CN104274719A - 一种治疗分泌性中耳炎的中药 - Google Patents
一种治疗分泌性中耳炎的中药 Download PDFInfo
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Abstract
发明涉及中药技术领域,特别涉及一种治疗分泌性中耳炎的中药。该治疗分泌性中耳炎的中药,其特殊之处在于:主要由以下重量的原料药制成:薄荷1-3份,冰片1-3份,荆芥1-4份,防风1-5份,黄芪2-5份,淡竹叶1-4份,泽泻2-4份,石菖蒲2-4份,麻黄1-3份,木通2-6份,葛根1-3份,辛夷2-6份,地龙1-4份,牛蒡子2-5份,野菊花2-6份,地丁1-3份,庵摩勒2.5-5份,菝葜1-4份,长筒马先蒿1-4份,竹叶青1-4份,马牙半支2-4份,午香草1-2份。本发明吸收效果好、疗效显著、无副作用,能减少病人痛苦,提高了病人的生活质量;而且其无毒副作用,病人可安心服用,总有效率达94%。
Description
技术领域
本发明涉及中药技术领域,特别涉及一种治疗分泌性中耳炎的中药。
(一) 背景技术
分泌性中耳炎是以中耳积液及听力下降为特征的中耳非化脓性炎性疾病,又称为渗出性中耳炎、非化脓性中耳炎、黏液性中耳炎、卡他性中耳炎、鼓室积液、浆液性中耳炎、浆液-黏液性中耳炎、无菌性中耳炎。如果积液黏稠而呈胶冻状,又称为胶耳。在上呼吸道感染后,以耳闷胀感、听声遥远和听力减退为主要症状。由于耳痛不明显,儿童主诉不清,在小儿听力受到影响时家长才发现就诊,常常延误诊断和治疗。耳科专科检查可见鼓膜呈琥珀色或橘黄色,亦可见气液平面或气泡,鼓膜活动度降低。分泌性中耳炎儿童多见。可造成儿童的听力损失,影响语言发育,应高度警惕和及时观察治疗。对于成人单侧病变者,应尽早明确病因,排除鼻咽部及其周围间隙的占位性肿瘤,尽早缓解症状、改善生活质量。
咽鼓管阻塞是造成分泌性中耳炎的重要原因,正常情况下,中耳内、外的气压基本相等。当咽鼓管由于各种原因出现通气功能障碍时,中耳的气体被黏膜吸收,中耳出现负压,从而导致中耳黏膜的静脉扩张,通透性增加,血清漏出聚积于中耳,从而形成中耳积液。分泌性中耳炎的临床表现主要为听力下降,可随体位变化而变化,有轻微的耳痛、耳鸣、耳闷胀和闭塞感,摇头可听见水声。耳科专科检查可见鼓膜内陷,呈琥珀色或色泽发暗,亦可见气液平面或气泡,鼓膜活动度降低。
西医治疗多以采用抗生素、鼓室内注药、鼻腔滴药等治疗,但这些治疗不够理想,而且长期使用抗生素、糖皮质激素会引发一定的不良反应;中医由于具有强调整体观念、协调阴阳、表本兼治、毒副作用小等优点,越来越被人们认可。
(二) 发明内容
本发明为了弥补现有技术的不足,提供了一种疗效好、副作用小的治疗分泌性中耳炎的中药。
本发明是通过如下技术方案实现的:
一种治疗分泌性中耳炎的中药,其特殊之处在于:主要由以下重量份数的原料制成:
薄荷1-3份,冰片1-3份,荆芥1-4份,防风1-5份,黄芪 2-5份,淡竹叶1-4份,泽泻2-4份,石菖蒲2-4份,麻黄1-3份,木通2-6份,葛根1-3份,辛夷2-6份,地龙1-4份,牛蒡子2-5份,野菊花2-6份,地丁1-3份,庵摩勒2.5-5份,菝葜1-4份,长筒马先蒿1-4份,竹叶青1-4份,马牙半支2-4份,午香草1-2份。
下面为本发明中各药材的功能及作用:
薄荷:性味:辛,凉。归经:归肺、肝经。功效主治: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。
冰片:性味:辛、苦,微寒,归经:归心、脾、肺经。功效:开窍醒神,清热止痛。用于热病神昏、痉厥,中风痰厥,气郁暴厥,中恶昏迷,目赤,口疮,咽喉肿痛,耳道流脓。
