CN104288691A - 一种治疗胆汁淤积综合症的中药汤剂 - Google Patents

一种治疗胆汁淤积综合症的中药汤剂 Download PDF

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CN104288691A
CN104288691A CN201410554133.3A CN201410554133A CN104288691A CN 104288691 A CN104288691 A CN 104288691A CN 201410554133 A CN201410554133 A CN 201410554133A CN 104288691 A CN104288691 A CN 104288691A
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孙晶伟
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JINAN GAODA INFORMATION TECHNOLOGY Co Ltd
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Abstract

本发明公开一种治疗胆汁淤积综合症的中药汤剂,属于中药技术领域,由以下重量配比的原料药制成:金钱草26-29份,茵陈26-29份,大黄21-24份,白花蛇舌草21-24份,枳实13-17份,郁金17-19份,桃仁16-19份,丹参13-17份,黄芪13-17份,山药11-14份,柴胡11-14份,甘草9-11份,茯苓13-17份,白术13-15份,杏仁9-11份,桂枝10-14份,木通11-17份,青蒿13-17份,赤芍13-15份,神曲13-17份,半夏13-17份,麦芽11-14份;本发明清泄肝经湿热,舒畅气机,利胆排瘀,以利化湿,兼健脾和胃以达治疗效果。

Description

一种治疗胆汁淤积综合症的中药汤剂
技术领域
本发明涉及一种治疗胆汁淤积综合症的药物,属于中药技术领域,具体地说是一种治疗胆汁淤积综合症的中药汤剂。
背景技术
胆汁淤积简称淤胆,是由胆汁生成障碍或/和胆汁流动障碍所致的一组疾病共同的临床症状,又名胆汁淤积综合症。胆汁淤积综合症中医里没有淤胆的名称,但是《伤寒论》中描述的“结胸发黄”与之表现相似。中医认为,胁为肝之分野,两胁部乃肝经所主,故病虽生于胆,实与肝尤关《景岳全书》曰:“胁痛之病,本属肝胆二经,以二经之脉皆循胁故也。”因胆隶附于肝,受肝之余气而为胆汁,肝主疏泄,能运气血、调情志,故肝郁则胆汁疏泄受阻;或因肝失疏泄,脾之运化亦受影响,水停化湿生热,湿热之邪熏蒸肝胆,致使胆亦受累,久则胆汁受煎熬,淤积不散,阻塞胆道,出现右胁腹痞满、胀痛;身目尿黄,易烦躁,干苦;或呕吐厌食等一系列肝胆系症状。《灵枢·胀论》云:“胆胀者,胁下胀痛,口中苦,善太息。”成无己《明理论》亦云:“胁满者……胁下硬满,干呕不能食,往来寒热。脉沉紧……”治疗上中医认为:治宣清泄肝经湿热,舒畅气机,利胆排瘀,以利化湿,兼健脾和胃以治之。本发明是提供一种治疗胆汁淤积综合症的中药汤剂,使用中国传统的中草药为原料,通过临床试验反复验证配置而成,符合传统中医学的理论,具有良好的治疗效果。
发明内容
本发明是提供一种治疗胆汁淤积综合症的中药汤剂,使用中国传统的中草药为原料,通过临床试验反复验证配置而成,符合传统中医学的理论,具有良好的治疗效果。
本发明所选用中草药的药性及功能主治分别为:
金钱草【性味】:味甘、微苦,性凉。【归经】归肝、胆、肾、膀胱经。功效主治;利水通淋;清热解毒;散瘀消肿。主治肝胆及泌尿系结石;热淋;肾炎水肿;湿热黄疸;疮毒痈肿;毒蛇咬伤;跌打损伤。
