Detailed explanation of the method of using traditional Chinese medicine

licorice anti: Euphorbia, Coriander, Kansui, seaweed; _spanspan _spanspan, summer melon, , , , Bai Sui;

Veratrum anti: Asarum, peony , ginseng, adenophora, sophora flavescens, salvia .

Nineteen fears: refers to 19 kinds of drugs,It is not advisable to mix the drugs that are named to be intimidating. The main purpose is to prevent chemical composition changes between them, which can offset or weaken the effective effect of another medicine, or cause other toxic and side effects.

stone sulphur, fine in the fire, fight against the sapon;

span_span_span_span5; Chuan croton, poisonous, black and white, ugly, uncomfortable;

male and female diced, avoid turmeric; mirabilis, fear of turmeric; _span _span1 span _span1 , Unsound rhinoceros; Wulingzhi, fear of ginseng;

Guangui, cure cold, meet stone fat, not synergistic; _ _p9span span1p , Used for concoction, Mo Xiangyi.

such as veratrum is a product that induces emesis, and ginseng for nourishing energy, salvia for blood, sand ginseng for nourishing and moisturizing dryness, , as well as asarum and yin Peony of peony; Aconitum of Daxin and Great Heat, Fritillaria and Trichosanthes which nourishes the lungs and relieves cough and expectorant, and Baiji and Baiji for clearing heat and detoxification and stopping bleeding; Rhinoceros horns of Great Cold and Great Cool, and Sichuan Wutong of Great Xin and Great Heat , Caowu; fire-calcined product sulfur,And the big cold product mango sales and so on.

Any Chinese physician who is familiar with the medical principles, methods, prescriptions, and medicines of the motherland will not put the above irrelevant anti-fear medicines on the same side.

Some Chinese medicines are highly toxic, so the combined use of single use has the consequences of reversal and fear. Such as arsenic, mercury, sulfur, croton. Arsenic, mercury, and sulfur are minerals containing arsenic and mercury, which are highly corrosive and burning. If taken orally, acute gastroenteritis, pharyngeal burning, and even gastric hemorrhage and other poisoning symptoms may occur.

Of course, the above varieties are refined into Chinese patent medicines, and the content is low, so they can be taken internally. But it is not advisable to take it for a long time, otherwise it will cause chronic poisoning. Especially arsenic, both external and internal use are prone to poisoning.

In a word, the traditional Chinese medicine Bafan Niuine can aggravate the toxicity of the drug or reduce the efficacy of the drug. It is not ruled out that poison is used in treatment to fight poison with poison, but this is all based on the basis of syndrome differentiation and treatment. Under normal circumstances, things will still happen.

The drugs involved in the eighteenth anti-nineteen fears were prescribed by ancient physicians and generally cannot be used together. Therefore, in clinical practice, we should gradually summarize and improve through careful testing and research analysis. However, before a scientific basis has been obtained and the pharmacopoeia has not been formally collected, the ancient matching combination should still be followed to ensure safety.

It is often proved that using Pinellia and Aconite together, not only has a good effect, but also has never had any toxic side effects, and such compatibility seems to violate the so-called "Aconitum Anti-Banxia" in the so-called "18 Anti-Banxia" in traditional Chinese medicine. , There are also pharmacists questioned, it must be signed before deployment. But in fact, aconite is not the same as aconite. Although the two are closely related, they are two medicines. There are certain differences between the medicinal properties and the toxicity. Rescuing the adversity, replenishing the fire and assisting the sun, the power of the cold is defeated; Aconitum is the main root (mother root) of Aconitum, which is divided into two types: Sichuan Aconitum and Caulis Aconitum. They have similar effects. They all have the power of expelling wind and dampness, warming menstruation and relieving pain. Aconite is better than aconite in dispelling wind and numbness, but it is not as powerful as aconite, but it is not as powerful as aconite. According to "wind", aconitum is more toxic than aconite, and its dosage and compatibility should be used with caution.

