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·药事管理·


          中成药说明书“主治”项规范化表述探析
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          张美微 ,李可千 ,姚克宇 ,朱 彦 (1.长春中医药大学医药信息学院,长春 130117;2.中国中医科学院中医
          药信息研究所数字中医药应用方法学研究室,北京 100700)
          中图分类号  R95;R288      文献标志码  A      文章编号  1001-0408(2025)05-0513-06
          DOI  10.6039/j.issn.1001-0408.2025.05.01

          摘  要  目的  促进中成药说明书“主治”表述的规范化,保障临床和患者合理用药。方法  检索并收集2020年版《中国药典》(一
          部)和各类、各级标准中对应中成药的【功能主治】信息,建立中成药说明书“主治”表述中证候、病机、病名、症状术语识别标准,借
          助Microsoft Office Access 2021软件建立查询表并对术语要素进行人工提取,并构建“主治”表述3级分类体系,进而通过量化分析
          得出“主治”表述规范化模板。结果与结论  共纳入 9 851 份有效中成药说明书,其中包含症状术语的中成药说明书数量最多
         (7 991 份),其次是病名、病机(分别有 5 867、5 167 份);在病名术语中,包含西医病名的最多(4 446 份),其次为中医病名(2 018
          份);有6 962份中成药说明书【功能主治】项内容的表述与现有要求相符。“主治”表述二级分类中的“病名”和三级分类中的“病名+
          症状”“症状”不符合既定要求。从病机和证候着手所建的“主治”表述规范化模板有2个 ,即“病机+病名+症状”“病名+证候+症
          状”。建议“主治”表述信息应当完整且准确,“主治”表述的格式应规范化,并使用适当的连接词和标点符号,将非处方药中中成药
          的药品说明书分为专业版和患者版等,从而促进“主治”规范表述,推动中成药说明书撰写的规范化进程。
          关键词  中成药;说明书;主治;规范化表述;模板


          Research on the standardization of “Indications” in package inserts for Chinese patent medicines
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          ZHANG Meiwei ,LI Keqian ,YAO Keyu ,ZHU Yan(1. School of Medical Information, Changchun University
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          of Chinese Medicine, Changchun 130117, China;2. Research Laboratory for Application Methodology of Digital
          Traditional  Chinese  Medicine,  Institute  of  Traditional  Chinese  Medicine  Information,  Chinese  Academy  of
          Chinese Medical Sciences, Beijing 100700, China)
          ABSTRACT   OBJECTIVE  To  promote  the  standardization  of  the “Indications”  section  in  package  inserts  for  Chinese  patent
          medicines  and  ensure  rational  clinical  and  patient  use.  METHODS  The “Function  and  Indications”  information  of  package  inserts
          for  Chinese  patent  medicines  was  retrieved  and  collected  from  the  2020  edition  of  the  Chinese  Pharmacopoeia (Volume  Ⅰ)  and
          various  national  and  regional  standards.  Identification  criteria  were  established  for  syndrome,  pathogenesis,  disease  name,  and
          symptom  terminology  in  the “Indications”  section.  Microsoft  Office  Access  2021  was  utilized  to  create  query  tables  for  manual
          extraction  of  terminological  elements,  followed  by  the  construction  of  a  three-tier  classification  system  for “Indications”
          descriptions. A standardized template for “Indications” was developed through quantitative analysis. RESULTS & CONCLUSIONS
          A  total  of  9  851  valid  package  inserts  for  Chinese  patent  medicines  were  included. Among  these,  the  majority (7  991)  contained
          symptom  terminology,  followed  by  disease  names (5  867)  and  pathogenesis  descriptions (5  167).  Within  disease  name
          terminology,  Western  medical  disease  names  predominated (4  446),  followed  by  traditional  Chinese  medicine  disease  names
         (2  018).  The “Function  and  Indications”  content  of  6  962  package  inserts  complied  with  existing  requirements.  Notably,  the
          secondary  classifications  of “disease  name”,  as  well  as  the  tertiary  classification  of “disease  name+symptoms”  and “symptoms”,
                                                             failed  to  meet  established  standards.  Two  standardized
             Δ 基金项目 国家自然科学基金项目(No.82174534);中国中医科            templates  for  “Indications”  were  formulated  based  on
          学院科技创新工程课题(No.CI2021A05306);中国中医科学院基本科             pathogenesis  and  syndrome:“pathogenesis+disease  name+
          研业务费优秀青年科技人才培养专项达标课题(No.ZZ13-YQ-126)               symptoms”  and “disease  name+syndrome+symptoms”.  The
             *第一作者 硕士研究生。研究方向:中医药大数据分析与挖掘。
                                                            “Indications”section  should  provide  complete  and  accurate
          E-mail:610769297@qq.com
             # 通信作者 副研究员,硕士生导师,博士。研究方向:中医药信息                 information,  adhere  to  standardized  formatting,  and  employ
          学。E-mail:zhuyan166@126.com                         appropriate  conjunctions  and  punctuation.  For  non-prescription


          中国药房  2025年第36卷第5期                                                 China Pharmacy  2025 Vol. 36  No. 5    · 513 ·
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