CN103638190A - 治疗急性胆囊炎的中药 - Google Patents
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Abstract
本发明涉及药物配方领域，具体地说是一种治疗急性胆囊炎的中药，其特征是原料组成以重量份计为，龙胆草15～22、金钱草15～22、玄参4～8、川芎8～12、丹皮8～12、枳实12～17、柴胡12～17、当归10～15、旱莲草10～15、金银花15～20、乌梅12～17、威灵仙10～15、皂刺15～20、溪黄草10～15，将以上原料药烘干，研碾成细粉。本发明治疗急性胆囊炎的中药，成本低、治疗急性胆囊炎疗效高，无毒副作用，具有理气活血，清热利湿，滋阴养肝的作用，适用于各型急性胆囊炎。
Description
技术领域
本发明涉及一种中成药制剂，具体地说是一种治疗急性胆囊炎的中药。
背景技术
众所周知，急性胆囊炎是由细菌感染促使高度浓缩的胆汁返流入胆囊，因胰液的化学刺激而引起胆囊急性炎症。急性发作主要是上腹部疼痛，开始时仅有上腹部胀痛不适，逐渐发展至呈阵发性绞痛，夜间发作常见，饱餐、进食油腻食物常诱发发作，疼痛放射至右肩、肩胛和背部，伴恶心、呕吐、厌食、便秘等消化道症状，如病情发展，疼痛可为持续性，阵发加剧。病人常有轻度至中度发热，可有畏寒，如出现寒战高热，表明病变严重，如胆囊坏疽、穿孔或胆囊积脓，或合并急性胆囊炎，或邻近炎症引起ODDI括约肌痉挛所致。约10％-15％的病人可因合并胆总管结石导致黄疸。急性胆囊炎属于中医“结胸发黄”“黄疸”“腹痛”“胁痛”等范畴。病因病机为情志失调，肝气郁结，加之外感湿热蕴结肝胆，疏泄失常，络脉阻滞，不通则痛。临床证型有肝气郁结、气滞络痹、肝胆虚热、肝阴不足等型。临床非手术治疗，主要对症处理，禁食、输液营养支持、补充维生素、纠正水电解质及酸碱失衡。选用对革兰氏阴性细菌及厌氧菌有效的抗生素联合用药抗感染，根据病情给予解痉止痛、消炎利胆等药物治疗，但治标不治本。
发明内容
本发明的目的就是为了克服上述现有的技术不足，提供一种治疗急性胆囊炎的中药，成本低、治疗急性胆囊炎疗效高，无毒副作用，具有理气活血，清热利湿，滋阴养肝的作用，适用于各型急性胆囊炎。
本发明解决上述技术问题采用的技术方案是：一种治疗急性胆囊炎的中药，其特征是原料组成以重量份计为，龙胆草15～22、金钱草15～22、玄参4～8、川芎8～12、丹皮8～12、枳实12～17、柴胡12～17、当归10～15、旱莲草10～15、金银花15～20、乌梅12～17、威灵仙10～15、皂刺15～20、溪黄草10～15，将以上原料药烘干，研碾成细粉。
本发明治疗急性胆囊炎的中药，成本低、治疗急性胆囊炎疗效高，无毒副作用，具有理气活血，清热利湿，滋阴养肝的作用，适用于各型急性胆囊炎。
具体实施方式
下面结合实施例对本发明作进一步的描述：
实施例1：
首先按下列比例(重量份)取洁净的原料药，龙胆草20、金钱草20、玄参6、川芎10、丹皮10、枳实15、柴胡15、当归12、旱莲草13、金银花18、乌梅16、威灵仙12、皂刺18、溪黄草12。取上述14种原料总重量为182克，首先将鲜猪苦胆汁煮沸冷却后装入无菌液体瓶内备用，将上述14味中草药研碾成细粉末装入保鲜袋内备用。用时将细药粉倒入无菌搪瓷罐内，倒入瓶装备用的鲜猪苦胆汁，调为浆糊状药膏，敷于胆囊区，厚约5mm，上盖无毒保鲜膜，再用敷贴固定，每日换药2次，用至临床症状体征消失，食欲增加，白细胞降至正常，改为每天换药1次，巩固疗效再用1周。
本发明龙胆草性味苦，涩，大寒，无毒。主治骨间寒热、惊病邪气，继绝伤，定五脏，杀虫毒；金钱草具有清热解毒，散瘀消肿，利湿退黄之功效，可用于热淋，沙淋，尿涩作痛，黄疸尿赤，痈肿疔疮，毒蛇咬伤，肝胆结石，尿路结石等症；玄参主治温热病和营血、身热、烦渴、舌绛、发斑、骨蒸劳嗽、虚烦不寤、津伤便秘、目涩昏花、咽喉喉肿痛、瘰疬痰核、痈疽疮毒；川芎行气开郁，活血止痛。适宜瘀血阻滞各种病症，祛风止痛，效用甚佳，可治头风头痛、风湿痹痛等症；丹皮性微寒，味苦辛，无毒。入心、肝、肾经。具有清血，活血散瘀的功能。主治斑疹吐血，血滞经闭，经前发势，痈肿疮毒，损伤瘀血，阴虚发势，无汗；枳实性味归经：苦，辛，寒。归脾，胃，肝，心经。主治：积滞内停，痞满胀痛，大便秘结；柴胡苦，微寒。归肝、胆经。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；当归补血活血，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；旱莲草其性凉、味甘、酸，养阴补肾、凉血止血，适用于肝肾阴虚之眩晕、须发早白、吐血、尿血、衄血、便血、带下、淋浊等；金银花性甘寒气芳香，甘寒清热而不伤胃，芳香透达又可祛邪。既能宣散风热，还善清解血毒，用于各种热性病，如身热、发疹；乌梅性味酸、涩，平。归肝、脾、肺、大肠经。敛肺，涩肠，生津，安蛔。用于肺虚久咳，虚热烦渴，久疟，久泻，痢疾；威灵仙其性温，味苦辛.功能祛风除湿，通经活络，止痛.主治风湿关节痛，寒性胃痛，鱼骨梗喉，破伤风；皂刺性温，味辛，有小毒。主治：搜风，拔毒，消肿，排脓。治痈肿，疮毒，疠风，癣疮，胎衣不下；溪黄草具有清热利湿、退黄祛湿、凉血散瘀的功效，用于治疗急性黄疸型肝炎、急性胆囊炎、痢疾、肠炎、跌打瘀痛等病症。本发明巧妙组方，药物相互协调作用，使用时将药粉调成药糊状膏药，直接敷于胆囊区，通过皮肤、黏膜的吸收作用，达到行气活血，疏通经络，清热解毒，消肿止痛等治疗目的，共奏急性胆囊炎之特效。
