CN104435822B - 一种清热解毒的中药制剂 - Google Patents

一种清热解毒的中药制剂 Download PDF

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CN104435822B
CN104435822B CN201410646060.0A CN201410646060A CN104435822B CN 104435822 B CN104435822 B CN 104435822B CN 201410646060 A CN201410646060 A CN 201410646060A CN 104435822 B CN104435822 B CN 104435822B
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马梅青
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Ma Meiqing
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Abstract

本发明涉及一种清热解毒的中药制剂,由以下原料中药制成:金银花30克,连翘20克,栀子20克,丹皮15克、白芍15克、龙胆10克,白芍15克,龙胆10克,黄芩20克,白花蛇草30克,石膏30克,知母20克,土伏苓20克,大青叶30克,白毛根30克,茯苓20克,白术20克,大黄4克,生地黄10克,元参10克,甘草10克。制取方法:取上述原料药,加水2000ml,浸泡一个小时后,文火煎煮至药液剩300ml,滤出药液,再次加水1000ml,文火煎煮至药液剩200ml,滤出药液,将两次药液混合,平均分成二份,分早晚二次服用。本发明药源丰富,价格低廉,副作用小。

Description

一种清热解毒的中药制剂
技术领域
本发明涉及中药技术领域,具体是一种清热解毒的中药制剂。
背景技术
清热解毒就是用具有清热、解热毒作用的方药治疗毒症及痛肿疔毒等病证的治法。目前,医院清热解毒的方法多采用西医静脉注射的方法,这种方法的优点是见效快,但是副作用大,对人们自身免疫系统影响较大。由于发病原因不一,病情变化不同,患者体质有异,故里热证有热在气分、血分之分,有实热、虚热之别,中药治疗清热解毒,根据清热药的功效及其主治证的差异,可分为多种类型,这些药具有药效不够明显,治疗时间较长等问题。
发明内容
本发明克服现有技术存在的不足,提供一种清热解毒疗效好,疗程短的清热解毒的中药制剂。
本发明的技术方案是:一种清热解毒的中药制剂,由以下原料中药制成:金银花30克,连翘20克,栀子20克,丹皮15克、白芍15克、龙胆10克,白芍15克,龙胆10克,黄芩20克,白花蛇草30克,石膏30克,知母20克,土伏苓20克,大青叶30克,白毛根30克,茯苓20克,白术20克,大黄4克,生地黄10克,元参10克,甘草10克。
制取方法:取上述原料药,加水2000ml,浸泡一个小时后,文火煎煮至药液剩300ml,滤出药液。再次加水1000ml,文火煎煮至药液剩200ml,滤出药液,将两次药液混合,平均分成二份,分早晚二次服用。
本发明原料中药的药理药效:
金银花: 清热解毒。《重庆堂随笔》:清络中风火湿热,解温疫秽恶浊邪,息肝胆浮越风阳,治痉厥癫痫诸症。
连翘: 清热解毒;消肿散结 风热感冒。
