Summary of the invention
The purpose of this invention is to provide a kind of Chinese medicine composition for the treatment of chronic periodontitis and gastritis;
Another object of the present invention is to provide a kind of Chinese medicine composition preparation method for the treatment of chronic periodontitis and gastritis.
The objective of the invention is to realize by following technical scheme:
The Chinese medicine composition of the described treatment chronic periodontitis of patent of the present invention and gastritis, it is to be prepared from by the raw material that comprises following weight portion:
Rhizoma Homalomenae 30-70 part, Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) root 10-50 part, Herba Dichodrae root 20-60 part, Herba Cistanches 30-70 part, Ganoderma 10-40 part, Cordyceps 5-20 part, wild ginseng 5-20 part, Radix Pseudostellariae 5-20 part, Radix Fructus Rosae Laevigatae 30-70 part;
Preferably, be to be prepared from by the raw material that comprises following weight portion:
Rhizoma Homalomenae 40-60 part, Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) root 15-40 part, Herba Dichodrae root 30-50 part, Herba Cistanches 40-60 part, Ganoderma 20-30 part, Cordyceps 8-15 part, wild ginseng 8-15 part, Radix Pseudostellariae 8-15 part, Radix Fructus Rosae Laevigatae 40-60 part;
More preferably, be to be prepared from by the raw material that comprises following weight portion:
50 parts of Rhizoma Homalomenaes, 20 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 35 parts of Herba Dichodrae roots, 50 parts of Herba Cistanches, 25 parts of Ganodermas, 10 parts of Cordyceps, 10 parts of wild ginsengs, 10 parts of Radix Pseudostellariaes, 50 parts of Radix Fructus Rosae Laevigataes.
Below crude drug source and the main effect of Chinese medicine preparation of the present invention:
Cordyceps: for section ergot fungus cordyceps sinensis bacterium Cordyeps sinensis (BerK.) Sace. colonizes in Stroma on the Hepialidae insect larvae and the dry composite body of larva corpse.The Gan Pingbao lung, for the deficiency of the lung or deficiency of both the lung and kidney.
Wild ginseng: the dry root of the wild product of Araliaceae Radix Ginseng Panax ginseng C. A. Mey..The effect that tonify deficiency emergency treatment of collapse, strongly invigorating primordial QI are arranged.
Radix Pseudostellariae: the dried root of pinkwort Radix Ginseng Pseudostellaria heterophylla (Miq.) Pax ex Pax et hoffm..Can mend strengthening spleen and lung, supplementing QI for promoting the production of body fluid.
Ganoderma: On Polyporaceae Ganoderma lucidum (Leyss. Ex Fr.) Karst. Ganoderna lucidum (Leyss.ex Fr.) Karst. or Ganoderma Ganoderna sinense Zhao, the dry sporophore of Xu et Zhang.Invigorating QI and tranquilization, replenishing and restoring lung-QI.
Herba Cistanches: the fleshy stem of the dry zone scale leaf of orobanchaceae plant cistanche Cistanche deserticola Y. C. Ma or Cistanche Tubulosa Cistanche tubulosa (Schrenk) Wight.Kidney-replenishing, benefiting essence-blood, loosening bowel to relieve constipation.
Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) root: be the dry root of Fumaraceae Corydalis Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) Corydalis saxicola Bunting.Function: heat-clearing and toxic substances removing, dampness removing, stable, dissipating blood stasis for subsidence of swelling, have antiinflammatory, function of gallbladder promoting, antiviral, sterilization, sedation and analgesia, enhancing immunologic function, antineoplastic action at analgesic hemostatic.
The Herba Dichodrae root: the Convolvulaceae Herba Dichodrae belongs to the dry root of Herba Dichodrae Dichondra repens.Heat clearing away; Dampness removing; Removing toxic substances.
