CN104383498A - 一种治疗蛔虫病的药物及其制备方法 - Google Patents

一种治疗蛔虫病的药物及其制备方法 Download PDF

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CN104383498A
CN104383498A CN201410703617.XA CN201410703617A CN104383498A CN 104383498 A CN104383498 A CN 104383498A CN 201410703617 A CN201410703617 A CN 201410703617A CN 104383498 A CN104383498 A CN 104383498A
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侯德润
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Abstract

本发明公开了一种治疗蛔虫病的药物及其制备方法,其主要是由藿香、党参、乌梅、附子、当归、白芍、连翘、苍术、厚朴、槟榔、莱菔子、使君子、木香、砂仁、干姜、陈皮按一定重量配比制备而成,本发明药物具有清热散结,安蛔驱虫,杀虫消积的功能,用于治疗蛔虫病见效快,疗效好,无副作用。

Description

一种治疗蛔虫病的药物及其制备方法
技术领域
本发明涉及一种治疗蛔虫病的药物及其制备方法,属中药领域。
背景技术
似蚓蛔线虫简称蛔虫,是人体内最常见的寄生虫之一。成虫寄生于小肠,可引起蛔虫病。此外,犬弓首线虫是犬类常见的肠道寄生虫,其幼虫能在人体内移行,引起内脏幼虫移行症。目前,由于西药无法有效治疗蛔虫病,且长期服用西药有较多副作用,因此,人们对有效治疗蛔虫病的中药存在很大的需求。
发明内容
本发明人依据中医理论的研究及临床反复的试验和验证,终于找到了有效治疗蛔虫病的药物,从而完成了本发明。
本发明的目的就是提供一种能够有效治疗蛔虫病的组合药物。
本发明的另一个目的就是提供了该组合药物的制备方法。
本发明药物是选择藿香、党参、乌梅、附子、当归、白芍、连翘、苍术、厚朴、槟榔、莱菔子、使君子、木香、砂仁、干姜、陈皮、黄连、紫苏梗、柴胡、桂枝、甘草、吴茱萸、细辛药物进行组合的,将这些药物组合使得各药物功效产生协同作用,从而能够快速治疗蛔虫病的复发。其中选用藿香是因为其性味辛,微温,入肺、脾、胃经,有快气,和中,辟秽,祛湿的功能,治感冒暑湿,寒热,头痛,胸脘痞闷,呕吐泄泻,疟疾,痢疾,口臭。选用党参是因为其性味甘,平,入手、足太阴经气分,有补中益气,生津的功能,治脾胃虚弱,气血两亏,体倦无力,食少,口渴,久泻,脱肛。选用乌梅是因为其性味酸,温,入肝,脾,肺,大肠经,有收敛生津,安蛔驱虫的功能,治久咳,虚热烦渴,久疟,痢疾,便血,尿血,血崩,蛔厥腹痛,呕吐,钩虫病,牛皮癣,胬肉。选用附子是因为其性味辛甘,热,有毒,入心、脾、肾经,有回阳补火,散寒除湿的功能,治阴盛格阳,大汗亡阳,吐利厥逆,心腹冷痛,脾泄冷痢,脚气水肿,小儿慢惊,风寒湿痹,踒躄拘挛,阴疽疮漏及一切沉寒痼冷之疾。