CN104435549A - 一种治疗风寒湿痹型股骨头坏死的中药 - Google Patents
一种治疗风寒湿痹型股骨头坏死的中药 Download PDFInfo
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Abstract
本发明公开了一种治疗风寒湿痹型股骨头坏死的中药,其特征是由下列重量配比的药材制成的:黑乳菇12份、黄皮12份、白叶瓜馥木12份、扁担藤15份、刺鸭脚木15份、东方狗脊10份、大叶骨碎补12份、独一味8份、穿山龙10份、牛奶柴20份、七爪风12份、肉桂5份、辛参10份、杜仲藤10份、隔山消12份、鬣羚骨10份、乔木五加10份、柴桂8份、小粘药8份、冻干海参3份、蕨麻10份、枸骨树皮10份、桑椹10份、穿山甲15份、甘草5份。本发明配方科学,疗效高,有效率达到97%,治愈后随访1年没有复发。
Description
技术领域
本发明涉及一种中药,特别是一种用于治疗风寒湿痹型股骨头坏死的中药。
背景技术
股骨头坏死,又称股骨头缺血性坏死,它是股骨头血供中断或受损,引起骨细胞及骨髓成分死亡及随后的修复,继而导致股骨头结构改变、股骨头塌陷、关节功能障碍的疾病。它是骨伤科临床常见而又难治的慢性疾病之一。自1888年世界医学界首次认识股骨头坏死这一疾病至今,股骨头坏死已由少见病转变为多发病、常见病。据不完全统计,目前全世界股骨头坏死3000万人,我国约有400万人。最新的调查表明,股骨头坏死的发生无明显性别差异,可发生于任何年龄,但以31-60岁最多。
中医称股骨头坏死为“骨蚀”。引起股骨头坏死原因主要有以下几点:①、外伤所致。由外力作用于髋关节局部,轻者皮肉受损,严重者出现骨断筋伤,使经络、筋脉受损气滞血瘀,气血不能蓄养筋骨而出现髀枢痹,骨萎。②、六淫侵袭。六淫中以风寒、湿邪最易侵袭人体、风寒邪侵袭人体经络、气血不通,出现气滞血瘀筋骨失于温煦、筋脉挛缩,屈伸不利,久之出现股骨头坏死。③、邪毒外袭。外来邪毒侵袭人体,如应用大量激素,辐射病减压病等,经络受阻,气血运行紊乱,不能正常养筋骨,出现骨萎,骨痹。④、先天不足。先天之本在于肾,肾主骨生髓先天不足,肝肾亏损,股骨头骨骺发育不良或髋臼发育不良,髓关节先天脱位,均可导致股骨头坏死。⑤、七情所伤。七情为喜努忧、恩悲恐、惊,七情大过情志郁结,脏腑功能失调,导致气机失降,出入失调久之肝肾亏损,不利筋骨,使筋弛骨软。当病变发生后,骨与软骨挫裂伤,气血不通畅,经脉瘀阻,血行障碍,肢体失去营养,再生和修复能力减退,因而产生本病。其主要症状,从间断性疼痛逐渐发展到持续性疼痛,再由疼痛引发肌肉痉挛、关节活动受到限制,最后造成严重致残而跛行。该疾病发生原因为既有外因也有内因,且内因外因相互作用,使人体阴阳失去平衡,气血的失恒而生疾,亦称"髀枢痹"、"骨痹"、"骨萎"。