Rhizoma Homalomenae: the dry rhizome of aroid Rhizoma Homalomenae Homalomena occulta (Lour.) Schott.There is the effects such as wind-damp dispelling, relaxing muscles and tendons and activating QI and blood in the collateral, pain relieving, detumescence.Cure mainly rheumatic arthralgia, stomachache, carbuncle skin ulcer swollen etc.
Radix Fructus Rosae Laevigatae: the dry root of rosaceous plant Fructus Rosae Laevigatae Rosa laevigata Michx..Can promoting blood circulation to remove blood stasis, the convergence of drawing out pus by applying a plaster to the affected part, dispel the wind that it is wet to drive.
Another aspect of the present invention has been to provide the preparation method of the active component of Chinese medicine composition of the present invention, the method be adopt the ethanol of water extraction or 40-90% concentration expressed in percentage by volume ultrasonic, backflow, lixiviate or/and percolation extract.Concrete its preparation method is as follows:
Scheme one: get whole 9 flavor medical materials, extracting in water 2-3 time, each amount of water is equivalent to 6-12 times of medical material gross weight, each extraction time is 1-3 hour, and merge extractive liquid, filters, filtrate is concentrated into the clear paste that 70-80 ℃ of lower relative density is 1.10-1.25, obtains active component.
Scheme two: get whole 9 flavor medical materials, extracting in water 2-3 time, each amount of water is equivalent to 6-12 times of medical material gross weight, each extraction time is 1-3 hour, merge extractive liquid,, filter, and filtrate is concentrated into the clear paste that 70-80 ℃ of lower relative density is 1.05-1.20, add ethanol, making containing the alcohol amount is 40-70%, and standing 12-24 hour, filter, the extractum that when filtrate is concentrated into 70-80 ℃, relative density is 1.10-1.25, obtain active component.
Scheme three: get whole 9 flavor medical materials, use ethanol ultrasonic extraction 3-4 time, add medical material gross weight 2-4 50-90% ethanol doubly at every turn, each supersound extraction 2-5 hour, filter merging filtrate, the extractum that while being concentrated into 70-80 ℃, relative density is 1.10-1.25, obtain active component.
Scheme four: get whole 9 flavor medical materials, use 40-80% alcohol reflux 2-3 time, the 4-10 that each ethanol consumption is the medical material total amount doubly, extraction time is 1-4 hour, and merge extractive liquid, filters, the extractum that when filtrate is concentrated into 60-80 ℃, relative density is 1.10-1.25, obtain active component.
Scheme five: get whole 9 flavor medical materials, add ethanol percolate extraction 3-4 time, add amount of alcohol to be equivalent to 1~2 times of medical material gross weight at every turn, concentration of alcohol counts 40%~60% with volume ratio, and percolation speed is that effluent per minute accounts for raw material gross weight 0.2%~0.6%, collects percolate, reclaim ethanol, be evaporated to 1~2 times that is equivalent to the medical material gross weight, filter, obtain active component.
Chinese medicine composition of the present invention can be made various common formulations together by its effective ingredient and/or pharmaceutically acceptable carrier, as tablet, capsule, pill, drop pill, granule, medicinal tea, mixture, syrup, powder etc.
Pharmaceutically acceptable carrier of the present invention includes but not limited to following:
Filler: lactose, dextrin, Icing Sugar, calcium sulfate, sucrose, mannitol, microcrystalline Cellulose, glucose, corn starch etc.
Binding agent: starch slurry, pregelatinized Starch, dextrin etc.
Disintegrating agent: starch, carboxymethyl starch sodium, microcrystalline Cellulose, cross-linking sodium carboxymethyl cellulose, low replacement-carboxy-propyl cellulose, citric acid, polyoxyethylene sorbitan monoleate etc.
Lubricant: stearic acid, calcium stearate, magnesium stearate, Pulvis Talci, hydrogenated vegetable oil, Polyethylene Glycol, sodium lauryl sulphate, glyceryl monostearate etc.
Wetting agent: distilled water, ethanol etc.
Correctives: sucrose, stevioside, aspartame etc.
