CN102755597B - 一种治疗急性软组织损伤的中药 - Google Patents
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Abstract
一种治疗急性软组织损伤的中药，该中药是由贝母兰、泽兰、郁金、小花盾叶薯蓣、姜黄、三七、天葵子、木贼、木瓜、山茶花、秦艽、夏枯草制成。
Description
一种治疗急性软组织损伤的中药
技术领域
[0001] 本发明属于中药技术领域，尤其是涉及一种治疗急性软组织损伤的中药。
背景技术
[0002] 急性软组织损伤是临床常见病、多发病，属中医“筋伤”范畴。所谓“筋”，结合现代医学解剖知识，主要是指人体的皮肤、皮下浅深筋膜、肌肉、肌腱、腱鞘、韧带、关节囊、滑膜囊、椎间盘、周围神经及血管等软组织。凡因各种急性外伤造成人体上述组织的病理损害，统称为“筋伤”，即相当于现代医学的急性软组织损伤。对这类疾患，西医尚缺乏特效的治疗方法，而中医外治方法多，疗效好且安全，使其在临床工作中得到了广泛的应用。发明人运用中医辨证施治本病，发现本发明中药治疗急性软组织损伤具有突出的效果。
发明内容
[0003] 本发明的目的在于提供一种治疗效果好、有效率高、对人体无毒副作用的治疗急性软组织损伤的中药。
[0004] 本发明的目的是这样实现的，根据中医药理论，利用中药独特的药性，采用贝母兰、泽兰、郁金、小花盾叶薯蓣、姜黄、三七、天葵子、木贼、木瓜、山茶花、秦艽、夏枯草按照一定的配伍要求，经过常规工艺制成黑膏药。
[0005] 制备本发明中药由下述原料药制成:贝母兰20-40份、泽兰20-40份、郁金10_30份、小花盾叶薯蓣10-30份、姜黄10-20份、三七10-20份、天葵子10-20份、木贼10-20份、木瓜10-20份、山茶花8-15份、秦艽8-15份、夏枯草8-15份。
[0006] 本发明中药原料药的最佳重量份为:贝母兰30份、泽兰30份、郁金20份、小花盾叶薯蓣20份、姜黄15份、三七15份、天葵子15份、木贼15份、木瓜15份、山茶花12份、秦% 10份、夏枯草10份。
[0007] 本发明中药的药理作用如下:
[0008] 贝母兰:辛、甘凉。归肺、肾经。清热止咳，止血定痛。用于支气管炎，感冒，骨折，软组织损失,外伤出血。
[0009] 泽兰:苦、辛、微温。归肝、脾经。活血化瘀，行气消肿，解毒消痈。主治妇女经闭，痛经,产后瘀滞腹痛,癥瘕浮肿,跌打损伤,痈肿疮毒等。
[0010] 郁金:苦、辛、寒，归肝、胆、心经。活血行气止痛，解郁清心，利胆退黄，凉血。用于热病神昏、癫痫痰闭之证。
[0011] 小花盾叶薯蓣:苦、辛、凉。清热解毒、活血消肿。用于痈疮肿毒，软组织损伤，蜂螯虫咬等。
[0012] 姜黄:味苦、辛、性温。归脾、肝经。破血行气，通经止痛。血瘀气滞诸证、胞腹胁痛、妇女痛经、产后瘀滞腹痛、风湿痹痛、跌打损伤、痈肿等。
[0013] 三七:甘、微苦。归肝、胃、心、肺、大肠经。止血、散血、定痛。用于跌扑瘀肿，胸痹绞痛，癥瘕，血瘀经闭，痛经，产后瘀阴腹痛，疮痈肿痛等症。[0014] 天葵子:甘、微苦、微辛，寒。归肝、脾、膀胱经。清热解毒，消肿散结。主治小儿热惊，癫痫，痈肿，疔疮，乳痈，瘰疬等。[0015] 木贼:甘苦、平。归肺、肝、胆经。疏风清热、凉血止血、明目退翳。用于风热目赤，目生云翳，肠风下血，痔血，血痢，妇人月水不断，脱肛等。
