CN104383234A - 一种多效局部麻醉剂 - Google Patents

一种多效局部麻醉剂 Download PDF

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CN104383234A
CN104383234A CN201410756957.9A CN201410756957A CN104383234A CN 104383234 A CN104383234 A CN 104383234A CN 201410756957 A CN201410756957 A CN 201410756957A CN 104383234 A CN104383234 A CN 104383234A
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时飞
侯念果
孙立新
王强
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Qingdao Municipal Hospital
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Abstract

本发明属于中医中药技术领域,特别涉及一种多效局部麻醉剂。由以下重量份数的中药原料配制而成:蟾酥5~8份、薄荷5~8份、细辛6~10份、胡椒5~8份、洋金花5~15份、天仙子5~15份、仙鹤草5~10份、延胡索5~8份、龙骨5~8份、川贝3~8份、灯盏花5~8份、黄连3~8份、元胡5~10份、西番莲5~10份、金银花3~6份、猫爪草3~6份。制备方法制成敷料,用局部麻醉纤维包扎在手术切口。本发明通过中药的麻醉镇痛、解痉止搐之效,配伍以拔毒生肌、消淤止痛之效,采用局部麻醉纤维制成敷料包扎于手术切口,达到术前快速渗透麻醉,术中及术后持续麻醉镇痛、促进切口愈合等多效作用。