选用当归是因为其性味甘辛,温,入心、肝、脾经,有补血和血,调经止痛,润燥滑肠的功能,治月经不调,经闭腹痛,癥瘕结聚,崩漏,血虚头痛,眩晕,痿痹,肠燥难便,赤痢后重,痈疽疮疡,金疮,跌扑损伤。选用白芍是因为其性味苦酸,凉,入肝、脾经,有养血柔肝,缓中止痛,敛阴收汗的功能,治胸腹胁肋疼痛,泻痢腹痛,自汗盗汗,阴虚发热,月经不调,崩漏,带下。选用连翘是因为其性味苦,凉,入心、肝、胆经,有清热,解毒,散结,消肿的功能,治温热,丹毒,斑疹,痈疡肿毒,瘰疬,小便淋闭。选用苍术是因为其性味辛苦,温,入脾、胃经,有健脾,燥湿,解郁,辟秽的功能,治湿盛困脾,倦怠嗜卧,脘痞腹胀,食欲不振,呕吐,泄泻,痢疾,疟疾,痰饮,水肿,时气感冒,风寒湿痹,足痿,夜盲。选用厚朴是因为其性味苦辛,温,入脾、胃、大肠经,有温中,下气,燥湿,消痰的功能,治胸腹痞满胀痛,反胃、呕吐,宿食不消,痰饮喘咳,寒湿泻痢。选用槟榔是因为其性味苦辛,温,入脾、胃、大肠经,有杀虫,破积,下气,行水的功能,治虫积、食滞,脘腹胀痛,泻痢后重,疟疾,水肿,脚气,痰癖,癥结。选用莱菔子是因为其性味辛甘,平,入肺、胃经,有下气定喘,消食化痰的功能,治咳嗽痰喘,食积气滞,胸闷腹胀,下痢后重。选用使君子是因为其性味甘,温,有毒,入脾、胃经,有杀虫,消积,健脾的功能,治蛔虫腹痛,小儿疳积,乳食停滞,腹胀,泻痢。选用木香是因为其性味辛苦,温,入肺、肝、脾经,有行气止痛,温中和胃的功能,治中寒气滞,胸腹胀痛,呕吐,泄泻,下痢里急后重,寒疝。选用砂仁是因为其性味辛,温,入脾、胃经,有行气调中,和胃、醒脾的功能,治腹痛痞胀,胃呆食滞,噎隔呕吐,寒泻冷痢,妊娠胎动。选用干姜是因为其性味辛,热,入脾、胃、肺经,有温中逐寒,回阳通脉的功能,治心腹冷痛,吐泻,肢冷脉微,寒饮喘咳,风寒湿痹,阳虚吐、衄、下血。选用陈皮是因为其性味苦、辛,温,归肺、脾经,有理气健脾,燥湿化痰的功能,治胸脘胀满,食少吐泻,咳嗽痰多。选用黄连是因为其性味苦,寒,入心、肝、胃、大肠经,有泻火,燥湿,解毒,杀虫的功能,治时行热毒、伤寒,热盛心烦,痞满呕逆,菌痢,热泻腹痛,肺结核,吐、衄、下血,消渴,疳积,蛔虫病,百日咳,咽喉肿痛,火眼,口疮,痈疽疮毒,湿疹,汤火烫伤。选用紫苏梗是因为其性味辛甘,微温,入肺、胃、肺三经,有理气,舒郁,止痛,安胎的功能,治气郁,食滞,胸膈痞闷,脘腹疼痛,胎气不和。选用柴胡是因为其性味苦,凉,入肝、胆经,有和解表里,疏肝,升阳的功能,治寒热往来,胸满胁痛,口苦耳聋,头痛目眩,疟疾,下利脱肛,月经不调,子宫下垂。选用桂枝是因为其性味辛甘,温,入膀胱、心、肺经,有发汗解肌,温经通脉的功能,治风寒表证,肩背肢节酸疼,胸痹痰饮,经闭癥瘕。选用甘草是因为其性味甘,平,入脾、胃、肺经,有和中缓急,润肺,解毒,调和诸药的功能,炙用,治脾胃虚弱,食少,腹痛便溏,劳倦发热,肺痿咳嗽,心悸,惊癎;生用,治咽喉肿痛,消化性溃疡,痈疽疮疡,解药毒及食物中毒。选用吴茱萸是因为其性味辛苦,温,有毒,入肝、胃经,有温中,止痛,理气,燥湿的功能,治呕逆吞酸,厥阴头痛,脏寒吐泻,脘腹胀痛,脚气,疝气,口疮溃疡,齿痛,湿疹,黄水疮。选用细辛是因为其性味辛,温,入肺、肾经,有祛风,散寒,行水,开窍的功能,治风冷头痛,鼻渊,止痛,痰饮咳逆,风湿痹痛。
具体实施方式:
本发明组合的药物用量也是发明人经过大量摸索总结得出的,各组分的用量在下述重量范围内都具有较好疗效: 
藿  香    10-12克    党  参    10-12克       乌  梅      10-12克
附  子    10-12克    当  归    10-12克       白  芍      10-12克
连  翘    10-12克    苍  术    8-10克         厚  朴      8-10克
槟  榔    8-10克      莱菔子    8-10克         使君子      8-10克
木  香    8-10克      砂  仁    5-8克        干  姜 5-8克
陈  皮    5-8克      黄  连    5-8克        紫苏梗      5-8克
柴  胡    5-8克      桂  枝    5-8克        甘  草 2-3克
吴茱萸    2-3克      细  辛    2-3克  
优选用量为:
藿  香    12克       党  参    12克        乌  梅  12克
附  子    12克       当  归    12克        白  芍  12克
连  翘    12克       苍  术    9克          厚  朴  9克
槟  榔    9克         莱菔子    9克          使君子  9克
木  香    9克         砂  仁    7克          干  姜  7克
陈  皮    7克         黄  连    7克          紫苏梗  7克
柴  胡    7克         桂  枝    7克          甘  草  3克
吴茱萸    3克         细  辛    3克     
本发明药物的制备方法如下:
一、备料
1、藿香:拣去杂质,除去残根及老茎,先将叶摘下另放,茎用水润透,切段,晒干,然后与叶和匀;
2、党参:洗净泥沙后润透去芦,切片或切段,晒干;
3、乌梅:拣净杂质,筛去灰屑,洗净,晒干;
4、炮附片:取盐附子洗净,清水浸泡一夜,除去皮脐,切片,再加水泡至口尝稍有麻辣感时,取出,用姜汤浸1-3天,然后蒸熟,再焙至七成干,倒入锅内用武火急炒至烟起,微鼓裂时,取出放凉;
5、当归:拣去杂质,洗净,闷润,稍晾,切片晒干;
6、白芍:拣去杂质,分开大小个,用水浸泡至八成透,捞出,晒晾,切片,干燥;
7、连翘:拣净杂质,搓开,除去枝梗;
8、苍术:拣去杂质,用水泡至七、八成透,捞出,切片,晒干;
9、厚朴:用水浸泡捞出,润透后刮去粗皮,洗净,切丝,晾干;
10、槟榔:拣去杂质,以清水浸泡,按气温情况换水,至泡透为止,捞起,切片,晾干;
11、莱菔子:簸去杂质,漂净泥土,捞出,晒干,用时捣碎;
12、使君子仁:除去外壳,取净仁;
13、木香:将原生药放清水内洗净,捞出,闷润12-24小时使软,切片,晒干;
14、砂仁:拣去杂质及果壳,捣碎;
15、干姜:拣净杂质,用水浸泡3-6小时,捞出,闷润后切片或切成小方块,晒干;
16、陈皮:取原药材,除去杂质及变黑的果皮,抢水洗净,润软,切丝,晒干或低温干燥,筛去灰屑;
