CN104288698A - 一种治疗坐骨神经痛的中药 - Google Patents

一种治疗坐骨神经痛的中药 Download PDF

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CN104288698A
CN104288698A CN201410580550.5A CN201410580550A CN104288698A CN 104288698 A CN104288698 A CN 104288698A CN 201410580550 A CN201410580550 A CN 201410580550A CN 104288698 A CN104288698 A CN 104288698A
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王洪强
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Abstract

本发明公开了中医药技术领域，特别涉及一种治疗坐骨神经痛的中药。该治疗坐骨神经痛的中药是由以下原料制成：凤尾参，桂枝，莪术，川芎，虎杖，茜草，柴胡，没药，栀子，川牛膝，南蛇藤，南天竹根，鸡骨草，白独活，铜骨七，鹿衔草，秦艽，山茱萸。本发明采用的药材相辅相成，根据中医理论组方，按照一定的重量配比配制而成，诸药合用温经通络、祛风除湿、活血止痛、壮筋骨、补气血，对治疗坐骨神经痛具有显著的疗效，而且其安全可靠，制备方法简单，使用也方便。

Description

一种治疗坐骨神经痛的中药
（一）   技术领域
    本发明涉及中医药技术领域，特别涉及一种治疗坐骨神经痛的中药。
（二）   背景技术
坐骨神经痛是临床常见的慢性进行性肝病，由一种或多种病因长期或反复作用形成的弥漫性肝损害。在我国大多数为肝炎后坐骨神经痛，少部分为酒精性坐骨神经痛和血吸虫性坐骨神经痛。病理组织学上有广泛的肝细胞坏死、残存肝细胞结节性再生、结缔组织增生与纤维隔形成，导致肝小叶结构破坏和假小叶形成，肝脏逐渐变形、变硬而发展为坐骨神经痛。早期由于肝脏代偿功能较强可无明显症状，后期则以肝功能损害和门脉高压为主要表现，并有多系统受累，晚期常出现上消化道出血、肝性脑病、继发感染、脾功能亢进、腹水、癌变等并发症。
中医认为坐骨神经痛是由湿热伤于中焦，脾胃受损，不能升清降浊，而气血凝滞，瘀阻脉络，伤肝，肾失开所致。坐骨神经痛已是常见病，死亡率较高。治疗坐骨神经痛的疗法有多种，其中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。
（三）   发明内容
    本发明为了弥补现有技术的不足，提供了一种治疗广泛、疗效快、治愈率高的治疗坐骨神经痛的中药。
本发明是通过如下技术方案实现的：
一种治疗坐骨神经痛的中药，其特征在于：是由以下重量配比的原料制成：凤尾参10-30份，桂枝10-30份，莪术5-20份，川芎5-20份，虎杖5-15份，茜草5-20份，柴胡5-20份，没药5-15份，栀子5-15份，川牛膝5-15份，南蛇藤5-12份，南天竹根5-20份，鸡骨草5-15份，白独活5-15份，铜骨七5-15份，鹿衔草5-15份，秦艽5-15份，山茱萸5-15份。
更优配方是由以下重量配比的原料制成：凤尾参18份，桂枝12份，莪术9份，川芎9份，虎杖9份，茜草9份，柴胡10份，没药10份，栀子8份，川牛膝11份，南蛇藤8份，南天竹根10份，鸡骨草10份，白独活9份，铜骨七9份，鹿衔草8份，秦艽10份，山茱萸12份。
所述中药为汤剂。
制备方法：按重量份称取各原料，加冷水高于药面浸泡1-2小时，大火烧开，小火煮25-35分钟，过滤去渣，得药液；煎两次，将两次的药液混合后再煮沸，小火煮4-5分钟，平均分为两份。
治疗方法 ：每天早晚各一次，饭后服用，每次服用一份，即一天一剂，五天一个疗程。
