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Abstract
Pharmaceutical Care and Research: 2018; 18(6):465-469
DOI: 10.5428/pcar20180618
Analysis of 12 000 traditional Chinese herbal decoction pieces prescriptions in Huashan Hospital Affiliated to Fudan University
1. XU Yan(Department of Pharmacy,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China 915446893@qq.com)
2. ZHENG JiMeng(Department of Pharmacy,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China )
3. GAO Bo(Department of Pharmacy,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China )
4. LI ZhongDong(Department of Pharmacy,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China zdgli@126.com)
5. ZHONG MingKang(Department of Pharmacy,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China )
ABSTRACT  Objective: To analyze the application of traditional Chinese herbal decoction pieces (TCHDPs) used by Huashan Hospital Affiliated to Fudan University,so as to provide solid evidence for rational use of TCHDPs.Methods: A total of 12 000 TCHDPs prescriptions randomly chosen from the prescription data recorded from June 2015 to May 2017 in Huashan Hospital HIS system,with 500 descriptions in each month,were used as research subjects or targets.Access Software was used to compare the categories of TCHDPs with those listed in the Pharmacopoeia of the People’s Republic of China (2015 ed,Volume 1),and to analyze the dosage,use frequency and over-dose medication of TCHDPs in clinical practice.Results: In the 24 months,468 kinds of TCHDPs were sampled.By the ranking order of total dosage of each decoction piece prescription,the top 5 were Astragali Radix,Scutellariae Radix,Forssythiae Fructus,Coicis Semen and Lycii Fructus.By the ranking order of use frequency,the top 5 were Glycyrrhizae Radixet Et Rhizoma,Scutellariae Radix,Astragali Radix,Citri Reticulatae Pericarpium and Lonicerae Japonicae Flos.When classified by medication efficacy,tonify deficiency Qi medicine ranked the first and heat-clearing medicine ranked the second in the top 10 most frequently used decoction pieces.Of the top 30 decoction piece prescriptions in the term of use frequency,there existed an over-dose medication to various extents,accounting for 36.42%.Of all these,the top 3 decoction pieces with over-dosage were Bistortae Rhizoma,Lycii Fructus and Curcumae Rhizoma.Conclusion: In the hospital,there existed the problems of over-dose medication of tonify deficiency Qi medicine and heat-clearing medicine.For this reason,clinical application of TCHDPs should be further standardized,so as to ensure rational and effective use of TCHDPs.
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Please cite this article as:
XU Yan,ZHENG JiMeng,GAO Bo,LI ZhongDong,ZHONG MingKang,. Analysis of 12 000 traditional Chinese herbal decoction pieces prescriptions in Huashan Hospital Affiliated to Fudan University[J]. Pharmaceutical Care and Research / yao xue fu wu yu yan jiu. 2018; 18(6): 465-469.
References:
1. ZHU Jiang,DONG XianHong.Analysis of 9600 pieces of Chinese herbal decoction pieces prescriptions[J].Pharm Care Res,2016,16(6):460-463.In Chinese with English abstract.
2. DONG XianHong,ZHU Jiang.Analysis of traditonal Chinese medicine prescriptions in the hospital from 2014 to 2016[J].China Pharmaceuticals,2016,25(21):68-71.In Chinese with English abstract.
3. LIU XiaoMeng.Analysis of traditional Chinese herbal decoction pieces prescriptions in TCM pharmacy[J].J China Prescrip Drugs,2016,14(12):38.In Chinese.
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