CN104383137A - 一种治疗糖尿病足溃疡急性期的中药配方 - Google Patents
一种治疗糖尿病足溃疡急性期的中药配方 Download PDFInfo
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Abstract
本发明公开了一种治疗糖尿病足溃疡急性期的中药配方,由以下重量份数的中药原料配制而成:蒲公英25-35份、黄柏25-35份、连翘25-35份、木鳖子25-35份、金银花10-20份、白芷10-20份、赤芍10-20份、丹皮10-20份、甘草10-20份、败酱草10-15份、罂粟壳10-15份、延胡索10-15份、苍耳子6-8份、黄占6-8份、虎杖6-8份、白蔹6-8份、佛指甲10-12份、吴茱萸10-12份、黄丹40-60份和植物油100-120份,本发明的中药配方,有清热解毒、活血化瘀、祛腐生肌、消肿止痛功效,治疗糖尿病足溃疡急性期,效果好,见效快。
Description
技术领域
本发明属于中医中药技术领域,特别涉及一种治疗糖尿病足溃疡急性期的中药配方。
背景技术
糖尿病足溃烂是世界公认四大顽固合并症之首,它发展慢、病程长、痛苦大、治疗复杂、疗效低、费用多、截肢率高。全世界每天有2880人因糖尿病足溃烂而截肢,国外糖尿病足截肢率高达50%,而国内截肢率在20%-30%,糖尿病病人较非糖尿病者下肢坏疽的危险性明显增高(约15倍),糖尿病伴有足部溃疡患者的病死率大约是无足部溃疡糖尿病患者的2倍。糖尿病足的治疗费用是巨大的,美国一年的糖尿病直接或间接的医疗费用高达1000亿美元,其中一半是用在糖尿病足方面。2005年中华糖尿病学会足病组调查全国14家医院,糖尿病足平均住院26天,平均住院费用15000元,是糖尿病人平均住院费用的4倍。近年来糖尿病足溃疡的患病率及治疗费用迅速增加,已引起高度重视。然而,糖尿病足的临床治疗却一直缺少有效措施。综合近年来国内外文献对糖尿病足主要有以下治疗方法:
(1)控制血糖:与治疗其他并发症一样,治疗糖尿病足溃疡必须首先控制高血糖。(2)改善血液循环:如654-2、川芎嗪、银杏叶提取物、前列腺素E1、尿激酶等药物可扩张全身小动静脉,增加周围微循环血量,降低血流阻力,改善微循环。(3)抗感染:抗感染包括全身感染及局部感染,应选用有效抗菌素控制感染,感染控制的好坏,直接影响血糖及足溃疡愈合。(4)外科手术及介入治疗:动脉支架、球囊扩张、动脉斑块消融、动脉斑块旋切术、人造血管搭桥等所需设备精密昂贵,创伤重、风险大、费用高、合并症多、死亡率高、病人依从性差。(5)干细胞治疗:所需设备精密昂贵,受到伦理限制,多数医院不能开展,远期疗效有待观察。(6)减压肢具:主要包括全接触石膏、可拆卸行走支具。(7)生物敷料:随着生物技术的发展,传统的敷料被不断改进,现在已经出现了很多新型的敷料如:半渗透多聚膜敷料、Promogran、藻酸盐敷料。(8)局部细胞移植:人真皮细胞培养移植是将人真皮成纤维细胞种植于生物支架进行培养,2周后可以形成真皮代替物支持表皮细胞的生长。(9)粒细胞集落刺激因子(Granulocyte-colony stimulatingfactor,GCSF)主要应用于糖尿病足创面感染的患者,它可以调节中性粒细胞的增殖、分化、成熟并释放入外周血循环,其缺点是导致血液高凝状态,诱发心肌梗死、血栓形成。(10)局部清创术:糖尿病足溃疡是糖尿病全身性疾病在局部一个最严重的表现,此时局部切开引流、清创换药非常重要,糖尿病足的清创术和外科其它疾病的清创术是有重要区别的,外科多采用“鲸吞式清创术”,而糖尿病足的清创术正好相反,多采用“蚕食式清创术”。(11)外用中药膏剂:虽然糖尿病足治疗方法较多,但大多数医疗设备昂贵、治疗费用高、疗效不确切、风险大、合并症多,在临床中寻找安全有效、价格合理、风险低、合并症少的治疗方法一直困扰着临床医生。
