CN104306601A - 一种治疗脑出血的中药配方 - Google Patents

一种治疗脑出血的中药配方 Download PDF

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CN104306601A
CN104306601A CN201410514717.8A CN201410514717A CN104306601A CN 104306601 A CN104306601 A CN 104306601A CN 201410514717 A CN201410514717 A CN 201410514717A CN 104306601 A CN104306601 A CN 104306601A
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张波
匡玉华
宋秀香
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Abstract

本发明公开了一种治疗脑出血的中药配方，由以下重量份数的中药原料配制而成：红线麻4-6份、元宝草3-5份、蒲黄12-18份、虻虫10-12份、泽泻8-12份、白花蛇6-8份、紫金莲3-5份、三七14-17份、茵陈10-12份、独角莲6-8份、荆芥10-12份、天南星10-13份、荛花8-12份、丹参8-10份、甘草16-18份和血余炭7-10份，本发明的中药配方，补气益精，益气活血，止血散瘀，清热豁痰，降低颅内压，缩小脑内血肿之效，从而达到有效治疗脑出血的目的，标本兼治，疗效好，见效快。

Description

一种治疗脑出血的中药配方
技术领域
本发明属于中医中药技术领域，特别涉及一种治疗脑出血的中药配方。 
背景技术
脑出血主要是发生在老年人身上的一种多发病，脑出血的发生主要是因为血压突然上升，导致脑内微血管破裂引起的脑部出血。并且在出血灶的部位，血液可以直接的压迫脑组织，导致周围发生脑水肿。 
治疗原则为安静卧床、脱水降颅压、调整血压、防止继续出血、加强护理防治并发症，以挽救生命，降低死亡率、残疾率和减少复发。 
脑出血较为典型的表现有一侧的肢体突然麻木、无力或瘫痪，这时病人常会在毫无防备的情况下跌倒，或手中的物品突然掉地；同时，病人还会口角歪斜、流口水、语言含糊不清或失语，有的还有头痛、呕吐、视觉模糊、意识障碍、大小便失禁等现象。患者发生脑出血后，家属应进行紧急救护。 
目前其治疗普遍采用综合性治疗，包括西医综合治疗、中医综合治疗以及中西医综合治疗，其中以中西医综合治疗在死亡率和致残率方面效果较好，但仍缺乏行之有效的药物。且脑出血疾病的恢复过程漫长，需要长期用药治疗，容易形成对药物的依赖性。 
发明内容
本发明提供一种治疗脑出血的中药配方，通过中药调理，补气益精，益气活血，止血散瘀，清热豁痰，降低颅内压，缩小脑内血肿之效，从而达到有效治疗脑出血的目的，标本兼治，疗效好，见效快。 
本发明的治疗脑出血的中药配方，其特征在于由以下重量份数的中药原 料配制而成：红线麻4-6份、元宝草3-5份、蒲黄12-18份、虻虫10-12份、泽泻8-12份、白花蛇6-8份、紫金莲3-5份、三七14-17份、茵陈10-12份、独角莲6-8份、荆芥10-12份、天南星10-13份、荛花8-12份、丹参8-10份、甘草16-18份和血余炭7-10份。 
作为优选，按如下重量份数配制：红线麻4份、莱菔子12份、元宝草3份、蒲黄15份、虻虫10份、泽泻9份、白花蛇7份、紫金莲3份、三七16份、茵陈10份、独角莲6份、荆芥11份、天南星10份、荛花9份、丹参10份、甘草18份和血余炭8份。 
制备方法是按上述重量份数称取原料，放入砂锅里，然后加入5-6倍量的饮用水，武火煮开后，改用文火煎煮40分钟后，提取；再加入3-4倍量的饮用水，武火煮开后，改用文火煎煮30分钟后，提取；合并两次提取液，过滤，每次温服200-300ml，每日早、晚两次饭后温服，每次200-300ml，14天为一个疗程。 
药理分析： 
红线麻：辛，苦，寒，有小毒。祛风湿，通经络，解毒，消肿。治腰腿疼痛，麻木不仁，风痹抽麻，水肿，老鼠疮，蛇咬伤。 
元宝草：辛、苦，寒。清热解毒，通经活络，凉血止血。用于小儿高热，痢疾，肠炎，吐血，衄血，月经不调，白带；外用治外伤出血，跌打损伤，乳腺炎，烧烫伤，毒蛇咬伤。 
蒲黄：肝；心；脾经；止血；祛瘀；利尿；凉血止血药；活血祛瘀药。 
虻虫:主逐瘀血，破下血积、坚痞、症瘕，寒热，通利血脉及九窍。 
泽泻：甘，寒。主风寒湿痹，乳难，消水，养五脏，益气力，肥健。 
白花蛇：味甘，咸，性平。有毒。主治中风及肢体麻木不仁、筋脉拘急、 口眼歪斜、半身不遂、骨节疼痛、脚软不能长久站立，瘙痒及疥癣。又能治肺风鼻塞、瘾疹、身上白癜风、疠疡斑点；破伤风、小儿风热及急慢惊风抽搐。 