茵陈:【性味】苦、辛,微寒。【归经】归脾、胃、肝、胆经。【功能主治】清湿热,退黄疸。用于黄疸尿少,湿疮瘙痒;传染性黄疸型肝炎。
大黄:【性味】苦,寒。【归经】归脾、胃、大肠、肝、心包经。【功能主治】泻热通肠,凉血解毒,逐瘀通经。用于实热便秘,积滞腹痛,泻痢不爽,湿热黄疸,血热吐衄,目赤,咽肿,肠痈腹痛,痈肿疔疮,瘀血经闭,跌打损伤,外治水火烫伤;上消化道出血。酒大黄善清上焦血分热毒。用于目赤咽肿,齿龈肿痛。熟大黄泻下力缓,泻火解毒。用于火毒疮疡。大黄炭凉血化瘀止血。用于血热有瘀出血症。
白花蛇舌草【性味】甘、淡,凉。【归经】入胃、大肠、小肠经。【功能主治】清热解毒,利尿消肿,活血止痛。用于肠痈(阑尾炎),疮疖肿毒,湿热黄疸,小便不利等症;外用治疮疖痈肿,毒蛇咬伤。
枳实【性味】苦、辛、酸,温。【归经】归脾、胃经。【功能主治】破气消积,化痰散痞。用于积滞内停,痞满胀痛,泻痢后重,大便不通,痰滞气阻胸痹,结胸;胃下垂,脱肛,子宫脱垂。
郁金:【性味】辛、苦,寒。【归经】归肝、心、肺经。【功能主治】行气化瘀,清心解郁,利胆退黄。用于经闭痛经,胸腹胀痛、刺痛,热病神昏,癫痫发狂,黄疸尿赤。
桃仁:【性味】苦、甘,平。【归经】归心、肝、大肠经。【功能主治】活血祛瘀,润肠通便。用于经闭,痛经,癓瘕痞块,跌扑损伤,肠燥便秘。
丹参:【性味】苦,微寒。【归经】归心、肝经。【功能主治】祛瘀止痛,活血通经,清心除烦。用于月经不调,经闭痛经,症瘕积聚,胸腹刺痛,热痹疼痛,疮疡肿痛,心烦不眠;肝脾肿大,心绞痛。
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。
山药【性味】甘,平。【归经】归脾、肺、肾经。【功能主治】补脾养胃,生津益肺,补肾涩精。用于脾虚食少,久泻不止,肺虚喘咳,肾虚遗精,带下,尿频,虚热消渴。麸炒山药补脾健胃。用于脾虚食少,泄泻便溏,白带过多。 
柴胡  【性味】苦,微寒。【归经】归肝、胆经。【功能主治】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。
甘草:【性味】甘,平。【归经】归心、肺、脾、胃经。【功能主治】补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药。用于脾胃虚弱,倦怠乏力,心悸气短,咳嗽痰多,脘腹、四肢挛急疼痛,痈肿疮毒,缓解药物毒性、烈性。 
茯苓:【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。
白术:【性味】苦、甘,温。【归经】归脾、胃经。【功能主治】健脾益气,燥湿利水,止汗,安胎。用于脾虚食少,腹胀泄泻,痰饮眩悸,水肿,自汗,胎动不安。土白术健脾,和胃,安胎。用于脾虚食少,泄泻便溏,胎动不安。
杏仁:【性味】苦,温,有毒。【归经】入肺、大肠经。【功能主治】祛痰止咳,平喘,润肠。治外感咳嗽,喘满,喉痹,肠燥便秘。
①《本经》:"主咳逆上气雷鸣,喉痹,下气,产乳金疮,寒心奔豚。"
②《本草经集注》:"解锡、胡粉毒。"
③《别录》:"主惊痫,心下烦热,风气去来,时行头痛,解肌,消心下急,杀狗毒。"
④《药性论》:"治腹痹不通,发汗,主温病。治心下急满痛,除心腹烦闷,疗肺气咳嗽,上气喘促。入天门冬煎,润心肺。可和酪作汤,益润声气。宿即动冷气。"
⑤崔禹锡《食经》:"理风噤及言吮不开。"
⑥《医学启源》:"除肺中燥,治风燥在于胸膈。《主治秘诀》云,润肺气,消食,升滞气。"
⑦《滇南本草》:"止咳嗽,消痰润肺,润肠胃,消面粉积,下气,治疳虫。"
⑧《纲目》:"杀虫,治诸疮疥,消肿,去头面诸风气鼓疱。"
