Tuesday, August 13, 2013

How to avoid the side effect of traditional Chinese medicine injectable preparation

How to avoid the side effect of traditional Chinese medicine injectable preparation
From 2006 " The parenteral solution incident of Herba Houttuyniae " By 2008 " Sting five plus parenteral solution incident " , " Zhi's yellow parenteral solution incident of the mattress " ,And then reach recent emergence " The parenteral solution incident of pair of the rhizome of Chinese goldthread " ,The security question of traditional Chinese medicine injectable preparation has caused society's extensive concern. How the security of traditional Chinese medicine injectable preparation guarantees, besides catching this source of the quality of production of pharmacy enterprise, clinician and nurse use medicine rationally accurate compatibility and it uses to be the key to avoiding traditional Chinese medicine preparation and going wrong even.
In the past few years, the traditional Chinese medicine injectable preparation security problem has happened again and again, and then its security has received society's extensive concern, my investigation finds, in using the course of traditional Chinese medicine preparation, the following 8 items can often cause the emergence of the injectable preparation bad reaction of traditional Chinese medicine.
The medicine card does not accord with and cause the bad reaction
Though traditional Chinese medicine injectable preparation can not be added or subtracted with the card like traditional Chinese medicine prescription, each kind of traditional Chinese medicine injectable preparation has its functions to cure mainly, can't abuse. As the family name " China " Traditional Chinese medicine parenteral solution can't that Chinese medicine make a diagnosis without being left for basic principle - -The dialectical theory is managed, after only making correct Chinese medicine dialectically to disease, it could be rational to use this medicine safely, and make its drug effect totally given play to, the poisonous side effect is minimized. At clinic, " have a fever with clear to turn on the intersection of fairy and needle, infect, take pairs of the intersection of the rhizome of Chinese goldthread and the intersection of powder and needle, cardiovascular disease use fragrant red needle " ,This is a doctor (including Chinese medicine and Western medicine) Unwritten rule formed while enclosing. The Western medicine doctor often uses traditional Chinese medicine injectable preparation according to the medicines manual, and the one that state on the manual is mostly experiment research and pharmacology research contents, the function is cured mainly or indication content is mostly names of disease of Western medicine, lack the description of the Chinese medicine card. Such a state lets those want to insist Chinese medicine of the thought of treating of the dialectical theory can find no way out too, can only rely on the knowledge of square medicine of group to use medicine with the experience. As everyone knows, indication of Western medicine is decided by its chemical constitution, and the function of traditional Chinese medicine depends on nature, injectable preparation is no exception, traditional Chinese medicine injectable preparation is some nature, generally speaking, can not find out on the medicines manual, do not understand its result of traditional Chinese medicine must be used blindly.
According to the statistics made by the departments concerned, 95% of the traditional Chinese medicine injectable preparation is grown and open by Western medicine in most large-scale general hospitals at present, these with scarce knowledge clinicians to traditional Chinese medicine theories are while employing traditional Chinese medicine parenteral solution, must manage on little dialectical theory at choice of indication, and large to " strain the meaning of the word " ,To abuse traditional Chinese medicine parenteral solution on clinic, cause the increase of its bad reaction directly.
Countermeasure: Should regard Chinese medicine theory as guidelines the dialectical theory is managed, can't use according to the explanation of medicines briefly.
The compatibility is unreasonable to cause the bad reaction
Traditional Chinese medicine injectable preparation faces sheets to use less alone, many and other medicines (midwest) Jointly use, because the composition of traditional Chinese medicine parenteral solution is complicated, improper with infusion and other medicine compatibilities, will produce pH changing, clarity changing, wadding or a series of change of changing etc. of precipitating appearing, color of solution. Traditional Chinese medicine injectable preparation and other medicines especially Western medicine compatibilities employ the question to cause the attention.
At present, at being clinical often the intersection of traditional Chinese medicine and injectable preparation and other medicine such as the intersection of Western medicine and the intersection of compatibility and application, what Chinese and Western medicine is used together is in coordination with potentiation in order to reach, but if compatibility improper apt physics of medicinal solution, chemical reaction of causing parenteral solution color to change etc., , will appear immediately muddily, there is wadding that is precipitated sometimes, precipitate to get crystallization,etc. sometimes. Clinical statistics show, parenteral solution of compound root of red-rooted salvia adds the vein into low molecular dextrose anhydride parenteral solution to instil, it is relatively apt to cause the allergic response. So clinical practice traditional Chinese medicine should try hard, use alone at the parenteral solution, should not with other medicine in mix and use with a container. Emergence of 2006 " The injectable preparation incident of Herba Houttuyniae " In 222 serious bad reaction case histories which China reports, most cases are mixed and employed the history with a container with other medicines. So, to the compatibility of clinical Chinese and Western medicine, especially it needs to be prudent while using medicine to inject,
Countermeasure: Try hard to use traditional Chinese medicine injectable preparation alone.

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