When Zhang Zhongjing wrote Treatise on Febrile Diseases, he studied the Classic of Decoction and Medicine written by chef Yi Yin. Dishes pay attention to the collocation of taste, which can preserve health and prolong life, and drugs pay more attention to the collocation of smell, which can cure diseases.
But now many patients hold the same pharmacy, even the same dose, but the effect is very different after taking it. Let's discuss one or two reasons.
Chinese herbal pieces are processed according to the processing theory of prescription Chinese medicine, and can also be directly used in clinical Chinese medicine. Chinese herbal pieces are the essence of Chinese medicine, and their medicinal properties and efficacy will change after different processing methods. Decoction pieces are the characteristics and advantages of traditional Chinese medicine, and the quality is related to the curative effect.
In daily life, many people often feel that they are all the same piece of Chinese medicine. Why is this doctor's medicine effective? The doctor's medicine didn't work? Why is it effective in hospitals and ineffective in pharmacies outside? The reasons here, after careful analysis, I personally think there are several situations:
One is the same medicine, but the quality is different.
The decoction pieces with good curative effect may be authentic medicinal materials, with guaranteed origin, proper processing and strict quality control; A sketch with average or no effect can't do this. So Chinese medicine is not fake, but there are 369 different kinds of decoction pieces.
Improper packaging of soup
Nowadays, few people will take the time to decoct medicine on time every day. When we get Chinese medicine back, we often find a place to fry it once, bag it for preservation, and then take it out like a drink every day. This method seems simple and easy, but we save time and effort, but the medicinal properties disappear with time.
Now we drink Chinese medicine for as little as three days and as much as ten days and a half months at a time. Many people have no awareness of disinfection and sterilization when Chinese medicine is canned. Some nourishing pharmaceutical industries are not only like us, but also bacteria. A large number of bacteria breed in the boiling liquid medicine. Although we looked at the potion, nothing changed. In fact, the bacteria we can't see have occupied your Chinese medicine bag. Many people have diarrhea after drinking these decoctions. In fact, it's not that the medicine we drink is not good, but that we put it badly.
Storage and decomposition of decoction
We all know that many things have a shelf life, because long-term preservation will inevitably lead to decomposition and transformation, especially for fresh food, otherwise food safety problems will easily occur, but what about the traditional Chinese medicine decoction we are drinking now? Many people just get Chinese medicine decoction in hospitals or pharmacies and bring it back. How many people will pay attention to the preservation time of Chinese medicine decoction?
Western medicine will have a strict study on drug half-life, so as to formulate a standardized storage time. But who can guarantee the quality of traditional Chinese medicine decoction? How long is the biological half-life of traditional Chinese medicine decoction? In what time warp will the active ingredient be transformed? In fact, the decoction of traditional Chinese medicine is the same as our meal. Maybe we can eat it at noon and evening, but who will eat the leftovers after three or five days? However, we still regard the traditional Chinese medicine boiled three days ago or a week ago as a life-saving medicine. We don't know whether such Chinese medicine practitioners can really save lives.
Second, the patient's operation is different.
The decoction pieces may be the same, but there are problems in operation. For example, in the process of boiling medicine, patients do not follow the doctor's advice, improper operation, and the curative effect is discounted.
Traditional Chinese medicine high-pressure stew instead of decoction
Chinese medicine can actually have a good curative effect if taken correctly. "decocting medicine" is a very complicated and exquisite thing, but now, a few people can really treat Chinese medicine and decoct medicine with piety. I'm afraid more people will only choose "Chinese medicine instead of decoction". The business of substituting Chinese medicine for decoction is very popular now. From provincial and municipal hospitals to clinics and pharmacies, this business will be carried out in almost all places where Chinese medicine is sold. Why? Because of the tense pace of life, people are reluctant to spend energy and time on decocting drugs.
But the traditional Chinese medicine decoction is boiled, but the efficacy is gone. Traditional Chinese medicine decoction pays attention to soaking time, civil and military fire, decocting time and decocting sequence. Now the Chinese medicine has been decocted. In a huge pressure cooker, all the medicinal materials are poured in, and then a large number of high-pressure stews are carried out. It is conceivable that many effective pharmaceutical ingredients are decomposed and transformed at high pressure and high temperature, so there is no so-called efficacy.
A casual attitude towards drinking medicine.
There are also many things to pay attention to in the process of taking Chinese medicine, such as some medicines should be drunk while they are hot, some medicines should be taken warm, some need to be taken before meals, some need to be taken after meals, some need to be taboo, and some need to be taken. , are very particular about. It doesn't mean that the correct method and attitude of taking medicine can get twice the result with half the effort by drinking the boiled Chinese medicine directly into the stomach.
But now, who cares about the time to drink Chinese medicine? The doctor told us to take medicine on time, stay up late and drink less, smoke less and avoid food, and so on. But when it comes to life, many people sigh that the Chinese medicine they have drunk is useless, while continuing to work, drink and socialize late. At this rate, I'm afraid the immortals will be hard to save.
Third, the disease should be cured.
Although the medicine of the doctor in front didn't work, it paved the way, and the doctor in the back made a wonderful rejuvenation.
Among them, apart from all kinds of interference factors, the quality of decoction pieces should be the most fundamental factor, and it is also a problem that is easily ignored and entangled by patients. Often patients think that medicines are the same, and it is only the price difference between taking medicines in the hospital and taking medicines outside.
Actually, it's not like this.
