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无标题文æ¡?/title> </head> <body><h1> michaellucas做0片子 </h1> <div> <?php echo $datetime ?> </div> <table width="1000" border="0" align="center" cellpadding="0" cellspacing="0">michaellucas做0片子 <tr> <td width="1010" height="268"><img src="images/slider_01.jpg" width="1000" height="268"></td> </tr> <tr> <td height="1"></td> </tr> <tr> <td height="1" bgcolor="b4b4b4"></td> </tr> <tr> <td height="2"></td> </tr> <tr> <td height="40" align="center" background="images/dhbj_3.jpg"> <table width="90%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="22"> <a href="http://weiyuzhaoshang.net/C0XjUxAqe.xml"><span style="color:#FFF; font-weight:bolder">michaellucas做0片子é¦?é¡?| </span></a><a href="http://weiyuzhaoshang.net/eueU8l9mb3lI.html"><span id="image1" style="color:#FFF;font-weight:bolder" onMouseOver="MM_showMenu(window.mm_menu_0630134723_0,0,35,null,'image1')" onMouseOut="MM_startTimeout();" >走进众信 | </span></a><a href="http://weiyuzhaoshang.net/WfGxehgh"><span id="image2" style="color:#FFF;font-weight:bolder" onMouseOver="MM_showMenu(window.mm_menu_0630141528_0,0,35,null,'image2')" onMouseOut="MM_startTimeout();" >新闻中心 | </span></a><a href="http://weiyuzhaoshang.net/OnBECYgPA42Xt.shtml"><span id="image5" style="color:#FFF;font-weight:bolder" onMouseOver="MM_showMenu(window.mm_menu_0819093635_0,0,35,null,'image5')" onMouseOut="MM_startTimeout();" >门店巡礼 | </span></a><a href="http://weiyuzhaoshang.net/71w7n"><span style="color:#FFF;font-weight:bolder" id="imagecp" onMouseOver="MM_showMenu(window.mm_menu_0819093600_0,0,35,null,'imagecp')" onMouseOut="MM_startTimeout();" >产品展示 | </span></a><a href="http://weiyuzhaoshang.net/ggYByAOoM.xml"><span id="image3" style="color:#FFF;font-weight:bolder" onMouseOver="MM_showMenu(window.mm_menu_0630142030_0,0,35,null,'image3')" onMouseOut="MM_startTimeout();" >健康咨询 | </span></a><a href="http://weiyuzhaoshang.net/Gy3KT.html"><span style="color:#FFF;font-weight:bolder">招贤纳士 | </span></a>michaellucas做0片子<a href="http://weiyuzhaoshang.net/okQL0mnoE.shtml"><span style="color:#FFF;font-weight:bolder">采供在线 | </span></a>michaellucas做0片子<span style="color:#FFF;font-weight:bolder">市场拓展 | </span><a href="http://weiyuzhaoshang.net/bDeTMsGJO.xml"><span style="color:#FFF;font-weight:bolder">留言反馈 | </span></a><a href="http://weiyuzhaoshang.net/8EDnBUBqFi"><span style="color:#FFF;font-weight:bolder">联系我们</span></a> </td> </tr> </table> </td> </tr> <tr> <td height="24" bgcolor="F0F9EA"></td> </tr> <tr> <td height="4"></td> </tr> </table> </body> </html> </td> </tr> <tr> <td align="center" valign="top"><table width="980" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="756" valign="top"><table width="756" border="0" cellpadding="0" cellspacing="0"> <tr> <td><img src="images/zk3_1.gif" width="4" height="33" alt="" /></td> <td height="33" align="center" valign="bottom" background="images/zk3_2.gif"><table width="85%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="30" align="left" class="title12"><a href="http://weiyuzhaoshang.net/b8m6MNxjDhZg5S.xml">é¦?é¡?/a> | 查看新闻</td> </tr> </table></td> <td><img src="images/zk3_3.gif" width="4" height="33" alt="" /></td> </tr> <tr> <td width="4" align="left" valign="top" background="images/zk3_4.gif"></td> <td height="994" align="center" valign="top" bgcolor="EEF9E7"><br /> <table width="96%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="35" align="center" class="fonttitle">含西药成分中成药或成重大用药隐患 </td> </tr> <tr> <td align="left" class="main1"><P style="TEXT-ALIGN: center; LINE-HEIGHT: 15pt; MARGIN-TOP: 0pt; MARGIN-BOTTOM: 0pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes"><IMG border=0 src="/ewebeditor/uploadfile/20130313113211291.jpg"></SPAN></P> <P style="TEXT-ALIGN: center; LINE-HEIGHT: 15pt; MARGIN-TOP: 0pt; MARGIN-BOTTOM: 0pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes">2013<FONT face=宋体>å¹?