Talking about the hepatotoxicity of traditional Chinese medicine (I am original, plagiarism is forbidden) Traditional Chinese medicine plays an irreplaceable role in the treatment of various liver diseases, but it is questioned or even completely denied by western medicine because it can sometimes produce certain hepatotoxicity, which affects the use of traditional Chinese medicine in the treatment of liver diseases. Therefore, this paper is willing to make an in-depth analysis of the hepatotoxicity of traditional Chinese medicine. 1, analysis of the causes of hepatotoxicity of traditional Chinese medicine Improper use is the main cause of hepatotoxicity of traditional Chinese medicine. "Drugs are toxic in three ways". Whether it is traditional Chinese medicine or western medicine, each medicine has certain toxicity or side effects, and the key depends on whether it is used properly. The toxicity of traditional Chinese medicine is from the perspective of traditional Chinese medicine, that is, the bias of traditional Chinese medicine. Traditional Chinese medicine treats diseases by using the bias of drugs to correct the pathological bias of human body. Traditional Chinese medicine divides the nature of all drugs into four types: cold, heat, warm and cool. Cold and cool belong to the same category, but the degree is different. Similarly, heat and temperature are the same. And all diseases can also be divided into cold and heat. The highest program of treating diseases in traditional Chinese medicine is "those who are cold are hot, and those who are hot are cold", which is as simple as that. Finally, when people reach a state of balance, they will not be sick and will be healthy. As long as the clinical syndrome differentiation is accurate, that is, the analysis is correct, and the corresponding drugs are used for treatment, there will be no toxic side effects, even if the drugs with very high toxicity are used. For example, arsenic can treat leukemia and intractable asthma. From the perspective of western medicine, it is the role of arsenic in arsenic. From the perspective of Chinese medicine, it is believed that arsenic is hot and can treat severe cold diseases. If the nature of the disease does not belong to severe cold, it will certainly kill people. This is an extreme example. Let's take another example. Guizhi, a traditional Chinese medicine, is not toxic and belongs to a relatively peaceful Chinese medicine. However, the ancients repeatedly emphasized that "Guizhi will swallow and Yang will kill". Because cassia twig also belongs to warm nature, if it is used in hot diseases, it may lead to aggravation and death. To sum up, whether there are adverse reactions in the use of traditional Chinese medicine mainly depends on whether it is applied properly, rather than simply determined by the composition of the medicine. The attitude of famous Chinese medicine practitioners in past dynasties to toxic Chinese medicine is "if there is a disease, it should be treated as a disease, and if there is no disease, it should be treated as a person", which can be described as concise. Western medicine also has many toxic and side effects, which are often more obvious than traditional Chinese medicine. The key in clinic is to see whether it is used properly. For example, if vitamin C is taken beyond the human body's needs, it will also lead to poisoning, not to mention other drugs. At present, many comrades in western medicine have a discriminatory attitude towards Chinese medicine, especially doctors who treat liver diseases. They always say that Chinese medicine is toxic and causes liver damage. In fact, they simply don't understand the toxic mechanism of Chinese medicine. This is a blind hostility towards Chinese medicine, and I don't know why. 2, analysis of common Chinese medicine liver damage In clinic, some cases of liver damage caused by taking Chinese medicine are often encountered. In most cases, it is not the fault of the medicine, but the fault of the doctor. The brief analysis is as follows: (1) Treatment of liver damage caused by skin diseases: This situation is relatively common in clinic. Many patients with psoriasis or eczema have liver damage or even liver failure after taking traditional Chinese medicine. What is the reason? Zhang Zhongjing, a medical sage, said in the synopsis of the golden chamber, "What is it to ask: pulse is off, you will die when you enter Tibet, and you will recover when you enter the government?" The teacher said: if it is not for one disease, all diseases are natural. For example, immersion sores can be treated from the mouth to the limbs, but not from the limbs to the entrance; Those who are sick outside can be cured, and those who enter will die. " Zhang Zhongjing took eczema (immersion sore) as an example, which showed that many skin diseases were originally caused by the damp-heat toxin of six fu-organs spreading out on the skin. Doctors should adopt the method of clearing the six fu-organs and depressing the toxin, so that the toxin can be discharged from the six fu-organs. However, many doctors of traditional Chinese medicine don't understand this truth, and use a lot of bitter and cold drugs, so that the poison in the six fu-organs can't be discharged, but belongs to the five internal organs. "If you enter Tibet, you will die, and if you enter the government, you will recover." Therefore, some patients with skin diseases will suffer serious liver damage and even die after taking Chinese medicine. This is all the fault of quack doctors who don't study classics well, which leads to discrediting the whole Chinese medicine and being used as an excuse to attack Chinese medicine by ignorant western medicine. ⑵ Liver damage caused by taking Polygonum multiflorum Thunb is also common in clinic. Polygonum multiflorum Thunb can be divided into processed Radix Polygoni Multiflori Preparata and unprocessed Radix Polygoni Multiflori. The two functions are completely different. The prepared Polygonum multiflorum Thunb, which is commonly used in clinic, has the function of "nourishing liver and kidney and blackening hair", so it is called Polygonum multiflorum Thunb. Its hepatotoxic components have been destroyed during processing, so it is safe. Raw Polygonum multiflorum Thunb has certain hepatotoxicity, and its main function is "detoxification and laxative", and its toxicity has been clearly recorded in herbal works of past dynasties. At present, there are the following reasons for the clinical cases of raw Polygonum multiflorum poisoning. Some people travel to mountainous areas, buy unprocessed raw Polygonum multiflorum sold by local farmers as health care products for nourishing liver and kidney, and take it without guidance. Cases of poisoning have been reported. This situation belongs to ignorance. Another situation is that some quacks take advantage of the laxative effect of raw fleece-flower root to give it to patients for a long time as a laxative or to lose weight. This situation is ignorant and immoral. The third situation is that the technology of proprietary Chinese medicines produced by some small pharmaceutical factories is not strict, and it is ignorant and lawless to use raw Polygonum multiflorum Thunb as the more expensive processed Polygonum multiflorum Thunb. Of course, there are liver damage caused by taking other traditional Chinese medicines, which are mostly similar to the above two situations. 3. Liver damage of traditional Chinese medicine for treating liver diseases In theory, traditional Chinese medicine for treating liver diseases should never have hepatotoxicity, but due to the abuse of doctors, there are often some cases of liver damage. I boil down to the following situations. (1) Superstition in folk remedies: Many patients suffer from liver disease, and instead of turning to doctors in regular hospitals, they just take the so-called folk remedies that are hearsay. There are not a few cases in which liver disease aggravates or even dies, and the list goes on. ⑵ Quack doctors don't use knives to kill people. Some so-called Chinese medicine practitioners don't pay attention to the accumulation of classic learning and clinical experience, and the theory doesn't pass. It is often not surprising that they recognize cold as heat and deficiency as truth in clinical practice, and they are not symptomatic and have adverse reactions. In addition, some western doctors, who don't know Chinese medicine themselves, prescribe Chinese medicine, mainly Chinese patent medicine, which often leads to many adverse reactions. (3) Being greedy for medical treatment leads people to mistake morality for others. For the ulterior interests of individuals, regardless of whether the drugs are symptomatic or not, it not only wastes patients' money, but also aggravates patients' illness. These people have lost their basic medical ethics, and their behavior has become disgraceful.