Cosolvent: the polyhydric alcohol such as glycerol, sorbitol.
Fluidizer: micropowder silica gel, Pulvis Talci etc.
Antiseptic: benzoic acid, sodium benzoate, sorbic acid and salt thereof, propanoic acid, parabens etc.
The sugar coating material, as sucrose, Pulvis Talci, gelatin, pigment, river wax etc.; Thin film coating material, as stomach dissolution type water, pure coating material etc.
For example, it can be prepared as various common dosage forms by one of following method: tablet, capsule, pill, drop pill, medicinal tea, mixture, syrup, powder
Method 1: granule
Get scheme one to one of scheme five gained active component, add granule to commonly use adjuvant, production method is prepared into the granule of Chinese medicine composition of the present invention routinely.
Above-mentioned granule adjuvant commonly used comprises one of filler, binding agent, lubricant or whole.
Method 2: syrup
Get scheme one to one of scheme five gained active component, add syrup to commonly use adjuvant, production method is prepared into the syrup of Chinese medicine composition of the present invention routinely.
Above-mentioned syrup adjuvant commonly used comprises one of correctives, antiseptic, cosolvent or whole.
Method 3: tablet
Get scheme one to one of scheme five gained active component, add tablet to commonly use adjuvant, production method is prepared into the tablet of Chinese medicine composition of the present invention routinely.
Above-mentioned tablet adjuvant commonly used comprises one of filler, binding agent, disintegrating agent, lubricant or whole.
Method 4: capsule
Get scheme one to one of scheme five gained active component, add capsule to commonly use adjuvant, production method is prepared into the capsule of Chinese medicine composition of the present invention routinely.
Above-mentioned capsule adjuvant commonly used comprises one of filler, fluidizer, disintegrating agent, lubricant or whole.
The spleen is in charge of sending up essential substances, the stomach being liable to sending digested food downward, and one rise and one drop completes transporting and the defeated cloth of diet jointly.Under pathological conditions, spleen the lucid yang sending up stomach the turbid descending not not often, stomach is the turbid descending spleen the lucid yang sending up not not, and the two is mutually normal because sick.Spleen is source of generating QI and blood, the strong the source of vital function foot of transporting of temper, and deficiency-weakness of spleen-QI, transporting is unable, the hemopoietic deficiency, internal organs lose supports, a little less than insufficiency of the spleen blood.Insufficiency of the spleen transporting mistake department, cause retention of water-damp in the body.Cold-damp disturbing the spleen, insufficiency of the spleen can not win wet, light turbid damp obstructing in middle-JIAO, for expectorant is drink, very water is wet stops holding or overflowing skin, for swelling as swollen.Weakness of the spleen and stomach, directly cause stomach-QI being unable to descend normally.Insufficiency of stomach is not received, and is received, wears down, the digesting food hypofunction.A little less than insufficiency of stomach-QI, cold originating from the interior.The cold-evil violates stomach, and damage stomach sun often turns to main pathological manifestations with QI stagnated by cold with losing in temperature.QI stagnated by cold, lose in temperature and lead to, stagnation of QI and blood may bring about pain.This is chronic gastritis due to the middle empty stagnation of QI, belongs to deficiency syndrome, cold, the stagnation of QI often held concurrently, phlegm-damp.
Suffer from a deficiency of the kidney thanks to cloudy, the moon is not contained sun, causes hyperactivity of deficient fire, therefore though see that fire rises sign, is caused by the deficiency of YIN in fact.The arteries and veins that asthenic fire foot sun is bright, under follow nose and enter outward in upper tooth, also go out to hold under the arm the choma lip.Asthenic fire is followed through upper punch, the floating pain of root of the tooth pine, and traction and brain, or see that the lip cheek swells and ache, red swelling of gingiva festers, gingival atrophy is hemorrhage, the chronic periodontitis that this causes for weakness of the spleen and stomach.