For example, a patient once took a prescription from the hospital to the outside pharmacy to buy medicine. Results There were no vinegar, Bupleurum, rhubarb and angelica oil in the pharmacy. What should I do? Many times, without the guidance of a doctor, many pharmacies will provide patients with Bupleurum, rhubarb and angelica. The seemingly identical drugs may actually be thousands of miles away.
There is a simple reason. The performance of the same traditional Chinese medicine will change greatly after processing. For example, Angelica sinensis has the effects of nourishing blood, relaxing bowels, promoting blood circulation, regulating menstruation and relieving pain, but it can be divided into four types according to its different parts: head, body, tail and whole. After processing, there is also the difference between fried angelica and oily angelica. So when to promote blood circulation and defecation is very particular.
Long-term clinical practice has proved that Angelica sinensis has a good effect of relaxing bowels and promoting blood circulation, which is why some patients often have unobstructed stools after taking it, although there are no antidiarrheal drugs such as rhubarb and senna leaves. Oiled Angelica sinensis is prepared by adding sesame oil, mixing well, moistening thoroughly, frying with slow fire until the color is deepened and slightly burnt, taking out the pan when the oil is fragrant, and cooling. After processing, it has obvious effects of relaxing bowels and promoting blood circulation.
Traditional Chinese medicine processing is a professional knowledge, including both traditional technology and modern technology. Without processing, drugs can only become crude drugs and original drugs. Traditional Chinese medicine becomes more colorful or mysterious after processing. To really play its role, it is necessary to carry out scientific processing. Of course, to ensure the curative effect, it is not enough to rely solely on processing.
The quality processing of medicinal materials is the key, but it is also closely related to whether it is authentic.
Authentic medicinal materials refer to medicinal materials produced under specific natural conditions and ecological environment. Due to centralized production, there is a certain emphasis on cultivation techniques and harvesting and processing, which leads to better quality and better curative effect than similar medicinal materials produced in other regions. The geographical environment is very complicated, the distribution of water, soil, climate, sunshine and organisms are not exactly the same, and the quality of drugs is also obviously different. For example, we all know that the four major Huai medicines, Rehmannia glutinosa, Achyranthes bidentata, Dioscorea opposita and Chrysanthemum, were produced in Jiaozuo, Huaiqing Prefecture, Henan Province in ancient times. Ginseng in the northeast is better, codonopsis pilosula in Shanxi is better, and oranges in Guangdong are better. Besides, Angelica sinensis in Gansu, Lycium barbarum in Ningxia, Coptis chinensis in Sichuan, Glycyrrhiza uralensis in Inner Mongolia, Ginseng in Jilin, Atractylodes lancea in Jiangsu and Panax Notoginseng in Yunnan are all famous authentic medicinal materials. The curative effect varies greatly from place to place. For example, Fritillaria produced in Zhejiang is called Fritillaria thunbergii, Fritillaria thunbergii or Fritillaria elephant. This product is good at clearing away lung heat and resolving phlegm, and is suitable for cough with phlegm-heat accumulating in lung. Fritillaria cirrhosa, produced in Sichuan, is good at moistening lung and relieving cough, and treating cough caused by heat and fatigue in lung.
The factor affecting the curative effect of decoction pieces is management. Chinese herbal pieces themselves come from animals, plants and mineral materials, and plant medicines are easily affected by insect bites, humidity and other factors, so the requirements for the storage of medicines are very strict. Generally speaking, Chinese medicine hospitals have pharmacy departments responsible for the procurement, preservation, processing and screening of decoction pieces. A lot of manpower, material resources and financial resources have been invested to ensure the quality of drugs. Only through more processes and strict management can the quality of drugs be guaranteed. Obviously, hospitals and pharmacies are more reliable.
20 16, the national key task of deepening the reform of medical and health system, proposes that this year, various forms will be taken to promote the separation of medicines and prohibit hospitals from restricting the outflow of prescriptions. Patients can choose to buy drugs in hospital outpatient pharmacy or retail pharmacy by prescription. It is a good thing that patients have the right to make their own choices. But in our real implementation, we know that the problems of western medicine and patented medicine are not obvious, and there is little difference between drugs. As mentioned above, the choice of decoction pieces will change due to the management of the hospital, the processing of decoction pieces and whether they are authentic or not. Patients should still choose carefully according to the actual situation.
The key to treatment is the effect, which is the goal pursued by hospitals, doctors and patients. In order to ensure the effect, doctors' accurate grasp of the condition is the key, prescription and medication are the key, and patients' cooperation is the key. The choice of medical treatment, the price is only one factor, but the key lies in the curative effect; What's the use of drugs that have no effect, even if they are cheap? The worst result of seeing a doctor is that the medicine is ineffective, delaying the illness, complaining that the hospital is not good and the doctor's medical skills are not good. In fact, how many people will think about the problem of decoction pieces?
Many patients choose to buy medicine from the hospital, mainly considering that Chinese medicine in the hospital is expensive and cheap outside. That was not the case. In the case of national restrictions on drug addition, there is not much difference in prices between hospitals and outside pharmacies. Moreover, through a series of strict management procedures, the quality of tablet computers is more guaranteed and the cost performance is more advantageous.
From the objective reality, hospital doctors are more assured of the quality and use of Chinese herbal pieces in their own hospitals and can ensure the curative effect; Once there is a problem, we can also find the problem of drug quality as soon as possible. Personally, taking medicine by prescription is a rational choice, which not only protects and guarantees the reputation of the hospital, but also respects the work of doctors. The key is that patients should be responsible for their own diseases and health.