CN103520571B - Traditional Chinese medicine for treating qi stagnation and blood stasis syndrome type abdominal mass - Google Patents
Traditional Chinese medicine for treating qi stagnation and blood stasis syndrome type abdominal mass Download PDFInfo
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Abstract
Description
技术领域 technical field
本发明涉及一种中药,特别是一种用于治疗气滞血瘀证型癥瘕病的中药。 The invention relates to a traditional Chinese medicine, in particular to a traditional Chinese medicine for treating lump in the abdomen of Qi stagnation and blood stasis syndrome.
背景技术 Background technique
妇科症瘕涵盖了各种妇科良性肿瘤,病种较多,是妇科常见病、疑难病症。妇女下腹部、腹中结有痞块,伴腹胀,满闷,或阴道出血,小腹疼痛者,统称为癥瘕病。该病以发生于下焦为多。一般以痞块隐见于腹内,按之形证可验,坚硬不移,痛有定处者为癥;聚散无常,推之游移不定,痛无定处者为瘕;虽有结块可推移者称为癥瘕。本病一般常由情志抑郁,饮食内伤,导致肝脾受损,脏腑失和,日久正气不足,导致气滞、血瘀、痰湿、湿热而引起,而通常情况下,气滞血瘀证型癥瘕病占有较高的比例。目前治疗气滞血瘀证型癥瘕病的方法有手术治疗、西药治疗、针灸治疗,体外治疗及中药治疗,手术治疗费用较高,且对病人创伤较大,西药治疗、针灸治疗,体外治疗均治标不治本,所公开的可用于治疗气滞血瘀证型癥瘕病的中药,虽然有一定的效果,但效果不太理想,存在着治愈率低等缺陷。 Gynecological lumps cover a variety of gynecological benign tumors, and there are many types of diseases, which are common and difficult diseases in gynecology. Women with lumps in the lower abdomen and abdomen, accompanied by abdominal distension, fullness, or vaginal bleeding, and pain in the lower abdomen, are collectively referred to as lumps in the abdomen. The disease mostly occurs in the lower Jiao. Generally, lumps are found hidden in the abdomen, which can be verified according to the shape, firm and unmovable, and pain with a fixed location is a symptom; Those who move are called lumps in the abdomen. This disease is usually caused by emotional depression, internal injury from diet, liver and spleen damage, visceral disharmony, and lack of righteousness over time, leading to qi stagnation, blood stasis, phlegm dampness, and damp heat. Usually, qi stagnation and blood stasis Syndrome-type lump in the abdomen accounted for a higher proportion. At present, the methods for the treatment of qi stagnation and blood stasis type lump in the abdomen include surgical treatment, western medicine treatment, acupuncture treatment, in vitro treatment and traditional Chinese medicine treatment. The cost of surgical treatment is high, and the patient is traumatized. Western medicine treatment, acupuncture treatment, in vitro treatment All treat the symptoms but not the disease, and the disclosed Chinese medicine that can be used for the treatment of qi stagnation and blood stasis syndrome type lump in the abdomen, though certain effect is arranged, the effect is not ideal, and there are defects such as low cure rate.
发明内容 Contents of the invention
本发明旨在提供一种治疗气滞血瘀证型徵瘕病的中药,通过选择合适的药材及其配比,达到安全有效治愈气滞血瘀证型徵瘕病的目的。 The invention aims to provide a traditional Chinese medicine for treating lump in the abdomen of the syndrome of qi stagnation and blood stasis, through selecting appropriate medicinal materials and their proportions, to achieve the purpose of safely and effectively curing the lump in the abdomen of the syndrome of qi stagnation and blood stasis.
为达到上述目的,本发明采用以下技术方案: To achieve the above object, the present invention adopts the following technical solutions:
一种治疗气滞血瘀证型癥瘕病的中药,其特征在于由以下重量配比的药材制备而成: A traditional Chinese medicine for treating lump in the abdomen of qi stagnation and blood stasis syndrome, characterized in that it is prepared from the following medicinal materials in weight ratio:
柴胡10份、白术10份、茯苓20份、当归10份、赤芍15份、牡丹皮10份、香附20份、牡蛎30份、夏枯草30份、薏苡仁30份、醋穿山甲2份、炒王不留行6份、山楂30份、大黄10份、桃仁10份、蜂房6份、桂枝20份、甘草6份、益母草30份、龙眼肉10份、茜草20份。 10 parts of bupleurum, 10 parts of Atractylodes macrocephala, 20 parts of poria, 10 parts of angelica, 15 parts of red peony, 10 parts of Moutan bark, 20 parts of Cyperus cyperi, 30 parts of oyster, 30 parts of Prunella vulgaris, 30 parts of coix seed, 2 parts of vinegar pangolin , 6 servings of fried blanc berry, 30 servings of hawthorn, 10 servings of rhubarb, 10 servings of peach kernel, 6 servings of hive, 20 servings of cinnamon sticks, 6 servings of licorice, 30 servings of motherwort, 10 servings of longan meat, and 20 servings of madder.
