从程钟铃《医学心悟·医中百误歌》谈药中误

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古今医书,总结经验者居多,介绍教训、失误者少矣。医之不效,又多责之于辨证用药不当,即医之误;其实,诊断处方合理而药中出现失误也会影响疗效,即药之误。故程氏歌中曰:“更有大误药中寻,与君细说好留神。”笔者学习此歌,结合当今用药,也谈谈药中误。歌曰:“药中误,药不真,药材真致方深,有名无实何能效,徒使医家枉用心。”说明医生医术再高明,没有药剂人员的配合和高质量的药品,也不可能有满意疗效,甚至还会给病人带来痛苦或危险。“药不真”广义讲有多种原因和情况,大致可分:其一,中药来源复杂,品种混乱,有一个药名来源于一种植物的,有一个药名来源于几种植物的,所以有同名异物者,也有异名同物者。就常用的400多味中药来说,就约有100多味来源复杂。如常用的中药大黄,来源于蓼科植物掌叶大黄、唐古 In ancient and modern medical books, most of the experience was summarized, and lessons were introduced and those who made mistakes were given less. Medical ineffective, and more responsible for the improper use of drugs for differentiation, that is, medical errors; In fact, the diagnosis of a reasonable prescription and errors in the drug will also affect the efficacy, that is, drug errors. In the songs of Cheng’s song, “Looking more at the big mistakes in medicine, and talking to Jun Xixi to keep your eyes on God.” The author studied this song, combined with current medication, and talked about mistakes in medicine. Song Ge: “The medicine is wrong, the medicine is not real, the medicine is really deep, and there is no real energy and efficiency. It makes doctors take care of themselves.” Explains that the doctor’s medicine is smart, there is no co-worker and high-quality medicine, and there is no possibility. Satisfactory results can even cause pain or danger to the patient. The term “drug is not true” generally refers to a variety of reasons and circumstances. It can be roughly divided into: First, the source of the traditional Chinese medicine is complex and the variety is chaotic. There is a medicine name derived from a plant, and a medicine name comes from several plants. Therefore, there are foreigners with the same name, but also have different names. For more than 400 traditional Chinese medicines, there are more than 100 taste sources. Such as the commonly used traditional Chinese medicine rhubarb, from the family Paeonia trifoliata, Tang ancient
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