CN104491728B - It is a kind of to treat retention of damp-heat in the interior, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer - Google Patents

It is a kind of to treat retention of damp-heat in the interior, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer Download PDF

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CN104491728B
CN104491728B CN201410815663.9A CN201410815663A CN104491728B CN 104491728 B CN104491728 B CN 104491728B CN 201410815663 A CN201410815663 A CN 201410815663A CN 104491728 B CN104491728 B CN 104491728B
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volatile oil
vinegar
stir
immature fruit
citron orange
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CN104491728A (en
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李墨航
党辉
陈天朝
郭淑云
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Henan University of Traditional Chinese Medicine HUTCM
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Abstract

The present invention relates to treatment retention of damp-heat in the interior, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, effectively solve treatment peptic ulcer, and eliminate pain, turgor, receive poor deficiency of food, it is glutted after food, general acid regurgitation water, belch frequency is made, the medication problem for the symptom such as bitter taste is sticky, method is, by the 220g of vinegar corydalis tuber 180, the 450g of the capsule of weeping forsythia 350, the 700g of dandelion 500, the 220g of stir-baked RHIIZOMA CURCUMAE with vinegar 180, the 200g of the coptis 160, the 70g of evodia rutaecarpa 50 processed, the 260g of the dried immature fruit of citron orange 220, the raw 220g of the Radix Astragali 180, the 330g of the bletilla striata 270 is made, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed, add water distillating extracting oil, the another device of the aqueous solution after volatile oil is extracted to preserve;The dregs of a decoction after volatile oil are extracted to mix with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, add water to cook, decocting liquid merges with extracting the aqueous solution after volatile oil, is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, granulation, dry, volatile oil is added, scientific formula of the present invention, with clearing away heat and eliminating dampeness, regulating qi to disperse stagnation, the inverse relieving haperacidity of drop, Tuoli myogenic function, good effect.

Description

It is a kind of to treat retention of damp-heat in the interior, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer
Technical field
The present invention relates to medicine, be it is a kind of treat retention of damp-heat in the interior, stagnation of QI-blood type peptic ulcer Chinese medicinal granule (also known as The profound even particle of compound).
Background technology
Peptic ulcer (peptic ulcer, PU) is clinical common, multiple disease of digestive system, and most data are shown About 10%~12% people can suffer from the disease in life.At present, due to the continuous aggravation of social competition, increase in thought of people pressure Greatly, nervous, a series of undesirable elements such as irregular, eating and drinking without temperance, the change of diet structure, habits of smoking and alcohol drinking of living stimulations Under, the incidence of disease for causing this sick constantly rises, although with Western medicine H2The antisecretory such as receptor antagonist and proton pump inhibitor Extensive use, its recent cure rate up to 90% or so, but generally observation show, its Ulcer cicatrization quality (QOUH) is poor, answer Hair rate height is clinical still unsolved problem.According to relevant statistics, after ulcer healing the natural recurrence rate of 1 year for 50~ 60%, and the recurrence rate in 2 years is then up to more than 60~90%, therefore Ulcer cicatrization quality is improved, prevent the recurrence after healing It is the emphasis that should be studied from now on.So far, increasing expert thinks:" healing of ulcer does not refer to merely filling for mucomembranous defect Fill out and repair, with greater need for the reconstruction of mucosal tissue structure." simple acid suppression, relieving haperacidity is only to improve Stomach duodenum chamber PH value, but not change ulcer natural history, and on evidence prompting Acidinhibitor it is stronger, its be discontinued after ulcer recurrence when Between it is more early, then improve the healing quality of ulcer, improve the structure of callus, strengthen its ability for damaging again of resistance so that Effectively prevent recurrence from then seeming to be even more important.
Find that, with the Peptic Ulcers of Chinese medicine, recurrence rate is substantially reduced, very according to substantial amounts of clinical observation To there is for many years not recidivist, some patients take Chinese herb on the prevention, then entirely prevented in advance in the autumn and winter easily recurred or at the end of winter and the beginning of spring The recurrence of ulcer, result, it is believed that further investigation Chinese medicine is promoting Ulcer cicatrization quality, prevents in terms of ulcer recurrence, has Good prospect.It is clinically how dialectical with tradition at present with Chinese medicine peptic ulcer, according to the different interpretation of the cause, onset and process of an illness and card type, Different prescriptions are imposed respectively, and for various reasons, it is used and unsatisfactory existing Chinese medicine prescription, and particularly patient takes medicine Inconvenience, some Chinese patent drugs for treatment peptic ulcer adaptive surfaces are narrower, can not meet the reality to treating digestive ulcer medicament Need, therefore, strengthen the rules for the treatment of prescription research that traditional Chinese medicine promotes Ulcer cicatrization quality and antiulcer recurrence, in specification case mark On the premise of the accurate, course for the treatment of and efficacy evaluation, find and adapt to wide, late result is consolidated, and convenient to take, effect is good, without any poison The medicine of side effect, is urgent problem to be solved.
