CN102198185A - Medicament for rapidly treating chronic pharyngolaryngitis - Google Patents
Medicament for rapidly treating chronic pharyngolaryngitis Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种快速治疗慢性咽喉炎的药物,特别是涉及一种以植物中药且全部为药食两用的中药为原料制成的、安全性更高的、具有标本兼治作用的咽喉炎药物。The invention relates to a medicine for rapidly treating chronic pharyngitis, in particular to a pharyngitis medicine which is made from herbal traditional Chinese medicines, all of which are used for both medicine and food, has higher safety, and has the effect of treating both symptoms and root causes. .
背景技术Background technique
慢性咽喉炎是很常见的疾病,该症反复发作、日久不愈,对患者工作、交往、生活等常常引发诸多烦恼。近些年来,由于抗生素滥用日益严重,许多患者产生耐药,使部分患者发病次数增加、病程迁延。Chronic pharyngolaryngitis is a very common disease. The disease recurs and persists for a long time, and often causes many troubles to the patient's work, communication, and life. In recent years, due to the increasing abuse of antibiotics, many patients have developed drug resistance, which has increased the number of attacks and delayed the course of some patients.
慢性咽喉炎是临床发病率高而治疗相对棘手的慢性疾病。因咽部有异物感,作痒微痛,干燥灼热,粘稠分泌物附于咽后壁不易清除,常常影响日常生活;又因夜间尤甚,意欲清除而难以清除,可引起刺激性咳嗽,甚或恶心、呕吐,影响正常休息;咽部粘膜弥漫性充血,附有少量粘稠分泌物,或见粘膜增厚,弥漫充血,或腭弓和软腭边缘增厚,咽后壁有多数颗粒状突起的淋巴滤泡,极易有异物感,咯之不出咽之不下,且与情绪有关;日久常伴头晕、心烦易怒、胸闷作胀、心慌气喘,盗汗多梦,声音嘶哑,音调低微,咽中作痒,口干不适,有息肉小结节增生有有癌变可能。这些症状,单一使用西药效果并不理想,因此也是长期困扰患者的疾病,影响患者的生活质量。Chronic pharyngitis is a chronic disease with high clinical incidence and relatively difficult treatment. Due to foreign body sensation in the pharynx, itching and slight pain, dryness and hotness, sticky secretions attached to the back wall of the pharynx are difficult to remove, often affecting daily life; especially at night, it is difficult to remove when you want to remove it, which can cause irritating cough, Or nausea, vomiting, affecting normal rest; diffuse hyperemia of pharyngeal mucosa, with a small amount of viscous secretions, or thickened mucosa, diffuse hyperemia, or thickened palatal arch and edge of soft palate, and many granular protrusions on the posterior pharyngeal wall Lymphatic follicles in the lymphatic follicles of the patient are very prone to foreign body sensation, which can't be swallowed and swallowed, and it is related to emotions; it is often accompanied by dizziness, upset and irritability, chest tightness and swelling, palpitation and asthma, night sweats and dreams, hoarse voice, and low pitch. Itching in the throat, dry mouth and discomfort, polyps and small nodules hyperplasia may be cancerous. For these symptoms, the single use of western medicine is not ideal, so it is also a disease that plagues patients for a long time and affects the quality of life of patients.
对于慢性咽喉炎的治疗,抗生素具有较好的治标作用,对控制症状加重见效快捷,但由于慢性咽喉炎的病因常常是多方面的,既有复杂的致病因素,又有自身免疫功能低下的因素,甚至还有明显的精神因素,因而难以用抗生素控制复发,常常是被动等待机体自身抗病能力提高而减少其复发率。在中医治疗方面,尽管具有较大的优势,但由于中药汤剂煎煮麻烦,口感较差,服用不便,患者常常不易接受;不仅如此,目前中成药中针对慢性咽喉炎标本兼治、提高免疫功能控制复发的方剂未见。For the treatment of chronic pharyngitis, antibiotics have a good palliative effect, and are effective in controlling the aggravation of symptoms. However, the etiology of chronic pharyngitis is often multifaceted, including complex pathogenic factors and low autoimmune function. Factors, and even obvious mental factors, so it is difficult to control relapse with antibiotics, often passively waiting for the body's own disease resistance to improve and reduce its relapse rate. In terms of Chinese medicine treatment, although it has great advantages, it is often difficult for patients to accept it due to the troublesome decoction of Chinese medicine decoctions, poor taste, and inconvenience in taking; There is no prescription for controlling recurrence.