紫金莲：性温，味甘。活血止痛，化瘀生新。 
三七：止血，散血，定痛。金刃箭伤，跌扑杖疮，血出不止者，嚼烂涂，或为末掺之，其血即止。亦主吐血，衄血，下血，血痢，崩中，经水不止，产后恶血不下，血运，血痛，赤目，痈肿，虎咬，蛇伤诸病。 
茵陈：清热利湿；退黄。主治：黄疸、小便不利、湿疮瘙痒、传染性黄疸型肝炎。药理学研究有利胆，保护肝功能,解热，抗炎,降血脂，降压,扩冠等作用。 
独角莲：燥湿化痰、祛风止痉、解毒散结。对皮肤粘膜有强烈的刺激作用。能祛风痰、逐寒湿、镇痉，治头痛、口眼歪斜、半身不遂、破伤风、跌打劳伤、肢体麻木、中风不语、淋巴结核、蛇虫咬伤等。 
荆芥：祛风；解表；透疹；止血。主感冒发热；头痛；目痒；咳嗽；咽喉肿痛；麻疹；痈肿；疮疥；衄血；吐血；便血；崩漏；产后血晕。用于感冒，头痛，麻疹，风疹，疮疡初起。炒炭治便血，崩漏，产后血晕。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。 
天南星：有祛风止痉、化痰散结之功能。主中风痰壅、口眼歪斜、半身不遂、手足麻痹、风痰眩晕、癫痫、惊风、破伤风、咳嗽多痰、痈肿、瘰疬、跌打麻痹、毒蛇咬伤。 
荛花：有泻水饮、破积聚的功效，可治留饮，咳逆上气，水肿，症瘕痃癖。 
丹参：性味苦，微寒。归心、肝经。有祛瘀止痛，活血通经，清心除烦 之功效。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。 
甘草: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。 
血余炭：苦、平，入肝、胃经。具有收敛止血、化瘀利尿的功效。 
本发明的中药配方，选用红线麻、虻虫、白花蛇，紫金莲、丹参等，活血化瘀、散结；配伍元宝草、蒲黄、三七、血余炭，可生血、止血；荆芥、天南星，清热豁痰、清肝熄风；泽泻、茵陈、甘草，益气养阴、补气益精，治疗脑出血，降低颅内压，缩小脑内血肿，标本兼治，疗效好，见效快。 
疗效判断： 
脑出血的主要临床症状有：运动或语言障碍，呕吐，意识障碍，颅内压增高、偏盲和眼球活动障碍，头痛头晕。 
痊愈：运动或语言障碍消除，意识清楚，颅内压正常，面部活动正常。 
好转：运动或语言障碍好转，意识障碍恢复，颅内压降低，偏盲或眼球活动趋于正常。 
无效：诸症无改善。 
治疗结果：脑出血患者153例，服用本发明的药物，放入砂锅里，然后加入5-6倍量的饮用水，武火煮开后，改用文火煎煮40分钟后，提取；再加入3-4倍量的饮用水，武火煮开后，改用文火煎煮30分钟后，提取；合并两次提取液，过滤，每次温服200-300ml，每日早、晚两次饭后温服。痊愈105例，占68％，好转22例，占14％，有效率为82％。 
附几例病例作进一步说明： 
病例1：张某某，女，53岁，2012年12月得脑出血，住院治疗20天出院，生活完全不能自理，服用本发明的药物，14天后无需轮椅，能够使用助行器行走，30天后，无需助行器独立行走，生活完全自理，痊愈。随访一年无复发。 
病例2：郑某某，男，60岁，2013年得高血压、高血脂，西药治疗无效引发脑出血入院治疗，服用该中药，20天后下床借助助步器行走，肌力逐渐恢复到4级，20天后能够独自行走，继续服药20天后生活完全自理，痊愈。随访半年无复发。 
具体实施方式
实施例1 
红线麻4份、莱菔子12份、元宝草3份、蒲黄15份、虻虫10份、泽泻9份、白花蛇7份、紫金莲3份、三七16份、茵陈10份、独角莲6份、荆芥11份、天南星10份、荛花9份、丹参10份、甘草18份和血余炭8份。 
制备方法是按上述重量份数称取原料，放入砂锅里，然后加入5-6倍量的饮用水，武火煮开后，改用文火煎煮40分钟后，提取；再加入3-4倍量的饮用水，武火煮开后，改用文火煎煮30分钟后，提取；合并两次提取液，过滤，每次温服200-300ml，每日早、晚两次饭后温服，14天为一个疗程。 

Claims (2)

1.一种治疗脑出血的中药配方，其特征在于由以下重量份数的中药原料配制而成：红线麻4-6份、元宝草3-5份、蒲黄12-18份、虻虫10-12份、泽泻8-12份、白花蛇6-8份、紫金莲3-5份、三七14-17份、茵陈10-12份、独角莲6-8份、荆芥10-12份、天南星10-13份、荛花8-12份、丹参8-10份、甘草16-18份和血余炭7-10份。
2.根据权利要求1所述的治疗脑出血的中药配方，其特征在于由以下重量份数的中药原料配制而成：红线麻4份、莱菔子12份、元宝草3份、蒲黄15份、虻虫10份、泽泻9份、白花蛇7份、紫金莲3份、三七16份、茵陈10份、独角莲6份、荆芥11份、天南星10份、荛花9份、丹参10份、甘草18份和血余炭8份。
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