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 PDFInfo
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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
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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