白癜风中药治疗参考用处方

李志强博士

<p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">白癜风中医治疗验方</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">&nbsp;<p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">以前就有同志要求我提供些治疗白癜风的中药方剂，一直没时间弄，今天整理了几个，供大家参考使用。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">中医治疗白癜风的草药、验方甚多，大致分为：调节免疫功能的中药：黄芪、党参、山茱萸、白术、茯苓等。活血化瘀改善微循环药物：当归、桃仁、丹参、红花、川芎、赤芍、丹皮等。刺激酪氨酸酶活性药物：地黄、补骨脂、紫草、甘草、细辛、女贞子、刺蒺藜等。促进黑色素合成的常用中药：透骨草、旱莲草、茜草、益母草等。能增加光敏感性药物：白芷、马齿苋、决明子、独活、姜黄、虎杖等。含有微量元素和抗自由基的药物：浮萍、珍珠母、牡蛎、银杏叶等。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">司在和教授经验方：紫草、降香、紫河车、白药子、白蔹、桃仁、红花各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">150</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ苍术　龙胆草各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">60</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ海螵蛸</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">75</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ、甘草</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">105</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ、白蒺藜、补骨脂各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">2250</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ、白芷</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">1000</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ、乌蛇</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">150</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ。上药研为细末，泛为水丸，每日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">次，每次</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">6</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">～</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">9</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">ｇ，连续服用</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">3</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">个月为</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">1</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">个疗程。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">朱铁君教授制定中药治疗白癜风的基本方剂主要成分有党参、黄芪、白术、茯苓、白蒺藜、何首乌、麦冬、重楼、丹参、桃仁、补骨脂等，治则为扶正固本、调和气血、疏肝理气、活血祛风。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">中药治疗是需要根据每个患者不同的情况辨证加减的，有一个取巧的办法是根据皮损部位选择方剂，药方如下：</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">治疗验方</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">1</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">（头面、躯干部白癜风）</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; TEXT-ALIGN: left; mso-pagination: widow-orphan; mso-char-indent-count: 2.0;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">滋补肝肾、活血通络。通窍活血汤合二至丸加减：赤芍、桃仁、川芎、当归各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 15 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，红花、羌活、浮萍、白芷、藁本各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 9 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，丹参、制首乌、女贞子、墨旱莲、补骨脂、刺蒺藜各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">15 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，甘草</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 3 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">。水煎服，日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 1 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">剂。外用</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 25%</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">补骨脂酊，涂药后晒太阳</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 10 min</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，每日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 1 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">次。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">按：白癜风属于中医“白驳风”范畴。临证时，应根据不同的病因病机和患者身体素质的差异而随证加减，并按照发病部位的不同而选用引经药。头面、躯干部皮损一般采用滋补肝肾、活血通络的治疗原则。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">治疗验方</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">（四肢末端白癜风）</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">中医辨证：脾失健运，肢末失荣。治法：健脾益气、养血通络。方选归脾汤合指迷茯苓丸加减：黄芪</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 15 g,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">、党参、茯苓、白术、何首乌、半夏、当归、鸡血藤、女贞子、补骨脂各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 9 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，陈皮、木香、佛手、红花、丹参、全蝎、白芷、桑枝、远志各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 6 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">、甘草</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 3 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">。水煎服，日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 1 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">剂。外用</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 25%</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">补骨脂酊，涂药后晒太阳</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 10 min</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，每日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 1 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">次。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">按：中医认为，脾主四肢，四肢部位的皮肤病常责之于脾。脾气不足，运化精微无力，手指部位难以得到足够营养，故生白斑。治疗时，在补气血的同时，要注意疏通经络，所谓“气血流通即是补”。另外，脾虚失运，易生湿生痰，故伍以指迷茯苓丸。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">治疗验方</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">（生殖器部位白癜风）</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">辨证：寒湿阻络，痹阻不通。治法：温经散寒、活血通络。方选暖肝煎加减：当归、丹参各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 24 g,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">枸杞子、女贞子各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 21 g,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">红花、茯苓各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">15 g,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">乌药、补骨脂、白芷各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 9 g,</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">豨莶草</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 12 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，肉桂、沉香各</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">6 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">，蜈蚣</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 2 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">条，甘草</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 3 g</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">。水煎服，日</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman"> 1 </font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">剂。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">按：中医学认为，足厥阴肝经：“过阴器，抵少腹……”，而脱色又是足厥阴本经所见病症之一，故生殖器部位白癜风与肝经关系密切。这个部位患者辨证一般属于寒湿侵犯肝经，阻滞经络，局部血运不畅所致。根据“异病同治”原则，方选暖肝煎化裁以温经散寒、疏通肝络、畅行气血。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p>&nbsp;</p></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt; TEXT-ALIGN: left; mso-pagination: widow-orphan;"><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">上面的药方是正规的中药方剂，都经过临床实践是有一定效果的，适合于限于自身条件，无法亲自找医生面诊的患者，具体用药时我还是建议各位面诊医生听听医生的建议后再决定，多数治疗白癜风的中药中都含有补骨脂成分，治疗又需要长期服药，应该隔</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">2</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">～</span><span lang="EN-US" style="FONT-SIZE: 12pt; mso-font-kerning: 0pt;"><font face="Times New Roman">3</font></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;">月检查一下肝功，特别是以往有肝炎或者乙肝病毒携带者。</span><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-bidi-font-family: 宋体; mso-font-kerning: 0pt;"><p></p></span></p><p></p>

