Second, Chinese medicine should be soaked in cold water for about 20 minutes before frying. Generally, the water consumption for decoction after soaking the powder is 1-3cm. Drugs with large dosage, loose foam and easy water absorption can increase the water consumption appropriately.
Three, decocting time should be based on the nature of the drug, the general drug is 30 minutes. Antiexterior drugs, antipyretic drugs and aromatic drugs should not be decocted for a long time. Boil and then fry 15-20 minutes. After the tonic is boiled with strong fire, it is slowly decocted with slow fire for 40-60 minutes. Stir the ingredients for 2-3 times when boiling. Each dose of traditional Chinese medicine is generally decocted twice, and the second decoction time can be slightly shorter.
Dosage of decoction: 50- 100 ml for children. Adult 150-200ml per dose.
Five, special medicine decoction method:
1, "decoct drugs first": boil 10- 15 minutes, then add other drugs and decoct them together.
2. "Post-medicine": When the general medicine is about to boil to a predetermined amount, put it in the same soup for 5 minutes.
3. "Dissolve medicine": decoct other medicines to a predetermined dose, decoct the medicine juice with low fire, and stir constantly to dissolve it.
4. "taking medicine": taking medicine in decoction or boiling water.
5, other special drugs according to the doctor's advice.
Chinese medicine management:
First, fry one dose every day, two juices for each dose, one juice in the morning and one juice in the evening, usually after meals.
Second, pills are generally taken twice a day, and it is best to take medicine while eating, so as to facilitate absorption and enhance the curative effect.
Unsealed drugs should be properly kept to prevent moisture deterioration.
How to cook Chinese medicine and how to eat Chinese medicine?
(1) Traditional Chinese medicine decoction has certain requirements, which are as follows: ① Put one dose of traditional Chinese medicine decoction pieces into the pot at a time, add clear water, and observe whether the water can soak the powder. If it is not enough, add some water. (2) Soak for half an hour, and it is easy to fry the effective components of Chinese herbal pieces (this step can be omitted if you are in a hurry). (3) Fry with high fire until it is fully cooked 1-3 minutes. Then simmer for 20-30 minutes to make a bowl, filter the residue with sterile gauze or coffee lattice, pour it into a cup and take it warmly. (4) After the medicine is decocted once, the first dose and the medicine decocted again can be evenly mixed, so that the efficacy is balanced.
(2) Medication method is also an important nursing content in medication nursing. Xu Ling in Qing Dynasty once pointed out: "Although Fang is ill, it is ineffective to take it, and it is harmful unless he is particularly short of work." Explain the importance of medication methods. Clinically, the treatment effect is really affected because the medication method does not meet the requirements. Therefore, various medication methods must be correctly implemented in nursing.
① The administration methods of decoction can be roughly divided into four types: divided administration: that is, divide 1 dose of Chinese medicine into 2-3 equal parts every day. If the elderly and children have difficulty taking medicine, a small amount of majority or concentrated decoction can also be used. Take it immediately: take 1 dose decoction 1 time to play its powerful and rapid role. Continuous administration: refers to the method of taking large doses of drugs in a short time. Its purpose is to achieve a higher drug concentration in the body in a short time. (2) Chinese patent medicines are generally taken by dispensing, transfusion, dispensing, transfusion and feeding. Take it: put the medicine in your mouth, take it with warm boiled water, and lead the medicine to decoction. Oral administration: put the medicine in a cup, and make it into suspension with warm water and drug introduction. Before taking it. Admixture: Some powders are made into paste with warm boiled water or liquor, vinegar and other liquids for oral administration. For example, Angong Niuhuang Pill and Zixuedan are all administered in this way. Tolerance: pills are contained in the mouth, and the medicine is slowly dissolved and swallowed. Such as Liushen Pill, Runhou Pill and Jiuxin Pill. Feeding: This method is mainly used for infants, the elderly, the infirm or the critically ill. It refers to the method of dissolving Chinese patent medicine into liquid and feeding it to patients one by one.
