Huang Zongqiang
Beijing Anding Hospital, Capital Medical University, Beijing 100088, China.
Zhongguo Zhong Yao Za Zhi. 2011 Jul;36(14):2008-10.
For solve confusion of the dispensing specified varieties of traditional Chinese medicine Yinpian, the state administration of traditional Chinese medicine had decreed in 2009 the on the Traditional Chinese Medicine Yinpian prescription name and the dispensing specified varieties notification, Require various regions medical institutions to solve the problem. But the notification permit that each medical institutions formulate the traditional Chinese medicine Yinpian prescription name and standards of the dispensing Specified varieties, be sure to cause each medical institutions on parallel tracks in the dispensing Specified varieties. Beijing the Beijing traditional Chinese medicine Yinpian prescription dispensing rule. It nor did completely solve the problem of the dispensing specified varieties, there is a difference between doctor and harmacist. So formulate statute universal and scientific, Completely solve the problem of the dispensing specified varieties, It is Long-cherished wish of government and traditional Chinese medicine sector for many years The article on appearance of the dispensing specified varieties problem, and think about actual statute of the dispensing specified varieties, and discuss Solving system, consider formulate and execute Yinpian drug catalogue and Chinese medicine Yinpian prescription dispensing rule by country and local two level, It provides legal protection to thoroughly resolve the dispensing Specified varieties Both can resolve that prescription of traditional Chinese medicine Yinpian unified provisioning in entire country, And conducive to defend local medical genre medication features, and defend precious local features processing varieties and conducive to exploit new drug, and conducive to inherit and evolve traditional Chinese medicine scientifically, It is simple and feasible final way to Chinese medicine Yinpian dispensing specified varieties.
为解决中药饮片特定品种调配的混乱问题,国家中医药管理局于2009年颁布了《关于中药饮片处方用名和调剂给付品种的通知》,要求各地医疗机构解决该问题。但该通知允许各医疗机构制定中药饮片处方用名和调剂给付品种标准,这必然导致各医疗机构在调剂给付品种方面各行其是。北京市有《北京市中药饮片处方调剂规范》,但也未完全解决调剂给付品种问题,医生与药师之间存在差异。因此,制定统一、科学的法规,彻底解决调剂给付品种问题,是政府和中医药界多年来的夙愿。文章针对调剂给付品种问题的出现情况,思考调剂给付品种的实际法规,并探讨解决体系,考虑由国家和地方两级制定并执行中药饮片药品目录和中药饮片处方调剂规范,为彻底解决调剂给付品种问题提供法律保障。这样既可以解决全国中药饮片处方统一供应的问题,又有利于维护地方医学流派用药特色,保护珍贵的地方特色炮制品种,有利于新药开发,有利于科学传承和发展中医药,是解决中药饮片调剂给付品种问题简单可行的最终办法。