CN104352821A - 一种治疗高血压的中药冲剂 - Google Patents

一种治疗高血压的中药冲剂 Download PDF

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CN104352821A
CN104352821A CN201410748920.1A CN201410748920A CN104352821A CN 104352821 A CN104352821 A CN 104352821A CN 201410748920 A CN201410748920 A CN 201410748920A CN 104352821 A CN104352821 A CN 104352821A
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吴翠霞
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Abstract

本发明公开了一种治疗高血压的中药冲剂及其制备方法,制成该冲剂有效成分的原料组成为:丹参,当归,钩藤,生石决明,杜仲,桑寄生,菊花,夏枯草,天麻,枸杞,生甘草,蟹壳,白蒺藜,白僵蚕,决明子,葛根。该冲剂采用全中药制剂,避免了西药的副作用,降压效果显著而稳定,能够全面调节机体,且对糖尿病有一定的疗效,在制备过程中采用葛根全粉代替传统填充剂作为辅料填充剂,使糖尿病人服用更加安全,尤其适用于糖尿病性高血压患者使用,是理想的治疗糖尿病性高血压的药物制剂。

Description

一种治疗高血压的中药冲剂
技术领域
本发明涉及一种治疗高血压的中药冲剂,尤其涉及一种治疗糖尿病性高血压的中药冲剂其制备方法,属于中药制剂技术领域。
背景技术
高血压是现代社会常见的一种慢性心血管疾病,一旦发病,将会给患者造成长期的病痛折磨,使患者的正常生活遭受不同程度的影响,甚至威胁人们的生命。高血压发病早期无明显症状,易被人忽略,随着病程的延续病人多会出现头痛、眩晕、胸闷、心悸等症状,严重时会发生神志不清、抽搐。鉴于诱发高血压的因素繁多,现代医学研究尚不能完全解释其病因。而糖尿病则是诱发高血压的常见因素,这种由糖尿病引起的高血压称为糖尿病性高血压,多发于老年糖尿病患者,患病率为可高达80%。现今多采用西药降压药来治疗高血压,虽然起效快,但是极易产生依赖性。这些降压药表面降压实则摧残心、脑、肾等器官,还会带来头晕、恶心,心慌,哮喘,水肿等多种副作用会给患者造成巨大痛苦。而糖尿病型高血压患者在服用降压药和饮食时还要注意药物对血糖的影响,应尽量避免食用含糖或淀粉量过高的食品药品,以免加重病情,给病人带来更大的痛苦。糖尿病性高血压患者的理想降压药应当为能够快速有效降压,降压效果稳定,不伤害机体,不会引起血糖升高,且对糖尿病有一点疗效的药物。
利用中药制剂替代或部分替代西药降压药治疗高血压,可以有效的避免或减轻西药治疗的副作用,中医采用协同疗法,平肝潜阳、活血化瘀、清利肝胆湿热,可以在降压的同时对机体进行全面调节,达到标本兼治的效果。
结合现代制药科技的中药颗粒剂,易于存放、携带,服用方法简单,是普遍应用的一种中药剂型,但是,制备颗粒剂所用的常用辅料填充剂为淀粉、乳糖、糖粉、蔗糖和硫酸钙,糖尿病性高血压患者长期服用含前面四种辅料的冲剂,相当于长期饮用糖水,可能对糖尿病患者造成伤害;而硫酸钙与糖尿病常用药阿司匹林存在配伍禁忌的可能性不宜同时服用,因此传统的中药颗粒剂不适用于糖尿病性高血压。
