1, drug dosage is the key to drug efficacy. The effect of drugs varies with dosage. For example, if safflower is used less, it will enrich blood, and if it is used more, it will become broken blood; Another example is Houpu Sanwu Decoction and Xiaochengqi Decoction, which have the same ingredients, but the dosage of each medicine is different, so the efficacy and indications are the same. However, in traditional medicine, some drugs are measured by quantity rather than quality. Such as centipedes, dragons and so on. Everyone is used to using strips, and each strip has its own size. The mass of some large centipedes is equivalent to several small centipedes, but the prescription doctor does not know the size of centipedes in the pharmacy in advance, which will inevitably lead to inaccurate dosage and affect the curative effect. Therefore, it is suggested that doctors who prescribe centipede and Tianlong should switch to quality rice to avoid affecting the curative effect.
2. Footnotes Footnotes are the requirements of doctors for formulators, and there are many footnotes in ancient books. Both People's Republic of China (PRC) Pharmacopoeia and People's Republic of China (PRC) Pharmacopoeia stipulate the traditional Chinese medicine that needs special treatment, and the processing standards of traditional Chinese medicine in different regions are also stipulated according to the local drug use situation, so it is unnecessary for doctors to mark footnotes, unless doctors have special drug use requirements, such as doctors swallowing rhubarb with footnotes, formulators should treat rhubarb powder and explain it clearly to patients with the words swallowed. If doctors do not mark footnotes, it is unnecessary to do so.
3, taking drug primers, often need to add drug primers, especially in prescriptions, secret recipes, earthwork. Traditional Chinese medicine prescription consists of monarch, minister, assistant and envoy. This medicine is what people call a drug primer. Most of the drug primers are medicinal and edible substances, such as ginger, onion, wine, vinegar and so on. Although the drug primer is not the main drug in the prescription, it can play the role of finishing touch, but not all prescriptions must have the drug primer, which should be decided by the doctor according to the situation.
4, dietary taboos In order to obtain the best therapeutic effect, dietary taboos are indeed necessary. Avoid taking onions, garlic and radishes when taking drugs containing Rehmannia glutinosa and Polygonum multiflorum Thunb. When taking mint, it is not advisable to eat turtle meat; When taking poria cocos, vinegar should not be put in the food; When eating turtle shell, don't match amaranth; When taking laxatives such as Dachengqi decoction and Maren pill, it is not advisable to eat greasy and indigestible food too early; When taking insect repellent, you should also avoid eating greasy food and take medicine on an empty stomach. In addition, all indigestible foods, such as cold and sticky foods or foods with special characteristics, should be avoided during taking the medicine. People with cough symptoms should not eat anything too sweet, too salty or too greasy, and don't eat Chili. At the same time, we should give up smoking and alcohol to help them recover as soon as possible.
5. The general frequency of administration is once in the morning and twice a day, which is not reasonable. In order to achieve therapeutic effect in vivo, the blood drug concentration in vivo should reach the lowest effective blood drug concentration, but not exceed the highest effective blood drug concentration, that is, the blood drug concentration should be kept between the lowest effective blood drug concentration and the highest effective blood drug concentration, so as to achieve a stable effective blood drug concentration. According to the principle of pharmacokinetics, the number of times of taking drugs is determined, and pharmacokinetic parameters such as half-life and apparent volume are calculated, and the number of times of taking drugs every day is calculated to ensure that the blood concentration in the body reaches a stable and effective blood concentration and ensure the safety and effectiveness of clinical medication. Therefore, it is necessary to use scientific methods to determine the daily dosage.
6, adverse reactions Many people think that Chinese medicine is non-toxic and safer than western medicine. This view is not comprehensive enough. Generally speaking, the adverse reactions of traditional Chinese medicine are less than those of western medicine, but the adverse reactions caused by traditional Chinese medicine are also frequently reported in newspapers, and there are also cases of death caused by it. Since ancient times, Chinese medicine has said that "seventy poisons are encountered in one day". It is reported that there were 200 cases of tripterygium wilfordii poisoning in recent years, of which 5 1 case died.
7. Conclusion TCM is the treasure of TCM, and now more and more people believe in TCM. It has been used for the longest time and the widest range since ancient times, so the correct use of traditional Chinese medicine is the key to its curative effect.
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