The applicant on the basis of research tradition Chinese herbal medicine, through test for many years, found to by the chronic periodontitis that causes of the empty stagnation of QI and the good several drugs of chronic gastritis therapeutic effect and completed the present invention.
In Chinese medicine composition of the present invention, the Rhizoma Homalomenae cold-damp in spleen of dispelling; The Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) root enters the stomach warp, eliminating stasis to stop pain, Anhydroalkannin sterilization, the sense of discomfort that amelioration of inflammation causes rapidly; Herba Dichodrae root eliminating damp, detoxifying, make water liquid be able to transporting; The Herba Cistanches kidney-replenishing, warm blood vessels, circulation qi-blood-body fluid; The Ganoderma invigorating QI and tranquilization, replenishing and restoring lung-QI, control asthenia and lose heart; The Cordyceps kidney tonifying, mend marrow, control suffer from a deficiency of the kidney, kidney-replenishing; Wild ginseng tonify deficiency emergency treatment of collapse, strongly invigorating primordial QI; Radix Pseudostellariae is mended strengthening spleen and lung, supplementing QI for promoting the production of body fluid; Radix Fructus Rosae Laevigatae promoting blood circulation to remove blood stasis, the convergence of drawing out pus by applying a plaster to the affected part, dispel the wind that it is wet to drive.Above all medicines share, can warm spleen soil, and water paddy transfers as cloudy essence, changes essence for blood again, makes the strong fortune of temper, and water is wet not to stop to hold, and gastric qi is logical, and to fall behavior suitable, and phlegm retention, water is wet, the stasis of blood is turbid etc., and disease is eliminated, and yang-energy is given birth to, and gastritis, periodontitis show effect no longer repeatedly, are fully recovered.
A kind of Chinese medicine composition for the treatment of chronic periodontitis and gastritis provided by the invention has the following advantages:
1, the present invention to because of in due to the empty stagnation of QI chronic periodontitis and gastritis significant curative effect is arranged.
2, the present invention treats chronic periodontitis and compares with metronidazole, and curative effect is better, is not substantially having side effects.Simple metronidazole treatment lacks effective measures aspect enhancing body whole body ability of regulation and control, chronic periodontitis with suffer from a deficiency of the kidney and damp and hot pathogenic factor invasion and attack relevant, the present invention can treat from inside to outside by inflammation under clearing away heat and eliminating dampness, the kidney invigorating, thereby disease disease is effected a radical cure, evident in efficacy.
3, the present invention compares with SANJIU WEITAI KELI, and curative effect is better, has significant difference.A little less than the present invention is directed to insufficiency of stomach-QI, the chronic gastritis that the cold originating from the interior class cause of disease has guided, can change cold pleasant, stomach function regulating removing dampness, invigorating the spleen and stomach, promoting blood circulation and stopping pain, thereby can effectively treat the chronic gastritis that the stomach-Yin virtual loss causes.
The specific embodiment
Further illustrate the present invention below by embodiment.It should be understood that embodiments of the invention are for the present invention rather than limitation of the present invention are described.The simple modifications that essence according to the present invention is carried out the present invention all belongs to the scope of protection of present invention.Except as otherwise noted, the percent of the amount of alcohol in the present invention is percentage by volume, and v/v means the volume ratio of solution.
embodiment 1: the preparation of granule (scheme one)
Get 50 parts of Rhizoma Homalomenaes, 20 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 35 parts of Herba Dichodrae roots, 50 parts of Herba Cistanches, 25 parts of Ganodermas, 10 parts of Cordyceps, 10 parts of wild ginsengs, 10 parts of Radix Pseudostellariaes, 50 parts of Radix Fructus Rosae Laevigataes, extracting in water 3 times, three amount of water are respectively 12 times, 8 times, 6 times of medical material gross weight, three extraction times are respectively 3 hours, 2 hours, 1 hour, merge extractive liquid,, filter, filtrate is concentrated into the clear paste that 80 ℃ of lower relative densities are 1.10, add cane sugar powder, dextrin, mix, granulation, dry, granulate, packing, obtain.