发明内容
本发明的目的在于:为避免西药的副作用,提供一种治疗高血压的中药冲剂,并使其可以安全用于糖尿病性高血压,在降压的同时能够起到一定治疗糖尿病的效果,对机体进行全面调节,达到标本兼治的效果。
为了实现上述目的本发明提供的技术方案中摒弃了传统颗粒剂辅料填充剂,改用葛根全粉这种含淀粉量较少且有治疗糖尿病效果的药粉作为制备本发明冲剂的辅料填充剂,同时,在原料中添加了富含甲壳素的蟹壳,以增强药效。具体技术方案如下:
本发明提供了一种治疗高血压的中药冲剂,制成所述冲剂有效成分的原料组成及重量份数为:丹参3-8份,当归5-10份,钩藤8-12份,生石决明8-12份,杜仲8-12份,桑寄生8-12份,菊花13-18份,夏枯草13-18份,天麻13-18份,枸杞13-18份,生甘草3-8份,蟹壳3-8份,白蒺藜2-5份,白僵蚕2-5份,决明子12-17份,葛根60-90份。
进一步的,上述一种治疗高血压的中药冲剂,优选的,制成所述冲剂有效成分的原料组成及重量份数为:丹参3份,当归5份,钩藤8份,生石决明8份,杜仲8份,桑寄生8份,菊花13份,夏枯草13份,天麻13份,枸杞13份,生甘草3份,蟹壳3份,白蒺藜2份,白僵蚕2份,决明子12份,葛根60份。
进一步的,上述一种治疗高血压的中药冲剂,优选的,制成所述冲剂有效成分的原料组成及重量份数为:丹参8份,当归10份,钩藤12份,生石决明12份,杜仲12份,桑寄生12份,菊花18份,夏枯草18份,天麻18份,枸杞18份,生甘草8份,蟹壳8份,白蒺藜5份,白僵蚕5份,决明子17份,葛根90份。
进一步的,上述一种治疗高血压的中药冲剂,优选的,制成所述冲剂有效成分的原料组成及重量份数为:丹参5份,当归6份,钩藤10份,生石决明10份,杜仲10份,桑寄生10份,菊花15份,夏枯草15份,天麻15份,枸杞15份,生甘草6份,蟹壳6份,白蒺藜3份,白僵蚕3份,决明子15份,葛根80份。
本发明还提供了所述的治疗高血压的中药冲剂的制备方法,包括以下步骤:
步骤1:蟹壳培黄后研末,得到蟹壳粉;
步骤2:葛根用中药粉碎机粉碎,过100目筛制得葛根全粉;
步骤3:丹参、当归、钩藤、生石决明、杜仲、桑寄生、菊花、夏枯草、天麻、枸杞、生甘草、白蒺藜、白僵蚕、决明子加入重量倍数为6-10倍的水,煎煮两次,每次煎煮45-60分钟,煎煮后过滤;合并两次的滤液,浓缩至相对密度为1.10~1.15(60℃),得浓缩液,加入乙醇使乙醇的质量分数达65%,搅匀,静置24~48小时,过滤并回收乙醇,浓缩至相对密度为1.30~1.32(60℃)的稠膏;
步骤4:将步骤1中制得的蟹壳粉加入步骤3中制得的稠膏中,搅拌均匀,再加入步骤2中制得的葛根全粉作为敷料填充剂,混匀,制粒,干燥,即得。