本发明配方中各种药材的来源及功能主治如下: The source and function of various medicinal materials in the formula of the present invention are as follows:
柴胡【来源】 本品为伞形科植物柴胡Bupleurum chinense DC.或狭叶柴胡Bupleurum scorzonerifolium Willd.的干燥根。【性味】 苦,微寒。【归经】 归肝、胆经。【功能主治】 和解表里,疏肝,升阳。用于感冒发热,寒热往来,胸胁胀痛,月经不调,子官脱垂,脱肛。 Bupleurum [source] This product is the dried root of Bupleurum chinense DC. or Bupleurum scorzonerifolium Willd. of Umbelliferae. [nature and flavor] bitter, slightly cold. [return through] returns liver, gallbladder meridian. [Functions and Indications] Reconcile the exterior and interior, soothe the liver, and promote yang. For common cold and fever, alternating cold and heat, distending pain in the chest and hypochondrium, irregular menstruation, prolapse of the genitals, and prolapse of the anus.
白术【来源】 本品为菊科植物白术Atractylodes macrocephala Koidz.的干燥根茎。【性味】 苦、甘,温。【归经】 归脾、胃经。【功能主治】 健脾益气,燥湿利水,止汗,安胎。用于脾虚食少,腹胀泄泻,痰饮眩悸,水肿,自汗,胎动不安。 Atractylodes [source] This product is the dry rhizome of Atractylodes macrocephala Koidz. [nature and flavor] bitter, sweet, warm. [return through] returns spleen, stomach meridian. [Functions and Indications] Invigorate the spleen and replenish qi, dry dampness and promote diuresis, stop sweating, and prevent miscarriage. For insufficiency of the spleen, lack of food, abdominal distension and diarrhea, dizziness and palpitation due to phlegm and retention, edema, spontaneous sweating, restless fetal movement.
茯苓【来源】 本品为多孔菌科真菌茯苓 Poria cocos (Schw.) Wolf 的干燥菌核。【性味】 甘、淡,平。【归经】 归心、肺、脾、肾经。【功能主治】 利水渗湿,健脾宁心。用于水肿尿少,痰饮眩悸,脾虚食少,便溏泄泻,心神不安,惊悸失眠。 Poria [source] This product is the dried sclerotia of Polyporaceae Poria cocos (Schw.) Wolf. [nature and flavor] sweet, light, flat. [return through] return to the heart, lung, spleen, kidney channel. [Functions and Indications] Diuretic and dampness expelling, invigorating the spleen and calming the heart. For edema, oliguria, dizziness and palpitation due to phlegm and retention, insufficiency of the spleen, lack of food, loose stool and diarrhea, restlessness, palpitation and insomnia.
当归【来源】 本品为伞形科植物当归Angelica sinensis (Oliv.) Diels 的干燥根。【性味】 甘、辛,温。【归经】 归肝、心、脾经。 Angelica [source] This product is the dried root of Angelica sinensis (Oliv.) Diels of Umbelliferae. [nature and flavor] sweet, pungent, warm. [return through] returns liver, heart, spleen channel.
【功能主治】 补血活血,调经止痛,润肠通便。用于血虚萎黄,眩晕心悸,月经不调,经闭痛经,虚寒腹痛,肠燥便秘,风湿痹痛,跌扑损伤,痈疽疮疡。 [Functions and Indications] Enriching blood and promoting blood circulation, regulating menstruation and relieving pain, moistening intestines and laxative. For blood deficiency and yellow complexion, dizziness and palpitations, irregular menstruation, amenorrhea dysmenorrhea, abdominal pain due to deficiency and cold, constipation due to dryness of the intestine, rheumatic arthralgia, injury from falls, carbuncle sores.
赤芍【来源】 本品为毛茛科植物芍药Paeonia lactiflora Pall.或川赤芍Paeonia veitchii Lynch 的干燥根。【性味】 苦,微寒。【归经】 归肝经。【功能主治】 清热凉血,散瘀止痛。用于温毒发斑,吐血衄血,目赤肿痛,肝郁胁痛,经闭痛经,症瘕腹痛,跌扑损伤,痈肿疮疡。 Radix Paeoniae Rubra 【Source】 This product is the dried root of Paeonia lactiflora Pall. or Paeonia veitchii Lynch, a plant of Ranunculaceae. [nature and flavor] bitter, slightly cold. [return through] returns Liver Channel. [Functions and Indications] Clearing away heat and cooling blood, dissipating blood stasis and relieving pain. It is used for warming and poisoning spots, vomiting blood and epistaxis, conjunctival congestion and swelling pain, liver depression and hypochondriac pain, amenorrhea dysmenorrhea, abdominal pain in the abdomen, injury from falls, carbuncle sores.
