世界中医药2024,Vol.19Issue(17) :2647-2652,2662.DOI:10.3969/j.issn.1673-7202.2024.17.018

基于德尔菲法的蒙药安神补心六味丸临床应用专家共识条目分析

Expert Consensus Entries of Clinical Application of Mongolian Medicine Anshen Buxin Liuwei Pills Based on Delphi Method

李青峰 李晓轩 胡汉琼 陈瑾 乌云斯日古楞 佟玉清 佟蛟龙 黄先菊 佟海英
世界中医药2024,Vol.19Issue(17) :2647-2652,2662.DOI:10.3969/j.issn.1673-7202.2024.17.018

基于德尔菲法的蒙药安神补心六味丸临床应用专家共识条目分析

Expert Consensus Entries of Clinical Application of Mongolian Medicine Anshen Buxin Liuwei Pills Based on Delphi Method

李青峰 1李晓轩 1胡汉琼 1陈瑾 1乌云斯日古楞 2佟玉清 3佟蛟龙 4黄先菊 5佟海英1
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作者信息

  • 1. 北京中医药大学中医学院,北京,102488;北京中医药大学民族医药学研究所,北京,102488
  • 2. 内蒙古自治区国际蒙医医院心身医学科,呼和浩特,010065
  • 3. 内蒙古民族大学附属医院心血管内科,通辽,028000
  • 4. 兴安盟蒙医院医务科,乌兰浩特,137400
  • 5. 中南民族大学药学院,武汉,430074
  • 折叠

摘要

目的:为蒙药安神补心六味丸(吉如和-6)的进一步临床推广应用和研究开发提供参考.方法:采用德尔菲法,查阅相关文献资料,经过小组讨论、半结构式访谈等形式初步确定了安神补心六味组方配伍与临床应用特点的专家共识相关问卷层次和条目池,采用线上函询和现场发放调查问卷2种方式向从事蒙医药临床、科研、教学及生产的专家进行咨询,对目前安神补心六味丸的组方配伍、临床应用特点等进行评价,直至基本达成一致,最终确定安神补心六味丸的组方配伍和临床应用专家共识条目.结果:2轮函询共有42位专家参与.根据文献调研、小组讨论及半结构式访谈,第1轮设置函询指标16个;之后根据专家意见修改指标体系,第2轮设置函询指标17个.经过两轮函询,最终在安神补心六味丸的组方配伍和临床应用2方面17个条目达成共识,涵盖了本方的组方配伍、用量、主治病和合病证、用药时辰等主要内容.结论:通过共识发现将野牦牛心替换为牛心的安神补心六味丸依然有良好疗效,临床使用风险较低.

Abstract

Objective:To provide a reference for the further clinical promotion,application,and research development of Mongolian medicine Anshen Buxin Liuwei Pills(Jiruhe-6).Methods:The Delphi method was employed,involving a review of relevant litera-ture,group discussions,and semi-structured interviews to initially determine the hierarchical structure and entry pool of the expert consensus questionnaire regarding the formula composition and clinical application characteristics of Anshen Buxin Liuwei Pills.Online and on-site surveys were distributed to experts engaged in the clinical practice,research,teaching,and production of Mongo-lian medicine.The consultation aimed to evaluate the current formula composition and clinical application characteristics of Anshen Buxin Liuwei Pills until consensus was reached,resulting in the final formulation of the expert consensus on its composition and clinical application.Results:A total of 42 experts participated in the two rounds of consultation.Based on literature review,group discussions,and semi-structured interviews,the first round of consultation involved 16 inquiry indicators.After revising the indicator system based on expert feedback,the second round included 17 inquiry indicators.Through two rounds of consultation,consensus was reached on 17 entries concerning the formula composition and clinical application of Anshen Buxin Liuwei Pills,covering as-pects such as its composition,dosage,primary and comorbid conditions,and optimal medication times.Conclusion:The consensus revealed that replacing wild yak heart with cow heart in Anshen Buxin Liuwei Pills still resulted in good therapeutic efficacy with low clinical risk.

关键词

德尔菲法/蒙药/安神补心六味丸/配伍/临床应用/专家共识

Key words

Delphi method/Mongolian medicine/Anshen Buxin Liuwei Pills/Compatibility/Clinical application/Expert consensus

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出版年

2024
世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
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