本发明为了治疗高血压,采用平肝潜阳、活血化瘀、清利肝胆湿热的方法,在降压的同时对机体进行全面调节,同时有效避免治疗高血压的中药冲剂对糖尿病人可能造成的伤害,根据中医药理论辨证论治,通过大量实验筛选中药原料,精炼制剂方法,使得各药物功效产生协同作用,从而达到标本兼治的效果。选取的原料中药材中,丹参具有活血祛瘀、清热除烦的功效,可以扩张血管,降低血压;钩藤具有镇静、降压作用;生石决明具有降压、清肝、利水作用;杜仲具有降压、利尿、治肝肾亏虚、肾气不固作用;桑寄生具有降压、利尿作用;这五味是该冲剂中直接起降压作用原料药。当归可以补血、行血、润肠、调经;夏枯草有清肝,散结,利尿的功效;决明子可清肝明目,可以治疗头痛、眩晕;菊花具有清热解毒,消肿的功效;天麻能息风,定惊,可治眩晕眼黑,头风头痛;枸杞具有补肾益精,养肝明目,补血安神,生津止渴,润肺止咳,可治肝肾阴亏,腰膝酸软,头晕,目眩;生甘草可补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药;白蒺藜能平肝解郁,祛风明目。可治肝阳眩晕头痛,肝郁胁痛,风热头痛;白僵蚕能祛风解痉,化痰散结,可用于治疗偏正头痛;蟹壳可以破瘀消积。治瘀血积滞,胁痛、腹痛,乳痈,冻疮;葛根具有清热降火、滋阴解毒、升阳生津、开胃进食之功效。其中,丹参与当归同用可以提高平肝潜阳、活血化瘀的效果;生石决明、杜仲辅以夏枯草、决明子,可以提高降压效果;生石决明、杜仲、桑寄生、夏枯草、菊花都具有清利肝胆湿热的作用;白蒺藜、白僵蚕、枸杞、天麻、决明子等药材具有治疗头疼和眩晕的功效,可有效的缓解高血压带来的不适症状;蟹壳中富含甲壳素,这种物质被科学界誉之为"第六生命要素",可以迅速的在体内吸附油脂,并排出体外。具有降血脂、降血压、改善糖尿病等作用;葛根中的总黄酮苷类成分在治疗心高血压和糖尿病都具有较好的疗效。以上诸药合用,具有很好的降压和调理效果,并且诸药相互调理,对机体不良影响小,临床应用更加安全。
本发明的有益效果为:本发明提供了一种治疗高血压的中药冲剂,该冲剂可在有效降压的同时全面调理机体,达到标本兼治的疗效。该冲剂在在原料药中添加了蟹壳,蟹壳中的甲壳素可以清理体内油脂,具有降血压和改善糖尿病的作用,增加了该冲剂的药效。该冲剂在制备过程中摒弃了对糖尿病人有害的传统颗粒剂辅料填充剂,改用葛根全粉作为填充剂,葛根中的总黄酮苷类成分对高血压和糖尿病人都有很好的疗效。该冲剂在治疗高血压的同时,还可辅助治疗糖尿病,因此,糖尿病性高血压患者可安心长期饮用。
具体实施方式
根据下述实施例,可以更好地理解本发明。然而,本领域的技术人员容易理解,实施例所描述的具体的物料配比、工艺条件及其结果仅用于说明本发明而不应当也不会限制权利要求书中所详细描述的本发明。
实施例1制备治疗高血压的中药冲剂
配方为:丹参3克,当归5克,钩藤8克,生石决明8克,杜仲8克,桑寄生8克,菊花13克,夏枯草13克,天麻13克,枸杞13克,生甘草3克,蟹壳3克,白蒺藜2克,白僵蚕2克,决明子12克,葛根60克。
配制方法为:
步骤1:蟹壳培黄后研末,得到蟹壳粉;
步骤2:葛根用中药粉碎机粉碎,过100目筛制得葛根全粉;
步骤3:丹参、当归、钩藤、生石决明、杜仲、桑寄生、菊花、夏枯草、天麻、枸杞、生甘草、白蒺藜、白僵蚕、决明子加入重量倍数为6倍的水,煎煮两次,每次煎煮60分钟,煎煮后过滤;合并两次的滤液,浓缩至相对密度为1.15(60℃),得浓缩液,加入乙醇使乙醇的质量分数达65%,搅匀,静置48小时,过滤并回收乙醇,浓缩至相对密度为1.32(60℃)的稠膏;
步骤4:将步骤1中制得的蟹壳粉加入步骤3中制得的稠膏中,搅拌均匀,再加入步骤2中制得的葛根全粉作为敷料填充剂,混匀,制粒,干燥,即得。
治疗时,饭前沸水冲服,每次15克,一日二次。
实施例2制备治疗高血压的中药冲剂