/FONT><FONT face=瀹嬩ç¶?03</FONT><FONT face=宋体>æœ?/FONT><FONT face=瀹嬩ç¶?12</FONT><FONT face=宋体>æ—?nbsp;来源ï¼?nbsp;</FONT></SPAN><SPAN><A><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes">新京æŠ?/SPAN></A></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes"> </SPAN></P><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes"></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(129,129,129); FONT-SIZE: 9pt; mso-spacerun: yes"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p> <DIV style="LAYOUT-GRID: 15.6pt none" class=Section0> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">    掺着</SPAN><SPAN style="FONT-FAMILY: 宋体; COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">西药</SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">的中成药,由于临床上往往不知道中药里含有的西药成分的剂量,所以如果与西药同时服用,容易过量。新京报记è€?nbsp;王远å¾?nbsp;æ‘?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  近日,微博红人急诊科女医生于莺炮轰<FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中医和中成药</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>,提出一串质疑,其中对于中成è?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>千人一æ–?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>西医开中成è?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中成药的临床试验</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的质疑更是激化了</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>一个争议多年仍无结论的大问é¢?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>。在中医的针对病患整体的</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>辨证施治</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>和西医的针对特定疾病</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>循证医学</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的分歧外,一些医界人士还对中成药的成分、成效、安全性及药物上市审批提出质疑,认为传统中医和中药产业得到äº?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>非理性支æŒ?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>å’?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>过大的特æ?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>。这些丸、散、膏、丹的中成药,究竟是否有效安全?</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">含西药成分的中成药在消炎药和感冒药中常见</SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  日前,香港卫生署从市场监测中发现ï¼?FONT face="Times New Roman">â€?/FONT><FONT face=宋体>仙然湿特ç–?/FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">追风透骨ä¸?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">â€?FONT face=宋体>å?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>仙然百痛敌追风透骨ä¸?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的中成药(均为内地制造)含有微量未标示的西药成分</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>扑热息痛</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>,不适当服用</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>扑热息痛</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>可使肝脏及肾脏受损ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  尽管这些中成药并没有在内地出售,但是中成药里会含æœ?FONT face="Times New Roman">â€?/FONT><FONT face=宋体>西药</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>成分,让许多笃信天然草药毒副作用小药性温和的人大跌眼镜,这究竟是不是中医的一ç§?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>欺骗行为</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>ï¼?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face="Times New Roman">â€?/FONT><FONT face=宋体>常见çš?/FONT><FONT face=瀹嬩ç¶?VC</FONT><FONT face=宋体>银翘片、银翘解毒片药物成分中就含有扑尔敏,再和其他含有扑尔敏的西药混用,就会使药量加大并可能出现副作用ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>一位不愿透露姓名的临床药师说。银翘解毒片实际是中药中掺和西药,而这样的</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>混血å„?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>,在消炎镇痛、感冒药中非常常见ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">掺有西药的中成药与西药同服容易过é‡?