浅谈《伤寒论》蕴含的药学监护思维

CJI (Traditional Chinese Medicine) - - 中国中医药信息杂志 -

江寒沁1,朱国福 2,关鑫 3

1.上海健康医学院附属周浦医院,上海 201318;2.上海中医药大学,上海 201203;

3.上海中医药大学附属曙光医院,上海 201203摘要:药学监护思维是药学思维与临床思维的有机结合。《伤寒论》蕴含着非常丰富的药学监护思维内涵,体现了以患者为中心、对病情发展即时干预的临床药学服务理念。本文从病情评估和用药选择、药物服用方法及用药后注意事项3个方面对《伤寒论》蕴含的药学监护思维进行梳理、概括,为中药临床药学的发展提供理论支持。

关键词:伤寒论;药学监护

DOI:10.3969/j.issn.1005-5304.2017.06.031中图分类号:R228;R222.2 文献标识码:A 文章编号:1005-5304(2017)06-0116-03

Preliminary Analysis on Pharmaceutical Care Thinking in Shang Han Lun JIANG Han-qin1, ZHU Guo-fu2, GUAN Xin3 (1. Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai 201318, China; 2. Shanghai University of TCM, Shanghai 201203, China; 3. Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China)

Abstract: Pharmaceutical care thinking is organic combination of the pharmaceutical and clinical thinking. Shang Han Lun contains very rich connotation of the clinical pharmacy, embodies the patient-centered and immediate intervention clinical pharmaceutical service concept in the progress of the diseases. This article sorted out and concluded pharmaceutical care thinking from the aspects of condition assessment and medication selection, medicine taking methods and notes after medication, which provided theoretical supports for the development of clinical pharmacy of TCM.

Key words: Shang Han Lun; pharmaceutical care

药学监护又称为药学保健或药学服务,是药师应用药学专业知识向公众(含医务人员、患者及其家属)提供直接的、负责任的、与药物使用有关的服务(包

基金项目:上海市进一步加快中医药事业发展三年行动计划

(ZY3-RCPY-3-1035)

通讯作者:关鑫,E-mail:doctorguan@126.com 括药物选择、药物使用知识和信息),以期提高药物治疗的安全性、有效性与经济性,实现改善和提高人类生活质量的理想目标。药学监护思维是纵向的药学思维与横向的临床思维有机结合。药学思维侧重于理论上的研究结果,关注药理、药代动力学、药物相互作用、不良反应等,但缺乏与临床症状和指标的结合;药师进入临床后,应具备临床思维,即针对患者的症

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