2021-2023年某院含毒性饮片中成药分析  

Analysis on Chinese Patent Medicines Containing Toxic TCM Decoction Pieces in a Hospital from 2021 to 2023

作　　者：薛颖[1] 吴剑坤[1] 刘洋[1] XUE Ying;WU Jiankun;LIU Yang(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中国中医药信息杂志》2024年第12期180-184,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家中医药管理局全国老中医药专家传承工作室建设项目(2022年)。

摘　　要：目的分析2021-2023年首都医科大学附属北京中医医院(以下简称“本院”)含毒性饮片中成药,为医疗机构合理管理含毒性饮片中成药提供参考。方法收集2021-2023年本院含毒性饮片中成药,统计含毒性饮片中成药品种数、功效、销售金额。结果2021-2023年,本院含毒性饮片中成药共110种,含大毒饮片中成药共10种,其中活血化瘀类中成药居首位;大毒饮片前3位为生草乌、生川乌、马钱子,有毒饮片前5位为朱砂、雄黄、制草乌、附子、全蝎,小毒饮片前3位为苦杏仁、水蛭、土鳖虫。销售金额前15位含毒性饮片中成药品种较稳定,关节克痹丸一直居于首位。结论通过对本院2021-2023年含毒性饮片中成药的分析,探讨保障含毒性饮片中成药安全使用的措施,具有一定可行性和必要性。Objective To analyze the use of Chinese patent medicines containing toxic TCM decoction pieces in Beijing Hospital of Traditional Chinese Medicine of Capital Medical University(hereinafter referred to as“our hospital”)from 2021 to 2023;To provide references for reasonable management of Chinese patent medicines containing toxic TCM decoction pieces in medical institutions.Methods The Chinese patent medicines containing toxic TCM decoction pieces from 2021 to 2023 were collected in our hospital.Statistics on the number of varieties,efficacy and sales amount of Chinese patent medicines containing toxic TCM decoction pieces were performed.Results From 2021 to 2023,there were 110 kinds of Chinese patent medicines containing toxic TCM decoction pieces and 10 kinds of Chinese patent medicines containing TCM decoction pieces with heavy toxicity,among which the ones of promoting blood circulation and removing blood stasis ranked first.The top 3 TCM decoction pieces with heavy toxicity were raw Aconiti Kusnezoffii Radix,raw Aconiti Radix,Strychni Semen;the top 5 TCM decoction pieces with toxicity were Cinnabaris,Realgar,processed Aconiti Kusnezoffii Radix,Aconiti Lateralis Radix Praeparata,Scorpio;the top 3 TCM decoction pieces with light toxicity were Armeniacae Semen Amarum,Hirudo,Eupolyphaga Steleophaga.The top 15 Chinese patent medicines containing toxic TCM decoction pieces in our hospital was relatively stable,especially the Guanjie Kebi Pills in the first place.Conclusion Based on the analysis of the use of Chinese patent medicines containing toxic TCM decoction pieces from 2021 to 2023,this article discuss measures to ensure the safe use of Chinese patent medicines containing toxic TCM decoction pieces,with certain feasibility and necessity.

关 键 词：毒性饮片 中成药 合理用药 

分 类 号：R288[医药卫生—中药学]