CN103623270A - 一种治疗脾虚型发热的中药 - Google Patents
一种治疗脾虚型发热的中药 Download PDFInfo
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Abstract
本发明公开了一种治疗脾虚型发热的中药，其特征是由下列重量配比的药材制成的：黄芪、党参、白术、当归、酸枣仁、柴胡、升麻、陈皮、浮小麦、甘草、大枣等份。本发明采用合适的药材及其配比，各药物之间相互配合，协同作用，所制成的中药具有健脾益气、补气养血的功效，同时还具有清虚热，滋肾阴的作用，能有效治疗因脾虚而致的发热，四年来通过对100名患者使用表明，有效率达94%。
Description
技术领域
本发明涉及一种中药，特别是一种用于治疗脾虚型发热的中药。
背景技术
发热是指致热原直接作用于体温调节中枢、体温中枢功能紊乱或各种原因引起的产热过多、散热减少，导致体温升高超过正常范围的情形。通常体温高出正常标准，或自有身热不适的感觉。造成发热的原因，分为外感、内伤两类。外感发热，因感受六淫之邪及疫疠之气所致；内伤发热，多由饮食劳倦或七情变化，导致阴阳失调，气血虚衰所致。外感发热多实，见于感冒、伤寒、温病、瘟疫等病证；内伤发热多虚，有阴虚发热、阳虚发热、血虚发热、气虚发热、虚劳发热、脾虚发热、失血发热等。目前，治疗内伤发热大多数采用西药，所以，只是治标不治本，休温只是当时下降了，过后还会出现发热的症状。因脾虚而致的发热，患者通常也是采用服用西药来降温，也有的服用中药治疗，但，目前还没有一种专用于治疗脾虚型发热的中成药。
发明内容
本发明的目的旨在提供一种专用于治疗脾虚型发热的中药，通过采用合适的药材及其配比，达到安全有效地治疗脾虚型发热的目的。
为实现本发明的上述目的所采用的技术方案是：一种治疗脾虚型发热的中药，其特征是由下列重量配比的药材制成的：
黄芪、党参、白术、当归、酸枣仁、柴胡、升麻、陈皮、浮小麦、甘草、大枣等份。
本发明配方中各药材的来源及功效如下：
黄芪【来源】本品为豆科植物蒙古黄芪 Astragalus membranaceus （Fisch.） Bge. var. mongholicus （Bge.）Hsiao 或膜荚黄芪 Astragalus membranaceus （Fisch.） Bge.的干燥根。【性味】甘，温。【归经】归肺、脾经。【功能主治】补气固表，利尿托毒，排脓，敛疮生肌。用于气虚乏力，食少便溏，中气下陷，久泻脱肛，便血崩漏，表虚自汗，气虚水肿，痈疽难溃，久溃不敛，血虚痿黄，内热消渴；慢性肾炎蛋白尿，糖尿病。
党参【来源】本品为桔梗科植物党参 Codonopsis pilosula （Franch.） Nannf.、素花党参（西党参）Codonopsis pilosula Nannf. var. modesta （Nannf.） L. T. Shen或川党参Codonopsis tangshen Oliv.的干燥根。【性味】甘，平。【归经】归脾、肺经。【功能主治】补中益气，健脾益肺。用于脾肺虚弱，气短心悸，食少便溏，虚喘咳嗽，内热消渴。
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。土白术健脾，和胃，安胎。用于脾虚食少，泄泻便溏，胎动不安。
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。【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。酒当归活血通经。用于经闭痛经，风湿痹痛，跌扑损伤。
酸枣仁【来源】鼠李科植物酸枣的种子。【性味】甘，平。 【归经】心经；脾经；肝经；胆经。 【功能主治】宁心安神，养肝，敛汗 。主治虚烦不眠；惊悸怔忡；体虚自汗、盗汗。
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。
升麻【来源】 本品为毛茛科植物大三叶升麻Cimicifuga heracleifolia Kom. 、兴安升麻Cimicifuga dahurica （Turcz.）Maxim . 或升麻Cimicifuga foetida L. 的干燥根茎。【性味】 辛、微甘，微寒。
【归经】 归肺、脾、胃、大肠经。【功能主治】 发表透疹，清热解毒，升举阳气。用于风热头痛，齿痛，口疮，咽喉肿痛，麻疹不透，阳毒发斑；脱肛，子宫脱垂。
陈皮】 本品为芸香科植物橘Citrus reticulata Blanco 及其栽培变种的干燥成熟果皮。【性味】 苦、辛，温。【归经】 归肺、脾经。【功能主治】 理气健脾，燥湿化痰。用于胸脘胀满，食少吐泻，咳嗽痰多。
浮小麦】 禾本科小麦属植物小麦Triticum aestivum L.的干燥轻浮瘪瘦的果实。【性味】 甘，凉。【功能主治】 止虚汗，养心安神。用于体虚多汗，脏躁症。
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。
大枣【来源】 本品为鼠李科枣属植物枣Ziziphus jujuba Mill. var. inermis （Bunge） Rehd. 的干燥成熟果实。【性味】 甘，温。【归经】 归脾、胃经。【功能主治】 果（大枣）：补中益气，养血安神。用于脾虚食少，乏力便溏，妇人脏躁。
