Person who decoct medicinal herbs decoct medicinal herbs reliable?

杏林奇葩

Person who decoct medicinal herbs decoct medicinal herbs reliable?
The traditional Chinese medicine is our country's traditional medical essence, because its unique curative effect and less bad reactions, have already received the attention of common people more and more. But for a long time, traditional Chinese medicine is it continue to use decocting medicinal herbs the way by hand traditional to decoct medicinal herbs, is it boil and pour into course not to go on under open state to fry entirely, is it decoct medicinal herbs quality problems is it perplex traditional Chinese medicine a heavy difficult problem of curative effect to become to make. But fortunately, appearance of person who decoct medicinal herbs solve the problem, is it is it boil decoction become convenient , work of hygiene to fry to let, and meet medical treatment of the modern society's needs , improve working efficiency.

杏林奇葩

煎药机煎药可靠吗?
中药是我国传统医学精粹，因其独特的疗效及较少的不良反应，已越来越受世人的重视。但长期以来，中药煎药一直沿用传统的手工煎药方式，整个煎煮和灌装过程在开放状态下进行，使得煎药质量问题成为困扰中药疗效的一大难题。但幸运的是，煎药机的出现解决了这个问题，让煎煮汤剂成为方便、卫生的工作，并且符合现代社会的医疗需要，提高了工作效率。  
  

杏林奇葩

At the clinic , decoct medicinal herbs quality of quality influence the patient's result of treatment directly, and it is a very important link to boil the course in the frying of the medicine. Li Shizhen in the Ming Dynasty proposes in " Compendium of Materia Medica ": "All take decoction of medicinal ingredients, although product thing specially precise, is it cure such as law to build, and the persons who decoct medicinal herbs are crude and hurried , the two things diametrically opposed to each other are bad , the duration and degree of heating is lost degree, then the medicine also has no work . "So medicine fry effective number of composition become the subject matter after boiling. Person who decoct medicinal herbs is it is it decoct medicinal herbs with traditional method drug effect component who who be large little on earth to boil to fry, really worth comparing and studying some. University , traditional Chinese medicine of Shanghai , attach to dragon China hospital decoct medicinal herbs with tradition method make contrast on traditional Chinese medicine person who decoct medicinal herbs. According to its result , can draw such a conclusion : 1, The medicine including volatility composition , because the decocting medicinal herbs machine is fried and boiled in close cases, difficult to volatilize, so the machine is fried higher than to fry the content artificially . 2, Mineral, shell medicine are solid because of the quality, in case of high temperature and high pressure, easy to is it fry person who appear to improve, so the medicine, machine fry than artificial to fry effective composition content high. 3, General composition , such as the rhizome crude drags, the machine is fried slightly higher or the same basically than to fry the content artificially .

杏林奇葩

临床上，煎药质量的好坏直接影响到患者的治疗效果，而药物的煎煮过程又是一个非常重要的环节。明代的李时珍在《本草纲目》中提出：“凡服汤药，虽品物专精，修治如法，而煎药者卤莽造次，水火不良，火候失度，则药亦无功。”所以，药物煎煮后有效成分的多寡成为了主要问题。煎药机煎煮与传统方法煎药所含药效成分究竟孰多孰少，的确值得作一番比较与研究。上海中医药大学附属龙华医院就中药煎药机与传统煎药方法作过对比。从其结果来看，可以得出这样的结论：1、含挥发性成分的药物，因煎药机是在封闭的情况下煎煮，不易挥发，所以机器煎比人工煎含量高。2、矿物、贝壳类药物因质地坚实，在高温且高压的情况下，比较容易提高煎出率，所以这类药物，机器煎比人工煎有效成分含量高。3、一般成分，如根茎类药材，机器煎比人工煎含量略高或基本相同。

杏林奇葩

In addition person who decoct medicinal herbs is it boil liquid medicine hygiene of finished product measure index to superior to tradition decoct medicinal herbs method obviously to fry. Because traditional Chinese medicine is it adopt ancient law for many years to decoct medicinal herbs, is it boil and pour into course not to go on under the open state to fry entirely, the income liquid medicine is apt to pollute , ferment and going mouldy, the liquid medicine can only be kept for two days under the low-temperature condition, it is inconvenient to store , carry, liquid medicine quality is difficult to control. And new-type to decoct medicinal herbs equipment person who decoct medicinal herbs it connects with packer with to be an organic whole , is it boil and pack for course of sealing to fry, reduce pollution, wrapping bag adopt nonpoisonous, aseptic import compound the membrane material , resist warm , is it press , keep fresh to resist, hygiene state get good improvement, is it take traditional Chinese medicine liquid safe hygiene to make. Chinese Academy of Traditional Chinese Medicine has fried the liquid medicine finished product boiled and carried on hygiene to examine to the decocting medicinal herbs machine, the inspection result is: 1, The liquid medicine of ordinary plants, under the natural conditions of 20 degrees Centigrade, store for 70 days, it accords with the standard to examine according to " medicines sanitary standard ". 2, The liquid medicine containing glue medicine, under the natural conditions of 20 degrees Centigrade, store for 7 0 days, it accords with the standard to examine according to " medicines sanitary standard ". 3, The liquid medicine containing animal albumen medicine, under the natural conditions of 20 degrees Centigrade, store for 70 days, it accords with the standard to examine according to " medicines sanitary standard ". 4, The liquid medicine containing fermented soya bean medicine, up to the extension of time under the natural conditions of 20 degrees Centigrade, the miscellaneous quantity of fungus reduces gradually, this is mainly cause by the fact that the traditional Chinese medicine itself restrains the function of the fungus , storing for 70 days, it accords with the standard to examine according to " medicines sanitary standard ".