股骨头坏死的理想治疗应在早期缺血阶段甚至股骨头坏死发生之前,如何改善股骨头的血液循环,阻止骨质继续坏死,促进骨再生,恢复骨结构以及如何预防股骨头坏死的发生已成为人们关注的热点。目前治疗股骨头坏死的方法,概括起来主要有以下几种:保守治疗、手术治疗、靶位体液论治、中医治疗、动脉灌注疗法、物理疗法(如高频振荡波、电磁场理疗(脉冲电磁场)以及高压氧治疗。)、人工股骨头置换术。这些治疗方法,各有千秋,但中医治疗股骨头坏死是安全可靠的治疗方式。中医根据不同原因引起的股骨头坏死以及疾病进展的不同时期,结合临床实际进行辨证治疗,将本病分为:气滞血瘀型、风寒湿痹型、痰湿阻络型及肝肾不足,气血虚弱型。目前,治疗股骨头坏死的中药有多种,但针对于风寒湿痹型股骨头坏死的中成药并不多见,而且还存在着治愈率较低等缺陷。
发明内容
本发明的目的旨在提供一种治疗风寒湿痹型股骨头坏死的中药,通过选择合适的药材及其配比,达到安全有效治愈风寒湿痹型股骨头坏死的目的。
为达到上述目的,本发明采用以下技术方案:一种治疗风寒湿痹型股骨头坏死的中药,其特征是由下列重量配比的药材制成的:
黑乳菇12份、黄皮12份、白叶瓜馥木12份、扁担藤15份、刺鸭脚木15份、东方狗脊10份、大叶骨碎补12份、独一味8份、穿山龙10份、牛奶柴20份、七爪风12份、肉桂5份、辛参10份、杜仲藤10份、隔山消12份、鬣羚骨10份、乔木五加10份、柴桂8份、小粘药8份、冻干海参3份、蕨麻10份、枸骨树皮10份、桑椹10份、穿山甲15份、甘草5份。
配方中所涉及到的药材的来源及功能主治如下:
黑乳菇【来源】药材基源:为红菇科真菌沥青色乳菇的子实体。【性味】辛;甘;性温。【功能主治】祛风散寒;舒筋活络。主治风湿痹痛;四肢麻木;手足抽搐;
黄皮【来源】药材基源:为山茱萸科植物长圆叶梾木的树皮。【性味】味苦;辛;性温。【功能主治】祛风散寒;活络止痛。主治风寒湿痹;腰痛;跌打损伤;骨折;
白叶瓜馥木【来源】番荔枝科瓜馥木属植物白叶瓜馥木fissistigma glaucescens (hance)merr.,以根入药。【性味】辛、涩,温。【功能主治】祛风除湿,通经活血,止血。用于风湿骨痛,跌打损伤,月经不调;外用治骨折,外伤出血
扁担藤【来源】葡萄科崖爬藤属植物扁担藤tetrastigma planicaule (hook. f.) gagnep.,以全株入药。【性味】辛、涩,温。【功能主治】祛风除湿,舒筋活络。用于风湿骨痛,腰肌劳损,跌打损伤,半身不遂;
刺鸭脚木【来源】五加科刺鸭脚木brassaiopsis glomerulata (blume) regel,以根、树皮、叶入药。【性味】甘、微辛,温。【功能主治】祛风除湿,活血散瘀。主治风湿骨痛,跌打扭伤,腰肌劳损;
东方狗脊【来源】药材基源:为乌毛蕨科植物东方狗脊蕨的根茎。【性味】甘;温。【归经】肾经。【功能主治】祛风除湿;补肝肾;强腰膝;解毒;杀虫。主治腰背酸疼;膝痛脚弱;痢疾;崩漏;白带;小儿疳积;症瘕;蛇伤;
大叶骨碎补【来源】药材基源:为骨碎补科植物大叶骨碎补的根茎。【性味】苦;温。【功能主治】活血化瘀;补肾壮骨;祛风止痛。主跌打损伤;肾虚腰痛;风湿骨痛;
独一味【来源】药材基源:为唇形科植物独一味的根及根茎或全草。【性味】味甘;苦;性平。【功能主治】活血化瘀;消肿止痛。主治跌打;筋骨疼痛;关节肿痛;痛经;崩漏;
穿山龙【来源】本品为薯蓣科植物穿山薯蓣dioscorea nipponica mak.的根茎。【性味】味苦,微寒。归经:归肝、肺经。【功能主治】祛除风湿,活血通络,止痛消肿。用于风湿痹痛,肌肤麻木,关节屈伸不利,跌打损伤,淤血阻滞,热痰咳嗽;