Description

一种多效局部麻醉剂
技术领域
本发明属于中医中药麻醉技术领域,特别涉及一种多效局部麻醉剂。
背景技术
局部麻醉药是指那些在人体的限定范围内能暂时、完全、可逆地阻断神经传导,即在意识未消失的状况下使人体的某一部分失去感觉,以便于外科手术进行的药物。目前采用的局麻方法有:例如进行注射或静注局部麻醉药,但此方法往往因一次性进入人体的浓度高而产生的副作用大,同时具有医疗成本高、疗效短的局限性;另一种方法是将局部麻醉纤维(局麻纤维)制成敷料包扎或贴敷在人体创伤口,起到局麻作用,但加入的麻醉药物其组分中大多含有激素及人工合成药剂,长期使用会给人体带来不同程度的伤害。
中国专利(CN102861153A)公开了一种局部麻醉剂,由纯中药制成,但渗透慢、刺激性大、不利于术后手术切口愈合,不适用于对手术切口进行麻醉,实际推广有一定的限制。
发明内容
本发明的目的是提供一种多效局部麻醉剂,通过中药的麻醉镇痛、解痉止搐之效,配伍以拔毒生肌、消淤止痛之效,采用局部麻醉纤维制成敷料包扎于手术切口,达到术前快速渗透麻醉,术中及术后持续麻醉镇痛、促进切口愈合等多效作用。
本发明提供一种多效局部麻醉剂,由以下重量份数的中药原料配制而成:蟾酥5~8份、薄荷5~8份、细辛6~10份、胡椒5~8份、洋金花5~15份、天仙子5~15份、仙鹤草5~10份、延胡索5~8份、龙骨5~8份、川贝3~8份、灯盏花5~8份、黄连3~8份、元胡5~10份、西番莲5~10份、金银花3~6份、猫爪草3~6份。
进一步优选为由以下重量份数的中药原料配制而成:蟾酥6份、薄荷6份、细辛8份、胡椒6份、洋金花10份、天仙子10份、仙鹤草7份、延胡索7份、龙骨6份、川贝5份、灯盏花6份、黄连6份、元胡7份、西番莲8份、金银花5份、猫爪草4份。
制备方法是由以下步骤组成:按上述重量份称取中药原料,药物放入75%乙醇中,乙醇没过药材3~4cm,浸泡12~24小时后取出,捣烂,制成敷料,用局部麻醉纤维包扎在手术切口。
药理分析:
蟾酥:味辛、甘,性温,有毒,归心经。有解毒消肿、止痛消积、开窍辟秽功效,主治癌肿,瘰疬,各种疼痛,疔疮肿毒等。现代药理研究显示,蟾酥有抗肿瘤、镇痛、抗炎、抗过敏、增强免疫、强心、升压等作用。
薄荷:性凉,味甘辛。治感冒发热喉痛,头痛,目赤痛,肌肉疼痛,皮肤风疹搔痒,麻疹不透等症,此外对痈、疽、疥、癣、漆疮亦有效。还具有防腐杀菌、利尿、化痰、健胃和助消化等功效。
细辛:性辛,味温,有小毒,归肺、心、肾经。功能祛风,散寒,行水,开窍。主治风冷头痛,风湿痹痛,齿痛,鼻渊,痰饮咳逆。现代药理研究显示细辛镇痛作用明显。
胡椒:主治温中,下气,消痰,解毒。治寒痰食积,脘腹冷痛,反胃,呕吐清水,泄泻,冷痢,并解食物毒。
洋金花:味辛,性温,有毒;功效主治止咳平喘,止痛镇静;哮喘咳嗽,脘腹冷痛,风湿痹痛,小儿慢惊;外科麻醉。现代药理证明,其有一定的镇痛作用,并能加强杜冷丁的镇痛作用,对抗去甲肾上腺素侧脑室注射引起的痛阈降低和杜冷丁镇痛作用的减弱。
天仙子:性温,味苦辛,入心、胃、肝三经,有毒,具有定痫、止痛的功效。现代药理研究表明,天仙子含有生物碱,主要为莨菪碱、阿托品及东莨菪碱,合理用量对平滑肌有明显的松弛作用,并能升高眼压与调节麻痹,还可用于锑剂中毒引起的严重心律失常。
仙鹤草:性平,味苦、涩;归胃、肝、脾、肺、大肠经。功能败毒抗癌、凉血止血、养伤退肿,收敛止血,截疟,止痢,解毒;用于咳血、吐血、治流鼻血有特效、疟疾、脱力劳伤、痈肿。
延胡索:性味辛,苦,温,无毒;归肝,胃,心,肺,脾经。功能活血,散瘀,理气,止痛;主治心腹腰膝诸痛,月经不调,症瘕,崩中,产后血晕,恶露不尽,跌打损伤。
龙骨:性味甘涩,平;入心、肝、肾、大肠经。功能重镇安神,镇惊安神,敛汗固精,止血涩肠,生肌敛疮;主治惊痫癫狂,怔忡健忘,失眠多梦,自汗盗汗,遗精淋浊,吐衄便血,崩漏带下,泻痢脱肛,溃疡久不收口。
川贝:性凉,甘平;入肺经、胃经。功效润肺止咳化痰平喘,清热化痰。现代药理学证明,川贝有一定的抗菌作用,2mg/l浓度时,能抑制大肠杆菌及金黄色葡萄球菌的生长繁殖。
灯盏花:能通经活络和活血化瘀,扩张脑血管、降低血管阻力,改善脑循环,增加心脑血流量,提高免疫功能,性寒、微苦、甘温辛,具有微寒解毒、祛风除湿、活血化瘀、通经活络、消炎止痛的功效。
黄连:味苦,寒。功效清热燥湿,泻火解毒。用于湿热痞满,呕吐吞酸,泻痢,黄疸,高热神昏,心火亢盛,心烦不寐,血热吐衄,目赤,牙痛,消渴,痈肿疔疮;外治湿疹,湿疮,耳道流脓。现代药理证明,黄连具有抗菌作用、抗真菌作用、抗病毒作用、抗阿米巴作用和抗炎、抗腹泻等作用。
元胡:性温,味辛苦,入心、脾、肝、肺,是活血化瘀、行气止痛之妙品,尤以止痛之功效而著称于世。李时珍在《本草纲目》中归纳元胡有“活血,理气,止痛,通小便”四大功效,并推崇元胡“能行血中气滞,气中血滞,故专治一身上下诸痛”。
西番莲:性温,味苦,无毒。用于神经痛,失眠症,月经痛及下痢等症,有麻醉及镇静作用。
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。
猫爪草:性味甘、辛,温;有小毒;归肝经、肺经。功能散结,消肿;用于瘰疬、淋巴结结核未溃、肺结核、淋巴结结核、淋巴结炎、咽喉炎。
本发明的中药,通过中药的麻醉镇痛、解痉止搐之效,配伍以拔毒生肌、消淤止痛之效,采用局部麻醉纤维制成敷料包扎于手术切口,达到术前快速渗透麻醉,术中及术后持续麻醉镇痛、促进切口愈合等多效作用。
疗效判断:
显效:敷药后15min内无痛感,手术中无痛感,术后使用时手术切口痛感消失,切口愈合情况良好,无不良反应及不适症状;
有效:敷药后30min内无痛感,手术中无痛感,术后使用时手术切口痛感明显减小,切口愈合情况良好,无不良反应及不适症状;
无效:使用过程中痛感没有减轻,患者神经意识受到一定影响,有不良症状出现。
治疗结果:给640名手术后患者使用,术后1天更换一次,5天为一个疗程。使用1个疗程本发明的中药后,显效605例,占94.5%,有效33例,占5.2%,无效2例,占0.3%。
附几例病例作进一步说明:
病例1:王某某,女,8岁,因对西药麻醉过敏,遂采用本发明中药进行麻醉,敷药10min后痛感消失,手术过程中,麻醉持续效果良好;手术后又给予本发明多效局部麻醉剂,对手术切口进行持续麻醉,使用过程中,切口疼痛感消失,1个疗程后,手术切口愈合良好。
病例2:刘某某,男,29岁,在截肢手术后,麻醉药褪去产生剧烈疼痛,且手术切口出现发炎、不愈合的情况,遂给予本发明局部麻醉剂,对手术切口进行持续麻醉,使用过程中,切口疼痛感消失,1个疗程后,手术切口愈合良好。
具体实施方式
实施例1:
一种多效局部麻醉剂,由以下重量份数的中药原料配制而成:蟾酥6份、薄荷6份、细辛8份、胡椒6份、洋金花10份、天仙子10份、仙鹤草7份、延胡索7份、龙骨6份、川贝5份、灯盏花6份、黄连6份、元胡7份、西番莲8份、金银花5份、猫爪草4份。
制备方法是由以下步骤组成:按上述重量份称取中药原料,药物放入75%乙醇中,乙醇没过药材3.5cm,浸泡18小时后取出,捣烂制成敷料,用局部麻醉纤维包扎在手术切口。
实施例2:
一种多效局部麻醉剂,由以下重量份数的中药原料配制而成:蟾酥5份、薄荷8份、细辛6份、胡椒8份、洋金花5份、天仙子15份、仙鹤草5份、延胡索8份、龙骨5份、川贝8份、灯盏花5份、黄连8份、元胡5份、西番莲10份、金银花3份、猫爪草6份。
制备方法是由以下步骤组成:按上述重量份称取中药原料,药物放入75%乙醇中,乙醇没过药材3cm,浸泡12小时后取出,捣烂制成敷料,用局部麻醉纤维包扎在手术切口。
实施例3:
一种多效局部麻醉剂,由以下重量份数的中药原料配制而成:蟾酥8份、薄荷5份、细辛10份、胡椒5份、洋金花15份、天仙子5份、仙鹤草10份、延胡索5份、龙骨8份、川贝3份、灯盏花8份、黄连3份、元胡10份、西番莲5份、金银花6份、猫爪草3份。
制备方法是由以下步骤组成:按上述重量份称取中药原料,药物放入75%乙醇中,乙醇没过药材4cm,浸泡24小时后取出,捣烂制成敷料,用局部麻醉纤维包扎在手术切口。
以上已将本发明做一详细说明,以上所述,仅为本发明之较佳实施例而已,当不能限定本发明实施范围,即凡依本申请范围所作均等变化与修饰,皆应仍属本发明涵盖范围内。

