CN100581580C - Oral administration medicinal broth for treating pulmonary tuberculosis - Google Patents

Abstract

The invention discloses an oral administration Chinese medicinal decoction for treating phthisis which is prepared from beach silvertop root 12g, ophiopogon root 12g, dried rehmannia root 18g, roor of sessile stemona 15g, bletilla striata 20g, Chinese yam 30g, poria cocos wolf 15g, Sichuan fritillary bulb 12g, donkey-hide gelatin 15g, notoginseng 3g, hairy vein agrimony 30g, mahonia stem 30g, pseudostellaria root 15g and white atractylodes rhizome 15g.

Description

The phthisical Orally-administered decoction of a kind of treatment

Technical field

The present invention relates to the phthisical Orally-administered decoction of a kind of treatment, belong to the field of Chinese medicines.

Background technology

Pulmonary tuberculosis is the chronic pulmonary infection that is caused by tubercule bacillus, cough, chest pain, spitting of blood, hectic fever, night sweat, become thin, the erythrocyte sedimentation rate speedup is its main clinical characteristics.Under the situation that resistance of human body reduces, to fall ill because of infecting tubercule bacillus, the tool infectiousness though be not morbidity immediately after infecting, in case infect, has initiation potential throughout one's life.

Primary disease belongs to categories such as Chinese medicine " pulmonary tuberculosis ", " consumptive disease ", " malnutrition in infant in volving in the lung ".Innate deficiency, aquired constant indulgence, when indulgence in drinking and sexsual activity, melancholy,anxiety and overstrain, prolonged illness asthenia, the healthy energy loss is endogenous cause of ill, dyed by " consumptive disease worm ", heresy is taken advantage of a weak point, and causes morbidity.Sick position is at lung, and the lung master breathes, and is bullied in the sky, inhale exhale clearly turbid, insufficiency of lung-QI, weakened defensive QI then, water channel is logical transfer unfavorable, clear respectful not normal, the hoarseness hoarseness.Child-organ disease involving its motherorgan then temper is impaired, and fatigue and weakness, indigestion and loss of appetite loose stool.Deficiency of the lung kidney loses the source grow, the gold that burns mutually of suffering from a deficiency of the kidney, on consume mother-qi, and cause osteopyrexia and fever, irregular menstruation, all cards of soreness of waist spermatorrhea, if the lung gold can not make edema with the liver involved, suffering from a deficiency of the kidney can not nourishing the liver, and liver-fire is prosperous partially, superinverse insult lung is then seen tugging pain over the chest and hypochondrium, impatient irritability, suffer from a deficiency of the kidney, the not good fire of water is also shown in fidgets due to deficiency and is insomnia, diseases such as night sweat.In general, impaired from the beginning of the lung body, lung yin is consumed, and lung lose to moisten, and the lung kidney that continues is then held concurrently and conscience with sick, hyperactivity of fire caused by deficiency of YIN, or the lung spleen causes impairment of both QI and YIN with sick, and later stage deficiency of YIN affecting YANG causes the critical final result of all wounds of negative and positive eventually.

The phthisical medicine of the treatment of existing pure Chinese medicine has certain curative effect, but exists medicine time long, the unconspicuous problem of curative effect.

Summary of the invention

The objective of the invention is to overcome the deficiency of existing treatment, and provide a kind of treatment phthisical Orally-administered decoction,, significant curative effect is arranged at the determination of treatment based on pathogenesis obtained through differentiation of symptoms and signs of damage and exhaustion of lung-YIN type pulmonary tuberculosis.

Technical scheme of the present invention is: this kind treated phthisical Orally-administered decoction, it is characterized in that, makes the raw materials of effective components medicine and by following weight is: Radix Glehniae 12 grams, restrain Radix Ophiopogonis 12, the Radix Rehmanniae 18 grams, the Radix Stemonae 15 grams, the Pseudobulbus Bletillae (Rhizoma Bletillae) 20 grams, Rhizoma Dioscoreae 30 grams, Poria 15 grams, Bulbus Fritillariae Cirrhosae 12 grams, Colla Corii Asini 15 grams, Radix Notoginseng 3 grams, Herba Agrimoniae 30 grams, Folium Mahoniae 30 grams, Radix Pseudostellariae 15 grams and the Rhizoma Atractylodis Macrocephalae 15 grams.

