Rational use of drugs for liver disease treatment

  In my clinical treatment of various types of liver diseases, I often have patients ask me, “Is it better to take Chinese medicine or Western medicine for this disease?” “I should be fine if I take Chinese medicine regularly, right?” “Can I take tonic for chronic hepatitis and liver cirrhosis?” “Is Chinese medicine toxic or not?”  These questions are quite common and universal. In my decades of career in Chinese medicine and combined Chinese and Western medicine for liver diseases, I have promoted the principle of treating both Chinese and Western medicine for the treatment of various liver diseases. In the course of our working people’s long struggle with diseases, we have accumulated rich experience in using Chinese herbal medicine to treat diseases, and natural medicine is the main means of Chinese medicine treatment. Today, with the rapid development of science and technology, the World Health Organization is encouraging and promoting the rational application of traditional medicine. Medicine is a double-edged sword, while paying attention to the efficacy of drugs, I believe that some possible adverse reactions should also be given sufficient attention. Since ancient times, our ancestors have been aware of the adverse effects of Chinese medicine. The liver is the first to bear the brunt of these adverse reactions. So is it that herbal medicine doesn’t work? Is it still possible to use herbal tonic? My view is “rational use”, “evidence-based use”, “enhanced monitoring” and “scientific evaluation”. For chronic hepatitis and liver cirrhosis, which require long-term medication, it is necessary.  What are the causes and factors that influence the adverse effects of Chinese medicine? I think the following aspects: a. The problem of drug use: overdose: the wrong drug; drug abuse; drug duration is too long; improper drug combination (caused by the combination of Chinese medicine adverse reactions are rare, but the application of Chinese medicine and Western medicine with the application of adverse reactions are increasingly important).  The problems of the drug itself: the pharmacological effect of Chinese medicine and its chemical composition; the confusion of Chinese medicine varieties and the wrong use or misuse; the quality of the herbs; improper preparation and decoction.  Third, the body factors: gender factors (female adverse drug reaction rate than male); age factors (children and the elderly); physiological, pathological conditions (such as pregnancy and lactation); individual differences.  In view of the above reasons, please note that patients with liver disease should not use more drugs than necessary for their treatment; they should not follow the advertisements; they should not “choose and order drugs”; and they should not “take care of themselves”. The treatment process should not be “too much”, “too much”, “too much”, “too much”, “too much”, “too much”, “too much”, “too much”, “too much”.  In the process of treating the disease, it is necessary to be guided by an experienced doctor, and through the interactive trust mechanism between the doctor and the patient, the medicine can be removed from the disease, so the treatment of liver disease, the rational use of drugs is most important.