杏林奇葩

另外，煎药机煎煮药液成品的卫生学检测指标是明显优于传统煎药方法的。由于中药煎药多年来一直承袭古法，整个煎煮与灌装过程在开放状态下进行，所得药液易污染、发酵和霉变，药液在低温条件下也只能保存两天，不便储存、携带，药液质量难以控制。而新型煎药设备煎药机与包装机连为一体，煎煮和包装为封闭过程，减少了污染，包装袋采用无毒、无菌的进口复合膜材料，抗温、抗压、保鲜、卫生状况得到良好的改善，使服用中药液安全卫生。中国中医研究院对煎药机煎煮的药液成品进行了卫生学检验，检验结果为：1、普通植物类的药液，在20℃的自然条件下，储存70天，按《药品卫生标准》检验符合标准。2、含胶类药物的药液，在20℃的自然条件下，储存7 0天，按《药品卫生标准》检验符合标准。3、含动物蛋白类药物的药液，在20℃的自然条件下，储存70天，按《药品卫生标准》检验符合标准。4、含豆豉类药物的药液，在20℃的自然条件下，随时间的延长，杂菌数量逐渐减少，这主要是由于中药本身抑菌的作用所致，储存70天，按《药品卫生标准》检验符合标准。

杏林奇葩

In sum , replace the traditional method and decoct medicinal herbs and can be said to be greater reform of last time of Traditional Chinese medicine history from the decocting medicinal herbs machine. From look on being ocular, advantage very obvious, but a most important one depend on to fry how about it will be producing rate effective composition also. Through the above being to fry liquid physics and chemistry analysis of nature, machine fry with artificial to fry effective comparison and hygiene inspection survey of result of content, quality is secure to verify the decocting medicinal herbs machine and decoct medicinal herbs to decocting medicinal herbs, this kind of method is feasible. But patient reflect income liquid medicine finished product of decocting medicinal herbs etc. than decoct medicinal herbs according to tradition method income fry liquid pay relatively light in color and taste often. I am solved in many ways, then draw the following conclusion: Tradition at first decoct medicinal herbs method because to expose of air is it operate it to go onning, unavoidable medicine and oxygen of air will is it is it react to oxidize to happen , cause liquid medicine to be color and luster relatively dark, and person who decoct medicinal herbs decoct medicinal herbs to tradition method is in sealing property boiling medicine fry boiling of the pot good, having reduced and oxidized the possibility reflected , so the liquid medicine color and luster is relatively clear. Secondly, tradition decoct medicinal herbs method liquid medicine had to fry whether one is it hang liquid preparation to mix, so color relatively dark, person who decoct medicinal herbs liquid medicine appeared to fry fry after boiling filtering immediately when it is hot (is it pass gauze bag and filtration network of packer to filter), because the precipitate formed at this moment has not been appeared from the solution , even precipitate, unless too it is the quantity few one, there is getting very more small relatively particle too,it is the getting more easy through simple filter very (such as gauze bag, last network) strain not losing, thus can get the relatively clear and bright liquid medicine , in a situation that there are no precipitate and solid powder, is it decoct medicinal herbs compared with tradition method liquid medicine produced to fry light and many to have in color and taste naturally. True, the use of the decocting medicinal herbs machine is the new things in recent years, the problem that unavoidably still remains to solve .

杏林奇葩

综上所述，由煎药机取代传统方法煎药可以说是中医中药史上一
次较大的改革。从直观上看，优点很明显，但最重要的还要看有效成
分的煎出率如何。通过以上对煎液理化性质的分析，机器煎与人工煎
有效含量的比较及其卫生学检验结果的测定，证实煎药机煎药对煎药
质量是有保障的，此种方法是切实可行的。但是，患者时常反映煎药
机所得药液成品比按传统煎药方法所得的煎液在颜色和味道上相对清
淡。本人经过多方求证，遂得出如下结论：首先传统煎药方法由于是
暴露在空气中进行操作，难免药物与空气中的氧会发生氧化反应，造
成药液色泽较深，而煎药机相对于传统煎药方法，是在密封性能良好
的煮药罐中进行煎煮，减少了发生氧化反应的可能性，因此药液色泽
较清。其次，传统煎药方法煎得的药液是一种混悬液制剂，所以颜色
较深，但煎药机煎出的药液煎煮后趁热立即过滤（过滤是通过纱布袋
及包装机上的过滤网），因为此时形成的沉淀物未从溶液中析出，即
使有沉淀，也是数量很少的，颗粒也较微细，很容易通过简单的滤器
（诸如纱布袋、过滤网）滤掉，从而可以得到相对澄明的药液，在无
沉淀物及固体药粉的情况下，自然在颜色及味道上较之传统煎药方法
煎出的药液清淡了不少。诚然，煎药机的使用是近几年的新生事物，
难免还有待解决的问题。