CN104027520A - Traditional Chinese medicine for treating liver-qi stagnation type cholecystitis - Google Patents

Abstract

The invention discloses a traditional Chinese medicine for treating liver-qi stagnation type cholecystitis. The traditional Chinese medicine is prepared from jasminum grandiflorum, radix bupleuri, all-grass of Chinese aeluropus, ligusticum wallichii, mint, rhizoma cyperi, dried tangerine or orange peel and orange peel. The traditional Chinese medicine disclosed by the invention can be clinically used for treating the liver-qi stagnation type cholecystitis.

Description

A kind of Chinese medicine for the treatment of caused by hepatic stagnation qi stagnation cholecystitis

Technical field

The invention belongs to technical field of Chinese medicines, especially relate to a kind of Chinese medicine for the treatment of caused by hepatic stagnation qi stagnation cholecystitis.

Background technology

Chronic cholecystitis is common clinical, frequently-occurring disease, refers to the chronic inflammation pathological changes of gallbladder, how by chronic infection, calculus, chemical stimulation and acute cholecystitis, is repeatedly delayed due to outbreak, has that patient's condition is touching, easy feature repeatedly.Through inventor's long-term practice, draw, the strongly fragrant qi stagnation cholecystitis of Chinese medicine treating the liver has better effect, obtains good effect.

Summary of the invention

The object of the present invention is to provide the Chinese medicine of the treatment caused by hepatic stagnation qi stagnation cholecystitis that a kind of therapeutic effect is good, effective percentage is high, human body is had no side effect.

The present invention, according to Chinese medical theory, adopts Flos jasmini, Radix Bupleuri, Herba Aeluropi sinensis, Rhizoma Chuanxiong, Herba Menthae, Rhizoma Cyperi, Pericarpium Citri Reticulatae, Pericarpium Citri junoris according to certain compatibility requirement, through being processed into.

Preparing Chinese medicine of the present invention is made by following raw material medicaments: Flos jasmini 30-40 part, Radix Bupleuri 30-40 part, Herba Aeluropi sinensis 20-30 part, Rhizoma Chuanxiong 20-30 part, Herba Menthae 20-30 part, Rhizoma Cyperi 10-20 part, Pericarpium Citri Reticulatae 10-20 part, Pericarpium Citri junoris 10-20 part.

Optimum weight part of raw material of Chinese medicine medicine of the present invention is: 35 parts of Flos jasmini, 35 parts of Radix Bupleuri, 25 parts of Herba Aeluropi sinensis, 25 parts of Rhizoma Chuanxiongs, 25 parts of Herba Menthaes, 15 parts of Rhizoma Cyperis, 15 parts of Pericarpium Citri Reticulataes, 15 parts of Pericarpium Citri junoriss.

The pharmacological action of Chinese medicine of the present invention is as follows:

Flos jasmini: bitter, flat.Dispersing the stagnated live-QI to relieve the stagnation of QI, promoting the circulation of QI to relieve pain.For the side of body rib gastral cavity abdomen due to stagnation of QI due to depression of the liver, have a pain, the diseases such as dysentery stomachache.Radix Bupleuri: bitter, pungent, be slightly cold, return liver, gallbladder meridian.Evacuation is brought down a fever, dispersing the stagnated live-QI to relieve the stagnation of QI.For stagnation of QI due to depression of the liver, pain in chest and hypochondrium.

Herba Aeluropi sinensis: sweet, light, cool.Clearing away heat and promoting diuresis, jaundice eliminating.Clinical in icterohepatitis, liver cirrhosis, ascites, the diseases such as cholecystitis.Rhizoma Chuanxiong: pungent, warm, return liver, gallbladder, heart channel.Blood-activating and qi-promoting, wind-expelling pain-stopping.For stagnation of QI and blood, rheumatic arthralgia.

Herba Menthae: pungent, cool, GUIXIN, lung, Liver Channel.Dispelling wind and heat pathogens, the clear sharp head, sore-throat relieving, rash, dispersing the stagnated live-QI to relieve the stagnation of QI.For anemopyretic cold, epidemic febrile disease from the beginning of, measles without adequate eruption, rubella pruritus, stagnation of QI due to depression of the liver, hypochondriac pain uncomfortable in chest etc.

Rhizoma Cyperi: pungent, sweet, micro-hardship, flat.Return liver, tri-jiao channel.Regulate the flow of vital energy resolving depression, regulating menstruation, antiabortive.For distending pain over the hypochondrium, gastral cavity abdomen feeling of fullness pain, abdominal pain during menstruation etc.

