CN104367932A - 一种治疗溃疡性结肠炎的中药制剂 - Google Patents

一种治疗溃疡性结肠炎的中药制剂 Download PDF

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CN104367932A
CN104367932A CN201410700692.0A CN201410700692A CN104367932A CN 104367932 A CN104367932 A CN 104367932A CN 201410700692 A CN201410700692 A CN 201410700692A CN 104367932 A CN104367932 A CN 104367932A
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陈富强
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Abstract

本发明公开了一种治疗溃疡性结肠炎的中药制剂,由以下重量配比的药材制备而成:苦参20、茯苓20份、白芨12份、败酱草13份、乌药14份、金盏银盘11份、赤石脂9份、鲨鱼肝8份、独一味7份、黄芪10份、阿尔太多榔菊22份、麦糵18份、陈皮5份、甘草6份、砂仁7份。临床实验证明,本发明通过选择合适的药材及其配比,具有益气升阳、健脾止痛、扶正抑邪之功效,治疗溃疡性结肠炎治愈率极高且安全无毒副作用,值得临床推广应用。

Description

一种治疗溃疡性结肠炎的中药制剂
技术领域
  本发明涉及一种中药制剂,具体涉及一种治疗溃疡性结肠炎的中药制剂。
背景技术
慢性溃疡结肠炎现代医学病因不明,多数学者认为与免疫功能有关,主要累及直肠、乙状结肠,甚至全结肠及回肠末端,侵犯翻膜及戮膜下层,伴有不同程度的结肠戮膜充血、水肿、糜烂和浅表溃疡,以腹痛、腹泻及赫液脓血便为主要症状。病程较长、反复发作、缠绵难愈为其特点。治疗较困难且易复发。临床上对该疾病的治疗,一般以西医为主,但是大部分药剂药效不显,对于溃疡性结肠炎的治疗效果不显著。 
发明内容
本发明旨在提供一种治疗溃疡性结肠炎的中药制剂,其选用药材配伍相宜,符合中医药及现代医学研究理论,具有益气升阳、健脾止痛、扶正抑邪之功效,治疗溃疡性结肠炎治愈率极高且安全无毒副作用,值得临床推广应用。
为了达到上述目的,本发明采用以下技术方案:一种治疗溃疡性结肠炎的中药制剂,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份、砂仁0~8份。
作为优选,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份。
作为优选,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份、砂仁6~8份。
作为优选,由以下重量配比的药材制备而成:苦参20~21份、茯苓20~21份、白芨12 ~13份、败酱草13~14份、乌药14~15份、金盏银盘11~12份、赤石脂9~10份、鲨鱼肝8~9份、独一味7~8份、黄芪10~11份、阿尔太多榔菊22~23份、麦糵18~19份、陈皮5~6份、甘草6~7份、砂仁7~8份。
作为优选,由以下重量配比的药材制备而成:苦参20份、茯苓20份、白芨12 份、败酱草13份、乌药14份、金盏银盘11份、赤石脂9份、鲨鱼肝8份、独一味7份、黄芪10份、阿尔太多榔菊22份、麦糵18份、陈皮5份、甘草6份、砂仁7份。
