Traditional Chinese medicine injectable preparation uses the foundation safely non- firm
Make fairy yellowly, clearly from Herba Houttuyniae, a pair of the rhizome of Chinese goldthread to thorn five plus, mattress Zhi In recent years, the bad incident frequently of traditional Chinese medicine injectable preparation. The medicines bad reaction report revealed in what national Bureau of Drugs Supervision released a few days ago 2010, the bad reaction of Chinese medicine reported the variety that the quantity ranked the top 20 was traditional Chinese medicine injectable preparation last year, this suggestion, the safe risk of traditional Chinese medicine injectable preparation is still very high. A few days ago, the injectable preparation scientific development forum of traditional Chinese medicine that the expert, traditional Chinese medicine injectable preparation manufacturing enterprise and representative of medias gathered - -
Have insufficient understanding of harmfulness abused
"Avoid the bad incident of traditional Chinese medicine injectable preparation, should correct a wrong idea first - -Traditional Chinese medicine is nonpoisonous. " At the forum jointly hosted by www.people.com.cn, China Traditional Chinese Medical Science Newspaper Ofc this time, Chinese traditional Chinese medicine association's president Fang ShuTing making a speech at first says, " a lot of doctors think traditional Chinese medicine nonpoisonous or with small toxicity, so refuse to pay attention to, adopt a casual attitude, cause the emergence of the bad incident finally in using. "
Vice President of Beijing University of Trad. Chinese Medicine Dongzhimen hospital Liu QingQuan introduces, the death case in a pair of the rhizome of Chinese goldthread of Qinghai incident takes place in a rural clinic. "The local doctor has used 5 kinds of medicines for that old lady over 60 years old, except parenteral solution of a pair of the rhizome of Chinese goldthread, join parenteral solution of wheat, there is antibiotic,etc.. Such a usage is very dangerous. "
"Can have an intravenous drip with oral medicine, can use little a never multi-purpose medicine. " Has participated in a lot of traditional Chinese medicine injectable preparation bad incidents Liu QingQuan investigating has summarized and said, a lot of bad incidents are because of using the dosage too big or expanding the range to use the trouble got into. Even if traditional Chinese medicine injectable preparation produced with the modern science and technology, must regard Chinese medicine theory as guidelines while using.
The expert participating in the conference thinks, some medical workers have insufficient understanding of harmfulness that abuse, abuse traditional Chinese medicine, it is not enough to grasp the knowledge of using medicine rationally, cause the traditional Chinese medicine injectable preparation question to appear frequently in recent years, and demonstrate the countryside more than the city, characteristic more than the medical organization of Chinese medicine of comprehensive medical organization.
The result relation of quantity is unidentified to cause using medicine " Maybe "
QingQuan Liu introduce, Dongzhimen hospital to clear to turn on the intersection of fairy and injectable preparation, carry on the first stage of, the second stage of, three clinical trial once. Found finally, when reaching more than 600 ml in consumption, this medicine will cause damaging to the blood vessel greatly. "So, when traditional Chinese medicine injectable preparation has gone wrong, should consider the basic research deep enough? Was not the result relation of quantity cleared up? "
"For the previous period, a Western medicine doctor asks me to consult about a serious disease and is infected with the shock patient. Though it is good to use the traditional Chinese medicine injectable preparation result according to usage, consumption which I talk about, but because the manual does not have corresponding content, it is very difficult for me to explain with the other side, can only say it is a clinical experience. Is good or 300 ml for 100 ml good? Will use 1000 ml to go wrong? The result relation of quantity can not be found out, clinical application is difficult to be clear. " Liu QingQuan says, each medicine enterprise should inject capital into more the basic research, further find out safe and effective usage consumption,etc..
Fang ShuTing says, the security on using the taboo, side effect,etc. of injectable preparation manual of traditional Chinese medicine warns information to lack, it is really a weak spot of traditional Chinese medicine injectable preparation for the moment.
The intersection of step and long long to think, improve medicine warn content, pharmacy the intersection of enterprise and oneself should take, take on responsibility step Zhao, Chairman of pharmacy. Enterprises should collect the bad reaction information of medicines voluntarily, and combine the information and carry on the relevant scientific research and key research project tackling. Meanwhile, should pay close attention to the newest basic scientific findings, apply these achievements to the pharmacy course consciously.
The amount of index accused of of the quality is difficult
Fang ShuTing says, traditional Chinese medicine injectable preparation security is condemned, besides using the questions of links, it is an internal cause that can't be avoided that production technology and quality control level are low.
He analyzes, produces the technological process to explain, most traditional Chinese medicine injectable preparation is not improved for a long time. For example, a batch of traditional Chinese medicine injectable preparation varieties researched and developed in the eighties last century, the raw materials control of most varieties, technological process have not been adjusted so far. "The standard at that time demanded to compare to the security of medicines and standard of the drug effect with today, obviously greatly differ from each other. "
It is very difficult for the quality of traditional Chinese medicine injectable preparation to accuse of the quantization of index, not like injectable preparation of Western medicine, determine the nature and quantification is all very clear, and the complexity of the effective composition of traditional Chinese medicine injectable preparation accuses of bringing certain difficulty for the quality. Room kiosk think traditional Chinese medicine quality of injectable preparation must accuse of standard thinning, science, more overall.
Security is appraised to develop the opportunity again
Though there are all sorts of problems at present in traditional Chinese medicine injectable preparation, the personage participating in the conference says, can not totally repudiate the value of traditional Chinese medicine injectable preparation. "Traditional Chinese medicine injectable preparation is traditional Chinese medicine inherited, innovating, modernized product, should treat the problem that it appears in developing with eyes and attitude of development. " Fang ShuTing says.
Wang QinLi, group's Vice President of medicine company of the martial prowess shows optimistically, the bad incident of traditional Chinese medicine injectable preparation happening before this is " shuffling " for traditional Chinese medicine enterprises . " now, the production concentration degree of traditional Chinese medicine injectable preparation has already been improved greatly " .
The representative participating in the conference thinks, the traditional Chinese medicine injectable preparation security which national Bureau of Drugs Supervision starts will comment on the work again is the opportunity of perfecting exercises to benefit the internal organs of the trade since 2009. Fang ShuTing says: "As to cherishing the medicine enterprise of the quality of medicines as cherishing eyes, should encourage it through appraising and enlarging strengthening again. "
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