浅谈中药的临床合理应用Discussionon-天津中草药杂志社.PDFVIP

现代药物与临床 Drugs Clinic 第 26 卷 第 4 期 2011 年 7 月 • 251 • 浅谈中药的临床合理应用 1 2 1* 郑璐璐 ，杨艳红 ，张贵君 1. 北京中医药大学 中药学院，北京 100102 2. 天津药物研究院药业有限责任公司，天津 300193 摘 要：目前全球范围内不合理用药现象都很严重。我国的药品不良反应中有10%～30%是源于不合理用药引起的，可见合 理用药以保证患者用药安全是医药工作者的职责，也是亟待解决的问题。从中药的临床应用各环节入手，涉及辨明品种、选 择适当的炮制品、严格遵循用药剂量、煎煮方法和服用方法要适宜、中西药配伍要得当以及中药师调配和发药要细心等方面， 探讨在临床使用中药过程中必须注意的问题，并分析了不合理用药的原因，希望引起医师、药师和患者的关注，为临床上合 理使用中药提供参考。 关键词：中药；药品不良反应；临床用药；用药安全 中图分类号：R285.6 ；R969.3 文献标志码：A 文章编号：1674 - 5515(2011)04- 0251 - 05 Discussion on reasonable application of Chinese materia medica in clinic 1 2 1 ZHENG Lu-lu , YANG Yan-hong , ZHANG Gui-jun 1. School of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing 100102, China 2. Tianjin Institute of Pharmaceutical Research Pharmaceutical Responsible Co., Ltd., Tianjin 300193, China Abstract: The appearance of unreasonable and inappropriate application of drugs is very serious in the world at present. There are 10%−30% adverse drug reaction (ADR) originated from unfair use drugs in our country, so reasonable and appropriate application of Chinese materia medica (CMM) in order to guarantee patients using drug safety is the responsibility of medical workers and a problem which must be solved. This article investigates the issue to be concerned on CMM clinical appropriate application from every link, involving distinguishing varieties, choosing reasonable processed products, following dose strictly, using available methods for decocting and taking, proper combination compatibility of CMM and pharmaceutical chemicals, and making up a prescription or sending drugs carefully, analyzes the factors and reasons for inappropriate application of drugs, and hope to attract doctors, pharmacists, and patients with providing a rational refe