CN102228576A - Chinese patent medicine for treating discoid lupus erythematosus - Google Patents

Chinese patent medicine for treating discoid lupus erythematosus Download PDF

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CN102228576A
CN102228576A CN2011101565231A CN201110156523A CN102228576A CN 102228576 A CN102228576 A CN 102228576A CN 2011101565231 A CN2011101565231 A CN 2011101565231A CN 201110156523 A CN201110156523 A CN 201110156523A CN 102228576 A CN102228576 A CN 102228576A
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radix
chinese patent
patent medicine
lupus erythematosus
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CN102228576B (en
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王莲芬
渠淑敏
董娜
吴国敏
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Beijing Gulou Research Institute Of Difficult Diseases Co ltd
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Abstract

The invention discloses a Chinese patent medicine for treating discoid lupus erythematosus, which belongs to the technical field of treatment of skin diseases. The Chinese patent medicine is prepared from the following Chinese medicinal herbs in parts by weight: 10-20 parts of rehmanniae praeparatum, 15-25 parts of red paeony root, 15-25 parts of achyranthis bidentatae, 20-30 parts of dandelion, 20-30 parts of Chinese violet, 30-40 parts of red-rooted salvia, 15-25 parts of pollen, 15-25 parts of angelica, 15-25 parts of white paeony root, 15-25 parts of fructus forsythia, 15-25 parts of scutellaria, 10-15 parts of liquorice, 8-12 parts of dipsacus asperoides, 9-16 parts of scrophularia, 15-25 parts of cortex lycii radicis, 15-25 parts of Sophora flavescens, 10-20 parts of antelope horn, 10-20 parts of duckweed and 10-20 parts of rhizoma alismatis. Compared with the prior art, the Chinese patent medicine for treating the discoid lupus erythematosus has outstanding substantial characteristics and obvious advantages of removal of the diseases of patients, promotion of physical and psychological health, convenience for taking, quick therapeutic effect and no side effect.

Description

A kind of Chinese patent medicine for the treatment of discoid lupus erythematosus
Technical field:
Invention relates to the treatment technology field of dermatosis, relates in particular to a kind of Chinese patent drug technique field that is used for the treatment of discoid lupus erythematosus.
Background technology
The plate-like lupus erythematosus is a kind of of lupus erythematosus.The main skin of invading is type the lightest in the lupus erythematosus.Minority can have slight visceral lesion.Skin lesion just time-out is a slice or several pieces scarlet mottles, and Semen phaseoli radiati is big to Semen Glycines, and there is adhesive scale on the surface, enlarge gradually later on, and rounded or irregular shape, the edge pigment is obviously deepened, a little more than the center.Central authorities' color is light, but atrophy, low-lying, and whole skin lesion is plate-like (so name discoid lupus erythematosus).Infringement mainly is distributed in the sun exposure position, and as face, helix and scalp, minority can be involved breast, the back of the hand, forearm, lip and oral mucosa and also can be got involved.Most of patients skin lesion no conscious sympton, but be difficult to disappear fully.New infringement can increase gradually or be constant for many years, and infringement is evacuated and is symmetrically distributed, and also can merge mutually in flakes, and the infringement at face middle part can be fused into butterfly.The plate-like skin lesion is in sunlight exposure or tired postemphasis.Infringement on the scalp can cause permanent alopecia.The old infringement can develop into cutaneous squamous cell carcinoma occasionally.
According to pathogenic factor, the pathological change of discoid lupus erythematosus, learn through multi-party verification, cause the reason of discoid lupus erythematosus to mainly contain following several:
1, inherited genetic factors.Heredity is the key factor of lupus erythematosus morbidity, has the people of lupus erythematosus inherited genetic factors, in case run into the condition of bringing out in some environment, will cause this disease.Black people Aisan suffers from lupus erythematosus and is higher than white man according to investigations, and the incidence rate height of lupus erythematosus family history is arranged, and sickness rate is higher among the one.
2, infective agent.In SLE patient's glomerule endotheliocyte and skin lesion, find inclusion body and class inclusion body material, antiviral antibody increases in the serum, separablely in the SLE animal model NZB/NZW mouse tissue go out C type virus (slow virus), and in glomerule, can record the antibody of C type VAA.
3, the endocrine factors lupus erythematosus is mainly in the women of child-bearing age, asexuality difference almost in child and gerontal patient.Lupus erythematosus often takes place in male's hypoplasia of testis patient, and no matter the men and women all has the estrone hydroxylation product to increase in the lupus erythematosus patient.
4, environmental factors.Environmental factors is the factor of directly bringing out lupus erythematosus, comprises physics aspect and chemical aspect.Physical factor such as ultraviolet radiation, chemical factor such as medicine have some medicines can cause drug induced lupus and increase the weight of lupus erythematosus.
5, other factors.In daily life, as improper diet, eaten shrimp, Eriocheir sinensis, Folium Allii tuberosi, Herba Apii graveolentis, mushroom, Fructus Fici and some soybean pod class plants etc., lived in newly-decorated house, hair dyeing etc. can be brought out erythema.
And the medicine for the treatment of discoid lupus erythematosus at present has Chinese medicine, Western medicine, but curative effect does not all make patient satisfaction; And some drug toxicity is bigger, and therapeutic process injures health, has brought many miseries to the patient.