牡丹皮【来源】 本品为毛茛科植物牡丹Paeonia suffruticosa Andr.的干燥根皮。【性味】 苦、辛,微寒。【归经】 归心、肝、肾经。【功能主治】 清热凉血,活血化瘀。用于温毒发斑,吐血衄血,夜热早凉,无汗骨蒸,经闭痛经,痈肿疮毒,跌扑伤痛。 Cortex Moutan 【Source】 This product is the dried root bark of Paeonia suffruticosa Andr. [nature and flavor] bitter, pungent, slightly cold. [return through] GUIXIN, liver, kidney channel. [Functions and Indications] Clearing heat and cooling blood, promoting blood circulation and removing blood stasis. It is used for warming and poisoning spots, vomiting blood and epistaxis, night heat and morning coolness, bone steam without sweat, amenorrhea dysmenorrhea, carbuncle sores, and pain caused by tumbling.
香附【来源】 本品为莎草科植物莎草Cyperus rotundus L. 的干燥根茎。【性味】 辛、微苦、微甘,平。【归经】 归肝、脾、三焦经。 Rhizoma Cyperus 【Source】 This product is the dry rhizome of Cyperus rotundus L., a Cyperaceae plant. [nature and flavor] pungent, slightly bitter, slightly sweet, flat. [return through] returns liver, spleen, triple burner channel.
【功能主治】 行气解郁,调经止痛。用于肝郁气滞,胸、胁、脘腹胀痛,消化不良,胸脘痞闷,寒疝腹痛,乳房胀痛,月经不调,经闭痛经。 [Functions and Indications] Promoting qi and relieving depression, regulating menstruation and relieving pain. For liver depression and qi stagnation, distending pain in the chest, side of the body, and abdomen, dyspepsia, fullness in the chest and abdomen, abdominal pain due to cold colic, breast distending pain, irregular menstruation, amenorrhea dysmenorrhea.
牡蛎【来源】 本品为牡蛎科动物长牡蛎Ostrea gigas Thunberg、大连湾牡蛎Ostrea talienwhanensis Crosse 或近江牡蛎Ostrea rivularis Gould的贝壳。【性味】 咸,微寒。【归经】 归肝、胆、肾经。【功能主治】 重镇安神,潜阳补阴,软坚散结。用于惊悸失眠,眩晕耳鸣,瘰疬痰核,症瘕痞块。 Oyster [source] This product is the shell of Ostrea gigas Thunberg, Ostrea talienwhanensis Crosse or Ostrea rivularis Gould. [nature and flavor] salty, slightly cold. [return through] returns liver, gallbladder, kidney channel. [Functions and Indications] Calms the nerves, subdues yang and nourishes yin, softens hard masses and relieves stagnation. For palpitation with fear and insomnia, dizziness and tinnitus, scrofula sputum nucleus, lump in the abdomen in the abdomen.
夏枯草【来源】 本品为唇形科植物夏枯草Prunella vulgaris L. 的干燥果穗。【性味】 辛、苦,寒。【归经】 归肝、胆经。【功能主治】 清火,明目,散结,消肿。用于目赤肿痛,目珠夜痛,头痛眩晕,瘰疬,瘿瘤,乳痈肿痛;甲状腺肿大,淋巴结结核,乳腺增生,高血压。 Prunella vulgaris [source] This product is the dried fruit ear of Prunella vulgaris L., a plant of Lamiaceae. [nature and flavor] pungent, bitter, cold. [return through] returns liver, gallbladder meridian. [Functions and Indications] Clear fire, improve eyesight, dissipate stagnation, reduce swelling. For conjunctival congestion and swelling pain, eye pearl night pain, headache and dizziness, scrofula, goiter, mastitis swelling and pain; goiter, lymph node tuberculosis, breast hyperplasia, hypertension.
薏苡仁【来源】 本品为禾本科植物薏苡Coix lacryma-jobi L. var. ma-yuen (Roman.)Stapf的干燥成熟种仁。【性味】 甘、淡,凉。 Coix Seed [Source] This product is the dry mature seed kernel of Coix lacryma-jobi L. var. ma-yuen (Roman.) Stapf, a grass plant. [nature and flavor] sweet, light, cool.