The Colla Corii Asini molten is standby, and all the other all medicines Colla Corii Asini that adds half an hour after the molten that is decocted first continues to fry in shallow oil half an hour, 1 day 1 dose, sooner or later divide 2 times oral.

Pharmacological action:

Colla Corii Asini: the vexed insomnia of the deficiency of YIN, cough due to consumptive disease, lung abscess vomiting pus, hematemesis and epistaxis, have blood in stool, disease such as metrorrhagia and leukorrhagia, frequent fetal movement.

Poria: sweet, light, flat.GUIXIN, lung, spleen, kidney channel.Promoting diuresis to eliminate damp pathogen, spleen invigorating mind calming, strong lean marrow.Be used for the edema oliguria, the phlegm retention vertigo and palpitation, insufficiency of the spleen lack of appetite, have loose bowels in the loose stool, irritability, palpitation with fear insomnia.

The Radix Stemonae: gentle lung qi, cough-relieving, parasite killing.Control the cough due to wind and cold, pertussis, pulmonary tuberculosis, old cough with asthma, ascarid, enterobiasis, skin scabies, eczema.

Rhizoma Dioscoreae: sweet, flat.Return spleen, lung, kidney channel.The spleen reinforcing nourishing the stomach, the lung benefiting that promotes the production of body fluid, the kidney invigorating arresting seminal emission.Be used for insufficiency of the spleen lack of appetite, incessant chronic diarrhea, the deficiency of the lung is breathed with cough, emission due to deficiency of the kidney, leukorrhagia, frequent micturition, deficiency-heat is quenched one's thirst.

Radix Glehniae: cold nature, sweet in the mouth, little hardship.Nourishing YIN and clearing away lung-heat, reinforcing stomach reg fluid.It is thirsty to be used for lung-heat type cough, chronic cough expectorant blood, calentura Tianjin wound.

The Pseudobulbus Bletillae (Rhizoma Bletillae): nature and flavor hardship, puckery, cold, matter is sticking and puckery, goes into lung, stomach, Liver Channel, disease such as cure mainly pulmonary tuberculosis hemoptysis, hemoptysis caused by bronchiectasis, gastric ulcer haematemesis, hematuria, have blood in stool.δ

Radix Ophiopogonis: YIN nourishing and the production of body fluid promoting, lung moistening clears away heart-fire.Be used for dryness of the lung dry cough, the chronic consumptive disease cough, Tianjin wound is thirsty, vexed insomnia, interior-heat is quenched one's thirst, dryness of the intestine constipation, pharyngeal diphtheria.

The Radix Rehmanniae: clearing away heat and cooling blood, be used for the heat in blood poison and contain, hematemesis and epistaxis, macule is purple black, YIN nourishing and the production of body fluid promoting, interior-heat is quenched one's thirst.

Bulbus Fritillariae Cirrhosae: bitter, sweet, be slightly cold.Return lung, heart channel.Clearing heat and moistening lung, preventing phlegm from forming and stopping coughing.Be used for lung-heat type cough, the few expectorant of dry cough, deficiency of YIN chronic cough, sputum with blood.

Radix Notoginseng: sweet little hardship, temperature.Go into liver, stomach, large intestine channel.Hemostasis, dissipating blood stasis, detumescence, analgesic therapy.

The Rhizoma Atractylodis Macrocephalae: invigorating the spleen and benefiting QI, the dampness diuretic, hidroschesis, antiabortive.Be used for insufficiency of the spleen lack of appetite, abdominal distention is had loose bowels, phlegm retention vertigo and palpitation, edema, spontaneous perspiration, frequent fetal movement.

Folium Mahoniae: bitter, cold, heat clearing away tonify deficiency, relieving cough and resolving phlegm.Control pulmonary tuberculosis hemoptysis, osteopyrexia and fever, dizziness and tinnitus, waist soreness, vexed, conjunctival congestion.