Summary of the invention:
Technical problem to be solved by this invention provides a kind of to eliminate patient's illness, promotion physical and mental health, the Chinese patent medicine that has the treatment discoid lupus erythematosus that the patient takes medicine conveniently, curative effect is fast, have no side effect simultaneously.
For solving the problems of the technologies described above, the present invention adopts following technical scheme: a kind of Chinese patent medicine for the treatment of discoid lupus erythematosus, and its special character is to be prepared from by following medicaments in part by weight: Radix Rehmanniae 20-30 part, Radix Paeoniae Rubra 15-25 part, Cortex Moutan 15-25 part, Radix Achyranthis Bidentatae 15-25 part, Herba Taraxaci 20-30 part, Herba Violae 20-30 part, Radix Salviae Miltiorrhizae 30-40 part, pollen 15-25 part, Radix Angelicae Sinensis 15-25 part, Radix Paeoniae Alba 15-25 part, Fructus Forsythiae 15-25 part, Radix Scutellariae 15-25 part, Radix Glycyrrhizae 10-15 part, Radix Dipsaci 8-12 part, Radix Scrophulariae 9-16 part, Cortex Lycii 10-15 part, Radix Sophorae Flavescentis 10-15 part, Cornu Saigae Tataricae 10-20 part, Herba Spirodelae 10-20 part, Rhizoma Alismatis 10-20 part.
The preferred version of said medicine weight portion is: Radix Rehmanniae 22-28 part, Radix Paeoniae Rubra 18-22 part, Cortex Moutan 18-22 part, Radix Achyranthis Bidentatae 18-22 part, Herba Taraxaci 22-28 part, Herba Violae 22-28 part, Radix Salviae Miltiorrhizae 32-38 part, pollen 18-22 part, Radix Angelicae Sinensis 18-22 part, Radix Paeoniae Alba 18-22 part, Fructus Forsythiae 18-22 part, Radix Scutellariae 18-22 part, Radix Glycyrrhizae 11-14 part, Radix Dipsaci 9-11 part, Radix Scrophulariae 10-15 part, Cortex Lycii 11-14 part, Radix Sophorae Flavescentis 11-14 part, Cornu Saigae Tataricae 12-18 part, Herba Spirodelae 12-18 part, Rhizoma Alismatis 12-18 part.
The preferred plan of said medicine weight portion is: 25 parts in the Radix Rehmanniae, 20 parts of Radix Paeoniae Rubra, 20 parts of Cortex Moutans, 20 parts of Radix Achyranthis Bidentataes, 25 parts of Herba Taraxacis, 25 parts of Herba Violaes, 35 parts of Radix Salviae Miltiorrhizaes, 20 parts of pollen, 20 parts of Radix Angelicae Sinensis, 20 parts of the Radix Paeoniae Albas, 20 parts of Fructus Forsythiaes, 20 parts of Radix Scutellariae, 12 parts in Radix Glycyrrhizae, 10 parts of Radix Dipsaci, 12 parts of Radix Scrophulariae, 12 parts of Cortex Lycii, 12 parts of Radix Sophorae Flavescentiss, 15 parts of Cornu Saigae Tataricae, 15 parts in Herba Spirodelae, 15 parts of Rhizoma Alismatis.
Above-mentioned described Chinese patent medicine is made pill, sublimed preparation, powder, tablet, unguentum, decoction and the different oral medicine dosage form of capsule dress powder according to the conventional technology of preparing of Chinese medicine.Above-mentioned described Chinese patent medicine also contains drug excipient.
The principles of formulating prescriptions of Chinese patent medicine of the present invention are: to regulate the blood flow circulation, painful antipruritic, the cooling blood and dissolving purpura in clearing away heart-fire, expelling wind and removing dampness, kidney tonifying detoxifcation, town, enhancement telangiectasis, improve immune function of human body, thereby reach the purpose of treatment plate-like erythema disease.The present invention has proper, the reasonable recipe of compatibility of drugs, and the effect of its described each herbal medicine is:
The Radix Rehmanniae: another name: Radix Rehmanniae, marrow, smart, the benzyl root of sun, be goatweed.The property flat, bitter in the mouth, be used as medicine with ratan on the Chinese medicine, function heat-clearing and toxic substances removing, promoting blood circulation to restore menstrual flow cure mainly diseases such as arthralgia.
Radix Paeoniae Rubra: sour in the mouth, hardship, cool in nature.Go into liver, spleen channel.Effect: clots absorbing, pain relieving, removing heat from blood, detumescence.Cure mainly: control the stagnant amenorrhea of the stasis of blood, the hernia abdominal mass is gathered, stomachache, hypochondriac pain, epistaxis, dysentery, discharging fresh blood stool, conjunctival congestion, carbuncle.
Cortex Moutan: bitter in the mouth, cool in nature, be slightly cold.GUIXIN, liver, kidney, lung meridian.Effect cures mainly: clearing away heat and cooling blood; Promoting blood circulation to remove blood stasis.The epidemic febrile disease pathogenic heat attacking blood system in febrile diseases; Send out speckle; Tell nosebleed; The calentura later stage, hot Fu Yin divided heating; Deficiency of YIN osteopyrexia and fever; Amenorrhea due to stagnation of blood; Dysmenorrhea; Carbuncle sore tumefacting virus; Fall and pounce on the pain of injury; The rheumatism pyretic arthralgia.