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face="Times New Roman">â€?/FONT><FONT face=宋体>以中草药为原料,经制剂加工成各种不同剂型的中药制品,被称为中成药。尽管中药和西药可以同时服用,但是掺和着西药的中成药,由于临床上往往不知道中药里含有的西药成分的剂量,所以如果与西药同时服用,不好掌握剂量,容易过量。比如中成药里含有降压降糖的西药成分,和西药同服,会造成病人血糖不稳定等,达不到治疗效果或出现不良反应。所以,我不赞成在中成药里添加西药成分ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中日友好医院心脏血管病中心、中西医结合心脏内科主任、北京中医药大学兼职教授黄力说ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中医中药ä»?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>人体是一个整ä½?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的思想辨证施治,在某些疾病尤其是慢性病的治疗、调理上有一定优势。在临床具体实践中,却往往被错误理解成</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中西药结å?/FONT><FONT face="Times New Roman">’—â€?/FONT><FONT face=宋体>在中药里添加西药,变成了既不是中药也不是西药的东西,中医中药的君臣佐使的配伍理念与西药的添加标准是完全两回事,搞得临床上非常混乱,容易出事ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>卫生部全国合理用药监测网专家孙忠实教授说,大夫们不了解这款中成药里添加了什么西药或有多少西药,老百姓们更是相信å…?/FONT><FONT face=瀹嬩ç¶?100</FONT><FONT face=宋体>%的血统纯正ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">â–?nbsp;<FONT face=宋体>质疑秘方安全</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">名方就能不通过临床安全试验ï¼?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  类似云南白药这种<FONT face="Times New Roman">â€?/FONT><FONT face=宋体>祖传秘方</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>却被证明含有有毒成分,药监部门是否对这样</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>目前仍在广泛应用、具有明显特色与优势</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>çš?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>经典名方</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>开了绿灯?</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  微博上一位叫<FONT face="Times New Roman">â€?/FONT><FONT face=宋体>棒棒医生</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的人,连发三篇质疑中药得åˆ?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>非理性官方支æŒ?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>的博文《中药有多大的特权?》。其中提到《关于印发中药注册管理补充规定的通知》(国食药监æ³?/FONT><FONT face=瀹嬩ç¶?[2008]3</FONT><FONT face=宋体>号)第七条:</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>来源于古代经典名方的中药复方制剂,是指目前仍广泛应用、疗效确切、具有明显特色与优势的清代及清代以前医籍所记载的方å‰?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>,并规定符合条件的该类中药复方制剂,可仅提供非临床安全性研究资料,并直接报生产ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face="Times New Roman">â€?/FONT><FONT face=宋体>棒棒医生</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>解释说:一种新药要获批进入市场,必须经过动物试验和临床试验两个层次的安全性检验,</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>非临床安全性研ç©?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>即是通过动物试验检验药物的安全性。任何新药的开发在进入人体试验之前,首先要进行非临床试验(即动物试验),为将进行的临床试验提供安全支持。临床安全性评价才是新药安全性的最终保证,非临床安全性试验绝对不能代替临床安全性试验ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  所谓古代经典名方到底指什么呢?在《补充规定》规定,其具体目å½?FONT face="Times New Roman">â€?/FONT><FONT face=宋体>由国家食品药品监督管理局协助有关部门制定并发å¸?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>,然而,四年过去了,直到今天也没有制定出这么个目录来。就是说,这几年获批çš?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>古代经典名方</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>都是报批者自己认定的ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face="Times New Roman">â€?/FONT><FONT face=宋体>在中医中药政策上,存在有时严格,有时宽松的现象。如果出问题了,就重视质量提高。但目前来说,政策还是对安全性问题有所重视,中成药审批的门槛提高了ã€?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>孙忠实说,中医中药的现代化进程中,有不同的意见和声音,面临的阻力也很大。有人认为中医中药的现代化不是西化,不能拿西医标准要求中医中药,而是中医理论指导下的现代化ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  今年<FONT face=瀹嬩ç¶?1</FONT><FONT face=宋体>月时,葛兰素史克中国研发中心总裁臧敬五博士在其公司年度媒体见面会上也表示ï¼?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>中药学是通过经验来配合用药,它的瓶颈在于,缺乏循证医学的临床证据。这是中药发展以及寻求全球发展的最关键问题ã€?/FONT><FONT face="Times New Roman">â€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">â–?nbsp;<FONT face=宋体>热点问答</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">不能轻易否定中药的辅助治疗作ç”?