中国药物警戒 ›› 2025, Vol. 22 ›› Issue (1): 116-120.
DOI: 10.19803/j.1672-8629.20240431

• 综述 • 上一篇    

马钱子在骨伤科的应用研究进展

于玟路1, 张虹2,*   

  1. 1湖南中医药大学研究生院,湖南 长沙 410208;
    2河南省洛阳正骨医院科研学科办,河南 洛阳 471002
  • 收稿日期:2024-06-26 出版日期:2025-01-15 发布日期:2025-01-22
  • 通讯作者: *张虹,女,硕士,主任药师·硕导,临床中药学。E-mail: Lyzgzh2008@163.com
  • 作者简介:于玟路,女,在读硕士,临床中药学。
  • 基金资助:
    2024年河南省中医药科学研究专项课题(2023 ZY3078); 2022年河南省中医药科学研究专项课题(2022ZY 1137)

Research Progress in Applications of Strychnine Semen in Orthopedics and Traumatology

YU Wenlu1, ZHANG Hong2,*   

  1. 1Graduate School of Hunan University of Traditional Chinese Medicine, Changsha Hunan 410208, China;
    2Research Discipline Office of Luoyang Orthopedic Hospital, Luoyang Henan 471002, China
  • Received:2024-06-26 Online:2025-01-15 Published:2025-01-22

摘要: 目的 探讨马钱子在骨伤科治疗中的安全性和合理用药策略,以确保治疗效果并减少其毒性风险。方法 分析马钱子在治疗骨折愈合、骨质增生、骨关节炎、脊髓损伤、颈椎病和腰椎间盘突出等疾病中的应用情况。研究马钱子的剂量控制、用药监测、炮制减毒方法以及与其他药物的配伍禁忌。结果 临床应用显示,马钱子在治疗骨折愈合、骨质增生、骨关节炎、脊髓损伤以及颈椎病和腰椎间盘突出等疾病方面表现出较好的疗效。然而,由于其含有的毒性成分,马钱子在临床的安全应用引发学者的进一步研究。结论 马钱子含有毒性成分,其临床安全应用需要进一步研究和讨论。通过合理控制剂量、监测用药、炮制减毒和避免不当配伍,可以促进马钱子的安全有效使用。

关键词: 马钱子, 马钱子碱, 骨伤科, 临床应用, 安全性, 合理用药

Abstract: Objective To investigate the safety and rational use of Strychnos Semen in orthopedic treatments in order to ensure therapeutic efficacy while reducing the risk of toxicity. Methods The applications of Strychnos Semen in treating such conditions as fracture healing, osteoarthritis, bone hyperplasia, spinal cord injuries, cervical spondylosis, and lumbar disc herniation were analyzed. The dosage control, medication monitoring, detoxification through processing, and contraindications with other medications were studied. Results Clinical applications demonstrated that Strychnos Semen had shown significant efficacy in treating fracture healing, osteoarthritis, bone hyperplasia, spinal cord injuries, cervical spondylosis, and lumbar disc herniation. However, the presence of toxic components in Strychnos Semen had cast doubt on its safe clinical application. Conclusion Strychnos Semen contains toxic components, so more research on its safe clinical applications is required. The safe and effective use of Strychnos Semen can be facilitated by appropriately controlling dosages, monitoring medication, processing for detoxification, and avoiding improper medication combinations.

Key words: Strychnos Semen, Strychnine, Orthopedics and Traumatology, Clinical Application, Security, Rational Use of Drugs

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