CN102824578B - Traditional Chinese medicine for treating gout - Google Patents

Traditional Chinese medicine for treating gout Download PDF

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Publication number
CN102824578B
CN102824578B CN201210324149.6A CN201210324149A CN102824578B CN 102824578 B CN102824578 B CN 102824578B CN 201210324149 A CN201210324149 A CN 201210324149A CN 102824578 B CN102824578 B CN 102824578B
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prescription
rhizoma
radix
medicine
gout
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CN102824578A (en
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董晓光
万连平
张鹏
焦峰
李华道
殷军
王青
薛刚
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Qingdao Yisheng Jian Integrated Traditional Chinese And Western Medicine Bone Injury Hospital Ltd
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董晓光
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Abstract

The invention discloses a traditional Chinese medicine for treating gout. The traditional Chinese medicine comprises a formulating prescription for oral administration and a lotion formulating prescription for external use. The formulating prescription for the oral administration comprises 10-20g of rhizoma atractylodis, 10-20g of golden cypress, 10-30g of semen coicis, 10-20g of radices sileris, 10-30g of medicinal cyathula root, 10-50g of rhizoma smilacis glabrae, 10-30g of rhizoma corydalis, 10-30g of radix rehmanniae, 10-20g of radix paeoniae alba, 10-30g of angelica sinensis, 10-30g of ligusticum wallichii, 10-30g of cortex lycii radicis, 10-20g of cassia twig and 10-80g of oldenlandia diffusa. The lotion formulating prescription for the external use comprises 10-50g of rhizoma atractylodis, 20-50g of golden cypress, 20-40g of semen coicis, 10-30g of radices sileris, 10-30g of rhizoma corydalis, 10-20g of szechwan chinaberry fruit, 10-20g of myrrh, 10-20g of asarum and 20-40g of red paeonia. The traditional Chinese medicine for treating the gout has the advantages that the recurrence rate of the gout can be obviously reduced; the clinical total satisfaction rate reaches at least 95 percent; and the practical value is extremely high.