[0016] 木瓜:酸、温，归肝、脾经。舒筋活络，除湿和胃。主治风湿痹痛，筋脉拘挛，脚气肿痛，吐泻转筋等。
[0017] 山茶花:甘、苦、辛、潘、凉。归肝、肺经。凉血止血、消肿散瘀。用于吐血、咳血、便血、烫伤、跌打损伤等症。
[0018] 秦艽:苦、辛、微寒。归胃、肝、胆经。祛风湿、止痹痛、退虚热、清湿热。用于血风湿痹痛，筋脉拘挛及手足不遂，骨蒸潮热，湿热黄疸等。
[0019] 夏枯草:辛、苦、寒。归肝、胆经。清肝火、散郁结。用于目赤肿痛、头痛眩晕、瘰疬瘿瘤等。
[0020] 急性软组织损伤是骨伤科的常见病和多发病，属祖国医学“伤筋”的范畴，多因跌仆、撞击、坠落、闪挫、压轧、扭伤等外来暴力所致。本发明中贝母兰、泽兰为君药，活血化瘀、行气消肿、止痛，郁金、小花盾叶薯蓣活血行气，姜黄、三七、天葵子、木贼、木瓜消肿定痛，山茶花、秦艽、夏枯草清热、解毒、泻火、散瘀。诸药合用，共奏活气血、消瘀肿、通经络、止疼痛之功。经过临床实践发现，对急性软组织损伤具有独特的疗效。
[0021] 本发明中药组合物于2008年至2011年临床观察急性软组织损伤100例患者，临床报告如下:
[0022] 1、一般资料
[0023] 100例患者中，年龄9-73岁，损伤时间最短15分钟，最长36小时，其中钝挫伤56例，扭伤34例，压伤10例，所有病例经X片检查后排除骨折和关节脱位的情况。
[0024] 2、诊断标准
[0025] 参照《中药新药临床研究指导原则》中有关标准制定:
[0026] (I)有明确外伤史，伤后疼痛剧烈，局部出现不同程度肿胀、瘀斑、关节活动功能障碍；
[0027] (2)伤处压痛明显，可出现局部青紫瘀斑，严重者可出现皮下血肿，波动征阳性；
[0028] (3)有肿胀或有硬结、隐隐作痛，肢体活动有不同程度的受限；
[0029] (4)X线检查排除骨折、脱位及骨病。
[0030] 3、治疗方法
[0031] 3.1处方:贝母兰30g、泽兰30g、郁金20g、小花盾叶薯蓣20g、姜黄15g、三七15g、天葵子15g、木贼15g、木瓜15g、山茶花12g、秦究10g、夏枯草10g。
[0032] 3.2制备及使用方法:上述药物按常规工艺制成黑膏药I贴，每日I贴，5天为I疗程，遇有过敏者，暂停使用，恢复后即可继续使用。
[0033] 4、治疗结果:
[0034] 4.1、参照《中药新药临床研究指导原则》中有关标准制定评分法，按其临床表现程度不同分三级记分:
[0035] (I)疼痛:重度3分，疼痛难忍，持续不止冲度2分，疼痛可忍，时常发作；轻度I分，轻度疼痛，时作时止；正常0分；[0036] (2)肿胀(标尺法健侧对比):重度3分，肿胀明显，中心高度> Icm ;中度2分，中度肿胀，中心高度约0.5-lcm ;轻度I分，肿胀较轻，中心高度< 0.5cm ;正常0分；
[0037] (3)压痛:重度3分，轻压即痛或拒按冲度2分，中等力度按压时疼痛，压痛而无拒按；轻度I分，重压时疼痛；正常无压痛0分；
[0038] (4)瘀斑(分割标尺法):重度3分，瘀斑深紫色，面积> 16cm;中度2分，瘀斑面积4-16cm ;轻度I分,瘀斑面积< 4cm ;无瘀斑0分；
