煎一方良藥

馬海濱 杜厚平 李祎晗

湯劑是中藥最為古老的劑型之一，在中醫(yī)臨床中也應(yīng)用最為廣泛。湯劑能夠充分適應(yīng)中醫(yī)辨證施治的需要，并具有療效快、易吸收、作用強(qiáng)等優(yōu)點(diǎn)，在防治疾病中發(fā)揮了獨(dú)特作用。

煎中藥，是把抓回的中草藥放入砂鍋或陶罐里進(jìn)行熬制，促使有效成分不斷釋放、溶解的過(guò)程，是完成中藥湯劑最為關(guān)鍵的工序。

在山東中醫(yī)藥大學(xué)附屬醫(yī)院東院區(qū)，有一個(gè)從早到晚都處在“煎熬”狀態(tài)的工作場(chǎng)地——中藥煎藥室。每至深夜，城市早已沉睡，而這里依然燈火通明，藥劑師仍在聚精會(huì)神、緊張忙碌地煎藥。

煎藥室是醫(yī)院中醫(yī)藥服務(wù)的終端，藥劑師平均每天要完成2500千克中藥飲片的抓藥過(guò)程，經(jīng)手500余種中藥材，代煎中藥每日超過(guò)1000余鍋，全年大約消耗中藥飲片合計(jì)600余噸。經(jīng)過(guò)藥劑師調(diào)配好的方劑，煎煮前都必須根據(jù)每一個(gè)中藥方子的特殊配伍種類、藥量、副數(shù)確定浸泡時(shí)間和煎藥時(shí)間，以達(dá)到最佳藥效。

煎藥室里80余臺(tái)高壓煎煮機(jī)和濃縮包裝機(jī)每天至少開機(jī)16小時(shí)以上，室內(nèi)溫度常年保持在40攝氏度以上。即便如此，藥劑師們依然要把自己包裹得嚴(yán)嚴(yán)實(shí)實(shí)，確保每一味中藥方劑從始至終不會(huì)夾帶任何粉塵或雜質(zhì)。即便三九嚴(yán)冬，他們依然大汗淋漓，經(jīng)常自嘲曰：“四季如廚房，免費(fèi)桑拿房，最佳減肥房?！?p>

中藥煎好之后，最后一道工序是由包裝人員進(jìn)行包裝，再攤開放涼，最終送達(dá)患者手中。“小小中藥包，滿滿關(guān)愛情”?；颊吆鹊拿恳话兴幰?，無(wú)不浸透著藥劑師們的辛勞，正是他們的辛苦付出，才換來(lái)了患者康復(fù)的幸福笑臉。

編輯/刁艷杰

Prepare a Bowl of Effective Chinese Medicine

In the East Area of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine， there is a room that maintains a“decoction” state from morning to night， i.e. TCM Decoction Room. Every night when the city is already asleep， the decoction room remains brightly-lit， and pharmacists are still concentrated on decocting medicine.

The decoction room is the terminal of the hospitals TCM service. Every day on average， pharmacists are required to complete the prescription filling of 2，500 kg TCM decoction pieces， handle over 500 types of Chinese medicinal materials， and decoct over 1，000 pots of Chinese herbal medicine. They may consume approximately 612，544 kg decoction pieces every year， a total of over 600 tons. Before the decoction of medicine prepared by pharmacists， the soaking time and decocting time thereof must be determined according to the particular compatibility types， dosage and number of portions of every prescription. Different dosages and portions will lead to different soaking and decocting duration.

In the decoction room， more than 80 high-pressure decoction machines and decoction packaging machines have to keep running for at least 16 hours every day， and the room temperature stays above 40 degrees centigrade all year round. Even so， pharmacists have to wrap themselves up tightly to ensure that no decoction elements or decoctions could be tainted with dust or impurities.

After the completion of the decoction process， the last procedure is packaging and cooling. In the end， finished TCM decoctions will be delivered to patients. “TCM liquid preparation is filled with concern and care.” Every packet of such liquid preparation is soaked with the pharmacy and pharmacists efforts. Because of their professional dedication， we could see some patients smiling faces after recovery.