Description

A kind of Chinese medicine for the treatment of gout
Technical field
The present invention relates to a kind of Chinese medicine for the treatment of gout, and combine and the medicine invented according to traditional medication custom and modern science and technology, belong to a kind of Chinese medicine for the treatment of gout of Chinese medicine, natural medicine technical field.
Background technology
The Zhu Dan small stream < < of unit Further Discourses on the Properties of Things > > is the special piece of writing of row gout once just, cloud: " gout person; large rate is because of the blood self-boiling of being heated; thereafter or paddle or vertical wetland ... cold and cool outer fighting; warm blood must be trembled with fear, antiperspirant is turbid to stagnate, so have a pain; night pain very, row in sun also." think in bright Zhang Jingyue < < Jing Yue's complete work beriberi > >, be outward that YIN-cold water is wet, modern damp is attacked people's flesh tendon; Interior by delicious food is excessive usually, the wet part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels of stopping up; Cold and damp are tied strongly fragrant and heat-transformation, stop skin mutually ... the red and swollen hectic fever of diseased region, for a long time osteomyelitis.The gout that simultaneously modern medicine is said is also equivalent to the diseases such as " arthralgia aggravated by cold ", " severe and migratory arthralgia ", " beriberi " of the traditional Chinese medical science.Control with clearing away heat and cooling blood damp eliminating spleen invigorating, promoting blood circulation and stopping pain.
Gout is common clinical, belongs to arthritis a kind of.Gout is that the metabolism of the material of purine in human body gets muddled, the synthetic increase of uric acid or discharge reduce, and cause hyperuricemia, when serum Uric Acid Concentration is too high, uric acid is deposited in joint, cartilage and kidney with the form of sodium salt, causes and organizes foreign body inflammatory reaction.Along with economic development and lifestyle change, its prevalence rises gradually.Its Clinical symptoms is: the characteristic acute arthritis due to hyperuricemia and urate crystal, deposition, tophus, interstitial nephritis, severe patient is shown in joint deformity and dysfunction, often accompanies uric acid lithangiuria.Doctor trained in Western medicine clinical treatment way has the treatment of oral colchicine and non-steroidal drug, operative treatment if desired, and therapeutic effect is all not thorough, and Long-term Oral drug side effect is large, obvious to hepatic and renal function injure.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of combination of inner and outside, and treating both the principal and secondary aspects of a disease can significantly lower the relapse rate of this disease, the Chinese medicine of the treatment gout that practical value is high.
For addressing the above problem, the present invention adopts following technical scheme: a kind of Chinese medicine for the treatment of gout, and prescription formula for oral administration is comprised of following weight ratio: Rhizoma Atractylodis 10-20g, Cortex Phellodendri 10-20g, Semen Coicis 10-30g, Radix Saposhnikoviae 10-20g, Radix Cyathulae 10-30g, Rhizoma Smilacis Glabrae 10-50g, Rhizoma Corydalis 10-30g, Radix Rehmanniae 10-30g, Radix Paeoniae Alba 10-20g, Radix Angelicae Sinensis 10-30g, Rhizoma Chuanxiong 10-30g, Cortex Lycii 10-30g, Ramulus Cinnamomi 10-20g and Herba Hedyotidis Diffusae 10-80g; External-use lotion prescription formula is comprised of following weight ratio: Rhizoma Atractylodis 10-50g, Cortex Phellodendri 20-50g, Semen Coicis 20-40g, Radix Saposhnikoviae 10-30g, Rhizoma Corydalis 10-30g, Fructus Toosendan 10-20g, Myrrha 10-20g, Herba Asari 10-20g and Radix Paeoniae Rubra 20-40g.
As preferably, the preparation of described prescription for oral administration realizes by following step: before boiling medicine, above prescription is inserted to cold water soak 30 minutes; After above prescription is inserted and is boiled medicine in container, after boiling, change slow fire into, then decoct 15-30 minute; While boiling medicine, prevent excessive and too fast the boiling dry of medicine juice; While boiling medicine, should not again and again open pot cover, to reduce the loss of volatile component as far as possible; Decoct pour out for 1 time medicinal liquid again same method decoct 1 time the medicinal liquid of 2 times mixed; The preparation of described external-use lotion prescription realizes by following step: above prescription is soaked 1 hour with cold water 5000ml, take medicinal liquid 3000ml, Hou Leng removes slag, and with gauze is wet, covers affected part 30 minutes, can decoct twice for every dose.
The Chinese medicine for the treatment of gout of the present invention, formula forms medical material used and pharmaceutic adjuvant all has national statutory standards, and dosage form is < < Chinese Pharmacopoeia > > and records dosage form.
