基于中医辨证论治理论探索中成药处方审核方法.

OBJECTIVE: To probe into the prescription review method that conforms to the medical activities of traditional Chinese medicine clinicians in the hospital according to the Prescription Review Standard in Medical Institutions jointly issued by the National Health Commission of the People’ s Republic of China and other three departments. METHODS: “Application points” of 31 kinds of Chinese patent medicines were established by referring to the drug instructions and relevant information. The historical prescriptions were reviewed, and the diagnosis was categorized into “ consistent diagnosis” “ irregular diagnosis” “ diagnosis to be discussed” and “ inappropriate diagnosis” by comparing with the “application points”. A multi-disciplinary traditional Chinese medicine expert validation approach was adopted to explore the elements and method of prescription review that were in line with mindset and medical behaviors of traditional Chinese medicine clinicians. RESULTS: A method for reviewing the prescriptions of 31 types of Chinese patent medicines in the hospital had been established, including whether the prescribed medication was consistent with the diagnosis, whether the prescribed dosage and usage were correct, whether the course of treatment was appropriate, whether the drug combination was appropriate, and whether there were any contraindications to the use of medicines. CONCLUSIONS: With the core of “conformity of medicine and evidence”, the establishment of prescription review elements and review methods in line with the clinical diagnosis and therapeutic thinking of traditional Chinese medicine clinicians in the hospital, and the standardization of prescription review are of great significance in ensuring the rational use and reducing the risk of Chinese patent medicine [ABSTRACT FROM AUTHOR]