In the "Shen Nong's Materia Medica" there is a saying that "Aconitum is against Pinellia", but it does not say that Aconite is against Pinellia. In the Compendium of Materia Medica, although Aconite and Aconitum are discussed under the same item, it is not mentioned that Aconite is against Pinellia ternata. Moreover, there are also Aconites and Pinellia in its attached prescription to treat stomach cold and phlegm. Fang, as quoted in the attached prescriptions on Aconite strips: "The stomach is cold with sputum, the spleen is weak and vomiting. Raw aconite and Pinellia ternata each have two coins, ten slices of ginger, two cups of water, decoction for seven minutes, hollow and warm serving. : Combine the fire and add woody five points."

There is no textbook of anti-wutou in contemporary Chinese medicine. To equate Aconite with Aconitum, Chilou and Aconite can be used at the same time. For example, in the textbooks of the fifth and seventh editions of Chinese Internal Medicine, the syndrome of yin and cold stagnation of chest pain (heartache) is used in the treatment of Chinese medicine. Shi, Guizhi, Fuzi, Salvia, Sandalwood, here is the same side of Jialou and Fuzi.

actually,"Ben Jing" also interprets Aconite and Aconitum separately, saying that Aconite said: "Wei Xin Wen. Mainly wind-cold cough and inverse evil, warm middle, golden wounds, accumulation of broken symptoms, blood cramps, cold temperature, stubbornness. , Foot pain, unable to walk... Shennongxin, Qibolei Gonggan is poisonous, Li's bitterness is poisonous, great temperature. Wet numbness, coughing up the qi, breaking accumulation, cold and heat. Another cloud: black beak, Shennong Lei Gongtong Jun Huangdi is poisonous." And in the attached medicine manufacturers mentioned Aconitum anti-pinellia, said: "Aconitum, Black beak, Mangcao to make, anti-pinellia", "pinellia, anti-aconitum", but did not say that Aconite is anti-pinellia, just saying: "Aconite, Ditan for making, fear of wind, licorice, Astragalus, ginseng, black leek, soybean", this also shows that the use of aconite and Pinellia is not the opposite.

Aconite and Pinellia can be used together, the first medical sage Zhang Zhongjing, "The Synopsis of the Golden Chamber · The Treatment of Abdominal Cold Hernia Cardiopulmonary Syndrome" Zhonghan Yin Niman Syndrome says: "Abdomen Mid-cold qi, thunderous and incised pain, full chest and flanks, vomiting, aconite japonica rice soup master", this is the abdomen full of abdominal pain caused by the lack of cold in the middle Jiao, so the aconite japonica rice soup is used to dispel the cold in the middle, and the drink is used to reduce the adversity. The medicine composition of this monkshood japonica rice soup is: paofuzi, pinellia, licorice, jujube, japonica rice. In the prescription, aconite nourishes yang and nourishes fire, dispels cold and relieves pain, while yang is prosperous and eliminates the evils of yin, cold and dampness. Pinellia ternata dampness and turbidity can be reduced and the stomach can be reduced. The combination of the two not only warms the middle and dispels cold, but also reduces the turbidity and dampness, reduces the adverse and the stomach, and treats the deficiency of the Yuanyang, the internal resistance of cold pathogens, and the syndromes of yin and cold dampness and turbidity. Xia is the opposite.

Since ancient times, there have been many doctors who used aconite and Pinellia to match their prescriptions, such as the Tang Dynasty 5 . "Big Wuyin Pills" for five drinks caused by drinking too much cold water after drinking alcohol and typhoid fever,Fangzhong Fuzi helps Yang, Pinellia removes phlegm. " Taiping Huimin Heji Jufang" in the Song Dynasty used to treat chronic deficiency of the spleen and kidney, insufficient glory and health, lean body, shortness of breath, sleepiness, coughing and wheezing, and vomiting. , Fangzhong Fuzi ignites the fire to return to the yuan , Pinellia and Stomach invigorate the spleen and resolve phlegm. In the Song Dynasty Zhu Hu’s "Like Syndrome Living Human Book", the "Funzi Powder" was used to treat insidious typhoid fever, blue lips, black face, strong body and back, cold limbs, cold and cold blood chambers of women, and aconite warming yang to dispel cold, and Pinellia transformation Phlegm is scattered.