Radix Achyranthis Bidentatae: bitter in the mouth, acid, property is flat.Return liver, kidney channel.Function cures mainly: invigorating the liver and kidney, bone and muscle strengthening, eliminating blood stasis and inducing menstruation, conducting blood to flow downwards.Be used for soreness of waist and knee joint, muscles and bones is unable, amenorrhea lump in the abdomen, dizziness due to hyperactivity of liver-YANG.
Herba Taraxaci: bitter in the mouth, sweet, cold in nature.Function cures mainly: heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, inducing diuresis for treating stranguria syndrome.Be used for furuncle swelling toxin, acute mastitis, scrofula, conjunctival congestion, pharyngalgia, lung abscess, acute appendicitis, jaundice due to damp-heat, the puckery pain of pyretic stranguria.
Herba Violae: bitter in the mouth, suffering, cold.GUIXIN, lung meridian.Function with cure mainly: heat-clearing and toxic substances removing.Be used for furuncle, carbuncle, erysipelas, scrofula, jaundice, dysentery, diarrhoea, conjunctival congestion and swelling pain, sore throat, mumps, venom.
Radix Angelicae Sinensis: sweet in the mouth, suffering, warm in nature.Return liver, the heart, spleen channel.Function with cure mainly: enrich blood and invigorate blood circulation, menstruction regulating and pain relieving, loosening bowel to relieve constipation.Be used for blood deficiency and yellow complexion, dizzy cardiopalmus, menoxenia, amenorrhea dysmenorrhea, asthenia cold abdominalgia, dryness of the intestine constipation, rheumatic arthralgia, injury from falling down, ulcer sores.
The Radix Paeoniae Alba: bitter in the mouth, acid, cold nature.Main smelting: menoxenia, abdominal pain during menstruation, metrorrhagia, spontaneous perspiration, night sweat, side of body rib epigastric pain, limb pain twin, headache, dizzy.
Fructus Forsythiae: bitter in the mouth, cold nature.Return Liver Channel.Function: heat-clearing and toxic substances removing, mass dissipating and swelling eliminating.Cure mainly: Chinese medicine is controlled calentura from the beginning of, anemopyretic cold, and heating is vexed, laryngopharynx swelling and pain, macule, erysipelas, scrofula, carbuncle pyogenic infections from tumour or sore, acute nephritis, pyretic stranguria.
Radix Scutellariae: bitter in the mouth, cold in nature.Return lung, gallbladder, spleen, large intestine, small intestine meridian.Function cures mainly: heat clearing and damp drying, and eliminating fire and detoxication, hemostasis, antiabortive.Be used for hygropyrexia, fever disease in summer vomiting and nausea uncomfortable in chest, damp and hot feeling of fullness, dysentery, jaundice, the cough due to lung-heat, the hyperpyrexia excessive thirst, heat in blood is told nosebleed, carbuncle sore tumefacting virus, frequent fetal movement.
Radix Salviae Miltiorrhizae: bitter in the mouth, little suffering, cold nature; Go into the heart, spleen, liver, kidney footpath; Effect: have blood circulation promoting and blood stasis dispelling, nourishing blood to tranquillize the mind, removing heat from blood repercussive effect; Cure mainly: blood stasis head, breast, the side of body, abdomen pain, gather, menoxenia, the dysmenorrhea amenorrhea, the stasis of blood stagnated and suffered from abdominal pain puerperal, arthralgia, the traumatic injury congestive edema, epidemic febrile disease is vexed, palpitation due to deficiency of blood, sore swollen toxin, red rash scabies.
Pollen: pollen originates from the flower of each kind of plant, so the kind of pollen has a lot, effect also all has nothing in common with each other, but general pollen all has the effect of some source plants.But no matter be the pollen of what flower, it all is a kind of good health product, and nutritious scholar says that pollen is the most comprehensive a kind of dietetic therapy good merchantable brand, can beautifying and anti-aging, can health invigorating, and strengthen spirit, can also eliminate physical fatigue fast.It both can also can take orally in external, was the good merchantable brand of building body looks improving and the skin nourishing.
Radix Glycyrrhizae: sweet in the mouth, property is flat; Return 12 warps.Effect: detoxifcation is arranged, eliminate the phlegm, pain relieving, spasmolytic be so that pharmacological action such as anticancer.On the traditional Chinese medical science, the Radix Glycyrrhizae invigorating the spleen and replenishing QI is grown and to be coughed lung moistening, and the emergency detoxifcation is in harmonious proportion hundred medicines.The clinical practice branch " is given birth to and uses " with " processed with honey " not.Give birth to curing mainly laryngopharynx swelling and pain cellulitis skin infection, gastrointestinal ulceration and separate poison of drug, alimentary toxicosis etc.; Processed with honey cures mainly spleen and stomach function and goes down, and big loose stool is thin, weak heating and cough, cardiopalmus etc.
