Since ancient times, medical scientists have warned people that ginseng is not a "panacea" or a "universal tonic" and should not be abused blindly. "Compendium of Materia Medica" points out: "Gairen enters the Taiyin and can replenish fire, so those whose lungs are affected by fire should avoid it. If you take Shenqi Ganwen by mistake, it will increase day by day, and if you take too much, you will die. " Xu Ling Tai, a physician in Qing Dynasty, also said in The Origin of Medicine: "Although licorice and ginseng are misused to cause harm, they are all poisons and the like". "Collection of Medical Books" said more profoundly and seriously: "Those who harm people in the world kill their bodies and fail to break their homes (wealth) ... Those who break their homes first and harm their bodies are also ginseng". All these clearly tell people that it is against science and even endless legacy not to know the performance of ginseng according to their own conditions and not to apply drugs according to the symptoms.
Ginseng is exciting to the nervous system, and the therapeutic dose can increase impulse conduction and conditioned reflex intensity. Adults taking ginseng root powder, taking more than 0.3g per day and taking it continuously, may have toxic reactions such as insomnia, depression and weight loss. When taken in large doses, blood sugar is obviously reduced and cardiac contractility is inhibited, which is similar to that of strong willingness; It can lead to blood pressure drop, respiratory paralysis, skeletal muscle paralysis, etc. Therefore, taking ginseng should master the principle of medication, apply drugs based on syndrome differentiation, and make up for deficiency and avoid blind abuse. Clinical reference should pay attention to the following points:
Different types and processing methods of ginseng based on syndrome differentiation have certain differences, and they are divided into three types according to their medicinal properties: warm, warm and cool. Must be selected according to each person's physique and needs. For example, the symptoms of limb cold and chills due to qi deficiency and yang deficiency, as well as metrorrhagia and excessive blood loss in women, or after operation, it is advisable to choose hot ginseng such as Korean red ginseng (also known as Korean ginseng and other ginseng), Jilin red ginseng, Japanese red ginseng and red ginseng beard; For those who have thirst, dry throat, insufficient body fluid, constipation and reddish tongue due to qi deficiency, it is advisable to choose cool raw ginseng, skin-tailed ginseng and white ginseng beard.
Master the principle and strictly abide by the taboo "Medical Sect Must Read" cloud: "Ginseng ..... is the best among the grass, but there are also some people who are not suitable for use. They are close to their elders, so they forget their shortcomings, pick out their shortcomings and abandon their yoga. Or when it is used later, it is not appropriate to throw it in the wrong way. If it is not beneficial, it will only be harmful. Therefore, the good medicine will be left in the world, and the rough work will make each other's mouths soar. ..... The so-called lung heat still hurts the lung, and the lung pulse is abundant; The fire and anger are contrary, and the blood heat is rash; Qi is not yet empty, so it should not be used suddenly. Measles is new, although the body is hot and the spots are not shaped; Typhoid fever begins, the symptoms are undetermined and the pathogenic heat is blazing; If you throw it by mistake, the fresh G is free. " Ginseng mainly tonifies deficiency, but palpitation, dizziness, insomnia, etc. caused by excessive fire due to yin deficiency will aggravate the symptoms after taking ginseng; Damp-heat stagnation of edema, taking ginseng can make edema worse; Taking ginseng often raises blood pressure, and if it is abused, it can cause cerebral hemorrhage. Therefore, ginseng is forbidden for excessive qi, body heat, unfavorable defecation, dry throat, dry mouth, epistaxis and other excess heat syndromes caused by dry heat. Yin deficiency and hyperactivity of yang, hot flashes and bone steaming, lung heat and excessive phlegm, cough and shortness of breath, hyperactivity of liver yang, dizziness and redness are also contraindicated. Ginseng is anti-veratrum and afraid of trogopterori, so it is not suitable to use it together.
The usual dosage of ginseng treated in time with ginseng poisoning is1.5 ~ 9g, which can be taken once every 5 ~ 7 days for tonic. Available for invigorating qi and rescuing15 ~ 30g. The toxic dose is 60 ~ 90g, or toxic reaction occurs due to long-term continuous use. Toxic reactions should be handled in time. Common therapies:
(1) western medicine treatment: 1 early vomiting and gastric lavage. Intravenous glucose solution, or intravenous injection of 50% glucose 60 ml, three times a day; Or oral glucose powder is appropriate, which has certain effect. 2 when there is obvious respiratory depression, oxygen can be taken. Or intramuscular injection of nikethamide and theophylline. 3 In case of severe convulsion, intramuscular injection of phenobarbital is 0.1g.. When vomiting coffee-like substances, use hemostatics such as vitamin K3 and Anluoxue. 4 If the allergic reaction is serious, dexamethasone 5 ~10mg or hydrocortisone100 ~ mg can be added into glucose solution or physiological saline, intravenous drip, and symptomatic treatment. 5 Treatment of special symptoms: Dr. Xu Xinjian of Xinchang County Hospital of Traditional Chinese Medicine in Zhejiang Province reported that a middle-aged man took 20g of red ginseng beard, and immediately hiccup stopped. After being treated with atropine, persimmon and clove, it was ineffective. Later, referring to relevant information, he switched to ephedrine 10mg intramuscular injection, and the hiccup stopped. This method can be used for reference.
(2): licorice 120g, sucrose 60g, decocted in water. When you are restless and can't sleep, take it with cinnabar 3g twice, every 6 hours 1 time.
(3) Folk therapy: Take 150g, decocted in water; Or drink a lot of sucrose water, which can alleviate the symptoms of poisoning.
、