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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
Received:02 September 2024,
Revised:22 January 2025,
Accepted:2025-01-23,
Published:15 March 2025
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张美微,李可千,姚克宇等.中成药说明书“主治”项规范化表述探析 Δ[J].中国药房,2025,36(05):513-518.
ZHANG Meiwei,LI Keqian,YAO Keyu,et al.Research on the standardization of “Indications” in package inserts for Chinese patent medicines[J].ZHONGGUO YAOFANG,2025,36(05):513-518.
张美微,李可千,姚克宇等.中成药说明书“主治”项规范化表述探析 Δ[J].中国药房,2025,36(05):513-518. DOI: 10.6039/j.issn.1001-0408.2025.05.01.
ZHANG Meiwei,LI Keqian,YAO Keyu,et al.Research on the standardization of “Indications” in package inserts for Chinese patent medicines[J].ZHONGGUO YAOFANG,2025,36(05):513-518. DOI: 10.6039/j.issn.1001-0408.2025.05.01.
目的
2
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
2
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
2
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。
OBJECTIVE
2
To promote the standardization of the “Indications” section in package inserts for Chinese patent medicines and ensure rational clinical and patient use.
METHODS
2
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
2
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 templates for “Indications” were formulated based on pathogenesis and syndrome:“pathogenesis+disease name+symptoms” and “disease name+syndrome+symptoms”. The “Indications”section should provide complete and accurate information, adhere to standardized formatting, and employ appropriate conjunctions and punctuation. For non-prescription Chinese patent medicines, package inserts should be categorized into professional and patient versions. These measures will facilitate the standardization of “Indications” descriptions and advance the overall package inserts for Chinese patent medicines documentation.
徐敏 , 张群群 . 简析当前中成药说明书存在的问题 [J ] . 中国医药指南 , 2022 , 20 ( 14 ): 101 - 103,107 .
XU M , ZHANG Q Q . Analyze the problems existing in the instruction manual of Chinese patent medicine [J ] . Guide China Med , 2022 , 20 ( 14 ): 101 - 103,107 .
赵婷婷 , 赵建中 , 王海学 . 关于规范国内已上市药品说明书的几点思考 [J ] . 中国临床药理学杂志 , 2020 , 36 ( 14 ): 2153 - 2155 .
ZHAO T T , ZHAO J Z , WANG H X . Considerations of standardizing domestic approved drug package inserts [J ] . Chin J Clin Pharmacol , 2020 , 36 ( 14 ): 2153 - 2155 .
国家食品药品监督管理局 . 关于印发非处方药说明书规范细则的通知 [EB/OL ] .( 2006-10-20 )[ 2024-05-19 ] . https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/200610200101- 01266.html https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/200610200101-01266.html .
State Food and Drug Administration . Notice on issuing the detailed rules for the standardization of nonprescription drug instructions [EB/OL ] .( 2006-10-20 )[ 2024-05-19 ] . https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20061- 020010101266.html https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20061-020010101266.html .
国家食品药品监督管理局 . 关于印发中药、天然药物处方药说明书格式内容书写要求及撰写指导原则的通知 [EB/OL ] .( 2006-06-22 )[ 2024-05-19 ] . https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20060622010101502.html https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20060622010101502.html .
State Food and Drug Administration . Notice on the writing requirements and guiding principles for the format and content of prescription drug instructions for traditional Chinese medicine and natural medicine [EB/OL ] . ( 2006-06-22 )[ 2024-05-19 ] . https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20060622010101502.html https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20060622010101502.html .
支伟锋 , 张桂芬 , 廖建青 , 等 . 240份中成药说明书和23份中成药不良反应报告的调查分析 [J ] . 海峡药学 , 2011 , 23 ( 4 ): 222 - 225 .
ZHI W F , ZHANG G F , LIAO J Q , et al . Investigation and analysis of 240 instructions and 23 reports of adverse reactions of Chinese patent medicines [J ] . Strait Pharm J , 2011 , 23 ( 4 ): 222 - 225 .
张晓朦 , 林志健 , 张冰 , 等 . 《上市中成药说明书安全信息项目修订技术规范》系列团体标准解读 [J ] . 中国中药杂志 , 2022 , 47 ( 2 ): 295 - 300 .
ZHANG X M , LIN Z J , ZHANG B , et al . Interpretation of the series of group standards of Technical Specifications for Revision of Safety Information in Marketed Chinese Patent Medicine Instructions [J ] . China J Chin Mater Med , 2022 , 47 ( 2 ): 295 - 300 .