本发明各原料还可按下表所列比例(重量份)混合的实施例来实现。其加工工艺与实施例1相同。
下面结合我院，即山东省威海市文登中心医院进行的临床试验对本发明作进一步、详细地描述：
1、诊断标准：a.症状：右上腹剧痛，痛引肩背。发热、恶心或呕吐。b.体征：右上腹有明显压痛，或有腹肌紧张，有时可能到肿大胆囊，少数可出现黄疸。舌苔黄腻，舌质红，脉象弦数或弦滑。c.化验室检查：白细胞总数或中性增高，血清黄疸指数和胆红素可能升高。d.X线检查：胆囊区腹部平片可有胆囊增大阴影。属结石性胆囊炎时，出现阳性结石阴影。e.“B”超：可见胆囊肿大，胆囊壁模糊，囊内有浮动光点，伴有结石时可见结石影像。
2、病例选择：本组60例，年龄12-55岁，全都为胆囊急性炎症，其中临床症型有肝气郁结13例、气滞络痹25例、肝胆虚热10例、肝阴不足12例。
3、治疗方法：向本发明的药粉中倒入鲜猪苦胆汁，调为浆糊状药膏，敷于胆囊区，厚约5mm，上盖无毒保鲜膜，再用敷贴固定，每日换药2次，治疗30天后，改为每天换药1次，再继续治疗20天。
4、诊断标准：
治愈，(1)胆囊切除后，症状体征消失，切口愈合，无并发症。(2)经非手术治疗后，症状体征消失，体温、白细胞正常。
好转，经治疗后，临床症状、体征减轻。
3、治疗效果：使用本发明治疗急性胆囊炎的复方中药膏共治疗60例，结果治愈57例，好转3例，有效率为95％，无效率为5％。
Claims (1)
1.一种治疗急性胆囊炎的中药，其特征是：原料组成以重量份计为，龙胆草15～22、金钱草15～22、玄参4～8、川芎8～12、丹皮8～12、枳实12～17、柴胡12～17、当归10～15、旱莲草10～15、金银花15～20、乌梅12～17、威灵仙10～15、皂刺15～20、溪黄草10～15，将以上原料药烘干，研碾成细粉。
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104758466A (zh) * | 2015-04-22 | 2015-07-08 | 王玉玲 | 治疗急性胆囊炎的中药制剂及制法 |
| CN104758735A (zh) * | 2015-03-26 | 2015-07-08 | 孙红梅 | 一种治疗胆囊炎的中药组合物 |
| CN104984203A (zh) * | 2015-07-13 | 2015-10-21 | 邢明芬 | 一种治疗湿热胆滞型急性胆囊炎的中药及其制备方法 |
| CN106107036A (zh) * | 2016-06-28 | 2016-11-16 | 宿松飞翔生态养殖有限公司 | 一种具有防疫功能的家禽饲料添加剂 |
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| CN1111143A (zh) * | 1994-09-09 | 1995-11-08 | 成都市中医医院 | 消溶肝胆带及其药物 |
| CN103316174A (zh) * | 2013-07-10 | 2013-09-25 | 朱克兰 | 一种治疗急性胆囊炎的中药组合物及其制备方法 |
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| CN1111143A (zh) * | 1994-09-09 | 1995-11-08 | 成都市中医医院 | 消溶肝胆带及其药物 |
| CN103316174A (zh) * | 2013-07-10 | 2013-09-25 | 朱克兰 | 一种治疗急性胆囊炎的中药组合物及其制备方法 |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104758735A (zh) * | 2015-03-26 | 2015-07-08 | 孙红梅 | 一种治疗胆囊炎的中药组合物 |
| CN104758466A (zh) * | 2015-04-22 | 2015-07-08 | 王玉玲 | 治疗急性胆囊炎的中药制剂及制法 |
| CN104984203A (zh) * | 2015-07-13 | 2015-10-21 | 邢明芬 | 一种治疗湿热胆滞型急性胆囊炎的中药及其制备方法 |
| CN106107036A (zh) * | 2016-06-28 | 2016-11-16 | 宿松飞翔生态养殖有限公司 | 一种具有防疫功能的家禽饲料添加剂 |
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