Evans V
Royal North Shore Hospital, St. Leonards, NSW, Australia.
J Neurosci Nurs. 2000 Aug;32(4):229-32. doi: 10.1097/01376517-200008000-00007.
In the quest for longevity and as an alternative to Western medicine, there has been a resurgence in traditional remedies. However, several concerns have been raised about the increased use of herbal remedies, including potential interactions with "Western" medicines, the lack of quality control, the assessment of herbal clinical trials, and the adulteration of herbal remedies by traditional prescribers. Taking an herbal history is not usually a part of medical/nursing practice, and patients usually do not readily volunteer such information. In the cerebrovascular and cardiac settings, it is particularly important to gain such a history and to educate patients and family members about the potential interactions of herbal remedies with anticoagulants. Two herbal supplements in particular, ginkgo biloba and garlic, have demonstrated effects on warfarin.
在追求长寿以及作为西医替代疗法的过程中，传统疗法再度兴起。然而，人们对草药疗法使用的增加提出了一些担忧，包括与“西药”的潜在相互作用、缺乏质量控制、草药临床试验的评估以及传统开方者对草药疗法的掺假。采集草药用药史通常并非医疗/护理实践的一部分，而且患者通常不会主动提供此类信息。在脑血管和心脏疾病方面，获取这样的用药史并就草药疗法与抗凝剂的潜在相互作用对患者及其家属进行教育尤为重要。特别是两种草药补充剂，银杏叶和大蒜，已显示出对华法林有影响。