embodiment 2: the preparation of granule (scheme four)
Get 30 parts of Rhizoma Homalomenaes, 10 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 20 parts of Herba Dichodrae roots, 30 parts of Herba Cistanches, 10 parts of Ganodermas, 5 parts of Cordyceps, 5 parts of wild ginsengs, 5 parts of Radix Pseudostellariaes, 30 parts of Radix Fructus Rosae Laevigataes, with 40% alcohol reflux 3 times, each ethanol consumption is respectively 10 times, 8 times, 4 times of medical material total amount, 4 hours, 2 hours, 1 hour respectively extraction time, merge extractive liquid,, filter, the extractum that when filtrate is concentrated into 60 ℃, relative density is 1.25, obtain active component, add lactose, starch, granulation, drying, granulate, packing, obtain.
embodiment 3: the preparation of syrup (scheme two)
Get 70 parts of Rhizoma Homalomenaes, 50 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 60 parts of Herba Dichodrae roots, 70 parts of Herba Cistanches, 40 parts of Ganodermas, 20 parts of Cordyceps, 20 parts of wild ginsengs, 20 parts of Radix Pseudostellariaes, 70 parts of Radix Fructus Rosae Laevigataes, extracting in water 3 times, three amount of water are equivalent to respectively 12 times of medical material gross weight, 8 times, 6 times, 3 hours respectively each extraction time, 2 hours, 1 hour, merge extractive liquid, filter, filtrate is concentrated into the clear paste that 70 ℃ of lower relative densities are 1.20, add ethanol, making containing the alcohol amount is 40%, standing 24 hours, filter, the extractum that when filtrate is concentrated into 80 ℃, relative density is 1.10, add sucrose, potassium sorbate, mix, packing, obtain.
embodiment 4: the preparation of syrup (scheme five)
Get 40 parts of Rhizoma Homalomenaes, 15 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 30 parts of Herba Dichodrae roots, 40 parts of Herba Cistanches, 20 parts of Ganodermas, 8 parts of Cordyceps, 8 parts of wild ginsengs, 8 parts of Radix Pseudostellariaes, 40 parts of Radix Fructus Rosae Laevigataes, add ethanol percolate extraction 4 times, add amount of alcohol to be equivalent to respectively 2 times of medical material gross weights at every turn, 2 times, 1 times, 1 times, four times percolation is respectively 60% with concentration of alcohol, 50%, 40%, 40%, four percolation speed are respectively effluent per minute and account for 0.2% of raw material gross weight, 0.3%, 0.4%, 0.6%, collect percolate, reclaim ethanol, be evaporated to 1 times that is equivalent to the medical material gross weight, filter, add glycerol, nipalgin, stevioside, mix, packing, obtain.
embodiment 5: the preparation of tablet (scheme three)
Get 60 parts of Rhizoma Homalomenaes, 40 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 50 parts of Herba Dichodrae roots, 60 parts of Herba Cistanches, 30 parts of Ganodermas, 15 parts of Cordyceps, 15 parts of wild ginsengs, 15 parts of Radix Pseudostellariaes, 60 parts of Radix Fructus Rosae Laevigataes, with ethanol ultrasonic extraction 4 times, add respectively 4 times of medical material gross weights for four times, 3 times, 2 times, 2 times, four times ultrasonic is respectively 90% with concentration of alcohol, 80%, 60%, 50%, four supersound extraction times are respectively 5 hours, 4 hours, 3 hours, 2 hours, extracting liquid filtering, merging filtrate, the extractum that while being concentrated into 70 ℃, relative density is 1.25, add lactose, Pulvis Talci, mix, granulate, dry, tabletting, obtain.