荆芥:性味:味辛;微苦;性微湿。归经:入肺、肝经。主治:解表散风,透疹,消疮,止血。用于感冒,麻疹透发不畅,便血、崩漏、鼻衄。
防风:性味:味辛;甘;性微温。归经:膀胱经;肺经;脾经;肝经。 功效:祛风解表、胜湿止痛、解痉、止痒。 主治:外感风寒;头痛身痛;风湿痹痛;骨节酸痛;腹痛泄泻;肠风下血;破伤风;风疹瘙痒;疮疡初起 。
黄芪: 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。。
淡竹叶:性味:甘、淡,寒。归心、胃、小肠经。清心火,除烦热,利小便。治热病口渴,心烦,小便赤涩,淋浊,口糜舌疮,牙龈肿痛。
泽泻:性味:甘,寒。归经:归肾、膀胱经。功效:利小便,清湿热。用于小便不利,水肿胀满,泄泻尿少,痰饮眩晕,热淋涩痛;高血脂。
石菖蒲:性味:辛、苦,温。归经:归心、胃经。功效主治:化湿开胃,开窍豁痰,醒神益智。用于脘痞不饥,噤口下痢,神昏癫痫,健忘耳聋。
麻黄:性味:辛、微苦,温。归经:归肺、膀胱经。功效:发汗散寒,宣肺平喘,利水消肿。用于风寒感冒,胸闷喘咳,风水浮肿;支气管哮喘。蜜麻黄润肺止咳。多用于表症已解,气喘咳嗽。。
木通:性味:苦,凉。归经:入心、小肠、膀胱经。功能主治:泻火行水,通利血脉。治小便赤涩,淋浊,水肿,胸中烦热,喉痹咽痛,遍身拘痛,妇女经闭,乳汁不通。
葛根:性味:甘、辛,凉。归经:归脾、胃经。功能:解肌退热,生津,透疹,升阳止泻。用于外感发热头痛、项背强痛,口渴,消渴,麻疹不透,热痢,泄泻;高血压颈项强痛。
辛夷:性味:辛,温。归经:归肺、胃经。功能与主治:散风寒,通鼻窍。用于风寒头痛,鼻塞,鼻渊,鼻流浊涕。
地龙:性味:咸、寒,归经:归肝、肺、肾经。 功能:止痉、熄风、通络、平喘。主治热病发热狂躁,惊痫抽搐,肝阳头痛,目赤肿痛,中风偏瘫,风湿痹痛,小儿疝疾,肺热喘咳。咽喉红肿,鼻衄,小便不通。
牛蒡子:性味:辛、苦、寒;归经:归肺胃经。功能:风热感冒、温病初起;风热或肺热咳嗽、咯痰不畅;咽喉肿痛;斑疹不透;麻疹初期,疹出不畅及风疹瘙痒;疮疡肿毒及痄腮等。生用可润肠通便,热毒咽喉红肿疼痛,兼有热结便秘尤宜。用于热毒疮肿尚未溃者,常与地丁,野菊花等清热解毒药配伍。
野菊花:性味:苦辛,凉;归经:入肺、肝经。功能主治:疏风清热,消肿解毒。治风热感冒,肺炎、白喉,胃肠炎:高血压,疔,痈,口疮,丹毒,湿疹,天泡疮。
地丁:性味:苦,寒;归经:入肝、脾二经。功效主治:清热利湿,解毒消肿。治疔疮,痈肿,瘰疬,黄疸,痢疾,腹泻,目赤,喉痹,毒蛇咬伤。
庵摩勒:性味:苦甘,寒。归经:入脾,胃二经。功能主治:化痰,生津,止咳,解毒。治感冒发热,咳嗽咽痛,白喉,烦热口干。
菝葜:性味:甘、酸,平。功能主治:祛风湿,利小便,消肿毒。治关节疼痛,肌肉麻木,泄泻,痢疾,水肿,淋病,疔疮,肿毒,瘰疬,痔疮。
长筒马先蒿:性味:味甘;涩;性平。归经:肝;肾经。功能与主治:健脾利湿;涩精止遗。主小儿疳积;食积不化;脘腹胀满;水肿;遗粉;耳鸣;口舌干燥。
竹叶青:药性:苦;涩;性凉;小毒,归心经。功能主治:清热解毒;消肿止痛。主急性热病;急性肝炎;风火牙痛;跌打肿痛;痈疮肿毒;烧、烫伤。
马牙半支:性味:酸,凉。功能与主治:清热解毒,止血,利湿。治痈肿,疔疮,吐血,衄血,血崩,带下,瘰疬,黄疸,跌扑损伤。
午香草:性味:辛,温。功能主治:消炎止痛,健胃行气。治扁桃体炎,急牲胃肠炎,膀胱炎,尿道炎,小儿疳积。
本发明的配制方法如下:将上述中药用开水浸泡40分钟后煎煮,煎煮时水份超过中药2-5公分,在水沸腾后用文火煎煮30分钟后,过滤倒出药液即可服用,分早中晚,一日三次。