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face=瀹嬩ç¶?Q</FONT><FONT face=宋体>中成药很多是运用在辅助治疗上,所谓的</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>辅助疗效</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>是否意味着含糊çš?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>疗效</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>甚至</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>无效</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>?或只是</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>心理安慰</FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>ï¼?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  黄力:有大量数据证明中西药结合治疗比单纯的西药或中药治疗效果好,生活质量得到了明显提高。比如治疗高血压方面,有些西药的确可以降压,但是还有些症状缓解不了的情况,比如用了大量西药降不下压来,使用中药调理,降压效果会很好;有些高血压患者会有失眠等症状,失眠也可造成血压波动很大,影响治疗效果,用中药调整后,对降压有很好作用ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  中成药一èˆ?/SPAN><SPAN style="FONT-FAMILY: 宋体; COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">在西药治ç–?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">效果不好时或单纯用西药解决不了问题时使用,不代表它一定有用或一定无用。比如冠心病病人心脏安了支架或搭桥,按照相关指南进行抗缺血治疗等,但是患者还是非常疼,需要配合中药治疗来改善内循环,效果也非常好ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  中山大学附属肿瘤医院内科副主任ã€?FONT face=瀹嬩ç¶?SFDA</FONT><FONT face=宋体>药审专家张力:从癌症治疗角度来说,合适的中医和中成药在辅助治疗方面还是有效的,能改善患者的生存质量。但是涉及医保中中药所占比例问题,我认为中药所占比例还是过高ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  孙忠实:不能一棍子打死中药和轻易否定辅助治疗。中药、中成药在调理、整体治疗思想指导下,有很重要的作用和优势。比如在癌症患者继续治疗可能造成破坏之前,使用一些中药来提升患者对化疗和放疗的承受能力,这种辅助治疗改善了患者治疗期间的生活质量,是完全应该的ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face=瀹嬩ç¶?Q</FONT><FONT face=宋体>中药一直讲究辨证施治,一人一方,但为何到了中成药这里就成äº?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>千人一æ–?/FONT><FONT face="Times New Roman">â€?/FONT><FONT face=宋体>ï¼?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  黄力:中医讲辨证论治,对药物使用也是因人而异。中成药也需要因人而异使用。但是的确中成药不像汤药那样是量体裁衣,可以调整,中成药更像是按号买衣,大体合适,但也有可能有些地方不是完全对症ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  </SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-spacerun: yes">西医对中成药的处方权可能造成滥用</SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face=瀹嬩ç¶?Q</FONT><FONT face=宋体>根据有关报道,我国约</FONT><FONT face=瀹嬩ç¶?70%</FONT><FONT face=宋体>的中成药是由综合医院的西医医师开出。è€?/FONT><FONT face=瀹嬩ç¶?2008</FONT><FONT face=宋体>年由北京市中医药管理局与中医药学会组织的西医使用中成药现状的大规模调查研究发现,临床中成药不合理使用率最高达四成。没有接受过中药理论知识培训的西医医生是否会造成中成药误用和滥用ï¼?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  黄力:的确,西医对中成药的处方权也有可能造成误用和滥用。比如老年性尿失禁,中医认为是肾虚造成的,西医认为是膀胱肌的肌肉松弛造成的,但发生过西医大夫给这样的患者开了清热解毒的治疗尿路感染的药物,不但没有治好,反è€?/SPAN><SPAN style="FONT-FAMILY: 宋体; COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">发生溏泻</SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  广安门医院药剂科主任杨响光:国家中医药管理局和卫生部组织制定了《中成药临床应用指导原则》并äº?FONT face=瀹嬩ç¶?2010</FONT><FONT face=宋体>å¹?/FONT><FONT face=瀹嬩ç¶?6</FONT><FONT face=宋体>月印发,供各级医疗机构在临床使用中成药时参考;北京市据此开展了全市二级以上西医师的中成药合理使用规范化培训和考核。这些工作促进了中成药合理使用水平的提升,从一个方面减少了部分中成药不良反应的发生ã€?/FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  <FONT face=瀹嬩ç¶?Q</FONT><FONT face=宋体>目前对西药上市审批所需要的严格的四期临床试验,都不会加之于中成药。很多医学界人士认为这是对传统中药毫无理性的支持,请问您怎么看中成药和中药注射剂的审批?</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  黄力:经过一段时间的混乱后,现在的审批门槛还是挺高的,以前批的很多中成药现在都停掉了。目前申请新的中成药,一样需要大型、多中心的四期临床试验。比如我们这里,先需要拿下严格的院内制剂的审批,在院内使用,总结多少病例后再申报新药ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  孙忠实:对疗效和安全性的评估方面,中成药的说明很少有符合要求的说明书。符合国家要求的药品说明书,是建立在认真科研和临床研究的基础上的ã€?/SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes"><o:p></o:p></SPAN></P> <P style="TEXT-ALIGN: left; LINE-HEIGHT: 180%; MARGIN-TOP: 10.5pt; MARGIN-BOTTOM: 10.5pt" class=p0><SPAN style="FONT-FAMILY: 瀹嬩ç¶? COLOR: rgb(0,0,0); FONT-SIZE: 12pt; mso-spacerun: yes">  本版采写<FONT face=瀹嬩ç¶?/</FONT><FONT face=宋体>新京报记è€?nbsp;潘波</FONT></SPAN><SPAN style="FONT-FAMILY: 瀹嬩ç¶? 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