| Traditional Chinese medicine has a history of development for thousands of years,the prosperity of the Chinese nation has played an important role,is the treasures of Chinese culture and the crystallization of Chinese civilization.Chinese medicine is the general term for traditional Chinese medicine,including Chinese herbal medicine,Chinese medicine Pieces,proprietary Chinese medicines,national medicine.The efficacy of traditional Chinese medicine by the variety,the efficacy of parts,origin,harvest,processing and other factors,the medicinePoor taste is difficult to achieve,too over the smell of lost.According to the World Health Organization(WHO)reported that in the use of 125 drugs in patients,the incidence of adverse reactions is generally 10%to 20%,up to 28%.According to the Adverse Drug Reactions(ADR)monitoring center,about 2.5 million people are hospitalized each year due to adverse reactions,of which 192,200 people died,the mortality rate was 7.69%.According to hospital statistics,due to improper medication caused by about 40%of medical accidents.To this end to protect the use of traditional Chinese medicine safety,effectiveness and rationality.Must be under the guidance of the basic theory of traditional Chinese medicine,through the clinical pharmacists to participate in the medical team,provide individualized treatment techniques for the diagnosis and treatment of diseases、To maximize the effectiveness of the drug、the role of minimal toxicity in prevention and treatment of disease,This is the essence of Clinical Chinese materia medica.According to the master’s degree of clinical TCM education target,master the basic theory of Chinese medicine should be system and professional skills,with strong practical ability,and combined with the actual work found the problem,ask questions,analyze and solve problems.This is the hospital in the pharmacy service high-level application-oriented talent needs are consistent,to protect the safety of drugs to promote rational drug use goals.In order to be able to serve the medicine in modern hospital,we must adhere to the basic theory of Chinese medicine and the practice of medicine practice in hospital.To explore the hospital clinical chinese materia medica service model,try to establish a hospital pharmacy service-oriented clinical Chinese materia medicamaster’s degree training mode.Based on,this study from the reality,the training of graduate students in clinical Chinese materia medica is required to combine the medical services of the hospital,divided into pharmacy practice and xiao jin pill in the treatment of breast hyperplasia of the systematic evaluation of two parts.The first part,pharmacy practice research.The main contents are as follows:introduction,the study of Chinese and Japanese hospital pharmacy service model,the study of hospital pharmacy service model in Hong Kong,Macao and Taiwan.The first part summarizes the development background of hospital pharmacy,the main content of hospital pharmacy service,the development of hospital pharmacy and the existing problems,pointed out that the traditional "pharmaceutical supply" of pharmaceutical services to "rational use of drugs," as the core of pharmaceutical services change is the hospital pharmacy services present and future development focus and direction.In this paper,based on the practice base of Chinese and Japanese hospital pharmacy practice,to understand and study the pharmaceutical service structure,service contents,pharmacy laws and regulations system,job responsibilities,work equipment configuration,work evaluation standards,As a representative of the three-level first-class hospital directly under the National Committee of the Chinese People’s Political Consultative Conference,the pharmacy service of the Sino-Japanese hospital has a certain representation.Meanwhile,compared with the pharmacy service model in Hong Kong,Macao and Taiwan,the pharmacy service structure is complete.Basic pharmacy services and specialist pharmacy services.As an important technique of individualized therapy,therapeutic drug monitoring has a certain basis in the development of therapeutic drug monitoring,but it is still not mature enough and needs to be intensively researched in individualized treatment.As an important component of the hospital,Institutions will naturally change the concept and improve the quality of pharmaceutical services in the protection of the majority of patients with essential drugs availability and safe,effective,economical and rational use of drugs play an important role.The second part,xiao jin pill special study.In the practice of Chinese and Japanese hospitals in the pharmaceutical practice,found that the use of xiao jin pill in the treatment of patients with hyperplasia of mammary gland is more small,xiao jin pill formerly known as a small saver,from the Qing Dynasty·Wang Hong xu "surgical treatment of the whole set"volume four parts.After the founding of the People’s Republic of China,the first edition of the"Pharmacopoeia"(1953 version)changed its name to Xiao Jin Dan Xiao Jin Wan,as of now the latest version of the 2015 "Pharmacopoeia" recorded xiao jin pill,xiao jin tablet and xiao Jin capsule different formulations.For the stagnation of phlegm stagnation caused by M.scrofulaceum,gall tumor,Ruyan,breast addiction,Zheng Jian skin or skin mass under one or several,pushing the dynamic,skin color The same,swelling hard ache.xiaojin pill has anti-inflammatory and analgesic effects,enhanced NK cell killing activity and macrophage phagocytosis function,anti-tumor effect;the clinical application of a wide range:including gynecological diseases(mammary gland hyperplasia),surgical diseases(Thymic inflammatory mass),internal diseases(thyroid disease),skin diseases(fasciitis).Among them,the volume of the treatment of hyperplasia of mammary glands is 190,accounting for 89%of the total amount of the literature,which is the focus of xiao jin pill clinical treatment.Based on the above,in order to further explore the efficacy and safety of xiaojin pill in the treatment of hyperplasia of mammary gland,the cross-sectional study and randomized controlled trials(RCTs)of xiaojin pill for the treatment of hyperplasia of mammary glands were evaluated by the evidence-based medicine system.To evaluate the efficacy and side effects of xiao jin pill combined with other traditional Chinese medicines and western medicine in treating hyperplasia of mammary gland and compare with the other traditional Chinese medicines and western medicines in pharmacopoeia.To provide the basis for clinical safe,effective and rational drug use. |
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