The content of the invention
For above-mentioned situation, to overcome the defect of prior art, the purpose of the present invention is just to provide one kind and treated in damp and hot Accumulate, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, can effectively solve to treat peptic ulcer, and eliminate pain, turgor is received Glutted after poor deficiency of food, food, general acid regurgitation water, belch frequency is made, the medication problem for the symptom such as bitter taste is sticky.
The technical scheme that the present invention is solved is that the Chinese medicine is by weight meter:Vinegar corydalis tuber 180-220g, capsule of weeping forsythia 350- 450g, dandelion 500-700g, stir-baked RHIIZOMA CURCUMAE with vinegar 180-220g, the coptis 160-200g, evodia rutaecarpa 50-70g processed, dried immature fruit of citron orange 220-260g, Raw Radix Astragali 180-220g, bletilla striata 270-330g are made, wherein, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed add water to submerge, heating is steamed Extraction volatile oil is evaporated, volatile oil is standby, extract the another device of the aqueous solution after volatile oil and save backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and Wu Zhu processed Cornel extracts the dregs of a decoction after volatile oil and mixed with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, adds water to submerge every time, Decoct three times, 1.5h, second and third each pan-fried 1h are decocted for the first time, merge three decocting liquids, filtration, after said extracted volatile oil The aqueous solution merges, and is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, pelletizes, dries, and adds above-mentioned volatile oil and mixes, i.e., Into the Chinese medicinal granule of the present invention.
Prepared by scientific formula of the present invention, easily abundant raw material, production, medicine is mutually propped up by monarch, minister, the principles of formulating prescriptions helped, made Hold, with clearing away heat and eliminating dampeness, regulating qi to disperse stagnation, the inverse relieving haperacidity of drop, Tuoli myogenic function.It is normal that clinic is mainly used in treatment peptic ulcer The retention of damp-heat in the interior seen, stagnation of QI-blood type patient.Good effect, it is cheap, take easy to carry, be treatment digestive ulcer medicament On innovation.
Embodiment
The embodiment to the present invention elaborates with reference to embodiments.
The present invention can be provided in specific implementation by following examples.
Embodiment 1
The present invention, can also be by weight meter in specific implementation:Vinegar corydalis tuber 190-210g, the capsule of weeping forsythia 370-420g, Pu Gong English 550-650g, stir-baked RHIIZOMA CURCUMAE with vinegar 190-210g, the coptis 170-190g, evodia rutaecarpa 55-65g processed, dried immature fruit of citron orange 230-250g, raw Radix Astragali 190- 210g, bletilla striata 290-310g is made, wherein, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed add water to submerge, volatilization is extracted in heating distillation Oil, volatile oil is standby, extracts the another device of the aqueous solution after volatile oil and saves backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed extract volatilization The dregs of a decoction after oil are mixed with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, are added water to submerge, are decocted three times every time, 1.5h, second and third each pan-fried 1h are decocted for the first time, merges three decocting liquids, and filtration is closed with the aqueous solution after said extracted volatile oil And, the medicinal extract that 80 DEG C of relative densities are 1.35 is concentrated under reduced pressure into, is pelletized with granulator, is dried, above-mentioned volatile oil is added and mixes, i.e., Into the Chinese medicinal granule of the present invention.
Embodiment 2
The present invention is in specific implementation, and the Chinese medicine is by weight meter:Vinegar corydalis tuber 200g, capsule of weeping forsythia 400g, dandelion 600g, Stir-baked RHIIZOMA CURCUMAE with vinegar 200g, the coptis 180g, evodia rutaecarpa 60g processed, dried immature fruit of citron orange 240g, raw Radix Astragali 200g, bletilla striata 300g are made, wherein, by vinegar cowherb Art, the dried immature fruit of citron orange and evodia rutaecarpa processed, add water to submerge, and heat distillating extracting oil, and volatile oil is standby, extract the aqueous solution after volatile oil Another device is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed extract the dregs of a decoction and vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, Huang after volatile oil Even, the raw Radix Astragali, bletilla striata mixing, add water to submerge, decoct three times, 1.5h, second and third each pan-fried 1h are decocted for the first time, merge three every time Secondary decocting liquid, filtration, merges with the aqueous solution after said extracted volatile oil, is concentrated under reduced pressure into the leaching that 80 DEG C of relative densities are 1.35 Cream, is pelletized with granulator, is dried, and is added above-mentioned volatile oil and is mixed, the present invention Chinese medicinal granule.
