Fat Bear, have you ever heard of in-hospital preparations? Of course, not only have I heard of it, I’ve also bought it! There are some rumors, why does it sound a bit unreliable? It’s very reliable. We have it in our hospital. I’ll show it to you today. Peking Union Medical College Hospital's Careful Silicone Cream, Peking University Third Hospital's No. 3 Rhinitis Treatment, PLA General Hospital's Musu Pills... These high-quality and low-priced "star products" are not something you have used, but you must have heard of them. Simple packaging, low prices, and excellent efficacy are the common characteristics of these "star products." The Affiliated Cancer Hospital of Chongqing University also has popular "star products". These "star products" often have another special identity - in-hospital preparations. As the name suggests, in-hospital preparations refer to preparations developed by the hospital itself. There is a lack of substitutes for this type of preparations in the market. Most of them are derived from the experience prescriptions of famous old Chinese medicine practitioners and the scientific research results of the hospital. They have a history of clinical application for decades or even longer, and have definite efficacy and good safety. For example, the well-known "Sanjiu Weitai Granules", "Compound Danshen Drops", "Compound Xionggui Drops", etc., were all prepared in hospitals before, and were later transformed into commercial sales. Although in-hospital preparations are pharmaceutical preparations developed and used by the hospital itself, the production and use of such preparations also need to undergo strict approval and then be produced by the hospital's preparation room. The preparation room of the Affiliated Cancer Hospital of Chongqing University was founded in 1943 and has a history of more than 60 years. In January 2021, it obtained the newly reissued "Medical Institution Preparation License" from the Chongqing Municipal Food and Drug Administration, which ensures the scientific and standardized production of preparations. Now it has built a standardized medical institution preparation room integrating R&D, production and inspection. Every profession has its specialties. Whether in production technology, production equipment, production personnel, or production management, modern pharmaceutical manufacturers have more advantages than hospital preparations. So what is the significance of the hospital preparation room? "There is an essential difference between in-hospital preparations and corporate drugs. Due to their public welfare nature, public medical institutions should maximize the quality of preparations, reduce sales prices, and maximize the benefits to the majority of patients." Chen Wanyi, director of the Department of Pharmacy, introduced that secondly, some drugs have limited user groups and low profits, which makes pharmaceutical companies unwilling to produce them, but clinical patients need them, so they can only rely on in-hospital preparations to supplement them. As a specialized hospital for oncology, there are many physical discomforts caused by tumor progression or tumor treatment in clinical practice, such as itching and ulceration of the skin after using targeted drugs, odor caused by gynecological inflammation, etc. There are basically no specific drugs on the market. The preparation room of our hospital has been committed to finding and developing relevant preparations from clinical experience. The original intention is to hope that patients not only survive, but also live with quality and dignity. After long-term clinical practice, three well-known in-hospital preparations, Xiaohe Mixture, Shengbai Mixture, and Liyan Syrup, have emerged. 01 Nuclear elimination mixture Good news for patients with breast hyperplasia [Specification] 250ml [Functions and indications] Promote blood circulation and soothe the liver, dissipate stagnation and relieve pain. Used for breast pain, breast hyperplasia and breast diseases. [Usage and Dosage] Oral, 3 times a day, 15-30 ml each time. 【Precautions】Not yet clear. Breast hyperplasia is the most common breast disease in women, and its incidence ranks first among breast diseases. As the saying goes, nine out of ten girls have breast hyperplasia, and one is on the way to breast hyperplasia. Traditional Chinese medicine believes that breast hyperplasia, breast fibroids and other related diseases are caused by emotional injury, liver depression and phlegm accumulation, anger and anger damaging the liver, Chong and Ren meridians being out of balance, and Qi stagnation and blood stasis. Symptoms include breast pain, lumps that grow and shrink with joy and anger, or irregular menstruation. Therefore, to treat such diseases, it is advisable to soothe the liver and relieve depression, and to disperse stagnation and relieve pain. The Xiaohe Mixture is developed based on the clinical experience of the chief physician of the Breast Disease Treatment Center of our hospital for more than 30 years and in accordance with the technical requirements of Chinese medicine compound preparations. It is mainly composed of 12 Chinese medicinal materials, including Prunella Vulgaris, Oyster, Fructus Lulutong, Vaccaria Segetalis, Fructus Aurantii Immaturus, Salvia Miltiorrhiza, Corydalis yanhusuo, and Bupleurum. Among them, Prunella Vulgaris is the main ingredient for clearing heat and dispersing nodules; oyster and kelp are cold and salty and soften hard masses; salvia miltiorrhiza, fructus aurantii and ligusticum chuanxiong are the assistant ingredients for regulating qi and promoting blood circulation; rhizoma smilax and vetchling herb for unblocking meridians and removing stagnation; corydalis yanhusuo is the auxiliary ingredient for relieving pain; and bupleurum is the messenger for soothing the liver. The combination of these medicines can treat both the symptoms and the root cause, and alleviate the symptoms based on the causes and locations of breast diseases such as breast hyperplasia and breast fibroids. It has the effects of promoting blood