中药治疗是我国传统医学,其在糖尿病足溃疡治疗上已凸显出一定优势,但国内文献报告中药治疗糖尿病足溃疡绝大多数是临床观察,其作用机制还是引用原始的中医理论如:清热解毒、活血化瘀、祛腐生肌、消肿止痛等。
发明内容
本发明提供一种治疗糖尿病足溃疡急性期的中药配方,有清热解毒、活血化瘀、祛腐生肌、消肿止痛功效,治疗糖尿病足溃疡急性期,效果好,见效快。
本发明的治疗糖尿病足溃疡急性期的中药配方,其特征在于由以下重量份数的中药原料配制而成:
蒲公英25-35份、黄柏25-35份、连翘25-35份、木鳖子25-35份、金银花10-20份、白芷10-20份、赤芍10-20份、丹皮10-20份、甘草10-20份、败酱草10-15份、罂粟壳10-15份、延胡索10-15份、苍耳子6-8份、黄占6-8份、虎杖6-8份、白蔹6-8份、佛指甲10-12份、吴茱萸10-12份、黄丹40-60份和植物油100-120份。
作为优选,按如下重量份数配制:
蒲公英30份、黄柏30份、连翘30份、木鳖子30份、金银花15份、白芷15份、赤芍15份、丹皮15份、甘草15份、败酱草10份、罂粟壳10份、延胡索10份、苍耳子8份、黄占8份、虎杖8份、白蔹8份、佛指甲12份、吴茱萸12份、黄丹50份和植物油120份。
上述方案中,所述植物油为麻油。
本发明的中药,按下述步骤制备:
(1)预加工:按上述重量份数称取蒲公英、黄柏、连翘、金银花、白芷、赤芍、丹皮、甘草、败酱草、延胡索、苍耳子、虎杖、白蔹、佛指甲和吴茱萸,切片或粉碎成粒径0.5~1.5cm大小,备用;
(2)称取罂粟壳和木鳖子,粉碎后过120目筛,称取干燥后的黄旦粉碎过100目筛;
(3)药料提取:取植物油置锅中,将步骤(1)制得的原料投入,加热并不断搅拌,加热至220℃,直至药料炸至表面深褐色内部焦黄为止,炸好后滤去药渣,去渣后的油为药油;
(4)炼油:取上述药油继续熬炼,待油温度上升到320℃,改用文火,直至油花向锅中央聚集,取少许药油滴于水中,不散开成珠状,即可停止熬炼;
(5)下丹成膏:药油炼成后,向药油中加入黄丹,边加边搅动,搅成粘稠的膏体;
(6)去火毒:膏体制成后放入室温下的水中浸泡,每一日换一次水,七日后取出;
(7)混入步骤(2)的罂粟壳粉和木鳖子粉末制成:取膏体置于容器中,在水浴或文火上熔化,将罂粟壳和木鳖子粉末兑入,搅匀,用竹签取膏体涂抹在牛皮纸或膏药布上即可得到治疗糖尿病足溃疡急性期的膏药。
足溃疡创面用碘伏清洁,清除坏死组织及脓性分泌物,每次用上述膏药外敷创面,然后用无菌纱布包扎,1天换药1次,14天为一疗程。
药理分析:
蒲公英:味甘,平,无毒。清热解毒,利尿散结。治急性乳腺炎,淋巴腺炎,瘰疬,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,胃炎,肝炎,胆囊炎,尿路感染。
黄柏:味苦,性寒。归肾、膀胱、大肠经。清热。燥湿,泻火,解毒。治热痢,泄泻,消渴,黄疸,痿躄,梦遗,淋浊,痔疮,便血,赤白带下,骨蒸劳热,目赤肿痛,口舌生疮,疮疡肿毒。
连翘:具有抗菌、抗炎、解热、镇吐、利尿强心、抗肝损、镇痛、抑制磷酸二酯酶、抗病毒、降血压、抑制弹性蛋白酶活力、抗内毒素等作用。除果实入药,具清热解毒、消结排脓之效外,药用其叶,对治疗高血压、痢疾、咽喉痛等效果较好。
木鳖子:苦、微甘,凉;有毒。归肝、脾、胃经。散结消肿,攻毒疗疮。用于疮疡肿毒,乳痈,瘰疠,痔漏,干癣,秃疮。
金银花:性寒,味甘,入肺、心、胃经,具有清热解毒、抗炎、补虚疗风的功效,主治胀满下疾、温病发热,热毒痈疡和肿瘤等症。其对于头昏头晕、口干作渴、多汗烦闷、肠炎、菌痢、麻疹、肺炎、乙脑、流脑、急性乳腺炎、败血症、阑尾炎、皮肤感染、痈疽疔疮、丹毒、腮腺炎、化脓性扁桃体炎等病症均有一定疗效。
白芷:以根入药,有祛病除湿、排脓生肌、活血止痛等功能。主治风寒感冒、头痛、鼻炎、牙痛。赤白带下、痛疖肿毒等症,亦可作香料。
赤芍:苦,微寒。归肝经;功能主治:清热凉血,散瘀止痛。用于温毒发斑,吐血衄血,目赤肿痛,肝郁胁痛,经闭痛经,症瘕腹痛,跌扑损伤,痈肿疮疡。