紫外线

李博士我四肢末端和躯干都有用什么方子好？

freedom

<p>请教博士：我在张作舟医生那儿治疗的．喝中药，一副熬三次，早中晚服用．喝了一个半月后，谷丙转氨酶为６５．复诊时告诉医生，医生说不要紧，可以继续喝．我便又坚持了很长时间．总共喝了将近四个月吧，结果肝功四项超标，转氨酶两项高达８００多．只好住院．其实在后期我已经感觉很难受，药也喝不下去，但一直遵医嘱，坚持喝了四个月，因为据说有的患者已经连喝了一，两年．</p><p>现在有两个问题：</p><p>１．中药能连续喝吗？我听很多人都说中药喝一个月就要停一停．可是治疗ＢＢ的医生一般都要求患者喝至少三，四个月．</p><p>２．到底我为什么中毒？是对某一味药过敏还是多种成分的合力．有网友打电话给我，说可能是因为补骨脂这种成分．我的药方里确实有它．但怎么确定是它的副作用？我问了肝科医生，他们也回答不上来．</p><p>我的部位不适合光照，所以吃中药几乎是唯一的选择．住院时，主治大夫说我是特异体质，可是我从小到大从来没有对什么过敏过，包括食物．真是很困惑．今后还怎么治疗和选择药物？</p>[em06][em06][em06]

freedom

<p>这是我吃的第一副药方：羌活片 独活片 防风 白芷 炙首乌 菟丝子 炒故子 骨碎补 桃仁 红花 鸡血藤 益母草 女贞子 旱莲草 党参咀 炙黄芪 桂枝 麦冬 北沙参 生甘草 </p><p>以后增加了补骨脂，但成分基本上差不多．请博士明察．</p>

李志强博士

<p><strong><font face="Verdana" color="#61b713">紫外线：<font color="#6600ff">可以选用那个治疗四肢末端的方子。</font></font></strong></p><p><strong><font face="Verdana" color="#61b713">reedom：<font color="#3300ff">转氨酶的升高可以肯定是中药中补骨脂所致，这种药物长期服用导致药物性肝损伤的可能性很大，因此我建议长期服含补骨脂中药的同志，每月应该查肝功一次，如果转氨酶出现明显异常应该停药，毕竟肝脏比皮肤更为重要，特别是注射补骨脂素（或者甲氧沙林）者更容易出现肝损伤，做肝功检测非常重要。</font></font></strong></p>

