CN103463537B - Medicament for treating infantile asthma - Google Patents
Medicament for treating infantile asthma Download PDFInfo
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- CN103463537B CN103463537B CN201310440804.9A CN201310440804A CN103463537B CN 103463537 B CN103463537 B CN 103463537B CN 201310440804 A CN201310440804 A CN 201310440804A CN 103463537 B CN103463537 B CN 103463537B
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Abstract
The invention discloses a medicament for treating infantile asthma. The medicament is characterized by comprising the following raw medicinal materials in parts by weight: 6-15 parts of oriental wormwood, 4-10 parts of gardenia, 4-10 parts of sophora flavescens, 4-10 parts of thunberg fritillary bulb, 4-10 parts of glycyrrhiza, 1-5 parts of rheum officinale, 1-5 parts of chamomile, 1-5 parts radix stemonae, 2-9 parts of flos farfarae, 1-5 parts of scaphium scaphigerum and 2-10 parts of aster tataricus. According to the medicament disclosed by the invention, the oriental wormwood, the gardenia, the rheum officinale, the sophora flavescens, the thunberg fritillary bulb, the glycyrrhiza, the chamomile, the radix stemonae, the flos farfarae, the scaphium scaphigerum and the aster tataricus are taken as main pharmaceutical ingredients, and the medicament plays the roles of clearing heat, promoting diuresis, eliminating phlegm, stopping cough, moistening lung, depressing qi, relieving sore throat and easing up voice through the synergistic effect of the main pharmaceutical ingredients, can radically overcome the aetiological agent of asthma, and has an excellent therapeutic effect on infantile asthma.
Description
Technical field
The present invention relates to a kind of medicine for the treatment of asthma, be specifically related to a kind of medicine for the treatment of infantile asthma, belong to medical art.
Background technology
Over nearly 20 years asthma prevalence worldwide especially developing country rise with surprising rapidity, many areas asthma prevalence between 10 ~ 20 years adds nearly 1 times.China's asthma level is also in ascendant trend, especially childhood asthma year by year.Along with the develop rapidly of China's economic, the raising of China's industrialization and urbanization level, the living environment of people and life style there occurs huge change, and asthma prevalence has the trend risen further.
Children's is different from adult because of physiological and pathological, has the particularity of himself in Pathogenesy of Asthma.Due to the heresy that diseases caused by exogenous pathogenic factor are damp and hot, or eating and drinking without temperance, surfeit greasy and surfeit flavour, dysfunction of the spleen in transportation, damp and hot interior life, therefore part infant protracted inflammation, except performance cough with asthma, expectorant are stopped up, often with abdominal distention, stomachache, fatigue and weakness, loss of appetite, or thirsty not polydipsia, constipation or viscid not well, red tongue, thick and greasy fur, the sliding number of pulse condition, dialectically belongs to damp and hot syndrome.Modern doctor starts understanding for damp and hot asthma and payes attention to, to its theoretical research and clinical practice in further in research.
In western medicine process, the phenomenon of Clinical practice abuse of antibiotics is quite general, drug resistance is caused to increase year by year, and the phenomenon of abuse cough medicine is also very serious, not only be unprofitable to the improvement of the state of an illness, also likely increase the weight of the state of an illness, how Control of asthma, become China and even a challenge facing of the whole world, and Chinese medicine have action temperature and, onset is lasting and from the feature of basic treatment asthma.
Summary of the invention
In order to overcome the deficiencies in the prior art, the invention provides a kind of medicine for the treatment of infantile asthma, this medicine has rapid-action, that therapeutic effect is good advantage.
The present invention is achieved by the following technical solutions:
Treat a medicine for infantile asthma, it is characterized in that the crude drug comprising following weight portion: Herba Artemisiae Scopariae 6 ~ 15 parts, Fructus Gardeniae 4 ~ 10 parts, Radix Sophorae Flavescentis 4 ~ 10 parts, Bulbus Fritillariae Thunbergii 4 ~ 10 parts, 4 ~ 10 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 1 ~ 5 part, Flos Matricariae chamomillae 1-5 part, the Radix Stemonae 1 ~ 5 part, Flos Farfarae 2 ~ 9 parts, Semen Sterculiae Lychnophorae 1 ~ 5 part, Radix Asteris 2 ~ 10 parts.Preferred crude drug consumption is: Herba Artemisiae Scopariae 12 parts, Fructus Gardeniae 6 parts, Radix Sophorae Flavescentis 6 parts, Bulbus Fritillariae Thunbergii 6 parts, 6 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 3 parts, Flos Matricariae chamomillae 3 parts, the Radix Stemonae 3 parts, Flos Farfarae 5 parts, Semen Sterculiae Lychnophorae 3 parts, Radix Asteris 6 parts.