embodiment 6: the preparation of tablet (scheme two)
Get 30 parts of Rhizoma Homalomenaes, 50 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 20 parts of Herba Dichodrae roots, 70 parts of Herba Cistanches, 10 parts of Ganodermas, 20 parts of Cordyceps, 5 parts of wild ginsengs, 20 parts of Radix Pseudostellariaes, 30 parts of Radix Fructus Rosae Laevigataes, extracting in water 2 times, each amount of water is equivalent to respectively 12 times of medical material gross weight, 10 times, each extraction time is respectively 3 hours, 2 hours, merge extractive liquid, filter, filtrate is concentrated into the clear paste that 80 ℃ of lower relative densities are 1.05, add ethanol, making containing the alcohol amount is 70%, standing 12 hours, filter, the extractum that when filtrate is concentrated into 70 ℃, relative density is 1.25, add dextrin, magnesium stearate, microcrystalline Cellulose, mix, granulate, dry, tabletting, obtain.
embodiment 7: the preparation of capsule (scheme four)
Get 70 parts of Rhizoma Homalomenaes, 10 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 60 parts of Herba Dichodrae roots, 30 parts of Herba Cistanches, 40 parts of Ganodermas, 5 parts of Cordyceps, 20 parts of wild ginsengs, 5 parts of Radix Pseudostellariaes, 70 parts of Radix Fructus Rosae Laevigataes, with alcohol reflux 2 times, each concentration of alcohol is respectively 80%, 60%, each ethanol consumption is respectively 10 times of medical material total amount, 8 times, extraction time is respectively 4 hours, 3 hours, merge extractive liquid, filter, the extractum that when filtrate is concentrated into 80 ℃, relative density is 1.10, add micropowder silica gel, carboxymethyl starch sodium, mix, granulate, dry, sieve, enter capsule, obtain.
embodiment 8: the preparation of capsule (scheme five)
Get 40 parts of Rhizoma Homalomenaes, 40 parts of Corydalis thalictrifolia Franch. (Radix Corydalis Thalictrifoliae) roots, 30 parts of Herba Dichodrae roots, 60 parts of Herba Cistanches, 20 parts of Ganodermas, 15 parts of Cordyceps, 8 parts of wild ginsengs, 15 parts of Radix Pseudostellariaes, 40 parts of Radix Fructus Rosae Laevigataes, add ethanol percolate extraction 3 times, add amount of alcohol to be equivalent to 2 times of medical material gross weights at every turn, 2 times, 1 times, three times percolation is respectively 60% with concentration of alcohol, 50%, 40%, percolation speed is that effluent per minute accounts for raw material gross weight 0.2%~0.6%, collect percolate, reclaim ethanol, be evaporated to 2 times that are equivalent to the medical material gross weight, filter, add Polyethylene Glycol, starch, Pulvis Talci, mix, granulate, dry, sieve, enter capsule, obtain.
?
clinical treatment is summed up
One, chronic periodontitis clinical summary
1 diagnostic criteria: Ministry of Public Health " about the regulation of dental caries periodontal disease national statistics investigation " carries out the oral cavity routine examination to the patient, with the check result of 6 section index teeth in oral cavity, means this section periodontal health situation.The examination of mouth content comprises gingival atrophy, gingival hemorrhage, dental calculus and periodontal pocket situation.
2 medicines
Treatment group: take embodiment 5 tablets, 3 times on the one, each 2.
Matched group: Metronidazole Tablet 0.2g, 3 times on the one.
3 clinical groupings
Treatment group: 40 examples, male 25 examples wherein, female's 15 examples, 43.3 ± 8.4 years old age.
Matched group: 38 examples, male 20 examples wherein, female's 18 examples.43.0 ± 7.9 years old age.
There are no significant poor (P>0.05) at aspects such as age, sex, the courses of disease for treatment group and matched group, has comparability.
4 observed results
4.1 criterion of therapeutical effect
Recovery from illness: the gingiva color and luster is normal, and without periodontal pocket, gingival edge is without secretions, and tooth is not loosening, and it is normal that masticatory function is recovered, transference cure;
Take a turn for the better: gingivitis disappears, and without hemorrhage, periodontal pocket shoals, and odontoseisis is clearly better, and masticatory function is obviously improved, and symptom is clearly better;
Invalid: symptom is without improving or increasing the weight of.