[0039] (5)功能障碍:重度3分，患部活动功能丧失，生活不能自理；中度2分，患部活动中度受限，生活可自理，但不能从事劳动；轻度I分，患部活动轻微受限，可以从事正常活动；功能无影响，活动正常0分。
[0040] 临床治愈:症状与体征积分减少> 95%，关节活动正常；
[0041] 显效:症状与体征积分减少> 70%，关节活动不受限；
[0042] 有效:症状与体征积分减少> 30%,关节活动改善；
[0043] 无效:症状与体征积分减少不足30%，关节活动无变化。
[0044] 4.2结果:100例患者中，临床治愈83例(83%)，显效11例(11%)，有效6例(6% ),无效0例，总有效率为94%。
[0045] 5、典型病例
[0046] 5.1马某，男，打篮球过程中扭伤右踝关节，右踝关节活动受限，关节红肿，灼热，挤压痛。右踝关节X线片，软组织肿胀，无骨折，诊断为右踝关节扭伤。使用本发明药物，I个疗程后，诸症减轻，继续使用2个`疗程,痊愈。
[0047] 5.2钱某，男，25岁，因工作时不慎，右手被机器辗压伤，检查右手腕及手背部肿胀明显，青紫成片，疼痛拒按，右手功能丧失，X线片示无骨折及脱位征象。诊断为右手辗压伤。使用本发明药物，I个疗程后，症状减轻，继续使用3个疗程，痊愈。
[0048] 5.3孙某，女，38岁，不慎扭伤右踝，右踝外踝压痛明显，局部肿胀明显，皮肤有瘀斑，踝关节背伸、屈曲、旋转活动受限。拍X光片排除骨折及脱位征象，诊断为右踝关节扭伤。使用本发明药物，I个疗程后，诸症减轻，继续使用2个疗程，痊愈。
具体实施方式
[0049] 下面结合实施例对本发明作进一步的说明，下述该实施例仅用于说明本发明而对本发明没有限制。
[0050] 实施例1，一种治疗急性软组织损伤的中药，是由贝母兰20g、泽兰20g、郁金10g、小花盾叶薯菌10g、姜黄10g、三七10g、天葵子10g、木贼10g、木瓜10g、山花8g、秦究8g、夏
枯草Sg，经常规工艺制备得到黑膏药一贴。
[0051] 实施例2，一种治疗急性软组织损伤的中药，是由贝母兰30g、泽兰30g、郁金20g、小花盾叶薯菌20g、姜黄15g、三七15g、天葵子15g、木贼15g、木瓜15g、山茶花12g、秦究10g、夏枯草10g，经常规工艺制备得到黑膏药一贴。
[0052] 实施例3，一种治疗急性软组织损伤的中药，由贝母兰40g、泽兰40g、郁金30g、小花盾叶薯蓣30g、姜黄20g、三七20g、天葵子20g、木贼20g、木瓜20g、山茶花15g、秦艽15g、夏枯草15g，经常规工艺制备得到黑膏药一贴。
Claims (2)
1.一种治疗急性软组织损伤的中药，其特征在于它是由下述原料药制成: 贝母兰20-40份、泽兰20-40份、郁金10-30份、小花盾叶薯蓣10-30份、姜黄10-20份、三七10-20份、天葵子10-20份、木贼10-20份、木瓜10-20份、山茶花8_15份、秦艽8_15份、夏枯草8_15份。
2.根据权利要求1所述的中药，其特征在于它是由下述原料药制成: 贝母兰30份、泽兰30份、郁金20份、小花盾叶薯蓣20份、姜黄15份、三七15份、天葵子15份、木贼15份、木瓜15份、山茶花12份、`秦艽10份、夏枯草10份。
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