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Can any colleague tell me about the preparation methods of traditional Chinese medicine? Gods help me
The temporary preparation of traditional Chinese medicine pieces refers to the process in which a doctor, when issuing a prescription, requires the dispensing staff of a traditional Chinese medicine store or hospital's traditional Chinese medicine pharmacy to temporarily prepare raw Chinese medicine pieces according to the doctor's instructions based on the properties of the drug and treatment needs. , abbreviated as "temporary preparation", also known as "small stir-fry". Most of the decoction pieces used in the formulas of traditional Chinese medicine pharmacies and hospitals are supplied by traditional Chinese medicine decoction pieces factories, but some processed varieties cannot be supplied, such as "Danggui Charcoal". For these types of processed products that require temporary processing due to treatment needs, the dispensing personnel should strictly follow the doctor's instructions to prepare them. They must not not prepare the products that should be prepared, or use raw products instead of cooked products, resulting in "disease accuracy and prescription." , the consequences of "the medicine doesn't work". The temporary processing of traditional Chinese medicine pieces is an integral part of traditional Chinese medicine processing. The author believes that the processing of traditional Chinese medicine can be divided into two categories according to the operating department. One type is "conventional processing", which is undertaken by traditional Chinese medicine pieces factories; the other type is "temporary processing". "prepared by prescription" shall be borne by traditional Chinese medicine stores or hospital traditional Chinese medicine pharmacies. The range of preparation of traditional Chinese medicine pieces is smaller than conventional processing, and the processing methods are less common than conventional processing. Generally, stir-frying, broiling, and mixing are the main methods, which can be divided into stir-fried, bran-fried, rice-fried, soil-fried, wine-grilled, Sauté with salt, vinegar, honey, ginger juice, stir-fry with medicine, etc. Stir-frying is to heat the medicine in a pot without adding auxiliary ingredients, and stir-fry until it reaches the specified level. It can be divided into three methods: frying, frying, and frying. Stir-fried yellow: Place the clean slices in a hot pot, stir-fry over slow fire until the surface turns yellow or slightly darker than the original color, or swells and bulges, the seed coat ruptures, and the inherent smell is revealed, take it out and let it cool. The purpose is to make it easy to decoct the active ingredients of the medicine and to alleviate the properties of the medicine. For example, frying cassia seeds can alleviate the intestinal slippery properties and make it easy to decoct the active ingredients; frying ephedra can alleviate the phlegm-relieving properties. Stir-fry: Place the clean slices in a hot pot, stir-fry over medium heat until the surface turns yellow or brown, the cross section becomes darker in color, and the smell of burnt aroma comes out, take it out and let it cool. The purpose is to soften the medicinal properties or enhance the curative effect. For example, frying tangerine peel can alleviate its pungent nature and enhance its warming and strengthening power; frying tangerine peel can weaken its pungent power and enhance its antidiarrheal effect. Stir-fried charcoal: Place the clean slices in a hot pot, stir-fry over high heat until the surface of the medicine turns black and the inside turns yellow or brown, spray a little water to extinguish the sparks, take it out and dry it. When frying charcoal, you should pay attention to its "preservation properties". If it turns into ashes, the medicinal power will be lost. The purpose is to alleviate the potency and side effects of drugs, such as the weakening of Qi-breaking power after stir-frying green peel charcoal, and the enhancement of digestion and stagnation and stomach function; or to enhance the astringent and hemostatic power of drugs, such as Angelicae charcoal, Scutellaria baicalensis charcoal, Fangfeng charcoal, etc. Bran frying: Heat the pot over high heat, add a certain amount of wheat bran or honey-made wheat bran, and when it smokes, add the pure pieces and stir them quickly and evenly, stir-fry until it turns yellow or dark yellow, when the wheat bran is burnt black, take it out and sift it Remove the wheat bran and let cool. The purpose is to add color and enhance the effect of strengthening the spleen and appetizing, such as fried yam with bran, fried white lentils with bran, etc.; or absorb the oil content of some medicines to reduce their irritation and relieve the dryness, such as the costumia is fried with bran to remove part of the oil. quality, enhance the antidiarrheal effect of the colon. Rice stir-fry Wash the japonica rice, put it in a pot, stir-fry over low heat until steaming or the rice sticks to the bottom of the pot. Add the pureed pieces, stir-fry until the surface turns yellow or slightly burnt, take it out and sift out the rice. The purpose is to use it to enhance the spleen and appetite, such as rice-fried Codonopsis pilosula; or to reduce toxicity, such as rice-fried cantharis. Stir-fry: Put the Zaoxin earth powder in a pot, stir-fry over low heat until smooth, add the pure pieces, stir-fry until the surface turns yellow or slightly burnt, take it out, and sift away the Zaoxin earth powder. The purpose is to enhance the effect of medicines in strengthening the spleen and stomach and stopping diarrhea, such as stir-fried coix seed and stir-fried white lentils. Wine-fried (also called wine-fried): Take clean pieces, add a certain amount of rice wine, mix well, simmer thoroughly, stir-fry over slow fire until slightly scorched spots appear on the surface, take out and let cool. The purpose is to alleviate the bitter and cold nature of the medicine, draw the medicine upward, and clear the fire of the head and eyes, such as wine coptis; or enhance the blood-activating and menstrual effect of the medicine, such as wine angelica, wine chuanxiong, etc. Braising in salt water (also known as stir-frying in salt water): Use a certain amount of salt to dissolve the water, mix it with the pure pieces and let it simmer for a while, or stir-fry the pure pieces, then spray salt water on them, stir-fry until there are slightly burnt spots on the surface, take it out and let it cool. The purpose is to introduce medicine downwards for cold pain in the testicles and cold hernia of the small intestine, such as salt fennel and salt lychee core; or to enhance the effect of nourishing yin and reducing fire, such as salt anemarrhena and salt cork; or to introduce medicine into the kidney to enhance the diuretic effect, Like salt diarrhea. Vinegar roasting (also known as vinegar stir-frying): Take the clean slices and add a certain amount of rice vinegar, mix well, stuff it thoroughly, put it in a pot, stir-fry over low heat until there are slightly charred spots on the surface, take it out and let it cool. The purpose is to introduce the medicine into the liver to enhance the blood-activating and analgesic effect, such as vinegar trigonatum and vinegar turmeric; or to reduce toxicity and alleviate the depression effect, such as vinegar genkwa, vinegar vinegar, etc.
