Analysis Of The Status Quo Of The National Standard Of Chinese Herbal Decoction Pieces And Research On The Method Of Formulating Medical Items In The Standard

PurposeBy collecting,sorting out and statistics the processing standard of each local Chinese medicine pieces,it analyzes the present situation of the local standards of Chinese traditional medicine pieces,selects the key difference items in the contents of the local standards by using the theory of statistical methods,studies the content analysis methods of the key difference items,finds the method of standardizing the key difference items,and puts forward the reference basis and suggestions for improving the quality standard of traditional Chinese medicine pieces.method1.On the literature research,the official websites of the State Administration of Traditional Chinese Medicine,the State and Provincial Drug Administration,online and offline bookstores,publishing houses,electronic periodical databases and other channels are collected.The Chinese Pharmacopoeia,the National Standard for the Processing of Chinese Medicine,and the paper standard or electronic photocopy materials of the processing standard of Chinese medicine pieces in various regions are collected,and the relevant research documents about the quality standard and the local standard of Chinese medicine pieces are queried.Through consulting and sorting out the historical documents such as ancient books of traditional Chinese medicine,combing the historical application context of clinical application items such as Nature and Flavor,Channel entry,Indications and Functions,Dosage and so on.The accurate connotation of traditional Chinese medicine itself is judged objectively and scientifically.2.By using descriptive statistics,the distribution status,overall differences and standard characteristics of the relevant and information data of the national and local standards of traditional Chinese medicine pieces are described.The standard text description contents are divided and classified,and the value is quantified by assignment method.Then calculate the coefficient of variation,carry on the difference analysis to compare the difference of each standard item in different local standard,find the key difference item.3.By using the comparative analysis method,the results of the literature research method and the statistical analysis method,according the qualitative level and quantitative level,and the two-dimensional comparison of the local traditional Chinese medicine pieces processing norms,the sequential judgment is more obviously different in many standard content items.Results1.As of January 2020,there are more than 3500 varieties of Chinese herbal medicine processed in 29 provinces,autonomous regions and municipalities directly under the Central Government.The revision time,revision principle and method of local standard of Chinese herbal medicine pieces are different in each region,and there is no uniform requirement.Comparing with the collection of local standards,the repetition rate is more than 40%,and the standard of traditional Chinese medicine is in the reality of "multi-level management,multiple landmarks,repeated collection and different standards ".2.Based on the difference analysis of the discrete coefficients of each style items of three varieties Ulmus macrocarpa Hance,Tremella fuciformis,Cucumis melo L.,with high repeated collection rate of local standard of traditional Chinese medicine pieces,it is determined that [Channel entry] and [Nature and flavor] are the key differences in local standards of local traditional Chinese medicine pieces.3.To study the standard-setting of key difference items [Channel entry] and [[Nature and flavor],we found the key differences in the standard formulation of local standards for traditional Chinese medicine and the standard technical path of medical application items.To study on the standard formulation of key difference items [Channel entry] and [Nature and flavor] in depth.Through the theory of traditional Chinese medicine,prescription,as well as the etiology and pathogenesis of traditional Chinese medicine theory,rule of law,viscera meridian theory of comprehensive argumentation,to determine the [Indications] of traditional Chinese medicine as the key,and then to [Functions ],[ [Nature and flavor] derivation,and finally to determine [Channel entry].That's the standardization of the technical path to formulate the medical standard items in the local standard of Chinese herbal medicine.Conclusion1.Nature,flavor and Channel entry belong to the main content of the medical application items of traditional Chinese medicine,and they are also the main content of the theory of traditional Chinese medicine,which is a highly summary of the efficacy,performance and application law.They are the most important academic characteristic and core performance of traditional Chinese medicine.The difference of them are great,which means that there is great controversy about the essence of traditional Chinese medicine.2.The steps of determining the medical application items in the local standard of traditional Chinese medicine pieces are as follows :(1)through the mainstream herbs and representative prescriptions of the past dynasties,the " indications "is determined.According to the statistical analysis,we should mainly refer to "Chinese Herbal Medicine" and "Puji Fang ",combining both of the contents to determine [Indications].(2)Using of etiology and pathogenesis,the principle of governing the rule of law,summarized and extracted Chinese medicine [Functions] items highly.(3)Through the relationship between functional treatment and the nature of medicinal properties of traditional Chinese medicine,The [Nature and flavor]was deduced.(4)According to the established theory of [Indications] and viscera meridian,A comprehensive induction of "practical theory,the [Channel entry] of traditional Chinese medicine is determined.