Application Analysis on Chinese Patent Medicine Containing Toxic Decoction Pieces in Hohhot Mongolian Medicine of Traditional Chinese Medicine Hospital in 2018-2023
10.19879/j.cnki.1005-5304.202311214
- VernacularTitle:2018-2023年呼和浩特市蒙医中医医院含毒性饮片中成药应用分析
- Author:
Jing WU
1
;
Xiuyan ZHANG
Author Information
1. 呼和浩特市蒙医中医医院,内蒙古 呼和浩特 010010
- Keywords:
rational medication;
toxic decoction pieces;
Chinese patent medicine;
prescription comment
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2024;31(7):175-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the use of Chinese patent medicines containing toxic decoction pieces in Hohhot Mongolian Medicine of Traditional Chinese Medicine Hospital;To provide the basis and early warning for the monitoring of rational medication.Methods The prescriptions of oral Chinese patent medicines containing toxic decoction pieces issued by the outpatient and emergency department of Hohhot Mongolian Medicine of Traditional Chinese Medicine Hospital from January 1,2018 to May 31,2023 were extracted.Chinese Pharmacopoeia(2020 Edition)was used to classify the classification of toxic decoction pieces,and unreasonable usage was analyzed.Results A total of 15 083 prescriptions of Chinese patent medicines containing toxic decoction pieces were extracted,and 15 760 cases were used,including 24 kinds of Chinese patent medicines containing toxic decoction pieces.813 cases were used unreasonably,accounting for 5.16%,of which 642 cases were used excessively,accounting for 78.97%of the irrational cases.There were 217 cases of Chinese patent medicines of TCM decoction pieces containing heavy toxin,including 214 cases of excessive use,accounting for 98.62%.Unreasonable applications mainly focused on orthopedics,thyroid diseases,rheumatism and emergency medicine.Conclusion The excessive use of Chinese patent medicines containing toxic decoction pieces in our hospital is prominent,with potential safety hazards.Clinical pharmacists should start from prescription reviews,provide feedback to physicians,and explore the monitoring of rational medication.They should intervene in drug prescriptions that have obvious toxicity or are prone to adverse reactions,discuss corresponding standardized measures,in order to use drugs reasonably and avoid artificially controlled adverse reactions or poisoning situations.