Radix Sophorae Flavescentis: bitter in the mouth; Liver, kidney, large intestine, small intestinal, bladder, heart channel of returning cold in nature.Function cures mainly: heat clearing and damp drying, wind dispelling insecticide.Damp-heat dysentery, discharging fresh blood stool, jaundice, dysuria, edema, leukorrhagia, pudendal pruritus, scabies, leprosy, skin pruritus, noxious dampness skin infection.
Cornu Saigae Tataricae: salty in the mouth, cold in nature.Function: clearing away heat and relieving spasm, suppressing the hyperactive liver to relieve the wind syndrome, removing toxic substances and promoting subsidence of swelling.(relieving spasm by subduing liver-wind liver heat removing and eyesight improving heat-clearing and toxic substances removing) cures mainly: unconsciousness due to high fever, delirium are gone mad, diseases such as infantile convulsion is twitched, conjunctival congestion and swelling pain.The Radix Paeoniae Alba: bitter in the mouth, acid, cold nature.Main smelting: menoxenia, abdominal pain during menstruation, metrorrhagia, spontaneous perspiration, night sweat, side of body rib epigastric pain, limb pain twin, headache, dizzy.
Cortex Lycii: nature and flavor are cold in nature, sweet in the mouth.Function cures mainly: removing heat from blood removes and steams the lung heat clearing pathogenic fire reducing.Be used for deficiency of YIN hectic fever, hectic fever due to YIN-deficiency night sweat, cough due to lung-heat, spitting of blood, epistaxis.
Radix Scrophulariae: sweet, salty, little hardship, cold.Go into lung, stomach, kidney channel.Effect is used: removing heat from blood YIN nourishing, eliminating fire and detoxication, fever excessive thirst, spontaneous sweating, constipation, haematemesis nose bleeding, pharyngolaryngitis, pulmonary tuberculosis.Be used for consumption of YIN caused by febrile disease, crimson tongue excessive thirst, maculae caused by violent heat pathogen, Tianjin and hinder constipation, hectic fever due to YIN-deficiency chronic cough, conjunctival congestion, pharyngalgia, scrofula, diphtheria, carbuncle sore tumefacting virus.
Plumula Nelumbinis: bitter in the mouth, cold in nature.Be included into the heart, lung, kidney three warps.Function: clear away heart-fire, reduce phlegm and internal heat, hemostasis, arresting seminal emission.Control vexedly, thirsty, spit blood seminal emission, conjunctival congestion and swelling pain.
Herba Spirodelae: acrid in the mouth, cold in nature.Nontoxic.Go into lung, liver, spleen channel.Effect: diaphoresis, dispel the wind row water, heat clearing away, detoxifcation.Cure mainly: the hot carbuncle of row when controlling, macule is not saturating, wind heat pain rash, skin pruritus, edema, amenorrhea, the skin ulcer tinea, erysipelas is scalded.
Rhizoma Alismatis: sweet in the mouth is light; Cold in nature.Return kidney; Urinary bladder channel.Function cures mainly: promoting diuresis to eliminate damp pathogen; It is treating stranguria to expel the heat-evil.Cure mainly dysuria; The puckery pain of pyretic stranguria; The edema distension; Have loose bowels; Dizziness due to fluid-retention; Seminal emission.
The Chinese medicine and pharmacy theory is thought: in scorchingly hot vehement be lupus erythematosus main diseases because of, the patient of primary disease 90% is with heating, this is the gesture of pathogenic heat aggressiveness.Scorchingly hot pluging with molten metal tied in nutrient blood, thus outer show speckle, in heating is arranged, very the person is evil covers clear key, dusk is raved tic, so the traditional Chinese medical science has " maculae caused by violent heat pathogen ", titles such as " pyretic toxicity are sent out speckle ".Clinical is many with scorchingly hot flourishing type also in acute stage.Study carefully its scorchingly hot origin, have diseases caused by exogenous pathogenic factor and interior life not.The diseases caused by exogenous pathogenic factor pyretic toxicity mostly with to tan by the sun daylight relevant, also has because of experiencing rheumatism, accumulates the resistance skin, stays and does not go, and then turns to pyretic toxicity for a long time.In makes pyretic toxicity and often can not make fire by the deficiency of YIN so that give birth in the pathogenic fire, so lose cloudy Tianjin day, YANG toxin syndrome day contains, the formation vicious cycle.
The present invention follows the principles of formulating prescriptions of the traditional Chinese medical science " monarch ", all composition comes from the 5th edition medicine that records of China's " pharmacopeia ", all medicines have temperature compensation liver spleen mutually and altogether, the wind dehumidifying of loosing, QI and blood regulating, dredge the meridian passage, blood circulation promoting and blood stasis dispelling, set upright and get rid of evils, regulate immunologic function, improve skin microcirculation, reach treatment and prevention discoid lupus erythematosus disease, determined curative effect, have no side effect various Chinese medicine preparation taking conveniences.
The clinical use result of Chinese patent medicine of the present invention shows to have following advantage:
1, the Chinese medicine each component selected for use of the present invention meets the regulation of The Drug Administration Law of People's Republic of China, utilizes the comprehensive function treatment and the prevention discoid lupus erythematosus disease of the Chinese medicine of respectively distinguishing the flavor of, and is nontoxic to human body.Acute toxicity test and accumulation toxicity test through white mice and rat show that underproof animal does not see any toxic reaction, compare zero difference through anatomic observation hemogram, liver function, each organs and tissues morphology finding and matched group, prove that its safety of medicine is reliable.
