CN104491760A - 一种治疗抑郁症的中药组合物 - Google Patents
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Abstract
一种治疗抑郁症的中药组合物,该中药组合物是由白骨走马,全蝎,肉苁蓉,白芍,龙骨,珍珠母,牡蛎,黑柄炭角菌,远志,知母,郁金,甘草,拟黑多刺蚁,杜仲制成,临床可用于治疗抑郁症。
Description
技术领域
本发明属于中药技术领域,尤其是涉及一种治疗抑郁症的中药组合物。
背景技术
抑郁症是情感性精神障碍的一种情感状态,情感性精神障碍是指以心境显著而持久的改变(高涨或低落)为基本临床表现,并伴有相应思维和行为异常的一类精神障碍。抑郁症的主要表现为:心境抑郁、悲观失望、兴致丧失、精力减退和行动迟缓。心境抑郁是最核心的症状。
抑郁症在祖国医学属郁证范畴,中医认为郁证是由于情志不舒,气机郁滞所引起的一类病症。主要表现为心情抑郁,情绪不宁,胁肋胀痛或易怒善哭,以及咽中如有异物梗阻,失眠等各种复杂症状。抑郁的发生是由于情志所伤,肝气郁结,逐渐引起五脏气机不和所致。但主要是肝、脾、心三脏受累以及气血失调而成。总之,中医认为郁证的发生,因郁怒、思虑、悲哀、忧愁七情之所伤,导致肝失疏泄,脾失运化,心神失常,脏腑阴阳气血失调而成。初病因气滞而挟湿痰、食积、热郁者,则多属实证;久病由气及血,由实转虚,如久郁伤神,心脾俱亏,阴虚火旺等均属虚证。
目前对于抑郁症的治疗可以采用抗忧郁剂、镇静剂、安眠药、抗精神病等药物,但是毒副作用大,具有一定的依赖性且价格昂贵。
发明内容
本发明的目的在于提供一种治疗效果好、有效率高、对人体无毒副作用的治疗抑郁症的中药组合物。
本发明的目的是这样实现的,根据中医药理论,利用中药独特的药性,采用白骨走马,全蝎,肉苁蓉,白芍,龙骨,珍珠母,牡蛎,黑柄炭角菌,远志,知母,郁金,甘草,拟黑多刺蚁,杜仲,按照一定的配伍要求,经过加工制成。
制备本发明中药组合物由下述原料药制成:白骨走马9-15份,全蝎40-60份,肉苁蓉20-40份,白芍20-40份,龙骨20-40份,珍珠母20-40份,牡蛎20-40份,黑柄炭角菌20-40份,远志10-20份,知母10-20份,郁金10-20份,甘草10-20份,拟黑多刺蚁10-20份,杜仲10-20份。
本发明中药组合物原料药的最佳重量份为:白骨走马10份,全蝎50份,肉苁蓉30份,白芍30份,龙骨30份,珍珠母30份,牡蛎30份,黑柄炭角菌30份,远志15份,知母15份,郁金15份,甘草15份,拟黑多刺蚁15份,杜仲15份。
本发明中药的药理作用如下:
白骨走马:苦,平,有小毒。入肝、胃经。治疮疥及皮肤瘙痒、蛔虫症腹痛、外伤出血。
全蝎:咸、辛、平,有毒,归肝经。熄风止痉,通络止痛,攻毒散结。用于小儿惊风抽搐,癫痈,中风半身不遂,风湿顽痹。
肉苁蓉:甘、咸,温。归肾、大肠经。用于肾虚阳痿,遗精早泄及腰膝冷痛,筋骨痉弱。用于提高机体免疫力。
白芍:苦、酸,微寒,归肝,脾经。养血和营,缓急止痛,敛阴平肝。主治血虚寒热,肮腹疼痛,头痛眩晕。
龙骨:涩、甘、平,归心、肝、肾、大肠经。镇心安神,平肝潜阳,收敛固涩。用于心悸、失眠、健忘、眩晕。
珍珠母:咸、寒,归心、肝经。平肝潜阳,清肝明目,镇心安神。用于惊悸失眠、心神不宁。
牡蛎:咸、微寒,归肝、肾经。平肝潜阳,重镇安神。主治眩晕耳鸣,惊悸失眠。
黑柄炭角菌:药用菌核,其性温,味微苦。民间药用,能除湿、镇惊、止心悸,催乳、补肾、安眠的作用。
远志:苦、辛、微温,归心、肾、肺经。宁心安神,祛痰开窍,消散痈肿。用于惊悸、失眠健忘、痰阻心窍,癫痈发狂。
知母:甘、苦、寒,归肺、胃、肾经。清热泻火,滋阴润燥。用于热病烦渴、肺热咳嗽。
郁金:苦、辛、寒,归肝、胆、心经。活血行气止痛,解郁清心,利胆退黄,凉血。用于热病神昏、癫痈痰闭之证。
甘草:甘、平,归心、肺、脾、胃经。益气补中,清热解毒,祛痰止咳,缓急止痛,调和药性。用于心气不足的心动悸、脉结代,热毒疮疡,咽喉肿痛。
拟黑多刺蚁:滋补营养、健脾补肾、通经活络、益气活血、双向调节免疫、抗病毒、抗炎镇痛镇静等功能。
杜仲:甘、温,归肝、肾经。补肝肾,强筋骨,安胎。用于肝肾亏虚、胎动不安。
本发明重用白骨走马与全蝎,白骨走马表皮含有巩膜质和甲壳质,全体含有多种生物活性物质,如麦角硫因、凝集素、抗菌肚、溶菌酶、脂肪酸等,能够提高患者的自身免疫力;全蝎具有熄风止痉,通络止痛,攻毒散结的功效,经过临床实践发现,对抑郁症具有独特的疗效,与肉苁蓉,白芍,龙骨,珍珠母,牡蛎,黑柄炭角菌,远志,知母,郁金,甘草,拟黑多刺蚁,杜仲配伍使用,达到治疗抑郁症的目的。
本发明中药组合物于2008年至2010年临床观察抑郁症45例患者,临床报告如下:
1、一般资料:
45例患者中,女性25例,男性20例,年龄最小20岁,最大69岁,病程多在6个月到10年,平均年龄52.6岁。
2、诊断标准:
