中医里的「以毒攻毒」，究竟是什么原理
<p style="white-space: normal;margin-bottom: 0px;">提起“以毒攻毒”，很多人会想到武侠小说里的经典片段。</p><p style="white-space: normal;margin-bottom: 0px;"><br></p><p style="white-space: normal;margin-bottom: 0px;">比如，在《神雕侠侣》中，身中“情花毒”的杨过为中了“冰魄银针毒”的武氏兄弟“吸毒”，两种剧毒抵消，推迟了杨过的毒发时间。<br></p><p style="white-space: normal;margin-bottom: 0px;"><br></p><p style="white-space: normal;margin-bottom: 0px;">虽然这是小说杜撰的情节，但中医里确实有「以毒攻毒」疗法。<br></p><p style="white-space: normal;margin-bottom: 0px;"><br></p><section style="text-align: center;margin-bottom: 0px;"><br><br></section><p style="white-space: normal;margin-bottom: 0px;"><br></p><p style="white-space: normal;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);margin-bottom: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;">采访专家，解读中医“以毒攻毒”的含义，并说清几个安全前提。</span></p><p style="white-space: normal;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);margin-bottom: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"></span></p><section style="white-space: normal;outline: 0px;max-width: 100%;box-sizing: border-box;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;font-size: 16px;background-color: rgb(255, 255, 255);visibility: visible;overflow-wrap: break-word !important;"><section style="margin-top: 10px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: left;visibility: visible;margin-bottom: 0px;overflow-wrap: break-word !important;"><section style="padding-right: 1em;padding-left: 1em;outline: 0px;max-width: 100%;box-sizing: border-box;display: inline-block;text-align: center;visibility: visible;overflow-wrap: break-word !important;"><span title="" style="padding: 0.3em 0.5em;outline: 0px;max-width: 100%;box-sizing: border-box;display: inline-block;border-radius: 0.5em;background-color: rgb(71, 193, 168);font-size: 17px;color: rgb(255, 255, 255);visibility: visible;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">受访专家</strong></p></span></section></section><section style="margin-top: -1em;padding: 20px 10px 10px;outline: 0px;max-width: 100%;box-sizing: border-box;border-color: rgb(192, 200, 209);border-style: solid;border-width: 1px;background-color: rgb(239, 239, 239);text-align: center;visibility: visible;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-size: 17px;visibility: visible;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;margin-bottom: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">上海中医药大学附属龙华医院主管中药师 周向明</span></strong></section><section style="outline: 0px;max-width: 100%;visibility: visible;margin-bottom: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(239, 239, 239);outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">上海中医药大学附属龙华医院</span></strong>主任药师 奚燕</span></strong></section></section></section></section><p style="white-space: normal;margin-bottom: 0px;"><br></p><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;margin: 10px 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;box-shadow: rgb(254, 226, 0) 0px 4px 0px;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-width: 0px;border-radius: 4px;border-style: none;border-color: rgb(62, 62, 62);overflow: hidden;background-color: rgb(71, 193, 168);align-self: flex-start;box-sizing: border-box;"><section style="font-size: 20px;letter-spacing: 2px;padding-right: 10px;padding-left: 10px;color: rgb(242, 249, 255);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">中医的“以毒攻毒”指什么？</strong></p></section></section></section></section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">中药之所以区别于其他普通的天然物质，就是因为其具有的特殊偏性（药性）能治疗疾病，纠正人体的偏盛偏衰，可以说偏性是中药毒性的主要本质。<br></section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">《淮南子·修务训》记载：“神农尝百草之滋味，水泉之甘苦，令民知所避就，当此之时，一日而遇七十毒。”这里的“毒”即药物偏性。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">由于偏性程度不同，对人体的影响有大有小。