The present invention in treatment gout clinically, has obtained good curative effect, and in 100 routine patients, medication, after 5 days, is cured 90 examples, and cure rate accounts for 90%, 10 examples that take a turn for the better, and obvious effective rate accounts for 8%, total effective rate 98%.
The beneficial effect that the present invention treats the Chinese medicine of gout is: these two groups of Chinese medicines are given full play to advantages of TCM combination clinical experience for many years, the combination of inner and outside, treating both the principal and secondary aspects of a disease, when reaching the same therapeutic effect of modern medicine, more can significantly lower the relapse rate of this disease, obtain many patients' favorable comment, clinical total satisfaction rate is more than 95%, and practical value is high.
The specific embodiment
Treat a Chinese medicine for gout, comprise prescription for oral administration and external-use lotion prescription, prescription formula for oral administration is comprised of following weight ratio: Rhizoma Atractylodis 20g, Cortex Phellodendri 20g, Semen Coicis 20g, Radix Saposhnikoviae 10g, Radix Cyathulae 20g, Rhizoma Smilacis Glabrae 30g, Rhizoma Corydalis 10g, Radix Rehmanniae 15g, Radix Paeoniae Alba 20g, Radix Angelicae Sinensis 15g, Rhizoma Chuanxiong 15g, Cortex Lycii 20g, Ramulus Cinnamomi 10g and Herba Hedyotidis Diffusae 30g;
Rhizoma Atractylodis: drying damp and strengthening spleen, expelling wind and cold, improving eyesight.
Cortex Phellodendri: heat clearing and damp drying, pathogenic fire purging is except steaming, the effect of detoxification sore treatment.
Semen Coicis: inducing diuresis to remove edema, spleen invigorating are dried, arthralgia relieving by relaxing muscles and tendons, clearing away heat and discharging pus.
Radix Saposhnikoviae: expelling pathogenic wind from the body surface, removing dampness to relieve pain, relieving convulsion is jerked surely.
Radix Cyathulae: eliminating blood stasis and inducing menstruation, easing joint movement, inducing diuresis for treating stranguria syndrome.
Rhizoma Smilacis Glabrae: removing toxic substances, dehumidifying, sharp joint.
Rhizoma Corydalis: invigorate blood circulation, promoting the circulation of QI, pain relieving, diuresis.
The Radix Rehmanniae: clearing away heat and cooling blood, tonifying YIN promote the production of body fluid.
The Radix Paeoniae Alba: nourishing blood to suppress the hyperactive liver, slow middle pain relieving, yin fluid astringing is received antiperspirant.
Radix Angelicae Sinensis: enrich blood and invigorate blood circulation, menstruction regulating and pain relieving, loosening bowel to relieve constipation.
Rhizoma Chuanxiong: pungent loose, resolving depression, sensible, pain relieving.
Cortex Lycii: removing heat from blood is except steaming, lung heat clearing pathogenic fire reducing.
Ramulus Cinnamomi: diaphoresis expelling pathogenic factors from muscles, warming the meridian and promoting blood circulation, supporing yang activating QI, dispersing cold for relieving pain.
Herba Hedyotidis Diffusae: heat-clearing and toxic substances removing, eliminating carbuncle eliminating stagnation, inducing diuresis to remove edema.
External-use lotion prescription formula is comprised of following weight ratio: Rhizoma Atractylodis 20g, Cortex Phellodendri 20g, Semen Coicis 20g, Radix Saposhnikoviae 10g, Rhizoma Corydalis 20g, Fructus Toosendan 20g, Myrrha 15g, Herba Asari 10g and Radix Paeoniae Rubra 20g.
Rhizoma Atractylodis: drying damp and strengthening spleen, expelling wind and cold, improving eyesight.
Cortex Phellodendri: heat clearing and damp drying, pathogenic fire purging is except steaming, the effect of detoxification sore treatment.
Semen Coicis: inducing diuresis to remove edema, spleen invigorating are dried, arthralgia relieving by relaxing muscles and tendons, clearing away heat and discharging pus.
Radix Saposhnikoviae: expelling pathogenic wind from the body surface, removing dampness to relieve pain, relieving convulsion is jerked surely.
Rhizoma Corydalis: invigorate blood circulation, promoting the circulation of QI, pain relieving, diuresis.
Fructus Toosendan: soothing liver-QI promoting the circulation of QI to relieve pain, anthelmintic.
Myrrha: promoting blood circulation and stopping pain, detumescence and promoting granulation.
Herba Asari: dispel the wind, cold expelling, row water, has one's ideas straightened out.
Radix Paeoniae Rubra: clots absorbing, pain relieving, removing heat from blood, detumescence.
Inside and outside above two prescription agent, share and play altogether clearing away heat and cooling blood, damp eliminating spleen invigorating, the effect of promoting blood circulation and stopping pain.
