中药小包装饮片的历史源流及其调剂规范化操作的思考

目的传承历代中药调剂操作经验,规范现代中药小包装饮片调剂操作技术。方法通过查阅历代古籍和现代文献,系统整理和分析中药饮片小包装的历史渊源、使用利弊、包装选择、使用现状及调剂规程等五方面情况,回顾小包装饮片的发展历程,总结调剂操作经验,编排现代调剂操作规程。结果中药小包装饮片调剂具有独特的优势,"审、摆、看、对、拿、掂、分、核、包、发"的"十字口诀"是其主要操作要点。结论中药小包装饮片调剂"十字口诀"易记、易懂、易操作,提高临床调剂质量、规范调剂技能具有指导意义。

Historical origin of small package of Chinese medicine decoction pieces and discussion on the standardized medication dispensing

Small package of Chinese medicine decoction pieces (hereinafter “small package of TCM”) has its unique advantage.After searching the literature in CNKI,Wanfang,VIP database,the papers linked to small package of TCM were analyzed from its aspect of history,pros and cons,package select-ed,dispensing procedure.Then a“ten Chinese characters pithy formula”directed at the process of small package of TCM dispensing was summarized as “examine(Chinese:审),display (Chinese:摆),watch (Chinese:看),check (Chinese:对),take (Chinese:拿),weigh (Chinese:掂),assign (Chinese:分),verify (Chinese:核),pack (Chinese:包),dispense (Chinese:发)”,which was easy to remem-ber,to understand and to operate,contributing to improving the quality of clinical dispensing and stand-ardizing the skill of TCM dispensing.