Li Ke, a modern Chinese medicine clinician, is also the best at treating difficult and severe diseases with Aconite and Pinellia ternata. In "Li Ke Lao TCM Acute, Critical, and Difficult and Intractable Disease Experience Album", he often uses a combination of Poge Jiuxin Decoction and Xiaoqinglong Decoction to treat pulmonary heart disease and heart failure. , Respiratory failure and other acute and critical illnesses, most of which use the raw Pinellia and a large dose of aconite together to restore the yang and purify the phlegm, which has a great effect. This shows that the ancient authoritative pharmacy works and the doctors of the past did not regard the compatibility of Aconite and Pinellia as the opposite medicine.

To sum up, the author believes that as long as the clinical diagnosis is accurate and the condition requires the use of aconite and Pinellia ternata, it cannot be linked to the aconite as "aconitum anti-pinellia". When it's time to go together, go together. However, in the "This Classic", Pinellia and Aconite are both medicines of the Lower Classics (lower grades), which "indicate many diseases and are toxic and should not be taken for a long time". Even if they are compatible, they must be used with caution. Observe the condition closely, and it will stop if you are sick, and you cannot take a large amount of it for a long time.

The medicinal properties of traditional Chinese medicine have the opposite, which is first seen in "Shen Nong's Herbal Classics. Preface" (the original book is lost early, the current author is a later version of the cursive book) . During the Five Dynasties, Han Baosheng’s "Shu Materia Medica" pointed out: "Eighteen kinds of traditional Chinese medicines are opposite", which should be regarded as "18 antis and 19 fears of each other."Zhang Yuanyuan’s " pearl sac supplementary medicinal Fu" has also compiled the "Eighteen Anti" and "Nineteen Fears" into a song formula, which makes it easy for Chinese medicine scholars to take shorthand and spread widely. According to legend, Chinese medicine scholars and Chinese medicine enthusiasts have been Able to recite.

For thousands of years, along the father, father and son, master and apprentice, apprentice and apprentice, the spiritual shackles that cannot be violated. When the pharmacist saw the opposite, he refused to dispense the medicine: some anti-drug remedies were put on the shelf. I don't know how many doctors who used the opposite medicine were wronged and wronged. Throughout the ages, I don't know how ordinary it is! What's more, "Eighteen Anti-Nineteen Fears" and "Links" Many of my prescriptions for treating cold gastropathies include Pinellia and Aconite. The patient went to the pharmacy to dispense the medicine. The pharmacist looked at it and said angrily; yes; What doctor doesn't even know about Banxia Anti-Aconite? This is the least basic knowledge of Chinese medicine, so dare to prescribe? My pharmacy will not dispense medicine for you, otherwise we will not be responsible. Aconite is the one who was born in Sichuan Wuzi, and Pinellia anti-Aconite is implicated in the son because of the mother. This is "linkage" and excessive restraint.

Is the eighteenth anti-nineteen wrong or correct; let’s take a look at the classics of the famous doctors in the past; In the prescription, the "medicine sage" Zhang Zhongjing "Golden Chamber Synopsis of the Phlegm" in the prescription of Gan Sui Banxia Decoction (Gan Sui, Pinellia, peony, licorice, honey). In the same book, kansui and licorice use "Aka Pills with Cold Hernia in the Abdomen" ( Poria , Asarum, Aconitum, Pinellia),Aconitum pinellia can be used together.

2. Sun Simiao, known as the "King of Medicine" in the Tang Dynasty, used dozens of prescriptions for anti-recipes in two books: "Prescriptions for a Thousand Golds" Juanqifengsuantang, Aconitum and Pinellia are used together: Dabafengsan, Aconitum and Baiji are used together. Volume ten Fuling pills, and Euphorbia and Licorice are used together. Juanba Dawuyin Pills are used together with ginseng and bitter-participant Lilu; there are also Gansui, Euphorbia, Coriander and licorice used together, all of which are examples.