Embodiment 3
The present invention also can be by weight meter:Vinegar corydalis tuber 185g, capsule of weeping forsythia 440g, dandelion 510g, stir-baked RHIIZOMA CURCUMAE with vinegar 205g, the coptis 165g, evodia rutaecarpa 68g processed, dried immature fruit of citron orange 205g, raw Radix Astragali 215g, bletilla striata 275g are made, wherein, by stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and Wu Zhu processed Cornel, is added water to submerge, and heats distillating extracting oil, and volatile oil is standby, is extracted the another device of the aqueous solution after volatile oil and is saved backup;Vinegar Curcuma zedoary, the dried immature fruit of citron orange and evodia rutaecarpa processed extract the dregs of a decoction and vinegar corydalis tuber after volatile oil, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata Mixing, is added water to submerge every time, is decocted three times, for the first time pan-fried 1.5h, second and third each pan-fried 1h, three decocting liquids of merging, filtration, with The aqueous solution after said extracted volatile oil merges, and is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, is pelletized with granulator, Dry, add above-mentioned volatile oil and mix, the present invention Chinese medicinal granule.
Embodiment 4
The present invention, can also be by weight meter in specific implementation:Vinegar corydalis tuber 215g, capsule of weeping forsythia 360g, dandelion 680g, vinegar Curcuma zedoary 186g, the coptis 195g, evodia rutaecarpa 53g processed, dried immature fruit of citron orange 255g, raw Radix Astragali 185g, bletilla striata 320g are made, wherein, by stir-baked RHIIZOMA CURCUMAE with vinegar, The dried immature fruit of citron orange and evodia rutaecarpa processed, add water to submerge, and heat distillating extracting oil, and volatile oil is standby, and the aqueous solution extracted after volatile oil is another Device is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed extract the dregs of a decoction and vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, Huang after volatile oil Even, the raw Radix Astragali, bletilla striata mixing, add water to submerge, decoct three times, 1.5h, second and third each pan-fried 1h are decocted for the first time, merge three every time Secondary decocting liquid, filtration, merges with the aqueous solution after said extracted volatile oil, is concentrated under reduced pressure into the leaching that 80 DEG C of relative densities are 1.35 Cream, is pelletized with granulator, is dried, and is added above-mentioned volatile oil and is mixed, the present invention Chinese medicinal granule.
In said medicine, wherein:
Corydalis tuber bitter, pungent, warm-natured, Return liver, spleen, the heart channel of Hang-Shaoyin;Function promoting the circulation of qi, promoting blood circulation, analgesic.Cure mainly all pains of stagnation of QI-blood Stasis in card, the stagnation of the circulation of vital energy in this product energy promoting circulation of blood, gas.《It is brave that book on Chinese herbal medicine multiplies refined half》Carry it:" drum blood in gas, the blood in promoting the circulation of qi, it is empty then Mend, put down actually, cause newly pushes away old, push away the new good thing of old cause ".Modern pharmacology confirms that corydalis tuber has expansion blood vessel, changes disease Blood at change irrigates that there is provided necessary nutriment, it is ensured that, accelerate muscle layer and the speed and matter of mucomembranous epithelial cell renewal Amount, can promote Ulcer cicatrization quality.
Capsule of weeping forsythia bitter, is slightly cold, return lung, the heart, Liver Channel;Function is clearing heat and detoxicating, carbuncle that disappears dissipating bind, and has the title of " persons particularly liable to develop skin infection's panacea ". 《Bencao Jingshu》Claim it:" refrigerant with except stagnant heat, fragrance lightly floats with Disperse hepatic depression, then seek Wei Tonghe and sore swells disappear ".Modern pharmacology Research has shown that, the decocting liquid of the capsule of weeping forsythia, to shigella dysenteriae, typhoid bacillus, staphylococcus aureus, has obvious suppression, has Antibacterial and anti-inflammation functions;Contained rutin, citrin composition, can improve the resistivity of capillary, prevent thin vessels in the capsule of weeping forsythia Bleeding.
Dandelion is sweet, bitter, cold, Return liver, stomach;Function is clearing heat and detoxicating, and dissipating bind disappears carbuncle.《A supplement to augmented materia medica》Calling it has The work(of " change heat toxin " " scattered stagnant gas ".《Herbal justice》Claim:" its property is refrigerant, controls all furunculosis, large carbuncle, all diseases of red and swollen heat toxin." medicine Manage verification experimental verification:Dandelion has height bacteriostasis;Its extract has significant protective effect to gastric mucosa of rat, to repair and Bleeding, the erosion of adjustment peptic ulcer play an important role, and can reduce inflammation and ooze out, and change the microcirculation of diseased region.
Curcuma zedoary bitter, pungent, nontoxic, Return liver, the spleen channel;Function, promoting qi circulation and relieving pain, disperse accumulations appetizing, anti-nausea sour water.《Book on Chinese herbal medicine is logical It is profound》Claim it:" broken accumulation extravesated blood is dredged phlegm food and had a pain ",《Japan hanako materia medica》It is claimed " to control all gas, appetite-stimulating indigestion-relieving.”《Book on Chinese herbal medicine is standby Will》Saying it, " dispersing blood stasis is stimulated the menstrual flow, helping digestion of whetting the appetite, removing toxic substances analgesic." modern pharmacological research shows, its have certain Hang Yan analgesias, antibacterial it Work(, curcuma zedoary is mainly using curzerenone as main component, and its blood-breaking dissipates the stasis of blood and acts on mainly relevant with increase blood flow volume, can change routed The blood of ulcer lesion irrigates that there is provided necessary nutriment, it is ensured that, accelerate muscle layer and mucomembranous epithelial cell renewal speed and Quality, can promote Ulcer cicatrization quality.
