Chinese and Western medicine is united by still lacking scientific basis
Red one patient, king of staff reporter, from will it be March 6 last year to June 27, take the intersection of ginkgo and blade, ginseng, invigorate the spleen pill, take China's decree of Western medicine at the same time. On June 28, this patient is positive because of urine erythrocyte full visual field, stool occult blood to enter PLA general hospital to go to a doctor. Analyze and discover, the anticoagulation function that the ginkgo acid included of ginkgo preparation can increase China's decree, high to endanger patient it influences to be may be more obvious for to get old and weak. In addition, the ginseng composition that the ginseng that this patient took invigorates the spleen and contains in pill has function against activity of blood platelet, also may cause the time of bleeding to lengthen. Three medicine share, lead to the fact INR ' Thrombinogen international standardization ratio) Reduce, present the erythrocyte in patient's blood. This is at the academic annual meeting of pharmacy of 2008 Beijing area held in the near future, PLA general hospital medicines ensure an example that the central traditional Chinese medicine pharmacy director Liu Ping cites while mentioning Chinese and Western medicine is united with the taboo. Chinese and Western medicine employ how about up to reasonable, effective, economic, safe jointly, have caused the discussion of the expert participating in the conference. The expert says, the Chinese and Western medicine is shared improperly although the risk exists, can't be put off easily by a slight risk, should guide the public's understanding of traditional Chinese medicine and Chinese medicine correctly, improve doctor and pharmacist to the vigilance interacting between the Chinese and Western medicines, thus make Chinese and Western medicine shared and up to 1+1 therapeutic effects which is greater than 2. Chinese and Western medicines have united and generally stored in China's Chinese medicine professor of pharmacy of pharmacy dept. of Guang'anmen hospital of academy of sciences Wang LiXia and invoked two groups of data with phenomena: First, one hospital of Guangxi is to the statistical analysis that 305243 prescriptions of the Chinese and Western dispensary were carried on of the whole year of 2006. Result reveal Chinese and Western patient that medicine employ jointly about 52537 person, have, treat the same kinds of antithetical couplet of disease, spend, also it have it treat unite to spend kinds of Chinese and Western medicine of diseases different,in, outside it contain, woman, child, emergency call, Chinese medicine,etc. a plurality of department. Second, one hospital of Zhejiang is to the clinic and result that the ward Chinese and Western medicine compatibility situation counts of 2001~2004 years. Among the this institute 3 year, Chinese medicine consume amount of money rise to more than 6,580,000 yuan from more than 2,060,000 yuan, the proportion which accounts for all medicines rises to 18.62% from 16.26%; Patient Chinese and Western medicine jointly employs the proportion to reach 68.76% to in hospital, clinic Chinese and Western medicine shares the proportion and up to 11.06% too. LiXia Wang say with combine traditional Chinese and western medicine constant development of work, the intersection of Chinese and Western and medicine combine, prevent and cure disease to be becoming general at being clinical. Because Chinese and Western medicine basic characteristic and function mechanism each can learn from other's strong points to offset one's weaknesses each other with particular emphasis, give full play to each advantage, its result has already got the extensive approval of the medical circle, nearly contain each field of clinical treatment. For example there is cooperative effect in resisting inflammation, resisting the allergy in licorice root and hydrogenation cortisone; Melt side effect of having a liking for sleeping etc. in the west of the ground, share with the sweet soup of skill of the Guangxi Zhuang Autonomous Region of fuling, consumption only takes 1/3 of regular consumption, having a liking for the side effect of sleeping etc. can be dispelled; Cuttlebone and white and powder not only can arrest blood and subside swelling, but also can protect the mucous membrane of stomach, cooperate with them to make up tablets, can prevent the serious digestive tract produced in chemotherapy of tumour from reacting. But because chemical composition and pharmacology function of traditional Chinese medicine are complicated, Chinese and Western medicine is jointly improperlied use not only will reduce curative effect, increase the side effect, may cause medicine source disease even more and even jeopardize the life. So, the potential risk shared how to face the Chinese and Western medicine, evade and prevent the incompatibility between the Chinese and Western medicines, make it produce the therapeutic effect better, become the new problem that doctor, pharmacist need to face. How to avoid the emergence of Chinese and Western medicine incompatibility Chinese medicine use and need to weigh the advantage and disadvantages too? Wang LiXia says, traditional Chinese medicine and Western medicine unite the question of interacting by needing to consider medicines, it is the same that this interacts as medicine of Western medicine, including the change of pH value, or produced the chemical reaction each other, result in precipitate, the intersection of chela and the intersection of person who shut and the intersection of medicine and the intersection of physics and change of property; May influence in internal absorption, distribution, supersession each other and excrete the course among the Chinese and Western medicines, make medicines such as the medicine density of blood, half-life of traditional Chinese medicine or Western medicine,etc. take the place of the dynamics parameter and change. In addition, treat the Western medicine with narrower window as to some, traditional