本文报告4例均系服去皮雷公藤根治疗关节炎致死。主要临床表现是胃肠道刺激症状,中毒性心肌炎,急性肾功衰竭。采用综合治疗措施如洗胃、导泻、对症与支持疗法等。本文强调:1.加工生药中,必须将皮剥去;2.用干根不用鲜根;3.治疗要由小剂量开始;4.长期服用应注意心肾功。 This article reports 4 cases were uniforms peeled Tripterygium root treatment of arthritis fatal. The main clinical manifestations of gastrointestinal irritation, toxic myocarditis, acute renal failure. The use of comprehensive treatment measures such as gastric lavage, catharsis, symptomatic and supportive therapy. This article emphasizes: 1. In the processing of crude drugs, the skin must be stripped; 2. The use of dry roots do not have fresh roots; 3. Treatment should start with a small dose; 4. Long-term use should pay attention to heart and kidney function.