The coptis, big hardship Great Cold, the thoughts of returning home, liver, stomach, large intestine channel;Function heat-clearing and damp-drying drug, purging intense heat and detonicating.《Bencao Jingshu》Call it: " water removal, thick stomach, wash away intestines, stomach, spleen three it is damp and hot." " feeling of fullness stomachache can disappear, and the remorse sore of carbuncle can be cured ".The coptis contains the coptis Element, with very wide antibacterial action, and can increase the phagocytic activity of leucocyte, a- adrenergics are blocked by competitiveness suppression Acceptor expands peripheral vascular, improves microcirculation, there is cholagogic, antipyretic, analgesia, calm, elimination anxiety and anti anoxia, antiulcer etc. again Multi-efficiency.
Evodia rutaecarpa bitter, pungent, heat, slightly poisonous, Return liver, spleen, stomach;Function is soothing the liver lower gas, cold dispelling eliminating dampness.《This warp》Claim Its:" lower gas, analgesic, dehumidify blood-arthralgia." evodia rutaecarpa and the coptis shared as recipe Zuojin Wan, all have it is pungent open bitter drop, the inverse relieving haperacidity of drop it Work(.
Dried immature fruit of citron orange bitter, it is pungent, be slightly cold, returns spleen, stomach, large intestine channel;Function relieving stagnant Qi removes ruffian, and resolving sputum disperse accumulations, pungent row hardship drop " removes stomach In it is damp and hot " (《Pearl sac》), consumer product dredge stasis, removing heat by catharsis expells the pathogenic heat.《Changsha medicine solution》Claim it:" broken knot opens the stasis of blood, lets out ruffian and disappears completely, washes away strongly fragrant Old, power is high violent, and non-this of thing that all corruption stop up resistance does not disappear.”《Medicineization justice》Call it:" stomach excess is specially let out, hard knot is convinced by patient analysis, thus it is main The middle part of gastric cavity is to control blood system." modern study discovery:The dried immature fruit of citron orange contains the materials such as volatile oil and glycosides displayed.Its water decoction can put down dog small intestine Sliding Muscle tensility and motor function enhancing, and stomach and intestine blood vessel dilatation can be made, improve intestines and stomach blood supply;The dried immature fruit of citron orange can make the courage in blood Capsule shrinks element or motilin levels increase and promote gallbladder contraction, promotes digestion, and 20% dried immature fruit of citron orange volatile oil has prevention rat pylorus The effect of ulcer formation is ligatured, and stomach liquid measure, the secretion of hydrochloric acid in gastric juice and the activity of pepsin can be substantially reduced.
The raw Radix Astragali is sweet, warm-natured, return lung, the spleen channel;Function tonifying middle-Jiao and Qi, kind to control weakness of the spleen and the stomach, raw user, there is apocenosis hemostasis Work(, to being burst in the purulence blood of large carbuncle, yang-energy is empty and unhealed can myogenic meat;It is empty to yang-energy without burst person can joe pus poison,《Soup sheet Grass》Calling it, " tonifying five zang organs is all empty not enough, and rushes down yin fire, abnormal heat of dispelling.”《Book on Chinese herbal medicine is just》Yan Qi:" survivor, it is micro- cool, ulcer can be controlled ".《This Grass is standby will》Claim it:" rushing down yin fire, expelling pathogenic factors from muscles and skin heat, bowl spares, strong taste ".Modern pharmacology experimental study proves that the raw Radix Astragali is improved body Immunologic function, improves stomach and intestine blood circulation, increases stomach and intestine blood supply, corrects local organization hypoxic-ischemic, adjusts gastrointestinal motility, And the secretory volume of gastric juice and hydrochloric acid in gastric juice can be reduced, and weaken attack factor, gastric mucosa is protected, promotes injury tissue reparation.
Bletilla striata bitter, sweet, cold, return lung, stomach Liver Channel;Function hemostasia and detumescence, myogenic sore controls skin sore, canker sores. 《Bencao Jingshu》Cloud:" bletilla striata, hardship can expel the heat-evil, it is pungent can radiating knot, ulcer is not all by Ying Qi from inverse in being given birth in meat ... ..., enters Blood system is to expel the heat-evil, and dissipating bind wastes not Liao by corruption, then all diseases.”《Collected statements on the herbal foundation》Calling it, " carbuncle swells can disappear, routed to hold in the palm, and dead flesh can Go, purulence blood can be clean, there is the new magical effect of de- old life." bletilla striata formed Bletilla glucomannan can mucomembranous surface formation one layer of cover layer, increase Strong barrier of gastric mucosa, prevents the erosion of hydrochloric acid in gastric juice and pepsin to mucous membrane, so as to weaken the Recurrence of ulcer.
