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中药煎药关键问题及其影响因素分析与规范化策略

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中医药作为中华民族的传统文化瑰宝,与现代医学相辅相成,古往今来发挥着重要的作用.中药煎法作为中药汤剂制备中应用最广泛的方法,其煎煮过程中发生的成分变化与中药汤剂成品的疗效息息相关.在中药煎煮过程中,煎药的质量受中药成分复杂多变、品种来源繁多等诸多因素的影响,导致其成品的质量难以把握,而且随着现代机器煎药技术的发展,中药煎药过程更加复杂,现有的煎药管理政策虽然在一定程度上提高了煎药质量,但大部分煎药单位并未形成完备的煎药规范化体系.因此,建立完善的规范化策略、提高中药煎药制剂的质量是当前亟待解决的一大难题.通过阐述传统中药理论和归纳各种煎药方法,浅析影响中药煎药成品质量的因素,进一步探讨中药煎药的关键问题,并提出煎药单位的规范化策略,为完善当前的中药煎煮工艺体系,提高中药煎药制剂的临床疗效提供参考.
Analysis on the Key Problems of Decocting Traditional Chinese Medicine and Its Influencing Factors and Standardization Strategy
As the treasure of Chinese traditional culture,traditional Chinese medicine and modern medicine complement each other and play an important role throughout the ages.As the most widely used method in the preparation of traditional Chinese medicine decoction,the quality change during the decoction process is closely related to the curative effect of the finished product of traditional Chinese medicine decoction.In the process of decocting Chinese medicine,the quality of decocting Chinese medicine is affected by many factors,such as the complexity and variety of Chinese medicine,which makes the quality of the finished product difficult to grasp.Moreover,with the development of modern machine decocting technology,the process of decocting traditional Chinese medicine has become more complicated.Although the existing decoction management policies have improved the quality of decoction to a certain extent,most decoction units have not formed a complete standardized system of decoction.Therefore,establishing a perfect standardized strategy and improving the quality of traditional Chinese medicine decoction preparations are a major problem to be solved urgently.Through expounding the traditional Chinese medicine theory and summarizing various decocting methods,this paper analyzes the factors that affect the quality of the finished product of decocting Chinese medicine,further probes into the key problems of decocting Chinese medicine,and puts forward the standardization strategy of decocting units,to improve the current Chinese medicine decoction process system,improve the clinical efficacy of Chinese medicine preparations to provide a reference.

Traditional Chinese Medicine DecoctingDevelopment TrendDecocting TechnologyTherapeutic Effect ExertedDecocting Method

饶兰兰、熊诗慧、刘昀、朱根华、邱咏薇、陈浩、杨明、伍振峰

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江西中医药大学现代中药制剂教育部重点实验室 南昌 330004

江西省中药绿色制造技术创新中心 南昌 330004

广州市老年医院 广州 510550

江西中医药大学中药资源与民族药研究中心 南昌 330004

江西中医药大学附属医院 南昌 330006

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中药煎药 发展趋势 煎药技术 疗效发挥 煎煮方法

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(6)