一种治疗溃疡性结肠炎的中药制剂的制备方法,包括如下步骤:(1)将苦参、茯苓、白芨、败酱草、乌药、金盏银盘、独一味、黄芪、阿尔太多榔菊、麦糵、陈皮、甘草、砂仁放入容器内,加入8~10 倍量的蒸馏水,浸泡5~6小时后,煮沸3~4 小时,提取;再次加入6~8倍量蒸馏水,煮沸2~3小时,提取;最后,加入4~6 倍量蒸馏水,加热煮沸1~2 小时,提取;合并三次提取液,过滤,得滤液备用;(2)将赤石脂、鲨鱼肝放入容器内,加入烈性白酒,并加入少量蜂蜜,搅拌均匀,经容器密封,隔水加热15~25min,取出,得膏体备用;(3)将上述步骤(1)~(2)所制得的滤液以及膏体混合,利用现代先进的制药科技,制成胶囊,即得本发明所述的治疗溃疡性结肠炎的中药制剂。
本发明各中药成份的药理分析如下:
苦参【来源】 本品为豆科植物苦参的干燥根。【性味】 苦,寒。【归经】 归心、肝、胃、大肠、膀胱经。【功能主治】 清热燥湿,杀虫,利尿。用于热痢,便血,黄疸尿闭,赤白带下,阴肿阴痒,湿疹,湿疮,皮肤瘙痒,疥癣麻风;外治滴虫性阴道炎。
茯苓【性味】 甘、淡,平。【归经】 归心、肺、脾、肾经。【功能主治】 利水渗湿,健脾宁心。用于水肿尿少,痰饮眩悸,脾虚食少,便溏泄泻,心神不安,惊悸失眠。
白芨【性味】 苦、甘、涩,微寒。【归经】 归肺、肝、胃经。【功能主治】 收敛止血,消肿生肌。用于咳血吐血,外伤出血,疮疡肿毒,皮肤皲裂;肺结核咳血,溃疡病出血。
败酱草【性味】 辛、苦,凉。【归经】 入胃、大肠、肝经。【功能主治】 清热解毒,消痈排脓,活血行瘀。用于肠痈、肺痈及疮痈肿毒,实热瘀滞所致的胸腹疼痛,产后瘀滞腹痛等症。
乌药【来源】本品为樟科植物乌药的干燥块根。【性味】辛,温。【归经】归肺、脾、肾、膀胱经。【功能主治】 顺气止痛,温肾散寒。用于胸腹胀痛,气逆喘急,膀胱虚冷,遗尿尿频,疝气,痛经。
金盏银盘【来源】 为菊科植物三叶鬼针草或金盘银盏的全草。【性味】 味甘;微苦;性凉。【功能主治】 清热解毒;凉血止血。主感冒发热;黄疸;泄泻;痢疾;血热吐血;血崩;跌打损伤;痈肿疮毒;鹤膝风;疥癞。
独一味【来源】 唇形科植物独一味,以根及根状茎入药。【性味】 苦,微寒。有小毒。【功能主治】 活血祛瘀,消肿止痛。用于跌打损伤,骨折,腰部扭伤。
黄芪【来源】豆科植物蒙古黄芪的干燥根。【性味】甘,温。【归经】归肺、脾经。【功能主治】补气固表,利尿托毒,排脓,敛疮生肌。
阿尔太多榔菊【来源】 菊科阿尔太多榔菊,以全草入药。【性味】 甘、苦,温。【功能主治】 祛痰止咳,宽胸利气。主治痰喘咳嗽。
麦糵【来源】禾本科植物大麦的发芽颖果。【性味】 甘;平。【归经】 脾;胃经。【功能主治】 消食化积;回乳。主食积不消;腹满泄泻;恶心哎吐;食欲不振;乳汁郁积;乳房胀痛。
陈皮【性味】苦、辛,温。【归经】 归肺、脾经。【功能主治】 理气健脾,燥湿化痰。用于胸脘胀满,食少吐泻,咳嗽痰多。
甘草【性味】甘,平。【归经】 归心、肺、脾、胃经。【功能主治】 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。
砂仁【来源】 本品为姜科植物阳春砂、绿壳砂或海南砂的干燥成熟果实。【性味】 辛,温。【归经】 归脾、胃、肾经。【功能主治】 化湿开胃,温脾止泻,理气安胎。用于湿浊中阻,脘痞不饥,脾胃虚寒,呕吐泄泻,妊娠恶阻,胎动不安。
赤石脂【性味】 甘、酸、涩,温。【归经】 归胃、大肠经。【功能主治】 涩肠,止血,生肌敛疮。用于久泻久痢,大便出血,崩漏带下;外治疮疡不敛,湿疹脓水浸淫。
鲨鱼肝【来源】为六鳃鲨科动物扁头哈那鲨及其他鲨鱼的肝脏或肝脏经提炼而得的鱼肝油。【性味】 味甘;性温。【功能主治】 健脾补气;养肝明目;解毒敛疮。主眼结膜干燥症;夜盲症;软骨病;烫火伤;皮肤溃疡;外伤创面久不愈。
本发明与现有技术相比,具有以下有益效果: 
1、本发明中药制剂具有益气升阳、理气止痛、扶正抑邪之功效,治疗溃疡性结肠炎治愈率极高且安全无毒副作用。其中:方中金盏银盘、苦参、败酱草清热解毒祛湿,白芨消肿生肌,赤石脂温涩敛湿止泻,茯芩、甘草、黄芪健脾益气升阳,砂仁、陈皮、乌药和胃渗湿,理气止痛,再用鲨鱼肝健脾补气、阿尔太多榔菊祛痰止咳、独一味活血祛瘀,诸药合用,则邪毒可去,正气回复,调动了机体内在的抗病能力,在临床运用上很有价值。
