1. The significance of the compatibility of traditional Chinese medicine: increase efficiency, expand the scope of application, and reduce adverse reactions.
Second, the content of compatibility.
1.Single lineSingle-line refers to the use of a single medicine to treat the disease, that is, for those with simple conditions, only one targeted drug can be used to obtain the curative effect. Such as Qingjin San, only use skullcap** mild pulmonary fever cough; Duliang pills, single use of Angelica dahurica**, headache, etc.
2.WhiskersRelative must, that is, the combination of two or more drugs with similar efficacy can significantly enhance their original efficacy. For example, gypsum is compatible with Zhimu, which can significantly enhance the effect of clearing heat and dispelling fire; Rhubarb is mixed with miscanthus salt, which can significantly enhance the laxative effect. Compatibility is generally a combination of similar drugs, which constitutes the core of the compatibility of compound drugs and is one of the main forms of compatibility application of traditional Chinese medicine.
3.Mutual EnvoysPhase, that is, drugs with some commonality in terms of efficacy, can improve the efficacy of the main drug after the combination of main and auxiliary drugs. For example, Astragalus membranaceus with Poria cocos ** spleen deficiency and edema, Astragalus membranaceus is the main drug for replenishing qi and water, and Poria cocos can enhance the effect of Astragalus on qi and water through water and spleen; Rhubarb with magnolia bark ** hot knot constipation, rhubarb is the main drug for heat dissipation and laxative, magnolia bark can remove the full qi, can promote the stagnation of the downward movement, and enhance the effect of rhubarb. The compatibility does not have to be the same kind of drug, one main and one auxiliary, complementing each other, which is a common form of compatibility of traditional Chinese medicine.
4.Fear each otherFear of each other, that is, the toxic reaction of one drug or *** can be mitigated or eliminated by another drug. For example, the toxic properties of Shengbanxia and Shengtiannanxing are reduced or eliminated by ginger, that is, Shengbanxia and Shengtiannanxing are afraid of ginger; Gansui is afraid of jujube because jujube can inhibit the poison of Gansui Jun chasing water and damaging righteousness, which is a common compatibility method in the clinical application of toxic, fierce or powerful drugs.
5.Kill each otherKilling, that is, a drug can reduce or eliminate the toxicity of another drug, or such as ginger can reduce or eliminate the toxicity of Shengbanxia and Shengnanxing, or so ginger can kill the toxicity of Shengbanxia and Shengannanxing. Killing each other and fearing each other are actually descriptions of the same compatibility relationship from two different perspectives, and they are the correspondence between drug compatibility.
6.Mutual evilMutual evil, that is, after the combination of two drugs, their respective properties are mutually restrained and the original efficacy is reduced or even lost. For example, dry ginger and skullcap are disgusted because the lungs and stomach warming effects of dried ginger and the lungs and stomach clearing effects of skullcap can contain each other and reduce the efficacy; Ginseng is evil because it can weaken the qi-replenishing effect of ginseng. This compatibility should be avoided as much as possible in clinical practice.
7.On the contraryOn the contrary, after the combination of two drugs, it can produce toxic reactions or *** as described in the contraindications of drug use"Related drugs of "Nineteen Fears". This is a contraindication for compatibility and cannot be used together in principle.
Contraindications for the use of traditional Chinese medicine.
Point 1: Compatibility contraindications.
1.Eighteen anti Eighteen anti songs: "Materia Medica clearly says eighteen anti, half a shellfish and attack Ukraine, algae halberd and coriander war grass, ginseng and peony rebel quinoa." "A total of 18 kinds of opposite drugs were recorded, namely, Aconitum anti-Banxia, melon wilt, fritillary, white root, white and; licorice anti-seaweed, euphorbia, gansui, coriander; Quinoa anti-ginseng, Sophora sophora, sand ginseng, salvia, scutellaria, asarium, peony.
2.Nineteen fears Nineteen fears of songs: "Sulfur is the essence of the fire, Pu Ni will fight at first sight, mercury Mo and arsenic will see, wolf venom is most afraid of Tantric monks, croton is the most strong, partial and morning glory is not in love, cloves Mo and Tulip see, tooth nitrate is difficult to fit Beijing Sanleng, Sichuan Wucao Wu is not smooth, ginseng is most afraid of five spirit fat, Guan Guishan can adjust the air conditioning, if the stone grease will bully each other, Dafan Xiuhe looks obedient and rebellious, and the cannon is scorching and scorching. A total of 19 kinds of drugs were recorded, namely, sulfur and phobia, mercury and arsenic, wolf venom and tantric monks, croton and petunia, cloves and tulip, tooth nitrate and triangular edges, Sichuan Wu and grass Wu and rhino horns, ginseng and five spirit fats, and Guan Gui and red stone fats.
Point 2: Contraindications to pregnancy medication.
Pregnancy medication is contraindicated because some drugs have the potential to damage the fetal element and lead to abortion, so in addition to termination of pregnancy and induction of labor, it should be prohibited or used cautiously during pregnancy. According to the different degrees of damage to the fetal element of the drug, it is generally divided into two categories: forbidden and cautious. Most of the prohibited drugs are highly toxic or strong medicinal products, such as realgar, musk, croton, Gansui, leech, triangular, curcuma, etc. Drugs to be used with caution mainly include drugs with strong stasis and meridian circulation, qi, seizure, pungent heat, slippery and poisonous, such as hyssop, peach kernel, safflower, citrus aurantium, rhubarb, miscanthus nitrate, etc.
All drugs that are contraindicated should generally be avoided to prevent accidents. If a pregnant woman suffers from a serious illness, she can use caution as appropriate, but she must distinguish the syndrome accurately, grasp the dosage and course of treatment, and choose the appropriate preparation method and compatibility to ensure the safety of the medication. For example, Wu of the Ming Dynasty can cure pregnant women with epidemics, constipation, and abdominal distension and pain.
Point 3: Dietary contraindications when taking medication.
Dietary taboos when taking medicine refer to foods that should not be eaten during the period of taking medicine, referred to as food taboos, which are also commonly referred to as taboos. Generally speaking, patients should avoid cold, hot, greasy, fishy and irritating foods while taking the drug. In terms of disease syndrome, people with heat syndrome and yang syndrome should avoid spicy, greasy, fried and other foods that help heat and hurt yin; Those with cold syndrome and yin syndrome should avoid eating cold and other cold foods that hurt yang; Patients with chest paralysis should avoid eating fatty meat, animal offal, tobacco and alcohol; Patients with hyperactivity of liver yang, dizziness, irritability, etc., should avoid eating pepper, chili, garlic, wine and other spicy and yang-boosting products; Eliminate wet feathers, hard, indigestible food on cold nights; People with sores and swelling should avoid eating mutton, crab, shrimp and other fishy hair and spicy and irritating foods. In addition, according to ancient records, Changshan should avoid onions, rehmannia and He Shou Wu should avoid onions, garlic, radish, mint and soft-shelled turtle meat, poria cocos should avoid vinegar, soft-shelled turtle should avoid amaranth, honey should be used as a reference for taking medicines.