CN104353041A - 治疗皮肌炎的中药制剂 - Google Patents

治疗皮肌炎的中药制剂 Download PDF

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CN104353041A
CN104353041A CN201410608935.8A CN201410608935A CN104353041A CN 104353041 A CN104353041 A CN 104353041A CN 201410608935 A CN201410608935 A CN 201410608935A CN 104353041 A CN104353041 A CN 104353041A
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黄建丽
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Abstract

一种治疗皮肌炎的中药制剂，其特征在于，选用的原料药材及重量组分分别是：桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份。本发明药物可以采用中药制剂的常规方法制备成任何常规内服制剂。本发明药物可以采用中药制剂的常规方法制备成任何常规内服制剂。例如可以将这些原料药研成粉末混合均匀散剂冲服；可以将这些原料药一起水煎，然后浓缩煎液服用，或者把浓缩煎液浓缩成膏加工成丸剂服用。

Description

治疗皮肌炎的中药制剂
技术领域
本发明涉及中药制剂领域，具体涉及一种用于治疗皮肌炎的中药制剂。具有清热解毒、益气健脾、温经化湿的功效，治疗皮肌炎疗效确切。
背景技术
皮肌炎是一种主要累及横纹肌，以淋巴细胞浸润为主的非化脓性炎症病变，可伴有或不伴有多种皮肤损害。临床上以对称性肢带肌、颈肌及咽肌无力为特征，常累及多种脏器，亦可伴发肿瘤和其他结缔组织病。主要临床表现：通常隐袭起病，在数周、数月、数年内缓慢进展。极少数患者急性起病，在数日内出现严重肌无力，甚或横纹肌溶解、肌球蛋白尿和肾功能衰竭。患者可有晨僵、乏力、食欲不振、体重减轻、发热(中低度热，甚至高热)、关节疼痛，少数患者有雷诺现象。皮肌炎有各种各样皮肤表现。其中有诊断特异性的是Gottron斑丘疹或Gottron征。常见于掌指关节、指间关节、肘、膝等关节伸面及肩、胯等易受摩擦的部位。特征性皮疹包括：①眼睑特别是上睑暗紫红色皮疹，可为一侧或两侧，常伴眶周水肿和近睑缘处毛细血管扩张。水肿严重时，双睑遮眼，无法视物。这种紫红色皮疹还可出现在前额、颧部、鼻梁、鼻唇沟及颈前、胸上部(V形分布)和颈后、上背、肩及上臂外侧(披肩样分布)。②“技工手”样变：指垫皮肤角化、增厚、皲裂。手掌、足底、躯干和四肢也可有角化过度伴毛囊角化；其他皮肤黏膜改变：头皮处可出现红色萎缩性斑块，上复鳞屑，常误诊为银屑病或脂溢性皮炎；甲周毛细血管扩张，或出现癖点。光过敏、痰痒、脂膜炎、皮肤粘蛋白沉积、白斑、多灶性脂肪萎缩和雷诺。
发明内容
本发明所述治疗皮肌炎的中药制剂，具有清热解毒、益气健脾、温经化湿的功效，治疗皮肌炎疗效确切。
选用的原料药材及重量组分分别是：桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份。
本发明选取的原料中药材中，其功效和药理作用分别是：桔梗：味苦、辛，性微温。入肺经。能祛痰止咳，并有宣肺、排脓作用。【出处】：《神农本草经》。效】：宣肺、祛痰、利咽、排脓、利五脏、补气血、补五劳、养气。【主治】：咳嗽痰多、咽喉肿痛、肺痈吐脓、胸满胁痛、痢疾腹痛、口舌生疮、目赤肿痛、小便癃闭。用于咳嗽痰多，胸闷不畅，咽痛，音哑，肺痈吐脓，疮疡脓成不溃。
丝瓜络：味甘，性凉。归肺、肝、胃经。体轻通利。通经活络，清热解毒，利尿消肿，止血。主治胸胁胀痛，风湿痹痛，筋脉拘挛，女子经闭，乳汁不通，痰热咳嗽，热毒痈肿，痔漏，水肿，小便不利，便血，崩漏。
山药：有滋养强壮，助消化，敛虚汗，止泻之功效，主治脾虚腹泻、肺虚咳嗽、糖尿病消渴、小便短频、道精、妇女带下及消化不良的慢性肠炎。性味：甘、平、无毒。归经：归脾、肺、肾经。功用：补脾养胃，生津益肺，补肾涩精。用于脾虚食少，久泻不止，肺虚喘咳，肾虚遗精，带下，尿频，虚热消渴。麸炒山药补脾健胃。用于脾虚食少，泄泻便溏，白带过多。