Mutual support between said medicine, with clearing away heat and eliminating dampeness, regulating qi to disperse stagnation, drop against relieving haperacidity, the function of Tuoli myogenic, Especially for damp and hot middle resistance, the treatment of stagnation of QI-blood type active stage ulcer, with too many levels, stage construction, Mutiple Targets, multipath Mechanism of action and the few advantage of adverse reaction, be effectively used for treating peptic ulcer, abundant card obtained through clinical test It is bright, and the advantageous effects for making us very satisfied are achieved, relevant clinical data is as follows:
(1) standard of case is selected
Peptic ulcer refers mainly to betide stomach and duodenal chronic ulcer, is a frequently-occurring disease, common disease.Ulcer Various factors is formed with, wherein acidic gastric juice is the Fundamentals of ulcer formation to the digestion of mucous membrane, is hence obtained one's name.It is acid Gastric juice contact any position, as distal esophagus, the postoperative previous anastomotic of gastrointestinal anastomosis, jejunum and with Ectopic Gastric Mucosa Meckel diverticulums, most of ulcer betides duodenum and stomach, therefore also known as taste-blindness rate.Clinical manifestation is Pain, turgor receives poor deficiency of food, glutted, general acid regurgitation water after food, and belch frequency is made, the symptom such as bitter taste is sticky, through endoscopy, there is routed Ulcer face.It is all that there is above-mentioned symptom person, the alternatively standard of case, and give Chinese medicinal granule treatment of the present invention.
(2), diagnostic criteria
1 Western medicine diagnostic criteria:Reference《New Chinese medicine treats the guideline of clinical investigations of peptic ulcer》(try within 2002 OK) and national higher institutions of Chinese medicine programming textbook the 7th edition《Chinese Internal Medicine》
1.1. clinical criteria
(1) periodicity of prolonged and repeated breaking-out, the chronic upper abdomen pain of rhythmicity, using antisecretory and alkaline drug It can alleviate.
(2) upper abdomen has limitation deep in tenderness.
(3) the visible active stage ulcer of endoscopy.
Showed by stages under 1.2 canker gastroscopes
(1) active stage (A phases) is the initial stage of morbidity, and ulcer edge inflammation, oedema is obvious, and tissue repair is not yet sent out It is raw.
A1Phase:Thick white tongue is draped over one's shoulders at bottom, can be filthy, tongue can exceed at some positions can have on ulcer margin, tongue blutpunkte or Sludged blood adheres to, and periphery mucous membrane bulges into dike shape, and hyperemia, oedema, erosion are showed in obvious inflammation.
A2Phase:The inflammation oedema of this phase ulcer margin substantially mitigates, and white tongue cleaning, border is distinct, and marginal portion starts The re-epithelialize now taken on a red color, starts the performance for pleat concentration occur.
(2) healing stage (H phases) this phase ulcer reduces, inflammatory resolution, and re-epithelialize and pleat concentrate obvious.
H1Phase:Ulcer reduces, and shoals, white tongue the smooth of the edge, and peripheral oedema disappears, and edge re-epithelialize substantially, takes on a red color Palisade, pleat is concentrated, and reaches ulcer edge.
H2Phase:Ulcer is obviously reduced, and white tongue is thinning, and re-epithelialize scope is widened.
(3) scar phase (S phases) this phase ulcer is repaired completely, is re-epithelialize covering.
S1Phase:Mucosa Defect has been entirely re-epithelialize covering, and rubescent re-epithelialize is in palisade, the radial row of centrality Row, there is the red cicatricial phase of title.
S2Phase:Re-epithelialize is thickened, and red disappears, roughly the same with mucous membrane around, and pleat concentrates unobvious, but visible glutinous Film concentrates picture, also known as white cicatricial phase.
2 Syndrome in TCM marquis diagnostic criteria (retention of damp-heat in the interior, stagnation of QI-blood type):Reference《New Chinese medicine treatment peptic ulcer Guideline of clinical investigations》(trying for 2002) and national higher institutions of Chinese medicine programming textbook the 7th edition《Chinese Internal Medicine》
2.1 primary symptom:(1) gastral cavilty portion distending pain, shouting pain, scorching hot pain.(2) gastral cavilty turgor
2.2 diseases:(1) food of receiving reduces glutted after (2) food.
(3) the general acid regurgitation water of belch (4).
(5) bitter taste is sticky
2.3 tongue picture:Red tongue body, or dimly red tongue, or tongue with ecchymosis;Thin lingual fur is yellow, or yellow greasy.
2.4 pulse condition:Uneven pulse, or chord number.
2.5 tcm symptom weights are classified and scored:Reference《The clinical research of new Chinese medicine treatment peptic ulcer is instructed Principle》.
3 experiment case standards:
3.1 include case standard:
(1) age is between 18-65 Sui, no matter men and women
(2) meet Western medicine diagnostic criteria and tcm diagnosis standard (primary symptom possess more than one or two, secondary disease binomial and Tongue, pulse condition possess).
Ulcer active stage is turned out to be through gastroscope in (3) 1 weeks, ulcer diameter is in 3mm to person between 10mm.