Pericarpium Citri Reticulatae: acrid, bitter, warm, return spleen, stomach, lung meridian.Regulate the flow of vital energy in tune, stopping nausea and vomiting by lowering the adverse flow of QI, drying dampness to eliminate phlegm.Full vexed for chest and diaphragm, abdominal distention, anorexia, vomiting etc.

Pericarpium Citri junoris: acrid, bitter, warm.Return spleen, lung meridian.Circulation of qi promoting spleen invigorating, lowering the adverse-rising QI and eliminating phlegm.The clinical distension and fullness in the abdomen for stagnation of QI in spleen and stomach, nausea and vomiting, inappetence, expectorant is stopped up the cough with copious phlegm of QI rising in reverse order, and septum pectorale is full vexed, the diseases such as globus hystericus.

Chinese medicine of the present invention was in 2008 to 2012 clinical observation caused by hepatic stagnation qi stagnation cholecystitis 63 routine patients, and clinical report is as follows:

1, physical data

In 63 routine patients, age 19-62 year, the course of disease is many at 2 months to 5 years, 42.3 years old mean age.

2, diagnostic criteria

The < < traditional Chinese medical science disease Standardization of diagnosis and curative effect > > that diagnosis basis State Administration of Traditional Chinese Medicine issues:

1. persistence upper right abdomen dull pain or sense of discomfort, Huo Banyou omoplate district pain; 2. there are the indigestion symptoms such as nauseating, belch, acid regurgitation, abdominal distention and scorching hot, the postemphasis of feed greasy food; 3. the course of disease is long, and the state of an illness has acute attack and alleviates feature alternately; 4. gallbladder area is carved with mild tenderness and is kowtowed pain; 5. in bile, mucus increases, and leukocyte is in heaps, positive bacterial culture; 6. the visible cholelithiasis of ultrasound diagnosis, thickening of capsule wall of gallbladder, gallbladder dwindles or is out of shape; 7. the visible cholelithiasis of cholecystography, gallbladder dwindles or is out of shape, and gallbladder contraction function is bad, or gallbladder develops thin.

Clinical symptoms: depressed emotion or susceptible to lose temper due to restlessness, side of body rib is altered pain, draws and upper abdomen or shoulder back, oppression sensation over the epigastrium, sighing frequently, belch is frequent, pale tongue with white fur or greasy in vain, stringy and tense pulse.

3, Therapeutic Method

3.1 prescriptions: Flos jasmini 35g, Radix Bupleuri 35g, Herba Aeluropi sinensis 25g, Rhizoma Chuanxiong 25g, Herba Menthae 25g, Rhizoma Cyperi 15g, Pericarpium Citri Reticulatae 15g, Pericarpium Citri junoris 15g.

3.2 methods of preparation and use: said medicine routinely technique is made decoction, every day 2 times, 10 days were 1 course for the treatment of at 1 dose of oral every day.

4, therapeutic outcome:

4.1 formulate with reference to < < Chinese medicine Clinical Researches of New Drugs guideline > >:

Recovery from illness: the primary and secondary syndrome of this syndrome disappears, it is normal that ultrasound diagnosis gallbladder wall and contractile function recover, and gallbladder district pain disappears, and diet, digestion recover normal.Drug withdrawal 3 months is unchanged, follows up a case by regular visits to half a year above without recurrence;

Take a turn for the better: this syndrome primary and secondary syndrome improvement accounts for more than half, and ultrasound diagnosis gallbladder wall and contractile function have clear improvement, and gallbladder district tenderness is clearly better, and diet, digestion are clearly better;

Invalid: through treatment symptom, without alleviation, ultrasound diagnosis gallbladder wall and contractile function are without significant change, and every symptom is not improved.4.2 results: in 63 routine patients, recovery from illness 33 examples (52.4%), 25 examples (39.7%) that take a turn for the better, invalid 5 examples (7.9%), total effective rate is 92.1%.

5. model case

5.1 are permitted certain, female, and 39 years old, suffer from cholecystitis 2 years, mind is irritated recently, and side of body rib walks to alter pain, bitterly, fixing pain at nightfall, during pain to the radiation of shoulder back, delayed menstrual cycle, inappetence, appetite reduces, and body of the tongue has purple gas, and thin lingual fur is slightly yellow greasy, stringy and thready pulse, and above symptom increases and decreases with feelings will quality.Take medicine of the present invention, 1 dose of every day, after 2 courses for the treatment of, symptom is clearly better, and continues to take 3 courses for the treatment of, through B ultrasonic check, and gallbladder clear-cut, smooth, size and form is normal, and recovery from illness is followed up a case by regular visits to after 1 year without recurrence.

