In recent years, the Chinese medicine injection adverse reaction events occur frequently, from the fish fishy grass, double Huanglian to prickly five plus, Yin gardenia Huang, Qing Kai Ling ......, all kinds of serious Chinese medicine injection adverse events occur repeatedly.

One of the more "interesting" phenomena is that Chinese medicine injections are a very special kind, used only in our country, not in other countries, and not used in traditional Chinese medicine applications.However, the rate of adverse events generated by them is very high, accounting for more than 60% of the overall adverse events of traditional Chinese medicines (from the statistics of the case report database of the National Adverse Drug Reaction Monitoring Center in the past years).The reasons for this are, in the author's opinion, the following: unstable quality of Chinese herbal medicines, backward preparation process, weak basic research, and complexity of drug ingredients.Despite such a high level of adverse effects, it is widely used in hospitals across the country (including the author's hospital).

The National Adverse Drug Reaction Monitoring Annual Report (2016) recently released by the General Administration of Food and Drug Administration pointed out that the rate of adverse reactions to Chinese medicine injections in China in 2016 was as high as 60.9%. The author made a statistic based on the data in the national ADR center in recent years.Drugs that were among the top 7 reported serious adverse reactions/events of traditional Chinese medicine injections for 4 consecutive years included Qingkailing injection, Shuanghuanglian injection, Shengmai injection, Danshen injection, Xuesetong injection, Xiangdan injection, and Shengxin injection.

The State Drug Administration (SDA) has conducted a thorough investigation of Chinese medicine injections and recently published on its websiteEleven types of Chinese medicine injections will be phased out. These 11 Chinese medicine injections are Chaixin Cold and Flu Injection, Andrographis Paniculata Injection, Liver Purifying Injection, Liver Xintai Injection, Tianji Huang Injection, Lemakatsu Injection, Hanyuoson Injection, Tupelo Saponin Injection, Pain Keranin Injection, Aconite Injection, and Cerebro-Cardiac Concentration for Injection (lyophilized).The medical profession and the general public are also reminded of this.

As a clinician, realistically speaking, Chinese medicine injections are now really fake under the banner of Chinese medicine, but the lack of effective regulation, avoiding the rigorous clinical trials of Western medicine program! Its role can only be the drug companies make money, the patient spend money and suffer!

Chinese medicine injection is not a pseudo-proposition, the key to look at what people use, now no matter what doctors, encountered the patient first hang bottle of danshen injection, which is in the figure of money and harm to life!

What is traditional Chinese medicine, real traditional Chinese medicine is the idea of treatment, is not dialectical treatment, if it is through dialectical treatment to use, regardless of Western medicine or traditional Chinese medicine injections that is traditional Chinese medicine, for example, for patients with low back and leg pain with Western medicine vitamin B1 and B12 in the acupoints injections, than the direct ass muscle injection that the effect can be said to be completely different! But vitamins it is Western medicine ah, but this is Chinese medicine!

Another example is a shock patient, Chinese medicine dialectic is dead yin, a large amount of ginseng wheat intravenous injection can save lives, when you boil the medicine, go to acupuncture, certainly not as fast as the injection of proprietary Chinese medicine! But a Western doctor does not understand the dialectic, he used ginseng injection (treatment of dead yang shock), that amount of small terrific effect, the amount of large instead of counterproductive! Back a million steps, a Chinese medicine for sweating dehydration of the patient, you use norepinephrine vasoconstriction blood pressure, Chinese medicine pharmacological effect of astringent sweating effect! That also belongs to the identification of Chinese medicine, is the Chinese medicine treatment method!

I think Chinese medicine is just a means of Chinese medicine treatment, you should know that nowadays western medicine are also mainly extracted from plants and animals, such as atropine, such as viper serum, such as a variety of alkaloids, you can't say that using plants and animals is Chinese medicine, and using purified and synthesized medicines is western medicine! So Chinese medicine injection is not a pseudo-proposition, the key depends on what people use!

Finally, I think that Chinese medicine to develop, can not always reclaim the old, to keep pace with the times, to use modern scientific methods to go as a tool into the armed defense of the theoretical system of thought of our Chinese medicine, and only in this way, Chinese medicine can not be eliminated, but to seek development!

Herbal injections are a pseudoscience.