3. Officially promulgated in the Song Dynasty, the "Jufang", the body pill and black rhinoceros pill are both used in the same way. Chen Wuze's "Three Causes" Volume Fourteen Soybean Soup Soup, licorice and kansui are used together. Xu Shuwei's " original side " Xingfu San, Pinellia and Chuanwu are used together.

4. Jin dynasty Li Dongyuan "Swollen swelling and crusty soup" seaweed and kansui are used together.

5. Yuan dynasty Zhu Danxi "Syndrome and Treatment" Lianxinsan seaweed and licorice are used together.

6. Ming Dynasty Wu Kun "Prescription Test" volume Yi Tong Ding San,Use ginseng asarum together. Chen Shigong " Surgery Authentic " Seaweed Yuhu Soup, seaweed and licorice are used together. (This prescription was later included in Wu Qian et al.'s "Book of Medical Zong Jin Jian").

7. In the Qing Dynasty, Yu Tinghong's "Foreign Syndrome Medical Records Editing" was used in the name prescription, in which scrofula seaweed and Gansui were used together.

The above examples of famous doctors using anti-drugs are just handy. Han, Tang, Song, Yuan, Ming, and Qing all used anti-drugs to treat diseases. All are, 1. (Yu Tinghong said that the ancient people's cube is always present). So what are the previous attitudes and opinions on this? One meaning is: it is better not to have success if it is said. 2. (Tao Hongjing said that all medicines used in the old prescriptions have the opposite of the opposite, such as Xianfang Licorice Pills to prevent asarum. Common jade powder; use melon, dried ginger, etc., taking it is not harmful, or there is The ruler is also. For example, Kou Jiafuhan, Cheng Zhouyouwu, in general, it is not to be harmed by personal affairs, it is better not to use Youliang). (Another opinion quoted in the original book from the Compendium of Materia Medica is: sages use it, but ignorant ones can't use it). For example, Yu Tuan said that those who are of opposite sex each harbor cruel poison, as if the two armies are fighting, and they will never be in the same team. Although there are big poisonous diseases inside and outside, you must use big poisonous medicine to fight against it, and there are unexpected therapeutic effects, and you can't always theory. As in the ancient recipe, the induction pill uses croton and morning niu to fight hard for the accumulation of medicine. Siwu Soup Add ginseng and Wulingzhi to cure blood clots. Danxi Zhishi Lian Twenty-Four Flavor Lianxin San uses licorice and coriander flowers together, and the benefits are here. It is only for those with insight and insight that can be used by the sages, so those who are ignorant should not try to kill. "Doctors use medicines like soldiers, and those who use them well will die and live." If Han Xin is backed by the water formation: Those who do not use it well will only bring the evil of destruction, but it is not careful. One is the opinion of Li Shizhen : There are many opposites in ancient Chinese.Cover the same person and use the same person, and the emperor's way: fear and kill the same person's kingly way. 3 In the "Prescriptions of the Classics", "Poisonous people should be controlled, and those who can use fear and kill" are completely different from the "fear" of the later "Nineteen Fears": those who use the opposite and use the same as evil are also overbearing. "Those who have the right to experience, the users who are aware of it."

Hu Xian layman treats phlegm addiction, with ten jujube soup plus licorice, rhubarb and phlegm are also expelling the root of the disease. Dongyuan Li Gao treats sub-neck tuberculosis with seaweed Kuijian Decoction, adds seaweed, Danxi Zhu Zhenheng treats Lao Lianxin Decoction to drink coriander flower, both sides have licorice, which is also the meaning of this Hu family. Therefore, Tao Hongjing said: The ancient prescriptions also have the opposite of evil, and they do not harm the non-miaoda subtle ones, and cannot know this. What he meant is that it is still possible for the user to be able to "smart and understand". For example, the car has a load of 5 tons, and it is best not to overload it, but it needs to be very cautious. The counter-party of the above application should be representative.