配方为:丹参8克,当归10克,钩藤12克,生石决明12克,杜仲12份,桑寄生12克,菊花18克,夏枯草18克,天麻18克,枸杞18克,生甘草8克,蟹壳8克,白蒺藜5克,白僵蚕5克,决明子17克,葛根90克。
配置方法与实施例1中相似,区别在于:步骤3中加入重量倍数为10倍的水,,煎煮两次,每次煎煮45分钟,煎煮后过滤;合并两次的滤液,浓缩至相对密度为1.10(60℃),得浓缩液,加入乙醇使乙醇的质量分数达65%,搅匀,静置24小时,过滤并回收乙醇,浓缩至相对密度为1.30(60℃)的稠膏;
治疗时,饭前沸水冲服,每次15克,一日二次。
实施例3制备治疗高血压的中药冲剂
配方为:丹参5克,当归6克,钩藤10克,生石决明10克,杜仲10克,桑寄生10克,菊花15克,夏枯草15克,天麻15克,枸杞15克,生甘草6克,蟹壳6克,白蒺藜3克,白僵蚕3克,决明子15克,葛根80克。
配置方法与实施例1中相似,区别在于:步骤3中加入重量倍数为8倍的水,,煎煮两次,每次煎煮50分钟,煎煮后过滤;合并两次的滤液,浓缩至相对密度为1.13(60℃),得浓缩液,加入乙醇使乙醇的质量分数达65%,搅匀,静置36小时,过滤并回收乙醇,浓缩至相对密度为1.31(60℃)的稠膏;
治疗时,饭前沸水冲服,每次15克,一日二次。
实施例4临床试验研究
给予本发明实施例1至3任一项的中药冲剂,治疗时,饭前沸水冲服,每次15克,一日二次,1月为1疗程,连服3个疗程后观察疗效。
随机选取100名糖尿病性高血压患者,年龄60-70岁,平均65岁,平均病程3年。症状:多饮多食,尿频,体虚乏力,胸闷心悸,头痛眩晕,肢体麻木。少部分患者伴有恶心呕吐,视物不清的症状。3个疗程以后,在治疗高血压方面55人有显著疗效,36人有疗效,9人无疗效,总有效率91%;在治疗糖尿病方面,12例有显著疗效,33例有疗效,55例无疗效,100例均无病情加重症状。
临床典型实施例:
1、周某,60岁,男,患糖尿病性高血压2年,时常头晕头痛,多饮多食,尿频,胸闷心悸,体型消瘦,医院检查低压115,高压165,空腹血糖10mmol/L,服用西药降压后,低压96,高压145,血压不稳定,时高时低,服用实施例1的中药冲剂10日后,胸闷心悸,头晕头痛症状有所缓解,3个月后,胸闷心悸,头晕头痛症状消除,尿频状况有所缓解,饮食逐渐节制,血压稳定低压90,高压135,空腹血糖稳定在7mmol/L左右,后又经2个疗程的治疗,血压、血糖指标恢复正常,停药2年内未复发。
2、齐某,68岁,男,患糖尿病性高血压6年,下肢疼痛麻木,小腿胫前多处溃烂,视物昏花,疲乏气短,恶心呕吐,行销骨瘦,医院检查,低压110,高压179,空腹血糖15.2mmol/L,服用降糖和降压西药多年,效果不佳,服用实施例3的中药冲剂1月后,恶心呕吐,头晕头痛症,疲乏气短症状有所缓解,3个月后,恶心呕吐,头晕头痛,疲乏气短症状消除,下肢疼痛麻木,视物昏花症状有所缓解,血压稳定低压95,高压135,空腹血糖稳定在9.9mmol/L左右,后又经6个疗程的治疗,血压、血糖指标恢复正常,减少药量改为1日一次,一次15克,持续用药1年内血压血糖稳定,停止用药1年未复发。
3、刘某,65岁,女,患糖尿病性高血压3年,多饮多尿,体型消瘦,头晕胀痛,胸闷乏力,视物模糊,医院检查低压120,高压147,空腹血糖10.1mmol/L,服用西药降压降糖,效果不佳,并有哮喘、水肿的不良反应,服用实施例2的中药冲剂15日后,头晕胀痛,胸闷乏力症状有所缓解,3个月后,头晕胀痛,胸闷乏力症状消除,多饮多尿,视物模糊症状有所缓解,血压稳定低压90,高压125,空腹血糖稳定在8.1mmol/L左右。后又经6个疗程的治疗,血压、血糖指标恢复正常,停止用药1年未复发。
