台北市中醫診所及中藥房求診孕婦常見症狀及常用處方調查

Prescription Pattern of Chinese Her B Drugs among Herd Drug Stores and Chinese Herb Doctors in Taipei

許昭純(CC Syu) ； 王榮德(J-D Wang) ； 沈志陽(CY Shen) ； 陳淑娟(SC Chen)

《中華民國公共衛生學會雜誌》 6卷3期 (1987/02) Pp. 91-104

https://doi.org/10.6288/JNPHARC1986-06-03-08

摘要

本研究希望了解1.孕婦常見求診、抓藥原因。2.常見用之於孕婦的處方型態及內容。3.比較中醫診所和中藥房有關孕婦處方之異同。因此，研究對象以台北市衛生局七十四年中醫診所和中藥房名冊，去除部分與研究主題無關者，共得八百四十二家，分別郵寄問卷三次，並以電話輔助追踪三次，以促進問卷的回收。結果在回收率23%情形下，初步發現中藥房或中醫診所孕婦常見抓藥原因相當一致，均爲惡阻、胞阻、子腫、胎漏、子嗽及子喘等。平常使用以生藥材爲主，常用複方以安胎飲（較十三味少了菟絲子）居多；同一複方其基本處方相當一致，只是中醫開方常因各人體質而有加減上的變異。這對將來中藥複方的評估，提供了一個似乎可行之路。

並列摘要

Today, many women are still taking herb drugs during pregnancy in our country. The practice raises the concern of possible adverse effects to the fetus. The object of this study is to determine the common symptoms for which women take Chinese herb drugs and the consistency of contents of these drugs. We have conduct a mailed questionnaire survey of all, Chinese herb prsctitioners and drug stores in Taipei, and have succesfully obtain 30% and 20% valid answers from the former and the latter respectively. Th result shows that the most common symptoms during pregnancy for seeking Chinese herb drugs are nausea and vomiting, edema, vaginal spotting and cough. The most common Chinese herb prescription during pregnancy is An-Tai-Yin(安胎飲), which is the same as the socalled ”Tang-Kuei Thirteen herb combination : (十三味) except that the latter does not include Too-Sih-Tsu (菟絲子). We conclude that using epidemiologic method to evaluate adverse effect of Chinese herb drugs to fetus may be possible because of the consistency of these prescriptions.