CN104324280A - 一种治疗鼻咽癌的中药组合物及其制备方法 - Google Patents

一种治疗鼻咽癌的中药组合物及其制备方法 Download PDF

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CN104324280A
CN104324280A CN201410679028.2A CN201410679028A CN104324280A CN 104324280 A CN104324280 A CN 104324280A CN 201410679028 A CN201410679028 A CN 201410679028A CN 104324280 A CN104324280 A CN 104324280A
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万海涛
贾宗英
王睿
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Qingdao Tumour Hospital
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Abstract

本发明涉及一种治疗鼻咽癌的中药组合物及其制备方法和用途。所述中药组合物由如下重量份的原料药制备而成:玉竹10-50份、秦皮10-50份、紫草5-40份、女贞子5-40份、地骨皮5-25份、生地5-25份、苍耳子5-25份、山慈菇10-40份、荜拨5-25份、沙参10-50份、菟丝子10-40份、薏苡仁10-30份、虎杖5-25份、夏枯草5-25份、瓦楞子5-25份。本发明的有益效果是:以天然中草药为原料,能够最大程度地发挥药效,标本兼治,具有清热解毒、抗癌消肿、滋阴泻火,软坚散结之功,极大地调节人体自身平衡,减少药物对人体的毒副作用,总有效率可达88%以上,且愈后不易复发。

Description

一种治疗鼻咽癌的中药组合物及其制备方法
技术领域
本发明涉及中药领域,尤其涉及一种治疗鼻咽癌的中药组合物及其制备方法和用途。 
背景技术
鼻咽癌(nasopharyngeal carcinoma, NPC)是发生在鼻咽部的一种恶性肿瘤,也是我国最常见的恶性肿瘤病之一。鼻咽癌的发病率因地区、性别和年龄的不同而有差异。中国及东南亚地区为多见。 
鼻咽癌的死亡率占全国恶性肿瘤死亡率的2.81%,我国的广东、广西、福建、湖南、江西发病率最高,特别是广东的中西部,年发病率可高至3050/10 万,广西居全国第二。 
我国的总发病率约占全世界的80%之多,年发病率为1025/10万,而全世界平均年发病率在1/10万以下;其男女发病之比约为3.5:1;鼻咽癌的发 病由20岁开始上升,至5060岁的年龄为发病高峰期。鼻咽癌临床主要症 状有鼻塞、鼻腔出血,常以颈部淋巴结转移而就诊。本病的发生与遗传、病毒、环境等因素有关。中医学认为,七情损伤、正气不足是患鼻咽癌的内因,正虚之体,再遇风邪毒的浸袭,沉积于鼻腔,气血运行受阻,瘀积而成肿块。 
目前对于鼻咽癌的治疗临床上主要采用手术、放疗、化疗,但是均有一定的缺陷,手术固然能切除癌肿,但还有残癌、或区域淋巴结转移、或血管中癌栓存在等。 
综上所述,目前临床上对鼻咽癌患者的治疗方法存在诸多缺陷和不良作用,不能达到满意的治疗效果,是现代医学难以克服的妨碍。 
发明内容
本发明的目的在于克服现有治疗的不足,提供一种内服治疗鼻咽癌的中药组合物,以天然中草药为原料药,有效治疗鼻咽癌。本发明人在中医药传统理论的基础上,对用中药治疗鼻咽癌进行了长期的研究和实践,并最终研制出了一种疗效十分显著的治疗鼻咽癌的中药组合物。该中药组合物针对鼻咽癌的根本病因病机,结合患者体质特点进行治疗,能够起到显著的治疗作用,并且具有毒副作用小、疗效好、成本低、工艺简单、治愈率高等优势。 
一方面,本发明提供了一种治疗鼻咽癌的中药组合物,其由下述重量份的原料药制备而成:玉竹10-50份、秦皮10-50份、紫草5-40份、女贞子5-40份、地骨皮5-25份、生地5-25份、苍耳子5-25份、山慈菇10-40份、荜拨5-25份、沙参10-50份、菟丝子10-40份、薏苡仁10-30份、虎杖5-25份、夏枯草5-25份、瓦楞子5-25份。 
优选地,所述中药组合物由如下重量份的原料药制备而成:玉竹10-30份、秦皮10-30份、紫草5-20份、女贞子5-20份、地骨皮5-15份、生地5-15份、苍耳子5-15份、山慈菇10-20份、荜拨5-15份、沙参10-30份、菟丝子10-20份、薏苡仁10-20份、虎杖5-15份、夏枯草5-15份、瓦楞子5-15份。 
进一步优选地,所述中药组合物由如下重量份的原料药制备而成:玉竹30份、秦皮30份、紫草5份、女贞子5份、地骨皮15份、生地5份、苍耳子15份、山慈菇10份、荜拨5份、沙参30份、菟丝子10份、薏苡仁20份、虎杖15份、夏枯草5份、瓦楞子5份;或者 
所述中药组合物由如下重量份的原料药制备而成:玉竹10 份、秦皮10份、紫草20份、女贞子20份、地骨皮5份、生地15份、苍耳子5份、山慈菇20份、荜拨15份、沙参10份、菟丝子20份、薏苡仁10份、虎杖5份、夏枯草15份、瓦楞子15份。
更优选地,所述中药组合物由如下重量份的原料药制备而成:玉竹20份、秦皮20份、紫草15份、女贞子15份、地骨皮10份、生地10份、苍耳子10份、山慈菇15份、荜拨10份、沙参20份、菟丝子15份、薏苡仁15份、虎杖10份、夏枯草10份、瓦楞子10份。 
另一方面,本发明提供了所述中药组合物的制备方法,其包括如下步骤: 
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入5-15倍量的水,煎煮2-3次,每次1-3小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
进一步优选地,本发明中药组合物的制备方法包括如下步骤: 
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入12倍量的水,煎煮3次,每次2小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
在本发明一个优选的实施方案中,所述中药组合物是汤剂。 
在本发明另一个优选的实施方案中,可以按照本领域常规的制备方法,通过加入药物领域中常见的辅料,例如润滑剂、崩解剂、粘合剂等,将本发明的中药组合物制备成任何一种适合的中药制剂,例如胶囊剂、片剂、散剂、颗粒剂、丸剂等。 
所述药物领域中常见的辅料包括药物领域在制备上述制剂过程中常规和通用的辅料。 
再一方面,本发明还提供了本发明中药组合物在制备用于治疗鼻咽癌药物中的用途。 
本发明的有益效果: 
本发明的中药组合物将上述十五味中药组合使用,能够最大程度地发挥药效,标本兼治,具有清热解毒、抗癌消肿、滋阴泻火,软坚散结之功,极大地调节人体自身平衡,减少药物对人体的毒副作用。临床实验结果表明,本发明的中药组合物治疗鼻咽癌的效果十分显著,且无毒副作用,愈后不易复发,总有效率可达88%以上。因此,本发明克服了现有技术中存在的不足,提供了一种安全、有效,工艺简便的用于治疗鼻咽癌的中药组合物。
具体实施方式
通过以下实施方式进一步详细说明本发明的技术方案。需要指出的是,以下说明仅仅是对本发明要求保护的技术方案的举例说明,并非对这些技术方案的任何限制。本发明的保护范围以所附权利要求书记载的内容为准。 
  