I have been authentic to the medical industry in the past 30 years and I have never used medicine: 1 ppan9span0p _p221span0p _p221span1 Treat the symptoms, free from the shackles of eighteen and nineteen fears, and use it for those who use it. In the past 30 years, hundreds of thousands of various coagulopathy have been treated clinically. There has not been a single medical accident. The use of seaweed and licorice to treat tuberculosis, cervical lymphatic tuberculosis , and benign and malignant tumors have received unexpected therapeutic effects. Ginseng, Codonopsis, Taizishen, Korean ginseng and Wulingzhi are used together to treat chronic gastritis, atrophic gastritis, and duodenal ulcer. Seaweed and kansui astragalus and white mustard seeds are used together to treat chronic nephritis , chronic pyelonephritis, pleural effusion, exudative pleurisy,The effect is very good without any adverse reactions and side effects.

2. The establishment of the eighteenth anti-span has a lot to discuss: _p22p, span1brp_

, etc. Lilu, the four medicines are all named "ginseng", and there are also south ginseng, taizi ginseng, box ginseng, korean ginseng, scrophulariaceae, and their functional flavors are different in the main treatments. How can there be a name with the word "ginseng", which is against Li Lu's reason? Seaweed is the same as kelp in terms of nature and flavor. The two medicines are often used in combination. Why does licorice only oppose seaweed and not kelp? ?

3. Why is the 18th antithesis contrary? What is the bottom line? ?

There is no reliable scientific basis and statement in ancient and modern times. It can only be said that it is the practical experience of ancient medicine people, and it is very likely that the ancients regarded accident as inevitable in practice. Speaking of practical experience, are the above application records from Zhang Zhongjing, Sun Simiao, Chen Wuze, Xu Shuwei, Li Dongyuan, Zhu Danxi, Li Shizhen, Shigong Shigong, Yu Tinghong, etc. practical experience? ? ?

4. Eighteen anti-three groups of medicines:

br2210 span1, halberd, span1br, span1brKansui, Aconitum, (Chuanwu Caowu), and Lilus are all poisonous and potent drugs, namely: (Dianhua, Euphorbia kansui are not compatible with licorice), (Zhushen, Xin, and Peony are not compatible with Lilu) , (Half, tuberosum, shellfish, scallion, stridium splendens are not compatible with aconitum), all due to excessive dosage, improper preparation, decoction, overdose, or the patient's long-term illness and infirmity, resulting in poisoning and even death . Therefore, the ancients' "18 anti" theory is probably a wrong judgment made in the final situation.

5. If you are bound to the result of the "Eighteen Anti" Thunder Pool: _p9span1 p0span1

In application, the "Eighteen Anti-Countermeasures" is a minefield, a spiritual shackle on the necks of Chinese medicine physicians. Many medical workers dare not cross into the minefield for fear of being crushed. (Of course, some people are using it. 99.9% of the medical colleagues think it is: "lunatic, neurosis, madman, stupid, ignorant, scumbag of traditional Chinese medicine, etc., let them talk."). If you are bound to the "Eighteen Anti-Nineteen Fears", the good experience of many ancients will be discarded. Then, there is not much innovation in the inheritance and development of the traditional Chinese medicine hospital today. Of course, it is developing, but it is just taking a path opened by the ancients. Roads and downhills, why don’t we make them wide and straight, avoid detours, and make them faster and better. Of course, on the other hand, the compatibility of Chinese herbal medicines is likely to have true opposite medicines. They must not be used in compatibility. Chinese medicines that may be poisoned and died after misuse. The "eighteen evils" of Chinese medicines will make people feel more susceptible to these possible existences. The further understanding and exploration of the truly opposite drugs have brought about undesirable negative effects.

