Ping wei san, a Chinese medicine for gastrointestinal disorders
Ping wei san, a Chinese medicine for gastrointestinal disorders
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DOI：
10.1345/aph.10122
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发表时间：
2001-02-01
影响因子：
2.9
通讯作者：
Lu, WD
中科院分区：
文献类型：
--
作者：
Riedlinger, JE;Tan, PW;Lu, WD
目的：描述美国药剂师在患者使用传统中药配方时所面临的困境。平胃散（PWS），用于治疗胃肠道疾病的代理商，是用来说明遇到的问题，并确定资源的中草药提供给pharmacist.DATA综合：在美国，中草药正在进入主流西医。病人在寻找西沙必利的替代品时可能会发现PWS，西沙必利于2000年7月部分退出美国市场。对于希望使用PWS治疗常见胃肠道疾病（如胃炎、食管反流、胃溃疡或十二指肠溃疡以及急性或慢性肠炎）的患者，可能需要药剂师协助管理。与大多数其他中草药配方一样，关于PWS的英文文献有限，并且通常难以解释。不熟悉传统中医实践中的基本原则和术语使用的药剂师将需要确定有关这种补充替代实践的信息，以便能够为服用像PWS这样的中草药配方的患者提供药学服务。为使用中草药疗法（如PWS）的患者制定药学护理计划，药剂师将需要熟悉传统的中医实践和描述适应症、治疗效果和风险的术语。幸运的是，药剂师可以获得资源，他们需要帮助解释有关中草药疗法的信息，以便他们可以适当地管理使用它们的患者。
OBJECTIVE: To describe the dilemma that American pharmacists face when their patient uses a traditional Chinese herbal formula. Ping wei san (PWS), an agent used to treat gastrointestinal bisorders, is used to illustrate the problems encountered and to identify resources on Chinese herbal medicines available to pharmacists.DATA SYNTHESIS: In the US, Chinese herbal medicine is making its way into mainstream Western medicine. Patients may discover PWS in their search for a substitute for cisapride, which was partially withdrawn from the US market in July 2000. The pharmacist may be called on to assist in the management of patients who wish to use PWS for treatment of common gastrointestinal disorders like gastritis, esophageal reflux, gastric or duodenal ulcers, and acute or chronic enteritis. As with most other Chinese herbal formulas, English-language literature about PWS is limited and is often difficult to interpret. Pharmacists who are unfamiliar with the basic principles and terminology use in traditional Chinese medical practices will need to identify sour;,es of information about this complementary alternative practice to be able to provide pharmaceutical care for patients taking a Chinese herbal formula like PWS.CONCLUSIONS: To develop a pharmaceutical care plan for patients using a Chinese herbal medicine therapy such as PWS, the pharmacist will need to become familiar with traditional Chinese medical practices and terminology describing indications, therapeutic effects, and risks. Fortunately, resources are available to pharmacists who need assistance in interpreting information on Chinese herbal therapies so that they can appropriately manage patients using them.