(4) HP positives are included after being sterilized by the course for the treatment of.
3.2 Excluded cases standards:
(1) endoscope turns out to be giving a farfetched interpretation property ulcer, gastric ulcer merging severe dysplasia person.
(2) occur complication in 30 days before the test and carry out operator.
(3) there is the gastric ulcer of cause specific, the person as caused by gastrinoma, hepatic sclerosis etc..
(4) women of the gestational period or preparation gestation, women breast-feeding their children.
(5) allergic constitution or to multi-medicament allergy sufferers.
(6) having other complication to affect the treatment observation or has the disease of taboo to trial drug.
(7) severe primary such as angiocarpy, liver, kidney and hemopoietic system disease, mental patient are associated with.
(8) indulge in excessive drinking or there are other to be unfit to do drug test observer.
(9) inclusive criteria is not met, not by regulation drug user.
(3), therapeutic scheme
It is all to make a definite diagnosis the patient with retention of damp-heat in the interior, stagnation of QI-blood type peptic ulcer and be entered using Chinese medicinal granule of the present invention Row treatment, sets during treatment and simultaneously control group, and treatment group's Chinese medicinal granule of the present invention is twice daily taken with warm water, every time 10g, even served two months;Control group uses Couoidal bismuth pectin capsules, every time 3 (150mg), and 3 times a day, while even served two Month, count curative effect.
(4), efficacy assessment standard
(reference《New drug (Chinese medicine) guideline of clinical investigations》)
1st, gastroscopy effect evaluation criterion
(1) fully recover:Ulcer tongue, which disappears, under gastroscope (is in S2Phase), gastric mucosa is congested, and the sign such as oedema disappears, and gastric mucosa is in Chinese red, symptom is wholly absent.
(2) it is effective:Ulcer tongue disappears substantially under gastroscope (is in S1Phase), the sign such as gastric mucosa hyperemia, oedema is clearly better, Remission, has clear improvement.
(3) effectively:Ulcer tongue is substantially thinning under gastroscope, and ulcer (is in H close to healing2Phase), gastric mucosa is congested, oedema has Improved, other symptoms also make moderate progress.
(4) it is invalid:Ulcer surface is reduced below 50%, and the sign such as gastric mucosa hyperemia, oedema is unchanged.
2nd, tcm syndrome efficacy assessment standard
Therapeutic effect of syndrome is judged according to integration method:
Therapeutic index (n) ﹦ (treat after preceding integration ﹣ is treated and integrate)/treat preceding integration × 100%
(1) clinical recovery:Clinical symptoms, sign disappear or basic disappearance, therapeutic index >=90%.
(2) it is effective:Clinical symptoms, sign are obviously improved, therapeutic index >=70%, < 90%.
(3) effectively:Clinical symptoms, sign take a favorable turn, therapeutic index >=30%, < 70%.
(4) it is invalid:Clinical symptoms, sign are not improved, even aggravate, therapeutic index < 30%.
(5), statistical procedures
Handled using SPSS13.0 statistical analysis softwares, measurement data is examined with t, enumeration data χ2Examine, grade money Material is analyzed with Ridit.
Two groups are divided at random to 120 patients made a definite diagnosis according to above-mentioned therapeutic scheme, two groups in sex, age, the course of disease On without significant difference, Chinese medicine syndrome integral is without significant difference (table 1).
The ordinary circumstance of the treatment group of table 1 and control group compares
Using χ2Examine, there was no significant difference in treatment group and control group gender's composition, p>0.05, examined using t There was no significant difference in age, the course of disease for two groups of cases, P>0.05.
1st, two groups of case gastroscopy effects compare
Two groups of gastroscopy effects compare
Note:Two groups of gastroscopy effects compare, χ2=5.10, P<0.05, treatment group is better than control group
2nd, two groups of case tcm syndrome comparitive studies
Two groups of tcm syndrome comparitive studies
Note:Two groups of tcm syndrome comparitive studies, χ2=4.01, P<0.05, treatment group is better than control group.
During treating, do not occur obvious adverse reaction and obvious toxic-side effects before and after two groups of case treatments.
(6) model case
Gong, man, 52 years old, office worker.The first visit date:On October 18th, 2013.
Main suit:Gastral cavilty portion pain more than 3 years.
