中药的十八反与十九畏.pdfVIP

维普资讯 中药联合使用中的隐性十八反与十九畏 修 佳 ，陈，息东 (1．河南省人民医院，郑州市 450000；2．郑州市中医院，郑州市 450007) 中图分类号 R286 文献标识码 C 文章编号 1001～0408{2007)15—1197—04 摘 要 目的：揭示中药使用中的十八反与十九畏联合应用的情况及避免联合使用应注意的问题。方法：对含十八反及十九畏的中 成药的用药特点进行分析，并对避免中成药与中成药以及中成药与中草药联合使用时可能出现的十八反药物提 出了建议。结果与 结论：(1)分别含有十八反或十九畏的中成药与中成药、中成药与中草药易于联合使用；(2)含十八反或十九畏的中药联合使用后一 旦出现医疗事故医院及医师的责任将不可避免；(3)中成药的说明书中应当注明所含的十八反及十九畏药物，以引起医师的注意。 关键词 十八反；十九畏；联合用药；中成药；中草药 On 18 IncompatibleMedicamentsand 19M edicamentsofM utualRestraintin theCombinedUseofTra． ditionaIChineseM edicines XIUJia(HenanProvincialPeople’sHospitial，Zhengzhou450000，China) CHENZhongdong(ZhengzhouMunicipalHospitalofTCM，Zhengzhou450007，China) ABSTRACT 0BJECTIVE：Toinvestigatethe18incompatiblemedicamentsand19medicamentsofmutualrestraintinthe combineduseoftraditionalChinesemedicinesandtodiscusstheproblemsthatshouldbeavoidedinthecombineduseofthese medicines．METHODS：ThemedicationcharacteristicsoftheChinesepatentdrugsthatcontain18incompatiblemedicaments and 19medicamentsofmutua1restraintwereanalyzed，and suggestionson how to avoid 18incompatiblemedicamentsthat possiblyoccurinthecombineduseofChinesepatentmedicinesorChinesepatentmedicineandChineseherbalmedicineswere putforward．RESULTS CONCLUSION：(1)TraditionalpatentmedicinesorChinesepatentmedicinesandChineseherbal medicinescontaining18incompatiblemedicamentsor19medicamentsofmutualrestraintarelikelytobeusedincombination： (2)Itisimpossibleforbothhospitalsanddoctorstoshirktheirresponsibilitiesoncemedicalmalpracticeoccurinthecombined useoftraditionalChinesemedicinesthatcontaining18incompatiblemedicamentsand19medicamentsofmutualrestraint．(3) Thepackage insertsofChinesepatentdrugsshould indicateclearly thecontained 18 incompatiblemedicamentsand 19 medicamentsofmutua1restraintfordoctors’attention． KEY WORDS 18incompatiblemedicaments；19medicamentsofmutualrestraint；Drugcombinati