【归经】 归脾、胃、肺经。【功能主治】 健脾渗湿,除痹止泻,清热排浓。用于水肿,脚气,小便不利,湿痹拘挛,脾虚泄泻,肺痈,肠痈;扁平疣。 [return through] returns spleen, stomach, lung meridian. [Functions and Indications] Invigorating the spleen and expelling dampness, eliminating numbness and stopping diarrhea, clearing away heat and relieving congestion. For edema, beriberi, dysuria, arthralgia dampness spasm, diarrhea due to spleen deficiency, pulmonary abscess, intestinal abscess; flat wart.
醋穿山甲【来源】 本品为鲮鲤科动物穿山甲Manis pentadactyla Linnaeus的鳞甲。醋山甲:取净穿山甲,大小分开,按上法烫至鼓起,醋淬,取出,干燥。用时捣碎。每100kg穿山甲 ,用醋30kg。【性味】 咸,微寒。【归经】 归肝、胃经。【功能主治】 通经下乳,消肿排脓,搜风通络。用于经闭癓瘕,乳汁不通,痈肿疮毒,关节痹痛,麻木拘挛。 Vinegar Pangolin [Source] This product is the scales of the pangolin Manis pentadactyla Linnaeus, a dace carp. Vinegar goats: take clean pangolins, separate them by size, scald them until they bulge, quench them with vinegar, take them out, and dry them. Mash when used. For every 100kg of pangolins, use 30kg of vinegar. [nature and flavor] salty, slightly cold. [return through] returns liver, stomach warp. 【Functions and Indications】Stimulating the menstrual flow and lowering the milk, reducing swelling and draining pus, searching wind and dredging collaterals. For amenorrhea lump in the abdomen, milk barrier, carbuncle sore, joint arthralgia, numbness and spasm.
炒王不留行【来源】为石竹科植物麦蓝菜的种子。【性味】苦,平。【归经】入肝、胃经。【功能主治】行血通经,催生下乳,消肿敛疮。治妇女经闭,乳汁不通,难产,血淋,痈肿,金疮出血。 Fried Wangbuliuxing [source] is the seed of Caryophyllaceae plant barley. [nature and flavor] bitter, flat. [return through] enter liver, stomach warp. [Functions and Indications] Promoting blood circulation to stimulate menstruation, promoting milk production, reducing swelling and suppressing sores. Control women's amenorrhea, milk obstruction, dystocia, bloody stranguria, carbuncle, hemorrhage from golden sore.
山楂【来源】 本品为蔷薇科植物山里红Crataegus pinnatifida Bge.var.major N.E.Br.或山楂Crataegus pinnatifida Bge.的干燥成熟果实。【性味】 酸、甘、微温。【归经】 归脾、胃、肝经。【功能主治】 消食健胃,行气散瘀。用于肉食积滞,胃脘胀满,泻痢腹痛,瘀血经闭,产后瘀阻,心腹刺痛,疝气疼痛;高脂血症。 Hawthorn [source] This product is the dry and mature fruit of Crataegus pinnatifida Bge.var.major N.E.Br. or Crataegus pinnatifida Bge. of Rosaceae. [nature and flavor] sour, sweet, slightly warm. [return through] returns spleen, stomach, liver channel. [Functions and Indications] Dispelling food and invigorating the stomach, promoting qi and dispelling blood stasis. For stagnation of meat, fullness in the epigastric cavity, diarrhea and abdominal pain, amenorrhea due to blood stasis, postpartum stasis, tingling pain in trusted subordinates, hernia pain; hyperlipidemia.
大黄【来源】 本品为蓼科植物掌叶大黄Rheum palmatum L。、 唐古特大黄Rheum tanguticum Maxim。 ex Balf。或药用大黄Rheum officinale Baill。的干燥根及根茎。【性味】 苦,寒。【归经】 归脾、胃、大肠、肝、心包经。【功能主治】 泻热通肠,凉血解毒,逐瘀通经。用于实热便秘,积滞腹痛,泻痢不爽,湿热黄疸,血热吐衄,目赤,咽肿,肠痈腹痛,痈肿疔疮,瘀血经闭,跌打损伤,外治水火烫伤;上消化道出血。 Rhubarb 【Source】 This product is Rheum palmatum L, a plant of the Polygonaceae family. , Rheum tanguticum Maxim. ex Balf. Or medicinal Rheum officinale Baill. dry roots and rhizomes. [nature and flavor] bitter, cold. [return through] returns spleen, stomach, large intestine, liver, pericardium channel. [Functions and Indications] Purging heat and dredging intestines, cooling blood and detoxifying, removing blood stasis and dredging menstrual flow. Used for excess heat and constipation, stagnant abdominal pain, dysentery, damp-heat jaundice, vomiting of blood heat, red eyes, swollen throat, abdominal pain in the intestine, carbuncle and furuncle, blood stasis, amenorrhea, bruises, external treatment of water and fire burns ; Upper gastrointestinal bleeding.
