CN104258310B - 一种治疗肝气郁结型郁证的中药 - Google Patents

一种治疗肝气郁结型郁证的中药 Download PDF

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CN104258310B
CN104258310B CN201410568115.0A CN201410568115A CN104258310B CN 104258310 B CN104258310 B CN 104258310B CN 201410568115 A CN201410568115 A CN 201410568115A CN 104258310 B CN104258310 B CN 104258310B
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张良芝
常学辉
丁虹
杜凤丽
郭健
吴秋颖
黎民
位磊
刘瑞娟
金阳
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Henan University of Traditional Chinese Medicine HUTCM
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Abstract

本发明涉及治疗肝气郁结型郁证的中药,有效解决现有药物治疗周期长,治愈率低,效果差及有副作用的问题,由以下重量计的,合欢花6‑10g、玫瑰花6‑10g、绿萼梅6‑10g、柴胡10‑12g、白芍15‑20g、郁金15‑25g、香附10‑12g、茯神10‑15g和川芎12‑16g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡30‑40分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎30‑40分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎20‑30分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得,本发明配伍科学,方法简单,治疗周期短,治愈率高,效果好,无副作用,是中医药上的一大创造。

Description

一种治疗肝气郁结型郁证的中药
技术领域
本发明涉及中医药领域,特别是一种治疗肝气郁结型郁证的中药。
背景技术
郁证是由于情志不舒,气机郁滞所致,以心情抑郁,情绪不宁,胸部满闷,胁肋胀痛,或易怒易哭,或咽中如有异物梗阻等为主要临床表现的一类病症,根据受病的脏腑及气、血、火、湿、食、痰郁的不同,分为肝气郁结型等多种,其中肝气郁结型,证见情怀抑郁,胸闷嗳气,胁肋胀痛,不思饮食,易怒多梦,舌苔薄腻,脉弦,通常采用柴胡疏肝散加减或西药治疗,但是均存在治疗周期长,治愈率低,效果差、且有副作用的问题。
发明内容
针对上述情况,为克服现有技术缺陷,本发明之目的就是提供一种治疗肝气郁结型郁证的中药,可有效解决现有药物治疗周期长,治愈率低,效果差及有副作用的问题。
本发明解决的技术方案是,由以下重量计的,合欢花6-10g、玫瑰花6-10g、绿萼梅6-10g、柴胡10-12g、白芍15-20g、郁金15-25g、香附10-12g、茯神10-15g和川芎12-16g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡30-40分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎30-40分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎20-30分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
要指出的是,本发明的核心和关健在于组方及配伍量,凡是采用本组方及配伍量,不管是采用什么方法制成的汤型或其它剂型,均属于本发明的保护范围,配伍科学,方法简单,治疗周期短,治愈率高,效果好,无副作用,是中医药上的一大创造。
具体实施方式
以下结合实施例对本发明的具体实施方式作详细说明。
实施例1
本发明由以下重量计的,合欢花6g、玫瑰花6g、绿萼梅6g、柴胡10g、白芍15g、郁金15g、香附10g、茯神10g和川芎12g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡30分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎30分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎20分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
实施例2
本发明由以下重量计的,合欢花8g、玫瑰花8g、绿萼梅8g、柴胡11g、白芍17g、郁金20g、香附11g、茯神13g和川芎14g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡35分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎35分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎25分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
实施例3
本发明由以下重量计的,合欢花10g、玫瑰花10g、绿萼梅10g、柴胡12g、白芍20g、郁金25g、香附12g、茯神15g和川芎16g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡40分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎40分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎30分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
本发明是由合欢花、玫瑰花、绿萼梅、柴胡、白芍、郁金、香附、茯神和川芎制成,方中合欢花,其性平,味甘,归心、脾经,功效解郁安神,主要用于心神不安、忧郁失眠之证候;玫瑰花味甘微苦、性微温,归肝、脾、胃经,理气解郁;绿萼梅,苦、微甘,平,疏肝解郁;柴胡、郁金、香附疏肝解郁;白芍养肝敛阴,与柴胡相伍一散一收,助柴胡疏肝;川芎行气开郁,活血止痛;茯神养心安神,诸药合用,共奏疏肝解郁之功。本发明可有效用于肝气郁结型郁证的治疗,疗效肯定,并经临床应用,取得了良好的疗效,有关试验资料如下:
1、临床资料
1.1病例资料 120例郁证患者,男76例,女44例,年龄21-67岁。
1.2诊断标准 中医诊断标准:参照《中医病证诊断疗效标准》中的诊断标准。①忧郁不畅,精神不振,胸闷胁胀,善太息,或不思饮食,失眠多梦,易怒善哭; ②既往有郁怒、多虑、悲哀、忧愁等情志内伤病史; ③排除器质性疾病。
1.3 纳入标准(1)汉密尔顿抑郁量表(HAMD)17 项评分≥17 分、抑郁自评量表(SDS)评分≥53 分,病情程度属轻、中度者;(2)主动要求中医治疗,愿意受试并能坚持服药,依从性良好的患者;(3)治疗前未服用过抗抑郁西药或服用抗抑郁西药停用 3 个月以上者;(4)年龄18岁~70岁者。
1.4 排除标准(1)双向情感障碍,目前为快速循环发作或混合状态者;(2)妊娠哺乳者;(3)伴有较严重或不稳定的心、肝、肾、血液等躯体疾病者;(4)有精神病性症状的抑郁症者;(5)酒精及药物依赖者;(6)有严重自杀倾向者;(7)近 3 月服用抗抑郁药及抗精神病药物者。
2 、 治疗方案
口服本发明,每天早晚两次服用,每次服200-300ml,28天1疗程。1疗程后观察疗效。
3 、 观察指标与统计学方法
3.1观察指标
3.1.1临床症状观察治疗前后患者抑郁善忧,情绪不宁,遇事淡漠,心烦易怒,善哭,胁肋胀痛,失眠多梦,女性月经不调等变化。
3.1.2 HAMD评分 观察治疗前后患者汉密尔顿抑郁量表(HAMD)17 项评分变化。
3.2 疗效标准
3.2.1 疗效判定 参照《中医病证诊断疗效标准》。
痊愈:症状消失,情绪正常。
显效: 症状减轻,情绪基本稳定。
无效: 症状、情绪均无改善。
3.3 统计学方法 数据采用SPSS13.0 软件包进行处理,计量数据均以(x±s)表示,进行 t 检验,计数资料采用百分比表示,采用χ2检验,P<0.05 为有显著性差异。
4 、 治疗结果
4.1 临床疗效患者120例,痊愈49例(占40.8%),显效62例(占51.7%),无效9 例(占7.5%),总有效率 92.5%。且在治疗期间,以上120例患者均未见有任何不良反应。
4.2治疗前后HAMD 评分比较(x±s),见表1
表1,治疗前后HAMD 评分比较
组别 治疗前 治疗后
本发明中药 18.98±2.12 9.14±5.43
注:与治疗前比较,*P<0.05。
从表1可见,治疗组治疗后HAMD 评分较治疗前明显降低,经t 检验P<0.05,有显著性差异。说明本方疗效显著。
5 、 结论
5.1病因病机与治则:本发明结合历代医家论述和临床经验,认为郁证是以情志不舒为病因,以气机郁滞为基本病机,病位在脑,与心、肝、脾三脏密切相关;因郁怒、思虑、悲伤、忧愁所伤,导致肝失疏泄,脾失运化,心神失常,脏腑阴阳气血失调而成。肝气郁结型是郁证的主要病机,治疗当以疏肝解郁为主。本发明通过对120例患者的临床治疗,疗效显著,治疗周期短,治愈率高,仅在28天1疗程,痊愈率可达40.8%,总有效率就达到了92.5%,效果好,无副作用,而现有治疗肝气郁结型郁证的中药至少要服用3-6个月,甚至更长的时间,方能达到本发明28天1疗程的效果,由此可见,本发明具有显著的经济和社会效益。