栀子、丹皮、白芍、龙胆,皆泻肝家之火,其中却自有别,宜用栀子以清其气,气清火亦清,肝得辛为补,丹皮之辛,从其性以醒之,是即为补,肝受补,气展而火亦平,肝气过散,宜白芍制之,平其性即所以泻其火,使之不得自逞,火盛肝气必实,龙胆苦以泄其气,寒以制其火,故非实,胆草不用,如不审其究竟而混投之,是伐其生生之气,即使火气悉除,而人已惫矣。"
黄芩: 泻实火,除湿热,止血,安胎。《本草经疏》:"黄芩,其性清肃,所以除邪;味苦所以燥湿;阴寒所以胜热,故主诸热。诸热者,邪热与湿热也,黄疸、肠澼、泄痢,皆温热胜之病也,折其本,则诸病自瘳矣。苦寒能除湿热,所以小肠利而水自逐,源清则流洁也。血闭者,实热在血分,即热入血室,令人经闭不通,湿热解,则荣气清而自行也。恶疮疽蚀者,血热则留结,而为痈肿溃烂也;火疡者,火气伤血也,凉血除热,则自愈也。
白花蛇草:清热解毒;利湿。《泉州本草》:清热散瘀,消痈解毒。治痈疽疮疡,瘰疬。又能清肺火,泻肺热。治肺热喘促、嗽逆胸闷。
石膏: 解肌清热;除烦止渴。《长沙药解》:清心肺,治烦躁,泄郁热,止燥渴,治热狂,火嗽,收热汗,消热痰,住鼻衄,调口疮,理咽痛,通乳汁,平乳痈,解火灼,疗金疮。
知母: 清热泻火;滋阴润燥;止渴除烦。张元素:凉心去热,治阳明火热,泻膀胱肾经火,热厥头痛,下痢腰痛,喉中腥臭。
土伏苓: 清热除湿;泄浊解毒;通利关节。《本草正义》:土茯苓,利湿去热,能入络,搜剔湿热之蕴毒。其解水银、轻粉毒者,彼以升提收毒上行,而此以渗利下导为务,故专治杨梅毒疮,深入百络,关节疼痛,甚至腐烂,又毒火上行,咽喉痛溃,一切恶症。
大青叶:清热解毒;凉血消斑。《本经逢原》:大青,泻肝胆之实火,正以祛心胃之邪热,所以小儿疳热、丹毒为要药。
白毛根:凉血止血;清热生津;利尿通淋。《本草正义》:白茅根,寒凉而味甚甘,能清血分之热,而不伤干燥,又不粘腻,故凉血而不虑其积瘀,以主吐衄呕血。泄降火逆,其效甚捷,故又主胃火哕逆呕吐,肺热气逆喘满。且甘寒而多脂液,虽降逆而异于苦燥,则又止渴生津,而清涤肺胃肠间之伏热,能疗消谷燥渴。又能通淋闭而治溲血下血,并主妇女血热妄行,崩中淋带。又通利小水,泄热结之水肿,导瘀热之黄疸,皆甘寒通泄之实效。然其甘寒之力,清泄肺胃,尤有专长,凡齿痛龈肿,牙疳口舌诸疮,及肺热郁窒之咽痛腐烂诸证,用以佐使,功效最着,而无流弊。
茯苓:渗湿利水,益脾和胃,宁心安神。
白术:健脾益气;燥湿利水。《本经逢原》:白术,生用有除湿益燥,消痰利水,治风寒湿痹,死肌痉疸,散腰脐间血,及冲脉为病,逆气里急之功;制熟则有和中补气,止渴生津,止汗除热,进饮食,安胎之效。
大黄: 泻热毒,破积滞,行瘀血。
生地黄:清热凉血。该品味甘苦、性寒而入血分,能清营血分之热而凉血。用于温热病之高热、口渴、舌红绛,处方如清营汤。另外,该品通过凉血尚有止血之功效,可用于血热的各种出血症。
元参:清热凉血:本品味咸性寒,能入血分而清热凉血。用于温热病热入营血,常配生地、丹皮等同用。养阴清热:本品质润多液,能养阴生津。用于热病伤津,常配麦冬、生地等同用。泻火解毒:本品味兼苦而性寒,并有清热泻火的作用,泻火所以解毒(热毒)。用于温热病发斑,热毒盛之咽痛、目赤、耳肿等症。常配麦冬、生地、黄芩、连翘等同用。
甘草:清热解毒,润肺止咳,调和诸药;《药品化义》:甘草,生用凉而泻火,主散表邪,消痈肿,利咽痛,解百药毒,除胃积热,去尿管痛,此甘凉除热之力也。炙用温而补中,主脾虚滑泻,胃虚口渴,寒热咳嗽,气短困倦,劳役虚损,此甘温助脾之功也。但味厚而太甜,补药中不宜多用,恐恋膈不思食也。
上述诸药配伍,不仅有疏散邪之效,更注重通宣肺气,清热凉血。用以治疗上呼吸道感染,流感发烧,热毒盛之咽痛、目赤、耳肿等症。