freedom

<div class="msgheader">QUOTE:</div><div class="msgborder"><b>以下是引用<i>李志强博士</i>在2007-9-28 21:27:35的发言：</b><br/><p><strong><font face="Verdana" color="#61b713">紫外线：<font color="#6600ff">可以选用那个治疗四肢末端的方子。</font></font></strong></p><p><strong><font face="Verdana" color="#61b713">reedom：<font color="#3300ff">转氨酶的升高可以肯定是中药中补骨脂所致，这种药物长期服用导致药物性肝损伤的可能性很大，因此我建议长期服含补骨脂中药的同志，每月应该查肝功一次，如果转氨酶出现明显异常应该停药，毕竟肝脏比皮肤更为重要，特别是注射补骨脂素（或者甲氧沙林）者更容易出现肝损伤，做肝功检测非常重要。</font></font></strong></p></div><p></p><p>总算得到了一个明确的答复,我想代表所有患者谢谢您.请大家务必注意"<strong><font face="Verdana" color="#3300ff">长期服含补骨脂中药的同志，每月应该查肝功一次",三个月一次都是不够的.</font></strong></p><p><strong><font face="Verdana" color="#000000">博士主帖里很清楚得列出了对BB起作用的中药和各自的用途,麻烦您把他们的副作用也列出一下----我想这一点对于治疗非常重要,因为如果我们吃药吃到了伤肝伤肾的地步,还能指望BB会好转吗?(其实我的治疗还是很有效果的,但是这代价未免太大了!)</font></strong></p><p><strong><font face="Verdana">在此提前致谢了!</font></strong></p>

freedom

<p>想补充一下:我吃的第一副中药里并没有补骨脂的成分,是从第二个月起才加进去的,算一算时间,实际上我吃了补骨脂开始仅仅半个月肝功就出现了异常.</p><p>不是我的肝比别人的差.这次住院,我做了十多项检查,结果证明我的肝脏本身十分健康.</p><p>所以请服用或注射补骨脂的朋友务必警惕了!</p>[em03][em03]

李志强博士

也不用太担心，只是要注意长期服用含补骨脂中药时要定期查肝功就是，肝损害毕竟只发生在少数人身上。

freedom

看来我和不想流泪都属于"少数人".[em03]我们是对所有药物都比一般人敏感还是只对某一种药物会产生反应呢?