结果表明,本发明的治疗高血压的中药冲剂,在高血压的治疗方面疗效显著,能够稳定降压,调理机体,消除不良症状,提高患者生活质量,该冲剂对糖尿病人无副作用,且有一定的疗效,适宜糖尿病性高血压患者服用。因此,本发明提供的中药冲剂有望开发成为新一代安全有效的治疗糖尿病性高血压的理想药物。
以上实施方式只为说明本发明的技术构思及特点,其目的在于让熟悉此项技术的人了解本发明内容并加以实施,并不能以此限制本发明的保护范围,凡根据本发明精神实质所做的等效变化或修饰,都应涵盖在本发明的保护范围内。

Claims (5)

1.一种治疗高血压的中药冲剂,其特征在于:制成所述冲剂有效成分的原料组成及重量份数为:丹参3-8份,当归5-10份,钩藤8-12份,生石决明8-12份,杜仲8-12份,桑寄生8-12份,菊花13-18份,夏枯草13-18份,天麻13-18份,枸杞13-18份,生甘草3-8份,蟹壳3-8份,白蒺藜2-5份,白僵蚕2-5份,决明子12-17份,葛根60-90份。
2.如权利要求1所述的治疗高血压的中药冲剂,其特征在于:制成所述冲剂有效成分的原料组成及重量份数为:丹参3份,当归5份,钩藤8份,生石决明8份,杜仲8份,桑寄生8份,菊花13份,夏枯草13份,天麻13份,枸杞13份,生甘草3份,蟹壳3份,白蒺藜2份,白僵蚕2份,决明子12份,葛根60份。
3.如权利要求1所述的治疗高血压的中药冲剂,其特征在于:制成所述冲剂有效成分的原料组成及重量份数为:丹参8份,当归10份,钩藤12份,生石决明12份,杜仲12份,桑寄生12份,菊花18份,夏枯草18份,天麻18份,枸杞18份,生甘草8份,蟹壳8份,白蒺藜5份,白僵蚕5份,决明子17份,葛根90份。
4.如权利要求1所述的治疗高血压的中药冲剂,其特征在于:制成所述冲剂有效成分的原料组成及重量份数为:丹参5份,当归6份,钩藤10份,生石决明10份,杜仲10份,桑寄生10份,菊花15份,夏枯草15份,天麻15份,枸杞15份,生甘草6份,蟹壳6份,白蒺藜3份,白僵蚕3份,决明子15份,葛根80份。
5.权利要求1所述的治疗高血压的中药冲剂的制备方法,其特征在于:包括以下步骤:
步骤1:蟹壳培黄后研末,得到蟹壳粉;
步骤2:葛根用中药粉碎机粉碎,过100目筛制得葛根全粉;
步骤3:丹参、当归、钩藤、生石决明、杜仲、桑寄生、菊花、夏枯草、天麻、枸杞、生甘草、白蒺藜、白僵蚕、决明子加入重量倍数为6-10倍的水,煎煮两次,每次煎煮45-60分钟,煎煮后过滤;合并两次的滤液,浓缩至相对密度为1.10~1.15(60℃),得浓缩液,加入乙醇,使乙醇的质量分数达65%,搅匀,静置24~48小时,过滤并回收乙醇,浓缩至相对密度为1.30~1.32(60℃)的稠膏;
步骤4:将步骤1中制得的蟹壳粉加入步骤3中制得的稠膏中,搅拌均匀,再加入步骤2中制得的葛根全粉作为敷料填充剂,混匀,制粒,干燥,即得。
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Application publication date: 20150218