Claims (4)

1.一种治疗肝气郁结型郁证的中药,其特征在于,由以下重量计的,合欢花6-10g、玫瑰花6-10g、绿萼梅6-10g、柴胡10-12g、白芍15-20g、郁金15-25g、香附10-12g、茯神10-15g和川芎12-16g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡30-40分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎30-40分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎20-30分钟,过滤,得第二次煎煮液,合并两次煎煮液。
2.根据权利要求1所述的治疗肝气郁结型郁证的中药,其特征在于,由以下重量计的,合欢花6g、玫瑰花6g、绿萼梅6g、柴胡10g、白芍15g、郁金15g、香附10g、茯神10g和川芎12g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡30分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎30分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎20分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
3.根据权利要求1所述的治疗肝气郁结型郁证的中药,其特征在于,由以下重量计的,合欢花8g、玫瑰花8g、绿萼梅8g、柴胡11g、白芍17g、郁金20g、香附11g、茯神13g和川芎14g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡35分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎35分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎25分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
4.根据权利要求1所述的治疗肝气郁结型郁证的中药,其特征在于,由以下重量计的,合欢花10g、玫瑰花10g、绿萼梅10g、柴胡12g、白芍20g、郁金25g、香附12g、茯神15g和川芎16g作原料药物制成,其中,将上述原料药物混合,加水浸没原料药物,浸泡40分钟,煎煮2次,第一次煎煮时,先用武火煮沸,再用文火煎40分钟,过滤,得第一次煎煮液;药渣加水浸没,武火煮沸,再用文火煎30分钟,过滤,得第二次煎煮液,合并两次煎煮液,即得。
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