1950s, Pu Fuzhou, a famous Chinese medicine, made 98 prescriptions for 167 cases of JE Xue Boshou, his disciple and master of Chinese medicine, has developed more than 10000 prescriptions If the dosage is taken into account, there are almost no two prescriptions of the same kind Some people ask, Chinese medicine in the Chinese people for thousands of years, why do mice nod? Because of the clinical taboo of traditional Chinese medicine, it did not translate into the application of adverse drug reactions The safety research of traditional Chinese medicine has always been the short board of traditional Chinese medicine Ancient books of traditional Chinese medicine, as vast as a sea, contain numerous drug use taboos in medical cases Like scattered pearls, no strings can be found In order to form a new safety evaluation system of traditional Chinese medicine, it is necessary to study the mechanism of adverse reactions of traditional Chinese medicine The harm of medicine is not medicine Both Chinese and Western medicines have adverse reactions, the key is to use them reasonably The doctor's medication is unreasonable and cannot be attributed to the drugs In recent years, in the adverse events of traditional Chinese medicine, the proportion of traditional Chinese medicine injection dosage form problem is more than 50% In addition to the high safety risk of injection form, it is mainly due to the wrong prescription of some doctors Statistics show that 70% of Chinese patent medicines are prescribed by western medicine Some western medicine don't pay attention to syndrome differentiation and treatment, and they are not familiar with the properties of warm, hot, cold and cool traditional Chinese medicine At present, it is not realistic to simply prohibit western medicine from prescribing traditional Chinese medicine The best way is to let the western medicine of traditional Chinese medicine learn the principles and knowledge of traditional Chinese medicine, receive standardized "Western learning" training, and use traditional Chinese medicine scientifically and reasonably Medicine is a double-edged sword If you use it well, it's medicine If you don't use it well, it's poison We hope that more doctors can reasonably use traditional Chinese medicine, reduce the occurrence of adverse drug events, and make patients feel more comfortable taking traditional Chinese medicine.