1. Traditional Chinese medicine also has toxic and side effects.
Traditional Chinese medicine has always been biased and toxic. Shennong Ben Cao Jing is one of the earliest monographs on traditional Chinese medicine in history, which classifies traditional Chinese medicine into three categories according to the degree of toxicity or according to deficiency and evil. Regardless of side effects or toxicity, basically:
(1) Chinese medicine treatment is to use drug bias to achieve the purpose of treatment;
(2) It is hooliganism to talk about toxicity without considering the object and dosage; If you feed your baby too much ginseng soup, people will die (see the following example for details);
(3) Traditional Chinese medicine prescriptions are divided into single prescription (using only one medicine) and compound prescription (using multiple medicines). If the compound prescription is used, the bias of the drug has changed again; Therefore, there are compatibility taboos, that is, predecessors have summarized which drugs cannot be used together, otherwise they are non-toxic or have low toxicity, but the toxicity will be greater after being used together;
(4) If we completely deny Chinese medicine and its application because of its possible side effects and toxicity, or improper use, it is entirely because of choking.
2, correctly understand the toxicity of traditional Chinese medicine.
(1) How to treat the toxicity of traditional Chinese medicine correctly? Now some people have this saying, because Chinese medicine is a natural medicine, and Chinese medicine is non-toxic, which is still very popular, especially in some drug advertisements, we often see that "pure Chinese medicine products are non-toxic." Well, it's actually commercial propaganda, which doesn't conform to the objective reality.
(2) As we all know, Chinese medicine has always emphasized that it is toxic as a medicine, and also emphasized the generality of this toxicity.
(3) All drugs are somewhat toxic, which is the same as the modern view. In Introduction to Modern General Toxicology, there is such a book, Introduction to General Toxicology, which suggests that drugs are toxic if they are used in healthy people and patients without indications. Any medicine is western medicine, and I think this should also apply to Chinese medicine.
(4) It is a kind of medicine, which is used for healthy people. It's not the disease itself, because the drug itself is biased, which creates a new bias. This is toxicity in a broad sense. It is used for patients without indications. This patient is not fit for this medicine. You are prone to toxic reactions after using it, and so is Chinese medicine.
(5) Therefore, this traditional Chinese medicine is a natural medicine, and it is not a completely natural medicine. There are also chemical synthetic products, especially mineral medicines and chemical synthetic products of mineral medicines. Most of them are toxic, and some are still very toxic. So in this part of nature, it is also toxic.
(6) Therefore, we should pay full attention to this statement as commercial propaganda, so it is its propaganda. We have studied Chinese medicine and Chinese medicine, so we should have a correct view, so the toxicity of this Chinese medicine exists, and some of it is still very serious. In recent years, there have been frequent reports of this kind of drug poisoning, which should be paid attention to, including some drugs for tonifying deficiency.
In the 1970s, I was talking about this ginseng. It seems that I have seen this new Chinese medicine. This magazine in Guangdong reported that there is a local habit. After the newborn was born, I fed a little ginseng water, mainly red ginseng. Because I feed it too much, the more I love it, the deeper the injury, and then I get poisoned. Results Two cases died, 1 case took a long time to rescue. Then all these fully show that many drugs that we usually think are safe are regarded as food. For example, hemp seed can be used as food. In some mountainous areas, sesame oil is used as edible vegetable oil in a large amount. In an industrial and mining area, fried fritters with sesame oil for breakfast, many or dozens of employees were poisoned, because the amount was too large, which was both food and medicine. It also has this kind of poisoning.
(8) So, first of all, don't agree that this Chinese medicine is not toxic, and natural medicine is not toxic. To treat it correctly, Chinese medicine is poisonous.
3. Correctly understand the prejudice of TCM.
(1) The second point is, since it is poison, why use it? Simply ban these drugs. So what kind of attitude should we take towards this view? That is, in the narrow sense of traditional Chinese medicine, many poisons have strong medical functions, some of which are irreplaceable, and no other drugs can replace them.