牛奶柴【来源】药材基源:为桑科植物天仙果的茎、叶。【性味】甘;淡;性温。【归经】肺;脾;肾经。【功能主治】补中健脾;祛风湿;活血通络。主治气虚乏力;四肢酸软;风湿痹痛;筋骨不利;跌打损伤;经闭;乳汁不通;
七爪风【来源】药材基源:为双子叶植物药蔷薇科植物七爪风的根。【性味】苦,涩,酸,平。【归经】肺,肝经。【功能主治】祛风除湿,活血通络。主风寒湿痹,四肢关节痛,中风偏瘫,肢体麻木,活动障碍;
肉桂【来源】本品为樟科常绿乔木植物肉桂 cinnamomum cassia presl 的树皮。【性味】 辛、甘,热。【归经】归脾、肾、心、肝经。【功效】 补火助阳,散寒止痛,温经通脉;
辛参【来源】药材基源:为唇形科植物假秦艽的块根。【性味】味甘;苦;性凉。【功能主治】理气健脾;解毒消肿。主治消化不良;脘腹胀痛;腹泻;咳喘胸闷;感冒;咽喉肿痛;药物中毒;跌打瘀肿;
杜仲藤【来源】药材基源:为夹竹桃科植物杜仲藤、红杜仲藤及毛杜仲藤的茎皮和根皮。【性味】苦;微辛;性微温;小毒。【归经】肝;肾经。【功能主治】祛风湿;强筋骨。主治风湿痹痛;腰膝酸软;跌打损伤;
隔山消【来源】药材基源:为萝藦科植物隔山消的块根。【性味】味甘;微苦;性微温。【归经】脾;胃;肾经。【功能主治】补肝肾;强筋骨;健脾胃;解毒。主治肝肾两虚;头昏眼花;失眠健忘;须发早白;阳痿;遗精;腰膝酸攀登;脾虚不运;脘腹胀满;仞欲不振;泄泻;产后乳少;鱼口疮毒;
鬣羚骨【来源】药材基源:为牛科动物鬣羚的四肢骨。【性味】味辛;咸;性温。【归经】入肝、肾二经。【功能主治】强筋骨;祛风湿;通络止痛。主治腰膝酸痛;风湿痹痛;麻木不仁;
乔木五加【来源】药材基源:为五加科植物锈毛吴茱萸五加的根皮。【性味】味辛;性温。【功能主治】祛风湿;强筋骨;逐瘀活血。主治风湿痹痛;小儿筋骨痿软;跌打损伤;阳痿;
柴桂【来源】药材基源:为樟科植物柴桂的树皮或叶。【性味】辛;甘;温。【归经】肝;脾经。【功能主治】温通经脉;行气止痛。主寒湿痹痛;脘腹疼痛;痛经;跌打损伤;
小粘药【来源】药材基源:为毛茛科植物滑叶藤的根、皮和叶。【性味】味辛;性温。【功能主治】行气止痛;活血化瘀;祛风除湿。主气滞腹胀;风湿骨痛;跌打损伤;乳痈;疮疖肿毒;刀伤出血;
海参【来源】 药材基源:为刺参科动物刺参、绿刺参、化刺参的全体。【性味】 味甘;咸;性平。【归经】 肾;肺经。【功能主治】 补肾益精;养血润燥;止血。主精血亏损;虚弱劳怯;阳痿;梦遗;肠燥便秘;肺虚咳嗽咯血,肠风便血,外伤出血;
蕨麻【来源】药材基源:为蔷薇科植物蕨麻的块根。【性味】甘;苦;寒。【归经】脾;胃经。【功能主治】补气血;健脾胃;生津止渴。主脾虚泄泻;病后贫血;营养不良;水肿;风湿痹痛;
枸骨树皮【来源】药材基源:为冬青科植物枸骨Ilex cornuta Lindl.ex Paxt.的树皮。【性味】微苦;凉。【归经】肝;肾经。【功能主治】补肝肾;强腰膝。主肝血不足;肾脚痿弱;
桑椹【来源】本品为桑科植物桑Morus alba L. 的干燥果穗。【性味】甘,寒。【归经】入肝、肾经。【功能主治】补肝,益肾,熄风,滋液。治肝肾阴亏,消渴,便秘,目暗,耳鸣,瘰疬,关节不利;