2, Chinese patent medicine preparation of the present invention need not decoct, not have bitterness sense, rich in proteins, glucose, glucuronic acid, volatile oil, pectin, fructose, organic acid, lecithin, vitamin, aminoacid in the medicine, also contain various trace elements such as Saponin, plant sterol, calcium, help absorption of human body, health invigorating, and taking convenience.
3, Chinese patent medicine preparation of the present invention not only can effectively be treated the discoid lupus erythematosus disease, and it is also very obvious to the preventive effect of discoid lupus erythematosus disease, particularly by working in coordination with mutually between the medicine, strengthen medicine and treat characteristic separately, by dredge the meridian passage and adjusting immunologic function, improve the intrinsic healthy energy of patient body and physical and mental health and life quality, reached the healing rehabilitation efficacy preferably.
Further specify the effect of Chinese patent medicine of the present invention below by clinical practice to the treatment discoid lupus erythematosus.
One. the clinical diagnosis standard
Because primary disease etiology unknown, clinical manifestation are changeful, the tissue and the organ that involve are more, state of an illness complexity, and the patient or one, two internal organs affected individual is only arranged of particularly not being true to type in early days, or do not have erythra, even do not have clinical manifestation.What now adopt be American Rheumatism Association (ARA) diagnostic criteria through correction in nineteen eighty-two, totally 11: 1. cheekbone cheek erythema; 2. discoid lupus; 3. photaesthesia; 4. oral ulcer; 5. not aggressive arthritis; 6. albuminuria (>0.5g/d) or urine thin born of the same parents cast; 7. epilepsy or psychosis; 8. pleuritis or pericarditis; 9. hemolytic anemia or leukopenia (<4000/mm3) or lymphopenia (<1500/mm3) or thrombocytopenia (<100000/mm3); 10. anti-ds-DNA antibody or anti-Sm antibody or LE cell or syphilis seroreaction false positive.Meeting above the beginning more than four or four can make a definite diagnosis, and the sensitivity of this diagnostic criteria and specificity all can reach 96%, if in conjunction with lupus band test and biopsy, and more can high diagnosis.And the clinical diagnosis standard of discoid lupus erythematosus is:
1. butterfly erythema or plate-like erythema: spread all over the flat of cervical region or exceed the skin fixed eruptions, often do not involve the nasolabial fold position, the plate-like erythema is covered with cutin squama and hair follicle damage on the protuberance erythema, can cause atrophoderma.
2. photaesthesia: sun exposure causes skin allergy.
3. stomatocace: oral cavity or nasopharynx part callous ulcer.
4. non-arthritis deformans or Polyarthralgia: be characterized as swollen, the pain or the sepage in joint.
5. pleuritis or pericarditis: chest pain, pleura crunch or pleural effusion, pericarditis.
6. epilepsy or mental symptom: as uremia, ketoacidosis or electrolyte disturbance cause psychosis:
7. albuminuria, cylinderuria or hematuria: albuminuria>0.5g/dl or 3+; Cellular cast can be erythrocyte, hemoglobin, granular cast or mixes cast.
8. the puzzled less hemolytic anemia of leukocyte.
9. the FANA positive.
10. the anti-dsDNA antibody positive or the lupus cell positive.
11. the anti-Sm antibody positive.
12. lupus band test (the non-skin lesion position) positive or the kidney biopsy positive.
Meet in above-mentioned any 4 and diagnosablely be discoid lupus erythematosus.
Check foundation:
1, blood routine examination.
2, X ray examination.
The immunologic dysfunction of lupus erythematosus can produce many kinds of materials in the body, make organism fever as pyrogen.About 80% patient can have heating, and great majority are hyperpyrexia, and about 12% patient shows as low grade fever.First symptom of some patient is exactly the heating of unknown cause.
The patient of erythema erythra more than 80% has skin lesion, and erythema, erythra present various type.Facial butterfly-like erythema of cheekbone and first week, the finger tip edematous erythema is existing for lupus erythematosus feature performance mark sheet.
Butterfly erythema is no more than nasolabial fold, and the bridge of the nose, volume, auricle also can have irregular shape erythema.Also difform erythema can be arranged at positions such as the last elbow back of the body, the palm back of the body, dactylus, the apotelus back side, palm, vola portions.Shape has plate-like erythema, erythema iris, edematous erythema, erythema multiforme etc.Mucosal ulcer and alopecia have 1/5 patient that mucosal injury is arranged approximately, involve lip, tongue, cheek, nose, chamber etc., painless property mucosal ulcer occurs.If any secondary infection pain can be arranged.
Arthralgia has the patient more than 90% that arthralgia is arranged, and each stadium all may take place.What arthralgia had occurred in the premorbid several years, and the periarticular soft tissues swelling that has is touched a tender spot and hydrops, was the acute arthritis performance.That gets involved that the position sees more has near-end articulations digitorum manus, metacarpophalangeal joints, wrist, elbow, knee joint, an apotelus etc., and symmetry is often arranged.Part patient has the deadlock in morning.Some patient joint course of disease is longer, also has patient to have only in short-term and occurs, even be the property a crossed arthralgia.
