以白脉软膏为例探讨民族药外用制剂临床应用专家共识的制订  

Formulation of expert consensus on clinical application of external ethnic medicine: taking Baimai Ointment as an example

作　　者：关英杰 任小巧[2] 詹红生[3] 沈志秀 刘凯列 常文婧 李云[1] 陈薇[1] GUAN Ying-jie;REN Xiao-qiao;ZHAN Hong-sheng;SHEN Zhi-xiu;LIU Kai-lie;CHANG Wen-jing;LI Yun;CHEN Wei(Centre for Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Minority Institute of Medicine,Bejing University of Chinese Medicine,Beijing 100029,China;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China;Tibet Cheezheng Tibetan Medicine Co.,Ltd.,Beijing 100102,China)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]北京中医药大学民族医药学研究所,北京100029 [3]上海中医药大学附属曙光医院,上海200021 [4]西藏奇正藏药股份有限公司,北京100102

出　　处：《中国中药杂志》2023年第3期847-852,共6页China Journal of Chinese Materia Medica

基　　金：中国民族医药学会科研项目(2020MZ205-660104)。

摘　　要：民族医药的概念分为广义和狭义2种。广义的概念是指中华民族的传统医药,狭义的概念就是指中国少数民族的传统医药。外用制剂是民族药主要剂型之一,也是民族医药外治疗法的重要内容。民族医药外用制剂在临床上应用广泛,由于其理论自成体系,治疗与应用方法均具有一定的特色,是临床应用的关键技术环节之一。但是现有的中医药共识制订方法并不能满足民族医药外用制剂共识制订工作的需要,因此亟需适宜于民族药外用制剂临床共识制订的方法和流程。该文以《白脉软膏临床应用专家意见》为例,探索一种合理有效、多维度、多阶段的方法制订民族药外用制剂专家共识。首先系统科学地收集古籍文献、临床研究证据、专家应用经验三维信息,对这些信息进行整理和分析后形成综合证据;其次经过正式的专家共识法,对部分推荐意见达成共识;最后针对未达成一致的问题,采用深度访谈的方式探寻产生差异的原因并解决分歧,最终得出一致的推荐意见。研制《白脉软膏临床应用专家意见》过程中遇到的问题具有共性,希望可以为其他民族药专家共识的制订提供方法学参考。The concept of ethnic medicine is divided into a broad sense and a narrow sense. The broad concept refers to the traditional medicine of the Chinese nation, and the narrow concept refers to the traditional medicine of Chinese ethnic minorities. The external medicine is one of the main forms of ethnic medicine, and it is also the important content of ethnic medicine for external use, which is widely used in clinical practice. As the theory of ethnic medicine is unique, the application methods have certain characteristics, which are the key technical parts of clinical practice. However, the existing traditional Chinese medicine consensus formulation me-thods cannot meet the needs of the consensus formulation of the external ethnic medicine. Therefore, the methods suitable for expert consensus on external ethnic medicine are required. This article took Expert opinion on clinical application of Baimai Ointment as an exa-mple, and explorde a reasonable, effective, multi-dimensional, and multi-stage method to formulate expert consensus on the external ethnic medicine. In this research, three-dimensional sources of information, including ancient classics, clinical research evidence, and expert application experiences, were systematically and scientifically collected. After organization and analysis, the information was formed into comprehensive evidence. In a formal consensus meeting, part of the recommendations reached consensus. As to the issues that did not reach agreement, in-depth interviews were used to explore the reasons for the differences and resolve the disagreements. Finally, unanimous recommendations were reached. There are common problems during the formulation process of Expert opinion on clinical application of Baimai Ointment. This study is expected to provide references for the formulation of expert consensus on other external ethnic medicine.

关 键 词：民族药 外用制剂 专家共识 制订方法 

分 类 号：R29[医药卫生—民族医学]