如何快速控制慢性咽喉炎的发病症状,而又可以有效增强患者的免疫功能、防止病情反复发作,是治疗慢性咽喉炎的一个棘手难题,也是发明者多年中医药研究的目标。How to quickly control the onset symptoms of chronic pharyngitis, and effectively enhance the patient's immune function and prevent recurrence of the disease is a thorny problem in the treatment of chronic pharyngitis, and it is also the goal of the inventor's many years of research on traditional Chinese medicine.
发明一种具有疗效可靠而没有毒副作用、快速控制发病症状而又可以逐步控制复发效果的药物,是本发明人的目的。纵观中西药市场,该类药物尚属空白。It is the purpose of the present inventors to invent a drug that has reliable curative effect without toxic and side effects, can quickly control the onset symptoms and can gradually control the recurrence effect. Looking at the Chinese and Western medicine market, this kind of medicine is still blank.
发明内容Contents of the invention
本发明的目的在于,提供一种治疗慢性咽喉炎的新颖药物,治疗慢性咽喉炎见效快捷、标本兼治,能够减少乃至控制复发,为临床提供一种新型、安全、高效的治疗药物品种。The object of the present invention is to provide a novel drug for treating chronic pharyngitis, which can be quickly cured, treats both symptoms and root causes, can reduce or even control recurrence, and provides a new, safe and efficient therapeutic drug variety for clinical use.
本发明以传统的辨证施治为准则,清火兼以利咽,祛邪佐以扶正,理气辅以化痰,解毒兼以活血,用药主次分明,配方恰如其分,辨证与辨病结合,中医与西医合参,所用药物均经现代医学有关药理实验证明其抗细菌、抗病毒、增强免疫功能的显效性与可靠性,证明其利咽、消肿、化痰的显效性与可靠性,而且每味药物均提示没有毒副作用。The present invention is based on traditional syndrome differentiation and treatment as the criterion, clearing fire and relieving sore throat, expelling pathogenic factors and strengthening the body, regulating qi and reducing phlegm, detoxification and promoting blood circulation. Combined with western medicine, the drugs used have been proved by modern medical pharmacological experiments to be effective and reliable in anti-bacterial, anti-viral, and immune-enhancing functions, as well as their effectiveness and reliability in relieving throat, reducing swelling, and reducing phlegm. Every medicine all hints that there is no toxic side effect.
本发明是以如下技术方案实现的。一种治疗小儿反复呼吸道感染与免疫力低下的药物,其特征在于它是由下述重量份的原料药用常规制备方法制成:青果10-30份、火麻仁10-25份、苏子10-25份、葛根12-30份、山楂10-30份、桃仁10-25份、甘草10-22份、鱼腥草12-30份、马齿苋10-20份、胖大海10-30份、茯苓10-30份。The present invention is realized by the following technical solutions. A medicine for treating recurrent respiratory tract infection and hypoimmunity in children, characterized in that it is made of the following raw materials in parts by weight: 10-30 parts of green fruit, 10-25 parts of hemp seed, perilla seed 10-25 parts, 12-30 parts of kudzu root, 10-30 parts of hawthorn, 10-25 parts of peach kernel, 10-22 parts of licorice, 12-30 parts of Houttuynia cordata, 10-20 parts of purslane, 10-30 parts of fat sea part, 10-30 parts of Poria cocos.
