CN103690781B - 一种治疗糜烂型急性扁桃体炎的中药 - Google Patents
一种治疗糜烂型急性扁桃体炎的中药 Download PDFInfo
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Abstract
本发明公开了一种治疗糜烂型急性扁桃体炎的中药，其特征在于由以下重量配比的药材制成的：元参30份、麦冬30份、生地黄30份、人中黄30份、人中白40份、马勃30份、茯苓20份、薄荷30份、石韦40份、玉竹20份、山豆根15份、蝉蜕15份、桔梗20份。本发明通过采用的适宜的药材及其配比，通过各药材之间的协同作用，具有养阴清热、散瘀消肿、解表祛腐的功效，能有效治疗糜烂型急性扁桃体炎，4年来，通过对200名患者的使用表明，有效率达96%。
Description
技术领域
本发明涉及一种中药，特别是一种用于治疗糜烂型急性扁桃体炎的中药。
背景技术
扁桃体炎中医称为“乳蛾”，多发于春秋两季。本病可分为急性和慢性两种。急性期称“风热乳蛾”，又可分单纯型、糜烂型、脓肿型；慢性期称“石蛾”，可分为肾阴虚型和肺阴虚型。目前治疗扁桃体炎的药物多以抗生素为主，长期服用容易造成扁桃体内病菌的抗性增强，而自身的免疫力却会下降，容易造成病情的反复，并且容易对肠胃造成伤害。而传统的手术治疗有严格的手术禁忌症，不能够盲目，且传统的手术手术出血多，术后易造成伤口肿胀疼痛让患者痛苦不已，也不是最佳的治疗方法。采用中医治疗是较好的治疗方法，目前治疗扁桃体炎的中药有许多种，但还没有一种专用于治疗糜烂型急性扁桃体炎的中药。
发明内容
本发明旨在提供一种治疗糜烂型急性扁桃体炎的中药，通过选择合适的药材及其配比，达到安全有效治愈糜烂型急性扁桃体炎的目的。
为达到上述目的，本发明采用以下技术方案：一种治疗糜烂型急性扁桃体炎的中药，其特征在于由以下重量配比的药材制成的：
元参30份、麦冬30份、生地黄30份、人中黄30份、人中白40份、马勃30份、茯苓20份、薄荷30份、石韦40份、玉竹20份、山豆根15份、蝉蜕15份、桔梗20份。
上述配方中各药材的来源及主治功效如下：
元参【来源】为玄参科多年生草本植物玄参的根。【性味】味苦、咸，气微寒，无毒。【归经】入肺、肾、胃三经。清热凉血、养阴清热、泻火解毒、软坚散结。用于热病伤阴、舌绛烦渴、温毒发斑、津伤便秘、骨蒸劳嗽、目赤、咽痛、瘰疬、白喉、痈肿疮毒。
麦冬【来源】该品为百合科植物麦冬（沿阶草）Ophiopogonjaponicus（T.f）Ker-Gawl.的干燥块根。【性味】甘、微苦，微寒。【归经】归心、肺、胃经。功能与主治：养阴生津，润肺清心。用于肺燥干咳，阴虚痨嗽，喉痹咽痛，津伤口渴，内热消渴，心烦失眠，肠燥便秘。
生地黄【来源】本品为玄参科植物地黄RehmanniaglutinosaLibosch.的新鲜或干燥块根。将地黄缓缓烘焙至约八成干，为“生地黄”。【性味】甘，寒。【归经】归心、肝、肾经。【功能主治】清热凉血，养阴，生津。用于热病舌绛烦渴，阴虚内热，骨蒸劳热，内热消渴，吐血，衄血，发斑发疹。
人中黄【来源】本品为甘草的加工品。【炮制】取两端有节的嫩竹筒，在其一端钻孔，将甘草粉从孔内装入，压紧，以融化的松香将孔封固。冬月浸粪坑中四十余天，取出，用水漂清，悬临风处，阴干，破竹筒取甘草，晒干备用。【性味】甘、咸，寒。【归经】入胃经。【功能主治】清热解毒。用于热病发斑，血热毒盛，斑疹紫暗，或高热发狂，以及咽喉肿痛、丹毒等症。
人中白【来源】本品为凝结在尿桶或尿缸中的灰白色无晶形之薄片或块片，洗净干燥而成。【性味】咸，寒。【归经】入肝、三焦、膀胱经。【功能主治】清热解毒，祛瘀止血。用于咽喉肿痛，牙疳口疮，咯血、衄血等症。
马勃【来源】为灰包科脱皮马勃属植物脱皮马勃LasiosphaerafenzliiReich.、马勃属植物大马勃Calvatiagigantea（Batach.exPers.）Lloyd.和紫色马勃C.lilacinaLloyd.的近成熟子实体。【性味】辛，平。【功能主治】清热，利咽，止血。主治：咽喉炎，扁桃体炎；外用治外伤出血，痔疮出血冻疮。
茯苓【来源】本品为多孔菌科真菌茯苓Poriacocos（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。
薄荷【来源】本品为唇形科薄荷属植物薄荷MenthahaplocalyxBriq.的干燥地上部分。【性味】辛，凉。【归经】归肺、肝经。【功能主治】宣散风热。清头目，透疹。用于风热感冒，风温初起，头痛，目赤，喉痹，口疮，风疹，麻疹，胸胁胀闷。
石韦【来源】为水龙骨科植物石韦pyrrosialingua(thunb.)farwell的叶。【性味】性微寒，味甘、苦。气微，味微涩苦。【功能主治】利尿通淋，清热止血。用于热淋、石淋、小便不利、淋沥涩痛、吐血、衄血、尿血、崩漏、肺热咳嗽。
玉竹【来源】本品为百合科植物玉竹Polygonatumodoratum（Mill.）Druce的干燥根茎。【性味】甘，微寒。【归经】归肺、胃经。【功能主治】养阴润燥，生津止渴。用于肺胃阴伤，燥热咳嗽，咽干口渴，内热消渴。
