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中药饮片合理用药App常识库构建思路探讨
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篇名: 中药饮片合理用药App常识库构建思路探讨
TITLE: Exploration on the Construction Ideas of Software Knowledge Base for Rational Use of TCM Decoction Pieces
摘要: 目的:为中药饮片合理用药App常识库的构建和App开发提供参考。方法:查阅近年来合理用药App和中药饮片合理用药方面的文献,分析中药饮片合理用药的临床特点与现有合理用药App在中药饮片合理用药检测方面的特点、不足,梳理、归纳总结中药饮片合理用药App常识库构建的整体思路、核心内容及难点。结果与结论:中药饮片的临床应用以“辨证施治”为主要依据,体现辨证、治法、选方与用药的统一,故对于中药饮片临床应用合理性的考量不能一味地模仿化学药的评价方式。目前的合理用药App整体设计未能基于中医药理论体系,在中药饮片合理用药审查方面尚不够全面、成熟,且缺少能满足中药饮片合理用药要求的常识库。因此,应以中医药理论体系为引导,构建一套能满足中药饮片“理法方药”使用一致性评价要求的常识库,其内容应该包括患者信息收集、疾病及证型等相关常识库建设、中药饮片炮制品的选择、临证加减、中药饮片品种遴选禁忌、配伍禁忌、联合应用中成药或化学药、中药饮片用药剂量、处方每剂的总剂量及药味数量、特殊煎煮药物、用药方法及给药频次等。中药饮片合理用药App的开发仍存在疾病及证型等相关常识库建设和临证加减的合理性判定困难等难点。
ABSTRACT: OBJECTIVE:To provide referenc e for the construction and software development of knowledge base for rational use of TCM decoction pieces. METHODS :By reviewing the literatures on rational drug use software and TCM decoction pieces in recent years ,the clinical characteristics of rational drug use of TCM decoction pieces as well as the characteristics and shortcomings of existing rational drug use software in the detection of rational drug use of TCM decoction pieces were analyzed , and the core contents and difficulties in the construction of knowledge base of rational drug use software of TCM decoction pieces were summarized. RESULTS & CONCLUSIONS :Clinical application of TCM decoction pieces was mainly based on “syndrome differentiation”,which reflected the unity of dialectics ,treatment,prescription selection and medication. Therefore ,the consideration of the rationality of clinical use of TCM decoction pieces could not blindly imitate the evaluation method of chemical medicine. Current rational drug use software was not based on the theoretical system of traditional Chinese medicine ,and it was not comprehensive and mature in the aspect of rational drug use review of TCM decoction pieces ,and lacks the knowledge base that could meet the requirements of rational use of TCM decoction pieces. Therefore ,it is necessary to construct a set of knowledge base which can meet the evaluation requirements of “consistency of principle ,method and prescription use ”of TCM decoction pieces under the guidance of TCM theoretical system. Its contents include that patient information collection ,construction of knowledge base related to diseases and syndromes ,selection of processed products of TCM dec oction pieces ,addition andsubtraction of clinical symptoms ,selection taboo of varieties of TCM decoction pieces , compatibility taboo , combined application of Chinese patent medicine or chemical medicine , dosage of TCM decoction pieces , total dosage and tastquantity of each prescription , special de coction drugs , medication methods and administration frequency ,etc. There are still some difficulties in the development of rational drug use software of TCM decoction pieces ,such as the construction of disease and syndrome related knowledge base and the difficulty in judging the rationality of clinical symptom addition and subtraction.
期刊: 2021年第32卷第10期
编辑: 周鹏,凌霄,刘瑞新,李学林,张博,桂新景
AUTHORS: ZHOU Peng,LING Xiao,LIU Ruixin,LI Xuelin ,ZHANG Bo,GUI Xinjing
关键字: 中药饮片;合理用药;辨证施治;合理用药App;常识库
KEYWORDS: TCM decoction pieces ;Rational drug use ;Syndrome differentiation and treatment ;Rational drug use software ;
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