Cao Jun-Ling, Li Xue-Lin, Meng Fei, Gong Ying
Dongfang Hospital, Beijing University of Chinese Medicine Beijing 100078, China.
the First Affiliated Hospital of Henan University of Traditional Chinese Medicine Zhengzhou 450004, China.
Zhongguo Zhong Yao Za Zhi. 2020 Jul;45(13):3238-3244. doi: 10.19540/j.cnki.cjcmm.20200424.308.
Chinese herbal medicine decoction pieces(CHMDP), one of the main forms of traditional Chinese medicine(TCM) in clinic, have been widely used. However, the irrational use is increasingly serious due to the lack of the indicators for judging the rational use of CHMDP in medical institutions and the codes and standards for the clinical use of CHMDP. In order to regulate the rational clinical use of CHMDP, improve the clinical efficacy and ensure the drug safety for the patients, clinical pharmaceutical experts and clinical medical experts from 40 third-grade class-A hospitals nationwide were organized to give the "expert consensus on clinical application of CHMDP" in terms of prescription writing, combined use of drugs, use of special drugs, and drug use for special population. Detailed analysis and argumentation were conducted in accordance with the laws and regulations, Chinese Pharmacopoeia 2015 edition, Chinese Pharmacopoeia Code Notice for Clinical Use of Medicine, Administrative Regulations for Prescriptions, Administrative Specifications for Hospital Prescription Review(interim), and Chinese Traditional Medicine Prescription Format and Writing Specifications, as well as relevant project findings.
中药饮片作为临床常用的中药主要剂型之一，已被广泛应用。然而，由于医疗机构缺乏判断中药饮片合理使用的指标以及中药饮片临床使用的规范和标准，不合理使用现象日益严重。为规范中药饮片临床合理使用，提高临床疗效，确保患者用药安全，组织了全国40家三级甲等医院的临床药学专家和临床医疗专家，从处方书写、联合用药、特殊药品使用、特殊人群用药等方面给出了《中药饮片临床应用专家共识》。依据法律法规、《中国药典》2015年版、《药品临床使用的中国药典释义》、《处方管理办法》、《医院处方点评管理规范（试行）》、《中药处方格式及书写规范》以及相关课题研究结果进行了详细的分析论证。
