CN102274354B - 清热解毒汤剂 - Google Patents
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Abstract
本发明涉及清热解毒汤剂，由下列原料药配制而成：金银花15g、蒲公英15g、菊花15g、黄连12g、黄芩12g、地丁12g、山豆根10g、天葵10g。取上述中药，经炮制后，加水1000ml煎煮至药液剩200ml，捞渣过滤成汤剂，口服每日2次，7天为一个疗程。本发明汤剂加强了清热，泻火，解毒，清毒，抗毒之功效，又兼散风活血消肿，抑菌等作用。制作简单，效果明显，价格低廉。
Description
技术领域
本发明涉及中药技术领域，具体是一种治疗头面部及耳鼻喉科炎症的清热解毒汤剂。
背景技术
头面部及耳鼻喉科炎症多为病毒性感染所致，合并细菌性感染则可形成疖肿，中医治疗中多归于“上火”。头面部及耳鼻喉科炎症有多种，主要包括疖肿，鼻腔干燥，化脓性软骨膜炎，化脓性扁桃体炎，急性咽炎，急性喉炎，口腔黏膜溃疡等热性病，这些疾病的发生多是由于细菌的感染引起，但从中医角度看是由于湿热肝火引起，中医临床实践证明用疏散风热、泻火解毒中药治疗上述炎症，标本兼治，会起到西医难以达到的效果。
发明内容
本发明的目的在于提供一种治疗头面部及耳鼻喉科炎症的中药汤剂，本发明汤剂辅助治疗各种细菌、病毒等感染性疾病也有较好的疗效。
本发明的技术方案是：清热解毒汤剂，由下列原料药配制而成：金银花15g、蒲公英15g、菊花15g、黄连12g、黄芩12g、地丁12g、山豆根10g、天葵10g。取上述中药，经炮制后，加水1000ml煎煮至药液剩200ml，捞渣过滤成汤剂，口服每日2次，7天为一个疗程。
本发明配方中，各原料药的药理药效为：
金银花：清热解毒。温病发热；热毒血痢；痈肿疔疮；喉痹及多种感染性疾病。《重庆堂随笔》：清络中风火湿热，解温疫秽恶浊邪，息肝胆浮越风阳，治痉厥癫痫诸症。
蒲公英：清热解毒，可用于热毒证，尤善清肝热，治疗肝热目赤肿痛，以及多种感染、化脓性疾病。还能消痈散结，治疗热毒壅结于肌肉所致的痈肿疮毒，高热不退。对乳痈有良效，能解毒散结通乳，可内服或外敷，常配金银花等同用。主治上呼吸道感染，眼结膜炎，流行性腮腺炎，高血糖，乳痈肿痛，胃炎，痢疾，肝炎，胆襄炎，急性阑尾炎，泌尿系感染，盆腔炎，痈疖疔疮，咽炎，治急性乳腺炎，淋巴腺炎，瘰疠，疔毒疮肿，急性结膜炎，感冒发热，急性扁桃体炎，急性支气管炎、尿路感染。
菊花：散风清热，平肝明目。用于风热感冒，头痛眩晕，目赤肿痛，眼目昏花。《本草经疏》：菊花专制风木，故为去风之要药。苦可泄热，甘能益血，甘可解毒，平则兼辛，故亦散结，苦人心、小肠，甘人脾、胃，平辛走肝、胆，兼入沛与大肠。其主风头眩、肿痛、目欲脱、泪出、皮肤死肌、恶风、湿痹者，诸风掉眩，皆属肝木，风药先人肝，肝开窍于目，风为阳邪，势必走上，血虚则热，热则生风，风火相搏故也。腰痛去来陶陶者，乃血虚气滞之候，苦以泄滞结，甘以益血脉，辛平以散虚热也。其除胸中烦热者，心主血，虚则病烦，阴虚则热收于内，故热在胸中，血益则阴生，阴生则烦止，苦辛能泄热，故烦热并解。安肠胃，利五脉，调四肢，利血气者，即除热，祛风，益血，入心，入脾，入肝之验也。生捣最治疗疮，血线疔尤为要药，疗者风火之毒也。
黄连：清热燥湿，泻火解毒。用于湿热痞满，呕吐吞酸，泻痢，黄疸，高热神昏，心火亢盛，心烦不寐，血热吐衄，目赤，牙痛，消渴，痈肿疔疮；外治湿疹，湿疮，耳道流脓。酒黄连善清上焦火热。用于目赤，口疮。《本草经百种录》：″凡药能去湿者必增热，能除热者，必不能去湿，惟黄连能以苦燥湿，以寒除热，一举两得，莫神于此。心属火，寒胜火，则黄连宜为泻心之药，而反能补心何也？盖苦为火之正味，乃以味补之也。若心家有邪火，则此亦能浑之，而真火反得宁，是泻之即所以补之也。″
黄芩：泻实火，除湿热。《本草经疏》：″黄芩，其性清肃，所以除邪；味苦所以燥湿；阴寒所以胜热，故主诸热。诸热者，邪热与湿热也，黄疸、肠澼、泄痢，皆温热胜之病也，折其本，则诸病自瘳矣。苦寒能除湿热，所以小肠利而水自逐，源清则流洁也。血闭者，实热在血分，即热入血室，令人经闭不通，湿热解，则荣气清而自行也。恶疮疽蚀者，血热则留结，而为痈肿溃烂也；火疡者，火气伤血也，凉血除热，则自愈也。
