Study On Clinical Dosage Control Of Prescription Based On Prescription

Chinese medicine clinical stress reason, method, prescription and medicine, but people tend to ignore the dosage of drugs in addition to the medication. "The secret of traditional Chinese medicine is the dosage of the drug." "The dosage of traditional Chinese medicine is more important than the traditional Chinese medicine." In recent years, with the study of the relationship between the quantity and effect, some achievements have been made in the experimental and clinical studies on the source dose and the dose effect of some drugs. People pay more attention to the dosage of the drug, but in some areas people are still not enough attention. People tend to focus on the amount of drug in the prescription dose, and less attention to the usage of drugs. Drug control is included in the drug’s decoction method. Clinical is easy to overlook the part of the drug decocting method. At present, the research for dosage and efficacy of different dose effect is much attention than dosage control of different dosage reaction. 《Shanghanzabinglun》 for decoction and the different medication dosage reaction regulation relatively detailed records. This paper attempts to start from the classical prescription decoction method to summarize the prescription of clinical dosage control strategies.Research objective1. Summary of different drug decocting method and drug dosage in《Shanghanzabing lun》.Analysis of the reasons, in order to change drugs in current clinical thousand times decocting method enlightenment. The medicine decocting method from decocting solvent, time and times, the way is summarized. The drug dosage was summarized from taking frequency, temperature and time perspective.2.Chinese medicine clinical is also the art of science. The clinical medication is continuously adjusted according to the patients after taking the reaction. About the dosage is constantly adjusted according to the process of drug reaction. Summarize the different dosage control strategies and methods, in order to help the clinical use of the drug effect.Research contents and methodsThe main research contents for the study of prescription dosage regulation and primitive decoction method according to drug response. Mainly through the analysis of the three methods. First, will typhoid, synopsis of prescription decoction method and dosage regulation, to the party name, dosage form, decoction time, frequency of administration, controlling method and so for the directory input excel table statistics. The calculated results were analyzed combined with literature. Secondly, select some ancient and modern clinical medical prescription, see specific strategies of clinical dosage control from a clinical perspective. Finally, through the study of the pharmacokinetics of modern drug metabolism and drug administration program, to campare the traditional Chinese medicine clinical medication program. In order to learn from the useful ideas, at the same time to sum up the Traditional Chinese Medicine thinking and regular pattern of drug use.Research results1.The primitive decoction methodDecocting solvent:The Jingfang decocting solvent including, ordinary water, spring water, Gan LAN water, clear serofluid, Liao water, spring water, Ma Tong juice, well floral water, wine, honey, vinegar, rice and other. Using different solvent and decocting medicinal properties according to clinical symptoms.Decocting time:In 1-3 liters of water consumption accounted for 39% of the number of decoction, mainly for disease or illness in the coke, urgent, for the capture, Huiyang used; Boiling water consumption in 4-5 liters, accounting for 43% of the statistical number, mainly for the sun three party (Guizhi Decoction, ephedrine class, Gegen Decoction) and hybrid party; Boiling water consumption of 6 liters and above, accounting for 18%, belongs to sediment fry and the tonic.Decocting times:Most of the Jingfang are using a prescription medicine, divided doses.Decocting method:first, after frying, to sediment fry, Mafei soup, cook bulk boiling pill.2. The primitive way of takingTimes of medication:a meal and a service accounted for 10% of the number of statistics, mainly for the disease or to achieve the effect of vomiting; Two statistics clothing accounted for 21%, mainly for general ingredients and dosage less, to ensure each medication concentration; Three clothing accounted for 63% of the counting statistics, the distribution of ephedrine, Guizhi Decoction, white tiger, bearing electrics, Chai Hulei, angelica class party and miscellaneous categories. Four and above accounted for 6%, the local high concentration, continue to play a role or to achieve a certain effect.Time to take medicine:plain clothes, fasting clothing, according to seasonal clothing, attack before service, day and night service, etc.Temperature:warm and cold medicine taking medication, oatmeal, taking cold porridge.3. Dosage control strategies and methodsThe clinical drug dosage should meet the requirements of time, region, human body, disease and drug. Need to control the dosage of the drug according to the drug reaction. The disease is serious and the drug dose is small, need to gradually increase; The disease is not serious and the drug dose is too large, need to gradually reduce; The condition is serious, take a large dose of drugs to ease the condition; The disease is mild and can be treated with small doses of drugs for a long time.Research conclusionThere are five principles, five ways and many methods to control the dosage of clinical medicine. The five principle is to consider the time, consider the region, consider the individual, consider the disease, consider the drug. Five ways:dosage adjustment can be realized by prescription, compatibility link, decocting link, taking links and forms part of the five ways. Multi method:specific dosage control can be taken, for example gradual increment and decrement, high dose administration, small doses of medication,control drug dosage by dosage form etc.