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。①《本经》:"主去恶虫,除脾胃寒热,通利九窍血脉关节,令人不忘。"②《吴普本草》:"止自汗。"③《别录》:"疗脾疸常欲眠,心烦哕,出音声,疗耳聋,散痈肿诸结不消,及金疮、恶疮、鼠瘘、踒折、鼻息肉,堕胎,去三虫。"④《药性论》:"主治五淋,利小便,开关格。治人多睡,主水肿浮大,除烦热。"⑤《食疗本草》:"煮饮之,通妇人血气,又除寒热不通之气,消鼠瘘、金疮、踒折,煮汁酿酒妙。"⑥《本草拾遗》:"利大小便,令人心宽下气。"⑦《海药本草》:"主诸瘘疮;喉咙痛及喉痹,并宜煎服之,磨亦得,急即含之。"⑧《食性本草》:"主理风热淋疾,小便效急疼,小腹虚满,宜煎汤并葱食之有效。"⑨《日华子本草》:"安心除烦,止渴退热。治健忘,明耳目,治鼻塞;通小肠,下水,破积聚血块,排脓,治疮疖,止痛,催生下胞,女人血闭,月候不匀,天行时疾,头痛目眩,羸劣乳结,及下乳。"⑩《安徽药材》:"治脚气浮肿。"
青蒿【性味】苦、辛,寒。【归经】归肝、胆经。【功能主治】清热解暑,除蒸,截疟。用于暑邪发热,阴虚发热,夜热早凉,骨蒸劳热,疟疾寒热,湿热黄疸。
桂枝:【性味】辛、甘,温。【归经】归心、肺、膀胱经。【功能主治】发汗解肌,温通经脉,助阳化气,平冲降气。用于风寒感冒,脘腹冷痛,血寒经闭,关节痹痛,痰饮,水肿,心悸,奔豚。
赤芍【性味】酸苦,凉。【归经】入肝、脾经。【功能主治】行瘀,止痛,凉血,消肿。治瘀滞经闭,疝瘕积聚,腹痛,胁痛,衄血,血痢,肠风下血,目赤,痈肿。①《本经》:"主邪气腹痛,除血痹,破坚积,寒热疝瘕,止痛,利小便,益气。"②《别录》:"通顺血脉,缓中,散恶血,逐贼血,去水气,利膀胱大小肠,消痈肿,时行寒热,中恶腹痛,腰痛。"③《药性论》:"治肺邪气,腹中疞痛,血气积聚,通宣脏腑拥气,治邪痛败血,主时疾骨热,强五脏,补肾气,治心腹坚胀,妇人血闭不通,消瘀血,能蚀脓。"④《日华子本草》:"治风补劳,主女人一切病并产前后诸疾,通月水,退热除烦,益气,天行热疾,瘟瘴惊狂,妇人血运,及肠风泻血;痔瘘、发背、疮疥,头痛,明目,目赤,胬肉。"⑤《开宝本草》:"别本注云,利小便,下气。"⑥《滇南本草》:"泻脾火,降气,行血,破瘀,散血块,止腹痛,退血热,攻痈疮,治疥癞。"⑦《药品化义》:"泻肝火。"
神曲【性味】甘辛,温。【归经】入脾、胃经。【功能主治】健脾和胃,消食调中。治饮食停滞,胸痞腹胀,呕吐泻痢,产后瘀血腹痛,小儿腹大坚积。①《药性论》:"化水谷宿食,症结积滞,健脾暖胃。"②张元素:"养胃气。治亦白荆。"③《汤液本草》:"疗脏腑中风气,调中下气,开胃消宿食。主霍乱心膈气,痰逆,除烦,破症结及补虚,去冷气,除肠胃中塞,不下食。能治小儿腹坚大如盘,胸中满,胎动不安,或腰痛抢心,下血不止。"④《纲目》:"消食下气,除痰逆霍乱泄痢胀满。闪挫腰痛者,煅过淬酒温服有效,妇人产后欲回乳者,炒研酒服二钱,日二。"⑤《本草述》:"治伤暑,伤饮食,伤劳倦,疟气痞证,水肿胀满积聚,痰饮咳嗽,呕吐反胃,霍乱,蓄血,心痛,胃脘痛,胁痛,痹痿眩晕,身重,不能食,黄疸。"⑥《本草再新》:"消瘰疬疽瘤。"
半夏【性味】辛,温;有毒。【归经】归脾、胃、肺经。【功能主治】燥湿化痰,降逆止呕,消痞散结。用于痰多咳喘,痰饮眩悸,风痰眩晕,痰厥头痛,呕吐反胃,胸脘痞闷,梅核气;生用外治痈肿痰核。姜半夏多用于降逆止呕。
麦芽【性味】甘,平。【归经】归脾、胃经。【功能主治】行气消食,健脾开胃,退乳消胀。用于食积不消,脘腹胀痛,脾虚食少,乳汁郁积,乳房胀痛,妇女断乳。生麦芽:健脾和胃,疏肝行气。用于脾虚食少,乳汁郁积。
本发明提供一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草25-30份,茵陈25-30份,大黄20-25份,白花蛇舌草20-25份,枳实12-18份,郁金16-20份,桃仁15-20份,丹参12-18 份,黄芪12-18份, 山药10-15份,柴胡10-15份,甘草8-12份,茯苓12-18份,白术12-16份,杏仁 8-12份,桂枝9-15份,木通10-18份,青蒿12-18份,赤芍12-16份,神曲12-18份,半夏12-18份,麦芽10-15份;
