我国中药产业管理体制的变迁及中药材按照药品管理的思考

Changes of management system in Chinese materia medica and thinking about control of traditional Chinese medicinal materials as drug

虽然《中国药典》2010年版正式收载中药饮片,但是目前影响中药饮片行业发展的问题依然十分突出,与国家对中药饮片在医疗保障体系中发挥更大作用的要求不适应。简要介绍新中国成立以来中药产业管理体制的历史沿革及变迁,展示我国中药材和中药饮片产业的发展成就,并针对目前存在的主要问题提出解决建议。根据目前中药材作为药品源头出现的问题,探讨将中药材纳入药品管理的可能性;认为应该继续实施《中药饮片炮制生产管理规范》,依法加强药品监督,严禁非法生产饮片,以确保药材及药品质量的稳定。

Although processed Chinese materia medica（CMM） is listed in National Basic Drugs and recorded singly in Chinese Pharmacopeiea （2010 edtion）, there are many problems in CMM industry, which affects the healthcare system in China. By showing the industrical achievements of CMM and its processed products, the developmental suggestions of CMM industry were given through historic evolution of management system of CMM industry since 1949. Meanwhile, the possibility of controlling traditional Chinese medicinal materials（TCMM） as drugs was discussed according to status and problems in sources of TCMM.