Two. case selection
The sickness rate of lupus erythematosus profundus is with area, the ethnic group colour of skin and different, prevalence is less in the population of China, put down in writing according to interrelated data: age of onset is in the majority in year at 20-50, account for 80% of sum, for this reason, case selection is whole cases totally 16 examples with door rash prescription on individual diagnosis patient, diagnoses according to " clinical diagnosis standard ": limitation discoid lupus erythematosus disease patient 14 examples, system's discoid lupus erythematosus disease 2 examples.
Three. curative effect determinate standard
1. clinical remission (in the recent period control): symptom and sign disappears, and lab testing recovers normally substantially, energy operate as normal and activity.
2. produce effects: symptom and sign disappears or significantly improves, and lab testing significantly improves or recovers normal, can participate in light work, the recovery general activity.
3. take a turn for the better: symptom and sign and lab testing make moderate progress.
4. invalid: clinical and lab testing improves not obvious or deterioration, death.
Four, clinical application method and therapeutic outcome
1, clinical application method
In that the patient is observed on the basis of condition of illness sign and laboratory examination, make a definite diagnosis.After being diagnosed as discoid lupus erythematosus, adopt the Chinese patent medicine of the oral embodiment of the invention usually, reach replenishing YIN and blood, wind-dispelling heat-dissipating, eliminating dampness and dredging channels; Clearing away heat-damp and promoting diuresis, promoting blood circulation to remove obstruction in the collateral; Removing pathogenic heat from blood and toxic substance from the body, disperse blood stasis and dredge collateral.Also can adopt the oral administration and externally used Therapeutic Method that combines for particular patients '.Wherein:
For oral administration: take the pill of embodiment 5, each 5-9 gram, every day 3-4 time, warm water delivery service, take half an hour ante cibum.Two months is a course of treatment, take continuously three the course of treatment observe the curative effect.
External: with the medicine of embodiment, put into container and be heated to boiling 30 minutes, insulation then, it is stifling or embathe affected part that affected part is put container top, once a day, each 30 minutes.Or the medication water logging washes affected part,
2. clinical therapeutic efficacy
The inventor accepts discoid lupus erythematosus patient 16 examples from 2007-2010 for medical treatment in 4 years altogether, male's 6 examples, and women's 10 examples, the age is 16-55 year.Clinical remission 3 examples account for 18.7% among the 16 routine patients, and produce effects 6 examples account for 37.5%, and effective 5 examples account for 31.3%, and invalid 2 examples account for 12.5%, and total effective rate reaches 87.5%.Clinical symptoms obviously alleviates, big recovery of function, and patient do not have any untoward reaction, three big routine tests and hepatic and renal function and internal organs infringement symptom detect do not find any unusual.Fully recover through the patient and to pay a return visit statistics, do not see an example recurrence so far.Typical case's introduction of falling ill:
1, Chen Changhai, the man, 49 years old, live the Laishan District, Yantai City, the cadre of bank, back and skin of lumbar region carry on the back, slap positions such as the back of the body, dactylus, the apotelus back side, palm, vola portion at last elbow have difform erythema.Shape erythema iris, edematous erythema, erythema multiforme etc.Repeatedly utilize folk prescription or go to see a doctor, all to no effect, use this pharmaceutical formulation (for oral administration, external) after course of treatment, skin skin bud treasure, erythema, pain, podomere are ached and are alleviated, after three courses of treatment, back and skin of lumbar region erythema, pain, heating, the podomere transference cure of aching, after nine courses of treatment, it is normal that pars affecta skin recovers.
2, Feng Shaojun, the man, 32 years old, live Chi Shan town, flourish city, the teacher, the skin bridge of the nose, forehead, auricle also can have irregular shape erythema.Shape has erythema iris and is mixed with arthralgia etc.Repeatedly go to see a doctor, all do not have remarkable result, use this pharmaceutical formulation (for oral administration, external) after the course of treatment, skin nodules, scorching hot pain, heating alleviate, after three courses of treatment, and erythema, scorching hot pain, heating, thirsty agitation, arthralgia disappear, and after nine courses of treatment, it is normal that pars affecta skin recovers.
3, Yu Aijuan, the woman, 40 years old, live the Wang Zhuanzhen of Wendeng City, the worker, the bridge of the nose, volume, auricle also can have irregular shape erythema.Shape has erythema iris and is mixed with arthralgia etc.Multi-treatment does not all have positive effect, makes troubles to family life, causes patient's stress and limbs misery.After the course of treatment, red swelling of the skin, brothers' heating paresthesia alleviate to use this pharmaceutical formulation (for oral administration, external), and after three courses of treatment, above-mentioned symptom disappears, and after nine courses of treatment, it is normal that pars affecta skin recovers.