本发明吸收效果好、疗效显著、无副作用,能减少病人痛苦,提高了病人的生活质量;而且其无毒副作用,病人可安心服用,总有效率达94%。
(三) 具体实施方式
实施例1
将薄荷1克,冰片1克,荆芥1克,防风1克,黄芪 2克,淡竹叶1克,泽泻2克,石菖蒲2克,麻黄1克,木通2克,葛根1克,辛夷2克,地龙1克,牛蒡子2克,野菊花2克,地丁1克,庵摩勒2.5克,菝葜1克,长筒马先蒿1克,竹叶青1克,马牙半支2克,午香草1克用开水浸泡40分钟后煎煮,煎煮时水份超过中药2公分,在水沸腾后用文火煎煮30分钟后,过滤倒出药液即可服用,分早中晚,一日三次。
实施例2
将薄荷2克,冰片2克,荆芥2克,防风2克,黄芪 3克,淡竹叶2克,泽泻3克,石菖蒲3克,麻黄2克,木通3克,葛根2克,辛夷3克,地龙2克,牛蒡子3克,野菊花3克,地丁2克,庵摩勒3克,菝葜2克,长筒马先蒿2克,竹叶青2克,马牙半支3克,午香草2克用开水浸泡40分钟后煎煮,煎煮时水份超过中药4公分,在水沸腾后用文火煎煮30分钟后,过滤倒出药液即可服用,分早中晚,一日三次。
实施例3
将薄荷3克,冰片3克,荆芥3克,防风3克,黄芪4克,淡竹叶3克,泽泻4克,石菖蒲3克,麻黄3克,木通4克,葛根3克,辛夷5克,地龙3克,牛蒡子4克,野菊花4克,地丁3克,庵摩勒4克,菝葜4克,长筒马先蒿4克,竹叶青3克,马牙半支4克,午香草2克用开水浸泡40分钟后煎煮,煎煮时水份超过中药5公分,在水沸腾后用文火煎煮30分钟后,过滤倒出药液即可服用,分早中晚,一日三次。
实施例4
将薄荷3克,冰片3克,荆芥4克,防风5克,黄芪 5克,淡竹叶4克,泽泻4克,石菖蒲4克,麻黄3克,木通6克,葛根3克,辛夷6克,地龙4克,牛蒡子5克,野菊花6克,地丁3克,庵摩勒5克,菝葜4克,长筒马先蒿4克,竹叶青4克,马牙半支4克,午香草2克用开水浸泡40分钟后煎煮,煎煮时水份超过中药5公分,在水沸腾后用文火煎煮30分钟后,过滤倒出药液即可服用,分早中晚,一日三次。
临床观察
(1)一般资料
本发明人于2008年至今对216例分泌性中耳炎患者进行临床观察治疗,年龄5到55岁不等。
(2)诊断标准
患耳有不同程度耳堵、耳闷,听力下降,自听增强,间歇性耳鸣或轻微耳痛。耳镜检查:鼓膜完整,混浊,光锥变形或消失,锤骨柄向后,上方移位内陷,活动度差;或声阻抗测听耳为B型或C型曲线,声反射消失,纯音听阈测试均为传导性聋(20-50dB)不等,听力损失以低频音为多。
(3)治疗方法:每日一剂,早、、中、晚各服一次,7天一个疗程。
(4)疗效评定标准
痊愈:临床症状消失,鼓膜恢复正常,听力测试示听力正常,或气导听阈提高,骨气导差小于10dB;
显效:症状减轻,鼓膜充血减轻,鼓室内积液消失;但鼓膜仍内陷混浊,听力测试气导曲线提高10dB以上;
无效:临床症状未见改善,听力检查未见改变。
(5)治疗效果:
临床治愈198例,占92%;有效5例,无效13例,总有效率94%。
Claims (1)
1.一种治疗分泌性中耳炎的中药,其特征在于:主要由以下重量的原料药制成:
薄荷1-3份,冰片1-3份,荆芥1-4份,防风1-5份,黄芪 2-5份,淡竹叶1-4份,泽泻2-4份,石菖蒲2-4份,麻黄1-3份,木通2-6份,葛根1-3份,辛夷2-6份,地龙1-4份,牛蒡子2-5份,野菊花2-6份,地丁1-3份,庵摩勒2.5-5份,菝葜1-4份,长筒马先蒿1-4份,竹叶青1-4份,马牙半支2-4份,午香草1-2份。
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