2、本发明中药制剂选用优质中药材制成,所选药材配伍相宜,符合中医药及现代医学研究理论,并利用现代医药制药技术制成,安全无毒副作用,达到标本兼治的目的,值得临床推广应用。
具体实施方式
为了更好地理解和实施本发明,下面结合具体实施例进一步说明本发明。  
实施例1  
称取:苦参20克、茯苓20克、白芨12 克、败酱草13克、乌药14克、金盏银盘11克、赤石脂9克、鲨鱼肝8克、独一味7克、黄芪10克、阿尔太多榔菊22克、麦糵18克、陈皮5克、甘草6克、砂仁7克,按以下工艺步骤进行制备:(1)将苦参、茯苓、白芨、败酱草、乌药、金盏银盘、独一味、黄芪、阿尔太多榔菊、麦糵、陈皮、甘草、砂仁放入容器内,加入8~10 倍量的蒸馏水,浸泡5~6小时后,煮沸3~4 小时,提取;再次加入6~8倍量蒸馏水,煮沸2~3小时,提取;最后,加入4~6 倍量蒸馏水,加热煮沸1~2 小时,提取;合并三次提取液,过滤,得滤液备用;(2)将赤石脂、鲨鱼肝放入容器内,加入烈性白酒,并加入少量蜂蜜,搅拌均匀,经容器密封,隔水加热15~25min,取出,得膏体备用;(3)将上述步骤(1)~(2)所制得的滤液以及膏体混合,利用现代先进的制药科技,制成胶囊,即得本发明所述的治疗溃疡性结肠炎的中药制剂。
用法用量:口服,每日2次,早晚各1次,每次2粒,饭后温开水送服;10天为1个疗程,连续服用5个疗程。 
实施例2  
称取:苦参19克、茯苓19克、白芨11克、败酱草12克、乌药13克、金盏银盘10克、赤石脂8克、鲨鱼肝7克、独一味6克、黄芪9克、阿尔太多榔菊21克、麦糵17克、陈皮4克、甘草5克。
本实施例的中药制剂制备方法与实施例1相同。
实施例3  
称取:苦参21克、茯苓21克、白芨13克、败酱草14克、乌药15克、金盏银盘12克、赤石脂10克、鲨鱼肝9克、独一味8克、黄芪11克、阿尔太多榔菊23克、麦糵19克、陈皮6克、甘草7克、砂仁8克。
本实施例的中药制剂制备方法与实施例1相同。 
临床资料: 
1、病例选择: 
作为治疗溃疡性结肠炎的中药制剂,选择2010年以来诊治的溃疡性结肠炎患者76例临床观察。患者均符合溃疡性结肠炎诊断标准,可以确诊为溃疡性结肠炎。病人随机分成治疗组和对照组两组,治疗组38例,对照组38例。治疗组和对照组两组病例的病程、症状轻重程度基本一致,无显著差异,具有可比性。 
2、药物选择: 
治疗组服用本发明实施例1所制得的中药胶囊制剂,口服,每日2次,早晚各1次,每次2粒,饭后温开水送服;10天为1个疗程,连续服用5个疗程。 
对照组给予柳氨磺胺吡啶片口服(每片0.25克,1克./次,4次/天,疗程为8周。
3、疗效判定: 
(1)治愈:临床症状消失,结肠镜检查结肠黏膜恢复正常; 
(2)好转:临床症状减轻,结肠镜检查结肠黏膜溃疡面积缩小,或部分消失,结肠黏膜轻度充血;
(3)未愈:治疗前后临床症状和结肠黏膜病变无改善。
4、结果: 
选用本发明实施例1中药胶囊的治疗组中,治愈31例,好转7例,未愈0例,治愈率81.6%,总有效率100%。 
对照组中治愈17例,好转14例,未愈7例,治愈率44.7%,总有效率81.6%。 
以上结果显示,治疗组的治愈率和总有效率明显高于对照组。
典型病例:梁某,男,36岁。患者大便日6~8次,夹带脓血黏液,左下腹腹痛,泻后痛减,脐周胀满,肠鸣不已,便时肛门灼热,小便黄,畏寒肢冷,周身乏力,面色萎黄。经医学检查,确诊为慢性溃疡性结肠炎。选用本发明实施例1中药胶囊的治疗15天后便脓血明显减少,腹胀消失,腹痛稍有缓解。继续服用20天后,大便日2次,排成形软便,脓血消失,患者神清气爽,无明显不适,经电子结肠镜检查未见异常,病愈。
显然,本发明的上述实施例仅仅是为清楚地说明本发明所作的举例,而并非是对本发明的实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无法对所有的实施方式予以穷举。凡是属于本发明的技术方案所引伸出的显而易见的变化或变动仍处于本发明的保护范围之列。

