The people's understanding and trust in Chinese medicine is strengthening, and proprietary Chinese medicine with Chinese medicine as raw material has many advantages and is widely welcomed by pharmacy consumers. What do you need to pay attention to in the purchase and use of proprietary Chinese medicines?
Proprietary Chinese medicine has indicated its treatment direction in the name, generally for a single disease, only one proprietary Chinese medicine can be used, but for complex diseases, several diseases are combined, and two or more proprietary Chinese medicines will be selected to be used together in order to play a better treatment effect.
However, due to the complexity of proprietary Chinese medicines, not all proprietary Chinese medicines can be used in combination, are the inherent "eighteen antis" and "nineteen fears" of Chinese medicines also applicable to proprietary Chinese medicines? What contraindications should be paid attention to in the combined use of proprietary Chinese medicines?
Proprietary Chinese medicines with similar efficacy
Proprietary Chinese medicines with the same or very similar efficacy are not recommended to be used at the same time, and one can be taken selectively. If used together, there may be repeated medications, that is, overtreatment.
From the perspective of proprietary Chinese medicines, many of the formulas of proprietary Chinese medicines, although not exactly the same, are very similar, and are prone to excessive bias when used in combination.
For example:
(1) Quick-acting heart-saving pills (Sichuan root, ice chips) + compound danshen drop pills (danshen, sanchi, ice chips)
(2) Double skullcap granules (honeysuckle, skullcap, forsythia) + blue root oral solution (plate blue root, skullcap, gardenia, yellow cedar, fat sea)
(3) Tongtian oral liquid (Sichuan root, red peony, tianma, qianghuo, baizhi, fine spices, chrysanthemum, peppermint, windproof, tea leaves, licorice) + Sichuan root tea dispersion (Sichuan root, bai zhi, qiang huo, fine spices, jing mustard, windproof, peppermint, licorice)
(4) Bovine yolk detoxification tablets (artificial bovine yellow, male yellow, plaster, rhubarb, skullcap, platycodon, ice flakes, licorice) + bovine yolk supernatant pills (artificial bovine yolk, mint, chrysanthemum, wattle mustard spike, white root, Sichuan root, gardenia, huanglian, yellow cedar, skullcap, rhubarb, forsythia, red peony, angelica, ground yellow, platycodon, licorice, plaster, ice flakes)
Proprietary Chinese medicines with toxic ingredients "accumulated"
If you only choose drugs according to the condition and do not understand the composition of the prescription, it is easy to lead to the accumulation of toxic ingredients, produce adverse reactions, and serious cases can also cause poisoning.
(1) Dahuo Luodan (Appendage) + Tianma Maru (Appendix)
Both drugs contain epiphany, and if used together, it increases the intake of aconitine, increases the probability of adverse reactions, and adverse reactions such as exercise paralysis, heart rhythm disorders, and Ass syndrome occur.
(2) Cinnabar Anshen Pill (Cinnabar) + Heavenly King Tonic Heart Dan (Cinnabar)
If the two drugs are combined, the amount of toxic drug smell will be increased. Because it contains cinnabar, its toxic component is mercury, excessive or long-term use of mild adverse reactions can appear nausea, vomiting, dizziness and fatigue, heavy can lead to kidney failure.
(3) Bovine Yolk Detoxification Tablets (Xiong Huang) + Liushen Pills or Laryngology Pills (Xiong Huang)
Both of these drugs contain male yellow, if used together, the amount of arsenic, the toxic ingredient, is inadvertently increased by 2 to 3 times.
Proprietary Chinese medicines with interactions between drugs
When the constituent components of some proprietary Chinese medicines are used together, they may interact with each other and bring about adverse reactions.
Proprietary Chinese medicines containing cinnabar such as magnetic Zhu pills, Baizi Yangxin pills, Angong Niuhuang pills, Su Hexiang pills, etc. and proprietary Chinese medicines containing more reducing bromine ions or iodine ions such as epilepsy tablets, double red anti-asthma tablets, anti-gall shunqi pills, etc. are taken for a long time.
Irritating mercury bromide or mercury iodide forms in the intestine, leading to drug-induced enteritis.
The compatibility taboo of proprietary Chinese medicines containing "eighteen antis" and "nineteen fears" There are provisions in the Chinese Pharmacopoeia (2005 edition, one part) that should not be used together, and from the perspective of varieties that are not suitable for the same use, there is no breakthrough in the varieties contained in the "eighteen antis" and "nineteen fears". The drugs in "Eighteen Antis" and "Nineteen Fears" should be contraindicated in compatibility, and in principle, their application is prohibited.
Containing "eighteen anti" medicinal taste of proprietary Chinese medicine is contraindicated
(1) Dahuo Luodan, Esoteric Powder, Tianma Pill vs Chuanbei Loquat Dew, Snake Bile ChuanBei Liquid, Tongxuanli Lung Pills
Dahuo Lodan, esoteric punch, tianma pills contain appendages, Chuanbei loquat dew, snake gall Chuanbei liquid, Tongxuanli lung pills and Chuanbei, Banxia, according to the principle of compatibility taboo, if the above two types of drugs are used together, it is the opposite contraindication.
(2) Heart-to-heart oral liquid, expectorant cough granules vs orange red sputum cough granules, Tongxuanli lung pills, antitussive ning capsules
Because licorice is more commonly used in proprietary Chinese medicine, it is easier to be ignored when combined with other proprietary Chinese medicines containing the opposite ingredients, such as seaweed in the oral liquid of the commonly used Chinese proprietary Chinese medicine, expectorant and cough suppressor particles contain sweet sui, if combined with orange red phlegm cough granules, Tongxuanli lung pills, antitussive Ning capsules and other proprietary Chinese medicines containing licorice are also "eighteen anti" contraindications.
Containing "nineteen fears" medicinal taste of proprietary Chinese medicine is contraindicated
Choleretic stone tablets, chole capsules, bile ning tablets vs Liuying pills, Su He Xiang pills, Miao Ji pills, pure Yang Zheng Qi pills, Purple Snow Powder
Choleretic proprietary Chinese medicine choleretic stone tablets, chole capsules, cholenin tablets, etc. all contain tulips, if used simultaneously with Liuying Pills, Su He Xiang Pills, Miao Ji Pills, Pure Yang Zhengqi Pills, Zi Xue Shan and other proprietary Chinese medicines containing cloves (mother cloves), it is a contraindication of "Nineteen Fears" drugs.
In addition, some drugs have the side effect of damaging the fetus and causing abortion, so they should be contraindicated as drugs for pregnancy. According to the degree of damage to the fetus, the drug can generally be divided into two categories: banned and cautious.
Most of the drugs that are banned are highly toxic or highly medicinal drugs, such as croton, morning glory, euphorbia, cantharid, Shanglu, musk, triangular, curcuma, leeches, flyworms, etc.;
Caution includes medications such as psoriasis removal, qi breakage, and spicy fever, such as peach kernels, safflower, rhubarb, citrus aurantium, appendages, dried ginger, cinnamon, etc. Drugs that are banned must not be used; drugs that are used with caution can be used according to the condition of the pregnant woman.com. But if there is no special need, it should be avoided as much as possible.
Source: Combination medication
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