Pseudoscience, what does it mean? It is the fact that we now know that science is awesome and useful, that countries all over the world have allocated funds to finance scientific research, and that from penicillin to pacemakers, from the electric light to the atomic bomb, science and its achievements can be said to have ceased to be everywhere in our lives.

However, some people do not understand the basic principles of science and always want to copy scientific forms, which has become pseudo-science and can even be said to be modern witchcraft. The news once reported a case that helps us understand what is meant by "copying forms". A man opened a bank by himself, and all kinds of posters in the store were enough to make them look real, and he even recruited an unidentified teller, but of course, this crook's computer was not connected to the real banking system! --Obviously, the deposits just went into his pockets and did not become deposits in that bank.

What is the scientific principle behind the injections of modern medicine? It is that modern medicine has found the real causes of disease, most of them, not the complex and strange factors that ancient medicine, including Chinese medicine, said were the cause of disease, but rather simple and direct, but invisible germs and viruses. From modern medicine found targeted drugs to fight these germs and viruses, thus launching a tit-for-tat war, a one-on-one death match.

The problem lies in the fact that Chinese medicine, does not understand this. Chinese medicine has survived for thousands of years, always hovering at a very low level, and has never gotten to the bottom of the real reasons why diseases occur. More importantly, it has not even been able to detect its own mistakes. TCM practitioners have always been superstitious about their own set of prescriptions, thinking that they are effective.

Well, the climax is here. Chinese medicine has discovered that, hey, modern medicine has injections that are injected directly into the body for immediate results!

Well, if they can do it, so can we in this format!

If it works for you, it works for us! We also copy this form!

And so ...... was born the odd herbal injection.

Slow down, this can't be done at all! Because there are so many ingredients in Chinese medicine, we don't know which one is effective, or even if they are all ineffective! However, even if they are ineffective, nothing may happen if you eat them in your stomach, because our stomach and intestines are a very effective line of defense! For example, if you eat a meal, your body doesn't absorb everything, otherwise you wouldn't have any poop!

But here comes the herbal injections! Taking something very complex and strange and injecting it all directly into the muscles or bloodstream! Thereby rendering the gut, a dutiful line of defense, completely ineffective. And, injecting complex ingredients of unknown origin directly into the most critical tissues of the body!

This is a pseudo-science! Ignorant of the principles and plagiarizing the forms!

This actually reflects that the scientific quality of the practitioners concerned is too low and they do not understand the scientific methodology, thus causing many tragedies and making us lose lives that should have grown up healthily!

Chinese medicine injections are not pseudoscience.

Chinese medicine injection is a sterilized preparation for injection into the body, including intramuscular, acupoint, intravenous injection and intravenous drip use, as well as a sterile powder or concentrated solution for configuration into solution before use, based on the theory of traditional Chinese medicine and adopting modern science and technology and methodology, and extracted from the effective substance base of traditional Chinese medicine and natural medicine in a single formula or compound formula.

Chinese medicine injection is a product of the combination of traditional Chinese medicine theory and modernized scientific production process, which breaks through the traditional way of drug delivery of traditional Chinese medicine, and is an important product of the modernization of Chinese medicine. Compared with other dosage forms of traditional Chinese medicine, injections are characterized by high bioavailability, precise efficacy and rapid action. Chinese medicine injection has been playing a unique role in the treatment of emergency and Chinese medicine clinical diseases. Especially in recent years, the application of fingerprinting of traditional Chinese medicine, the world's nature-controlled language in Chinese medicine injections, has made the evaluation of active ingredients and effective parts of traditional Chinese medicine a digital concept, promoted the optimization of the process of traditional Chinese medicine injections, stabilized the quality of products, and enabled the world to understand traditional Chinese medicine and let traditional Chinese medicine go to the world through modern scientific means. Chinese medicine injection has become a potentially advantageous item for China's pharmaceutical industry to explore the international market in the future.

