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【医说就懂】中药饮片一般煎服法

发布日期:2026-09-02

煎煮方法Decoction

一煎 First Decoction



二煎 Second Decoction


服用方法Administration


将2次煎煮的药汁混合,分两份,口服,一日2次,早晚温服,遵医嘱。

Mix the liquids of the two decoctions, divide into two doses, and take warm twice a day, once in the morning and once in the evening.(Follow the doctor's advice.)


温馨提示Tips

小儿用药煎煮水量酌情减少,每次煎至50至150mL;外用药根据需要,煎煮水量可适当增加,以便熏洗或浸泡患处。

For child use, the amount of decocting water can be reduced as appropriate, and the herbs shall be decocted to 50-150mL each time.

For external use, the amount of decocting water can be increased as appropriate, to facilitate fumigation and washing or soaking of the affected site.


特殊煎煮法Special Decocting Methods

1. 先煎Advance decocting

先煮沸20至30分钟(或遵医嘱)后,再投入其他药料(已先行浸泡)同煎。

Boil for 20~30 minutes (or follow the doctor's advice), then add other ingredients (soaked in advance) and decoct them together.


2. 后下Later decocting

在其它药即将煎至预定量时,投入同煎5至10分钟。

When other herbs are about to be decocted to the predetermined amount, put in the herb for decoction together for 5-10 mins.


3. 另煎(另炖)Separate decocting (separate stewing)

(1) 另煎:煎煮2次,每次1小时,取汁;(2)另炖:放入有盖容器内,加冷水(一般为药量的10倍左右)隔水炖2至3小时,取汁;所煎(炖)得药汁可单独服用,或与其它药料煎得的药汁混合后服用。

(1) Separate decocting: Decoct the herb twice, 1 hr each time, and take the liquid; (2) Separate stewing: Put into a container with a lid, add cold water (usually about 10 times the amount of the herbs) and stew in a water bath for 2~3 hrs, and take the liquid. Take the decocted (stewed) liquid separately, or mix with the liquid decocted from other herbs.


4. 烊化(溶化)Melting (dissolving)

将该药放入已煎好的药液中,文火煎煮并不断搅拌至溶解;或打成粗粉趁热加入药液融化;也可放入有盖容器内,加冷水隔水炖化后,兑入药液使用。

Put the herb into the decocted liquid medicine, and decoct with low heat and stir constantly until it is dissolved; or grind it into coarse powder and add to the liquid medicine for melting while it is still hot; or put it into a container with a lid, add cold water and stew in a water bath to melting, and mix it with the liquid medicine for use.


5. 包煎Wrapped decocting

用纱布袋包好,同其它药同时浸泡、煎煮。

Wrap the herb in a gauze bag, and soak and decoct with other herbs together.


6. 冲服Water dissolving for use

将该药调入开水或煮好的药汁中,混合后即可。

Put the medicine into boiled water or decocted medicine liquid, and mix them for use.


7. 泡服Soaking for use

加入刚煎好的热药汁(或开水)中,加盖浸泡10至15分钟即可。

Add the medicine to freshly decocted hot medicine liquid (or boiled water), and soak for 10-15 mins with the lid closed.


关于药学部

药学部是集药事管理、药品供应、临床服务、科研教学于一体的综合性科室,1998年率先在全国推行中药饮片小包装,2015年实施中药饮片第三方代煎代配,2026年上线全自动中药饮片智能发药机与西药自动发药机,将以“智慧药事、精准服务、传承创新”为发展方向,深化临床药学与中药特色融合发展,打造区域领先、患者信赖的现代化药学服务体系。

Department of Pharmacy is a comprehensive department integrating pharmacy management, drug supply, clinical services, scientific research and teaching.It took the lead in implementing small packaging of TCM decoction pieces nationwide in 1998, implemented third-party decoction and dispensing of TCM decoction pieces in 2015, and launched fully automatic intelligent dispensing machines for TCM decoction pieces and automatic dispensing machines for Western medicines in 2026.The Department will take “intelligent pharmacy, precise service, inheritance and innovation” as the development direction, deepen the integrated development of clinical pharmacy and TCM characteristics, and build a modern pharmacy service system leading in the region and trusted by patients.



欢迎使用“深圳市中医院”微信服务号,祝君安康!

Welcome to use the WeChat Official Account of “深圳市中医院”. Wish you good health!





供稿来源:深圳市中医院二门诊部 林伟容、药学部 李超

科普指导:深圳市中医院药学部 张丽芬

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