Claims (2)

1.一种多效局部麻醉剂,其特征在于由以下重量份数的中药原料配制而成:蟾酥5~8份、薄荷5~8份、细辛6~10份、胡椒5~8份、洋金花5~15份、天仙子5~15份、仙鹤草5~10份、延胡索5~8份、龙骨5~8份、川贝3~8份、灯盏花5~8份、黄连3~8份、元胡5~10份、西番莲5~10份、金银花3~6份、猫爪草3~6份。
2.如权利要求1所述的一种多效局部麻醉剂,其特征在于由以下重量份数的中药原料配制而成:蟾酥6份、薄荷6份、细辛8份、胡椒6份、洋金花10份、天仙子10份、仙鹤草7份、延胡索7份、龙骨6份、川贝5份、灯盏花6份、黄连6份、元胡7份、西番莲8份、金银花5份、猫爪草4份。
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104758463A (zh) * 2015-03-09 2015-07-08 吴同乐 一种用于牙科手术的局部麻醉剂
CN105031380A (zh) * 2015-09-08 2015-11-11 密夫丽 一种用于孕妇口腔局部麻醉的药物及其制备方法
CN105125785A (zh) * 2015-10-10 2015-12-09 周庆华 一种具有麻醉效果的中药制剂及其制备方法

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CN1383885A (zh) * 2002-06-07 2002-12-11 吴鸿 纯中药原料制成的外用麻醉药及其制备方法
CN101979029A (zh) * 2010-10-06 2011-02-23 阚景祥 一种中药麻醉药

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CN1383885A (zh) * 2002-06-07 2002-12-11 吴鸿 纯中药原料制成的外用麻醉药及其制备方法
CN101979029A (zh) * 2010-10-06 2011-02-23 阚景祥 一种中药麻醉药

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104758463A (zh) * 2015-03-09 2015-07-08 吴同乐 一种用于牙科手术的局部麻醉剂
CN105031380A (zh) * 2015-09-08 2015-11-11 密夫丽 一种用于孕妇口腔局部麻醉的药物及其制备方法
CN105125785A (zh) * 2015-10-10 2015-12-09 周庆华 一种具有麻醉效果的中药制剂及其制备方法

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