脾虚发热的病机是由于脾胃虚损，使人体阴阳失去平衡而致。因脾虚所至内湿停滞，久而生热，无养气血，水湿不化，阴虚阳盛。症状表现为：倦怠神疲，气短乏力，面色萎黄，纳差便溏，面色不华，目之上下眼胞肿胀，脉细数无力，烦渴不能多饮，皮屑增多，言语无力，小便短赤，耳鸣遗精，舌体胖或有齿印，热度高时，面颊红，小便黄，舌偏红少苔。本发明采用合适的药材及其配比，各药物之间相互配合，协同作用，所制成的中药具有健脾益气、补气养血的功效，同时还具有清虚热，滋肾阴的作用，能有效治疗因脾虚而致的发热，四年来通过对100名患者使用表明，有效率达94%。
下面结合临床实验数据说明本发明的有益效果：
1、一般资料
发明人2009年2月-2013年3月间共治疗了100例脾虚发热症门诊患者，年龄29-64岁，其中，男43例，女57例，近期无发热病史，体温<37.3℃，服用复方阿司匹林等药治疗无效。服用本发明的药物，10天为一个疗程，早、中、晚三次服用，连服二个疗程。
2、治疗结果及疗效标准：治愈：发热消失且追踪3个月未见复发；好转：患者自觉发热较前明显减轻；无效：连续服药2个疗程，症状未见减轻。结果:治愈76例,好转20例,无效4例,总有效率96%。
3、治疗统计结果见表1。
表1 两组疗效比较
| 性别 | 人数 | 痊愈 | 好转 | 无效 | 有效率（%） |
| 男 | 43 | 39 | 3 | 1 | 98 |
| 女 | 57 | 43 | 9 | 5 | 90 |
| 合计 | 100 | 76 | 20 | 6 | 94 |
由此可见，本发明制得的药物能够安全有效治疗脾虚型发热症。
下面结合典型病例进一步说明本发明的效果：
病例1：樊女士，29岁，最2009年8月份就诊。主诉：近期面对满桌丰盛的美食，却怎么也提不起胃口，胃口变差、乏力同时，还伴随有自觉发热症状，她常常手心很烫，但却没有汗，且体温也并未超过37摄氏度，观其眼部上下眼胞肿胀，言语无力不想说话，脉细数无力。诊断为脾虚型发热症，服用本发明按实施例1制得的胶囊，连服二个疗程后痊愈，随访至今没复发过。
病例2：张先生，53岁，2010年10月就诊。主诉：近二个月来，感到口干舌燥，背胀，四肢无力，总是感觉全身发热，晚上睡觉体温烫人，但是用温度计测量不超过37度，胸口肌肉疼，全身肌肉胀痛，右侧晚上睡觉腰痛厉害，精神疲倦、少气懒言、疲乏无力，食后困倦、食欲不振，食后或午后腹胀，大便稀，舌体胖且有齿印，脉虚弱。诊断为脾虚型发热症，服用本发明按实施例1制得的胶囊，连服二个疗程后痊愈，随访至今没复发过。
病例3：姜女士，43岁，2012年4月份就诊。主诉：长期以来，因饮食不规律,经常会感到没有食欲，一个月前，忽感风寒遂发热。曾服用过九味羌活汤、柴葛解肌汤、复方阿司匹林等十几种药，其热不但不稍减,反而增高,就诊时腹胀便溏,肌热灼手,口渴时时饮水而不能多,脉数无力, 舌体胖，有齿印而无苔,眼珠青色,眼光无神，体温37度。诊断为脾虚型发热症，服用本发明按实施例1制得的胶囊，连服二个疗程后痊愈，随访至今没复发过。
具体实施方式
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。
具体实施例1
称取黄芪10克、党参10克、白术10克、当归10克、酸枣仁10克、柴胡10克、升麻10克、陈皮10克、浮小麦10克、甘草10克、大枣10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。
用于治疗脾虚型发热症。口服，每日分早、中、晚三次服用。
具体实施例2
称取黄芪10克、党参10克、白术10克、当归10克、酸枣仁10克、柴胡10克、升麻10克、陈皮10克、浮小麦10克、甘草10克、大枣10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。
用于治疗脾虚型发热症。口服，每日分早、中、晚三次服用。
具体实施例3
称取黄芪10克、党参10克、白术10克、当归10克、酸枣仁10克、柴胡10克、升麻10克、陈皮10克、浮小麦10克、甘草10克、大枣10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。
用于治疗脾虚型发热症。口服，每日分早、中、晚三次服用。
Claims (1)
1.一种治疗脾虚型发热的中药，其特征是由下列重量配比的药材制成的：黄芪、党参、白术、当归、酸枣仁、柴胡、升麻、陈皮、浮小麦、甘草、大枣等份。
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| CN101797369A (zh) * | 2010-04-02 | 2010-08-11 | 邢健昆 | 一种治疗胃无力症的中药组合物 |
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| CN101797369A (zh) * | 2010-04-02 | 2010-08-11 | 邢健昆 | 一种治疗胃无力症的中药组合物 |
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