运用“汤液经法图”进行中药饮片处方评价与干预的临床药学会诊模式实践  

Practice of clinical pharmacy consultation model for evaluation and intervention of traditional Chinese medicine decoction prescriptions using"Tangye Jingfa Map"

作　　者：郭红叶[1] 刘南阳 杨寿圆 于琪[4] 张爽 郭晓龙[1] 金锐 GUO Hongye;LIU Nanyang;YANG Shouyuan;YU Qi;ZHANG Shuang;GUO Xiaolong;JIN Rui(Department of Pharmacy,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Department of Geriatrics,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Department of Pharmacy,The First People’s Hospital of Lanzhou,Lanzhou 730050,China;Department of Pharmacy,Beijing Haidian Hospital,Beijing 100080,China)

机构地区：[1]中国中医科学院西苑医院药学部,北京100091 [2]中国中医科学院西苑医院老年病科,北京100091 [3]兰州市第一人民医院药学部,兰州730050 [4]北京市海淀医院药剂科,北京100080

出　　处：《药学前沿》2024年第12期686-693,共8页China Pharmacist

基　　金：国家中医药管理局深化医改中医药政策研究课题(YGZXKT2024030);首都卫生发展科研专项项目(首发2020-2-2081);中国中医科学院科技创新工程重大攻关项目(CI2021A03805)。

摘　　要：目的探索中药临床药师在实际工作中关于中药处方评价及进行中药药学干预的工作方法与模式。方法通过详细介绍“汤液经法图”理论体系以及该理论指导下的中药饮片处方评价和干预工作模式,以2个中药药学学会诊案例具体阐释会诊工作具体工作流程及思路。结果构建出一套较完整的中药会诊工作路线图,通过该理论指导下的会诊思路清晰,能较客观地评价中药处方的合理性,同时能较准确地提出中药饮片治疗方案加减调整的药学建议。结论该会诊模式为中药临床药师开展真正深入的、有效的中药饮片处方评价和药学干预提供参考。Objective To explore the working methods and models of traditional Chinese medicine(TCM)clinical pharmacists in evaluating TCM prescriptions and intervening in TCM pharmacy in the actual work.Methods By providing a detailed introduction to the theoretical system of"Tangye Jingfa Map"and the evaluation and intervention work mode of TCM decoction prescriptions guided by this theory,this paper elaborated on the specific workflow and ideas of consultation work through two cases of diagnosis in Chinese medicine pharmacology societies.Results A relatively complete road map for TCM consultation work was constructed,with clear consultation ideas guided by this theory,which could objectively evaluate the rationality of TCM prescriptions,and accurately propose treatment plans and pharmaceutical suggestions for TCM prescriptions.Conclusion This consultation model provides a reference for clinical pharmacists of TCM to conduct truly in-depth and effective evaluation of TCM decoction prescriptions and pharmaceutical interventions.

关 键 词：辅行诀 汤液经法图 药学会诊 中药临床药师 处方评价 药学服务 中药 

分 类 号：R288[医药卫生—中药学]