17、黄连:拣去杂质,洗净泥砂,润透,切片,阴干;
18、紫苏梗:拣去杂质,用水浸泡后,润透,切片,晒干;
19、柴胡:拣去杂质,除去残茎,洗净泥沙,捞出,润透后及时切片,随即晒干;
20、桂枝:用水稍浸泡,捞出,闷润至透,切片,晾干,筛去屑;
21、甘草:拣去杂质,洗净,用水浸泡至八成透时,捞出,润透,切片,晾干;
22、吴茱萸:取原药材,除去果柄、枝及杂质,筛去碎屑;
23、细辛:除净杂质,用水喷润,及时切段,晒干。
二、制备
1、将所述重量的藿香、党参、乌梅、附子、当归、白芍、连翘、苍术、厚朴、槟榔、莱菔子、使君子、木香、砂仁、干姜、陈皮、黄连、紫苏梗、柴胡、桂枝、甘草、吴茱萸、细辛加水煎煮二次,第一次加水6倍量,武火煎煮沸腾,再用文火煎煮30分钟,过滤得第一次煎煮液,将第一次煎煮液倒入容器内。
2、将第一次过滤后的药渣加水4倍量,煎煮沸腾,再用文火煎煮30分钟过滤得第二次煎煮液。
3、将两次煎煮液混合即得药液,将药液分为3剂服用。
本发明选用乌梅为君药,黄连、柴胡为臣药,陈皮为佐药,甘草为使药,将上述药物与诸药组合制成治疗蛔虫病的药物。
本发明药物具有清热散结,安蛔驱虫,杀虫消积的功效,治疗蛔虫病见效快、疗程短,不复发。
以下通过试验例来进一步阐述本发明药物的有益效果,这些试验包括本发明药物的动物毒性试验报告和临床观察资料。
[试验例1] 本发明药物的动物毒性试验报告:
取家兔30只,雌雄兼用,体重2.0-2.3kg,分两组,每组20只,其中一组为超剂量试验组,另一组为正常量试验组。超常量组为20ml/kg,正常量为10ml/kg,给药方式为灌胃法给药,每天两次,连服7天,每天观察给药反应,结果表明二组家兔活动、饮食正常,药物无不良毒副作用。
[试验例2] 本发明药物的临床观察资料:
1、一般资料:
收治门诊患者39例。
2、诊断标准:
临床表现:因虫体的寄生部位和发育阶段不同而异。
蛔蚴移行症蛔蚴在寄主体内移行时引起发热、全身不适、荨麻疹等。抵达肺脏后引起咳嗽、哮喘、痰中带血丝等症状,重者可有胸痛、呼吸困难和发绀。肺部X射线检查可见迁徙性浸润性阴影,临床上称为过敏性肺炎或勒夫勒氏综合征。末梢血液嗜酸性粒细胞明显增多,约10%的患者痰中可查到蛔蚴。
肠蛔虫症常见症状有脐周陷痛、食欲不振、善饥、腹泻、便秘、荨麻疹等,儿童有流涎、磨牙、烦躁不安等,重者出现营养不良。一旦寄生环境发生变化如高热时,蛔虫可在肠腔内扭结成团,阻塞肠腔而形成蛔虫性肠梗阻,患者出现剧烈的阵发性腹部绞痛,以脐部为甚,伴有恶心、呕吐,并可吐出蛔虫,腹部可触及能移动的腊肠样肿物。有时蛔虫性肠梗阻可发展成绞窄性肠梗阻、肠扭转或套叠,必须及时手术治疗。蛔虫也可穿过肠壁,引起肠穿孔及腹膜炎,若不及时手术即可死亡。
3、治疗方法
选用上述药剂,给患者服用,每次服用1剂,2-3岁儿童每次服1/4剂,3-6岁儿童每次服1/3剂,6-10岁儿童每次服1/2剂,10岁以上按成人量服,每天早、晚各服1次,连续服用3天。
4、疗效评定标准
显效:蛔虫病痊愈,观察半年后无复发; 
好转:蛔虫病症状减轻,食欲增加; 
无效:症状无改善,达不到好转标准者。
5、治疗结果
                                                  
