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How to calculate the prescription of traditional Chinese medicine?

When it comes to Chinese medicine stores, the image that appears in many people’s minds must be tall medicine cabinets, countless small drawers containing various medicinal materials, and the clerks in the drugstores are constantly reading the prescriptions. The ground is busy. But the more than 70 pharmacies affiliated to Shanghai Pudong Yanghetang Pharmaceutical Chain Company have broken people's habitual associations. Here, traditional Chinese medicine prescriptions and computers have formed an "indissoluble bond."

Recently, a reporter saw in this pharmacy that the clerk was holding a Chinese medicine prescription and pressing the keyboard on the computer. After a while, the results came out automatically. According to the person in charge of the store, the preparation of traditional Chinese medicine prescriptions can generally be divided into five stages: prescription receipt (prescription review), pricing (prescription calculation), formula (prescription), review (proofreading), and prescription dispensing. Among them, prescription receipt and pricing are the preparations before dispensing Chinese medicine prescriptions, formula is the dispensing operation, review is the key to ensuring the accuracy and safety of medication, and dispensing is the last step before the medicine is delivered to the patient. Prescription and pricing of traditional Chinese medicine is a part of the process of dispensing traditional Chinese medicine, and the prescription must be calculated accurately according to the prescribed price. Taking the calculation method of traditional Chinese medicine decoction as an example, the unit price of each traditional Chinese medicine in the prescription is multiplied by the weight of the medicine to find the price product of each medicine, and then the price product of each medicine is added up one by one, that is It is the unit price of each prescription (payment) of traditional Chinese medicine; the unit price of each prescription (payment) of traditional Chinese medicine is multiplied by the number of prescriptions dispensed, which is the total price of this traditional Chinese medicine prescription.

The person in charge of the store further pointed out that when calculating traditional Chinese medicine prescriptions, it should be noted that the last digit of the price of each medicine must not be rounded up or rounded off. According to regulations, the last digit of the price of each medicine should be rounded to the nearest cent. . The strict and tedious operation not only requires the salesperson to be familiar with the retail prices of the varieties sold and the calculation methods of various dosage forms, but also has skilled calculation skills in order to complete the work quickly and accurately. "With computers for calculating prescriptions, the salesperson's calculation work is much more accurate and faster than before." The shop owner said with deep feeling.

It is reported that in 1998, taking advantage of the development of Pudong, Shanghai Yanghetang Pharmaceutical Chain Company spent 200,000 yuan to load this set of computer square calculation software on ordinary computers. Over the past few years, they have gradually improved and continuously improved. The current system already has functions such as automatic prescription review, and the "one specialty, multiple capabilities" has also been extended to the quality management of drugs.

The new prescription calculation method inevitably arouses people's doubts: Will the introduction of this machine have an impact on the way traditional pharmacies dispense medicine? Can it completely replace the Chinese herbalist? In this regard, the person in charge of the store replied: "I think this has no impact on the way traditional pharmacies prepare medicines. It cannot completely replace traditional Chinese medicine pharmacists, because the computer prescription calculation only calculates the price. In terms of prescription review, the software is set Incompatibility and other contents, such as the eighteen antis, nineteen fears of traditional Chinese medicine, and the strong taste of the drug name, etc. Once these situations occur during the calculation process, the computer will immediately issue prompts to remind people to pay attention, but it cannot completely Replace the role of traditional Chinese medicine pharmacists in the implementation of pharmaceutical services.

Some people also asked: Is computer prescription a "variation" of sitting medicine? The person in charge clearly pointed out: "This is a complete misunderstanding. Computer prescription calculation is a method of calculating the price of traditional Chinese medicine prescriptions. Modern science and technology (computer) replaces the traditional counter (abacus). It is a leap from the perspective of the calculation method of traditional Chinese medicine prescriptions, but it cannot replace doctors' prescriptions, so it is essentially different from sitting in the clinic. ”

According to the person in charge of Yanghetang, although some hospitals in Shanghai have also used computers to calculate prescriptions, Qunli Herbal Medicine Store in Shanghai’s traditional Chinese medicine retail system has already used computers to calculate prescriptions, and has to cooperate with Shanghai The Municipal Medical Insurance Bureau is connected to the Internet, but in retail pharmacies, there are still relatively few people using computers to calculate prescriptions. Yanghetang has comprehensively considered strengthening scientific management and improving the management level of the enterprise, which has promoted the accelerated development and early implementation of this software. Application. Industry insiders said that as a long-established store with a history of more than 90 years, it is a far-sighted and "big move" to invest so much money in computer software. The person in charge of Yanghetang said that after using computers to calculate formulas, consumers generally use them. The response was good.

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