How can TCM practitioners improve the safety of prescribing medications?
How can TCM practitioners improve the safety of prescribing medications?
Let's start with some realms of Chinese medicine as I see them.
Junior doctors are often afraid of tigers, fierce drugs, harsh drugs dare to use, because in their minds there is no risk of the word, of course, this process may cure a lot of difficult illnesses, but there is the possibility of causing a catastrophe.
Intermediate doctors have obviously suffered or been well taught, careful and cautious, prescribing according to the pharmacopoeia, and can have grown up from junior doctors, with some improvement in the use of medication and prescribing, but sometimes find that some of the diseases that could be cured before can now not be cured, but fortunately there will not be a major disaster.
Senior doctors of Chinese medicine theory, Chinese medicine is incredibly skillful, the small amount of medicine that small amount, the need for a large number of by no means mercifully, critical illnesses, epiphyllum 200g, 60g of rhubarb at hand, open, the people scared to death, but often as effective as rafters, a dose of healing.
What am I talking about? Chinese medicine to cure diseases have a very strong targeting effect, there is a disease disease suffered by the patient, no patient suffered by the patient, open the right, the right medicine, that effect is very good, but the direction is open the wrong, that the damage to the human body is also quite large.
I deepen a level of this issue, if you want to look at the case of good diseases, and improve the safety of medication, you need to be familiar with the theoretical basis of traditional Chinese medicine, identification and analysis, accurate and subtle, on the treatment of the prescription, pertinent to the disease, to be a smart Chinese medicine practitioners, in order to look at the case of good diseases, and to improve the safety of the medication!
Personally, I feel that there is a need for "three precautions and one improvement".
The three precautions are "prevention of pregnancy," "prevention of old age," and "prevention of danger," while the first improvement is to continuously improve one's business level.
The so-called "prevention of pregnancy" actually means that the diagnosis of women should be more careful and cautious, and that there should not be any omission or miscalculation of women who are pregnant at an early stage. Even if the diagnosis of pregnancy cannot be made clearly, such as delayed menstruation, the possibility of pregnancy should be taken into account, and extra care should be taken when prescribing medication, so that no adverse consequences result from negligence, which can cause great harm to the patient and easily put the doctor himself behind bars.
The so-called "prevention of old age" does not mean that we do not treat the elderly. Rather, it is due to the physiological characteristics of the elderly is old and weak, weak vital energy, deficiency of the five organs, and even long-term illnesses and critical illnesses. Therefore, when prescribing medicines, we should be extra careful, and in the absence of a good medical environment and medical platform, we should not be greedy for a moment's success, a moment's profit, and carelessness and ill-considered. Otherwise, once the adverse results, even if not the doctor's responsibility, it is often easy to make the doctor can not be defended, trapped in passive. Ask the doctor, can not protect themselves, how to heal people?
The so-called "prevention of danger" means that patients with critical, emergency or serious illnesses should be handled with extra care. Chinese medicine is not like Western medicine, there are perfect rules and regulations of exemption, therefore, in the modern medical system environment, Chinese medicine doctors have to be extra careful with this kind of patients. In this regard, Li Ke is the most outstanding representative of those who really dare to take on critically ill patients alone, and he is also the pride of our contemporary Chinese medicine practitioners. However, the reality is not optimistic, especially the majority of folk Chinese medicine practitioners, in the absence of a good platform and medical environment, in the face of such critical patients, or should be careful. Of course, if you are really skillful and bold, another story.
The above "three defenses" are all passive "defenses", which are just some cautious working attitudes. In my opinion, the highest security in the work of doctors, or to turn passive into active, or to continuously improve our own level of medical technology and clinical experience. Only in this way, when facing some tricky, complicated and special patients, we will not be at a loss, misjudging and omitting judgment, thus leaving bad results.
As the saying goes, ignorance is fearless. Qualified Chinese medicine practitioners can not make ignorant people fearless thing, but in the usual work and study, slowly accumulate, slowly progress, so that their level of medical technology, increasingly higher, over time can naturally reach a relatively high level above, so that the face of patients of all shapes and sizes, to really do a good job, medicine to the disease.
Thanks for the invite! I thinkA doctor's ethics and responsibility come first.Because, for a moral and experienced Chinese medicine practitioners, usually to the patient prescription and medication will certainly be very careful and attentive, just like in war, the first will be reconnaissance, familiar with the terrain to understand the enemy situation, grasp the enemy and our posture.
Before a real Chinese medicine practitioner writes a prescription, he or she will make a thorough diagnosis of the patient who seeks treatment, and a responsible doctor willThrough especially careful looking, smelling, asking, cutting four diagnosis together, identify the cause of the disease is the six obscenities or seven emotions, where the disease is located in the internal organs and meridians or Wei Qi Ying blood site, distinguish the disease yin and yang, surface and inside the cold, heat, deficiency and real attributes, and then formulate the treatment method, and then select the prescription and dispatch the medicine.
However, the process of selecting and dispensing medicines should beAdhere to the "use of drugs like soldiers", vigilance, always put the patient's drug safety in the first place, can not be sloppy and careless, and even more can not be in a hurry to seek success; should be combined with geography, climate, the patient's gender, age, physical condition, the length of the disease, urgency, the drug's sexual flavor attribution, the degree of ferocity and the relationship between the necessity of the flexible compounding and application.I believe that according to such a strict Chinese medicine treatment program, the prescription will be very strict and safe at the same time.
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