上述原料药及用量配方,是发明人20多年临床试验才得出的,在上述用量范围内均具有显著的疗效。The above-mentioned raw material medicine and dosage formula were obtained by the inventor in more than 20 years of clinical trials, and all have remarkable curative effects within the above-mentioned dosage range.
本发明的药物选择青果、火麻仁、苏子、葛根、山楂、桃仁、甘草、鱼腥草、马齿苋、胖大海、茯苓进行配伍,各药物功效产生协同作用,从而达到解除慢性咽喉炎症状、防止反复发作的效果。方中青果清热生津,利咽祛痰、健脾解毒,具有良好的抗菌作用;火麻仁性平,润肠除燥,活血化瘀,益血护津,发挥可靠的润通效果;胖大海泻火解毒,清宣肺气,利咽化痰,为咽喉感染疾病之要药;三者配伍,清三焦之火,除上下之燥,解咽喉之毒。苏子疏理气机,化痰消郁,可除慢性咽喉炎异物感之症状;葛根益阴生津,健脾升阳,具有良好的抗菌功效;山楂健脾和中,行气散瘀,且有一定的抗菌效果;桃仁活血化瘀,润肠通便,化痰止咳,具有良好的抗炎杀菌与免疫调节作用;四者合用,疏解肝胃之气郁,破解喉中之痰郁,畅通咽部之血瘀。甘草益气化痰,调和诸药。鱼腥草解毒消痈,止咳降火,抗病原微生物作用显著,且增强白细胞的吞噬能力;马齿苋凉血解毒,善泻胃肠之火,具有免疫增强作用;茯苓健脾益气,渗湿化痰,具有良好的免疫增强效果;三者相辅解毒消痈,凉血泻火,渗湿化痰,具有标本兼治,扶正祛邪作用。全方组合协调,疗效相得益彰,完全符合中医辨证施治的基本原则。The medicine of the present invention is compatible with green fruit, hemp seed, perilla, kudzu root, hawthorn, peach kernel, licorice, houttuynia cordata, purslane, fat sea, and poria cocos. Symptoms and the effect of preventing recurrence. In the prescription, Qingguo clears heat and promotes body fluid, sore throat and phlegm, invigorates the spleen and detoxifies, and has good antibacterial effect; hemp seed has a flat nature, moistens the intestines and removes dryness, promotes blood circulation and removes blood stasis, nourishes blood and protects body fluid, and exerts a reliable moisturizing effect; fat sea Purging fire and detoxifying, clearing lung qi, relieving throat and resolving phlegm, is an essential medicine for throat infections; the combination of the three can clear the fire of the triple burner, remove upper and lower dryness, and detoxify the throat. Perilla soothes qi, reduces phlegm and depression, and can relieve symptoms of foreign body sensation in chronic pharyngitis; kudzu root benefits yin and promotes body fluid, invigorates spleen and raises yang, and has good antibacterial effect; Certain antibacterial effect; peach kernel promotes blood circulation and removes blood stasis, laxes bowels, relieves phlegm and relieves cough, and has good anti-inflammatory, bactericidal and immunoregulatory effects; the combination of the four can relieve the qi stagnation in the liver and stomach, break the phlegm stagnation in the throat, and smooth the throat Department of blood stasis. Licorice nourishes qi and resolves phlegm, harmonizes various medicines. Houttuynia cordata detoxifies and eliminates carbuncles, relieves cough and fire, has significant anti-pathogenic microorganisms, and enhances the phagocytosis of white blood cells; Expelling dampness and resolving phlegm has a good immune-enhancing effect; the three complement each other to detoxify and eliminate carbuncle, cool blood and purging fire, expelling dampness and resolving phlegm, have the effects of treating both symptoms and root causes, strengthening the body and eliminating pathogenic factors. The combination of all prescriptions is coordinated, and the curative effects complement each other, which fully conforms to the basic principles of TCM syndrome differentiation and treatment.
