从剂型角度谈中成药合理用药  

Discussion of Rational Use of Traditional Chinese Medicine in View of Dosage Forms

作　　者：马秉智[1] 

机构地区：[1]中日友好医院药学部,北京100029

出　　处：《药品评价》2012年第23期15-17,共3页Drug Evaluation

摘　　要：世界卫生组织将合理用药定义为"合理用药要求患者接受的药物适合他们的临床需要、药物的剂量符合他们个体需要、疗程足够、药价对患者及其社区最为低廉"。概念虽简单,但是要想做到恐怕很难,不仅涉及到医务人员,而且涉及到广大患者。目前我国中成药的临床应用中还存在着比较严重的不合理用药现象。本文通过查阅相关文献,主要从剂型与疾病的关系、剂型与药效的关系、剂型与不良反应的关系以及中成药"同名异药"现象四个方面阐述中药剂型与合理用药的关系,从而说明了中成药剂型选择正确与否是合理用药的必要条件,要想做到合理用药,剂型必须选择正确。WHO defined rational use of drugs as ＂Patients receive medications appropriate to their clinical needs,in doses that meet their own individual requirements for an adequate period of time,and the lowest cost to them and their community＂.The concept is simple,but to do it would be difficult.Not only medical stuff but also patients were involved.Rational use of traditional Chinese medicine is still a big issue currently in clinical practice.After reviewing related literatures,this paper explained the relationship between dosage forms and rational use of TCM from four aspects,which include the dosage forms with disease,dosage forms with efficacy,and dosage forms with adverse reactions,as well as the phenomenon of ＂same name for different drugs＂ of Chinese patent medicine.Rational selection of the dosage forms is necessary in TCM use.

关 键 词：中成药 剂型 合理用药 同名异药 

分 类 号：R969.3[医药卫生—药理学]