The preparation of described prescription for oral administration realizes by following step: before boiling medicine, above prescription is inserted to cold water soak 30 minutes; After above prescription is inserted and is boiled medicine in container, after boiling, change slow fire into, then decoct 15-30 minute; While boiling medicine, prevent excessive and too fast the boiling dry of medicine juice; While boiling medicine, should not again and again open pot cover, to reduce the loss of volatile component as far as possible; Decoct pour out for 1 time medicinal liquid again same method decoct 1 time the medicinal liquid of 2 times mixed; The preparation of described external-use lotion prescription realizes by following step: above prescription is soaked 1 hour with cold water 5000ml, take medicinal liquid 3000ml, Hou Leng removes slag, and with gauze is wet, covers affected part 30 minutes, can decoct twice for every dose.
Get 1 dose of this prescription for oral administration every day, every day early, evening 2 times is oral.Get external-use lotion day potion, sooner or later respectively wash once, avoid vinegar-pepper, greasy, seafood, chaffy dish, forbid drinking, 5 days courses for the treatment of.
Model case and curative effect
Guo, man, 40 years old, fat, happiness was drunk and is eaten seafood, 2011-05-30 first visit.Right foot the first toes are red, swollen, hot, bitterly, be diagnosed as gout.Previously there is similar medical history, certainly take the medicines such as colchicine.This get above two prescription medicines and and with it, inside and outside share and play altogether clearing away heat and cooling blood, damp eliminating spleen invigorating, the effect of promoting blood circulation and stopping pain.Transference cure after 5 days, follows up a case by regular visits to 2 years continuously, not recurrence.
Zhang, 55 years old, cadre.Before 5 years, there is finger, toes arthralgia in patient, with hypnalgia for very, right finger anchylosis ulceration 2 years.Patient often went on business before 5 years.Again and again drink, enter repeatly greasy and surfeit flavour, furthermore weariness from a tiring journey, be affected by the cold, time sense finger, toes swell and ache, busier because of work, do not mind.Later often in drink or tired, catch cold after, pain exacerbates, swelling and ache more so in right hand articulations digitorum manus and left sufficient thumb inner side, take hypnalgia as acute, with rheumatoid arthritis, process, and once take piroxicam, ibuprofen etc., pain relief, time heavy when light, radical cure.2 years front rights finger near-end ulceration, flows out white fat, and the uric acid 918umol/L that has a blood test, is diagnosed as " gout ", takes allopurinol, rosickyite acid, colchicine sheet etc., and the state of an illness takes a turn for the better to some extent, but withdraws because of the discomfort of having a stomachache.Because having swollen and ache, exacerbate again, then take Western medicine so far, wish Chinese traditional treatment.Have a medical check-up: the right hand forefinger middle finger ulceration that swells and ache, also swell and ache more very in left hallux inner side, and night is pain more.Blood uric acid 714umol/L, bitter taste, yellow and greasy fur, wiry and frequent pulse.Card belongs to the turbid stasis blocking of wet hot phlegm; Treatment clearing away heat-damp and promoting diuresis, reduces phlegm that it is turbid to dispel, blood circulation promoting and blood stasis dispelling, reducing swelling and alleviating pain.Give FENGTONGNING oral, TONGFENGNING is gone in left foot place's external.Treat pain relief after 2 weeks, broken stain punishment secretion reduces to some extent, and toes swell and ache and subtract clearly, continual cure 2 months, the above transference cure of patient, blood uric acid has approached normal, then after treatment bimester, after follow up a case by regular visits to 1 year, do not recur.
Modern medicine thinks that acute gouty arthritis is from the beginning of sharp ache, treatment is when take quickly alleviating pain as main, colchicine is its specific medicament, but feel sick, the adverse reaction rate of vomiting, anorexia, abdominal distention and watery diarrhea is up to 40%~75%, and NSAID (non-steroidal anti-inflammatory drug), there is gastrointestinal side effect more, and cental system, liver, hemopoietic system are had to infringement, should not take for a long time.Adrenocortical hormone is huge on hepatic and renal function impact.Oral medicinal herb method, taking convenience, prolonged application has no side effect, cheap, external treatment of tcm, is directly penetrated into affected part by skin, and directly, onset is rapid in effect, have no side effect, clinical being easy to accepted, inside and outside to share be a kind of very effective method for the treatment of gouty arthritis.Clinical total satisfaction rate is more than 95%, and practical value is high.
The present invention is not limited to above-mentioned preferred forms, and other any or akin products identical with the present invention that anyone draws under enlightenment of the present invention, within all dropping on protection scope of the present invention.