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">“以毒攻毒”的<strong>第一个“毒”通常指毒性中药</strong>。毒性中药的功效明确、药性峻猛，在临床治疗某些疾病时发挥着不可替代的作用。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">例如，机体阳虚过甚或亡阳证（阳气突然大量脱失，以致全身功能严重衰竭的危重证候），可用大辛、大热的附子。</section><section style="margin-bottom: 0px;"><br></section><section style="text-align: center;margin-bottom: 0px;"><br><br></section><section style="text-align: center;margin-bottom: 0px;"><span style="color: rgb(136, 136, 136);font-size: 15px;">附子</span></section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">汉代张仲景《伤寒杂病论》中也有很多经方使用了毒性较大的中药，如附子、半夏、巴豆等。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;margin: 10px 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;box-shadow: rgb(254, 226, 0) 0px 4px 0px;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-width: 0px;border-radius: 4px;border-style: none;border-color: rgb(62, 62, 62);overflow: hidden;background-color: rgb(71, 193, 168);align-self: flex-start;box-sizing: border-box;"><section style="font-size: 20px;letter-spacing: 2px;padding-right: 10px;padding-left: 10px;color: rgb(242, 249, 255);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">哪些疾病可以“以毒攻毒”？</strong></p></section></section></section></section><p style="margin-bottom: 0px;"><br></p><section style="margin-bottom: 0px;">蝮蛇咬人后能立即致人中毒，出血因子是其毒液的主要成分之一，导致咬伤部位流血不止乃至全身广泛出血。但人们对蛇毒进行分离和提取，利用其活血化淤的作用来治疗血管栓塞，取得了一定效果。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">现代临床中，毒性中药主要应用于以下几个方面：</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 1.5em;height: 1.5em;border-radius: 50%;background-color: rgb(71, 193, 168);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section><section style="display: inline-block;vertical-align: middle;margin-left: -0.8em;width: 0px;border-right: 1em solid rgb(255, 255, 255);box-sizing: border-box;border-top: 0.6em solid transparent !important;border-bottom: 0.6em solid transparent !important;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="display: inline-block;vertical-align: middle;color: rgb(71, 193, 168);font-size: 18px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">治疗疼痛</strong></p></section></section></section><section style="margin-bottom: 0px;">马钱子、蟾酥、生川乌、生天仙子等具有较好的止痛效果，配合应用时止痛效果更显著。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">比如，蟾酥主要用于一些恶性肿瘤引起的疼痛，制川乌可用于缓解头痛、牙痛等。与西药的止痛药相比，采用中药治疗可以避免产生依赖性、耐药性等。</section><section style="margin-bottom: 0px;"><br></section><section style="text-align: center;margin-bottom: 0px;"><br><br></section><section style="text-align: center;margin-bottom: 0px;"><span style="color: rgb(136, 136, 136);font-size: 15px;">制川乌</span><br></section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 1.5em;height: 1.5em;border-radius: 50%;background-color: rgb(71, 193, 168);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section><section style="display: inline-block;vertical-align: middle;margin-left: -0.8em;width: 0px;border-right: 1em solid rgb(255, 255, 255);box-sizing: border-box;border-top: 0.6em solid transparent !important;border-bottom: 0.6em solid transparent !important;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="display: inline-block;vertical-align: middle;color: rgb(71, 193, 168);font-size: 18px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">辅助治疗疑难杂症</strong></p></section></section></section><section style="margin-bottom: 0px;">临床研究显示，将毒性中药制成膏药、酊剂或进行熏洗治疗对于许多疑难杂症也有一定疗效，并且与西医全身性治疗相比，毒性中药为局部用药，毒副作用小，疗效相对显著。