首页|2020版《中华人民共和国药典》中小毒中药的毒性特点与外用分析

2020版《中华人民共和国药典》中小毒中药的毒性特点与外用分析

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目的 通过对2020版《中华人民共和国药典》中小毒中药的毒性特点进行分析,探明小毒中药的关键药效活性成分,阐述小毒中药的毒副作用与不良反应,排除临床用药的隐患;并且基于外用的方式对小毒中药进行临床应用分析,以期为临床提供数据参考。方法 参照2020版《中华人民共和国药典》进行小毒中药筛选,在中国知网中进行检索,依循纳入与排除标准使用Excel进行分析。结果 小毒中药外用在治疗骨关节疾病、皮肤病、肛肠疾病、疼痛、妇科疾病、腺体炎症、呼吸系统疾病、神经系统疾病、胸腹水肿、失眠、外伤等领域均有较好的临床表现。小毒中药普遍具有肝毒性,久服易造成肝损伤,其毒性物质基础多为生物碱类、皂苷类以及萜类;动物类中药以多肽为主要成分;小毒中药中毒表现多为头晕、呕吐及胃肠道反应,鲜有危及生命的临床案例报道。小毒中药可做糊、膏、穴位贴剂和直接敷于患处,其常用的赋形剂为醇溶剂、醋、蜂蜜等。结论 小毒中药临床应用广泛,但又因其普遍具有肝毒性,通过外用手段可以使得药物的吸收分布更加均匀,降低肝脏的代谢负担,其较口服更为安全,通过对小毒中药的外用方式进行分析,探明其外用规律,补充了小毒中药的外用剂量范围,为临床用药提供数据参考。
Analysis on Toxic Characteristics and External Use of Medium and Small Toxic Traditional Chinese Medicine in 2020 Edition of Chinese Pharmacopoeia
Objective Through the analysis of the toxic characteristics of medium and small toxic traditional Chinese medicine in the 2020 edition of Chinese Pharmacopoeia,this paper finds out the key active components of small toxic traditional Chinese medicine,expounds the toxic side effects and adverse reactions of small toxic traditional Chinese medicine,and eliminates the hid-den danger of clinical use;and carries on the clinical application analysis to the small toxic traditional Chinese medicine based on the way of external use,in order to provide clinical data reference.Methods According to the 2020 edition of Chinese Pharmaco-poeia,the small toxic traditional Chinese medicine was screened,searched in China knowledge Network,and analyzed by Excel ac-cording to the inclusion and exclusion criteria.Results Small toxic traditional Chinese medicine is used externally in the treatment of bone and joint diseases,skin diseases,anorectal diseases,pain,gynecological diseases,glandular inflammation,respiratory sys-tem diseases,nervous system diseases,thoracic and abdominal edema,insomnia,trauma and other fields with good clinical effects.Small toxic traditional Chinese medicine generally has hepatotoxicity,and long-term administration is easy to cause liver injury.Its toxic material basis is mostly alkaloids,saponins and terpenoids,animal traditional Chinese medicine is mainly composed of polypeptides.The poisoning manifestations of small toxic traditional Chinese medicine are mostly dizziness,vomiting and gastroin-testinal reactions,and there are few life-threatening clinical cases reported.Small toxic traditional Chinese medicine can be used as paste,ointment,acupoint patch and directly applied to the affected area.The commonly used excipients are alcohol solvent,vinegar,honey and so on.Conclusion Small toxic traditional Chinese medicine is widely used in clinic,but because of its general hepatotoxicity,the external use can make the absorption and distribution of drugs more uniform,reduce the metabolic burden of the liver,and it is safer than oral administration.Through the analysis of the external use of small toxic traditional Chinese medi-cine,it finds out the rule of external use,supplements the external dose range of small toxic traditional Chinese medicine and pro-vides the data reference for clinical use.

small toxic traditional Chinese medicinetoxic characteristicsexternal useclinical applicationdata analysis

刘广运、白莉、苗明三

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河南中医药大学药学院,河南郑州 450046

小毒中药 毒性特点 外用 临床应用 数据分析

国家国际科技合作基地项目河南省重大公益专项河南省中医药科学研究专项

国科外2007-28920130031010020-21ZYZD02

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(6)
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