半夏炮制品处方应付及处方剂量分析
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摘要
目的:对半夏炮制品处方应付和处方剂量进行调查分析,为规范半夏炮制品的临床应用提供参考。方法:查阅全国各地中药饮片炮制规范,对半夏炮制品和处方应付进行梳理;以我院2016年7月1日~2017年6月30日的中药饮片处方为例,对法半夏、姜半夏、清半夏处方用量进行分析,比较不同剂量区间3种半夏炮制品的处方分布及构成比。结果:全国各地中药炮制规范共收载9种半夏炮制品,不同地区半夏炮制品处方应付不尽相同;我院法半夏、姜半夏、清半夏3种半夏炮制品超量应用现象比较常见,占24. 02%。结论:半夏炮制品处方应付全国各地尚不统一,处方剂量超量现象较常见,须加强临床应用管理。
Objective:To analyze the prescription matching object and dosage of Pinellia ternata(Thunb.) Breit.processed products in order to provide reference for its application.Methods:The processed products and prescription matching objects of Pinellia ternata(Thunb.) Breit were summarized according to the processing standards of traditional Chinese medicines(TMC) across the country.The TMC prescriptions in our hospital during July 1,2016 and June 30,2017 were selected to analyze the dosages of three processed products of Pinellia ternata(Thunb.) Breit.,namely Pinellinae Rhizoma Praeparatum,Pinellinae Rhizoma Praeparatum Cum Zingibere et Alumine and Pinellinae Rhizoma Praeparatum Cum Alumine,and their prescription distribution and composition ratio itemized by dosages were compared.Results:There were nine kinds of Pinellia ternata(Thunb.) Breit.processed products recorded in the processing standards of TCM across the country.The prescription matching objects varied in different regions.The three kinds of Pinellia ternata(Thunb.) Breit.processed products with overdosages accounted for 24.02% of all the studied prescriptions.Conclusion:Prescription matching objects of Pinellia ternata(Thunb.) Breit.processed products are not unified in our country yet,and overdosge is a common phenomenon.Hence,clinical application management should be further strengthened.
Objective:To analyze the prescription matching object and dosage of Pinellia ternata(Thunb.) Breit.processed products in order to provide reference for its application.Methods:The processed products and prescription matching objects of Pinellia ternata(Thunb.) Breit were summarized according to the processing standards of traditional Chinese medicines(TMC) across the country.The TMC prescriptions in our hospital during July 1,2016 and June 30,2017 were selected to analyze the dosages of three processed products of Pinellia ternata(Thunb.) Breit.,namely Pinellinae Rhizoma Praeparatum,Pinellinae Rhizoma Praeparatum Cum Zingibere et Alumine and Pinellinae Rhizoma Praeparatum Cum Alumine,and their prescription distribution and composition ratio itemized by dosages were compared.Results:There were nine kinds of Pinellia ternata(Thunb.) Breit.processed products recorded in the processing standards of TCM across the country.The prescription matching objects varied in different regions.The three kinds of Pinellia ternata(Thunb.) Breit.processed products with overdosages accounted for 24.02% of all the studied prescriptions.Conclusion:Prescription matching objects of Pinellia ternata(Thunb.) Breit.processed products are not unified in our country yet,and overdosge is a common phenomenon.Hence,clinical application management should be further strengthened.
引文
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10陈颖,周红艳.中药问题处方的审核分析与对策[J].中国医药导刊,2016,18(5):531-532
11黄和,杨慧敏.重用半夏治疗多寐临床体会[J].实用中医药杂志,2010,26(8):572-573
2四川省中药饮片炮制规范[S].2015年版.20
3全国中药饮片炮制规范[S].1988年版.44
4上海市中药饮片炮制规范[S].2008年版.33
5陈继明.半夏常用的炮制方法及临床应用研究[J].中外医疗,2014,(22):155-156
6吴皓.汉至宋代半夏炮制的沿革研究[J].南京中医药大学学报,2001,17(1):45-47
7于江泳,余伯阳,钱忠直,等.加快编制《全国中药饮片炮制规范》规范统一饮片炮制国家标准[J].中国中药杂志,2011,36(19):2751-2754
8周园龙,周永刚,魏玮,等.半夏的处方应付及临床调剂用量探讨[J].药学与临床研究,2015,23(5):511-512
9叶巧旦,李伟平,谢蔚鹏,等.半夏资源问题的探讨及超药典剂量现象分析[J].中国药师,2014,17(12):2133-2135
10陈颖,周红艳.中药问题处方的审核分析与对策[J].中国医药导刊,2016,18(5):531-532
11黄和,杨慧敏.重用半夏治疗多寐临床体会[J].实用中医药杂志,2010,26(8):572-573