CN104398716A - 治疗支气管哮喘的中药汤剂 - Google Patents
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Abstract
本发明提供了一种治疗支气管哮喘的中药汤剂,其由下列重量配比的原料药物的组份组成:葶苈子 20-30g 、炙麻黄 6-9g 、白果肉 6-9g 、杏仁 6-9g 、半夏 6-9g 、款冬花 9-12g 、桑白皮 12-15g 、黄芩 9-12g 、红花 9-12g 、枳壳 12-15g 、炙甘草 6-9g 。
Description
本申请是分案申请,原申请的申请号:201310484975.1,申请日:2013.10.17,发明名称:一种治疗支气管哮喘的中药。
技术领域
本发明涉及一种治疗支气管哮喘的中药汤剂,属于中药技术领域。
背景技术
支气管哮喘为临床常见病,可发生于任何年龄,但半数以上在12岁以前发病。临床特点为发作性胸闷、咳嗽,多伴有哮鸣音的呼气性呼吸困难,持续数分钟、数小时或更长,可自行缓解。本病属于中医“哮证”、“痰饮”范畴,其主要病理因素为“痰”,因痰内伏于肺,再感新邪而发。临床上常分为发作期和缓解期。总的治疗原则为宣肺平喘,降气化痰。
发明内容
本发明针对现有技术之不足,提供了一种治疗支气管哮喘的中药汤剂,其特征在于它是由下列重量配比的原料药物的组份组成:葶苈子20-30g、炙麻黄6-9g、白果肉6-9g、杏仁6-9g、半夏6-9g、款冬花9-12g、桑白皮12-15g、黄芩9-12g、红花9-12g、枳壳12-15g、炙甘草6-9g。
优选用量:葶苈子25g、炙麻黄9g、白果肉9g、杏仁9g、半夏9g、款冬花10g、桑白皮12g、黄芩9g、红花12g、枳壳12g、炙甘草6g。
药理分析:痰涎上壅于肺,致肺气不得宣畅,而见胸闷、咳喘等症,故上述方剂中首选大剂量葶苈子宣肺平喘,利水消肿,为君药。炙麻黄宣肺散邪以平喘,白果敛肺定喘而祛痰,共为臣药。杏仁、半夏、款冬花降气平喘,止咳化痰;桑白皮、黄芩清肺热而降气消痰;红花活血化瘀;枳壳行气宽中除满,共为佐药。甘草调和诸药,为使药。以上药物合用,使肺气得宣,痰热得清,风寒得解,则哮证自愈。
剂型及用法:本方药剂型为汤剂,水煎服,一日一剂。处方剂量为成人量,小儿酌减。煎煮两遍。头煎加凉水600ml,浸泡两小时,武火煮沸后改文火续煎20分钟,取汁100ml;二煎加热水600ml,武火煮沸后改文火续煎50分钟,取汁100ml。两煎所得药汁混合,早晚饭后两小时各服100ml,温开水送服。服药期间忌食辛辣寒凉食物,预防感冒。
有益效果:本发明中药具有价格低、疗效好、治愈率高、无毒副作用等优点,以服药30天一疗程为准统计,有效率100%,治愈率72.5%,好转率27.5%。
具体实施方式:
下面结合具体实施方式对本发明做进一步说明:
实施例1:一种治疗支气管哮喘的中药,是由下列重量配比的原料药物的组份组成:葶苈子20-30g、炙麻黄6-9g、白果肉6-9g、杏仁6-9g、半夏6-9g、款冬花9-12g、桑白皮12-15g、黄芩9-12g、红花9-12g、枳壳12-15g、炙甘草6-9g。
实施例2:一种治疗支气管哮喘的中药,其中各种原料药物的优选重量配比为:葶苈子25g、炙麻黄9g、白果肉9g、杏仁9g、半夏9g、款冬花10g、桑白皮12g、黄芩9g、红花12g、枳壳12g、炙甘草6g。
临床疗效总结:
一、一般资料:共治疗病人24例,其中男性15例,女性9例;年龄5-10岁14例,10-15岁6例,15岁以上4例;病程最长者10年,最短者2年。
二、诊断标准:
1、症状:反复发作性胸闷、咳嗽,多伴有哮鸣音的呼气性呼吸困难,持续数分钟或数小时,可自行缓解。
2、体征:发作时胸廓膨胀,肋间隙饱满,听诊两肺有广泛的哮鸣音,并发感染时有湿罗音,心音减弱。久病有肺气肿特征。
三、疗效评定标准:
1、治愈:临床症状消失,一年内不复发。
2、好转:临床症状减轻,发作次数明显减少。
四、治疗结果:服药一月为一疗程,轻者一疗程痊愈,重者两疗程痊愈。有效率100%,治愈率72.5%,好转率27.5%。
五、典型病例:
病例1:董××,女,10岁,学生,2010年3月就诊。家长代述患儿两年前因感冒引起支气管哮喘,每年发作数次。发作时呼吸困难、不能平卧,喉中痰鸣。每次发作均需静脉输液或住院治疗才能缓解。本次又发作,症状同前。要求服中药治疗。给予本发明方药服用3剂后,症状明显缓解,继服5剂,症状消失,又巩固治疗一疗程,随访至今再未复发。
病例2:李××,女,18岁,2012年9月就诊。自述患支气管哮喘已3年之久,反复发作,影响学习。近日又出现胸闷、喘息,故来诊,要求服中药治疗。给予本发明方药服用两周症状明显减轻,继服两周巩固治疗,1年后随访未复发。
Claims (2)
1.一种治疗支气管哮喘的中药汤剂,其特征在于它是由下列重量配比的原料药物的组份组成:葶苈子20-30g、炙麻黄6-9g、白果肉6-9g、杏仁6-9g、半夏6-9g、款冬花9-12g、桑白皮12-15g、黄芩9-12g、红花9-12g、枳壳12-15g、炙甘草6-9g。
2.根据权利要求1所述的治疗支气管哮喘的中药汤剂,其特征在于:将所述的各组份头煎加凉水600ml,浸泡两小时,武火煮沸后改文火续煎20分钟,取汁100ml;二煎加热水600ml,武火煮沸后改文火续煎50分钟,取汁100ml,两煎所得药汁混合,即得到汤剂。
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