刘莹 , 商洪才 . 心血管中成药超说明书用药循证评价方法和程序的建立 [J ] . 世界中医药 , 2017 , 12 ( 6 ): 1253 - 1257 .
LIU Y , SHANG H C . The methods of evidence-based evaluation on off-label drug use of cardiovascular pro- prietary Chinese medicine [J ] . World Chin Med , 2017 , 12 ( 6 ): 1253 - 1257 .
吴润莲 . 320份中成药说明书中妊娠妇女用药标注情况调查分析 [J ] . 北方药学 , 2019 , 16 ( 10 ): 188 - 189 .
WU R L . Investigation and analysis on the labeling of pregnant women’s medication in 320 instructions of Chinese patent medicine [J ] . J N Pharm , 2019 , 16 ( 10 ): 188 - 189 .
田硕 , 郭晖 , 苗明三 . 中成药说明书完善的思考及实践 [J ] . 中华中医药杂志 , 2018 , 33 ( 6 ): 2225 - 2229 .
TIAN S , GUO H , MIAO M S . Thinking and practice on the perfection of Chinese patent medicine directions [J ] . China J Tradit Chin Med Pharm , 2018 , 33 ( 6 ): 2225 - 2229 .
陆贝贝 . 125份临床常用中成药说明书内容调查分析与建议 [J ] . 中医药管理杂志 , 2022 , 30 ( 4 ): 54 - 55 .
LU B B . Investigation,analysis and suggestions on the contents of 125 instructions of Chinese patent medicines commonly used in clinic [J ] . J Tradit Chin Med Manag , 2022 , 30 ( 4 ): 54 - 55 .
吴琳 , 孟淑华 . 318份内科用中成药说明书内容调查分析 [J ] . 中国中医药信息杂志 , 2019 , 26 ( 1 ): 128 - 131 .
WU L , MENG S H . Survey and analysis on 318 instructions of Chinese traditional patent medicine used in internal medicine [J ] . Chin J Inf Tradit Chin Med , 2019 , 26 ( 1 ): 128 - 131 .
黄宗强 . 中药说明书功能与主治项表述形式刍议 [J ] . 中国中药杂志 , 2005 , 30 ( 10 ): 799 - 800 .
HUANG Z Q . Discussion on the function of instructions of traditional Chinese medicine and the expression form of indications [J ] . China J Chin Mater Med , 2005 , 30 ( 10 ): 799 - 800 .
吴燕燕 , 程建安 , 吴国清 , 等 . 同成分不同厂家或剂型的中成药说明书功能主治项差异调查 [J ] . 中医药管理杂志 , 2022 , 30 ( 13 ): 26 - 28 .
WU Y Y , CHENG J A , WU G Q , et al . Investigation on the difference of functional indications of Chinese patent medicine instructions from different manufacturers or dosage forms with the same component [J ] . J Tradit Chin Med Manag , 2022 , 30 ( 13 ): 26 - 28 .
刘渡舟 . 方证相对论 [J ] . 北京中医药大学学报 , 1996 , 19 ( 1 ): 3 - 5 .
LIU D Z . Research on relationship between recipe and syndrome [J ] . J Beijing Univ Tradit Chin Med , 1996 , 19 ( 1 ): 3 - 5 .
白英哲 , 王烨燃 , 黄璐琦 . 中医疾病名称的特征、存在问题与研究思路 [J ] . 中医杂志 , 2024 , 65 ( 7 ): 661 - 668 .
BAI Y Z , WANG Y R , HUANG L Q . Exploration of the characteristics,existing problems and research ideas of traditional Chinese medicine disease names [J ] . J Tradit Chin Med , 2024 , 65 ( 7 ): 661 - 668 .
刘向荣 , 姜店春 , 都兴龙 , 等 . 刍议中成药地方标准上升国家标准 [J ] . 中国药事 , 2005 , 19 ( 1 ): 51 - 52,61 .
LIU X R , JIANG D C , DU X L , et al . A preliminary discussion on the updating of Chinese traditional medicines’ local specification to national specification [J ] . Chin Pharm Aff , 2005 , 19 ( 1 ): 51 - 52,61 .
高学敏 , 刘兴昌 , 王停 , 等 . 关于规范药典入选中药制剂品种功能主治的建议 [J ] . 中国药品标准 , 2003 , 4 ( 5 ): 10 - 12 .
GAO X M , LIU X C , WANG T , et al . Proposition in action and indication criterion in traditional Chinese patent medicines selected in pharmacopoeia of People’s Republic of China [J ] . Drug Stanoaros China , 2003 , 4 ( 5 ): 10 - 12 .
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