丹皮:苦辛,微寒。归心、肝、肾经。清热凉血,活血散瘀。《本草纲目》:“治血中伏火,除烦热”。
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。
败酱草:性凉,味辛、苦。有清热解毒,祛痰排脓之功效,常用于肠痈,肺痈,痢疾,产后瘀血腹痛,痈肿疔疮。
罂粟壳:平;酸、涩;归肺、大肠、肾经;毒;敛肺、涩肠、止痛。用于久咳、久泻,脱肛,脘腹疼痛。
延胡索:又名元胡,味辛、苦,性温。有活血散瘀,利气止痛的功能。
苍耳子:味辛、苦,性温,有毒。归肺经。具有散风除湿、通窍止痛的功能。生苍耳子以消风止痒力强。常用于皮肤痒疹及其他皮肤病。
虎杖:祛风,利湿,破瘀,通经。治风湿筋骨疼痛,湿热黄疸,淋浊带下,妇女经闭,产后恶露不下,症瘕积聚,痔漏下血。跌扑损伤,烫伤,恶疮癣疾。抗心律失常和抗心肌失血、活血化瘀。治蛇伤,脓疱疮,止损伤痛。治实火牙痛,湿疮烂腿,脚趾歧湿烂。
白蔹:苦,微寒。归心、胃经。清热解毒,消痈散结,敛疮生肌。用于痈疽发背,疔疮,瘰疬,烧烫伤。
佛指甲:性微寒,味甘微辛。”入肺、肝、脾、心四经;清热解毒,止血,祛风湿。治咽喉肿痛,鼻衄,风热头昏,风湿关节痛,鼻疳,湿疹,疮毒。
吴茱萸:温中,止痛,理气,燥湿,厥阴头痛,脏寒吐泻,脘腹胀痛,经行腹痛,五更泄泻,高血压症,脚气,疝气,口疮溃疡,齿痛,湿疹,黄水疮。
黄丹:铅丹、丹粉、朱粉、铅华。系用铅、硫磺、硝石等合炼而成。辛、微寒、有毒。能坠痰去怯,故治惊癫狂、吐逆反胃有奇故;能消积杀虫,故汉疳疾、下痢、疟疾有实绩;能解热、拔毒、长肉、去瘀,故治恶疮肿毒及入膏药,是外科必用的药物。
本发明的中药配方,金银花、赤芍、甘草、佛指甲、罂粟壳和蒲公英清热凉血、解毒消肿,败酱草、虎杖、白蔹、吴茱萸、黄丹、黄柏、连翘和苍耳子清热燥湿、消肿排脓,白芷、丹皮、延胡索和木鳖子活血化瘀,消肿生肌,治疗糖尿病足溃疡急性期,制成膏贴贴于患处,作用快,无毒副作用,具有更好的治疗效果。
疗效判断:
糖尿病足溃疡急性期的主要临床症状有:足部各部位溃疡,溃疡形状呈圆形、椭圆或不规则,多数为一片,溃疡面为暗红色、表面往往有污腐物及脓液,溃疡一般表浅、边缘皮肤较硬、可有湿疹样改变,不易愈合。
痊愈:下肢溃疡等症状全部消失,关节活动自如。
好转:局部溃疡面明显缩小,创口面仍有少许脓性分泌物。
无效:无显著改变,同治疗前。
治疗结果:糖尿病足溃疡急性期患者124例,服用本发明的药物,痊愈103例,占81.1%,好转11例,占8.8%,有效率为90%。
附几例病例作进一步说明:
病例1:覃某,男,66岁,空腹血糖14.5mmol/L,早餐后2小时血糖18.5mmol/L,糖化血红蛋白11mg/dl,糖尿病足溃疡三级,皮肤红肿、溃烂,深度溃疡,形成溃疡腔,溃疡面积122mm2,足溃疡创面用碘伏清洁,清除坏死组织及脓性分泌物,每次用上述膏药外敷创面,然后用无菌纱布包扎,1天换药1次,一个疗程后,溃疡面积减至74mm2,持续治疗至30天,肌肉组织层、脂肪层、真皮层、表皮层恢复原来组织结构,完全冶愈。
病例2:林XX,女,48岁,主诉患糖尿病10年,左脚趾先麻木,后痛,发紫约半年之久,脚趾发黑破溃4天,吃止疼药和消炎药效果不佳。查体:左足后两脚趾皮肤均破溃。实验室检查:空腹血糖9.2mmol/L。患者使用本发明的膏贴,15左右天基本缓解疼痛、麻木;8周后伤口愈合、结痂,同时指导患者注意饮食、按时降糖治疗,临床症状完全消失,半年后随访未再复发。
具体实施方式
实施例1
蒲公英30份、黄柏30份、连翘30份、木鳖子30份、金银花15份、白芷15份、赤芍15份、丹皮15份、甘草15份、败酱草10份、罂粟壳10份、延胡索10份、苍耳子8份、虎杖8份、白蔹8份、佛指甲12份、吴茱萸12份、黄丹50份和植物油120份。
本发明的中药,按下述步骤制备:
(1)预加工:按上述重量份数称取蒲公英、黄柏、连翘、金银花、白芷、赤芍、丹皮、甘草、败酱草、延胡索、苍耳子、虎杖、白蔹、佛指甲和吴茱萸,切片或粉碎成粒径0.5~1.5cm大小,备用;
