通过调查几起中药中毒事件:马钱子炮制不当且超剂量所致中毒;误将白附片当作白附子调配造成禁忌用药致人中毒死亡。分析发生中毒的原因,并从药品监管、提高从药人员素质、加强毒剧药品管理、提高患者用药安全意识等方面提出了杜绝药物中毒的办法。 After investigating several cases of Chinese medicine poisoning: improperly processed and excessive doses of Potentin, poisoning; misuse of Baifu tablets as white aconite, causing taboos to cause poisoning and death. Analyze the causes of poisoning, and put forward measures to eliminate drug poisoning from the aspects of drug supervision, improving the quality of drug users, strengthening the management of drug drugs, and raising the awareness of drug safety in patients.