Main formula crude drug of the present invention is Herba Artemisiae Scopariae, Fructus Gardeniae, Radix Et Rhizoma Rhei, Radix Sophorae Flavescentis, Bulbus Fritillariae Thunbergii, Radix Glycyrrhizae, Flos Matricariae chamomillae, the Radix Stemonae, Flos Farfarae, Semen Sterculiae Lychnophorae, Radix Asteris, by the coordinated of each crude drug, play the effect of clearing away heat-damp and promoting diuresis, preventing phlegm from forming and stopping coughing, nourishing the lung to keep the adverse QI downward, relieving sore throat to recover voice, fundamentally solve asthma reason, reach the object of radical cure.Each crude drug effect is as follows:
Herba Artemisiae Scopariae, function eliminating damp-heat, sharp jaundice eliminating subcutaneous ulcer, for jaundice oliguria, hygropyrexia heat-damp in summer, eczema pruritus.
Fructus Gardeniae, function pathogenic fire purging relieving restlessness, clearing away heat and promoting diuresis, removing pathogenic heat from blood and toxic substance from the body, vexed for calentura, jaundice due to damp-heat, the puckery pain of stranguria, heat in blood tells nosebleed, conjunctival congestion and swelling pain, pathogenic fire,toxin and furuncles.
Radix Sophorae Flavescentis, function heat clearing and damp drying, parasite killing, diuresis, for hematodiarrhoea, has blood in stool, jaundice urine retention, leucorrhea with red and white discharge, swelling of the vulva pudendal pruritus, eczema, eczema, skin pruritus, scabies leprosy. external treatment trichomonal vaginitis.
Bulbus Fritillariae Thunbergii, function clearing heat, eliminating phlegm, relieving cough, detoxicating and resolving stagnation of pathogens eliminating carbuncle, for cough due to pathogenic wind-heat, phlegm-fire cough, lung abscess, acute mastitis, scrofula, sore.
Radix Glycyrrhizae, function invigorating the spleen and replenishing QI, heat-clearing and toxic substances removing, expelling phlegm for arresting cough, relieving spasm to stop pain, coordinating the actions of various ingredients in a prescription, for weakness of the spleen and stomach, fatigue and weakness, shortness of breath and palpitation, cough with copious phlegm, the anxious pain of gastral cavity abdomen, extremity contraction, carbuncle sore tumefacting virus, cushion toxicity, strong.
Radix Et Rhizoma Rhei, function purge heat attack long-pending, clearing away heat-fire, removing pathogenic heat from blood and toxic substance from the body, eliminating blood stasis and inducing menstruation, dampness removing jaundice eliminating, to stagnate constipation for excess-heat, heat in blood tells nosebleed, conjunctival congestion pharyngeal swelling, carbuncle furuncle, abdominalgia with intestinal abscess, blood stasis amenorrhea, postpartum stagnation, traumatic injury, hygropyretic dysentery, jaundice dark coloured urine, stranguria, edema.Radix et Rhizoma Rhei (stir-fried with wine) is apt to clear part of the body cavity above the diaphragm housing the heart and lungs noxious heat in the blood system, for conjunctival congestion pharyngeal swelling, and gingivitis.
Flos Matricariae chamomillae, mildly bitter flavor, Gan Xiang, there is improving eyesight, move back liver-fire, effect of expelling phlegm for arresting cough, can Cure for insomnia, reduce blood pressure, can invigorate, refresh oneself, can effectively alleviate bronchitis and asthma, the myalgia that headache, migraine or the flu of can releiving causes, centering and gastric acid, calm nerves are helpful.
The Radix Stemonae, sweet, bitter, tepor, has nourishing the lung to keep the adverse QI downward cough-relieving, and effect of parasite killing is coughed for new chronic cough, pulmonary tuberculosis cough, pertussis.
Flos Farfarae, pungent, micro-hardship, temperature, has nourishing the lung to keep the adverse QI downward, effect of relieving cough and resolving phlegm, coughs for new chronic cough, dyspnea and cough with excessive sputum, chronic cough hemoptysis.
Semen Sterculiae Lychnophorae, sweet, cold, have clearing heat and moistening lung, liyan jiedu, effect of loosening bowel to relieve constipation, for lung-heat celostomia, dry cough without phlegm, pharyngodynia with dryness, accumulation of heat is just heard, headache conjunctival congestion.