炮姜：【功效】温经止血；温中止痛。【功效分类】温中止痛药；温经止血药。【性味归经】性味苦，涩，温。辛、热。归脾、胃、肾、心、肺经。【功能主治】温中散寒，温经止血。用于脾胃虚寒，腹痛吐泻，吐衄崩漏，阳虚失血。
黄芪：具有1、表虚自汗，多用于体虚表弱所致的自汗。2、阴虚盗汗；3、急性肾炎水肿，用于阳气不足所致的虚性水肿；4、慢性肾炎水肿、脾肾虚者；5、阳气虚弱，用于疮疡久不溃破而内陷，有促进溃破及局限作用。6、疮疡久溃不愈，用于疮疡溃破后，久不收口，有生肌收口之作用；7、脾气虚证，虚弱倦怠，泄泻，中气下陷，脏器脱垂，食少纳呆诸症。8、肺气虚证。咳喘日久，气短神疲，痰雍于肺无力咯出。9、多汗而浮肿。10、用于气虚衰弱，倦怠乏力，或中气下陷、脱肛、子宫脱垂。性味：甘，微温。归经：归肺、脾、肝、肾经；有增强机体免疫功能、保肝、利尿、抗衰老、抗应激、降压和较广泛的抗菌作用。
制附子：【性味与归经】辛、甘，大热；有毒。归心、肾、脾经。【功能与主治】回阳救逆，补火助阳，逐风寒湿邪。用于亡阳虚脱，肢冷脉微，阳痿，宫冷，心腹冷痛，虚寒吐泻，阴寒水肿，阳虚外感，寒湿痹痛。
白术：【性味归经】苦、甘，温。归脾、胃经。功效：健脾益气，燥湿利水，止汗，安胎。用于脾虚食少，腹胀泄泻，痰饮眩悸，水肿，自汗，胎动不安。
鸡血藤：藤茎含表无羁萜醇，胡萝卜甙，β-谷甾醇，7-酮基-β-谷甾醇(7-oxo-β-sitosterol)，刺芒柄花素，芒柄花甙，樱黄素，阿佛洛莫生，大豆素，3，7-二羟基-6-甲氧基二氢黄酮醇，表儿茶精，异甘草甙元3，4，2’，4’-四羟基查耳酮，甘草查耳酮A，苜猪酚，原儿茶酸，9-甲氧基香豆雌酚，木豆异黄酮。味苦微甘、性温，归肝、心、肾经；色赤入血，质润行散；具有活血舒筋，养血调经的功效；主治风湿痹痛，手足麻木，肢体瘫痪，月经不调，经行不畅，痛经，经闭，白细胞减少症。
薏苡：味甘、淡，性微寒。有健脾利湿、清热排脓功能。用于脾虚泄泻水肿脚气、白带、湿、关节疼痛、肠痈、肺痿等症。尚用于胃癌、子宫颈癌、绒毛膜上皮癌等癌症以及多发性疣。【化学成分】叶含生物碱，种子含有大量淀粉及多种维生素。还含有的主要的主要成分是固醇、多种氨基酸、薏苡仁油、薏苡仁脂、碳水化合物、B族维生素等；【主治】：治胃寒疼痛、气血虚弱。【性味归经】：甘、温脾、胃经。
党参：具有补中益气，健脾益肺的功效。用于脾肺虚弱，气短心悸，食少便溏，虚喘咳嗽，内热消渴等。性味归经：性平，味甘、微酸。归脾、肺经。化学成分：党参含三萜类化合物无羁萜(friedelin)、蒲公英萜醇乙酸酯、α-菠甾醇及其葡萄糖甙、Δ7-豆甾烯醇及其葡萄糖甙、菠甾酮(spinesterone)。另含苍术内酯III(atractylenolide III)，苍术内酯II(atractylenolide II)，丁香醛(syringaldehyde)，丁香甙(syringin)，香草酸(vanillic acid)，5-羟基-2-吡啶甲醇(5-hydroxy-2-pyridinemethanol)、α-呋喃羧酸(α-furancarboxylic acid)、正己基-葡萄糖甙(n-hexyl-β-D-glucopyranoside)、乙基-α-D-呋喃果糖甙(ethyl-α-D-fructofuranoside)，以及烟酸、4种杂多糖及单糖等。尚含党参甙I、党参内酯和党参酸。
桂枝：【主治】散寒解表；温通经脉；通阳化气。主风寒表证；寒湿痹痛；四肢厥冷；经闭痛经；症瘕结块；胸痹；心悸；痰饮；小便不利。用于风寒感冒，脘腹冷痛，血寒经闭，关节痹痛，痰饮，水肿，心悸，奔豚。【功效】发汗解肌，温经通脉，助阳化气，散寒止痛。
赤芍：功能，行瘀、止痛、凉血、消肿。主治：治瘀滞经闭、疝瘕积聚、腹痛、胁痛、衄血、血痢、肠风下血、目赤、痈肿、跌扑损伤。
金银花：【性味归经】味甘；寒。归肺；胃经。【功效主治】清热解毒。温病发热；热毒血痢；痈肿疔疮；喉痹及多种感染性疾病。
蒲公英：【性味功能】：甘，微苦，寒。清热解毒，消肿散结。【主治】：上呼吸道感染，眼结膜炎，流行性腮腺炎，高血糖，乳痈肿痛，胃炎，痢疾，肝炎，胆襄炎，急性阑尾炎，泌尿系感染，盆腔炎，痈疖疔疮，咽炎，治急性乳腺炎，淋巴腺炎，瘰疠，疔毒疮肿，急性结膜炎，感冒发热，急性扁桃体炎，急性支气管炎、尿路感染。含蒲公英甾醇(Taraxasterol)、胆碱(Choline)、菊糖(Inulin)、果胶(Pectin)；蒲公英醇(Taraxol)、豆甾醇(Stigmasterol)、β-香树脂醇(β-Amyrin)、β-谷甾醇(β-Sitosterol)、蒲公英赛醇(taraxerol)、蒲公英素(Taraxacerin)、蒲公英苦素(Taraxacin)和维生素A、B、C等。