The specific embodiment
Embodiment 1
Press the row weight portion and take by weighing each Chinese crude drug: 20 parts in the Radix Rehmanniae, 15 parts of Radix Paeoniae Rubra, 15 parts of Cortex Moutans, 15 parts of Radix Achyranthis Bidentataes, 20 parts of Herba Taraxacis, 20 parts of Herba Violaes, 30 parts of Radix Salviae Miltiorrhizaes, 15 parts of pollen, 15 parts of Radix Angelicae Sinensis, 15 parts of the Radix Paeoniae Albas, 15 parts of Fructus Forsythiaes, 15 parts of Radix Scutellariae, 10 parts in Radix Glycyrrhizae, 8 parts of Radix Dipsaci, 9 parts of Radix Scrophulariae, 10 parts of Cortex Lycii, 10 parts of Radix Sophorae Flavescentiss, 10 parts of Cornu Saigae Tataricae, 10 parts in Herba Spirodelae, 10 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made sublimed preparation according to the pharmaceutical methods that routine prepares sublimed preparation.
Embodiment 2
Press the row weight portion and take by weighing each medical material: 30 parts in the Radix Rehmanniae, 25 parts of Radix Paeoniae Rubra, 25 parts of Cortex Moutans, 25 parts of Radix Achyranthis Bidentataes, 30 parts of Herba Taraxacis, 30 parts of Herba Violaes, 40 parts of Radix Salviae Miltiorrhizaes, 25 parts of pollen, 25 parts of Radix Angelicae Sinensis, 25 parts of the Radix Paeoniae Albas, 25 parts of Fructus Forsythiaes, 25 parts of Radix Scutellariae, 15 parts in Radix Glycyrrhizae, 12 parts of Radix Dipsaci, 16 parts of Radix Scrophulariae, 15 parts of Cortex Lycii, 15 parts of Radix Sophorae Flavescentiss, 20 parts of Cornu Saigae Tataricae, 20 parts in Herba Spirodelae, 20 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made packed powder according to the pharmaceutical methods that routine prepares powder.
Embodiment 3
Press the row weight portion and take by weighing each medical material: 22 parts in the Radix Rehmanniae, 18 parts of Radix Paeoniae Rubra, 18 parts of Cortex Moutans, 18 parts of pollen, 18 parts of Radix Angelicae Sinensis, 18 parts of the Radix Paeoniae Albas, 18 parts of Fructus Forsythiaes, 18 parts of Radix Scutellariae, 11 parts in Radix Glycyrrhizae, 9 parts of Radix Dipsaci, 10 parts of Radix Scrophulariae, 11 parts of Cortex Lycii, 11 parts of Radix Sophorae Flavescentiss, 12 parts of Cornu Saigae Tataricae, 12 parts in Herba Spirodelae, 12 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made capsule according to the pharmaceutical methods that routine prepares capsule.
Embodiment 4
Press the row weight portion and take by weighing each medical material: 28 parts in the Radix Rehmanniae, 22 parts of Radix Paeoniae Rubra, 22 parts of Cortex Moutans, 22 parts of Radix Achyranthis Bidentataes, 28 parts of Herba Taraxacis, 28 parts of Herba Violaes, 38 parts of Radix Salviae Miltiorrhizaes, 22 parts of pollen, 22 parts of Radix Angelicae Sinensis, 22 parts of the Radix Paeoniae Albas, 22 parts of Fructus Forsythiaes, 22 parts of Radix Scutellariae, 14 parts in Radix Glycyrrhizae, 11 parts of Radix Dipsaci, 15 parts of Radix Scrophulariae, 14 parts of Cortex Lycii, 14 parts of Radix Sophorae Flavescentiss, 18 parts of Cornu Saigae Tataricae, 18 parts in Herba Spirodelae, 18 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made tablet according to the pharmaceutical methods that routine prepares tablet, (as conventional tablet, sugar coated tablet, film coated tablet etc.), and give conventional drug excipient (as starch, sucrose, lactose, calcium stearate, magnesium stearate etc.).
Embodiment 5
Press the row weight portion and take by weighing each medical material: 25 parts in the Radix Rehmanniae, 20 parts of Radix Paeoniae Rubra, 20 parts of Cortex Moutans, 20 parts of Radix Achyranthis Bidentataes, 25 parts of Herba Taraxacis, 25 parts of Herba Violaes, 35 parts of Radix Salviae Miltiorrhizaes, 20 parts of pollen, 20 parts of Radix Angelicae Sinensis, 20 parts of the Radix Paeoniae Albas, 20 parts of Fructus Forsythiaes, 20 parts of Radix Scutellariae, 12 parts in Radix Glycyrrhizae, 10 parts of Radix Dipsaci, 12 parts of Radix Scrophulariae, 12 parts of Cortex Lycii, 12 parts of Radix Sophorae Flavescentiss, 15 parts of Cornu Saigae Tataricae, 15 parts in Herba Spirodelae, 15 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made pill according to the pharmaceutical methods that routine prepares pill, and give conventional drug excipient.
Embodiment 6
Press the row weight portion and take by weighing each medical material: 23 parts in the Radix Rehmanniae, 19 parts of Radix Paeoniae Rubra, 19 parts of Cortex Moutans, 19 parts of Radix Achyranthis Bidentataes, 23 parts of Herba Taraxacis, 23 parts of Herba Violaes, 33 parts of Radix Salviae Miltiorrhizaes, 18 parts of pollen, 18 parts of Radix Angelicae Sinensis, 19 parts of the Radix Paeoniae Albas, 19 parts of Fructus Forsythiaes, 19 parts of Radix Scutellariae, 12 parts in Radix Glycyrrhizae, 10 parts of Radix Dipsaci, 12 parts of Radix Scrophulariae, 12 parts of Cortex Lycii, 12 parts of Radix Sophorae Flavescentiss, 15 parts of Cornu Saigae Tataricae, 15 parts in Herba Spirodelae, 15 parts of Rhizoma Alismatis.