实施例1
一种治疗鼻咽癌的中药组合物,其由下述重量的原料药制备而成:
玉竹30g、秦皮30g、紫草5g、女贞子5g、地骨皮15g、生地5g、苍耳子15g、山慈菇10g、荜拨5g、沙参30g、菟丝子10g、薏苡仁20g、虎杖15g、夏枯草5g、瓦楞子5g。
所述中药组合物的制备方法,具体步骤如下: 
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入15倍量的水,煎煮3次,每次1.5小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
服用方法:口服,每日1剂,分早晚两次服用,4周为1个疗程。 
  
实施例2
一种治疗鼻咽癌的中药组合物,其由下述重量的原料药制备而成:
玉竹10g、秦皮10g、紫草20g、女贞子20g、地骨皮5g、生地15g、苍耳子5g、山慈菇20g、荜拨15g、沙参10g、菟丝子20g、薏苡仁10g、虎杖5g、夏枯草15g、瓦楞子15g。
所述中药组合物的制备方法,具体步骤如下: 
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入6倍量的水,煎煮2次,每次3小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
服用方法:口服,每日1剂,分早晚两次服用,4周为1个疗程。 
  
实施例3
一种治疗鼻咽癌的中药组合物,其由下述重量的原料药制备而成:
玉竹20g、秦皮20g、紫草15g、女贞子15g、地骨皮10g、生地10g、苍耳子10g、山慈菇15g、荜拨10g、沙参20g、菟丝子15g、薏苡仁15g、虎杖10g、夏枯草10g、瓦楞子10g。
所述中药组合物的制备方法,具体步骤如下: 
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入12倍量的水,煎煮3次,每次2小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
服用方法:口服,每日1剂,分早晚两次服用,4周为1个疗程。 
  
实施例4  本发明中药组合物治疗鼻咽癌的临床效果实验
1、病例纳入标准:
经病理或细胞学检查确诊为鼻咽癌,以往未经过手术、放化疗,无严重的心血管、肝、肾等其他疾病。中医诊断鼻咽癌标准:肢体无力、虚损严重、鼻塞、鼻疼、鼻孔流水、CT见鼻腔肿瘤。在确诊的50个病例中,男性28例,女性22例,无其它严重疾病,年龄为40岁-70岁,平均年龄58.8岁。
 2、服用方法:
患者服用本发明上述实施例3制备得到的中药组合物,每日1剂,分早晚两次服用,4周为1个疗程。共服用2个疗程。
 3、疗效标准:
(1)显效:体质增强,肢体有力,鼻咽部不适消失,CT见鼻咽肿瘤瘤体缩小,其它部位未发现新生肿瘤。
(2)有效:体质增强,CT见鼻咽部肿瘤未见增大,其它部位未见新生肿瘤。 
(3)无效:病症无变化,鼻咽部肿瘤瘤体增大,或其它部位发现新生肿瘤。 
 4、治疗结果:
符合上述“病例纳入标准”的病例50例,采用本发明实施例3制备得到的中药组合物治疗2个疗程后,其中显效25人,有效19人,无效6人,总有效率为88%。
  