桃仁【来源】 本品为蔷薇科植物桃Prunus persica (L.) Batsch 或山桃 Prunus davidiana (Carr.)Franch.的干燥成熟种子。【性味】 苦、甘,平。【归经】 归心、肝、大肠经。【功能主治】 活血祛瘀,润肠通便。用于经闭,痛经,癓瘕痞块,跌扑损伤,肠燥便秘。 Peach Kernel [Source] This product is the dry mature seed of Prunus persica (L.) Batsch or Prunus davidiana (Carr.) Franch. [nature and flavor] bitter, sweet, flat. [return through] Guixin, liver, large intestine channel. [Functions and Indications] Promoting blood circulation and removing blood stasis, moistening intestines and laxative. For amenorrhea, dysmenorrhea, lump in the abdomen, injury from falling down, dryness of the intestine and constipation.
蜂房【来源】 本品为胡蜂科昆虫果马蜂Polistes olivaceous (DeGeer)、日本长脚胡蜂Polistes japonicus Saussure 或异腹胡蜂Parapolybia varia Fabricius的巢。【性味】 甘,平。【归经】 归胃经。 [Source] This product is the nest of Polistes olivaceous (DeGeer), Polistes japonicus Saussure, or Parapolybia varia Fabricius. [nature and flavor] sweet, flat. [return through] returns stomach meridian.
【功能主治】 祛风,功毒,杀虫,止痛。用于龋齿牙痛,疮疡肿毒,乳痈,瘰疬,皮肤顽癣,鹅掌风。 [Functions and Indications] Expelling wind, detoxification, killing parasites, relieving pain. For dental caries and toothache, sore swollen poison, mastitis, scrofula, stubborn ringworm of the skin, goosefoot.
桂枝【来源】 本品为樟科植物肉桂 Cinnamomum cassia Presl的干燥嫩枝。【性味】 辛、甘,温。【归经】 归心、肺、膀胱经。【功能主治】 发汗解肌,温通经脉,助阳化气,平冲降气。用于风寒感冒,脘腹冷痛,血寒经闭,关节痹痛,痰饮,水肿,心悸,奔豚。 Guizhi [source] This product is the dry twig of Cinnamomum cassia Presl, a plant of Lauraceae. [nature and flavor] pungent, sweet, warm. [return through] heart, lung, bladder channel. [Functions and Indications] Producing sweat and relieving muscles, warming meridians, helping yang to transform qi, calming and descending qi. For anemofrigid cold, cold pain in the abdomen, amenorrhea due to cold in blood, arthralgia, phlegm retention, edema, palpitation, running ton.
甘草【来源】 本品为豆科植物甘草 Glycyrrhiza uralensis Fisch.、胀果甘草 Glycyrrhiza inflata Bat. 或光果甘草 Glycyrrhiza glabra L. 的干燥根。【性味】 甘,平。【归经】 归心、肺、脾、胃经 。【功能主治】 补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药。用于脾胃虚弱,倦怠乏力,心悸气短,咳嗽痰多,脘腹、四肢挛急疼痛,痈肿疮毒,缓解药物毒性、烈性。 Licorice [source] This product is the dried root of Glycyrrhiza uralensis Fisch., Glycyrrhiza inflata Bat. or Glycyrrhiza glabra L., a leguminous plant. [nature and flavor] sweet, flat. [return through] Guixin, lung, spleen, stomach meridian. [Functions and Indications] Invigorating the spleen and replenishing qi, clearing heat and detoxification, eliminating phlegm and relieving cough, relieving spasm and relieving pain, harmonizing various medicines. For weakness of the spleen and stomach, lassitude and weakness, palpitation and shortness of breath, cough with copious phlegm, epigastric abdomen, extremity convulsion acute pain, carbuncle sore tumefacting virus, alleviates drug toxicity, strong.
益母草【来源】 本品为唇形科植物益母草Leonurus japonicus Houtt. 的新鲜或干燥地上部分。【性味】 苦、辛,微寒。【归经】 归肝、心包经。【功能主治】 活血调经,利尿消肿。用于月经不调,痛经,经闭,恶露不尽,水肿尿少;急性肾炎水肿。 Motherwort 【Source】 This product is the fresh or dry aerial part of Motherwort Leonurus japonicus Houtt. [nature and flavor] bitter, pungent, slightly cold. [return through] returns liver, pericardium channel. 【Functions and Indications】Promoting blood circulation and regulating menstruation, promoting diuresis and reducing swelling. For irregular menstruation, dysmenorrhea, amenorrhea, lochia, edema and oliguria; acute nephritis edema.