The cardinal symptom integration: heavy (+++), in (++), light (+), each "+" is 1 minute, transference cure is 0 minute.
4.2 therapeutic outcome is in Table 1.
Table 1 liang group Clinical efficacy comparison
Group |
Number of cases |
Cure |
Take a turn for the better |
Invalid |
Effective percentage |
Treatment group |
40 |
28 |
9 |
3 |
92.50%
* |
Matched group |
38 |
17 |
10 |
11 |
71.05% |
Annotate: compare * P<0.05 with the matched group effective percentage.
Table 2 liang group clinical symptoms integral contrast (
)
Annotate: compare * P<0.05 with matched group; With front relatively △ P<0.05 for the treatment of.
Table 1, table 2 result show: after treatment group, treatment of control group, the state of an illness all is improved (P<0.05), and treatment group is compared with the effect after treatment of control group, has notable difference (P<0.05).
Result shows: Chinese medicine composition provided by the invention has the effect for the treatment of chronic periodontitis, under the condition substantially do not had side effects, with the Western medicine group, compares, and curative effect is better.Simple metronidazole treatment lacks effective measures aspect enhancing body whole body ability of regulation and control, chronic periodontitis with suffer from a deficiency of the kidney and damp and hot pathogenic factor invasion and attack relevant, the present invention can treat from inside to outside by inflammation under clearing away heat and eliminating dampness, the kidney invigorating, thereby disease disease is effected a radical cure, evident in efficacy.
?
Two, chronic gastritis clinical summary
1 diagnostic criteria: " new Chinese medicine guideline of clinical investigations " reaches " Chinese Internal Medicine ".Diagnostic point is:
Primary symptom: gastralgia, the abdominal distention poor appetite, defecate not smooth, and tongue is red, yellow and greasy fur, lack of appetite is indigestion and loss of appetite;
Inferior disease: meet angry or nervous recurrence or increase the weight of, acid regurgitation Yuan gas, feel sick, and mouth is sticky, sees the erosion of mucosa congestion and edema and petechia under gastroscope; See in biopsy specimen that on spleen, cell infiltration appears in Intradermal.
Exclusion standard: chronic atrophic gastritis, the digestive tract organic disease persons such as esophagus, Stomach duodenum ulcer, tumor, liver, gallbladder, pancreas; Suffer from severe cardiac, lung, kidney and hemopoietic system disease patient; Diabetics; Allergic constitution and can not coordinate the examiner, medication or data are not congruent in accordance with regulations affects the treatment and safety judgement person.
2 medicines
Treatment group: take embodiment 3 syrups, 3 times on the one, each 10ml.
Matched group: SANJIU WEITAI KELI (Sanjiu Pharmaceutical Co., Ltd), every day 3 times, each 1 bag.
3 clinical groupings
Treatment group: 40 examples, male 25 examples wherein, female's 15 examples, 43.3 ± 8.4 years old age.
Matched group: 38 examples, male 20 examples wherein, female's 18 examples.43.0 ± 7.9 years old age.
There are no significant poor (P>0.05) at aspects such as age, sex, the courses of disease for treatment group and matched group, has comparability.
4 observed results
4.1 criterion of therapeutical effect
Observation is with main clinic symptoms such as gastralgia, abdominal distention poor appetite, stool are not smooth, acid regurgitation Yuan gas, feel sick, the clinical minor symptoms such as mouth is sticky, emotional factors impact, according to the conditions of patients degree, minute without, light, weigh three kinds of degree, remember respectively 1,2,3 minute, picture of the tongue and pulse condition only as a reference, are not participated in integral and calculating; Cardinal symptom and minor symptom integration add up to total mark; The state of an illness is heavier, and scoring is higher, gastroscopy Active inflammation scope, gastric mucosa congestion, edema sign, and pathologic finding inflammatory infiltration sign.