The preparation technology of present embodiment is: above-mentioned each medicinal raw material is made granule according to the pharmaceutical methods that routine prepares granule.

Claims (5)

1. a Chinese patent medicine for the treatment of discoid lupus erythematosus is characterized in that being prepared from by following medicaments in part by weight: Radix Rehmanniae 20-30 part, Radix Paeoniae Rubra 15-25 part, Cortex Moutan 15-25 part, Radix Achyranthis Bidentatae 15-25 part, Herba Taraxaci 20-30 part, Herba Violae 20-30 part, Radix Salviae Miltiorrhizae 30-40 part, pollen 15-25 part, Radix Angelicae Sinensis 15-25 part, Radix Paeoniae Alba 15-25 part, Fructus Forsythiae 15-25 part, Radix Scutellariae 15-25 part, Radix Glycyrrhizae 10-15 part, Radix Dipsaci 8-12 part, Radix Scrophulariae 9-16 part, Cortex Lycii 10-15 part, Radix Sophorae Flavescentis 10-15 part, Cornu Saigae Tataricae 10-20 part, Herba Spirodelae 10-20 part, Rhizoma Alismatis 10-20 part.
2. the Chinese patent medicine of treatment discoid lupus erythematosus according to claim 1 is characterized in that being prepared from by following medicaments in part by weight: Radix Rehmanniae 22-28 part, Radix Paeoniae Rubra 18-22 part, Cortex Moutan 18-22 part, Radix Achyranthis Bidentatae 18-22 part, Herba Taraxaci 22-28 part, Herba Violae 22-28 part, Radix Salviae Miltiorrhizae 32-38 part, pollen 18-22 part, Radix Angelicae Sinensis 18-22 part, Radix Paeoniae Alba 18-22 part, Fructus Forsythiae 18-22 part, Radix Scutellariae 18-22 part, Radix Glycyrrhizae 11-14 part, Radix Dipsaci 9-11 part, Radix Scrophulariae 10-15 part, Cortex Lycii 11-14 part, Radix Sophorae Flavescentis 11-14 part, Cornu Saigae Tataricae 12-18 part, Herba Spirodelae 12-18 part, Rhizoma Alismatis 12-18 part.
3. the Chinese patent medicine of treatment discoid lupus erythematosus according to claim 1 is characterized in that being prepared from by following medicaments in part by weight: 25 parts in the Radix Rehmanniae, 20 parts of Radix Paeoniae Rubra, 20 parts of Cortex Moutans, 20 parts of Radix Achyranthis Bidentataes, 25 parts of Herba Taraxacis, 25 parts of Herba Violaes, 35 parts of Radix Salviae Miltiorrhizaes, 20 parts of pollen, 20 parts of Radix Angelicae Sinensis, 20 parts of the Radix Paeoniae Albas, 20 parts of Fructus Forsythiaes, 20 parts of Radix Scutellariae, 12 parts in Radix Glycyrrhizae, 10 parts of Radix Dipsaci, 12 parts of Radix Scrophulariae, 12 parts of Cortex Lycii, 12 parts of Radix Sophorae Flavescentiss, 15 parts of Cornu Saigae Tataricae, 15 parts in Herba Spirodelae, 15 parts of Rhizoma Alismatis.
4. according to the sclerodermatous Chinese patent medicine of the described treatment of arbitrary claim in the claim 1 to 3, it is characterized in that described Chinese patent medicine makes pill, sublimed preparation, powder, tablet, unguentum, decoction and the different oral medicine dosage form of capsule dress powder according to the conventional technology of preparing of Chinese medicine.
5. the sclerodermatous Chinese patent medicine of treatment according to claim 4 is characterized in that described Chinese patent medicine also contains drug excipient.
CN201110156523A 2011-05-31 2011-05-31 Chinese patent medicine for treating discoid lupus erythematosus Expired - Fee Related CN102228576B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103599261A (en) * 2013-11-28 2014-02-26 谢宗祥 Traditional Chinese medicine for treating lupus erythematosus
CN103721007A (en) * 2014-01-15 2014-04-16 李茂林 Traditional Chinese medicament for treating neonatal erythema toxicum and preparation method thereof

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101810800A (en) * 2010-05-26 2010-08-25 泰一和浦(北京)中医药研究院有限公司 Chinese medicinal composition for treating skin itch and preparation method thereof

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101810800A (en) * 2010-05-26 2010-08-25 泰一和浦(北京)中医药研究院有限公司 Chinese medicinal composition for treating skin itch and preparation method thereof

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* Cited by examiner, † Cited by third party
Title
韩百灵: "消毒灵", 《中医杂志》 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103599261A (en) * 2013-11-28 2014-02-26 谢宗祥 Traditional Chinese medicine for treating lupus erythematosus
CN103721007A (en) * 2014-01-15 2014-04-16 李茂林 Traditional Chinese medicament for treating neonatal erythema toxicum and preparation method thereof

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