龙眼肉【来源】 本品为无患子科龙眼属植物龙眼Dimocarpus longan Lour.的假种皮。【性味】 甘,温。【归经】 归心、脾经。【功能主治】 补益心脾,养血安神。用于气血不足,心悸怔忡,健忘失眠,血虚萎黄。 Longan meat [source] This product is the aril of longan Dimocarpus longan Lour. [nature and flavor] sweet, warm. [return through] Guixin, spleen channel. [Functions and Indications] Tonify the heart and spleen, nourish blood and calm the nerves. For lack of Qi and blood, palpitations, forgetfulness, insomnia, blood deficiency and chlorosis.
茜草【来源】 本品为茜草科植物茜草Rubia cordifolia L. 的干燥根及根茎。【性味】 苦,寒。【归经】 归肝经。【功能主治】 凉血,止血,祛瘀,通经。用于吐血,衄血,崩漏,外伤出血,经闭瘀阻,关节痹痛,跌扑肿痛。 Rubia [source] This product is the dry root and rhizome of Rubia cordifolia L., a Rubiaceae plant. [nature and flavor] bitter, cold. [return through] returns Liver Channel. [Functions and Indications] Cooling blood, stopping bleeding, dispelling blood stasis, stimulating menstrual flow. For vomiting blood, epistaxis, uterine bleeding, traumatic bleeding, amenorrhea stasis, joint arthralgia, tumbling swelling pain.
气滞血瘀证型癥瘕病的病机多因脏腑失调,气血阻滞,瘀血内结,气聚为瘕,血瘀为癥。临床上,气滞血瘀证型癥瘕病患者的症状通常为胞中结块,积块不坚,推之可动,或积块坚硬,固定不移;下腹胀痛或胀满,或月经不调,行经期下腹胀痛、拒按,前后阴坠胀欲便,经血紫暗有块,块去痛减,胸闷乳胀;面色晦暗,肌肤乏润;舌紫暗有瘀点,苔薄白,脉弦或涩。本发明采用合适的药材及其配比,所制得的中药具有行气导滞、活血散结、化瘀止痛、破瘀消癥的功效,5年来,通过对100名患者的使用表明,用于治疗气滞血瘀证型癥瘕病的有效率达90%。 The pathogenesis of lump in the abdomen of Qi stagnation and blood stasis syndrome type is mostly due to the imbalance of viscera, stagnation of qi and blood, internal knot of blood stasis, accumulation of gas into lump in the abdomen, and blood stasis as symptoms. Clinically, the symptoms of patients with lump in the abdomen of Qi stagnation and blood stasis syndrome are usually agglomerated in the cells, which are not firm and can be pushed, or hard and fixed; lower abdominal pain or fullness, or menstrual cramps Irregularity, lower abdominal distension and pain during menstruation, refusal to press, bloating of the front and rear vagina, desire to defecate, dark purple menstrual blood with lumps, pain relief of lumps, chest tightness and breast swelling; dull complexion, lack of moist skin; dark purple tongue with petechiae, thin fur White, stringy or astringent pulse. The present invention adopts suitable medicinal materials and their proportions, and the prepared traditional Chinese medicine has the effects of promoting qi and guiding stagnation, promoting blood circulation and dispelling stagnation, dispelling blood stasis and relieving pain, and dispelling blood stasis and eliminating symptoms. In the past 5 years, the use of 100 patients showed that the use of The effective rate in the treatment of qi stagnation and blood stasis syndrome is as high as 90%.
下面结合临床实验数据说明本发明的有益效果: Below in conjunction with clinical experiment data illustrate the beneficial effect of the present invention:
1、一般资料 1. General Information
发明人2008年6月-2013年6月间共收集了179例气滞血瘀证型癥瘕病门诊患者,年龄25-45岁;病情3个月-2年;病人病史:常有“月经病”、不孕症、带下病、精神创伤史等病史;病人症状:下腹部包块,或胀、或痛、或满,伴有月经异常、痛经,以及带下异常等;超声诊断:卵巢巧克力样囊肿直径、子宫肌瘤≤5cm;肿瘤标志物:CA125≤200U/ml。随机分为:治疗组100例,对照组79例。两组年龄等资料无显著性差异,具有可比性。 From June 2008 to June 2013, the inventor collected 179 outpatients with qi stagnation and blood stasis syndrome type lump in the abdomen, aged 25-45 years; the condition was 3 months to 2 years; the patient's medical history: often "menstrual disease", infertility, leukorrhea, history of mental trauma, etc.; patient symptoms: lower abdominal mass, or swelling, pain, or fullness, accompanied by abnormal menstruation, dysmenorrhea, and abnormal leukorrhea; ultrasound diagnosis: Ovarian chocolate cyst diameter, uterine fibroids ≤ 5cm; tumor markers: CA125 ≤ 200U/ml. Randomly divided into: a treatment group of 100 cases, a control group of 79 cases. There was no significant difference in age and other data between the two groups, and they were comparable.