以上方所选用的原料药材药性效互补，规避了药物之间配伍的相恶、相畏、相杀之选，使药物相须、相使作用显著，具有清热解毒、益气健脾、温经化湿的作用，是治疗皮肌炎的内服纯中草药组成制剂。
本发明药物可以采用中药制剂的常规方法制备成任何常规内服制剂。例如可以将这些原料药研成粉末混合均匀散剂冲服；可以将这些原料药一起水煎，然后浓缩煎液服用，或者把浓缩煎液浓缩成膏加工成丸剂服用；为了使该药物的各原料更好地发挥药效，针对某原料药进行特殊提取，如乙醇提取，这些不能用于限制本发明的保护范围。本发明的活性组分可以加入制备不同剂型时所需的各种常规辅料，如崩解剂、润滑剂、粘合剂等以常规的中药制剂方法制备成任何一种常用口服剂型，如丸剂、散剂、片剂、胶囊剂、口服液等。
本发明所述药物具有清热解毒、益气健脾、温经化湿的功效，用于治疗皮肌炎。本发明人经过反复研究，并通过临床试验的反复验证，终于找到了有更好疗效的内服药物，从而完成了本发明。临床应用是有良好的确切效果：
临床应用的基本资料及典型病例：
实施例1.王XX，女，30岁。2010年12月10日初诊。
患者于2008年6月，发现双眼睑周围皮肤水肿，皮色紫红，但不痛不痒。在某医院诊断为过敏，经应用脱敏药治疗无效，因不影响工作与生活，胃再做治疗。2010年1月出现胃纳长期不佳，逐渐发现肌肉酸楚，四肢无力，五心烦热。两手苍白或紫红，冷痛。双眼睑周围肿胀加重，并有向周围扩大趋势。于2010年12月住某医院确诊为皮肌炎。住院经多种药物治疗未见好转，故前来就诊。患者食减纳呆，舌质淡、苔厚腻，脉细数。此属气阴两虚，寒湿入络，治宜益气健脾，温经化湿。服本方15剂后，双手皮色基本正常，冷痛消失，但自觉面部憋胀不适感仍有，舌苔转黄而微腻。继续服用本方25剂后，双眼睑周围皮色变淡，水肿消失，皮肤仍略硬。继续服用本方20剂后，除四肢无力外，诸恙均消，舌质仍略淡、再服本方1个月后来院复查，舌脉正常，诸症消失，病愈。
方法和有效量：桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份；取处方规定量中药材饮片，置适宜煎煮器中，加入清水适量，浸泡适宜时间，加热至沸，保持微沸状态一定时间(约25～30分钟)，分离煎出液，药渣再加水适量煎煮，按规定煎煮2～3次后，合并煎出液，过滤或沉降分离煎出液供使用。
汤剂内服为主，每日早晚2次内服，每次150ml温服。汤剂则作用快而力峻，适应于病情较急重者。如病情较轻或缓者，宜为丸剂内服求其功。
具体实施方式
治疗皮肌炎的中药制剂，选用的原料药材及重量组分分别是：桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份。
本发明药物可以采用中药制剂的常规方法制备成任何常规内服制剂。例如可以将这些原料药研成粉末混合均匀散剂冲服；可以将这些原料药一起水煎，然后浓缩煎液服用，或者把浓缩煎液浓缩成膏加工成丸剂服用。

Claims (1)

1.一种治疗皮肌炎的中药制剂，其特征在于，选用的原料药材及重量组分分别是：桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份；
制备方法：取桔梗10份、丝瓜络15份、山药30份、炮姜10份、黄芪30份、制附子15份、白术15份、鸡血藤30份、薏苡60份、党参15份、桂枝15份、赤芍15份、金银花30份、蒲公英30份；规定量中药材饮片，置适宜煎煮器中，加入清水适量，浸泡适宜时间，加热至沸，保持微沸状态一定时间(约25～30分钟)，分离煎出液，药渣再加水适量煎煮，按规定煎煮2～3次后，合并煎出液，过滤或沉降分离煎出液供使用。
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105560962A (zh) * 2015-09-18 2016-05-11 王浩敏 一种治疗皮肌炎的中药

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105560962A (zh) * 2015-09-18 2016-05-11 王浩敏 一种治疗皮肌炎的中药

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