Medical history and therapeutic process:Patient before 3 years unknown cause there is gastral cavilty portion turgor pain, before meals, after meal more so, appetite Can.From medicine unsatisfactory curative effects such as clothes " hedgehog hydnum stomach invigorating spirit ", i.e., to the diagnosis and treatment of Baoji institute of traditional Chinese medicine.On July 17th, 2012 looks into stomach mirror:1. Chronic superficial gastritis, 2. plyability multiple ulcer active stages.Taking anti-ulcer medicament (specific medicine is unknown), symptom has afterwards Alleviated, but above-mentioned symptom is aggravated in the recent period.It is existing symptoms include:The scorching hot distending pain in gastral cavilty portion, when tingle, gastral cavilty turgor, receive food reduce, Glutted after food, general acid regurgitation water, bitter taste is sticky.Red tongue body, tongue slightly yellow greasy, arteries and veins slightly chord number.Tcm diagnosis:Stomachache (retention of damp-heat in the interior, gas Blood stasis type).Doctor trained in Western medicine is diagnosed:1. chronic superficial gastritis;2. plyability multiple ulcer active stage.Give compound profound company Grain, daily 1 dose (bag) divides 2 times orally.After clothes medicine-feeding 15 days, the scorching hot distending pain in patient's gastral cavilty portion substantially mitigates, tingling sensation disappears, Gastral cavilty turgor, general acid regurgitation water, bitter taste is sticky also mitigates, and receives food increase, glutted after food to disappear.Keep prescription following the service first quarter moon, patient The diseases such as the scorching hot distending pain in gastral cavilty portion disappear substantially, and slightly gastral cavilty turgor, general acid regurgitation water, bitter taste are sticky, and food of receiving increases.Still with above-mentioned side Medicine following the service one month, all diseases of patient disappear, and check stomach mirror:Chronic superficial gastritis;Ulcer healing.
Liu, man, 38 years old.First visit:On March 6th, 2012.
Main suit:Discontinuity gastral cavity pain more than 6 years.
Medical history and therapeutic process:Readme discontinuity gastral cavity pain more than 6 years, it is long-term alternately to take compound stomach friend, readily take the opportunity to stomach, thunder Buddhist nun replaces fourth, stomach celestial being-u, bisuc stomach tablet, the Western medicine such as famotidine, weight when light during the state of an illness.Prompted for through multiple gastroscope, barium meal examination Gastric ulcer.The scorching hot pain of existing gastral cavilty, sore spot tenderness, belch, dry mouth with bitter taste, food of receiving is reduced, vexed irritability, noisy pantothenic acid, bitter taste Sticky, just dry color is black.Red tongue body, tongue slightly yellow greasy, arteries and veins slightly chord number.Tcm diagnosis:Have a stomachache (retention of damp-heat in the interior, stagnation of QI-blood type).West Doctor's diagnosis:Gastric ulcer.Give compound profound even particle, daily 1 dose (bag) divides 2 times orally.After clothes medicine-feeding 15 days, patient's gastral cavilty burns Bitterly, dry mouth with bitter taste, belch, dysphoria subtracts greatly, noisy pantothenic acid, and just dry color is black disappears, and sense poor appetite, tongue nature is slightly red, and tongue is micro- Yellow greasy, arteries and veins slightly chord number.Still with the profound even particle of compound, daily 1 dose (bag) divides 2 times orally.Patient's slightly gastral cavilty take medicine 15 days again after The diseases such as cusalgia, dry mouth with bitter taste, noisy pantothenic acid, receive food increase, and after with above-mentioned Regimen Chemotherapy one month, all diseases disappear, and check gastroscope Show:Gastric ulcer healing.
(7), conclusion
By above-mentioned it should be apparent that Chinese medicinal granule abundant raw material of the present invention, method is simple, easily preparation carries kimonos With convenient, with clearing away heat and eliminating dampeness, regulating qi to disperse stagnation, drop against relieving haperacidity, the function of Tuoli myogenic, effective for treatment peptic ulcer (retention of damp-heat in the interior, stagnation of QI-blood type) patient, good effect, effective percentage up to more than 93% and has no toxic side effect, and faces with very big Bed meaning and practical value, are to treat the innovation on digestive ulcer medicament, economic and social benefit is huge.
It is noted that the above-mentioned embodiment that provides is for illustrating the embodiment of the present invention, rather than it is used for Limit the scope of the invention, Chinese medicine of the present invention in practice can also be as needed, be made according to a conventional method tablet, pill, Capsule, powder, oral liquid and decoction etc. are various to be suitable to oral preparation, therefore, every to use Chinese medicine composition of the present invention, no matter It is that, into line translation or modification, its essence is identical, belongs to protection scope of the present invention.

Claims (5)

1. a kind of treat retention of damp-heat in the interior, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, it is characterised in that by weight meter: Vinegar corydalis tuber 180-220g, capsule of weeping forsythia 350-450g, dandelion 500-700g, stir-baked RHIIZOMA CURCUMAE with vinegar 180-220g, coptis 160-200g, Wu processed Fruit of medicinal cornel 50-70g, dried immature fruit of citron orange 220-260g, raw Radix Astragali 180-220g, bletilla striata 270-330g are made, wherein, by stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and Evodia rutaecarpa processed, adds water to submerge, and heats distillating extracting oil, and volatile oil is standby, extracts the another device of the aqueous solution after volatile oil and preserves It is standby;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed extract the dregs of a decoction and vinegar corydalis tuber after volatile oil, the capsule of weeping forsythia, dandelion, the coptis, raw Huang Stilbene, bletilla striata mixing, add water to submerge, decoct three times, 1.5h, second and third each pan-fried 1h are decocted for the first time, merge three decocting liquids every time, Filtration, merges with the aqueous solution after said extracted volatile oil, is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, pelletizes, Dry, add above-mentioned volatile oil and mix,.