地丁：清热利湿，解毒消肿。治疔疮，痈肿，瘰疬，黄疸，痢疾，腹泻，目赤，喉痹，毒蛇咬伤。《本草求原》：凉血，消肿毒。治血热筋痿，敷疮妙。
山豆根：清火，解毒，消肿，止痛。清热解毒，消肿利咽。用于火毒蕴结，咽喉肿痛，齿龈肿痛。
天葵：块根药用，有清热解毒、消肿止痛、利尿等作用，治乳腺炎、扁桃体炎、痈肿、瘰疬、小便不利等症。
以上诸药均有清热解毒功效，黄连、黄芩尤其清上焦之火功，地丁，双花，天葵，公英等亦清热解毒，活血消肿，常用于治疗疡疮肿毒，淋巴结核，天葵对金黄色葡萄球菌有抑制作用，双花，疏散风热，清热解毒，用于热毒，痈肿疔疮，多种感染性疾病，黄芩有抗病毒，抗氧化作用，可清热燥湿，泻火解毒，用于湿热痞满，高热神昏，心火亢盛，心烦不寐，血热吐衄，痈肿疖疮，口疮。以上诸药调和，充分加强了清热，泻火，解毒，清毒，抗毒之功效，又兼散风活血消肿，抑菌等作用。本发明汤剂制作简单，效果明显，价格低廉。
具体实施方式
下面结合实施例对本发明作进一步说明：
实施例：清热解毒汤剂，由下列原料药配制而成：金银花15g、蒲公英15g、菊花15g、黄连12g、黄芩12g、地丁12g、山豆根10g、天葵10g。取上述中药，经炮制后，加水1000ml煎煮至药液剩200ml，捞渣过滤成汤剂，口服每日2次，7天为一个疗程。
典型病例
病例1：患者张某，男，52岁，因咽疼发热反复发作3天就诊，自诉3天前受凉后咽疼，后逐渐加重并发烧，最高体温达38.5℃，查体见患者面色赤红，咽粘膜急性充血，并见少量白膜，双侧扁桃体II度肿大，充血，表面有眼。诊断：慢性扁桃体炎急性发作，急性咽炎，应用本发明清热解毒汤剂，早晚各一次，服药一天后咽疼明显减轻，服用三日，咽疼已基本消失，体温恢复正常，36度到37度之间，服用七天，痊愈，随访无复发。
病例2：患者吴某，男，45岁，因左耳剧痛合并听力下降2天就诊，查体病人急性病容，痛苦貌，耳部检查见外耳道急性充血，并局限隆起，鼓膜急性充血，诊断为急性外耳道炎，耳道疖肿，急性中耳炎。服用本发明清热解毒汤剂，早晚各一次，第一日，疼痛减轻，第二日，外耳道隆起变小，外耳道充血不明显，鼓膜充血消失，听力改善，一个疗程，隆起消失，外耳道鼓膜均无充血，听力恢复正常，巩固一个疗程完全康复，回访无复发。
病例3：钱某，男，9岁，因鼻痛，流涕，外鼻肿胀并发热就诊，查体见鼻前庭皮肤潮红，鼻尖部肿胀，鼻粘膜急性充血，诊断鼻前庭炎，鼻部疖肿，患儿对青霉素有过敏史，应用本发明清热解毒汤剂，早晚各一次，一天热退，第二日鼻痛减轻，鼻前庭粘膜充血减轻，第三日，鼻痛，流涕，等症状均消失，继续服用3天，痊愈。
病例4：赵某，女，30岁，咽干咽疼反复发作2天，不敢进食，急性咽炎就诊，检查一般情况尚可，咽部见咽粘膜充血，双侧扁桃体I度肿大，诊断咽炎，扁桃体炎。应用本发明清热解毒汤剂，早晚各一次，第一天咽疼消失，可进流质饮食，第二日，咽干减轻可进普通饮食，第三日，咽疼咽干都明显消失，进食无痛苦，继续服用3天，痊愈。
病例5：男，48岁，咽疼发热声嘶，喘鸣并发呼吸困难，咳嗽就诊，检查病人会厌充血咽粘膜充血肿胀增厚，诊断急性会咽炎。立即给洁霉素0.6氟美松5mg，雾化吸入，同时应用本发明清热解毒汤剂，2小时后喘鸣及呼吸困难明显减轻，6小时后再次雾化吸入并给本发明清热解毒汤剂，治疗第二日，咽疼痛明显减轻，咳嗽消失体温恢复正常，第三日声嘶消失，可进普通饮食。复查会厌部充血肿胀已不明显，继续服用4天，症状消失痊愈。
病例6：患者女，43岁，左侧颈部疼痛，咽部疼痛，就诊，检查咽粘膜急性充血，左侧颈部可触及直径0.5cm肿块，活动，触痛，病人无发热，在内科已排除结核病，诊断急性咽炎合并颈淋巴结炎，服用本发明清热解毒汤剂，第一日咽疼减轻，第二日颈部疼痛减轻，第三日咽疼消失，颈部肿块触痛减轻，第四日颈部肿块缩小，继续服用3日，咽部颈部症状消失。
Claims (1)
1.清热解毒汤剂，其特征在于，由下列原料药配制而成：金银花15g、蒲公英15g、菊花15g、黄连12g、黄芩12g、地丁12g、山豆根10g、天葵10g，取上述中药，经炮制后，加水1000ml煎煮至药液剩200ml，捞渣过滤成汤剂，
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