CN102671145B - 一种治疗慢性附件炎的中药灌肠剂 - Google Patents
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Abstract
本发明公开了一种治疗慢性附件炎的中药灌肠剂。中医认为附件炎，病因多为产后或经期经脉空虚，如不注意卫生，湿热内侵，余邪淤积，就会影响气血运行，气滞血淤而发病。为此，本发明选择中药小叶金花草、败酱草、川乌、茯苓、薏苡仁、山海棠、荔枝核、乌药、野丁香根、乳香、川芎、莪术、甘草制成灌肠剂，经我院临床试验，在治疗慢性附件炎方面有较好的疗效。治愈率、总有效率分别达到62.9％、97.1％，且无不良反应的发生，其治疗效果明显优于文献所报道的西药治疗，值得在临床中推广使用。
Description
技术领域
本发明涉及一种中药组合物，尤其涉及一种治疗慢性附件炎的中药灌肠剂。
技术领域
慢性附件炎是妇科常见病，多发病，慢性附件炎有程度不同的腹痛，慢性炎症反复发作，迁延日久，使盆腔充血，结缔组织纤维化，盆腔器官相互粘连。患者出现下腹部坠胀、疼痛及腰骶酸痛等症状，时轻时重，并伴有白带增多、腰疼、月经失调等，且往往在经期或劳累后加重。妇科检查时双侧或单侧附件区压痛，增厚感，或出现压痛性的包块，白细胞数目升高或正常。多年的临床经验证明，西药治疗效果不佳，临床较难治愈。
发明内容
本发明的目的是提供一种治疗慢性附件炎的中药灌肠剂。中医认为附件炎，病因多为产后或经期经脉空虚，如不注意卫生，湿热内侵，余邪淤积，就会影响气血运行，气滞血瘀而发病。
本发明的目的是通过以下技术方案实现的，该治疗慢性附件炎的中药灌肠剂由以下重量份的中药制成：小叶金花草15-20份、败酱草15-20份、川乌10-15份、茯苓10-12份、薏苡仁12-15份、山海棠12-15份、荔枝核12-15份、乌药10-12份、野丁香根10-12份、乳香9-11份、川芎12-15份、莪术15-20份、甘草5-7份。
优选的，该治疗慢性附件炎的中药灌肠剂由以下重量份的中药制成：小叶金花草18份、败酱草18份、川乌12份、茯苓11份、薏苡仁14份、山海棠13份、荔枝核13份、乌药11份、野丁香根11份、乳香10份、川芎14份、莪术18份、甘草6份。
制备方法：将上药用水煎，煎液浓缩至100ml保留灌肠。
方中：小叶金花草：归胃，肠；清热利湿，活血止血，解毒消肿。
败酱草：归胃、大肠、肝经；清热解毒，消痈排脓，祛瘀止痛。
川乌：入心经、肝经、肾经、脾经；祛风除湿，温经止痛。
茯苓：归心、脾、肾经；利水渗湿，健脾，安神。
薏苡仁：归脾、胃、肺经；利水渗湿，健脾止泻，祛湿除痹，清热排脓。
山海棠：归肝、脾、肾经；祛风湿，祛瘀通络。
荔枝核：归肝、胃经；行气止痛，祛寒散滞。
乌药：归肺、脾、肾、膀胱经；行气止痛，温肾散寒。
野丁香根：入肝、肾经；活血调经，消炎止痛。
乳香：归心、肝、脾经；活血止痛，消肿生肌。
川芎：归肝、胆、心包经；活血行气，祛风止痛。
莪术：归肝、脾经；破血祛瘀，行气止痛。
甘草：归心、脾、肺、胃经；补脾益气，润肺止咳，清热解毒，缓解止痛，缓和药性。
临床资料
1、一般资料我院2009年8月到2010年10月收治慢性附件炎患者200例，随机分为治疗组和对照组，治疗组70例，年龄在20～56岁(平均35.1±12.5岁)，病程在0.5～9年(平均2.5±1.3年)。对照组70例，年龄21～54岁，平均36.2±11.5岁，病程0.9～10年(平均2.4±1.4)年。两组资料差异无显著性，具有统计学意义。
2、治疗方法治疗组给予以上所述的中药灌肠剂50ml/次灌肠，1次/日。对照组：采用青霉素800万U±生理盐水250ml日1次静点，甲硝唑注射液250ml日2次静点。两组均10天为一个疗程。
3、疗效标准痊愈：症状基本消失，白带明显减少，内诊检查双侧附件无增厚，超声波检查附件片状阴影消失；好转：症状减轻，下腹稍有坠胀及疼痛，超声波检查附件稍有增厚；无效：症状无明显好转，内诊检查及超声波提示附件有炎。
4、治疗结果治疗两个疗程后统计疗效。治疗组70例，其中痊愈44例(62.9％)，好转24例(34.3％)，无效2例(2.9％)，总有效率达到97.1％；对照组70例，其痊愈28例(40.1％)，好转30例(42.9％)，无效12例(17.1％)，总有效率82.9％。两组痊愈率、总有效率有显著性差异(P＜0.05)。
具体实施方式
实施例一：称取小叶金花草18g、败酱草18g、川乌12g、茯苓11g、薏苡仁14g、山海棠13g、荔枝核13g、乌药11g、野丁香根11g、乳香10g、川芎14g、莪术18g、甘草6g。灌肠时，药温以37-39℃为宜，注入一次性输液瓶中，将针头拔下，将输液器下端插入一次性肛管，灌肠前要排空大、小便，用石蜡油润滑肛门及肛管后，将肛管缓慢插入15～20cm，将中药浓煎液缓慢灌入，臀部左侧卧位30min
实施例二：称取小叶金花草15g、败酱草15g、川乌10g、茯苓10g、薏苡仁12g、山海棠12g、荔枝核12g、乌药10g、野丁香根10g、乳香9g、川芎12g、莪术15g、甘草5g。方法同上。
实施例三：称取小叶金花草20g、败酱草20g、川乌15g、茯苓12g、薏苡仁15g、山海棠15g、荔枝核15g、乌药12g、野丁香根12g、乳香11g、川芎12g、莪术20g、甘草7g。方法同上。
Claims (1)
1.一种治疗慢性附件炎的中药灌肠剂，其特征在于该中药灌肠剂由以下重量的中药制成：小叶金花草18g、败酱草18g、川乌12g、茯苓11g、薏苡仁14g、山海棠13g、荔枝核13g、乌药11g、野丁香根11g、乳香10g、川芎14g、莪术18g、甘草6g。
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| CN102008700A (zh) * | 2010-12-14 | 2011-04-13 | 句容市边城卫生院 | 一种治疗盆腔炎的药物 |
| CN102319397A (zh) * | 2011-09-11 | 2012-01-18 | 崔红霞 | 一种用灌肠的方法治疗慢性盆腔炎的中药煎剂 |
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| CN102008700A (zh) * | 2010-12-14 | 2011-04-13 | 句容市边城卫生院 | 一种治疗盆腔炎的药物 |
| CN102319397A (zh) * | 2011-09-11 | 2012-01-18 | 崔红霞 | 一种用灌肠的方法治疗慢性盆腔炎的中药煎剂 |
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