Radix Pseudostellariae: mend strengthening spleen and lung, supplementing QI for promoting the production of body fluid.Control the cough due to deficiency of the lung, insufficiency of the spleen lack of appetite, cardiopalmus, palpitation with a distress feeling, edema is quenched one's thirst, and spirit is tired.

Herba Agrimoniae: property is flat, bitter in the mouth, puckery.Astringing to arrest bleeding, preventing the attack (or recurrence) of malaria, dysentery relieving, detoxifcation.Be used for hemoptysis, haematemesis, malaria, take off power impairment caused by overstrain, carbuncle.

The present invention has nourishing YIN and moistening the lung, and the parasiticidal effect of heat clearing away has in phthisical therapeutic process that raw material is cheap and easy to get, easy to prepare, rapid-action, advantage such as have no side effect.Example surplus the clinical treatment lunger 100, total effective rate 98%, cure rate 90.1%.

Model case is as follows:

Case one: Lee, the man 40 years old, goes to a doctor the date: in May, 2005.The main suit: low grade fever night sweat, sputum mixed with blood silk 3 years is repeatedly coughed up phlegm in cough.History of present illness: patient begins low grade fever, repeatedly 1 year surplus, between body temperature continues 37.5 ℃-38 ℃, begin heating in night and afternoon, the daystart frequent fever moves back, and finds no tuberculose focus in the lung at that time, with " not clear heat " treatment, effect is bad.Begin to have slight cough to cough up phlegm after 1 year, based on dry cough, amount of expectoration is few,, becomes thin inappetence, xerostomia desire for cold drinks, Sleep hyperhidrosis with unable.Tomography in X line and the lung is diagnosed as pulmonary tuberculosis, successively is in hospital for 2 times, and with streptomycin, isoniazid treatment, but effect is not outstanding, in July, 2005, hospitalization again.And treat in accordance with regulations the Chinese medicine medicinal powder for treating tuberculosis.History of past illness: previously healthy, deny the tuberculosis medical history, found tuberculosis before 3 years.Family history: deny that there is the tuberculosis medical history in family.Check: physically well develop, nutrition is medium, becomes thin, and is weak, the time asthma is arranged, sanity is checked cooperation, can the normal response problem.38 ℃ of body temperature, pulse 87 times/minute is breathed 20 times/minute.Blood pressure 116/80mmHg.Flush, the buccal is become thin sagging, and is pharyngeal rubescent.Cervical region, lymph node is not seen enlargement, does not see cicatrix and fistula on the clavicle, thyroid is little, the center, position of trachea, neck is not strong, and jugular vein does not have angry opening.Breast, lung: the chest symmetry is flat, no abnormal protuberance and sagging.The two lung voiced sounds of percussion.The auscultation right upper lung has tubular breath sound, and idol is heard fine bubbling rale and done the ring sound.The heart: the rhythm of the heart is neat, no noise, and heart circle is little.Abdomen: abdomen is smooth, and no vena epigastrica is angry to be opened, and stomach wall does not have tenderness and rebound tenderness, and the liver spleen does not touch, abdomen Immobility voiced sound.Extremity: no abnormal.The treatment process: the inactive antituberculosis drugs thing in the back of being admitted to hospital gives medicine of the present invention, potion on the one in July, 2005.The check cough alleviates after January, weight increase, and muscle power is gradually multiple, and appetite is better.But still have low grade fever, body temperature reaches 37.8 ℃ night sometimes.After two months, cough disappears substantially, coughs and breathes heavily but still have after the fatigue, and a small amount of expectorant, low grade fever are interrupted and occur, and gradually hypothermia is the highest 37 ℃.Occur when tired.The inspection pulmonary respiration is normal.After three months, check X-ray sheet is fully recovered.