5.2 Zhangs, man, 42 years old.Suffer from cholecystitis 1 year.When medical, hypochondriac pain is indistinctly walked to alter indefinite, connects and also pain of shoulder back, and hypochondriac pain is fixing at nightfall does not move, and xerostomia is bitter, purplish tongue gas, stringy and thready pulse.Ultrasound diagnosis, cyst wall thickens, and volume increases, and gallbladder wall is rough and coarse.Take medicine of the present invention, treat 2 courses for the treatment of, symptom obviously alleviates, through B ultrasonic check, and gallbladder clear-cut, smooth, size and form normal, continues to take 2 courses for the treatment of, and recovery from illness is followed up a case by regular visits to after half a year without recurrence.

5.3 leaves, man, 53 years old.Because upper right abdominal distention and pain once arrived certain hospital therapy, be diagnosed as acute cholecystitis, give intravenous drip levofloxacin, remission.After this often occur right Upper abdominal pain while not relaxing because of the greasy or feelings will of taking food, and to lower back radiation, companion feels sick.Because occurring upper right abdomen dull pain after feed Carnis Sus domestica, abdominal distention, singultus, vomiting.The light tenderness of upper right abdomen, does not touch gallbladder, Murphy's sign (+).Ultrasound diagnosis: gallbladder wall hair, thicken, visit and 3.0mm * 5.0mm stone-echo in capsule.Be diagnosed as caused by hepatic stagnation qi stagnation cholecystitis, cholelithiasis.Take medicine of the present invention, treat 2 courses for the treatment of, symptom obviously alleviates, and continues to take 3 courses for the treatment of, and symptom and sign disappears, B ultrasonic check: gallbladder normal in size, wall is smooth, does not visit and stone-echo recovery from illness in capsule, follows up a case by regular visits to without recurrence after half a year.

The specific embodiment

Embodiment 1, and a kind of Chinese medicine for the treatment of caused by hepatic stagnation qi stagnation cholecystitis is to be made by Flos jasmini 30g, Radix Bupleuri 30g, Herba Aeluropi sinensis 20g, Rhizoma Chuanxiong 20g, Herba Menthae 20g, Rhizoma Cyperi 10g, Pericarpium Citri Reticulatae 10g, Pericarpium Citri junoris 10g.

Embodiment 2, and a kind of Chinese medicine for the treatment of caused by hepatic stagnation qi stagnation cholecystitis is to be made by Flos jasmini 35g, Radix Bupleuri 35g, Herba Aeluropi sinensis 25g, Rhizoma Chuanxiong 25g, Herba Menthae 25g, Rhizoma Cyperi 15g, Pericarpium Citri Reticulatae 15g, Pericarpium Citri junoris 15g.

Embodiment 3, and a kind of Chinese medicine for the treatment of caused by hepatic stagnation qi stagnation cholecystitis is to be made by Flos jasmini 40g, Radix Bupleuri 40g, Herba Aeluropi sinensis 30g, Rhizoma Chuanxiong 30g, Herba Menthae 30g, Rhizoma Cyperi 20g, Pericarpium Citri Reticulatae 20g, Pericarpium Citri junoris 20g.

Claims (2)

1. treat a Chinese medicine for caused by hepatic stagnation qi stagnation cholecystitis, it is characterized in that it is to be made by following raw material medicaments:

Flos jasmini 30-40 part, Radix Bupleuri 30-40 part, Herba Aeluropi sinensis 20-30 part, Rhizoma Chuanxiong 20-30 part, Herba Menthae 20-30 part, Rhizoma Cyperi 10-20 part, Pericarpium Citri Reticulatae 10-20 part, Pericarpium Citri junoris 10-20 part.

2. Chinese medicine according to claim 1, is characterized in that it is to be made by following raw material medicaments:

35 parts of Flos jasmini, 35 parts of Radix Bupleuri, 25 parts of Herba Aeluropi sinensis, 25 parts of Rhizoma Chuanxiongs, 25 parts of Herba Menthaes, 15 parts of Rhizoma Cyperis, 15 parts of Pericarpium Citri Reticulataes, 15 parts of Pericarpium Citri junoriss.