2、试验方法 2. Test method
2.1对照组口服橘荔散结丸,按照说明书服用。疗程3个月经周期。 2.1 The control group took Juli Sanjie pills orally and took them according to the instructions. The course of treatment is 3 menstrual cycles.
2.2治疗组口服本发明按照具体实施例1制得的胶囊,早、中、晚各一次,饭后服用,疗程3个月经周期。有效病例随访二个月,月经期停服。治疗期间两组均不得使用激素、止痛类西药及同类中药。 2.2 The treatment group took the capsules prepared according to the specific embodiment 1 of the present invention orally, once in the morning, noon and evening, after meals, and the course of treatment was 3 menstrual cycles. Effective cases were followed up for two months, and the drug was discontinued during the menstrual period. During the treatment period, both groups were not allowed to use hormones, analgesic western medicines and similar traditional Chinese medicines.
3、疗效标准及治疗结果 3. Efficacy criteria and treatment results
3.1疗效标准: 3.1 Curative effect standard:
痊愈:症状(包括瘀血证候)全部消失,卵巢巧克力样囊肿经妇科检查,B超检查盆腔包块等局部体征基本消失。 Recovery: all symptoms (including blood stasis syndrome) disappeared, local signs such as ovarian chocolate cyst and pelvic mass basically disappeared after gynecological examination and B-ultrasound examination.
显效:症状(包括瘀血证候)基本消失,卵巢巧克力样囊肿经妇科检查,B超检内膜异位囊肿三径之和缩小1/2以上,临床症状部分或全部消失。 Significantly effective: symptoms (including blood stasis syndrome) basically disappeared, the sum of the three diameters of endometrioma cysts in ovarian chocolate-like cysts was reduced by more than 1/2 in B-ultrasound examination, and clinical symptoms disappeared partially or completely.
有效:症状减轻,卵巢巧克力样囊肿经妇科检查,B超检查囊肿三径之和缩小1/3以上,临床症状部分消失或减轻。 Effective: Symptoms are alleviated. Gynecological examination of ovarian chocolate-like cysts shows that the sum of the three diameters of the cysts in B-ultrasonic examination has shrunk by more than 1/3, and the clinical symptoms have partially disappeared or been alleviated.
无效:连续服药一个疗程以上,B超检查囊肿三径之和无改变或缩小不足1cm,自觉症状减轻或无改变。 Ineffective: continuous medication for more than one course of treatment, B-ultrasound examination of the sum of the three diameters of the cyst remains unchanged or less than 1cm in size, and subjective symptoms are relieved or unchanged.
3.2治疗统计结果见表1。 3.2 See Table 1 for the statistical results of treatment.
表1 两组疗效比较 Table 1 Comparison of curative effect between the two groups
由此可见,本发明制得的药物能够安全有效治疗气滞血瘀证型癥瘕病。 Thus it can be seen that the medicine prepared by the present invention can safely and effectively treat Qi stagnation and blood stasis syndrome type lump in the abdomen.
具体实施方式 Detailed ways
为了更好地理解与实施本发明,下面结合具体实施例进一步说明本发明。 In order to better understand and implement the present invention, the present invention will be further described below in conjunction with specific examples.