Honey Zhi: Add a certain amount of "refined honey" to boiling water and dilute it appropriately, mix it with the clean pieces, let it simmer for a while, put it in a pot and stir-fry it to the specified level; or pour the "refined honey" into the pot, heat it over a slow fire, and wait until it boils When soaking, add an appropriate amount of water, then add the pure pieces, stir-fry until the honey juice is evenly absorbed, and it should not stick to your hands. The purpose is to enhance the effect of moistening the lungs and relieving coughs, such as honey-zhiqianhu, honey-zhibaiqian, etc.; or to take its effect of replenishing qi and replenishing the heart, such as honey-zhi dangshen, etc. Ginger juice moxibustion (also known as ginger juice stir-fry): Mash a certain amount of fresh ginger with an appropriate amount of water, squeeze it to extract the juice, mix it with the clean slices, put it in a pot, stir-fry over a slow fire until there are slight burnt spots on the surface, take it out and let it cool. The purpose is to alleviate the cold nature of the medicine and enhance the effect of harmonizing the stomach and relieving vomiting, such as ginger and berberine. Stir-fried wolfberry seeds with dodder seeds: Stir-fry the clean wolfberry seeds with dodder seeds until they swell, and sift out the dodder seeds. The purpose is to use the power of dodder to support yang, so that wolfberry can not only replenish the essence and marrow, but also benefit the kidneys and strengthen yang. Stir-fried Coptis with Evodia: First heat the Evodia in a pot and stir-fry until it swells slightly, then add the pure Coptis and stir-fry until the Evodia is completely swollen and the Coptis is slightly burnt and turns yellow. The purpose is to suppress the bitter and cold nature of Coptis chinensis and enhance its ability to purge the liver and reduce adverse effects. Stir-fried angelica with fennel: Heat the fennel in a pot first, stir-fry until there is a slight popping sound, then add the pure angelica and stir-fry until the fennel swells, the angelica turns yellow, and the aroma is emitted. The purpose is to enhance the effect of promoting qi, dispersing cold, promoting blood circulation and relieving pain, and relieving hernia. It is generally used for cold hernia pain or lower abdominal distension and pain. The mixing method refers to adding fine powder of other medicines into pure pieces and mixing well, or adding liquid excipients, mixing well and drying. Cinnabar mixing: After moistening the pure pieces, add a certain amount of cinnabar fine powder, mix well and let dry. The purpose is to enhance the calming effect of drugs, such as cinnabar mixed with Poria cocos, cinnabar mixed with forsythia root, etc. Mixing with Qingdai: The mixing method is basically the same as mixing with cinnabar. It has the effect of clearing liver fire, such as indigo naturalis mixed with rushes. Mix turtle blood: Mix the clean pieces with the specified amount of fresh turtle blood (first add the fresh turtle blood to the specified amount of rice wine), suck up and dry in the sun. It has the effect of reducing deficiency and heat, such as turtle blood mixed with Bupleurum, turtle blood mixed with Artemisia annua, etc. Mixing pig heart blood: The mixing method is basically the same as mixing turtle blood. It can introduce medicine into the heart and enhance the effect of nourishing blood, such as pig heart blood mixed with salvia miltiorrhiza. Although the preparation of traditional Chinese medicine pieces is a special requirement of doctors, when the preparation is carried out, the amount of excipients and operating methods used by the dispensing staff must comply with the regulations of the local "Chinese Medicine Processing Standards" in order to ensure the quality of the formula and ensure the safety and effectiveness of the medicine for patients.
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