中国中药杂志

2021, v.46(17) 4585-4590

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医疗机构亟待开展中药饮片临方炮制及相关的建议
Urgent need for medical institutions to develop traditional Chinese medicine decoction pieces prescription-based processing and related suggestions

李向日;魏锋;曹晖;
LI Xiang-ri;WEI Feng;CAO Hui;Chinese Medicine Processing Research Center, Beijing Key Laboratory of Quality Evaluation of Traditional Chinese Medicine, Beijing University of Chinese Medicine;Institute for the Determination of Traditional Chinese Medicine and Ethnic Medicine, National Institutes for Food and Drug Control;Lingnan Research Centre for Traditional Chinese Medicine, College of Pharmacy, Ji′nan University;

摘要(Abstract):

中药临方炮制,作为中药应用于临床的最后一道加工工序,不仅可以充分发挥饮片作用,更是体现了中医辨证施治的特色,是中药质量和临床疗效的重要保证。然而由于种种原因,多数医疗机构没有临方炮制业务,这导致医生只能使用市场供应的常规饮片品种,这也极大地限制了医生的灵活用药,对中药疗效的正常发挥造成了一定影响。该文从3个方面论证了临方炮制存在的必要性;并结合《中国药典》要求和饮片自身特点,对适宜临方净制、临方切制和临方炮炙的品种分别进行了总结归纳;同时也就规范化开展临方炮制工作提出了建议。中药临方炮制是中医用药的特色技术之一,既有特殊的技术要求,又有深刻的科学内涵,其规范化发展不仅可推动中药炮制的发展进程,为中医药临床疗效保驾护航,也将促进中医药事业蓬勃发展。
As the last procedure of traditional Chinese medicine(TCM) applied in clinical practice, prescription-based processing(PBP) is an important guarantee for the quality and clinical efficacy of TCM, which can not only maximize the effect of processed product, but also exert the characteristics of syndrome differentiation and treatment in TCM. However, due to various reasons, most medical institutions have no PBP business. As a result, doctors can only use the conventional decoction pieces available on the market, which also greatly limits their flexible medication, with certain impacts on the normal development of the curative effect of TCM. Therefore, the article explained the necessity of PBP from three aspects. In addition, according to Chinese Pharmacopoeia and the characte-ristics of TCM decoction pieces, the varieties suitable for PBP were summarized and proposed, and also some suggestions about developing PBP are given. The PBP is one of the characteristic techniques in TCM, with special technical requirements and profound scientific connotation. The development of PBP will not only promote the processing of TCM and ensure the clinical efficacy, but also promote the vigorous development of TCM.

关键词(KeyWords): 中医药;中药饮片;临方炮制;医疗机构
traditional Chinese medicine(TCM);traditional Chinese medicine decoction pieces;prescription-based processing(PBP);hospital

Abstract:

Keywords:

基金项目(Foundation): 国家药品标准提高通用技术要求课题(2018Z009);; 国家重点研发计划项目(2019YFC1711500)

作者(Author): 李向日;魏锋;曹晖;
LI Xiang-ri;WEI Feng;CAO Hui;Chinese Medicine Processing Research Center, Beijing Key Laboratory of Quality Evaluation of Traditional Chinese Medicine, Beijing University of Chinese Medicine;Institute for the Determination of Traditional Chinese Medicine and Ethnic Medicine, National Institutes for Food and Drug Control;Lingnan Research Centre for Traditional Chinese Medicine, College of Pharmacy, Ji′nan University;

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DOI: 10.19540/j.cnki.cjcmm.20210121.301

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