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 1.5em;height: 1.5em;border-radius: 50%;background-color: rgb(71, 193, 168);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section><section style="display: inline-block;vertical-align: middle;margin-left: -0.8em;width: 0px;border-right: 1em solid rgb(255, 255, 255);box-sizing: border-box;border-top: 0.6em solid transparent !important;border-bottom: 0.6em solid transparent !important;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="display: inline-block;vertical-align: middle;color: rgb(71, 193, 168);font-size: 18px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">辅助治疗肿瘤</strong></p></section></section></section><section style="margin-bottom: 0px;white-space: normal;">中医学认为，情志内伤、外感六淫、饮食不调等综合因素共同作用，形成产生肿瘤的基础，发病日久，导致体内产生毒邪，毒邪又与血瘀痰浊聚集，从而引起各种肿瘤疾病发生。</section><section style="margin-bottom: 0px;white-space: normal;"><br></section><section style="margin-bottom: 0px;white-space: normal;">例如，斑蝥中的斑蝥素，长春花中的长春碱和长春新碱在此领域就有运用。</section><section style="margin-bottom: 0px;white-space: normal;"><br></section><p style="white-space: normal;margin-bottom: 0px;">通过辨证，用毒性中药进行治疗以消除毒邪，在临床中应用广泛，且疗效显著。<strong>常用的毒性中药有生南星、生半夏、斑蝥、蟾蜍、雄黄、全蝎等</strong>。</p><p style="margin-bottom: 0px;"><br></p><section style="box-sizing: border-box;margin-bottom: 0px;"><section style="text-align: center;justify-content: center;margin: 10px 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;box-shadow: rgb(254, 226, 0) 0px 4px 0px;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-width: 0px;border-radius: 4px;border-style: none;border-color: rgb(62, 62, 62);overflow: hidden;background-color: rgb(71, 193, 168);align-self: flex-start;box-sizing: border-box;"><section style="font-size: 20px;letter-spacing: 2px;padding-right: 10px;padding-left: 10px;color: rgb(242, 249, 255);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;">“以毒攻毒”的7个安全前提</strong></p></section></section></section></section><section style="text-align: justify;margin-bottom: 0px;"><br></section><section style="text-align: justify;margin-bottom: 0px;">《黄帝内经》说：“大毒治病十去其六，常毒治病十去其七，小毒治病十去其八。”意思是说，使用毒性药物治病，要适可而止，以免得不偿失。</section><section style="text-align: justify;margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">由于毒性中药的治疗量和中毒量十分接近，服用不当容易使患者中毒，严重时甚至危及生命。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">在医生指导下服用也要留意几个细节：</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">1</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">尽量不用毒性较大中药</strong></p></span></section></section></section><section style="margin-bottom: 0px;">对于一些特殊人群，如孕妇、老年人、婴幼儿，以及有器官功能不全的患者等，尽量不使用毒性较大的中药。</section><section style="margin-bottom: 0px;"><br></section><section style="margin-bottom: 0px;">如果必须使用，须谨慎使用，合理配伍。合理配伍可以起到减毒增效的作用，如生附子与生姜合用可减轻毒性。但配伍不当也会造成毒性或产生不良反应。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">2</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">选择合适的炮制品</strong></p></span></section></section></section><section style="margin-bottom: 0px;">炮制是降低中药毒性的主要加工方法。如生何首乌有毒，但经过“九蒸九晒”炮制后的制何首乌则没有毒性；生半夏毒性较大，但使用生姜、白矾等物质炮制后则没有毒性。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">3</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">选择适宜治疗剂量和疗程</strong></p></span></section></section></section><section style="margin-bottom: 0px;">从小剂量开始，及时关注用药后的反应，做到中病即止（见效就停药）。如制附子，临床上通过较大剂量使用以达到“扶阳”作用，但需从小剂量开始，且做到先煎和久煎。</section><section style="margin-bottom: 0px;"><br></section><section style="text-align: center;margin-bottom: 0px;"><br><br></section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">4</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">出现不适立马就医</strong></p></span></section></section></section><section style="margin-bottom: 0px;">服药期间一旦出现身体不适症状，要及时告知医生，以便医生分析原因，必要时及时停药或调整用药，如出现毒性反应及时到医院就诊。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">5</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">不要长期服用同一处方</strong></p></span></section></section></section><section style="margin-bottom: 0px;">中医要求随证加减，因为身体机能和病情是动态变化的，如果过量或过久使用，则会药不对证（症），可能产生不利的毒性反应。