People's concern about Chinese medicine injections is more attributable to the fact that, through the media, they have come to realize that a number of varieties of Chinese medicine injections have been suspended from sale and use due to the occurrence of serious adverse events or the presence of serious adverse reactions. Such a situation is mainly due to problems in the storage and clinical application of Chinese medicine injections, such as imperceptible breakage leading to contamination of the drug solution, or problems in the clinical application of rapid titration, mixing and matching for use, and so on. In order to safeguard medical safety and patients' medication safety, the State has introduced a series of policies and measures on issues related to further strengthening the management of the production and clinical use of Chinese medicine injections, so as to safeguard the public's medication safety.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Because of the sudden metaphysical dizziness, first to the community hospital, without being told, infusion of Chinese medicine preparations, the name of the expansion of blood vessels. More than 200 per injection, seven injections, instead of angina symptoms. This is I have never had. Then go to the tertiary hospital, three consecutive hospital in a year, cardiology, neurology, orthopedics, repeated almost think of the examination, each hospitalization fee of more than 20,000 to more than 30,000, did not make any targeted treatment, into the hospital on the infusion of Chinese medicine preparations, each injection to the fourth day of the angina-like symptoms, and finally I resolutely requested to stop the drug, stopping the drug symptoms disappeared. So far, more than a year, no further angina symptoms, the fact that the Chinese medicine injection is the original culprit. The hospital is definitely seeking to kill people for profit. My disease is actually very simple, which is cervical spondylosis. This is the third stay in the orthopedic department before giving a clear diagnosis, and then set, said ready to arrange, want me to operate, too imprudent it! Resolutely discharged, Wuhan City, the first combined traditional Chinese and Western medicine hospital, a treatment of skin diseases to get rich hospital, cervical spine surgery, completely in order to make profits and human life, and then I looked for authoritative experts also think that there is no need for surgery. Looking back, I'm really scared. Thinking ahead is also the three hospitals, my father was over 80 years old, bloating, black stools, hospitalized for three months, water can not enter, can not find out the cause of the disease, called for discharge, the implication is that, go home and wait for the death of our father, we will send my father to the Union Hospital, three days time will be diagnosed as gastric hemorrhage symptomatic treatment, very quickly, probably on the last ten days, it, the whole healing.

再往后想，也是这个医院，我妻弟，进院时还在医院对面歺馆喝了几两酒，进院后一个月去世。 肝病，又有痣疮，痣疮手术后大出血 ，住进丨CU一个星期，人就完了，去世时，揭开被子看到，人就泡在，屎，尿，血，水里。 I'm not sure if you're going to be able to get a good deal on this.

So everyone must learn something about medicine and be a little bit assertive, if you are not careful, you will be given an incision, a stent or even lose your life. (I almost fell for it)

First of all, the Chinese medicine injection is to extract the ingredients of the Chinese medicine into an injection, it is no longer strictly speaking Chinese medicine, it can be said that it is a chemical preparation, that is, Western medicine, why hang the word Chinese medicine? Maybe so the regulation is not so strict, but also with the interests of manufacturers or relevant departments.

Anyway, I personally never use the so-called Chinese medicine injections in my clinic, and now the reported incidents of allergies or adverse reactions to Chinese medicine injections are very numerous, so it can be seen that not only does the effect of many products have to be put into question, but also the safety of the product is also a big problem.

It is recommended that you see a doctor either with Western injections, if you want to use Chinese medicine, you should honestly find a regular Chinese medicine practitioner to prescribe some internal Chinese medicine soup.

Thank you for inviting Wu Yibo, a member of the Chinese Popular Science Writers Association, to answer your questions.

Simply put: Chinese medicine injection is a product of the modernization of Chinese medicine, which is widely used in the treatment of clinical diseases because of its unique efficacy and characteristics. However, there are still problems such as more manufacturers, confusing classification of varieties and many adverse reactions that need to be solved.

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More approval numbers and manufacturers, more confusing classification of varieties

As of January 1, 2014, the State Food and Drug Administration website database can query the Chinese marketed Chinese medicine injection varieties 134, involving 923 approval numbers, 216 manufacturers; exclusive varieties of only 74, there are still 60 varieties from different manufacturers of different approval numbers, of which the largest number of approval numbers of the Fish Bulb Injection up to 101Chinese medicine injection varieties classification categorization basis is not clear, individual varieties of the efficacy of the main description can not reflect the characteristics of Chinese medicine theory.In addition, there is a wide variety of modes of administration of Chinese medicine injections, including intramuscular injection, intravenous drip, intravenous push injection, acupoint injection, subcutaneous injection, tenosynovial injection and special modes, and individual modes of administration of Chinese medicine injections involve the above modes of administration.