以下是上述本发明的药物中各种原药材的功能和作用：
凤尾参：性味：甘、微苦，微温；功能主治：补气血，强筋骨，健脾胃；主治头晕耳鸣，心慌气短，手足痿软，筋骨疼痛，支气管炎，小儿积食，营养不良。
桂枝：性味：辛、甘，温；归经：归膀胱、心、肺经；功能主治：散寒解表，温经，通阳；主治风寒表证，寒湿痹病，四肢厥冷，经闭痛经，癥瘕结块，胸痹，心悸，痰饮，小便不利。
莪术：性味：味辛，苦，性温；归经：归肝、脾经；功能主治：行气破血，消积止痛。主血气心痛，饮食积滞，脘腹胀痛，血滞经闭，痛经，癥瘕痞块，跌打损伤。
川芎：性味：味辛，性温；归经：归肝、胆、心包经；功能主治：活血祛瘀，行气开郁，祛风止痛。主月经不调，经闭痛经，产后瘀滞腥痛，癥瘕肿块，胸胁疼痛，头痛眩晕，风寒湿痹，跌打损伤，痈疽疮疡。
虎杖：性味：苦，微寒；归经：归肝、胆、肺经；功能主治：活血祛瘀，利湿退黄，清热解毒；主治妇女经闭，痛经，产后恶露不下，癥瘕积聚，风湿痹病，湿热黄疸，淋浊带下，跌扑损伤，疮疡肿毒，水火烫伤。
茜草：性味：苦，寒；归经：肝，心，肾，脾，胃，心包经；功能主治：凉血止血，活血化瘀。主血热咯血，吐血，衄血，尿血，便血，崩漏，经闭，产后瘀阻腹痛，跌打损伤，风湿痹痛，黄疸，疮痈，痔肿。
柴胡：性味：苦、辛，微寒；归经：归肝、胆经；功能主治：解表退热，疏肝解郁，升举阳气；主治外感发热，寒热往来，疟疾，肝郁胁痛乳胀，头痛头眩，月经不调，气虚下陷之脱肛，子宫脱垂，胃下垂。
没药：性味：苦，平；归经：归心、肝、脾经；功能主治：祛瘀，消肿，定痛；主治胸腹痛，痛经，经闭，癥瘕，跌打肿痛，痈肿疮疡，目赤肿痛。
栀子：性味：苦，寒；归经：归心、肝、肺、胃、三焦经；功能主治：泻火除烦，清热利湿，凉血解毒；主治热病心烦，肝火目赤，头痛，湿热黄疸，淋证，吐血，衄血，血痢，尿血，口舌生疮，疮疡肿毒，扭伤肿痛。
川牛膝：性味：甘、微苦，平；归经：归肝、肾经；功能主治：活血祛瘀，祛风利湿；主治血瘀经闭，难产，胞衣不下，产后瘀血腹痛，热淋，石淋，痛经，风湿腰膝疼痛，跌打损伤。
南蛇藤：性味：苦、辛，微温；祛风除湿，通经止痛，活血解毒；主治风湿关节痛，四肢麻木，瘫痪，头痛，牙痛，疝气，痛经，闭经，小儿惊风，跌打扭伤，痢疾，痧症，带状疱疹。
南天竹根：性味：《重庆草药》：“味苦，性寒，无毒”；功能主治：清热，止咳，除湿，解毒；主治肺热咳嗽，湿热黄疸，腹泻，风湿痹通，疮疡，瘰疬。
鸡骨草：性味：甘、微苦，凉；功能主治：清热利湿，散瘀止痛；主治黄疸，胃痛，风湿骨痛，跌打损伤，乳痈。
白独活：《西藏常用中草药》：“性温，味辛、苦”；功能主治：祛风散寒、除湿止痛；主治感冒，头痛，牙痛，脘腹痛，风湿痹病，麻风。
铜骨七：性味：微苦，温；功能主治：活血，止痛，解毒；主治跌打损伤，风湿疼痛，腰肌劳损，口疮。
鹿衔草：性味：甘、苦，平；归经：归肝、肾经；功能主治：补肾强骨，祛风除湿，止咳止血；主治肾虚腰痛，风湿痹病，筋骨痿软，泄泻痢疾，新久咳嗽，吐血衄血，崩漏，外伤出血。
秦艽：性味：苦、辛，微寒；归经：归胃、肝、胆经；功能主治：祛风湿，清虚热，退黄；主治风湿痹病，筋骨拘挛，手足不遂，骨蒸潮热，小儿疳热，湿热黄疸。
山茱萸：性味：酸，微温；归经：归肝、肾经；功能主治：补益肝肾，收敛固脱；主治头晕目眩，耳聋耳鸣，腰膝酸软，遗精滑精，小便频数，虚汗不止，妇女崩漏。
本发明的有益效果是：本发明的技术方案是根据坐骨神经痛的发病机理，配有凤尾参补气血，强筋骨，健脾胃；桂枝散寒解表，温经，通阳；莪术行气破血，消积止痛；川芎活血祛瘀，行气开郁；虎杖活血祛瘀，利湿退黄，清热解毒；柴胡解表退热，疏肝解郁；茜草凉血止血，活血化瘀；栀子清热利湿，凉血解毒；没药祛瘀，消肿，定痛；川牛膝活血祛瘀，祛风利湿；南蛇藤祛风除湿，通经止痛，活血解毒；南天竹根清热，止咳，除湿，解毒；鸡骨草清热利湿，散瘀止痛；白独活祛风散寒、除湿止痛；铜骨七活血，止痛，解毒；鹿衔草补肾强骨，祛风除湿；秦艽祛风湿，清虚热；山茱萸补益肝肾，收敛固脱。本发明采用的药材相辅相成，根据中医理论组方，按照一定的重量配比配制而成，诸药合用温经通络、祛风除湿、活血止痛、壮筋骨、补气血，对治疗坐骨神经痛具有显著的疗效，而且其安全可靠，制备方法简单，使用也方便。