Recovery from illness: sign disappears or basic the disappearance;
Produce effects: sign is obviously improved, and symptom is clearly better;
Invalid: symptom is without improving or increasing the weight of.
4.2 therapeutic outcome is in Table 1.
Table 1 liang group Clinical efficacy comparison
Group |
Number of cases |
Cure |
Take a turn for the better |
Invalid |
Effective percentage |
Treatment group |
50 |
23 |
23 |
4 |
92.50%
* |
Matched group |
50 |
13 |
26 |
11 |
81.05% |
Annotate: compare * P<0.05 with the matched group effective percentage.
Clinical effectiveness shows: Chinese medicine composition provided by the invention has the effect for the treatment of chronic gastritis, under the condition substantially do not had side effects, with matched group, compares, and curative effect is better.We cure mainly disease for etiology and pathogenesis be insufficiency of stomach-QI a little less than, cold originating from the interior, often with QI stagnated by cold with lose in temperature and turn to main pathological manifestations, the present invention can change cold pleasant, stomach function regulating removing dampness, invigorating the spleen and stomach, promoting blood circulation and stopping pain, thereby can effectively treat the chronic gastritis that the stomach-Yin virtual loss causes.
?
model case
Lee, female, 26 years old.Congested redness appears in the private prosecution gingiva, odontoseisis, yellowish fur, red tongue, pulse condition stringy and rapid pulse.Syndrome differential diagnosis is the type of yin deficiency chronic periodontitis of suffering from a deficiency of the kidney.Take the embodiment of the present invention 6 tablets, each 2, every day 3 times.After taking three days, the gingiva congestive symptom alleviates to some extent, and odontoseisis is clearly better.After taking continuously 14 days, masticatory function is recovered the normal teeth gingival inflammation and is disappeared, and tooth is not loosening.
What certain, man, 22 years old.Readme gingival swelling and pain, gingival hemorrhage, pain one week, takes the Western medicine pain relieving and slightly take a favorable turn, but drug withdrawal recurs.Check: the lip cheek swells and ache, and red swelling of gingiva festers.Dialectical being diagnosed as, the chronic periodontitis that weakness of the spleen and stomach causes.Take the embodiment of the present invention 4 syrups, each 10ml, every day 3 times.Take bleeding after a week and disappear, swelling reduces, pain relief.After being used in conjunction two weeks, pain disappears, and it is normal that masticatory function is recovered, and rechecks transference cure, is judged as recovery from illness.
Beam, man, 48 years old.Repeatedly show effect epigastric distending pain 3 years of private prosecution, played sx↑ last week, and singultus arranged, with after eating for very, once took ranitidine etc., poor effect.Examine see that tongue is dark red, white and thin fur, stringy pulse, dialectical is stagnation of QI causing retention of food, weakness of the spleen and stomach, stomach-QI being unable to descend normally.Take the embodiment of the present invention 1 granule, each 10g, 3 times on the one.After taking 7 days, symptom is clearly better, then takes 1 month, transference cure, and gastroscopy, without pathological changes performance, recovery from illness.
Lee, female, 51 years old.Have a stomach-ache more than 5 years, dry mouth dry tongue, decreased food intake are indigestion and loss of appetite, red tongue with yellow fur, stringy pulse and tight.Syndrome differential diagnosis is deficiency of stomach-Yin, yin collaterals damage, Deficiency and coldness of spleen and stomach.Take the embodiment of the present invention 8 capsules, each 2, every day 3 times, after taking 10 days, take a favorable turn, diet multiplication, pain relief.After serveing on February, transference cure, check ulcer disappears, and is judged to recovery from illness.
Although, above used general explanation, the specific embodiment and test, the present invention is described in detail, on basis of the present invention, can make some modifications or improvements it, and this will be apparent to those skilled in the art.Therefore, these modifications or improvements, all belong to the scope of protection of present invention without departing from theon the basis of the spirit of the present invention.