具体实施例1 Specific embodiment 1
称取柴胡10克、白术10克、茯苓20克、当归10克、赤芍15克、牡丹皮10克、香附20克、牡蛎30克、夏枯草30克、薏苡仁30克、醋穿山甲2克、炒王不留行6克、山楂30克、大黄10克、桃仁10克、蜂房6克、桂枝20克、甘草6克、益母草30克、龙眼肉10克、茜草20克,加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩,干燥,装入胶囊壳,即得符合正常成人1天用量的胶囊剂。 Weigh 10 grams of Bupleurum, 10 grams of Atractylodes macrocephala, 20 grams of Poria cocos, 10 grams of angelica, 15 grams of red peony root, 10 grams of Moutan bark, 20 grams of Cyperus cyperi, 30 grams of oyster, 30 grams of Prunella vulgaris, 30 grams of coix seed, vinegar pangolin 2 grams, 6 grams of stir-fried wangbulixing, 30 grams of hawthorn, 10 grams of rhubarb, 10 grams of peach kernels, 6 grams of honeycomb, 20 grams of cinnamon sticks, 6 grams of licorice, 30 grams of motherwort, 10 grams of longan meat, 20 grams of madder, plus Add 8 times the amount of water, decoct for 1.5 hours, filter; add 6 times the amount of water to the filter residue, decoct for 1 hour, filter; combine the filtrates, concentrate, dry, put into capsule shells, and obtain capsules that meet the daily dosage of normal adults.
用于治疗气滞血瘀证型癥瘕病,口服,每日分早、中、晚三次服用。 It is used to treat lump in the abdomen of Qi stagnation and blood stasis syndrome type. It is taken orally and taken three times a day in the morning, noon and night.
具体实施例2 Specific embodiment 2
称取柴胡10克、白术10克、茯苓20克、当归10克、赤芍15克、牡丹皮10克、香附20克、牡蛎30克、夏枯草30克、薏苡仁30克、醋穿山甲2克、炒王不留行6克、山楂30克、大黄10克、桃仁10克、蜂房6克、桂枝20克、甘草6克、益母草30克、龙眼肉10克、茜草20克,加10倍量水,煎煮2小时,过滤;滤渣加8倍量水,煎煮1.5小时,过滤;合并滤液,浓缩,干燥,包装,即得符合正常成人1天用量的散剂。 Weigh 10 grams of Bupleurum, 10 grams of Atractylodes macrocephala, 20 grams of Poria cocos, 10 grams of angelica, 15 grams of red peony root, 10 grams of Moutan bark, 20 grams of Cyperus cyperi, 30 grams of oyster, 30 grams of Prunella vulgaris, 30 grams of coix seed, vinegar pangolin 2 grams, 6 grams of stir-fried wangbulixing, 30 grams of hawthorn, 10 grams of rhubarb, 10 grams of peach kernels, 6 grams of honeycomb, 20 grams of cinnamon sticks, 6 grams of licorice, 30 grams of motherwort, 10 grams of longan meat, 20 grams of madder, plus Add 10 times the amount of water, decoct for 2 hours, filter; add 8 times the amount of water to the filter residue, decoct for 1.5 hours, filter; combine the filtrates, concentrate, dry, and pack to obtain a powder that meets the daily dosage of a normal adult.
用于治疗气滞血瘀证型癥瘕病,口服,每日分早、中、晚三次服用。 It is used to treat lump in the abdomen of Qi stagnation and blood stasis syndrome type. It is taken orally and taken three times a day in the morning, noon and night.
具体实施例3 Specific embodiment 3
称取柴胡10克、白术10克、茯苓20克、当归10克、赤芍15克、牡丹皮10克、香附20克、牡蛎30克、夏枯草30克、薏苡仁30克、醋穿山甲2克、炒王不留行6克、山楂30克、大黄10克、桃仁10克、蜂房6克、桂枝20克、甘草6克、益母草30克、龙眼肉10克、茜草20克,加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩,干燥,再加入适量糊精和矫味剂,按照本领域常规工艺制粒,包装,即得符合正常成人1天用量的颗粒剂。 Weigh 10 grams of Bupleurum, 10 grams of Atractylodes macrocephala, 20 grams of Poria cocos, 10 grams of angelica, 15 grams of red peony root, 10 grams of Moutan bark, 20 grams of Cyperus cyperi, 30 grams of oyster, 30 grams of Prunella vulgaris, 30 grams of coix seed, vinegar pangolin 2 grams, 6 grams of stir-fried wangbulixing, 30 grams of hawthorn, 10 grams of rhubarb, 10 grams of peach kernels, 6 grams of honeycomb, 20 grams of cinnamon sticks, 6 grams of licorice, 30 grams of motherwort, 10 grams of longan meat, 20 grams of madder, plus 8 times the amount of water, decoct for 1.5 hours, filter; add 6 times the amount of water to the filter residue, decoct for 1 hour, filter; combine the filtrate, concentrate, dry, add appropriate amount of dextrin and flavoring agent, and granulate according to the conventional process in this field , packaging, that is, granules that meet the daily dosage of normal adults.
用于治疗气滞血瘀证型癥瘕病,口服,每日分早、中、晚三次服用。 It is used to treat lump in the abdomen of Qi stagnation and blood stasis syndrome type. It is taken orally and taken three times a day in the morning, noon and night.
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