基于配伍禁忌的中成药合理用药探析

Analysis on Rational Medication of TCM Patent Medicine Based on Incompatibility

中药配伍禁忌系指某些中药配伍使用会产生或增强毒副作用,或破坏和降低原药物的药效,因此临床应避免配伍使用。中药配伍禁忌核心是"十八反"和"十九畏"。《中华人民共和国药典》明确标明"十八反""十九畏"中的品种均属配伍禁忌。本文对中国中医科学院广安门医院存在配伍禁忌的中成药品种进行了归纳总结,以供临床医师和药师参考。

TCM incompatibility means that the combinations of some Chinese materia medica would produce or enhance side effects,or even reduce or damage medicine efficacy.Therefore,clinical incompatibility should be avoided.The core idea of TCM incompatibility is“Eighteen Clashes”and“Nineteen Incompatibilities”.China Pharmacopoeia clearly states that“Eighteen Clashes”and“Nineteen Incompatibilities”belong to incompatibility.This article summarized the incompatibility in TCM patent medicine used in Guang’anmen Hospital of Chinese Medicine Academy of Sciences,with a purpose to provide references for clinical doctors and pharmacists.