Claims (1)

1. a Chinese medicine for the treatment of gout, comprise prescription for oral administration and external-use lotion prescription, it is characterized in that: prescription formula for oral administration is comprised of following weight ratio: Rhizoma Atractylodis 10-20g, Cortex Phellodendri 10-20g, Semen Coicis 10-30g, Radix Saposhnikoviae 10-20g, Radix Cyathulae 10-30g, Rhizoma Smilacis Glabrae 10-50g, Rhizoma Corydalis 10-30g, Radix Rehmanniae 10-30g, Radix Paeoniae Alba 10-20g, Radix Angelicae Sinensis 10-30g, Rhizoma Chuanxiong 10-30g, Cortex Lycii 10-30g, Ramulus Cinnamomi 10-20g and Herba Hedyotidis Diffusae 10-80g; External-use lotion prescription formula is comprised of following weight ratio: Rhizoma Atractylodis 10-50g, Cortex Phellodendri 20-50g, Semen Coicis 20-40g, Radix Saposhnikoviae 10-30g, Rhizoma Corydalis 10-30g, Fructus Toosendan 10-20g, Myrrha 10-20g, Herba Asari 10-20g and Radix Paeoniae Rubra 20-40g; The preparation of described prescription for oral administration realizes by following step: before boiling medicine, above prescription is inserted to cold water soak 30 minutes; After above prescription is inserted and is boiled medicine in container, after boiling, change slow fire into, then decoct 15-30 minute; While boiling medicine, prevent excessive and too fast the boiling dry of medicine juice; While boiling medicine, should not again and again open pot cover, to reduce the loss of volatile component as far as possible; Decoct pour out for 1 time medicinal liquid again same method decoct 1 time the medicinal liquid of 2 times mixed; The preparation of described external-use lotion prescription realizes by following step: above prescription is soaked 1 hour with cold water 5000ml, take medicinal liquid 3000ml, Hou Leng removes slag, and with gauze is wet, covers affected part 30 minutes, can decoct twice for every dose.
CN201210324149.6A 2012-09-05 2012-09-05 Traditional Chinese medicine for treating gout Expired - Fee Related CN102824578B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104324285A (en) * 2014-10-19 2015-02-04 邹积典 Traditional Chinese medicine preparation for treating gout
CN108079231A (en) * 2018-01-16 2018-05-29 忠县中医医院 A kind of external application medical ointment for being used to treat acute gouty arthritis
CN110478452B (en) * 2019-10-16 2020-02-04 江西中医药大学附属医院 Traditional Chinese medicine composition for treating gout and preparation method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1089501A (en) * 1993-08-31 1994-07-20 乌鹏喜 Moschus Hippocampus panchrest plaster and preparation method thereof
CN1106674A (en) * 1994-10-13 1995-08-16 汪志伟 Traditional Chinese medicine for curing paralysis
CN101703708A (en) * 2009-11-10 2010-05-12 卢速江 Chinese medicinal preparation for treating rheumatoid arthritis and gout, and preparation method thereof
CN102247585A (en) * 2010-05-20 2011-11-23 潘治宇 Chinese medicinal composition for treating rheumatism, preparation thereof and preparation method thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1089501A (en) * 1993-08-31 1994-07-20 乌鹏喜 Moschus Hippocampus panchrest plaster and preparation method thereof
CN1106674A (en) * 1994-10-13 1995-08-16 汪志伟 Traditional Chinese medicine for curing paralysis
CN101703708A (en) * 2009-11-10 2010-05-12 卢速江 Chinese medicinal preparation for treating rheumatoid arthritis and gout, and preparation method thereof
CN102247585A (en) * 2010-05-20 2011-11-23 潘治宇 Chinese medicinal composition for treating rheumatism, preparation thereof and preparation method thereof

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Inventor after: Dong Xiaoguang

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