(2) It is very important in the clinic of traditional Chinese medicine. For example, learn from aconite in the future. Aconite is a toxic drug, and its toxicity is still relatively large. However, Chinese medicine may have no other medicine to replace it. Therefore, in the traditional clinical treatment of this kind of impotence, aconite is often the head medicine and the monarch medicine, and the dosage is still relatively large, which can receive good clinical curative effect. This is irreplaceable.
(3) Suppose that there are many poisons in these Chinese medicines. This has its use value and special curative effect, so it can't be completely eliminated. Therefore, this is a point that we should treat like this. This is the second point.
4. Dose and toxicity are also related.
(1) Then the third point is the most common bad tendency, the most important and the most common bad tendency at present. Now all this narrow poison is marked as toxic in books or pharmacopoeia, and the dose is getting smaller and smaller, which makes doctors timid. For the sake of safety, safety is safe, but below this effective dose, it becomes an ineffective dose and is useless. Only pay attention to safety, ignoring effectiveness, so this is also contrary to the purpose of medication.
(2) Another tendency is that the dose of non-toxic drugs is getting larger and larger, many times more than the usual dose, reaching this toxic dose. So when I talked about this dose just now, I talked about the clinical reports of 1 10 poisoning, which were not indicated in many literatures. For example, with 40 grams of ginseng, how can it not be poisoned? The newborn is just born and has little tolerance. If you feed too much ginseng water, you must be seriously poisoned, so this tendency must be grasped and remembered.
(3) Then, we should treat this narrow poison and this non-toxic one correctly, which is what our book says. We should have such a basic point of view, that is, "toxic concept, non-toxic medication", which is the third paragraph. In the first line of the third paragraph, to correctly treat the toxicity of traditional Chinese medicine, there is a sentence, "the concept of toxicity, non-toxic medication." When we use drugs, we should prescribe drugs, no matter in the narrow sense. We should all firmly believe that drugs may be toxic and may cause toxic reactions, especially poison in a narrow sense. We should attach great importance to these drugs, but we should not use them because they have the potential danger of poisoning. When using it, it is necessary to use it harmlessly, ensure the safety of drugs, and control it within the dose range below poisoning, giving consideration to both, ensuring both effectiveness and safety.
If we want to treat this poison correctly, we should be very careful when using it. So from the beginning of Shennong Materia Medica, we put forward that poison "begins like millet", that is, millet, so a little "illness will stop" and then forget it. If you don't double it, add a little more. "Don't take ten points, take degrees", gradually increasing. Neijing also said that "big poison cures diseases, ten divides into six", "common poison cures diseases, ten divides into seven", "small poison cures diseases, ten divides into eight" and "nontoxic cures diseases, ten divides into nine". The dosage we take is from small to large, so the more toxic the drug, the more we can't overdo it and the clinical use time can't be too long. This is very important to ensure the safety of poison dose. Therefore, this method of administration should be gradually accumulated and not excessive, which is also a principle that we should follow in clinic now, and this is the third point to correctly treat the toxicity of traditional Chinese medicine.
(5) Then the fourth point is that in the literature, most of the narrow-sense poisons recorded are reliable, but there are also some inaccuracies. Therefore, we can't completely take literature as the basis of TCM toxicity. We should also combine modern clinical and modern scientific research for serious research. For example, many drugs, such as asarum and Akebia manshuriensis, are not considered toxic in ancient literature, but they are actually toxic. When I was talking about Compendium of Materia Medica and Addendum to Compendium of Materia Medica, I said that in Compendium of Materia Medica, Zhang Dan was considered as non-toxic and nux vomica was also non-toxic, so in fact both Zhang Dan and nux vomica were highly toxic. In Shennong's Classic of Materia Medica, cinnabar ranks first in the top grade, which is considered as non-toxic, can be taken for a long time, can tonify deficiency and can preserve health, but this mercury sulfide is actually obviously toxic, so some non-toxic drugs recorded in ancient literature may be toxic, which we should pay special attention to, but on the other hand, some drugs recorded in ancient literature have always been considered toxic, but in fact it has no obvious toxicity, or it