本发明药物可采用中药制剂的常规方法制成内服剂型。本发明药物可以将原料药研成粉混合均匀成散剂、冲剂、片剂、颗粒剂、口服液。可以将各原料药水煎后浓缩成煎液得有效成份,再制备成各种口服剂,但这些不限制本发明的保护范围。The medicine of the present invention can be made into an oral dosage form by conventional methods of traditional Chinese medicine preparations. The medicine of the present invention can be ground into powder from raw materials and mixed evenly to form powders, granules, tablets, granules and oral liquids. The raw materials can be decocted and concentrated into decoctions to obtain active ingredients, and then prepared into various oral preparations, but these do not limit the protection scope of the present invention.
本发明药物也可采用半仿生提取法(Semi-bionicExtractionmethod,SBE法)、超临界流体萃取(SupercriticalFluidExtraction,SFE)、微波提取(Microwaveextraction)、酶工程技术(cellulaseengineeringtech nique)、超声波提取(TheUltrasonicwithdrawsthetech nique)、大孔吸附树脂法(MacroAbsorptionResin)等方法提取有效成分,但这些提取方式均不限制本发明的保护范围。The medicine of the present invention can also adopt semi-bionic extraction method (Semi-bionic Extraction method, SBE method), supercritical fluid extraction (Supercritical Fluid Extraction, SFE), microwave extraction (Microwave extraction), enzyme engineering technology (cellulase engineering technology), ultrasonic extraction (TheUltrasonicwithdrawsthetechnique), Methods such as macroabsorption resin (MacroAbsorptionResin) are used to extract active ingredients, but these extraction methods do not limit the protection scope of the present invention.
本发明药物优选地制备方法如下:The preferred preparation method of the medicine of the present invention is as follows:
本发明优选的采用如下胶囊剂型和片剂。The present invention preferably adopts the following capsule dosage forms and tablets.
所述药物的制备方法,按如下步骤进行:The preparation method of described medicine is carried out as follows:
(1)按比例称取原料,备用;(1) Take raw materials in proportion, and set aside;
(2)将所述重量比的青果、火麻仁、苏子、葛根、山楂、桃仁、甘草、鱼腥草、马齿苋、胖大海和茯苓11味药加水煎煮5次,然后合并5次煎液;(2) decoct the 11 herbs of green fruit, hemp seed, perilla, kudzu root, hawthorn, peach kernel, licorice, houttuynia cordata, purslane, fat sea and Poria cocos in the weight ratio for 5 times, and then combine 5 secondary decoction;
(3)将步骤(2)所得煎液浓缩成浸膏;(3) concentrating the decoction obtained in step (2) into an extract;
(4)将浸膏烘干得干浸膏;(4) drying the extract to obtain a dry extract;
(5)粉碎干浸膏成粉状;(5) pulverize the dry extract into powder;
(6)在110℃下保持10分钟之后降至105℃保持5分钟,然后再降温至100℃,保持5分钟,冷却至室温;(6) Keep at 110°C for 10 minutes, then drop to 105°C for 5 minutes, then cool down to 100°C, keep for 5 minutes, and cool to room temperature;
(7)装入胶囊。(7) Pack into capsules.
所述的步骤(2)的每次加水量以没过药面为宜,每次煎煮30分钟。It is advisable that the amount of water added each time in the step (2) is not over the medicine noodles, and it is decocted for 30 minutes each time.
将所述的步骤(5)所得药粉与片剂常用辅料混合,压片成片剂。The medicated powder obtained in the step (5) is mixed with commonly used adjuvants for tablets, and compressed into tablets.