6. "Eighteen inverses" can not hold "nineteen fears" and it does not matter: 1 Correct and absorb criticism,Things are not absolute. It is not what the ancients said. The ancients have a lot of experience that we can learn from and carry forward. However, due to the conditions of the times, there are also some shortcomings, and there are many undesirable places, such as "Shen Nong's Herbal Medicine". "The Classics" says that Dansha (cinnabar) "can be used for a long time". "Compendium of Materia Medica" Li Shizhen said that Maqianzi (Sweet cassava) is non-toxic and everywhere. It is necessary to cherish the history of Chinese medicine, absorb the essence, discard its dross, and correctly evaluate the division into two as the "eighteen anti" and rehabilitate the snow. Of course, this involves subverting the history of Chinese medicine for thousands of years, blowing out the yellow sand and making gold. Maybe it will be 30 years, 50 years, 100 years, hundreds or thousands of years, when people really feel right and wrong.

7. "Eighteen anti" my application experience: _span1p _span1p

Without any restriction, the eighteen medicines are like eighteen generals, the prescriber physician (the highest commander), and you have a good understanding of the generals’ personality (the nature and flavor of the medicine), combat ability (functions and indications), and the strengths and weaknesses (the medicine’s good at returning to menstruation) (And shortcomings) hobbies (special instincts), whether you know them well, learn from each other's strengths, command freely, use soldiers like gods, invincible and invincible, first measure for yourself whether you are a qualified (the highest commander), if not A qualified commander, then; your generals will not listen to your command, frictions and mutinies will occur between the generals, making it difficult for you to ride a tiger. Without the power of commander-in-chief, he cannot lead soldiers to fight (is an unqualified doctor). Therefore, the ability to be large or small must not be forced. "Eighteen Anti" dialectical treatment, excellent formula (toxic and detoxification), proper preparation (concoction science to reduce toxic side effects and enhance curative effect), reasonable torment (time of suffering, heat, utensils, water dosage, time of suffering) Too long affects the efficacy of the medicine, too short affects the efficacy and cannot reduce the toxicity of the medicine. Each level is very important),Appropriate dosage (according to the gender, age, physical strength, weight, height of the patient) of the better physique, increase the drinking dose appropriately, and reduce the drinking dose appropriately for the weak. The individual differences of patients are different, and the doctor's prescription must be changed accordingly, flexible and flexible , Fang is a qualified doctor.

Eighteen songs

herbal medicine made it clear Eighteen,

half trichosanthis Tony Lian and Wu attack,

The algae halberd then spreads all the war grass,

The ginseng Xin Shao betrays the Veratrum.

_span_span_span_span_span_span_span_span_span_span_span_

Mercury and arsenic see you,

Wolf poison is most afraid of Amitabha.

croton has the strongest sex,

is not loyal to the morning bull.

Dingxiang Mo and turmeric see,

Tooth nitrate is difficult to match the Beijing triangle.

Sichuan black grass black rhinoceros (horn),

Ginseng is most afraid of Wulingzhi.

Guan Guishan can adjust the air conditioner,

will bully each other if it is stone fat.

pregnancy drug contraindications song

Yuan spot leeches and insects horsefly,

monkshood Aconitum with Tianxiong .

Pueraria lobata mercury and croton,

achyranthes .

leucocephala,

euphorbia cicada slough yellow male.

arsenic sapflower peony osmanthus,

the same as Sophora japonica.

Pinellia spp.,

dianthus, dried ginger and peach wood.

Nao sand dry lacquer turtle claw,

Geoglossum root and worm.

Six Chen song _p1span _span_span_span0 p1span _span_span_

ephedra chamaejasme and cornel ;

_span1 _span _span 1

(2)

Citrus aurantium Citrus and Pinellia,

dogwood chamaejasme and ephedra ,

six of the drug should like Chen Jiu ,

into prescription-known effect good,

Citrus required next year Chen,

ephedra III to start worthy line,

rhubarb will use brocade person,

But three years are not enough.

The use or refusal of medicines has caused many patients to question.

