中药饮片处方应付作用转移  

Discussion on the Function Change of Prescription Coping of Chinese Herbal Decoction Pieces

作　　者：马静[1,2,3,4] 王盼盼 温瀑[1] 桂新景 刘瑞新 李学林[1,2,3,4,5] MA Jing;WANG Panpan;WEN Pu;GUI Xinjing;LIU Ruixin;LI Xuelin(Department of Pharmacy,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;Henan Province Engineering Research Center of Clinical Application Modernization of Traditional Chinese Medicine Pieces,Zhengzhou 450000,China;Henan Key Laboratory for Clinical Pharmacy of Traditional Chinese Medicine,Zhengzhou 450000,China;Henan Province Traditional Chinese Medicine Clinical Evaluation Technology Engineering Laboratory,Zhengzhou 450000,China;Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan&Education Ministry of China,Henan University of Chinese Medicine,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学第一附属医院药学部,郑州450000 [2]河南省中药饮片临床应用现代化工程研究中心,郑州450000 [3]河南省中药临床药学中医药重点实验室,郑州450000 [4]河南省中药临床评价技术工程实验室,郑州450000 [5]河南中医药大学呼吸疾病中医药防治省部共建协同创新中心,郑州450008

出　　处：《医药导报》2023年第3期361-365,共5页Herald of Medicine

基　　金：国家重点研发计划中医药现代化重点专项(2017YFC1703400,2017YFC1703401);河南省中医药科学研究专项课题(2021JDZY104);河南省中医药拔尖人才培养项目(重点项目)(2019ZYBJ07);河南省高层次人才特殊支持“中原千人计划”-“中原青年拔尖人才”项目(ZYQR201912158);河南省卫生健康中青年学科带头人专项(HNSWJW-2020014)。

摘　　要：中药饮片处方应付是传统中药调剂工作的重要环节,处方应付药品的正确与否对中药方剂的疗效有重要影响。处方应付在其发展过程中存在诸多问题,处方应付与实际给付之间存在不一致现象。随着医院信息化的发展,以及小包装中药饮片和单剂量中药配方颗粒的推广应用,中药饮片处方应付已经成为历史,处方应付作用已经逐渐向处方应开转移。将“处方应付”转变成“处方应开”,使用规范的中药处方用名开具处方是彻底解决处方应付存在问题的根本办法,这样不仅可以使医师开具处方更准确,用药目的与实际给付之间不脱节,还可以促进患者用药安全有效。Prescription coping Chinese herbal decoction pieces is essential to traditional Chinese medicine dispensing.The accuracy of prescription drugs directly impacts the efficacy of traditional Chinese medicine prescriptions.However,there were many problems in the development of prescription coping,and there was an inconsistency between prescription coping and the actual payment of medicines.With the development of hospital information,small packages of traditional Chinese medicine decoction pieces,and single dose of traditional Chinese medicine formula granule was widely used in clinical practice,and the prescription of traditional Chinese medicine decoction pieces became history.The role of prescription coping has gradually shifted to the"prescription should be prescribed".Using standardized traditional Chinese medicine prescription with the name of prescription was the fundamental way to solve the problem of prescription coping,which could not only help the doctor to prescribe more accurately and disconnect the purpose of medication and the actual payment,but also made medicines safer and more effective for patients.

关 键 词：中药饮片 处方应付 处方应开 作用转移 

分 类 号：R286[医药卫生—中药学] R95[医药卫生—中医学]