Analysis And Rationality Evaluation of Outpatient Prescription for Coronary Heart Disease Treated with Chinese Patent Medicine
Objective:To collect and analyze the outpatient prescriptions of Chinese patent medicine for treating coronary heart disease in a hospital in Wuhan,and summarize the rules of TCM syndrome differentiation and treatment of coronary heart disease and Chinese patent medicine prescriptions.Methods:1000 prescriptions issued by the hospital from December 2023 to April 2024 were collected,and the use of proprietary Chinese medicines in patients with coronary heart disease was counted,and the types、frequency and rational use of proprietary Chinese medicines in patients with coronary heart disease were analyzed.Results:Among 1000 prescriptions of Chinese patent medicines,there are 10 kinds of Chinese patent medi-cines that are most commonly used,among which drugs for promoting blood circulation and removing blood stasis and stopping bleeding are in the forefront,among which Musk Baoxin Pill(21.00%),Suxiao Jiuxin Pill(10.90%)and Com-pound Danshen Dropping Pill(10.20%)are more common.There are 34 kinds of main Chinese patent medicines,and the top three medicines are Danshen(12.63%),Chuanxiong(10.05%)and Ginseng/Ginseng Rubra(9.80%).Among the 1000 prescriptions,234 were irrational prescriptions,accounting for 23.40%,of which 139 were nonstandard prescriptions(59.40%).The main problems were:54 were lack of content(23.07%),46 were improper treatment(19.65%)and 39 were lack of TCM syndrome differentiation(16.67%).There are 87 prescriptions(37.17%)that are not suitable for med-ication,and the main problems are:47 prescriptions are not suitable for indications(20.08%),and 40 prescriptions are not suitable for dosage and usage(17.09%).There were 8 other inappropriate prescriptions(3.42%).Conclusion:There are many kinds of Chinese patent medicines for treating coronary heart disease.In the process of medication,we should pay at-tention to TCM syndrome differentiation and medication monitoring,further strengthen rational medication and improve the level of medication.
Coronary heart diseaseChinese patent medicinePrescription analysisTCM syndrome differentiation and treatmentRational administration of drugs