《中国精神障碍分类与诊断标准·第3版》(CCMD一3)抑郁症的诊断标准,汉密尔顿抑郁量表(HAMD)前17项≥18分,无其他神经精神疾病,无酒精及药物依赖和类似药物过敏史,排除心、肝、肾等疾病。
3、治疗方法
3.1处方:白骨走马11g,全蝎50g,肉苁蓉30g,白芍30g,龙骨30g,珍珠母30g,牡蛎30g,黑柄炭角菌30g,远志15g,知母15g,郁金15g,甘草15g,拟黑多刺蚁15g,杜仲15g0
3.2制备方法:上述药物按常规工艺制成汤剂。
3.3服用方法:每次1剂,每日2次,4周为1疗程。
4、治疗结果:
4. 1治疗评定标准:采用HAMD评定临床疗效,以HAMD减分率评定,采用痊愈、有效、无效3级评分标准,减分率≥75%为痊愈,25-75%为有效,≤25%为无效。总有效率(%)=[(痊愈+有效)/总例数]X100%
4.2结果:45例患者中,痊愈29例(64.4% ),有效14例(31.2% ),无效2例,总有效率为95. 6。
5、典型病例
5. 1男,20岁,2009年因高考落榜心情郁闷,几夜没合眼,患上了抑郁症,经常大吵大闹、砸摔东西、到处乱走。曾去全国的许多医院,经西药治疗症状虽有减轻,但经常复发。服用本发明治疗抑郁症的中药组合物进行治疗,两个疗程后彻底康复。
5.2男,56岁,2009年3月,患了抑郁症,经常内心出现郁闷,孤寂、凄凉、悲哀、丧失与亲友、外界交流来往的兴趣,不时叹息,沮丧、哭泣。曾用过许多药物均未奏效。服用了本发明治疗抑郁症的中药组合物,三个疗程后,病获痊愈。
5.3女,46岁,1年前因工作不顺利,出现心烦易怒,情绪低落,近几个月症状加重,经常发脾气,易激动,两胁及乳房胀痛,食欲不振,失眠多梦,舌红苔黄,脉弦。服用了本发明治疗抑郁症的中药组合物,两个疗程后,病获痊愈。
5.4女,69岁,失眠多年,近几年出现情绪低落,失眠加重,有时彻夜不眠,经常发作两胁刺痛,痛经,舌质暗,脉弦涩。服用了本发明治疗抑郁症的中药组合物,三个疗程后,病获痊愈。
具体实施方式
下面结合实施例对本发明作进一步的说明,下述该实施例仅用于说明本发明而对本发明没有限制。
实施例1,一种治疗抑郁症的中药组合物,它是由下述原料药制成:白骨走马9g,全蝎40g,肉苁蓉20g,白芍20g,龙骨20g,珍珠母20g,牡蛎20g,黑柄炭角菌20g,远志lOg,知母lOg,郁金lOg,甘草lOg,拟黑多刺蚁lOg,杜仲logo
实施例2,一种治疗抑郁症的中药组合物,它是由下述原料药制成:白骨走马11g,全蝎50g,肉苁蓉30g,白芍30g,龙骨30g,珍珠母30g,牡蛎30g,黑柄炭角菌30g,远志15g,知母15g,郁金15g,甘草15g,拟黑多刺蚁15g,杜仲15g0
实施例3,一种治疗抑郁症的中药组合物,它是由下述原料药制成:白骨走马15g,全蝎60g,肉苁蓉40g,白芍40g,龙骨40g,珍珠母40g,牡蛎40g,黑柄炭角菌40g,远志20g,知母20g,郁金20g,甘草20g,拟黑多刺蚁20g,杜仲20g。
Claims (2)
1.一种治疗抑郁的中药组合物,其特征在于它由下述原料药制成:白骨走马9-15g,全蝎40-60g,肉苁蓉20-40g,白芍20-40g,龙骨20-40g,珍珠母20-40g,牡蛎20-40g,黑柄炭角菌20-40g,远志10-20g,知母10-20g,郁金10-20g,甘草10-20g,拟黑多刺蚁10-20g,杜仲10-20g。
2.根据权利要求1所述的中药组合物,其特征在于它由下述原料药制成:白骨走马10g,全蝎50g,肉苁蓉30g,白芍30g,龙骨30g,珍珠母30g,牡蛎30g,黑柄炭角菌30g,远志15g,知母15g,郁金15g,甘草15g,拟黑多刺蚁15g,杜仲15g。
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| CN107397798A (zh) * | 2017-09-19 | 2017-11-28 | 上海交通大学 | 基于肉苁蓉的苯乙醇苷类物质提取方法及其抗抑郁应用 |
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| CN103251888A (zh) * | 2013-05-10 | 2013-08-21 | 李新玲 | 一种治疗抑郁症的中药组合物 |
| CN103550435A (zh) * | 2013-11-12 | 2014-02-05 | 周立发 | 一种治疗抑郁症的中药 |
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| CN103251888A (zh) * | 2013-05-10 | 2013-08-21 | 李新玲 | 一种治疗抑郁症的中药组合物 |
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