However, through the traditional Chinese medicine books, there are many people who compose prescriptions with opposing drugs, especially in the contemporary era. As a result, this problem has become a contradiction that often occurs among the three parties of medicine, medicine, and patients. It seems necessary to further demonstrate from the perspective of clinical practice and from the two aspects of medicine in order to reach a consensus.

From the source, there is a record of the compatibility relationship of the "Seven Emotions" in the "Shen Nong's Herbal Classics", and later generations of the Chinese Medical Classics "Materia Medica", "Tang Materia Medica" and so on, to the "Compendium of Materia Medica" also followed this statement, all have the content of "all medicines have relative regulations", but the increase in generations, far more than 18 against 19 fears.

"anti-drug" as the content of "anti-drug" recorded in "Nihuazi Materia Medica", add " saltpeter dread 1span, bamboo chuanxiong almonds; Coptis; Araceae aconite, dried ginger, ginger; generation ocher aconite; arsenic (arsenic) fear of mung bean, cold water, vinegar; leech fear of lime; gold fear of mercury; , Magnet; cinnabar silver fear Shiting Zhi, magnet; Shi Ting Zhi fear of Asarum, Fei Lian, iron; iron fear of magnet, gray charcoal.There are as many as 17 items.

The "opposite" content adds "Lotus taboo ("Rihuazi Materia Medica" refers to the opposite as taboo)) Dihuang, garlic; Peony taboo garlic; days Male, aconitum, aconite, side son and avoid black bean sauce; Changshan avoid ; Shengdihuang decoction avoid ironware; Yangmei avoid raw onion. "And 7 kinds. There are more than 19 kinds of other medicinal and food taboos, so I won’t repeat them. In fact, the understanding and development of compatibility taboos in the past dynasties are inconsistent. All cursive scripts have new content. Only in "Shu Materia Medica" is the opposite of each other (in this book, it is the same). There are as many as 60 kinds. It can be seen that the "18 anti" and "19 fears" have always been uncertain.

So who made the "18 anti" and " What about "Nineteen Fears"?

It is generally believed that the "Eighteen Anti-Songs" originated from Zhang Zihe's "Confucianism", and the "Nineteen Fears" came from Liu Chun's "Medical Classic Primary School". The songs are catchy, easy to remember and eulogize, so they are widely disseminated and have a great influence, and people in the industry are gradually accustomed to follow. As a generation of masters, some of their personal opinions can be valued and used for reference, but they can not be regarded as legal The authoritative and authoritative "final conclusion" should be implemented? It depends on whether the "18 anti" and "19 fear" are really justified.

[span5span _p9span1p A lot. For example:

From the perspective of modern pharmaceutical research,Although not much research has been done in this area, there are still some involved.

The results of the combination of licorice and kansui indicate that the toxicity is mainly determined by the dosage of licorice. When the dosage of licorice is equal to or greater than kansui, the toxicity is greater.

Another example is the compatibility of Fritillaria and Pinellia with Aconitum, no obvious enhanced toxicity. The combination of Asarum and Veratrum can cause the death of laboratory animals.

It can be seen that the research on the "18 anti" and "19 fear" still needs to do more in-depth experiments and observations, and study its mechanism. In this way, from a management perspective, it is indeed impossible to generalize.

Generally speaking, for some of these drugs, if there is no sufficient basis and application experience, it is still necessary to avoid blind application. That is to say, when there is reason and evidence, and the doctor’s signature is responsible, the pharmacy should distribute the medicine according to the prescription, and it is not advisable to talk more in front of the patient, so as not to cause psychological obstacles to the patient and even affect the doctor-patient relationship.

From a management perspective, can we go further? For example, vigorously organize pharmaceutical research,Conduct in-depth and extensive research on each pair of drugs of "Eighteen Anti" and "Nineteen Fears", and draw scientific conclusions. Combining the actual experience of clinicians, especially masters of Chinese medicine, and clinicians, we can identify and identify them one by one. , Wrote a new "anti-fear song formula" to meet the needs of the times. Because many clinicians know that some "anti-" and "awe" drugs do have the effect of "opposite and mutually reinforcing" and "awe-inspiring". Zhu Liangchun and Li Ke's argument about the opposite and awe-inspiring drugs is worthy of attention and consideration.