Radix Asteris, pungent, bitter, temperature, have nourishing the lung to keep the adverse QI downward, effect of stopping coughing and removing phlegm, breathes with cough for abundant expectoration, and new chronic cough is coughed, chronic cough hemoptysis.
Simple for each crude drug pulverizing can directly use by medicine of the present invention, preferably prepares in the following manner:
(1) each crude drug is mixed, with the ethanol extraction 3 times of 6 ~ 10 quality, 60 ~ 85wt% doubly, each 1-2 hour, merge extractive liquid;
(2) extracting solution being condensed into relative density at 60 DEG C ~ 85 DEG C is clear paste or the thick paste of 1.20 ~ 1.40, dry, gets dry extract;
(3) dried cream powder is broken into fine powder, adds the adjuvant of survival dose, make the Chinese medicine composition of required dosage form.
Medicine of the present invention can make tablet, capsule, granule or pill.The moulding process preparing different dosage form only used is different with adjuvant, effective ingredient or the same, and therapeutic effect is also identical or approximate.The adjuvant of tablet can from starch, microcrystalline Cellulose, pregelatinized Starch, lactose, Icing Sugar, carboxymethylstach sodium, carmethose, hypromellose, polyvinylpolypyrrolidone, PVP K30, Pulvis Talci, magnesium stearate; The adjuvant of granule is select in multitudinous Icing Sugar, dextrin and correctives etc., and the adjuvant of capsule can be selected from starch, microcrystalline Cellulose, pregelatinized Starch, lactose, Icing Sugar, carboxymethylstach sodium, carmethose, hypromellose, polyvinylpolypyrrolidone, PVP K30, Pulvis Talci, magnesium stearate etc.; The adjuvant of pill can be selected from starch, microcrystalline Cellulose, pregelatinized Starch, dextrin, carboxymethylstach sodium, PVP K30, hypromellose etc.
The present invention with Herba Artemisiae Scopariae, Fructus Gardeniae, Radix Et Rhizoma Rhei, Radix Sophorae Flavescentis, Bulbus Fritillariae Thunbergii, Radix Glycyrrhizae, Flos Matricariae chamomillae, the Radix Stemonae, Flos Farfarae, Semen Sterculiae Lychnophorae, Radix Asteris for major pharmaceutical component, effect of clearing away heat-damp and promoting diuresis, preventing phlegm from forming and stopping coughing, nourishing the lung to keep the adverse QI downward, relieving sore throat to recover voice is played by their synergism, can fundamentally solve asthma reason, have excellent therapeutic effect to infantile asthma.In addition, medicine preparation process of the present invention is simple, easy, has no side effect, and is convenient to promote, and is applicable to children's and uses.
Detailed description of the invention
Below in conjunction with specific embodiment, the invention will be further described, it is to be understood that following explanation is only to explain the present invention, do not limit its content.If following composition, without specified otherwise, is weight portion.
embodiment 1
Pharmaceutical formulation is as follows: Herba Artemisiae Scopariae 12 parts, Fructus Gardeniae 6 parts, Radix Sophorae Flavescentis 6 parts, Bulbus Fritillariae Thunbergii 6 parts, 6 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 3 parts, Flos Matricariae chamomillae 3 parts, the Radix Stemonae 3 parts, Flos Farfarae 5 parts, Semen Sterculiae Lychnophorae 3 parts, Radix Asteris 6 parts.
Prepare according to following method:
(1) by each crude drug mixing in formula, add 60% ethanol extraction 3 times of crude drug gross mass 10 times, each 2 hours, merge extractive liquid, filter, filtrate is concentrated into the thick paste that relative density is 1.25 ~ 1.35 (85 DEG C);
(2) thick paste is mixed, dry;
(3) dried cream powder is broken into fine powder, obtains effective ingredient, then according to different needs, appropriate pharmaceutic adjuvant can be added, conventionally make the dosage form that tablet, capsule, granule, pill etc. are different.
embodiment 2
Pharmaceutical formulation is as follows: Herba Artemisiae Scopariae 6 parts, Fructus Gardeniae 10 parts, Radix Sophorae Flavescentis 4 parts, Bulbus Fritillariae Thunbergii 10 parts, 4 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 5 parts, Flos Matricariae chamomillae 1 part, the Radix Stemonae 5 parts, Flos Farfarae 2 parts, Semen Sterculiae Lychnophorae 5 parts, Radix Asteris 2 parts.Preparation method is with embodiment 1.
embodiment 3
Pharmaceutical formulation is as follows: Herba Artemisiae Scopariae 15 parts, Fructus Gardeniae 4 parts, Radix Sophorae Flavescentis 10 parts, Bulbus Fritillariae Thunbergii 4 parts, 10 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 1 part, Flos Matricariae chamomillae 5 parts, the Radix Stemonae 1 part, Flos Farfarae 9 parts, Semen Sterculiae Lychnophorae 1 part, Radix Asteris 10 parts.