2. treatment retention of damp-heat in the interior according to claim 1, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, its feature exist In by weight meter:Vinegar corydalis tuber 190-210g, capsule of weeping forsythia 370-420g, dandelion 550-650g, stir-baked RHIIZOMA CURCUMAE with vinegar 190-210g, it is yellow Connect 170-190g, evodia rutaecarpa 55-65g processed, dried immature fruit of citron orange 230-250g, raw Radix Astragali 190-210g, bletilla striata 290-310g is made, wherein, By stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed, add water to submerge, heat distillating extracting oil, volatile oil is standby, extract after volatile oil The another device of the aqueous solution is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed extract the dregs of a decoction and vinegar corydalis tuber, the capsule of weeping forsythia, Pu after volatile oil Public English, the coptis, the raw Radix Astragali, bletilla striata mixing, add water to submerge, decoct three times, 1.5h, second and third each pan-fried 1h are decocted for the first time every time, Merge three decocting liquids, filtration merges with the aqueous solution after said extracted volatile oil, and it is 1.35 to be concentrated under reduced pressure into 80 DEG C of relative densities Medicinal extract, pelletize, dry, add above-mentioned volatile oil and mix,.
3. treatment retention of damp-heat in the interior according to claim 1, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, its feature exist In by weight meter:Vinegar corydalis tuber 200g, capsule of weeping forsythia 400g, dandelion 600g, stir-baked RHIIZOMA CURCUMAE with vinegar 200g, coptis 180g, evodia rutaecarpa processed 60g, dried immature fruit of citron orange 240g, raw Radix Astragali 200g, bletilla striata 300g are made, wherein, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed add water to submerge, plus Volatile oil is extracted in thermal distillation, and volatile oil is standby, is extracted the another device of the aqueous solution after volatile oil and is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and system Evodia rutaecarpa extracts the dregs of a decoction after volatile oil and mixed with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, adds water every time Submergence, is decocted three times, and 1.5h, second and third each pan-fried 1h are decocted for the first time, merges three decocting liquids, filtration, with said extracted volatile oil The aqueous solution afterwards merges, and is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, pelletizes, dries, and adds above-mentioned volatile oil and mixes It is even,.
4. treatment retention of damp-heat in the interior according to claim 1, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, its feature exist In by weight meter:Vinegar corydalis tuber 185g, capsule of weeping forsythia 440g, dandelion 510g, stir-baked RHIIZOMA CURCUMAE with vinegar 205g, coptis 165g, evodia rutaecarpa processed 68g, dried immature fruit of citron orange 205g, raw Radix Astragali 215g, bletilla striata 275g are made, wherein, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed add water to submerge, plus Volatile oil is extracted in thermal distillation, and volatile oil is standby, is extracted the another device of the aqueous solution after volatile oil and is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and system Evodia rutaecarpa extracts the dregs of a decoction after volatile oil and mixed with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, adds water every time Submergence, is decocted three times, and 1.5h, second and third each pan-fried 1h are decocted for the first time, merges three decocting liquids, filtration, with said extracted volatile oil The aqueous solution afterwards merges, and is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, pelletizes, dries, and adds above-mentioned volatile oil and mixes It is even,.
5. treatment retention of damp-heat in the interior according to claim 1, the Chinese medicinal granule of stagnation of QI-blood type peptic ulcer, its feature exist In by weight meter:Vinegar corydalis tuber 215g, capsule of weeping forsythia 360g, dandelion 680g, stir-baked RHIIZOMA CURCUMAE with vinegar 186g, coptis 195g, evodia rutaecarpa processed 53g, dried immature fruit of citron orange 255g, raw Radix Astragali 185g, bletilla striata 320g are made, wherein, stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and evodia rutaecarpa processed add water to submerge, plus Volatile oil is extracted in thermal distillation, and volatile oil is standby, is extracted the another device of the aqueous solution after volatile oil and is saved backup;Stir-baked RHIIZOMA CURCUMAE with vinegar, the dried immature fruit of citron orange and system Evodia rutaecarpa extracts the dregs of a decoction after volatile oil and mixed with vinegar corydalis tuber, the capsule of weeping forsythia, dandelion, the coptis, the raw Radix Astragali, the bletilla striata, adds water every time Submergence, is decocted three times, and 1.5h, second and third each pan-fried 1h are decocted for the first time, merges three decocting liquids, filtration, with said extracted volatile oil The aqueous solution afterwards merges, and is concentrated under reduced pressure into the medicinal extract that 80 DEG C of relative densities are 1.35, pelletizes, dries, and adds above-mentioned volatile oil and mixes It is even,.
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Publication number Priority date Publication date Assignee Title
CN1876155A (en) * 2006-04-28 2006-12-13 四川宝光药业股份有限公司 A medicine for treating gastric disease and preparation method thereof

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