（四）   具体实施方式
实施例1：
称取凤尾参10g，桂枝10g，莪术5g，川芎5g，虎杖5g，茜草5g，柴胡5g，没药5g，栀子5g，川牛膝5g，南蛇藤5g，南天竹根5g，鸡骨草5g，白独活5g，铜骨七5g，鹿衔草5g，秦艽5g，山茱萸5g。
制备方法 ：按重量份称取各原料，加冷水高于药面浸泡1-2小时，大火烧开，小火煮25-35分钟，过滤去渣，得药液；煎两次，将两次的药液混合后再煮沸，小火煮4-5分钟，平均分为两份。
治疗方法 ：每天早晚各一次，饭后服用，每次服用一份，即一天一剂，五天一个疗程。
实施例2：
称取凤尾参30g，桂枝30g，莪术20g，川芎20g，虎杖15g，茜草20g，柴胡20g，没药15g，栀子15g，川牛膝15g，南蛇藤12g，南天竹根20g，鸡骨草15g，白独活15g，铜骨七15g，鹿衔草15g，秦艽15g，山茱萸15g。
制备方法 ：按重量份称取各原料，加冷水高于药面浸泡1-2小时，大火烧开，小火煮25-35分钟，过滤去渣，得药液；煎两次，将两次的药液混合后再煮沸，小火煮4-5分钟，平均分为两份。
治疗方法 ：每天早晚各一次，饭后服用，每次服用一份，即一天一剂，五天一个疗程。
实施例3：
称取凤尾参18g，桂枝12g，莪术9g，川芎9g，虎杖9g，茜草9g，柴胡10g，没药10g，栀子8g，川牛膝11g，南蛇藤8g，南天竹根10g，鸡骨草10g，白独活9g，铜骨七9g，鹿衔草8g，秦艽10g，山茱萸12g。
制备方法 ：按重量份称取各原料，加冷水高于药面浸泡1-2小时，大火烧开，小火煮25-35分钟，过滤去渣，得药液；煎两次，将两次的药液混合后再煮沸，小火煮4-5分钟，平均分为两份。
治疗方法 ：每天早晚各一次，饭后服用，每次服用一份，即一天一剂，五天一个疗程。
实施例4：
典型病例
病例1，王XX，男，45岁，。两年前患上坐骨神经痛，呈持续性、钻刺疼痛，夜间尤其，一直采用按摩的方法缓解疼痛，但是治标不治本，服用本发明汤剂两个疗程后，疼痛感减轻，几乎感觉不到，继续服用四个疗程痊愈，随访至今无复发。
病例2，李XX，男，36岁，一年前患上坐骨神经痛，臀部大腿后侧、小腿后外侧和足外侧的疼痛难耐，期间一直服用西药，治标不治本。服用本发明汤剂两个疗程后，症状减轻，继续服用两个疗程痊愈，随访至今无复发。
病例3，孙XX，女，36岁，患有坐骨神经痛三年，臀部大腿后侧、小腿后外侧疼痛难耐，臀部及大腿后肌群肌张力降低、肌肉松弛，期间一直服用西药，疗效不佳。服用本发明汤剂两个疗程后，症状减轻，行走或站立时疼痛感减轻，继续服用五个疗程痊愈，随访至今无复发。

Claims (3)

1.一种治疗坐骨神经痛的中药，其特征在于：是由以下重量配比的原料制成：凤尾参10-30份，桂枝10-30份，莪术5-20份，川芎5-20份，虎杖5-15份，茜草5-20份，柴胡5-20份，没药5-15份，栀子5-15份，川牛膝5-15份，南蛇藤5-12份，南天竹根5-20份，鸡骨草5-15份，白独活5-15份，铜骨七5-15份，鹿衔草5-15份，秦艽5-15份，山茱萸5-15份。
2.根据权利要求1所述的治疗坐骨神经痛的中药，其特征在于：是由以下重量配比的原料制成：凤尾参18份，桂枝12份，莪术9份，川芎9份，虎杖9份，茜草9份，柴胡10份，没药10份，栀子8份，川牛膝11份，南蛇藤8份，南天竹根10份，鸡骨草10份，白独活9份，铜骨七9份，鹿衔草8份，秦艽10份，山茱萸12份。
3.根据权利要求1或2所述的治疗坐骨神经痛的中药，其特征在于：所述中药为汤剂。
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