Case two: Zeng, the woman 37 years old, goes to a doctor the date: in January, 2006.The main suit: dry cough, hoarseness, sputum mixed with blood silk, chest dull pain are surplus March.History of present illness: patient's readme is the hectic disease before 3 years, and often cough is coughed up phlegm, and sputum mixed with blood is coughed constantly night repeatedly, has a strong impact on and falls asleep and have a rest.Hospitalization half a year, use isoniazid, streptomycin etc., poor effect is coughed and acute and osteopyrexia and fever and feverish sensation in the palms and soles are arranged recently, and two cheekbones are rubescent more outstanding in the afternoon, night sweat, emaciated physique is lived in tuberculosis hospital once more.History of past illness: suffered from tuberculosis 3 years, twice of chemotherapy.Family history: father suffers from tuberculosis, heals.Check: physically well develop, malnutrition, it is unable to become thin, palor, sanity, xerostomia desire for cold drinks, red tongue thready and rapid pulse.The normal speedup of erythrocyte sedimentation rate, hemoglobin is on the low side.Physically well develop, nutrition is medium, sanity, 37.2 ℃ of body temperature, pulse 86 times/minute.Blood pressure 136/80mmHg.Head: eye, ear, nose, mouth do not detect unusual.Neck: cervical lymph node enlargement, no scrofula hole reach to suppurate unusually drops down water.Thyroid does not have enlargement, the center, position of trachea.Breast: thorax symmetry, no abnormal protuberance rise and the ventral breathing of sinking. right breast dull percussion note, respiratory murmur a little less than, upper right audible and " Kazakhstan " " Kazakhstan " sound.The rhythm of the heart is neat, and the heart is not heard and noise.Abdomen: smooth, no abnormal protuberance, no abdominal wall varicosis, the liver spleen does not touch, the Immobility voiced sound.Extremity: no abnormal finding.Be diagnosed as damage and exhaustion of lung-YIN type type pulmonary tuberculosis.Treatment is through using earlier pituitrin, and dead point stops blooding, and blood is withdrawn all chemotherapeutics after ending.Take a good rest, avoid overwork.In April, 2006, give medicine of the present invention, potion on the one.Therapeutic outcome: check after month, spitting of blood is ended, and cough alleviates, and muscle power is gradually recovered, and appetite increases, and low grade fever still exists, but occurs at interval, is up to 37.5 ℃.After two months, all diseases alleviate, low pyretolysis, and night sweat ends.The check symptom disappears substantially after four months.

The specific embodiment

Example one: the phthisical Orally-administered decoction of a kind of treatment, make the raw materials of effective components medicine and be by following weight: Radix Glehniae 12 grams, Radix Ophiopogonis 12 gram, the Radix Rehmanniae 18 grams, the Radix Stemonae 15 grams, the Pseudobulbus Bletillae (Rhizoma Bletillae) 20 grams, Rhizoma Dioscoreae 30 grams, Poria 15 grams, Bulbus Fritillariae Cirrhosae 12 grams, Colla Corii Asini 15 grams, Radix Notoginseng 3 grams, Herba Agrimoniae 30 grams, Folium Mahoniae 30 grams, Radix Pseudostellariae 15 grams and the Rhizoma Atractylodis Macrocephalae 15 grams.

The Colla Corii Asini molten is standby, and all the other all medicines are decocted first and add Colla Corii Asini half an hour and continue to fry in shallow oil half an hour, 1 day 1 dose, sooner or later divide 2 times oral.

Claims (1)

1, the phthisical Orally-administered decoction of a kind of treatment is characterized in that, makes the raw materials of effective components medicine and by following weight is: Radix Glehniae 12 grams, restrain Radix Ophiopogonis 12, the Radix Rehmanniae 18 grams, the Radix Stemonae 15 grams, the Pseudobulbus Bletillae (Rhizoma Bletillae) 20 grams, Rhizoma Dioscoreae 30 grams, Poria 15 grams, Bulbus Fritillariae Cirrhosae 12 grams, Colla Corii Asini 15 grams, Radix Notoginseng 3 grams, Herba Agrimoniae 30 grams, Folium Mahoniae 30 grams, Radix Pseudostellariae 15 grams and the Rhizoma Atractylodis Macrocephalae 15 grams; The preparation method of this decoction is, the Colla Corii Asini molten is standby, and all the other all medicines Colla Corii Asini that adds half an hour after the molten that is decocted first continues to fry in shallow oil half an hour.