The key is medical risk. Zhu Liangchun and Li could be treated for a lifetime. They have no calculations. They have not had any medical accidents. They have realized "not afraid of ten thousand". However, some younger generations may run into "what if". In addition to the next generation and junior Meng Lang, who should be taught a lesson, is there any possibility of encountering disputes due to "18 anti" and "19 fear" issues?

The era calls for new "18 counters" and "nineteen fears" of the toxicity of traditional Chinese medicine. It is believed that the contemporary people will be able to gather the achievements of the past medical research and open up new modern pharmacological research. He has created a glorious future for the cause of Chinese medicine.

"Shen Nong's Herbal Scripture · Preface" pointed out that "do not use the opposite, the opposite", "if it is poisonous, you can also use it, you can use it, don't use it, you can kill it. ". Since the Song Dynasty, the relationship of "fearing each other" has also been listed as a compatibility taboo, which is confused with "evil each other". Therefore, the concept of "nineteen fears" has a different meaning from the one of the "seven emotions" mentioned in the "compatibility" section. The compatibility relationship between "evil" and "opposite" in the "seven emotions" of traditional Chinese medicine is a contraindication to medication. Eighteen anti-nineteen fears means that some drugs should not be used together.The consequences of combined use will produce various side effects. In ancient times, the eighteen anti-nineteen fears generally referred to the names of various drugs that could interact, and they were compiled into formulas during the Jin and Yuan Dynasties. Regarding the content of anti-drugs, the records in ancient books are not consistent. The ones that have been recognized and influenced by later generations are the "nineteen fears" and "eighteen antis" summarized in the Jin and Yuan period:

Nineteen fears

Rhinoceros horns, three-sided fangs, Guanguishizhi, and ginseng five-lingzhi.

Eighteen

licorice anti euphorbia , spurge, seaweed, Daphne; Aconitum anti Fritillaria, melon Long, Pinellia, Baiji, Baiji; Veratrum anti-ginseng, Adenophora, Salvia, Scrophulariacea, Asarum, Peony.
　　 The meaning of "fear" in the "nineteen fears" is not the same as the "fear" in one of the "seven emotions".
　　 "Nineteen fear" and "Eighteen anti" drugs, some of them are somewhat different from the actual application, and doctors of the past dynasties have also talked about it, citing ancient prescriptions as evidence.Prove that certain drugs can still be used in combination. For example, the croton and morning glory in the induction pill are used together; the Gansui Banxia soup is juxtaposed with licorice and the Gansui; the swelling and kuijian soup and the seaweed jade pot soup are both combined with licorice and seaweed; Turmeric is used together; Dahuoluodan aconite is used together with rhino horn and so on. Modern research work in this area is not done much. Some experimental studies have initially shown that when two medicines such as licorice and kansui are used in combination, the toxicity is mainly determined by the dosage ratio of licorice. If the dose of licorice is equal or greater than kansui, the toxicity Larger; another example is the compatibility of Fritillaria and Pinellia with Aconitum respectively, and no obvious enhancement of toxicity is seen. The combination of Asarum and Veratrum can lead to poisoning and death of laboratory animals. Since the research on the "nineteen fears" and the "eighteen evils" requires further in-depth experiments and observations, as well as to study the mechanism, a cautious attitude should be adopted at present. Generally speaking, for some of these drugs, if there is no sufficient basis and application experience, it is still necessary to avoid blindly cooperating with the application.

The following books such as "Compendium of Materia Medica" and "Medicine Jian" are slightly different, but they are not as widely recognized and disseminated as the songs of the eighteenth anti-span and the nineteenth fear.

The compatibility of Chinese medicines is divided into: phase whisker, phase force, phase fear, phase evil, phase kill, and opposite. So the eighteenth antisense means that the two drugs are opposite.

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