所述的一种治疗胆汁淤积综合症的中药汤剂制备方法,具体步骤为:
①煎煮前准备,选取砂锅及饮用水,按比例称取药材,草本类药材浸泡2小时,果实块茎类药材浸泡3小时;
②煎煮,将浸泡好的药材放入砂锅,控制煎煮水量至全部药材表面没过食指两节,再次煎煮时超过药渣2厘米;未沸腾前用武火,至煮沸后再改用文火,保持微沸;煎煮三次,第一次煎至水面露出药材后再煎8分钟,第二次较第一次少煎10分钟,第三次较第一次少煎15分钟,合并煎煮后的药液,用干净纱布过滤;
③保存:冰箱冷藏箱内保存或者放置阴凉通风处。
所述的一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草26-29份,茵陈26-29份,大黄21-24份,白花蛇舌草21-24份,枳实13-17份,郁金17-19份,桃仁16-19份,丹参13-17份,黄芪13-17份, 山药11-14份,柴胡11-14份,甘草9-11份,茯苓13-17份,白术13-15份,杏仁 9-11份,桂枝10-14份,木通11-17份,青蒿13-17份,赤芍13-15份,神曲13-17份,半夏13-17份,麦芽11-14份。
所述的一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草28份,茵陈28份,大黄23份,白花蛇舌草23份,枳实15份,郁金18份,桃仁18份,丹参15份,黄芪16份, 山药13份,柴胡13份,甘草10份,茯苓15份,白术14份,杏仁 10份,桂枝13份,木通15份,青蒿15份,赤芍14份,神曲14份,半夏15份,麦芽13份。
本发明的有益之处:方中以金钱草”淡渗利、微寒清热,为利胆排淤的要药;茵陈善清肝胆之热,兼理肝胆之郁,大黄泻热退黄,其含大黄素促使胆囊收缩,促进胆汁排出增加,故有较强的消炎、排淤作用;枳实、郁金理气解郁;桃仁、丹参行瘀消积;木通泻火行水,通利血脉;柴胡和解表里,疏肝,升阳,桂枝助之;白花蛇舌草清热解毒,利尿消肿,活血止痛;黄芪补气固表,利尿托毒,排脓,敛疮生肌;白术、茯苓补脾养胃,除湿利水;山药、神曲更助健脾和胃,消食调中;杏仁润肺气,消食,升滞气,木通泻火行水,通利血脉;青蒿清热解暑,除蒸,截疟;赤芍行瘀,止痛,凉血,消肿;半夏燥湿化痰,降逆止呕,消痞散结;麦芽行气消食,健脾开胃,消胀;甘草补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药,共奏疏肝利胆、通血脉,祛湿热、消肿排淤之效,本方标本兼冶,故投之无不效者。
具体实施方式
实施例1
一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草25份,茵陈25份,大黄20份,白花蛇舌草20份,枳实12份,郁金16份,桃仁15份,丹参12 份,黄芪12份, 山药10份,柴胡10份,甘草8份,茯苓12份,白术12份,杏仁 8份,桂枝9份,木通10份,青蒿12份,赤芍12份,神曲12份,半夏12份,麦芽10份;
所述的一种治疗胆汁淤积综合症的中药汤剂制备方法,具体步骤为:
①煎煮前准备,选取砂锅及饮用水,按比例称取药材,草本类药材浸泡2小时,果实块茎类药材浸泡3小时;
②煎煮,将浸泡好的药材放入砂锅,控制煎煮水量至全部药材表面没过食指两节,再次煎煮时超过药渣2厘米;未沸腾前用武火,至煮沸后再改用文火,保持微沸;煎煮三次,第一次煎至水面露出药材后再煎8分钟,第二次较第一次少煎10分钟,第三次较第一次少煎15分钟,合并煎煮后的药液,用干净纱布过滤;
③保存:冰箱冷藏箱内保存或者放置阴凉通风处。
实施例2