Serious adverse reactions

Chinese medicine injection is an innovative dosage form of traditional Chinese medicine in China, which plays a role that is difficult to be replaced by other Chinese medicine dosage forms in the process of rescue and treatment of critical and serious clinical cases.However, due to a variety of factors constraints, adverse events have occurred frequently in recent times, such as fritillariae, prickly five plus, gardenia yellow, double Huanglian, etc., the number of reported cases increasing year by year, Chinese medicine injection suffered an unprecedented crisis of confidence.How to give full play to the therapeutic effect of Chinese medicine injections and prevent the occurrence of adverse drug reactions is a problem that needs to be solved.

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Therefore.The National Health and Family Planning Commission (NHFPC) and the State Food and Drug Administration (SFDA) have also successively promulgated and issued regulations and guidelines such as the "Circular on the Re-evaluation of the Safety of Chinese Medicine Injections" and the "Basic Principles for the Clinical Use of Chinese Medicine Injections".The Ministry of Science and Technology of the People's Republic of China has also set up a national scientific and technological special project on the creation and manufacture of major new drugs, namely, "Research on key technologies for post-market re-evaluation of traditional Chinese medicines", and has carried out a study on the registration and monitoring of the safety of traditional Chinese medicine injections.

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Overall, the state is now increasingly strict on the regulation of Chinese medicine injections, and I believe that these problems will also be solved as soon as possible.

To make Chinese medicine extinct, as long as Western medicine prescribes Chinese medicine. Typical is the so-called injection, no matter single flavor or compound is already western medicine, through the head of Chinese medicine, is the western medicine to eliminate one of the means of Chinese medicine. Artemisinin no longer has the flavor of artemisia, although Tu won the Nobel Prize, but also Western medicine, not Chinese medicine practitioners. Chinese medicine injection belongs to the Western medicine power control of Chinese medicine, the rape of Chinese medicine academic products, and now the drug market to buy pCms the same. Users are more Western doctors who do not know how to dialectize. Used indiscriminately, when things go wrong TCM will take the blame.

The statement is wrong, it should be herbal injections, not Chinese medicine injections. A medicine that is not a therapeutic idea that has gone through the TCM mindset is not a herbal medicine. Even if the use of herbs is not Chinese medicine, this should be clear.

Herbal injections are typical of Western medicine, is not pseudo-scientific efficacy side effects, Western doctors know best!

Thanks for the invitation. Before answering, let's discuss the definition of pseudoscience. Pseudoscience, surely, is doing non-scientific things in the mold of science. With regard to Chinese medicine injection, if the right number, it is the chemical purification method (has been proved to be the scientific method), made with the traditional chemical purification of the drug results are not quite the same as the finished product - Chinese medicine extract injection. The main difference between the two is the purity of the active ingredient in the injection, and the resulting color issues, pyrogenic reactions, etc. In the decades since the introduction of herbal injections, a number of safety issues have arisen, and in a time of overdeveloped media, sensitive issues will be more in the spotlight - are herbal injections actually scientific? I think this question is undoubtedly scientific! The process of scientific development and progress is to constantly find problems, constantly produce new theories and new methods, new theories and new methods have been successful and then confirmed that this set of processes is feasible, this virtuous circle promotes the continuous progress of science. The problems faced by TCM injections are the same as those mentioned earlier, and new theories and methods are needed to solve them in order to confirm whether TCM injections are usable or not! If the technology of purification of Chinese medicine is improved, and the resulting Chinese medicine injection has fewer adverse reactions and better efficacy, then it just proves that the method is correct; if the opposite is true, it proves that adverse reactions are inevitable, and that we should look for substitutes. Chinese medicine injection development has not been a long time, there is still a long way to go to prove that this process of falsification is the process of scientific progress and advancement, so that the current Chinese medicine injection is on the road of scientific research, regardless of the final results of the confirmation of the process of progress of scientific research is certainly not pseudo-scientific. There is another key issue, that is, China's pharmaceutical and medical status in the world is not too high, that is to say, at present, our original Chinese medicine injection does not bring too much influence to the world, and did not influence other countries to follow the trend of research, which is also a Chinese medicine injection of disadvantages in the advancement of the factors.