穿山甲【来源】本品为鲮鲤科动物穿山甲Manis pentadactyla Linnaeus的鳞甲。【性味】咸,微寒。【归经】归肝、胃经。【功能主治】通经下乳,消肿排脓,搜风通络。用于经闭癓瘕,乳汁不通,痈肿疮毒,关节痹痛,麻木拘挛;
甘草【来源】本品为豆科植物甘草 Glycyrrhiza uralensis Fisch.、胀果甘草 Glycyrrhiza inflata Bat. 或光果甘草 Glycyrrhiza glabra L. 的干燥根。【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。
风寒湿痹型股骨头坏死的诊治标准:
(一)症状:1、进行性髋关节疼痛,站立或行走时加重。2、首发症状分别有髋关节疼痛、腰骶部疼痛、膝关节疼痛、臀部疼痛或腹股沟区疼痛,痛有定处,肌肤麻木,苔白腻,脉濡缓。3、髋关节活动受限(特别是内旋)。
(二)、骨科检查:
1、体格检查:观察患者的步态,检查髋关节运动的范围,双下肢长度和周径的测量,髋关节局部的压痛,做双下肢的“4”字试验,托马氏征、艾利斯征和叩击试验。 2、辅助检查:患者拍X线片能看清股骨头骨小梁,可能会有骨质疏松、骨密度不均匀、囊样变、塌陷、变形、或是关节间隙狭窄等表现。但X线片成像比较粗糙,股骨头坏死早期的症状在片上显现的不明显,不容易确诊,这时可采用CT、MRI等检查,可详细的看到股骨头上的毛糙、局限性的囊变等,都为股骨头坏死的症状。
骨坏死的发生,演变和结局,有其规律性病理过程,通常我们在确认证型的基础上,再进一步做一个X光片或CT、MRI的检查,依据X光片或CT、MRI的检查,我们将股骨头坏死分为五期:
Ⅰ期(前放射线期)此期约有50%的患者可出现轻微髋痛,负重时加重。查体:髋关节活动受限,以内旋活动受限最早出现,强力内旋时髋关节疼痛加重。X线显示:可为阴性,也可见散在性骨质疏松或骨小梁界限模糊。
Ⅱ期(坏死形成,头变扁前期)临床症状明显,且较I期加重。X光片显示:股骨 头广泛骨质疏松,散在性硬化或囊性变,骨小梁紊乱、中断,部分坏死区,关节间隙正常。
Ⅲ期(移行期)临床症状继续加重。X光片显示:股骨头轻度变扁,塌陷在2mm以内,关节间隙轻度变窄。
Ⅳ期(塌陷期)临床症状较重。下肢功能明显受限,疼痛多缓解或消失,患肢肌肉萎缩。X光片显示:股骨头外轮廓和骨小梁紊乱、中断,有半月征,塌陷大于2mm,有死骨形成,头变扁,关节间隙变窄。
Ⅴ期(骨关节炎期)临床症状类似骨性关节炎表现,疼痛明显,关节活动范围严重受限。X光片显示:股骨头塌陷,边缘增生,关节间隙融合或消失,髋关节半脱位。正确的诊断和分期,对决定治疗方法和治疗效果有密切的关系。早期发现或怀疑有骨坏死,可继续做磁共振(MRI)或CT扫描。但以上两种检查费用较高,故一般建议患者拍骨盆正位X线片即可,或加拍双侧髓部X线片,屈髋至90°外展位髋关节片。