一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草26份,茵陈26份,大黄21份,白花蛇舌草21份,枳实13份,郁金17份,桃仁16份,丹参13份,黄芪13份, 山药11份,柴胡11份,甘草9份,茯苓13份,白术13份,杏仁 9份,桂枝10份,木通11份,青蒿13份,赤芍13份,神曲13份,半夏13份,麦芽11份。
制备方法同实施例1
实施例3
一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草28份,茵陈28份,大黄23份,白花蛇舌草23份,枳实15份,郁金18份,桃仁18份,丹参15份,黄芪16份, 山药13份,柴胡13份,甘草10份,茯苓15份,白术14份,杏仁 10份,桂枝13份,木通15份,青蒿15份,赤芍14份,神曲14份,半夏15份,麦芽13份。
制备方法同实施例1
实施例4
一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草29份,茵陈29份,大黄24份,白花蛇舌草24份,枳实17份,郁金19份,桃仁19份,丹参17份,黄芪17份, 山药14份,柴胡14份,甘草11份,茯苓17份,白术15份,杏仁 11份,桂枝14份,木通17份,青蒿17份,赤芍15份,神曲17份,半夏17份,麦芽14份。
制备方法同实施例1
实施例5
一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草30份,茵陈30份,大黄25份,白花蛇舌草25份,枳实18份,郁金20份,桃仁20份,丹参18 份,黄芪18份, 山药15份,柴胡15份,甘草12份,茯苓18份,白术16份,杏仁12份,桂枝15份,木通18份,青蒿18份,赤芍16份,神曲18份,半夏18份,麦芽15份。
制备方法同实施例1
本发明的使用方法:1-6个月婴儿,每1.5-2天一剂,6个月以上婴儿每1-1.5天一剂;1岁-3岁幼儿可以与成人相同每天一剂分3次以上服用或遵医嘱。
疗效验证:
入选病例:经门诊选取胆汁淤积综合症的病人420例,420例病人为随机盲选分成两组,每组210人。西医治疗口服熊去氧胆酸,中药治疗使用本发明配方汤剂。
疗效判定:采用4级标准
痊愈 临床改善率≥95%;
显效 临床改善率<95%,≥60%;
有效 临床改善率<60%,≥20%;
无效 临床改善率<20%;
治疗结果 见表1   
  痊愈(例%) 显效(例%) 有效(例%) 无效(例%) 总有效率(%)
西药治疗效果 30(14.3) 50(23.8) 62(29.5) 68(32.4) 67.6
本发明中药治疗效果 179(85.2) 25(11.9) 5(2.4) 1(0.5) 99.5
结果分析:随机盲选分组,两组成员不存在偏颇与显著差异。
痊愈率的比较:
西药治疗组痊愈率为14.3%,本发明中药治疗组痊愈率为85.2%,经X2检验,(p<0.01),说明本发明中药治疗组痊愈率显著高于西药治疗组痊愈率。
总有效率比较:
西药治疗组为67.6%,本发明中药治疗组为99.5%,经X2检验,(p<0.01),说明本发明中药治疗组总有效率显著高于西药治疗组总有效率。
综上,通过对两组的分析,可以得出结论,本发明中药汤剂治疗胆汁淤积综合症的效果显著高于西药熊去氧胆酸,有良好的治疗效果。
典型病例:
病例1王某某,性别:男,年龄:3个月。主要症状:黄疸和皮肤瘙痒,血清γ-谷氨酰转肽酶,胆红素,血脂显著升高,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例1配方中药汤剂,2个月有效治愈。
病例2 郭某某,性别:女,年龄:55岁。主要症状:可见皮肤黄瘤,脂肪吸收障碍导致的脂肪泻,夜盲症和出血倾向,经B超检查胆汁淤积医院诊断为胆汁淤积综合症。使用实施例2配方中药汤剂,4个月有效治愈。