Preparation method is as follows:
(1) each crude drug is mixed, with the ethanol extraction 3 times of 6 quality 85wt% doubly, each 1 hour, merge extractive liquid;
(2) extracting solution being condensed into relative density at 80 DEG C is the thick paste of 1.30 ~ 1.40, dry, gets dry extract;
(3) dried cream powder is broken into fine powder, obtains effective ingredient, then according to different needs, appropriate pharmaceutic adjuvant can be added, conventionally make the dosage form that tablet, capsule, granule, pill etc. are different.
embodiment 4
Pharmaceutical formulation is as follows: Herba Artemisiae Scopariae 15 parts, Fructus Gardeniae 10 parts, Radix Sophorae Flavescentis 10 parts, Bulbus Fritillariae Thunbergii 10 parts, 10 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 5 parts, Flos Matricariae chamomillae 5 parts, the Radix Stemonae 5 parts, Flos Farfarae 9 parts, Semen Sterculiae Lychnophorae 5 parts, Radix Asteris 10 parts.
Preparation method is as follows:
(1) each crude drug is mixed, with 9 quality doubly 75% ethanol extraction 3 times, each 2 hours, merge extractive liquid, filter, filtrate is concentrated into the thick paste that relative density is 1.35 ~ 1.40 (70 DEG C);
(2) thick paste is mixed, dry;
(3) dried cream powder is broken into fine powder, obtains effective ingredient, then according to different needs, appropriate pharmaceutic adjuvant can be added, conventionally make the dosage form that tablet, capsule, granule, pill etc. are different.
embodiment 5
Pharmaceutical formulation is as follows: Herba Artemisiae Scopariae 6 parts, Fructus Gardeniae 4 parts, Radix Sophorae Flavescentis 4 parts, Bulbus Fritillariae Thunbergii 4 parts, 4 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 1 part, Flos Matricariae chamomillae 1 part, the Radix Stemonae 1 part, Flos Farfarae 2 parts, Semen Sterculiae Lychnophorae 1 part, Radix Asteris 2 parts.
Preparation method is as follows:
(1) each crude drug is mixed, with 8 quality doubly 80% ethanol extraction 3 times, each 2 hours, merge extractive liquid, filter, filtrate is concentrated into the thick paste that relative density is 1.30 ~ 1.40 (80 DEG C);
(2) thick paste is mixed, dry;
(3) dried cream powder is broken into fine powder, obtains effective ingredient, then according to different needs, appropriate pharmaceutic adjuvant can be added, conventionally make the dosage form that tablet, capsule, granule, pill etc. are different.
Compositions of the present invention has no side effect, and can effect a radical cure asthma, and treatment cycle is short, rapid-action, carries out clinical experiment below to medicine of the present invention, proves its effect.
clinical trial
1, physical data
162 routine symptoms of asthma infants are screened, wherein man 90 example, female 72 example from Shandong Traditional Chinese Medicine University's attached hospital of traditional Chinese hospital outpatient service, 3 ~ 14 years old age, 7.28 ± 1.43 years old mean age, average course of disease 5.12 ± 2.07 years, each infant all meets the inclusive criteria of this clinical observation.Each group of patient anticipates (P>0.05) without statistics at sex, age, course of disease comparing difference, has comparability.
2, inclusive criteria
1. Western medicine diagnose standard (with reference to the revision " children with asthma diagnosis and treatment guide " in 2008 of department of pediatrics branch of Chinese Medical Association pneumatology group) is met
2. TCM syndrome diagnostic criteria is met;
Formulate with reference to " TCM syndrome diagnostic criteria " content relevant in " Chinese medical disease Standardization of diagnosis and curative effect ", " new Chinese medicine clinical guidance principle " (2002) " bronchial wheezing " and " the senior book series Pediatrics of Chinese Medicine of Chinese medicine " (second edition) " asthma " that State Administration of Traditional Chinese Medicine issues for 1994.
Primary symptom: cough with asthma is out of breath, wheezing in larynx, expectoration thickness.
Secondary disease: heating, nausea and vomiting, poor appetite, abdominal distention, constipation or sticky, yellowish or reddish urine.
Tongue fur pulse condition: red tongue, thick and greasy fur, slippery and rapid pulse, or fingerprint is purple.
