Traditionally, the adjustment of traditional Chinese medicine pieces is based on the traditional Chinese medicine pieces in bulk. The size of the pieces is different, which makes it difficult to weigh. The dust and sand are mixed and mixed. Spread a table during the adjustment and miss the place. Efficiency Low, difficult to maintain. With the advancement of science and technology and the changes of modern living habits, small packages of Chinese herbal decoction pieces and traditional Chinese medicine dispensing granules have appeared. The traditional Chinese herbal decoction small package refers to the processing of processed Chinese herbal decoction pieces, which are divided into different packages with certain packaging materials according to the commonly used clinical dosage. Small package of specifications, pharmacists directly dispensed Chinese herbal decoction pieces without weighing. The traditional Chinese medicine granules are made of high-quality medicinal materials (Chinese medicine decoction pieces) that comply with the processing standards. They make full use of modern scientific instruments and equipment, combined with modern advanced technology, to classify the medicinal flavors according to rhizomes, flowers, whole grasses, fruits, seeds, etc. To retain the active ingredients of the decoction.
This article discusses the following aspects of the use of small packaged Chinese herbal medicines and formula granules based on the specific use of Chinese medicine in our hospital.
1 Improve the quality of the adjustment and increase the accuracy of the adjustment
According to the clinical needs, small-sized Chinese herbal medicines are prepared in different dosages and dosages. The original shape of Chinese herbal medicines is maintained. The volume is light and compact. The packaging is independent, reducing the number of repeated weighings by the pharmacist. The pharmacist only needs to "count" according to the prescription to ensure The accuracy of the adjusted dosage. The traditional Chinese medicine granules are made by concentrating and refining the single-flavor medicine, the amount of the medicine is small, and the machined preparation is accurate. In the past, bulk Chinese herbal medicines have special decoctions such as first decoction, later decoction, and package decoction, which require pharmacists to pack independently. Small package decoctions and formula granules do not need to be packaged with special decoction drugs, saving time and effort and improving the efficiency of dispensing.
According to the "Management Standards of Chinese Herbal Medicine Pieces in the Hospital" issued by the State Administration of Traditional Chinese Medicine and the Ministry of Health on March 12, 2007, "the error in the preparation of Chinese medicine pieces should be within ± 5%". This puts higher demands on Chinese pharmacists. The attached table is a comparison between the time and error of the pharmacist who has two years of work experience in our hospital to use different methods to adjust the medicine. The adjustment time of bulk Chinese herbal medicine tablets is 672 seconds, the error rate is 3.2%, and the small packaged medicine tablets takes 246 seconds, the error rate is 0.8 The formula particle adjustment time is 584 seconds, and the error rate is 1.1%. By comparison, small packaged pieces and formula granules not only improve work efficiency, but also reduce the error rate.
2 Convenient maintenance and storage to ensure the quality of medicines
In the process of storage and storage after preparation, the Chinese herbal medicines are prone to moth-eaten, moldy, oily, discoloration, odor loss, weathering, deliquescence, dissolution, volatilization and decay. Practice has proved that the small packaged pieces are sealed, which can not only prevent rats, insects, moisture, and weathering, but also prevent the medicinal materials from oxidizing and deteriorating, prevent the volatile medicinal materials from smelling, and reduce the efficacy of natural volatility. In the hot weather, the medicinal materials lose moisture and become brittle and deformed, reducing the long-term contact of the medicinal materials containing boot materials with the oxygen in the air and discoloring. It can also prevent the fading of the flower medicinal materials and ensure the quality of the medicinal materials. At the same time, the characteristics of small packaged Chinese herbal medicines are sealed and stored separately. Special storage medicines can be stored separately. When the phenomenon of deterioration, smell or mildew due to bag expansion is found, the problematic pieces can be cleaned up in time, which will not affect other medicines. quality.
The traditional Chinese medicine granules are packaged in small doses and have good sealing performance, which can avoid the appearance of quality problems such as discoloration, oil migration, moth-eaten, and mildew during storage of Chinese herbal medicines. It has the characteristics of safety and hygiene, moisture-proof and mothproof, and long shelf life. And the unit drug is light in weight and small in volume, which makes storage and transportation more convenient.
In the rainy season, there may be melons, wolfberry and other medicinal materials that need to be refrigerated in the refrigerator, and the Chinese herbal medicines are mixed together in bulk. Patients often return home due to improper storage and cause the medicine to deteriorate, which affects the patient's medication. The small packaged Chinese medicine pieces are individually packaged, and the medicines taken by the patients can be stored separately according to the different tastes of the medicines, so as to avoid the occurrence of deterioration, smell, mildew and other phenomena, and to ensure the safety and effectiveness of the medicines used by the patients.
The traditional Chinese medicine formula particles have good sealing and shading properties, which can minimize the degradation of active ingredients. Although our hospital can provide patients with Chinese medicine decoction service, but the decoction of Chinese medicine is bulky and heavy, especially in summer, the storage time is short. The traditional Chinese medicine formula particles are light in size, convenient for patients to carry and store, and can be taken continuously when going out and busy with work to ensure the timeliness and continuity of medication.
3 Special agreement prescriptions to protect patients' medication
The traditional Chinese medicine decoction has the characteristics of increasing and decreasing with the symptoms, fast absorption, and rapid effect. It is the dosage form that can best reflect the characteristics of traditional Chinese medicine syndrome differentiation and compound medication, and is popular among doctors and patients. However, due to the lack of effective quantitative detection methods in the traditional Chinese medicine decoction model, it is difficult to ensure the quality of Chinese medicine decoction, which affects the therapeutic effect and may even affect the safety of medication.
Since our hospital is a specialized hospital for infectious diseases, many patients need to take medicine for a long time. On the basis of clinical practice, our hospital has negotiated and formulated an agreement prescription to meet the needs of patients based on the clinical practice of Chinese medicine practitioners and pharmacy personnel. The agreed prescription not only guarantees patients to take medicine in time, but also doctors can adjust the treatment plan in time according to the effect of medication, and ensure the safety and rationality of patients' medication.
4 Conclusion
The small package of Chinese herbal medicines does not change the characteristics of the traditional Chinese medicine clinical use of decoctions, decoctions, and decoctions of various medicines, and the small packaging of different specifications has changed the traditional method of traditional Chinese medicine preparation. , It has the advantages of accurate dosage and convenient storage. The patient can also check the prepared Chinese medicine by himself, which is conducive to the safety of clinical medication. The formula granules eliminate the decoction process of the soup, the adjustment and measurement are accurate, and the pollution and preparation of bulk pieces are avoided. The problem of unevenness. The advantages of small packaged Chinese herbal medicine pieces and traditional Chinese medicine granules in practical application are becoming more and more obvious. However, bulk Chinese herbal medicine pieces are an important part of traditional Chinese medicine in China. After the precipitation of time, a distinctive theoretical system and operating method have been formed, which is still worthwhile We learn and learn from. At the same time, small packaged Chinese medicine decoction pieces and formula granules are also developed and innovated on the basis of bulk decoction pieces. We should reasonably choose the adjustment method of the three decoction pieces according to the actual clinical situation. This requires each clinical worker to combine the actual Experience, constantly exploring, the three pieces of decoction are better used in clinical, to ensure that patients use drugs reasonably, and promote the continuous development of the modernization of Chinese medicine in China.
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