病例3 梁某,性别:女,年龄:45岁。主要症状:黄疸和皮肤瘙痒,伴有骨疾病,胆红素,血脂显著升高,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例3配方中药汤剂,2个月有效治愈。
病例4刘某,性别:男,年龄:1个月。主要症状::黄疸和皮肤瘙痒,胆红素,血脂显著升高,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例4配方中药汤剂,2个月有效治愈。
病例5刘某某,性别:女,年龄:65岁。主要症状:可见皮肤黄瘤,脂肪吸收障碍导致的脂肪泻,夜盲症,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例5配方中药汤剂,3个月有效治愈。
病例6王某某,性别:女。年龄:2个月。主要症状:可见皮肤黄瘤,脂肪吸收障碍导致的脂肪泻,夜盲症和出血倾向,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例3配方中药汤剂,2个月有效治愈。
病例7赵某,性别:女,年龄50岁。主要症状:黄疸和皮肤瘙痒,伴有骨疾病,胆红素,血脂显著升高,经B超检查胆汁淤积,医院诊断为胆汁淤积综合症。使用实施例3配方中药汤剂,3个月有效治愈。

Claims (3)

1.一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草25-30份,茵陈25-30份,大黄20-25份,白花蛇舌草20-25份,枳实12-18份,郁金16-20份,桃仁15-20份,丹参12-18 份,黄芪12-18份, 山药10-15份,柴胡10-15份,甘草8-12份,茯苓12-18份,白术12-16份,杏仁 8-12份,桂枝9-15份,木通10-18份,青蒿12-18份,赤芍12-16份,神曲12-18份,半夏12-18份,麦芽10-15份;
所述的一种治疗胆汁淤积综合症的中药汤剂的制备方法,具体步骤为:
①煎煮前准备,选取砂锅及饮用水,按比例称取药材,草本类药材浸泡2小时,果实块茎类药材浸泡3小时;
②煎煮,将浸泡好的药材放入砂锅,控制煎煮水量至全部药材表面没过食指两节,再次煎煮时超过药渣2厘米;未沸腾前用武火,至煮沸后再改用文火,保持微沸;煎煮三次,第一次煎至水面露出药材后再煎8分钟,第二次较第一次少煎10分钟,第三次较第一次少煎15分钟,合并煎煮后的药液,用干净纱布过滤;
③保存:冰箱冷藏箱内保存或者放置阴凉通风处。
2.根据权利要求1所述的一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草26-29份,茵陈26-29份,大黄21-24份,白花蛇舌草21-24份,枳实13-17份,郁金17-19份,桃仁16-19份,丹参13-17份,黄芪13-17份, 山药11-14份,柴胡11-14份,甘草9-11份,茯苓13-17份,白术13-15份,杏仁 9-11份,桂枝10-14份,木通11-17份,青蒿13-17份,赤芍13-15份,神曲13-17份,半夏13-17份,麦芽11-14份。
3.根据权利要求1所述的一种治疗胆汁淤积综合症的中药汤剂,由以下重量配比的原料药制成:
金钱草28份,茵陈28份,大黄23份,白花蛇舌草23份,枳实15份,郁金18份,桃仁18份,丹参15份,黄芪16份, 山药13份,柴胡13份,甘草10份,茯苓15份,白术14份,杏仁 10份,桂枝13份,木通15份,青蒿15份,赤芍14份,神曲14份,半夏15份,麦芽13份。
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