In above-mentioned standard, need possess main symptom 2, secondary card more than 2, tongue fur is indispensable, and diagnosable is damp and hot asthma.
3. severity Scaling belong to gently, moderate person; 4. Informed Consent Form person is signed.
3, exclusion standard
1. diagnostic criteria and inclusive criteria person is not met; 2. the serious heart, liver, kidney, lung disease or congenital diseases are had; 3. severity is the children with bronchial asthma disease of severe and the person that occurs severe attack after including in; 4. to institute medicine allergy sufferers.
4, Therapeutic Method
Infant is equally divided into 3 groups, often organize the medicine that infant uses the embodiment of the present invention 1,2 and 4 respectively, application method is a 6g, three times on the one, treats 14 days, observe the curative effect.
5, criterion of therapeutical effect
Criterion of therapeutical effect is drafted with reference to " new Chinese medicine guideline of clinical investigations ".
Clinic control: symptoms of asthma complete incidence graph, even if there is mild episode not need medication to alleviate once in a while, FEV
l(or PEF) recruitment >35%, or FEV after treatment
l(PEF)>=8O% predicted value.PEF day and night fluctuation rate <20%.
Effective: obviously to alleviate before asthma attack comparatively, FEV
1(or PEF) recruitment scope 25% ~ 35%, or FEV after treatment
1(PEF) reach predicted value 60% ~ 79%, PEF day and night fluctuation rate >20%, still need with glucocorticoid or bronchodilator.
Take a turn for the better: symptoms of asthma alleviates to some extent, FEV
1(or PEF) recruitment 15% ~ 24%, still need with glucocorticoid or (with) bronchodilator.
Invalid: clinical symptoms and FEV
1(or PEF) measured value is without improvement or increase the weight of on the contrary.
6, clinical efficacy result
Above-mentioned patient overwhelming majority when treating shows good effect, and rapid-action.Above-mentioned treatment basis continues to take this medicine 2 months, and except refractory patient, other are all fully recovered, and within 1 year, pay a return visit without recidivist afterwards.And during drug administration, have no adverse reaction generation, illustrates that medicine of the present invention has no side effect substantially to human body.
model case
Infant Zhang, female, 7 years old, asthma medical history 3 years, this time because diseases caused by exogenous pathogenic factor and eating and drinking without temperance cause cough to be panted, repeatedly more than first quarter moon, through fog inhalation therapy and oral clearing heat and relieving dyspnea class Chinese patent medicine effect bad, then examine, cough time medical, to pant, abundant expectoration difficulty is coughed, cough very nausea and vomiting, becoming severe at night, impact sleep, anorexia, constipation.Have a medical check-up: dark complexion, lip is red, and red tongue with yellow fur is thick greasy, and the two pulmonary respiration sound of auscultation is thick, hears and is dispersed in wheezing sound.After taking the medicine of the embodiment of the present invention 1, symptom obviously alleviates, and night can quietly fall asleep, abundant expectoration yellow skin, nausea and vomiting, red thick, yellow and greasy fur, and all diseases such as two pulmonary respiration sound is thick are all taken a turn for the better, rear according to pattern of syndrome change conditioning 2 months, follows up a case by regular visits to 1 year state of an illness not repeatedly.
Claims (3)
1. treat the medicine of infantile asthma for one kind, it is characterized in that with parts by weight, its crude drug consists of: Herba Artemisiae Scopariae 6 ~ 15 parts, Fructus Gardeniae 4 ~ 10 parts, Radix Sophorae Flavescentis 4 ~ 10 parts, Bulbus Fritillariae Thunbergii 4 ~ 10 parts, 4 ~ 10 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 1 ~ 5 part, Flos Matricariae chamomillae 1-5 part, the Radix Stemonae 1 ~ 5 part, Flos Farfarae 2 ~ 9 parts, Semen Sterculiae Lychnophorae 1 ~ 5 part, Radix Asteris 2 ~ 10 parts.
2. medicine according to claim 1, it is characterized in that with parts by weight, its crude drug consists of: Herba Artemisiae Scopariae 12 parts, Fructus Gardeniae 6 parts, Radix Sophorae Flavescentis 6 parts, Bulbus Fritillariae Thunbergii 6 parts, 6 parts, Radix Glycyrrhizae, Radix Et Rhizoma Rhei 3 parts, Flos Matricariae chamomillae 3 parts, the Radix Stemonae 3 parts, Flos Farfarae 5 parts, Semen Sterculiae Lychnophorae 3 parts, Radix Asteris 6 parts.
3. medicine according to claim 1 and 2, is characterized in that: dosage form is tablet, capsule, granule or pill.
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