风寒湿邪侵袭经络,使臀部、髋部、腿部等处气血闭阻不畅,出现瘀血、缺血、水肿等血循环障碍,从而形成气血瘀滞,血运不畅造成股骨头的骨内压增高,髋关节周围静脉的无菌性炎性病变所致髋关节周围、大腿周围及膝关节周围的血液回流受阻,致使臀部、髋部、腿部的骨头因长期缺血而形成坏死。中医认为,机体体质虚弱,抗病能力低下,肝肾精血不足,致使骨质疏松,是股骨头缺血性坏死的潜在原因。肾为先天之本,主骨生髓,肾健则髓生,髓满则骨坚。反之,则髓枯萎,失去应有的再生能力。肝主筋藏血与肾同源,二者荣衰与共,若肝脏受累、藏血失司,不能正常调节血量,血液营运不周,营养难济,是造成股骨头坏死的重要因素。脾主运血,脾失健运、无化气源,则筋骨肌肉皆无气以生。因此治疗风寒湿痹型股骨头坏死应采取祛风除湿、温通经络、祛寒止痛、补气血、益肝肾的治疗方法。本发明采用科学的配方及适宜的配比,配方中所采用的黑乳菇具有祛风散寒,舒筋活络的功效;黄皮具有祛风散寒,活络止痛的功效;白叶瓜馥木具有祛风除湿,通经活血的功效;扁担藤具有祛风除湿,舒筋活络的功效;刺鸭脚木具有祛风除湿,活血散瘀的功效;东方狗脊具有祛风除湿,补肝肾,强腰膝的功效;大叶骨碎补具有活血化瘀,补肾壮骨,祛风止痛的功效;独一味具有活血化瘀,消肿止痛的功效;穿山龙具有祛除风湿,活血通络,止痛消肿的功效;牛奶柴具有补中健脾,祛风湿,活血通络的功效;七爪风具有祛风除湿,活血通络的功效;肉桂具有补火助阳,散寒止痛,温经通脉的功效;辛参具有理气健脾,解毒消肿的功效;杜仲藤具有祛风湿,强筋骨的功效;隔山消具有补肝肾,强筋骨,健脾胃,解毒的功效;鬣羚骨具有强筋骨,祛风湿,通络止痛的功效;乔木五加具有祛风湿,强筋骨,逐瘀活血的功效;柴桂具有温通经脉,行气止痛的功效;小粘药具有行气止痛,活血化瘀,祛风除湿的功效;海参具有补肾益精,养血润燥的功效;蕨麻具有补气血,健脾胃,生津止渴的功效;枸骨树皮具有补肝肾,强腰膝的功效;桑椹具有补肝,益肾,熄风,滋液的功效;穿山甲具有通经下乳,消肿排脓,搜风通络的功效;甘草具有补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药的功效。配方中的各药物之间能相互配合,协同作用,共奏祛风除湿、温通经络、祛寒止痛、补气血,益肝肾,健脾胃的功效,能有效治疗风寒湿痹型股骨头坏死,多年来,通过对36例患者的使用表明,有效率达到 97%。治疗效果好,治愈后随访1年没有复发过。
下面结合临床实验数据来说明本发明的有益效果:
1、抽样方法
从我单位近五年来确诊为风寒湿痹型股骨头坏死的患者中,随机选取72例病人,其中,男43例,女29例,年龄39-75岁,以Ⅰ-Ⅲ患者居多。随机分为对照组和治疗组,每组各36人。两组年龄等资料无显著性差异,具有可比性。
2、试验方法
2.1对照组患者使用仙灵骨葆胶囊,按说明书服用,疗程6周。
2.2治疗组口服本发明按照具体实施例1制得的胶囊,早、中、晚各一次。疗程6周。
3、疗效标准及治疗结果
3.1疗效标准:
临床痊愈:风寒湿痹型股骨头坏死的临床症状、体征消失或基本消失;显效:风寒湿痹型股骨头坏死的临床症状、体征明显改善;有效:风寒湿痹型股骨头坏死的临床症状、体征均有好转;无效:风寒湿痹型股骨头坏死的临床症状、体征均无明显改善或加重。
3.2治疗统计结果见表1。
表1两组疗效比较
由此可见,采用本发明的组方制得的药物能够安全有效治疗风寒湿痹型股骨头坏死。
具体实施方式
下面结合具体实施的例子对本发明做进一步详细的描述。
实施例1