李志强博士

<p>是的，每个人对药物的治疗反应和毒性反应是有很大不同的。就像关木通已经使用了上千年，只是由于在国外使用时导致了严重的肾损害（肾功能衰竭）才认识到其危害性，回头来看国内的情况其实许多人有类似的情况，只是太相信关于中药绝对安全的传统思维，中药导致的肾功能衰竭根本就没有向中药方面考虑，同*堂含有关木通的中成药遭患者起诉索赔，而更多因为服用含木通的中药散方导致肾功能衰竭而陷入肾透析困境甚至丧失生命的更是投诉无门。</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">转载一篇文章：供参考（中药的成分复杂，其不良反应远远没有认识清楚，因此那些自行使用中药（特别是秘方）治疗的患者，应该尽可能搞到所服药物的详细组方，对照一下有没有“木通”“补骨脂”“雷公藤”等等这些有潜在肝肾毒性的药物，使用时要有所警惕，长期服用时应该定期做肝肾功能检查，如果出现异常应该及时停药、到医院就诊处理）。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">正文：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">中草药在我国的应用已有几千年的历史。事实上</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">关于药品的不良反应古人早有所认识</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">如张从正提出“药邪”的观点。近年来可见一些有关中草药不良反应的个案报告。但是</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">人们普遍认为中草药药性平和</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">没有严重的副作用</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因此对其不良反应未加以重视。</span><span lang="EN-US"><font face="Calibri">WHO</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">认为草药虽然有良好的安全性</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">但不能忽视其潜在的危害性。为了唤起人们对草药不良反应的重视</span><span lang="EN-US"><font face="Calibri">,WHO</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">将草药分为</span><span lang="EN-US"><font face="Calibri">3</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">类</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">处方药、非处方药和保健药</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">并建议各国应将草药的管理纳入国家药品政策中</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">国家药典应建立草药专题章节</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">建立草药不良反应的监测标准</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">并建立一项全球草药监测标准的计划。至今</span><span lang="EN-US"><font face="Calibri">WHO</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">数据库已有</span><span lang="EN-US"><font face="Calibri">8985</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">例草药不良反应的报告</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">报告里最常见的不良反应有</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">腹泻</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">心动过速</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">过敏样反应</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">肝炎</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">支气管痉挛</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">惊厥</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">幻觉</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">高血压</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">循环衰竭</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">血小板减少</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">呼吸抑制。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Calibri">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">据近年来的研究和文献报道所记载</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">可导致药物性肝损害的中草药或中成药主要有以下品种</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">中药类——云香、鸦片、白色丹参、贯众、合欢皮、土荆芥、大枫子、天花粉、肉豆蔻、千里光、罂粟、商陆、常山、苦楝皮、黄药子、雷公藤、黎芦、穿山甲、防己、艾叶、大黄、虎杖、朱砂、斑蝥、川楝子、金果榄、苍耳子、鸦胆子、毛冬青、蓖麻子、泽泻、蒲黄、半夏、桑寄生及一些治疗恶性肿瘤、肝多发性囊肿、子宫肌瘤的复方中药</span><span lang="EN-US"><font face="Calibri">(</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">含黄药子、贯众、千里光、苍耳子等</span><span lang="EN-US"><font face="Calibri">);</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">草药类如水田七、苏铁、麝草、喜树、白消容、五色梅、油桐子、猪屎豆、三十六荡、臭草、杜鹃花、杜衡</span><span lang="EN-US"><font face="Calibri">(</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">马蹄香</span><span lang="EN-US"><font face="Calibri">)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">、鱼胆、棉籽、望江南、野百合、石蒜、毒蕈、马桑、及己、黑面叶、大白顶草等。中成药如黑锡丹、消咳喘、复方丹参注射液、复方青黛丸、壮骨伸筋胶囊、壮骨关节丸、壮骨粉、疏风定痛丸、追风透骨丸、青黛胶囊、消银片、消银丸、消银</span><span lang="EN-US"><font face="Calibri">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">号、克银丸、弃癣片、消癣宁、润旺丸、脑安、益脑宁、天麻丸、脑力衰、消石丹、复方咳喘散、松刚益肝丸、化瘀丸等。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">据不完全统计</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">已报道</span><span lang="EN-US"><font face="Calibri">100</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">多种中草药和</span><span lang="EN-US"><font face="Calibri">30</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">多种中成药可引起肝损害。根据现代医学研究</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">药物性肝损害导致药物性肝病主要有</span><span lang="EN-US"><font face="Calibri">2</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">种类型</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">①急性药物性肝病</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">其又分为肝炎型、急性肝内瘀胆型和胆管型</span><span lang="EN-US"><font face="Calibri">;</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">②慢性药物型肝病</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">其表现种类多</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因不被重视</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">易被忽略。除了已知黄药子及其代谢产物对肝细胞</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的直接毒性外</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">关于中草药和中成药引起肝损害的机理</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">大多数还不清楚。这是由于中草药和中成药所含治病的有效成分及机理多数还不清楚</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">而且由它们引起的肝损害在临床表现和实验室检查方面与“病毒性肝炎”、“阻塞性黄疸”等肝胆病没有特异性的不同</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">所以对该病的诊断有一定的难度</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">且有相当一部分病人被误诊或漏诊。实际上</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">亚临床型的药物性肝损害的发生率远比有症状或黄疸表现者为高</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">特别要指出的是对慢性乙型肝炎病人</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">除了干扰素外</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">没有有效的药物。国人大多采用中医中药治疗</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">尤其对伴有肝纤维化、肝硬化的病人</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">常常较长期服用中草药或中成药</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">这些药物往往由多种药物组成且多含有活血化瘀药</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">这些病人在服药期间如出现症状加重、</span><span lang="EN-US"><font face="Calibri">ALT</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">增高或出现黄疸</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">往往被认为系原有肝病加重</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">而不认为是药物所致的不良反应。不会深究其用药的病史</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">从而使诊断误入歧途。病人继续服药</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">病情不断恶化。不少</span><span lang="EN-US"><font face="Calibri">HBsAg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">阳性健康携带者求治心切</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">盲目相信民间“验方”</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">有的盲目大量、长期服用草药、验方</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">引起肝功损害。类似这种情况还有中医药治疗恶性肿瘤、免疫性疾病</span><span lang="EN-US"><font face="Calibri">(</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">如类风湿性关节炎、系统性红斑狼疮等</span><span lang="EN-US"><font face="Calibri">)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">。前面提到的治疗骨关节疾患和皮肤病的中草药、中成药均易引起肝损害。由此可见</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">我们应对中草药不良反应——药物性肝损害有充分的认识</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">做好鉴别诊断</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">观察、停用可疑药物</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以预防药物性肝损害的发生。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Calibri">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">预防和治疗</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Calibri">1 </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">预防</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">①采用中草药或中成药治疗的病人</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">尤其是慢性肝病、免疫性疾病</span><span lang="EN-US"><font face="Calibri">(</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">类风湿性关节炎、系统性红斑狼疮等</span><span lang="EN-US"><font face="Calibri">)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">、皮肤病和恶性肿瘤等</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">应力求辨证准确</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">用药精当</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">并注意监视各种毒副反应</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">特别是定期检查肝功、血象等。②对以往有药物过敏史或过敏体质的病人</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">用药时应特别注意。③对肝肾病人、新生儿和营养障碍者</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">药物的种类、配伍、剂量应慎重考虑</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">尤其已知对肝有损害的药物应禁用</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">即使必用时</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">也应少量</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">并严密追踪、监视。④用药过程中</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">一旦出现肝功异常或黄疸</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">立即停止药物治疗</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">并视情况给以解毒、保肝等治疗。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font face="Calibri">2 </font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">治疗</span><span lang="EN-US"><font face="Calibri">:</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">①立即停用有关或可疑药物。②卧床休息</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">饮食疗法</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">给予维生素</span><span lang="EN-US"><font face="Calibri">B</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">、</span><span lang="EN-US"><font face="Calibri">C,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">病情较重者</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">给予静脉注射高渗葡萄糖、维生素</span><span lang="EN-US"><font face="Calibri">C</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">等</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以加速排泄毒物并维持电解质平衡</span><span lang="EN-US"><font face="Calibri">;</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">也可给予肌肉注射肝太乐</span><span lang="EN-US"><font face="Calibri">100~200 mg/</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">次</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">肌苷</span><span lang="EN-US"><font face="Calibri">200 mg</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">口服或肌肉注射</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以利于解毒和保护肝脏。③根据药物性质给予相应解毒剂</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">最常用的中药解毒药如甘草、绿豆、黄芩等。又如苍耳子中毒可用板蓝根解毒</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">雷公藤中毒可用凤尾草解毒等。④谷胱甘肽是内源性解毒剂</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">它可与毒性代谢产物结合而解毒</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">给予还原型谷胱甘肽</span><span lang="EN-US"><font face="Calibri">(GSH)</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">对某些药物性肝病有较好疗效。一般病例可予</span><span lang="EN-US"><font face="Calibri">300 mg,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">肌注</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">每日</span><span lang="EN-US"><font face="Calibri">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">次。严重病例可每日静滴</span><span lang="EN-US"><font face="Calibri">600 mg,24</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">周为</span><span lang="EN-US"><font face="Calibri">1</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">个疗程。⑤并发暴发性肝功能衰竭者</span><span lang="EN-US"><font face="Calibri">,</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">按暴发性肝炎原则处理。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"></span></p><span lang="EN-US"><p><font face="Calibri">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Calibri">&nbsp;</font></p></span></p><p></p>