本发明药源丰富,价格低廉,副作用小。
具体实施方式
下面结合实施例对本发明作进一步说明。
实施例:一种清热解毒的中药制剂,由以下原料中药制成:金银花30克,连翘20克,栀子20克,丹皮15克、白芍15克、龙胆10克,白芍15克,龙胆10克,黄芩20克,白花蛇草30克,石膏30克,知母20克,土伏苓20克,大青叶30克,白毛根30克,茯苓20克,白术20克,大黄4克,生地黄10克,元参10克,甘草10克。制取方法:取上述原料药,加水2000ml,浸泡一个小时后,文火煎煮至药液剩300ml,滤出药液。再次加水1000ml,文火煎煮至药液剩200ml,滤出药液,将两次药液混合,平均分成二份,早晚各服一份。
典型病例
病例1:王某某,男,24岁,中学教师,2014年3月12日患流行性感冒,病情发展迅速,高烧39度,咽喉肿痛,头痛头晕,关节疼痛,不能正常工作,吃大青叶、银翘片、感冒胶囊一天症状没有减轻,服用本发明中药制剂一天体温降至38度,二天症状明显减轻,服用三天康复,能正常工作。
病例2:谢某某,女,46岁,因感冒慢性咽炎加重,喉发干、疼痛,早晨起来感觉咽喉部有异物,并伴有低烧,干咳不止,西医治疗一周,效果不明显,2014年2月23日来我院治疗,主诉:咽干、疼痛、肿胀,说话发声困难,检查:咽喉部红肿,密布小细泡,体温38.5度。治疗:给本发明中药制剂,每日一剂,分两次服用,2天测体温正常,5天后咽喉疼痛消失,肿胀消退。
病例3:李某某,男,21岁,学生,因过食辛辣食品,致内火上挠,口腔生疮,口腔内侧及咽部起泡溃烂,咽干、疼痛、肿胀,进食、说话困难,曾在一些医院进行西医治疗,但效果不理想。2013年9月12日来我院治疗,服用本发明中药制剂,3天后咽喉疼痛消失,服用一周痊愈。
病例4:杨某某,女,45岁,咽疼并发烧,最高体温达39°C,检查发现患者咽粘膜红肿充血,双侧扁桃体Ⅱ度肿大。诊断:慢性扁桃体炎急性发作,急性咽炎,应用本发明清热解毒制剂,每日一剂,服药一天后咽疼明显减轻,三日后,咽疼消失,红肿基本消退,体温恢复正常,服用七天痊愈。
病例5:解某某,女 ,36岁,患者自述:左耳剧痛,听力下降2天。耳部检查,外耳道急性充血,局限隆起,鼓膜红肿充血,诊断为急性中耳炎。服用本发明清热解毒制剂,每日一剂,一天疼痛减轻,三天后,外耳道隆起变小,外耳道充血不明显,鼓膜充血消失,听力改善,一个疗程,红肿消失,外耳道鼓膜均无充血,听力恢复正常,治疗5天彻底康复。
病例6:范某某,男,12岁,症状发烧流鼻涕,检查外鼻肿胀,鼻粘膜充血,诊断为鼻前庭炎,服用本发明清热解毒口服液,每日三次,每次20 ml,一天体温基本恢复正常,鼻前庭粘膜充血减轻,第三日,鼻痛,流涕,等症状均消失,一周痊愈。

Claims (1)

1.一种清热解毒的中药制剂,其特征在于,由以下原料中药制成:金银花30克,连翘20克,栀子20克,丹皮15克、白芍15克、龙胆10克,白芍15克,龙胆10克,黄芩20克,白花蛇草30克,石膏30克,知母20克,土伏苓20克,大青叶30克,白毛根30克,茯苓20克,白术20克,大黄4克,生地黄10克,元参10克,甘草10克;制取方法:取上述原料药,加水2000ml,浸泡一个小时后,文火煎煮至药液剩300ml,滤出药液,再次加水1000ml,文火煎煮至药液剩200ml,滤出药液,将两次药液混合,平均分成二份,分早晚二次服用。
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