本发明药物经临床使用结果表明,有下述优点:Medicine of the present invention shows through clinical application result, has following advantage:
1、本发明选用天然食用植物药为原料,各组份符合药品法规定和中医处方原则,突出中医辨证与两医辨病相结合、病因治疗与对症治疗相结合的基本特色;1. The present invention selects natural edible plant medicines as raw materials, and each component conforms to the provisions of the Drug Law and the principles of traditional Chinese medicine prescriptions, highlighting the basic characteristics of the combination of TCM syndrome differentiation and two-medicine disease differentiation, and the combination of etiological treatment and symptomatic treatment;
2、本发明药物无须煎煮,口感良好,服用方便,各味药物组方前后均无毒无害,正常剂量服用没有发现任何副作用;2. The medicine of the present invention does not need to be decocted, has a good taste, is convenient to take, and is non-toxic and harmless before and after the prescription of each medicine, and no side effects are found when taken in normal doses;
3、本发明药物对慢性咽喉炎、慢性扁桃体炎、慢性口腔溃疡等不仅具有良好的效果,也有良好的预防“上火”的保健作用,适用范围广泛;3. The medicine of the present invention not only has a good effect on chronic pharyngitis, chronic tonsillitis, chronic oral ulcer, etc., but also has a good health care effect of preventing "getting angry", and has a wide range of applications;
4、本发明药物均精选于卫生部规定可药食两用的品种,安全性更高,治疗慢性咽喉炎、慢性扁桃体炎等可以较长时间服用;4. The medicines of the present invention are all selected from the varieties that can be used for both medicine and food as stipulated by the Ministry of Health, with higher safety, and can be taken for a long time to treat chronic pharyngitis, chronic tonsillitis, etc.;
5、本发明药物具有良好的兼顾性,对易“上火”之患者便秘、咳嗽、声音嘶哑等症状,具有一定的兼顾治疗作用;5. The medicine of the present invention has good compatibility, and has a certain therapeutic effect on symptoms such as constipation, cough, and hoarseness in patients who are prone to "get angry";
6、本发明组方新颖,既符合中医辨证的原则,又考虑到药物的药理作用,清火不过于寒凉泻下,消炎注重增强免疫,具有清火解毒、利咽止痛、祛瘀活血、降气解郁、化痰消臃等综合功效;6. The composition of the present invention is novel, which not only conforms to the principle of syndrome differentiation in traditional Chinese medicine, but also takes into account the pharmacological effects of drugs. It clears away fire but not too cold and cools down, and focuses on strengthening immunity for anti-inflammatory. Comprehensive effects such as lowering qi and relieving depression, resolving phlegm and reducing bloat;
7、本发明药物标本兼治,见效迅速,治愈率高。7. The medicine of the present invention treats both symptoms and root causes, has quick effect and high cure rate.
具体实施方式Detailed ways
以下结合实施例及临床应用统计进一步说明本发明药物的效果。Below in conjunction with embodiment and clinical application statistics further illustrate the effect of medicine of the present invention.
实施例1:胶囊剂制备Embodiment 1: capsule preparation
青果15kg、火麻仁15kg、苏子18kg、葛根22kg、山楂18kg、桃仁18kg、甘草15kg、鱼腥草26kg、马齿苋20kg、胖大海22kg、茯苓25kg加水共同煎煮5次,每次加水以没过药面为宜,每次煎煮30分钟,合并5次煎液;将煎液通过常规酒精提取,浓缩成浸膏;将浸膏放入烘干箱烘干后粉碎为细粉,并进行常规高温消毒;将细粉装入胶囊,每粒药粉0.45g。Green fruit 15kg, hemp seed 15kg, perilla 18kg, kudzu root 22kg, hawthorn 18kg, peach kernel 18kg, licorice 15kg, houttuynia cordata 26kg, purslane 20kg, fat sea 22kg, poria cocos 25kg, add water and decoct 5 times, adding water each time It is advisable to have no medicinal noodles, decoct for 30 minutes each time, and combine the decoction 5 times; extract the decoction with conventional alcohol and concentrate it into an extract; And perform conventional high-temperature disinfection; put the fine powder into capsules, 0.45g of each powder.
