中药临床药师参与儿童感染性发热会诊1例实践与分析

    Brief Discussion on the Participation of Traditional Chinese Medicine(TCM) Clinical Pharmacist in the Treatment of Modern Medicine from a Case of Consultation

    • 摘要:
      目的 为执业于非中医医疗机构的中药临床药师参与西医治疗团队治疗并开展儿童感染性发热的中成药治疗提供参考。
      方法 中药临床药师参与1例儿童感染性发热中药药学会诊,判断其中医病名为湿温病,并据此提供了中成药治疗方案。患儿会诊当日中午应用小柴胡颗粒(口服,一日3次,每次1包),夜间体温降至37 ℃以下,连续服用4 d后停药。会诊次日及第3天,分别加用了龙胆泻肝丸和三仁合剂各1次,但因剂型购买有误或制剂口感原因,2种药物均仅服用1次后便停用。
      结果 患儿应用中成药当日体温下降后,直至出院未再发热。
      结论 中成药用于治疗儿童感染性发热,效果确切。中成药的合理用药可以作为非中医医疗机构中药临床药师参与西医治疗的工作切入点。

       

      Abstract:
      OBJECTIVE To provide a reference for traditional Chinese medicine(TCM) clinical pharmacists practising in non-TCM medical institutions to participate in modern medicine team treatment and apply Chinese patent drug treatment of infectious fever in children.
      METHODS TCM clinical pharmacists participated in the TCM pharmacy consultation of a case of infectious fever in a child, determined the TCM disease name as dampness-warmth disease, and accordingly provided a Chinese patent drug treatment plan. The child applied Xiao Chaihu granules(1 packet, tid, po) at noon on the day of the consultation, and the temperature dropped to below 37 °C at night, and the medicine was stopped after 4 consecutive days. Longdan Xiegan pill and Sanren combination were added once each on the next day and the third day of the consultation, but due to a mistake in purchasing the dosage form or because of the taste of the preparation, each was taken once and then not taken again.
      RESULTS The child was cooled down on the day of application of Chinese patent drugs and had no further fever until discharge from the hospital.
      CONCLUSION Chinese patent drugs are used to treat infectious fever in children with undeniable efficacy. The rational use of Chinese patent drugs can be used as an entry point for the work of TCM clinical pharmacists in non-TCM medical institutions to participate in modern medicine treatment.

       

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