freedom

<p>谢谢博士!</p><p>"是药三分毒"---这句话是古人说的,当然特指中药,可是很多人都片面地以为凡是中药就比西药副作用小.听说国外有些地区对于中医药是严格控制的,看来不是没有道理的.而且中医的不确切性使有些没有良知的庸医有机可乘,更加放心大胆地糊弄患者.我转氨酶高到800多时,去复诊,中医把了脉后居然还说我的肝脏很好,但心跳"乱七八糟的"(这是他的原话.)[em03]</p>

不想流泪

<div class="msgheader">QUOTE:</div><div class="msgborder"><b>以下是引用<i>freedom</i>在2007-10-4 9:31:23的发言：</b><br/><p>谢谢博士!</p><p>"是药三分毒"---这句话是古人说的,当然特指中药,可是很多人都片面地以为凡是中药就比西药副作用小.听说国外有些地区对于中医药是严格控制的,看来不是没有道理的.而且中医的不确切性使有些没有良知的庸医有机可乘,更加放心大胆地糊弄患者.我转氨酶高到800多时,去复诊,中医把了脉后居然还说我的肝脏很好,但心跳"乱七八糟的"(这是他的原话.)[em03]</p></div><p>嘿嘿&nbsp; 医生没说你的心跳有点象将军令 这首曲子啊</p>

freedom

哈,楼上的终于来了,我还想让你看看这个帖子呢.

popo369

我女儿服用上海市第一人民医院朱光斗教授的益气祛白颗粒（含有补骨脂成份）二年了，患处50%好了,2007年9月13日我带她到医院肝功能化验都正常.但不知道肾功能需化验哪些指标.我感觉不到补骨脂有什么副作用.此外,我女儿外涂的药物中也含补骨脂成份的.