实施例5 本发明中药组合物治疗鼻咽癌患者的典型病例
1、刘某,男,54岁。2012年12月,经医院检查确诊为鼻咽癌。由于本人不愿接受化疗治疗,经朋友介绍服用本发明实施例3制备的中药组合物,服用一个疗程后,上述肢体无力、鼻塞、鼻疼等症状明显好转;继续服用一个疗程,CT检查见鼻咽部肿块明显减小。一直服用至今,患者病情稳定。 
2、李某,男,48岁,2013年10月经医院确诊为鼻咽癌,鼻涕中带血,鼻噻、头痛等症状。服用本发明中实施例3制备的中药组合物一个疗程后,上述症状基本消失;继续服用一个疗程,CT检查见鼻咽部肿块有明显减小。目前患者病情稳定,未见复发。 
3、张某,女,64岁,2012年4月经医院确诊鼻咽癌。接受放射治疗,出现口干、咳嗽、消瘦等副作用,遂停止放射治疗。2013年12月开始服用本发明中实施例3制备的中药组合物,服用一个疗程后,鼻塞、鼻疼、肢体乏力等症状明显好转;继续服用一个疗程,CT检查见鼻咽部肿块明显减小。目前患者病情稳定,未见复发。 
由此可见,本发明中药组合物治疗鼻咽癌的疗效显著,总有效率可达88%以上,且无毒副作用,使用方法简单,极大的提高了患者的依从性。 
本发明内容仅仅举例说明了要求保护的一些具体实施方案,其中一个或更多个技术方案中所记载的技术特征可以与任意的一个或多个技术方案相组合,这些经组合而得到的技术方案也在本申请保护范围内,就像这些经组合而得到的技术方案已经在本发明公开内容中具体记载一样。 
  

Claims (9)

1.一种用于治疗鼻咽癌的中药组合物,其特征在于:包括下述药物按照重量份数制备而成:玉竹10-50份、秦皮10-50份、紫草5-40份、女贞子5-40份、地骨皮5-25份、生地5-25份、苍耳子5-25份、山慈菇10-40份、荜拨5-25份、沙参10-50份、菟丝子10-40份、薏苡仁10-30份、虎杖5-25份、夏枯草5-25份、瓦楞子5-25份。
2.如权利要求1所述的中药组合物,其特征在于,原料药物的重量份数为玉竹10-30份、秦皮10-30份、紫草5-20份、女贞子5-20份、地骨皮5-15份、生地5-15份、苍耳子5-15份、山慈菇10-20份、荜拨5-15份、沙参10-30份、菟丝子10-20份、薏苡仁10-20份、虎杖5-15份、夏枯草5-15份、瓦楞子5-15份。
3.如权利要求1或2所述的中药组合物,其特征在于,原料药物的重量份数为:玉竹30份、秦皮30份、紫草5份、女贞子5份、地骨皮15份、生地5份、苍耳子15份、山慈菇10份、荜拨5份、沙参30份、菟丝子10份、薏苡仁20份、虎杖15份、夏枯草5份、瓦楞子5份。
4.如权利要求1或2所述的中药组合物,其特征在于,原料药物的重量份数为:玉竹10 份、秦皮10份、紫草20份、女贞子20份、地骨皮5份、生地15份、苍耳子5份、山慈菇20份、荜拨15份、沙参10份、菟丝子20份、薏苡仁10份、虎杖5份、夏枯草15份、瓦楞子15份。
5.如权利要求1或2所述的中药组合物,其特征在于,原料药物的重量份数为:玉竹20份、秦皮20份、紫草15份、女贞子15份、地骨皮10份、生地10份、苍耳子10份、山慈菇15份、荜拨10份、沙参20份、菟丝子15份、薏苡仁15份、虎杖10份、夏枯草10份、瓦楞子10份。
6.如权利要求1-5任一项所述的中药组合物的制备方法,其包括如下步骤:
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入5-15倍量的水,煎煮2-3次,每次1-3小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
7.如权利要求6所述的制备方法,其包括如下步骤:
(1)按照上述中药组合物的重量配比称取原料药玉竹、秦皮、紫草、女贞子、地骨皮、生地、苍耳子、山慈菇、荜拨、沙参、菟丝子、薏苡仁、虎杖、夏枯草和瓦楞子,干燥、粉碎,混合均匀后得到原料药混合物,备用;
(2)向步骤(1)中得到的原料药混合物中加入12倍量的水,煎煮3次,每次2小时,合并水煎液;
(3)除去步骤(2)的合并水煎液中的沉淀,取上清液,即得所述中药组合物。
8.如权利要求1-5任一项所述的中药组合物,其特征在于,可以加入药学上常规的辅料将所述中药组合物制备成胶囊剂、片剂、散剂、颗粒剂或丸剂。
9.一种权利要求1-5的中药组合物在制备治疗鼻咽癌的药物中的用途。
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