称取黑乳菇12克、黄皮12克、白叶瓜馥木12克、扁担藤15克、刺鸭脚木15克、东方狗脊10克、大叶骨碎补12克、独一味8克、穿山龙10克、牛奶柴20克、七爪风12克、肉桂5克、辛参10克、杜仲藤10克、隔山消12克、鬣羚骨10克、乔木五加10克、柴桂8克、小粘药8克、蕨麻10克、枸骨树皮10克、桑椹10克、穿山甲15克、甘草5克,加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩,干燥,将冻干海参粉碎后,称取冻干海参末3克,与上述干燥物混合均匀,装入胶囊壳,即得符合正常成人1天用量的胶囊剂。
用于治疗风寒湿痹型股骨头坏死。口服,每日分早、中、晚三次服用。
具体实施例2
称取黑乳菇12克、黄皮12克、白叶瓜馥木12克、扁担藤15克、刺鸭脚木15克、东方狗脊10克、大叶骨碎补12克、独一味8克、穿山龙10克、牛奶柴20克、七爪风12克、肉桂5克、辛参10克、杜仲藤10克、隔山消12克、鬣羚骨10克、乔木五加10克、柴桂8克、小粘药8克、蕨麻10克、枸骨树皮10克、桑椹10克、穿山甲15克、甘草5克,加10倍量水,煎煮2小时,过滤;滤渣加8倍量水,煎煮1.5小时,过滤;合并滤液,浓缩,干燥,将冻干海参粉碎后,称取冻干海参末3克,与上述干燥物混合均匀,包装,即得符合正常成人1天用量的散剂。
用于治疗风寒湿痹型股骨头坏死。口服,每日分早、中、晚三次服用。
具体实施例3
称取黑乳菇12克、黄皮12克、白叶瓜馥木12克、扁担藤15克、刺鸭脚木15克、东方狗脊10克、大叶骨碎补12克、独一味8克、穿山龙10克、牛奶柴20克、七爪风12克、肉桂5克、辛参10克、杜仲藤10克、隔山消12克、鬣羚骨10克、乔木五加10克、柴桂8克、小粘药8克、蕨麻10克、枸骨树皮10克、桑椹10克、穿山甲15克、甘草5克,加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩,干燥,将冻干海参粉碎后,称取冻干海参末3克,与上述干燥物混合均匀,按照本领域常规工艺制粒,包装,即得符合正常成人1天用量的颗粒剂。
用于治疗风寒湿痹型股骨头坏死。口服,每日分早、中、晚三次服用。
Claims (1)
1. 一种治疗风寒湿痹型股骨头坏死的中药,其特征是由下列重量配比的药材制成的:黑乳菇12份、黄皮12份、白叶瓜馥木12份、扁担藤15份、刺鸭脚木15份、东方狗脊10份、大叶骨碎补12份、独一味8份、穿山龙10份、牛奶柴20份、七爪风12份、肉桂5份、辛参10份、杜仲藤10份、隔山消12份、鬣羚骨10份、乔木五加10份、柴桂8份、小粘药8份、冻干海参3份、蕨麻10份、枸骨树皮10份、桑椹10份、穿山甲15份、甘草5份。
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CN106728671A (zh) * | 2016-12-10 | 2017-05-31 | 济南昊雨青田医药技术有限公司 | 一种治疗非创伤性股骨头坏死的药物组合物及其制备方法 |
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