马海滨 杜厚平 李祎晗
汤剂是中药最为古老的剂型之一，在中医临床中也应用最为广泛。汤剂能够充分适应中医辨证施治的需要，并具有疗效快、易吸收、作用强等优点，在防治疾病中发挥了独特作用。
煎中药，是把抓回的中草药放入砂锅或陶罐里进行熬制，促使有效成分不断释放、溶解的过程，是完成中药汤剂最为关键的工序。
在山东中医药大学附属医院东院区，有一个从早到晚都处在“煎熬”状态的工作场地——中药煎药室。每至深夜，城市早已沉睡，而这里依然灯火通明，药剂师仍在聚精会神、紧张忙碌地煎药。
煎药室是医院中医药服务的终端，药剂师平均每天要完成2500千克中药饮片的抓药过程，经手500余种中药材，代煎中药每日超过1000余锅，全年大约消耗中药饮片合计600余吨。经过药剂师调配好的方剂，煎煮前都必须根据每一个中药方子的特殊配伍种类、药量、副数确定浸泡时间和煎药时间，以达到最佳药效。
煎药室里80余台高压煎煮机和浓缩包装机每天至少开机16小时以上，室内温度常年保持在40摄氏度以上。即便如此，药剂师们依然要把自己包裹得严严实实，确保每一味中药方剂从始至终不会夹带任何粉尘或杂质。即便三九严冬，他们依然大汗淋漓，经常自嘲曰：“四季如厨房，免费桑拿房，最佳减肥房。”
中药煎好之后，最后一道工序是由包装人员进行包装，再摊开放凉，最终送达患者手中。“小小中药包，满满关爱情”。患者喝的每一包中药液，无不浸透着药剂师们的辛劳，正是他们的辛苦付出，才换来了患者康复的幸福笑脸。
编辑/刁艳杰
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.
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