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HEALTH MAGAZINE

How to select TCM
Currently, more and more Western Doctors, besides Herbalist Doctors, select TCM to treat patients, because of TCM advantages like credible curative effect, convenient taking and slight side effect. Still, somebody have little knowledge on pharmacody of TCM, causing some problems of inefficay even the deterioration diseases, so more attention should be paid to it. Many TCM drugs have similar name, but their effect and range of indications are very different, so, while buying TCM drug, the patients should find out their effect and range of indications, instead of basing on TCM drug name to buy it. For instance, people usually consider the drug with name of ginseng and young pilose antler as tonic, actually, many TCM drug containing these two medicinal materials are not used for tonification, i.e. Ginseng Restorative Bolus used for arthralgia and cold-dampness entering the collateral channels; Ginseng spleen-strengthening Bolus used for dyspepsia; Bolus of Ginseng, Young pilose antler and Bian used for deficiency of the kidney. Bolus of making kids fatty, which made from malt, medicated leaven, haw, rangoon creeper and areca, does not contain the ingredient like Ginseng and Young pilose antler, but leaves the misleading appearance to people that it can make kids fatty, actually it is used for children's indegestion and paratosis. So it is harmful for people to take the above-mentioned TCM drug as tonic.

The situations are common of different TCM drug with same name and same TCM drug with different name, because there is no uniform formula and naming standard, never substitute them casually. For instance, Bolus for Tonifying the Kidney-qi, made in Shanghai, Hangzhou, Xi'an and Jinan on the basis of the prescription in Synopsis of Prescription of the Golden Chamber written by Zhang Zhongjing is also called Bawei Bolus containing yaw, tuckahoe, cassia twing, dry glutinous rehmannia, oriental water plantain rhizome, moutan bark, prepared aconite root and dogwood fruit. However, Bolus for Tonifying the Kidney-qi, made in Tianjin, Tangshan, Shenyan and Harbin on the basis of the prescription in Recipes for Saving Lives written by Yan Yonghe of Song Dynasty, is made from the mentioned 8 species medicinal material and plantain seed and achyranthes root. These two TCM drugs have some name but different effect and range of indications. The former drug has marked effect in treating lumbago, difficult urination, sensation of contracture of the lower abdomen, but the latter one is good for treatment of inducing diuresis to alleviate edema. So the drug should be taken on patients' state of an illness discriminatively.

¡¡¡¡ Still, some TCM with different name have similar effect, i.e. Pill of Six Ingredients with Magical Effects, anti-inflammatory pill and laryngitic pill are good for treatment of pharyngitis; both pill of lonicera and forsythia and pill of antelope's horn and forsythia are used to treat wind-heat type of common. Selecting drug discriminatively It is common that different patients suffering from some illness take some drug and get different result. What's the reason? That's because of curative characteristic of herbalist doctor- Bianzhengshizhi that means diagnosis and treatment on the basis of an overall analysis of the illness and patient's condition. For instance, herbalist doctors think that cold has two types of wind-cold and wind-heat, and should choose different drug. Pill of lonicera and forsythia containing lobster sauce, mint, burdock, bamboo leaf, common reed rhizome, liuorice, forgythia, schizonepeta and balloonflower, is transferred from powder of lonicera and forsythia in Detailed Analysis of Epidemic Febrile Diseases. It, holding the effect of disperse wind and heat, and open the inhibited lung energy and receive cough, is good for treatment of wind warm, fever and thirst, but can not be used to treat wind-cold type of common cold with the symptom of externa wind and cold, fever with chills. While wind-cold type of common cold being treated with taking Pill or Bolus of lonicera and forsythia, fistrlar onion soup should be taken as guiding drug. Also, it can be treated with Vitamin C Pill of lonicera and forsythia or fine Pill of lonicera and forsythia, because these two drug contain Vitamin C, caffein, haynon and metalid, and these two drugs can be used to treat not only wind-cold type of common cold, but also wind-heat cold.

Also, white phoenix bolus of black-bone chicken & pill arresting uterine bleeding are used to normalize menstruation, however, the former one is good for the treatment of irregular menstruation with the characteristic of scanty menstruation, the latter one has marked effect in treating irregular menstruation with the characteristic of profuse menstruation. So, these two drugs can not be substituted each other. For same reason, Cinnabar Sedative Pill & mind-easing tonic bolus with arborviate seed both are sedative-hypnotic, but, the former one has effect of clearing away the heart-fire and relieving convulsion and mental strain caused by deficiency of the heart-fire and excessive cardiac fire, and the latter one has the effect of tonifying the qi and enriching the blood, being good for the treatment of insomnia and dreaminess caused by deficiency of the heart-qi and deficiency of heart-yang. These two drugs can not be substituted each other, because of their different characteristics of Yin and Yang.

¡¡¡¡ While treating patients, more attention should be paid to their specific conditions. For instance, when pregnant woman injuries from falls, the drug with the characteristics of removing blood stasis and invigorating the circulation of blood, i.e. anti-bruise powder and bolus of dieda can not be used to treat them, if used, it may causes Ab-abbortion. The cough patient having heart disease history can not take the drug like powder of snake bile and dried tangerine peel and tendrilled fritillary and loquat leaf syrup containing ephedra and ephedrine, otherwise it probably cause the relapsing of heart disease.