目的 通过对卫生部北京医院(以下简称我院)中医临床饮片用药进行调研分析,为临床合理用药提供参考。方法 对我院中医临床处方中的饮片用量、使用频率、处方药味数、饮片功效分布、毒性中药使用等情况进行调研和统计,并与药典、经方、验方等进行比对分析,进而探讨其量效毒之间的关系。结果 目前我院共有中药饮片约500种,其中毒性中药28种,年处方量5万余张。统计表明包括毒性中药在内的不少中药有超出药典规定剂量使用的现象;处方药味数显著高于经方、验方;补虚药和清热药在处方中占比最大。结论 我院中医临床饮片用药基本合理,其饮片功效分布与我院老年医学特色和相关疾病谱相符,但也存在着处方药味数偏多、包括毒性中药在内的饮片用量偏大等问题,有待进一步研究和改进。
Abstract
OBJECTIVE To analyze the clinical use Chinese herbal pieces in Beijing hospital, so as to provide references for the clinical rational medication. METHODS The clinical dose, medication frequency, herb number, herb efficacy distribution and poisonous herb usage the traditional Chinese medicine (TCM) prescriptions in Beijing hospital were investigated, andwere contrasted with those described in Pharmacopoeia, classicalprescription and proved prescription, so as to deeply study the laws dose-effect-poisonousness relationship for TCM.RESULTS There were about 500 Chinese herbal pieces, 28 poisonous herbs and 50 000 prescriptions per year in our hospital. Statistics showed that the doses some Chinese herbal pieces included poisonous herbal pieces were beyond the Pharmacopoeia regulated doses; herb numbers in some prescriptions were much larger than classicalprescription and proved prescription; tonic and antipyretic medicines were mostly used in these prescriptions. CONCLUSION The clinical use TCM decoction pieces in our hospital were basically rational. The efficacy distribution the Chineseherbal pieces were consist with the gerontology characteristic and disease spectrum our hospital. However, there were some problems, such as large herb numbers and overdose some Chinese herbal pieces included poisonous herbal piecesin these prescriptions, should be further researched and improved.
关键词
中药饮片 /
处方 /
量效关系 /
用药频次 /
毒性中药
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Key words
Chinese herbal pieces /
prescriptions /
dose-effect relationship /
drug use frequency /
poisonous herbal pieces
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中图分类号：
R969
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参考文献
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脚注
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基金
卫生部北京医院院内课题(BJ-2012-87)
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