在上述的治疗中,用本发明药物治疗蛔虫病患者39例,结果显效35例,显效率为89.74%,好转4例,好转率为10.26%,总有效率为100%。

Claims (3)

1.一种治疗蛔虫病的药物,其特征求在于:它是由下列重量范围内的原料药制成: 
藿  香 10-12克   党  参    10-12克      乌  梅  10-12克
附  子 10-12克   当  归    10-12克      白  芍  10-12克
连  翘 10-12克   苍  术    8-10克    厚  朴  8-10克
槟  榔 8-10克 莱菔子    8-10克    使君子  8-10克
木  香 8-10克 砂  仁    5-8克        干  姜  5-8克
陈  皮 5-8克      黄  连 5-8克       紫苏梗  5-8克
柴  胡 5-8克      桂  枝 5-8克        甘  草  2-3克
吴茱萸 2-3克      细  辛 2-3克  。
2.根据权利要求所述的药物,其中各原料药的用量为:
藿  香 12克       党  参 12克        乌  梅   12克
附  子 12克       当  归 12克        白  芍   12克
连  翘 12克       苍  术 9克         厚  朴   9克
槟  榔 9克        莱菔子 9克         使君子   9克
木  香 9克        砂  仁 7克         干  姜   7克
陈  皮 7克        黄  连 7克         紫苏梗   7克
柴  胡 7克        桂  枝 7克         甘  草   3克
吴茱萸 3克        细  辛 3克。
3.根据权利要求1或2所述药物的制备方法,其特征在于,它包括下列步骤:
一、备料
1、藿香:拣去杂质,除去残根及老茎,先将叶摘下另放,茎用水润透,切段,晒干,然后与叶和匀;
2、党参:洗净泥沙后润透去芦,切片或切段,晒干;
3、乌梅:拣净杂质,筛去灰屑,洗净,晒干;
4、炮附片:取盐附子洗净,清水浸泡一夜,除去皮脐,切片,再加水泡至口尝稍有麻辣感时,取出,用姜汤浸1-3天,然后蒸熟,再焙至七成干,倒入锅内用武火急炒至烟起,微鼓裂时,取出放凉;
5、当归:拣去杂质,洗净,闷润,稍晾,切片晒干;
6、白芍:拣去杂质,分开大小个,用水浸泡至八成透,捞出,晒晾,切片,干燥;
7、连翘:拣净杂质,搓开,除去枝梗;
8、苍术:拣去杂质,用水泡至七、八成透,捞出,切片,晒干;
9、厚朴:用水浸泡捞出,润透后刮去粗皮,洗净,切丝,晾干;
10、槟榔:拣去杂质,以清水浸泡,按气温情况换水,至泡透为止,捞起,切片,晾干;
11、莱菔子:簸去杂质,漂净泥土,捞出,晒干,用时捣碎;
12、使君子仁:除去外壳,取净仁;
13、木香:将原生药放清水内洗净,捞出,闷润12-24小时使软,切片,晒干;
14、砂仁:拣去杂质及果壳,捣碎;
15、干姜:拣净杂质,用水浸泡3-6小时,捞出,闷润后切片或切成小方块,晒干;
16、陈皮:取原药材,除去杂质及变黑的果皮,抢水洗净,润软,切丝,晒干或低温干燥,筛去灰屑;
17、黄连:拣去杂质,洗净泥砂,润透,切片,阴干;
18、紫苏梗:拣去杂质,用水浸泡后,润透,切片,晒干;
19、柴胡:拣去杂质,除去残茎,洗净泥沙,捞出,润透后及时切片,随即晒干;
20、桂枝:用水稍浸泡,捞出,闷润至透,切片,晾干,筛去屑;
21、甘草:拣去杂质,洗净,用水浸泡至八成透时,捞出,润透,切片,晾干;
22、吴茱萸:取原药材,除去果柄、枝及杂质,筛去碎屑;
23、细辛:除净杂质,用水喷润,及时切段,晒干;
二、制备
1、将所述重量的藿香、党参、乌梅、附子、当归、白芍、连翘、苍术、厚朴、槟榔、莱菔子、使君子、木香、砂仁、干姜、陈皮、黄连、紫苏梗、柴胡、桂枝、甘草、吴茱萸、细辛加水煎煮二次,第一次加水6倍量,武火煎煮沸腾,再用文火煎煮30分钟,过滤得第一次煎煮液,将第一次煎煮液倒入容器内,
2、将第一次过滤后的药渣加水4倍量,煎煮沸腾,再用文火煎煮30分钟过滤得第二次煎煮液,
3、将两次煎煮液混合即得药液。
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CN101168039A (zh) * 2007-09-29 2008-04-30 罗华祥 治疗蛔厥症的中药
CN102861306A (zh) * 2012-09-06 2013-01-09 李承平 一组乌梅组合片
CN103479985A (zh) * 2013-09-27 2014-01-01 周复礼 一种治疗蛔虫病的药物及其制备方法

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CN104888047A (zh) * 2015-05-16 2015-09-09 陈久洲 一种治疗小儿蛔虫病的中药组合物

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