中药散剂的历史沿革与发展趋势

The History and Development Trend of Traditional Chinese Medicine Powder

本文梳理了中药散剂从萌芽、诞生、繁荣到临床应用逐步减少的历史沿革。列举了中药散剂内服、外用的临床应用。对散剂制备工艺进行概述,结合研究者们在散剂研究过程中的创新及建议,总结了包含粉碎、干燥、混合、掩味及抑制挥发、灭菌的制剂工艺发展成果。探讨了贯穿中药散剂制剂工艺、质量标准、临床应用(如患者依从性)中制约散剂规模化生产的主要问题。展望了散剂将走入更多医院、家庭为患者解除病痛的发展趋势,以期提高散剂的制剂水平和质量控制,促进散剂的规范化、标准化发展。

This paper reviews the history of traditional Chinese medicine powder from germination, birth, prosperity to the clinical application, which is gradually reduced. And it enumerates the clinical application of traditional Chinese medicine powder taken orally, external application. The powder preparation process are outlined, summarizes the preparation results including crushing, drying, mixing, taste masking and inhibition of volatilization, sterilization with combining innovation and advice of researchers in the process of powder research. It discussed the main problems of restricting large-scale production that running through preparation, quality standard, clinical application（such as dependence of patients） of powder. Then, it forecasted that more and more hospitals and families will use traditional Chinese medicine powder to relieve pain of patients, in order to enhance the level of preparation and quality control,boosting the normalization and standardization of powder.