(2)称取罂粟壳和木鳖子,粉碎后过120目筛,称取干燥后的黄旦粉碎过100目筛;
(3)药料提取:取植物油置锅中,将步骤(1)制得的原料投入,加热并不断搅拌,加热至220℃,直至药料炸至表面深褐色内部焦黄为止,炸好后滤去药渣,去渣后的油为药油;
(4)炼油:取上述药油继续熬炼,待油温度上升到320℃,改用文火,直至油花向锅中央聚集,取少许药油滴于水中,不散开成珠状,即可停止熬炼;
(5)下丹成膏:药油炼成后,向药油中加入黄丹,边加边搅动,搅成粘稠的膏体;
(6)去火毒:膏体制成后放入室温下的水中浸泡,每一日换一次水,七日后取出;
(7)混入步骤(2)的罂粟壳粉和木鳖子粉末制成:取膏体置于容器中,在水浴或文火上熔化,将罂粟壳和木鳖子粉末兑入,搅匀,用竹签取膏体涂抹在牛皮纸或膏药布上即可得到治疗糖尿病足溃疡急性期的膏药。
足溃疡创面用碘伏清洁,清除坏死组织及脓性分泌物,每次用上述膏药外敷创面,然后用无菌纱布包扎,1天换药1次,14天为一疗程。
Claims (3)
1.一种治疗糖尿病足溃疡急性期的中药配方,其特征在于由以下重量份数的中药原料配制而成:蒲公英25-35份、黄柏25-35份、连翘25-35份、木鳖子25-35份、金银花10-20份、白芷10-20份、赤芍10-20份、丹皮10-20份、甘草10-20份、败酱草10-15份、罂粟壳10-15份、延胡索10-15份、苍耳子6-8份、虎杖6-8份、白蔹6-8份、佛指甲10-12份、吴茱萸10-12份、黄丹40-60份和植物油100-120份。
2.根据权利要求1所述的治疗糖尿病足溃疡急性期的中药配方,其特征在于由以下重量份数的中药原料配制而成:蒲公英30份、黄柏30份、连翘30份、木鳖子30份、金银花15份、白芷15份、赤芍15份、丹皮15份、甘草15份、败酱草10份、罂粟壳10份、延胡索10份、苍耳子8份、虎杖8份、白蔹8份、佛指甲12份、吴茱萸12份、黄丹50份和植物油120份。
3.根据权利要求1或2所述的治疗糖尿病足溃疡急性期的中药配方,其特征在于由以下重量份数的中药原料配制而成:所述植物油为麻油。
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CN104800425A (zh) * | 2015-04-23 | 2015-07-29 | 杨孝良 | 治疗糖尿病足溃疡的中药复方外用涂敷液 |
CN104857186A (zh) * | 2015-06-19 | 2015-08-26 | 济南邦文医药科技有限公司 | 一种治疗湿热蕴结型糖尿病足溃疡的中药 |
CN105497324A (zh) * | 2014-11-05 | 2016-04-20 | 汪兴东 | 一种治疗糖尿病足的中药 |
CN106310143A (zh) * | 2016-11-14 | 2017-01-11 | 河南中医药大学 | 一种用于治疗糖尿病足的足浴药物 |
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CN105497324A (zh) * | 2014-11-05 | 2016-04-20 | 汪兴东 | 一种治疗糖尿病足的中药 |
CN104800425A (zh) * | 2015-04-23 | 2015-07-29 | 杨孝良 | 治疗糖尿病足溃疡的中药复方外用涂敷液 |
CN104857186A (zh) * | 2015-06-19 | 2015-08-26 | 济南邦文医药科技有限公司 | 一种治疗湿热蕴结型糖尿病足溃疡的中药 |
CN106310143A (zh) * | 2016-11-14 | 2017-01-11 | 河南中医药大学 | 一种用于治疗糖尿病足的足浴药物 |
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