Claims (6)

1.一种治疗溃疡性结肠炎的中药制剂,其特征在于,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份、砂仁0~8份。
2.根据权利要求1所述的一种治疗溃疡性结肠炎的中药制剂,其特征在于,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份。
3.根据权利要求1所述的一种治疗溃疡性结肠炎的中药制剂,其特征在于,由以下重量配比的药材制备而成:苦参19~21份、茯苓19~21份、白芨11 ~13份、败酱草12~14份、乌药13~15份、金盏银盘10~12份、赤石脂8~10份、鲨鱼肝7~9份、独一味6~8份、黄芪9~11份、阿尔太多榔菊21~23份、麦糵17~19份、陈皮4~6份、甘草5~7份、砂仁6~8份。
4.根据权利要求1所述的一种治疗溃疡性结肠炎的中药制剂,其特征在于,由以下重量配比的药材制备而成:苦参20~21份、茯苓20~21份、白芨12 ~13份、败酱草13~14份、乌药14~15份、金盏银盘11~12份、赤石脂9~10份、鲨鱼肝8~9份、独一味7~8份、黄芪10~11份、阿尔太多榔菊22~23份、麦糵18~19份、陈皮5~6份、甘草6~7份、砂仁7~8份。
5.根据权利要求1所述的一种治疗溃疡性结肠炎的中药制剂,其特征在于,由以下重量配比的药材制备而成:苦参20份、茯苓20份、白芨12 份、败酱草13份、乌药14份、金盏银盘11份、赤石脂9份、鲨鱼肝8份、独一味7份、黄芪10份、阿尔太多榔菊22份、麦糵18份、陈皮5份、甘草6份、砂仁7份。
6.一种治疗溃疡性结肠炎的中药制剂的制备方法,其特征在于,包括如下步骤:(1)将苦参、茯苓、白芨、败酱草、乌药、金盏银盘、独一味、黄芪、阿尔太多榔菊、麦糵、陈皮、甘草、砂仁放入容器内,加入8~10 倍量的蒸馏水,浸泡5~6小时后,煮沸3~4 小时,提取;再次加入6~8倍量蒸馏水,煮沸2~3小时,提取;最后,加入4~6 倍量蒸馏水,加热煮沸1~2 小时,提取;合并三次提取液,过滤,得滤液备用;
(2)将赤石脂、鲨鱼肝放入容器内,加入烈性白酒,并加入少量蜂蜜,搅拌均匀,经容器密封,隔水加热15~25min,取出,得膏体备用;
(3)将上述步骤(1)~(2)所制得的滤液以及膏体混合,利用现代先进的制药科技,制成胶囊,即得本发明所述的治疗溃疡性结肠炎的中药制剂。
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