(3) In addition to paying attention to decoction and medication methods, TCM medication nursing should also pay attention to the following contents: ① Medication temperature: Medication temperature generally refers to the temperature of the liquid medicine or the wine taken. There are often hot clothes, warm clothes and cold clothes. Take it while it's hot: take the freshly fried liquid medicine while it's hot. Commonly used for cold syndrome. Warm administration: it is to take the decocted decoction or delivery liquid after heating. Generally speaking, the decoction is taken warm. Cold service: Take the decocted decoction after cooling. Commonly used for heat syndrome. ② Dosage: The general dosage is determined by the doctor according to the specific situation. (3) Take a rest after taking the medicine, observe the effect of the medicine and observe whether there are any adverse reactions. Especially taking severe or toxic drugs, it is necessary to closely observe and record. ④ Taking traditional Chinese medicine on an empty stomach can easily cause gastrointestinal reactions, such as abdominal sounds, abdominal pain before defecation, loose stool, etc. It is suitable for patients with hard stool or constipation. If you have stomach trouble, you should take it one hour after meals. ⑤ Patients who use both Chinese and western medicines should be informed of the interval between taking Chinese and western medicines. ⑥ For people or children who are weak, senile and prone to vomiting due to cold stomach, they can take the medicine twice (depending on the time interval). ⑦ Pay attention to the effect of food on drug efficacy. Chinese medicine has always said that "medicine and food are homologous". This is because the medicinal properties and eating habits of "four qi" (cold, hot, warm and cool) and "five flavors" (pungent, sweet, sour, bitter and salty) have the same contents and differences. At the same time, some foods are medicines, both edible and medicinal. Such as jujube, lotus seeds, longan, lily, yam, red beans, kelp, turtle, mulberry, black sesame, honey and so on. Because dietary habits and medicinal properties have the same taste, if dietary habits are compatible with medicinal properties, food can enhance the role of drugs; Food is the opposite of medicine. Food will reduce the effect of medicine. In a word, the correct choice of food plays an equally important role in improving the curative effect of drugs and promoting the early recovery of patients. Dietary factors may also have various effects on the absorption of traditional Chinese medicine. We should make full use of favorable food factors to improve the curative effect of drugs and reduce the factors that hinder absorption.
First, special therapeutic drugs.
1, fry first. Objective To increase the solubility of drugs, reduce the toxicity of drugs and give full play to the curative effect. The drugs decocted first are: (1) toxic drugs: aconite, aconite, Artemisia rupestris, Phytolacca acinosa and so on. (2) Minerals and animal bones: gypsum, pangolin, mother of pearl, etc. You should fry 15 ~ 30 minutes first.
2. recite it. Objective To reduce the loss of volatile oil and prevent the decomposition and destruction of effective components. The latter drugs: (1) mint, radix aucklandiae, Artemisia annua, rose, rhubarb, Uncaria rhynchophylla, senna, etc. Generally, you can take the medicine 10 ~ 15 minutes before decocting.
3. melting (melting). It should be decocted with other drugs to obtain filtrate, and then dissolved in the liquid medicine. There are colla Corii Asini, Colla Tortoise, Colla Cervi, Honey, Sodium Sulfate, etc.
4. Stir fry separately. Expensive herbs should be fried separately. Such as antelope horn and ginseng.
5, fried. Pollen starch should be fried.
Second, the temperature
Generally speaking, we should "use force before writing"
Third, decocting time
Anti-exogenous drugs: the first decoction time: 10 ~ 20 minutes. The second decocting time: 10 ~ 15 minutes.
Nourishing drugs: the first decoction time: 30 ~ 35 minutes. Second decocting time: 20-25 minutes.
General drugs: the first decoction time: 20 ~ 25 minutes. Second decocting time:15 ~ 20min.
Fourth, take medicine.
1, medication temperature
General drugs should be taken warm, patients with vomiting or poisoning should take decoction cold, and drugs for relieving exterior syndrome should be taken hot.
2, medication time
Nourishing drugs should be taken after meals, tranquilizing drugs should be taken before going to bed, and exterior-relieving drugs should be taken while it is hot to make it sweat.
Step 3: Dose
Adults once 150ml, twice a day. 75ml for children once, twice a day.
There are also decocting utensils using porcelain and ceramics. Stainless steel will do. Never use copper or iron tools.