山豆根【来源】本品为豆科植物越南槐SophoratonkinensisGapnep.的干燥根及根茎。【性味】苦，寒；有毒。【归经】归肺、胃经。【功能主治】清热解毒，消肿利咽。用于火毒蕴结，咽喉肿痛，齿龈肿痛。
蝉蜕【来源】本品为蝉科昆虫黑蚱CryptotympanapustulataFabricius的幼虫羽化时脱落的皮壳。【性味】甘，寒。【归经】归肺、肝经。【功能主治】散风除热，利咽，透疹，退翳，解痉。用于风热感冒，咽痛，音哑，麻疹不透，风疹瘙痒，目赤翳障，惊风抽搐，破伤风。
桔梗【来源】本品为桔梗科植物桔梗Platycodongrandiflorum（Jacq.）A.DC.的干燥根。【性味】苦、辛，平。【归经】归肺经。
【功能主治】宣肺，利咽，祛痰，排脓。用于咳嗽痰多，胸闷不畅，咽痛，音哑，肺痈吐脓，疮疡脓成不溃。
咽喉为肺胃所属，多因肺胃之火上升，风热邪毒侵袭或过食辛辣煎炸引动肺胃火热上蒸，内外邪毒使津液受灼，煎炼成痰，痰火邪毒蕴结上攻咽喉而致病者或体质虚弱者，在劳累过度、气候变化、受寒化热的情况下极易诱发。病机主要是热毒蕴结咽部。通常是在单纯型扁桃体炎发病4～5日后，炎症仍不消退，则在肿块上出现白色或黄色包膜状物，此膜易擦去而不出血，俗名“烂乳蛾”，即糜烂型扁桃体炎，全身症状较单纯型为重，体温常高达39～40℃，头胀痛伴食欲不振，便秘，苔黄糙，脉弦数。辨证：热毒炽盛，阴液耗伤。治法：养阴清热、散瘀消肿、解表祛腐。本发明通过采用的适宜的药材及其配比，通过各药材之间的协同作用，具有养阴清热、散瘀消肿、解表祛腐的功效，能有效治疗糜烂型急性扁桃体炎，4年来，通过对200名患者的使用表明，有效率达96%。
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2010年2月-2013年2月间共收集了300例糜烂型急性扁桃体炎门诊患者，其中，男146例，女154例，年龄9-43岁，病情8-15天。随机分为：治疗组200例，对照组100例。两组年龄等资料无显著性差异，具有可比性。
2、试验方法
2.1对照组服用羚翘解毒丸，按照说明书服用。疗程7天。
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。疗程7天。
3、疗效标准及治疗结果
3.1疗效标准：
痊愈：糜烂型急性扁桃体炎的临床症状全部消失。好转：糜烂型急性扁桃体炎的临床症状减轻，病情得到控制。无效：临床症状无明显好转或加重。
3.2治疗统计结果见表1。
表1两组疗效比较
| 组别 | n | 痊愈 | 好转 | 无效 | 总有效率（%） |
| 治疗组 | 200 | 152 | 40 | 8 | 96% |
| 对照组 | 100 | 57 | 21 | 22 | 78% |
由此可见，采用本发明的组方制得的药物能够安全有效治疗糜烂型急性扁桃体炎。
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
称取元参30克、麦冬30克、生地黄30克、人中黄30克、人中白40克、马勃30克、茯苓20克、薄荷30克、石韦40克、玉竹20克、山豆根15克、蝉蜕15克、桔梗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。
用于治疗糜烂型急性扁桃体炎。口服，每日分早、中、晚三次服用。
具体实施例2
称取元参30克、麦冬30克、生地黄30克、人中黄30克、人中白40克、马勃30克、茯苓20克、薄荷30克、石韦40克、玉竹20克、山豆根15克、蝉蜕15克、桔梗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。
用于治疗糜烂型急性扁桃体炎。口服，每日分早、中、晚三次服用。
具体实施例3
称取元参30克、麦冬30克、生地黄30克、人中黄30克、人中白40克、马勃30克、茯苓20克、薄荷30克、石韦40克、玉竹20克、山豆根15克、蝉蜕15克、桔梗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，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。
用于治疗糜烂型急性扁桃体炎。口服，每日分早、中、晚三次服用。
Claims (1)
1.一种治疗糜烂型急性扁桃体炎的中药，其特征在于由以下重量配比的药材制成的：元参30份、麦冬30份、生地黄30份、人中黄30份、人中白40份、马勃30份、茯苓20份、薄荷30份、石韦40份、玉竹20份、山豆根15份、蝉蜕15份、桔梗20份。
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| CN101816757A (zh) * | 2010-06-02 | 2010-09-01 | 泰一和浦（北京）中医药研究院有限公司 | 一种治疗扁桃体炎的中药组合物及其制备方法 |
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