circulation, soothing the liver, dispersing nodules and relieving pain. 02 Shengbai Mixture Specialized in treating "Qi and blood deficiency, fatigue, poor appetite and insomnia" [Specifications] 250mL per bottle. [Functions and indications] Tonify qi and blood, stimulate appetite, strengthen spleen, and calm nerves. It is used for weakness caused by qi and blood deficiency or weakness caused by long-term illness, fatigue, poor appetite and insomnia, and decreased blood count caused by radiotherapy and chemotherapy. [Usage and Dosage] Oral, 3 times a day, 30 ml each time. [Contraindications] Do not use if you have phlegm and dampness in your body. In modern society, risky behaviors that lead to Qi and blood deficiency are very common, such as irregular work and rest, irregular diet, overwork, etc. However, there is no special epidemiological survey data on Qi and blood deficiency in traditional Chinese medicine. It is mainly seen in the syndrome differentiation of various diseases, such as cancer patients, cardiovascular and cerebrovascular diseases, gynecological diseases, and frail and chronic diseases. Shengbai Mixture is a modified version of the Ginseng Yangrong Decoction in the ancient medical book "Sanyin Jiyi Bingzheng Fanglun". It is composed of Chinese medicines such as Astragalus, Angelica, Tangerine Peel, Atractylodes, Codonopsis, White Peony, Rehmannia, Schisandra, Poria, Jujube, Shenqu, Malt, Crataegus, Aucklandia, Dendrobium, Pinellia, Plantago, and Salvia. The whole formula nourishes the spleen, lung, and heart, and regulates the three organs of Qi, blood, and spirit. It has the function of invigorating Qi and blood, and has the power of calming the mind and tranquilizing the spirit. Among them, Codonopsis is the monarch medicine, and the two medicines are used together to nourish both Qi and blood; Poria, Atractylodes, Jujube, Astragalus, White Peony, Rehmannia, and Salvia are all ministerial medicines, nourishing the heart and liver, strengthening the spleen and replenishing Qi, and replenishing blood and activating blood circulation; among the adjuvants, Pinellia and Jiao Sanxian can stimulate appetite and strengthen the spleen, and are the source of Qi and blood biochemical transformation; Schisandra can nourish the lungs and kidneys, and can calm the mind and tranquilize the spirit; Dendrobium can nourish the kidneys and produce body fluids, nourish Yin and clear heat. Costus root, dried tangerine peel and plantain seed are the guiding herbs which make the other herbs nourishing without stagnation, nourishing without being greasy. The whole formula works together to replenish qi and blood, stimulate appetite, strengthen the spleen, calm the nerves and increase white blood cells. Through previous usage observations and patient feedback, it has a good effect on physical weakness caused by deficiency of both Qi and blood, weakness caused by long-term illness, fatigue, poor appetite and insomnia, and decreased blood count caused by radiotherapy and chemotherapy. 03 Throat syrup The "savior" for dry throat and sore throat after radiotherapy [Specification] 250ml 【Function】It can quench thirst, clear away heat and reduce inflammation. It is suitable for dry throat and sore throat caused by radiotherapy. 【Usage and Dosage】Oral, 15ml each time, 3 times a day. 【Precautions】Use with caution in patients with diabetes. During radiotherapy, cancer patients experience not only systemic reactions, but also oral mucosal reactions, which are clinically manifested as dry oropharynx, sore throat, etc. The reason is that while radiation kills tumor cells, it also damages normal tissue cells, such as salivary glands and oral mucosa, causing oropharyngeal mucosal edema, congestion, exudation and erosion, which in turn causes sore throat, difficulty eating, dry mouth, difficulty opening the mouth, etc., affecting the patient's eating, reducing the patient's quality of life, and even forcing the patient to interrupt treatment and suffer from long-term sequelae. Traditional Chinese medicine believes that radiation is a kind of "fire evil" and "heat poison", which acts on the body and causes excessive heat poison. Fire is a yang evil, which is most likely to damage body fluids and consume qi, heat extreme fire, and consume body fluids, causing symptoms of yin deficiency and fire excess, leading to insufficient yin fluid and loss of body fluids. It manifests as dry mouth and throat, sore throat, thirst and desire for cool drinks, and other symptoms of heat-induced diseases. Treatment should be to produce body fluids and quench thirst, clear away heat and reduce inflammation, and nourish yin and relieve sore throat. The throat-relieving syrup is the traditional famous recipe Xuanmai Ganjue Decoction with added flavors. In the recipe, Scrophularia ningpoensis is the main ingredient for nourishing yin and reducing fire; Glehnia littoralis and Radix Trichosanthis are the secondary ingredients for nourishing yin; Honeysuckle, chrysanthemum and licorice are the auxiliary ingredients for clearing heat and detoxifying, while Tonghai Dahai is used to relieve throat and draw heat out of the body through the stool; Platycodon grandiflorum is the messenger for carrying the medicine upward to the throat. The combination of these medicines has the effects of promoting fluid production and quenching thirst, clearing away heat and reducing inflammation, and can be used to treat dry throat and sore throat caused by radiotherapy. Fat Bear Warm Reminder 1. In-hospital preparations can only be sold and used within the hospital; 2. A doctor’s prescription is required for purchase. Text/Fat Bear Member of China Medical We-Media Alliance Science Popularization China Co-construction Base Chongqing Science Popularization Base/Chongqing Health Promotion Hospital Chongqing Science and Technology Communication and Popularization Project Chongqing Grassroots Science Popularization Action Plan Project National Health Commission National Basic Public Health Service Health Literacy Project |
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