You have to pay attention! This kind of Chinese herbal medicine cooks soup. Every year, people die of poisoning

"One autumn rain, one cold, ten autumn rains, put on cotton." After several autumn rains, the weather turns cold, and the pace of winter is approaching This kind of climate is most suitable for making a pot of hot soup to relieve the cold weather and the fatigue of working all day Have you taken out the casserole that you have pressed for half a year? There is an old saying called "tonic is better than tonic" Many neighbors like to buy some Chinese herbal medicine to add when they cook soup They think it can play a tonic role The proper use of Chinese herbal medicine can really play a tonic role, but many villagers are not clear about the drug properties of Chinese herbal medicine, leading to frequent poisoning events Among them, the poisoning events of Chinese herbal medicine containing aconitine by mistake occur every year, especially in Yunnan, Guizhou, Sichuan and other places Yunnan is located in the Yunnan Guizhou Plateau It is rainy and humid in the mountain area Arthritis and other diseases are common There are local customs of cooking and eating Aconitum kusnezoffii, removing cold with Epiphyllum, warming up and preventing diseases "Stewed pig's feet with grass black" is a special local food for local people in Binchuan, Yunnan Province The ingredients are stewed with fresh pig's feet and chicken's feet with grass black in small fire Because aconitine, a highly toxic component, is contained in aconitine, the stewing time and process of "stewing Aconitum with fresh pig's feet" are extremely strict, and it takes a long time for stewing to reduce the toxicity It's freezing in winter Customers don't know if the stewing time of ingredients is not enough, there will be strong poison They urge the store to get out of the pot If the store is a little greedy, it will lead to disaster In September 2015, a villager in Jinniu Town, Binchuan County invited more than 30 relatives and friends to cook and stew pig's feet in the house, resulting in poisoning of 27 people and invalid rescue of 6 people The government information disclosure platform of many cities and counties in Yunnan Province issued an early warning, forbidding all units and individuals to sell the food with caoku and aconite as raw materials, forbidding catering enterprises, school canteens, hotel canteens, government enterprises and institutions to process and eat toxic Chinese herbal medicines, and forbidding the masses to invite each other, gather people to cook and eat toxic Chinese herbal medicines such as caoku and aconite It's forbidden by the policy, but it's impossible to completely eliminate the hidden danger of safety When you buy health preserving brine or health preserving soup on the street, you must pay attention to the ingredients and ingredients Why can the food stewed with Aconitum kusnezoffii and monkshood be poisoned if the stewing time is not enough? Next, the editor will give you a general introduction Aconitine containing Chinese herbal medicines mainly include Chuanwu, caopus, aconite, Artemisia on snow, etc Chuanwu is the dry mother root of Aconitum carmichaelii DEBX Aconite is the processed product of Aconitum carmichaelii Aconitum kusnezoffii is the root of Aconitum carmichaeli DEBX It is a common Chinese medicine in clinic [toxic dose & toxic symptoms] aconitine poisoning dose is generally 0.2mg, lethal dose is 2-4mg, toxicity is mainly aimed at nervous system (especially vagus nerve), toxic symptoms are mainly manifested as tongue and mouth, limbs and general numbness, headache, dizziness, trance, language confusion or incontinence of urination, followed by limb convulsion, closed jaw, respiratory failure The poisoning symptoms of digestive system and circulatory system mainly include salivation, nausea, vomiting, abdominal pain, diarrhea, hyperactivity of bowel sounds, palpitation, shortness of breath, arrhythmia, blood pressure drop, pale face, cyanosis of mouth and lips, cold limbs, etc [common causes of poisoning] apart from overdose, improper use (such as too short cooking time or raw use), and taking Paojiu, the poisoning can also cause accumulated poisoning due to individual differences, so even if the stewing time is long enough, it is not recommended to take it for a long time [emergency treatment after poisoning] repeatedly induce vomiting and gastric lavage, intramuscularly inject 0.5-1.0mg of atropine (lidocaine intravenous injection, intravenous drip), and orally take the decoction of mung bean, liquorice, ginger, honey, etc [hydrolysis principle of aconitine for detoxification] aconitine is a diester type alkaloid When heated in alkaline water or soaked in water directly, the ester group can be hydrolyzed to form monoester type alkaloid (aconitine) or ester free alkanolamine type alkaloid (aconitine) The ester free alkanolamine type alkaloid is almost non-toxic This is the principle that the toxicity of aconitine containing Chinese herbal medicines becomes smaller after being processed by water immersion and heating [alias & medication taboo] the aliases of Chuanwu: Aconitum, five poisonous roots, Tianxiong, leaky basket, chuanwutou, zhichuanwu, Qianqiu; the aliases of Caohu: Caohu, zhicaohu, wubeak, Jidu, tufuzi, duanchangcao, and monolith; the aliases of Fuzi: Fuzi, cooked Fuzi, sidezi, wufuzi, wufuzi, heishun, heifuzi, mingfuzi, cooked Fuzi, xiongpian; When using these Chinese herbal medicines, we must be alert, not to use them at the same time with Fritillaria, pinellia, Baihe, Cayratia, smallpox powder, Trichosanthes (whole Trichosanthes, Trichosanthes skin, Trichosanthes kernel, smallpox powder), etc [Chinese patent medicine & classic prescription] aconitine limit inspection is also a common inspection item of Chinese patent medicine containing Aconitum Table 1 shows the Chinese patent medicine containing Aconitum in Pharmacopoeia of the people's Republic of China (2015), in which 13 Chinese patent medicine formulas, such as Xiaohuoluo pill and papaya pill, contain 2 kinds of aconitine Table 1: Chinese patent medicines with Aconitum included in the first volume of Pharmacopoeia of the people's Republic of China (2015 Edition) table 2: classical Chinese medicine prescriptions with Aconitum finally remind you that you must be careful when selecting Chinese herbal medicines in the pot health soup, especially when adding multiple Chinese herbal medicines, you should also be clear about the medicinal properties, pharmacology and usage of Chinese herbal medicines In addition, when taking Chinese patent medicine and Chinese herbal formula containing Aconitum, we must carefully read the drug manual and follow the instructions of doctors and pharmacists We must not take medicine without authorization, and there is "survivor error" Data source: Yaozhi Chinese patent medicine prescription database & Classic Traditional Chinese medicine prescription database note: This article is original by the author of yaozhi.com, welcome to reprint, please indicate the source and author when reprint, thank you!