Chinese medicine is even more important to the influence of Western medicine. "A lot of patients have prejudice to the views of Chinese medicine even traditional Chinese medicine now. " Wang LiXia says, under the lining in strong poisonous side effect of chemical medicines, the relative advantage of the low toxicity of Chinese medicine is regarded as " safe " artificially ,Its poisonous side effect is faded from memory by people gradually. A lot of patient think traditional Chinese medicine get up result to be slow, function obvious, share, influence and not strong with other medicine. And in fact, current medicines of our country are examined and commented in system and medicines standard, through studying and through examining and approving quite a lot compositions which contain the Western medicine in Chinese medicine which get the authentication code. Wang LiXia says, through finding the statistical analysis that relevant situations with Chinese medicine of Western medicine recorded in 1~20 of edition pharmacopoeia and traditional Chinese medicine ministry standard of our country 2000 pay, nearly there are more than 200 kinds of Chinese medicines containing Western medicine, its Western medicine mainly has 8 big classes, including containing the Western medicine dose, listing benzene urea in Chinese medicine curing diabetes; Antipyretic and treat, contain, solve hot antalgesic, antiallergic, antiviral medicine etc. in Chinese medicine of cold; Relieve cough, breathe heavily in the Chinese medicine containing the intersection of Chinese ephedra and alkali, the intersection of chlorine and ammonium, serious special Kayin that while being flat; Chinese medicine of depressor contains hydrogen chlorothiazide, hydrochloric acid coke fixing, rutin; Contain Procaine, atropine, bismuth hydronitrous acid, sulphur candy aluminium,etc. in Chinese medicine curing disease of digestive system; Contain salicylic acid first ester, Procaine hydrochloride, chlorpheniramine, diphenhydramine,etc. in external application. In addition, some medicines according to examination and approval of Western medicine contain traditional Chinese medicine, and traditional Chinese medicine seemingly of name, such as compound bluish dogbane slice,etc.. "Because excessive to take, quench one's thirst pill lead to the fact hypoglycemia incident that shock even died has already happen. " Wang LiXia says, studying through the compatibility and Chinese medicine containing Western medicine composition by formal examination and approval, may help patient's administration, should take or separate the puzzlement of the clothes to traditional Chinese medicine and Western medicine together after removing a patient. But if patient and medical worker have neglected its Western medicine composition, strengthen with the medicine amount blindly or take Western medicine with the same or similar composition at the same time, may lead to the fact curative effect is too strong and presents the poisonous side effect. So should strengthen the rational administration of this kind of medicines to propagate, the medical personnel should enhance vigilance, at the time of situation and condition of using medicine of analyzing the patient, should inquire the patient's history of using medicine in detail, thus discover the problems in time. It has experts to point out, though the bad reaction that cause traditional Chinese medicine is being paid attention to that the Chinese and Western medicine compatibility still lacks the census, but the intersection of medicine and result that compatibility use contrast or report of bad reaction that might take place few to the intersection of Chinese and Western and the intersection of medicine and experimental data and Chinese and Western of compatibility, so there is no scientific basis in the course of jointly using in Chinese and Western medicine, Even if the doctor thinks to abuse, there is a theory or literature basis. So in cases the Chinese and Western medicine compatibility is employed increasingly generally at present, how about increase the basic research, raise the reasonable compatibility, seem more urgent and more important. Liu Ping says, though every hospital Chinese and Western medicine unites and uses the taboo prescription to be numerous, but there are actually few figures counted. Mainly in that want to it takes to get the accurate figure and count all prescriptions that a patient is going to a doctor and opening on the same day, including Western medicine prescription and Chinese medicine prescription, the work load is very large; In addition need doctor and pharmacist understood to have check that checks on to the intersection of Chinese and Western and the intersection of medicine and the intersection of administration and knowledge also, whether have incompatibility that is judged to the medicine. However, the shortage of software talents makes this job unable to implement. Wang LiXia tells reporters, make the incident happen with several medicines correlated to traditional Chinese medicine in recent years, the public even the medical personnel, all to traditional Chinese medicine, Chinese medicine curative effect, production query of security. "A lot of patients accepting the Chinese and Western medicine and jointly treating now, once present the medicine bad reaction, regarded as the traditional Chinese medicine question, but actually a lot neglect the interaction between medicines, even Western medicine improperly use lead to the fact " . So strengthen the public's understanding of traditional Chinese medicine and Chinese medicine security, strengthen pharmacy to guard, improve medical personnel's investigation to Chinese and Western medicine compatibility to count and summarizes and analyze, make the intersection of Chinese and Western and medicine use, have according to can be depended on, may guarantee that it is safe and effective to use medicine jointly, and played the impetus in carrying forward our country's traditional medical culture.
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