</section><section style="margin-bottom: 0px;"><br></section><p style="margin-bottom: 0px;">临床发现，有大毒、有毒中药在使用过程中较少出现毒性反应，反而是传统中认为有小毒或“无毒”的中药（“无毒”中药即上面提到的中药偏性）容易出现不良反应甚至毒性反应，如使用人参出现“上火”而流鼻血、用生石膏过量引起“中寒”（胃痛）等。</p><p style="margin-bottom: 0px;"><br></p><p style="margin-bottom: 0px;">无论是药物的偏性还是毒性，临床使用中都应中病即止。</p><p style="margin-bottom: 0px;"><br></p><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">6</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">长期服药者定期体检</strong></p></span></section></section></section><section style="margin-bottom: 0px;">需要长期服用中药的患者，应多关注自己用药后的反应和身体状况，最好能做到定期检查，如血常规、肝肾功能等。</section><section style="margin-bottom: 0px;"><br></section><section style="box-sizing: border-box;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;line-height: 1;" powered-by="xiumi.us"><section style="display: inline-block;border-bottom: 2px solid rgb(71, 193, 168);padding-right: 2px;padding-bottom: 3px;padding-left: 2px;box-sizing: border-box;"><section style="display: inline-block;padding: 0.3em 0.4em;min-width: 1.8em;min-height: 1.6em;line-height: 1;text-align: center;border-radius: 80% 100% 90% 20%;background-color: rgb(71, 193, 168);color: rgb(255, 255, 240);font-size: 18px;box-sizing: border-box;overflow-wrap: break-word !important;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">7</strong></p></section><span style="display: inline-block;margin-left: 0.4em;max-width: 100%;line-height: 1.4;color: rgb(71, 193, 168);font-size: 18px;overflow-wrap: break-word !important;box-sizing: border-box;" title="" opera-tn-ra-cell="_$.pages:0.layers:0.comps:0.txt2"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;">正确煎煮中药</strong></p></span></section></section></section><p style="margin-bottom: 0px;">不同药物煎煮方式并不一致。如附子、蛇六谷等需要先煎 1~2 小时以降低毒性；苦杏仁需水沸后下，防止因久煎导致苦杏仁苷含量下降，降低疗效。</p><p style="margin-bottom: 0px;"><br></p><section style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="width: 2.25em;height: 2.25em;margin-left: auto;border-top: 5px solid rgb(71, 193, 168);border-right: 5px solid rgb(71, 193, 168);transform: rotate(0deg);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section><section style="margin-top: -2.25em;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(242, 242, 242);box-sizing: border-box;"><section style="text-align: justify;padding: 10px;box-sizing: border-box;" powered-by="xiumi.us"><section style="white-space: normal;box-sizing: border-box;margin-bottom: 0px;">需要注意的是，<span style="background-color: rgb(242, 242, 242);">不要迷信偏方，尤其是擅自使用毒性较大的中药。</span>出现疾病一定要到正规医院诊治，在医生指导下使用处方或非处方药物治疗。▲</section></section></section></section></section></section><section data-width="100%" data-opacity="1" data-rotate="0" style="margin-bottom: 0em;white-space: normal;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);letter-spacing: 0.544px;background-color: rgb(255, 255, 255);caret-color: rgb(34, 34, 34);font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;letter-spacing: 0.544px;min-height: 0px;background-image: none;background-clip: border-box;background-size: auto;border-width: 0px;border-style: none;border-color: rgb(217, 33, 61);bottom: auto;float: none;height: auto;left: auto;max-height: none;min-width: 0px;top: auto;z-index: auto;visibility: visible;clear: none;text-align: right;background-position: 0% 0%;background-repeat: repeat;line-height: 1.75em;margin-bottom: 0px;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;color: rgb(217, 33, 61);letter-spacing: 0.544px;display: inline-block;vertical-align: bottom;line-height: 0;width: 1.6em;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br></strong></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p> 真的有这种吗？ 还是没看懂 还真的有啊 还真的有啊！ 还是看懂点点了 我也看不懂 原来是这样 原来如此啊 以毒攻毒的方法
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