Choosing the dosage form of traditional Chinese Medicine
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Last Update: 2011-11-16
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Source: Internet
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Author: User
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The same disease, some people take soup, some take capsules, some can only use plaster Why is that? The same medicine can be made into pills, granules or injections Why is that? Cui Qingli, an expert in traditional Chinese medicine and director of the drug management department of Beijing Tongrentang Hospital of traditional Chinese medicine, told reporters that the dosage form is based on the nature of the drug, the purpose of the drug and the way of administration, and the raw material drug is processed into a form suitable for medical and preventive application Different dosage forms may lead to the action nature and speed of drugs, thus affecting the clinical efficacy of drugs The ancients thought: "the soup is also used for serious illness Those who are scattered will be scattered, and they will be used in case of emergency The pill is slow, not fast " Therefore, the key to ensure and improve the efficacy of drugs is to choose a reasonable and suitable dosage form At present, there are more than 40 kinds of traditional Chinese medicine dosage forms in China, and more than 20 kinds are commonly used It is generally divided into decoction and Chinese patent medicine, which is also divided into pills, tablets, granules, etc Decoction - it is the most widely used dosage form in clinical use The decoction has the characteristics of quick absorption, quick action, flexible addition and subtraction, and strong pertinence For example, Mahuang Decoction is used to treat exogenous cold, Chengqi Decoction to reduce excess heat, and Dushen Decoction to replenish deficiency and consolidate Put the pieces in the water and boil for a certain time, then take the juice to take, it becomes the soup It can be decocted by single Chinese medicine, or by several, more than ten, or even dozens of combinations of Chinese medicine Soup used to be cooked at home Now with the pace of life speeding up, people mostly choose to use machines in hospitals or pharmacies to cook soup, which is convenient, fast and effective There are also some elderly people who mainly use self frying It's worth mentioning that we should decoct it in pottery, or use glass or enamel products instead of iron, copper and tin Before decocting, soak different pieces of decoction for more than 15-20 minutes to fully immerse the water in the tissue of the medicinal materials, so that the effective ingredients can be decocted easily When decocting medicine, it is better to add water to 2-3cm higher than the medicine When decocting the second time, add water to 1-2cm higher than the medicine General decocting medicine, first boil the medicine with martial fire, then use gentle fire, about 30 minutes The decoction time of tonic medicine is a little longer, and it can be boiled for about 45 minutes A dose of medicine is usually decocted twice, and then the decoction taken twice is combined and taken separately In addition, some special drugs should be decocted For example, shells, minerals, animal horn a and poisonous pieces of decoction should be fried first; the pieces with fragrant smell and volatile components should be fried later; the pieces with more mucus should be easily pasted in the bottom of the pot; the pieces with valuable and hard texture should be fried separately; the pieces with less dosage and powder should be prepared; the pieces with glue and honey paste that are easy to paste should be closed The decoction is usually taken twice a day, morning and evening After taking medicine, we should drink less tea and eat less radish, because tea and radish will reduce the effect of tonic drugs, especially ginseng drugs Chinese patent medicine - low toxicity, quasi portable Chinese herbal materials can be processed into pill, powder, paste, pill and various dosage forms in addition to dispensing Decoction according to the prescription requirements of doctors The pill can release medicine slowly, but its efficacy is long, which can alleviate toxicity and irritation, and weaken adverse reactions The common ones are water pill, honey pill, paste pill, wax pill, etc The concentrated pills and dropping pills developed in recent years have the characteristics of fast absorption and high bioavailability Powder, because of its large surface area, is easy to disperse and absorb, and it works quite quickly, such as Huoxue Zhitong powder and Guilin Watermelon cream There are two kinds of plasters: internal and external It is often said that the internal plaster has nourishing effect, such as perfect tonic cream The external application is plaster, which is mostly used for the treatment of surgical sores and sores or wind cold arthralgia, such as joint pain relief plaster, burn ointment, Goupi plaster The tablets are accurate in dosage, stable in quality, convenient to take and carry, and rich in varieties, which can meet the different needs of medical and preventive medicine However, due to the need to add adhesive to the tablet, the surface area of the drug is greatly reduced, which affects the disintegration and absorption in the stomach, such as Ciwujia tablet, Yinqiao Jiedu tablet and compound Caoshanhu buccal tablet The appearance of the capsule is bright and clean, which can cover up the bad smell of the medicine and is easy to take The preparation has good water solubility, can be quickly dispersed and released in the stomach, and has quick effect, such as gekettongluo capsule, quick acting cold capsule and shidishui soft capsule Granule refers to the dry granule type made of the extract of medicinal materials and appropriate auxiliary materials or fine powder of medicinal materials, which can be washed with boiling water and is convenient, such as Jingfukang granule, Weisu granule and Shuang granule Choose dosage form - pay attention to the characteristics of syndrome differentiation It's better to choose the dosage form of traditional Chinese medicine because of the deficiency of human body, the urgency and slowness of disease, the age, the cold and the heat To choose the dosage form, we should consider all kinds of factors related to drug safety, effectiveness, quality controllability and so on We should focus on syndrome differentiation, grasp the characteristics and suit ourselves Rational use of Chinese patent medicine must be based on correct syndrome differentiation For example, the symptoms of diarrhea are mostly similar, but due to different pathogenic reasons, they are generally classified as cold and wet diarrhea, spleen deficiency diarrhea, spleen and kidney diarrhea, so the drugs selected are different, such as cold and wet people can choose to disperse cold and dampness, regulate qi and Huoxiang Zhengqi pill in; spleen deficiency people can choose Shenling powder which can strengthen spleen and seep dampness; spleen and kidney yang deficiency people can choose Sishen pill which can warm spleen and kidney, astringent intestine and stop diarrhea At the same time, it is necessary to know the composition and pharmacological characteristics of Chinese patent medicine to choose the dosage form, so as to achieve the correct and reasonable use of drugs For example, Angong pill is used for the febrile diseases such as dizziness, delirium and convulsion It can be used not only for typhoid fever, but also for Japanese encephalitis or cerebrospinal meningitis It also has a certain effect on cerebrovascular accidents For example, people suffering from new disease, acute disease and serious disease can choose the decoction, because the medicine is evenly dispersed in the liquid in molecular or ionic state, which is more convenient for absorption According to the patients or diseases and the particularity of decoction pieces, doctors can add and subtract with the syndrome, and make flexible deployment Generally speaking, as long as the syndrome differentiation is accurate, the medicinal materials are authentic and processed properly, the effect is obvious Injection can be used for emergency treatment Injection enters human body through muscle and vein, absorbs quickly and functions rapidly, such as compound Danshen injection, etc., but pay attention to prevent adverse reactions such as allergy Chronic diseases and post conditioning are suitable for pills The commonly used honey pill and water pill are slow in absorption in gastrointestinal tract, mild in action, long in effect, easy to carry and take For chronic and chronic diseases, we can choose internal plaster, such as Sydney cream Rheumatic pain, bruise, skin sores and other diseases can be treated with external plaster, or with Tongjing Huoluo liquor Granule and syrup are suitable for children It can be dissolved by boiling water, absorbed quickly after taking, some of them have sweet taste.
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