实施例2:颗粒剂制备Embodiment 2: Granule preparation
青果15kg、火麻仁15kg、苏子18kg、葛根22kg、山楂18kg、桃仁18kg、甘草15kg、鱼腥草26kg、马齿苋20kg、胖大海22kg、茯苓25kg,用实施例1所述方法制成药粉,再辅以颗粒剂常用辅料制成冲剂,冲剂每袋2g。Green fruit 15kg, hemp seed 15kg, perilla 18kg, kudzu root 22kg, hawthorn 18kg, peach kernel 18kg, licorice 15kg, houttuynia cordata 26kg, purslane 20kg, fat sea 22kg, poria cocos 25kg, made by the method described in Example 1 Medicinal powder, supplemented with commonly used auxiliary materials for granules to make granules, 2g per bag of granules.
本发明药物临床观察Drug clinical observation of the present invention
一、一般情况及试验方法1. General conditions and test methods
为证实本发明药物的临床疗效,于2007年11月初一2008年10月底,治疗组选择慢性咽喉炎57例,其中男性26例,女性31例;年龄21-57岁,平均35.8岁。对照组55例,其中男性22例,女性23例;年龄22-59岁,平均34.6岁。两组经统计学处理具有可比性,差异均无显著性意义(P>0.05)。In order to confirm the clinical curative effect of the medicine of the present invention, at the beginning of November 2007 to the end of October 2008, the treatment group selected 57 cases of chronic pharyngitis, including 26 males and 31 females; aged 21-57 years, with an average of 35.8 years old. The control group consisted of 55 cases, including 22 males and 23 females; aged 22-59 years, with an average of 34.6 years. The two groups were statistically comparable, and the difference was not significant (P>0.05).
治疗组全部服用实施例1药物胶囊,每次5粒,每日3次;对照组服用清热消炎宁胶囊,每次4粒,每日3次。两组服药期间均忌辛辣食物,给药时间14天为1个疗程,治疗时间为1-2疗程。The treatment group took all the medicinal capsules of Example 1, 5 capsules each time, 3 times a day; the control group took Qingrexiaoyanning capsules, 4 capsules each time, 3 times a day. Spicy food was avoided during the medication period of the two groups, and the administration time was 14 days as a course of treatment, and the treatment time was 1-2 courses of treatment.
二、临床观察标准2. Clinical Observation Standards
两组诊断标准均符合慢性咽炎的诊断标准。The diagnostic criteria of the two groups were in line with the diagnostic criteria of chronic pharyngitis.
疗效标准:咽部症状全部消失,停药一个月后随访无复发者为痊愈;主要症状基本环节,咽部异物感基本消失为显效;咽部症状减轻、异物感及咽后壁滤泡增生明显减少为有效;咽部症状无改善为无效。Efficacy criteria: all pharyngeal symptoms disappear, and those who have no recurrence in the follow-up one month after drug withdrawal are considered cured; the basic link of main symptoms, foreign body sensation in the pharynx basically disappears, is markedly effective; pharyngeal symptoms are alleviated, foreign body sensation and follicular hyperplasia on the posterior pharyngeal wall are obvious Reduction is effective; no improvement in pharyngeal symptoms is invalid.
三、治疗效果分析3. Analysis of treatment effect
观察组治愈29例,显效21例,有效4例,无效3例,总有效率94.7%;对照组治愈8例,显效15例,有效16例,无效16例,总有效率70.9%。两组比较差异有统计学意义(P<0.05)。In the observation group, 29 cases were cured, 21 cases were markedly effective, 4 cases were effective, and 3 cases were ineffective, with a total effective rate of 94.7%; in the control group, 8 cases were cured, 15 cases were markedly effective, 16 cases were effective, and 16 cases were ineffective, with a total effective rate of 70.9%. The difference between the two groups was statistically significant (P<0.05).
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