CN103110880B - 治疗冈上肌腱炎的外用中药制剂 - Google Patents
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Abstract
本发明公开了一种治疗冈上肌腱炎的外用中药制剂，属于中医中药技术领域。中药原料的重量组成为：川乌3份、葛根2份、姜黄2份、川椒1份、麻黄1份、透骨草2份、红花1份、全虫1份、白芥子2份和络石藤3份。本发明是在传统的中医辨证施治的基础上结合临床实践研制而成的，具有宣通气血、舒筋活络的功效。具有见效快、疗效高、安全方便、无毒副作用的特点。
Description
技术领域
本发明属于中医中药技术领域，涉及一种治疗冈上肌腱炎的外用中药制剂。
背景技术
冈上肌起于肩胛骨冈上窝，冈上肌有协助肩关节外展的作用，肩峰于滑囊将上肌腱与肩峰相隔，减轻两者之间的摩擦。肩部急性筋伤、感受风寒湿邪，中年以后冈上肌发生退行性变，气血瘀滞、筋膜粘连而致本病。本病的主要临床表现是：多为慢性起病，肩外侧渐进性疼痛，肩外展时疼痛明显；肱骨大结节或肩峰下压痛，肩外展至60-120°范围时疼痛较重，当上举超过120°时疼痛又减轻。西医无特殊治疗方案；临床上中医采取辨证施治，宣通气血、舒筋活络为治疗大法，收到了较好的治疗效果。
发明内容
本发明的目的是提供一种治疗岗上肌腱炎的外用中药制剂，具有疗效确切、治愈率高、安全方便、无毒副作用的特点。
本发明治疗冈上肌腱炎的外用中药制剂，中药原料的重量组成为：川乌3份、葛根2份、姜黄2份、川椒1份、麻黄1份、透骨草2份、红花1份、全虫1份、白芥子2份和络石藤3份。
制备方法：将上述原料共轧为2--3号粗末，放入容器内，加入60°白酒500份，浸泡90天，过滤，将浸液去渣、静置沉淀，取上清液装瓶即得。
治疗方案：外用，涂擦患处，一日2次，每次涂擦2-3分钟，30天为一疗程。
本发明中的药物机理如下：
川乌：祛风除湿、散寒止痛，用于诸寒疼痛、跌打损伤、麻醉止痛。
葛根：发汗解表、生津止渴、透发麻疹、升阳止泻。
姜黄：活血行气、通经止痛，本品辛温兼苦，外散风寒湿邪，内行气血、通络止痛，尤行上肢臂而除痹痛。
川椒：温中止痛、杀虫止痒。
麻黄：发汗解表、宣肺平喘、利尿消肿。
透骨草：祛风湿、通经络。
红花：活血调经、祛瘀通络。
全虫：息风止痉、攻毒散结、通络止痛，本品用于风湿顽痹善于通络痹痛，对风寒湿痹久治不愈、筋脉拘急，甚至关节变形之顽痹作用颇佳。
白芥子：温肺化痰、通络止痛、利气散结，本品善治痰阻经络、关节之肢体麻木、关节肿痛等。
络石藤：祛风通络、凉血消肿。
以上诸药的功效及主治均参考于中医学院本科教材第六版《中药学》，上海科技出版社。
以下为临床试验总结：
冈上肌腱炎的症状：多为慢性起病，肩外侧渐进性疼痛，肩外展时疼痛明显；肱骨大结节或肩峰下压痛，肩外展至60-120°范围时疼痛较重，当上举超过120°时疼痛又减轻。
治疗标准：
痊愈：临床症状全部消失，关节活动功能恢复正常，活动后无任何不适。
好转：主要症状明显减轻，关节活动功能明显进步，工作能力和生活能力有所改善。
无效：疼痛虽然减轻，但关节功能障碍无明显改善。
治疗结果：临床试验治疗冈上肌腱炎患者200例。经一个疗程治疗后，痊愈120例，占60%，好转66例，占33%，无效14例，占7%，总有效率93%。通过治疗病人无任何不良反应，三大常规化验及肝肾功能检测未发现异常。
以下列举几个典型病例：
病例1：患者王某某，男，50岁，因右肩峰部疼痛、肩外展时疼痛加重半年余。2010年7月来诊我院，诊为冈上肌腱炎，经使用本发明药物治疗一个疗程后症状全部消失，随访一年未复发。
病例2：患者周某某，男，47岁，患冈上肌腱炎一年余，中药、针灸治疗均收效甚微，2011年4月来诊我院，经使用本发明药物治疗一个疗程后痊愈。随访一年未复发。
病例3：患者崔某某，男，40岁，因肩部疼痛、屈伸不利、活动受限三月余，2010年10月在中医院诊为冈上肌腱炎，后来我院，经使用本发明药物治疗一个疗程后痊愈，随访一年未复发。
与现有技术相比，具有以下有益效果：
（1）本发明所选用的中草药均符合《中华人民共和国药典》规定，根据配伍本发明具有宣通气血、舒筋活络的功效。
（2）本发明在传统的中医辨证施治的基础上结合临床实践研制而成的，不仅对冈上肌腱炎有较好的治疗作用，而且可以预防本病的发生。
（3）本发明为外用药物，涂擦患处作用强、直达病所、治疗效果好、无毒副作用。
具体实施方式：
下面结合实施例对本发明做进一步说明。
实施例
中药原料的重量组成为：
川乌3份、葛根2份、姜黄2份、川椒1份、麻黄1份、透骨草2份、红花1份、全虫1份、白芥子2份和络石藤3份。
制备方法：将上述原料共轧为2--3号粗末，放入容器内，加入60°白酒500份，浸泡90天，过滤，将浸液去渣、静置沉淀，取上清液装瓶即得。外用，涂擦患处，一日3次，30天为一疗程。
Claims (1)
1.一种治疗冈上肌腱炎的外用中药制剂，其特征在于，中药原料的重量组成为：川乌3份、葛根2份、姜黄2份、川椒1份、麻黄1份、透骨草2份、红花1份、全虫1份、白芥子2份和络石藤3份。
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