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[中药传统细粉与现代配方颗粒的来源比较分析]

[Comparative analysis between origin of cooked traditional Chinese medicine powder and modern formula granules].

作者信息

Li Rui, Zhai Hua-Qiang, Tian Wei-Lan, Hou Ji-Ru, Jin Shi-Yuan, Wang Yong-Yan

机构信息

College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100102, China.

Beijing Health School, Beijing 100053, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Mar;41(5):965-969. doi: 10.4268/cjcmm20160533.

Abstract

In this study, the origin and causes of cooked traditional Chinese medicine powder were reviewed, and a comprehensive analysis was made for the time background of modern traditional Chinese medicine formula granules and the future development trend, in order to provide reference for application and promotion of traditional Chinese medicine formula granules. By reference to ancient medical books of previous dynasties, a system review was conducted for infancy, formation, maturity and transition of cooked traditional Chinese medicine powder, and a comprehensive analysis was made for the six factors of cooked traditional Chinese medicine powder's maturity in the Song Dynasty. Efforts were made to collect domestic and foreign research literatures of modern formula granules, understand the detailed development, and conduct an objective analysis of the current clinical application of modern formula granules. According to the comparative analysis for the application characteristics of cooked traditional Chinese medicine powder and modern formula granules, ①the popularity of cooked traditional Chinese medicine powder in the Song Dynasty has six factors: soaring numbers of medical students and medical practitioners, high medical expenses due to huge army, rapid population growth, frequent epidemics and increasing diseases, and insufficient finances of central and local governments. ②On the basis of clinical application characteristics of traditional Chinese medicine formula granules, traditional Chinese medicine formula granules contain extracted and concentrated effective components, which guarantee the curative effect, meet modern people's demands for "quick, simple and convenience" traditional Chinese medicine decoctions, show a relatively high cost performance; however, formula granules are restricted by their varieties and lack unified quality control standards, and single-extract formula granules have not synergy and attenuation effects of combined traditional Chinese medicine decoctions, which also restricts its clinical application and promotion. ③Both have advantages in the process of clinical application, and shall be used based on syndromes. In conclusion, traditional Chinese medicine formula granules do not have disadvantages of "difficult, complicated, turbid and disorderly" cooked traditional Chinese medicine powder, and solve such problems as "inflexibility, expensiveness, restriction, disorder and inefficacy", which is the important basis for promoting traditional Chinese medicine formula granules.

摘要

本研究回顾了中药熟散剂的源流及成因,对现代中药配方颗粒的时代背景及未来发展趋势进行了全面分析,旨在为中药配方颗粒的应用与推广提供参考。通过查阅历代古医籍,系统梳理了中药熟散剂的萌芽、形成、成熟及转变过程,并对宋代中药熟散剂成熟的六大因素进行了综合分析。努力收集国内外现代配方颗粒的研究文献,了解其详细发展情况,并对现代配方颗粒目前的临床应用进行客观分析。通过对中药熟散剂与现代配方颗粒应用特点的对比分析,①宋代中药熟散剂流行有六大因素:医学生与从业医者数量剧增、庞大军队导致医疗费用高昂、人口快速增长、疫病频发与疾病增多、中央及地方政府财政不足。②基于中药配方颗粒的临床应用特点,中药配方颗粒含有提取浓缩的有效成分,保证了疗效,满足现代人对中药汤剂“快捷、简便、便利”的需求,性价比相对较高;然而,配方颗粒受品种限制,缺乏统一质量控制标准,单味提取配方颗粒没有中药复方汤剂的协同与减毒作用,这也限制了其临床应用与推广。③两者在临床应用过程中各有优势,应辨证选用。总之,中药配方颗粒不存在中药熟散剂“难、繁、浊、乱”的弊端,解决了“死板、昂贵、受限、无序、无效”等问题,这是推广中药配方颗粒的重要依据。

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