CN104491828B - A kind of temperature leads to Traditional Chinese medicine used as analgesic preparation and its paste preparation method - Google Patents
A kind of temperature leads to Traditional Chinese medicine used as analgesic preparation and its paste preparation method Download PDFInfo
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Abstract
本发明公开了一种温通止通中药制剂,君药包括制马钱子;所述臣药包括威灵仙、制川乌、制草乌、花椒、莪术、三棱、干姜;所述佐药包括白芍、黄芩、土茯苓、重楼、徐长卿。一种温通止痛膏剂制备方法,包括以下步骤:第一步、按照比例称取诸味中药分别打粉过筛;第二步、将药粉消毒干燥后待用;第三步、将蓖麻油、琥珀粉等加热搅拌至熔融状态后加入药粉,将药膏涂于医用贴胶上,所得即为膏剂成品。本发明在万应膏的基础上,应用现代中医药理论,创新配方,对于类风湿性关节炎、风湿性关节炎等症属寒湿痹痛患者的临床治疗效果显著,且本发明的膏剂制备方法工艺简单容易大规模生产,制成的膏剂成品易被患者消化吸收。The invention discloses a Wentongzhitong traditional Chinese medicine preparation. The monarch medicine includes Zhinxychon; the ministerial medicine includes Clematis, Zhichuanwu, Zhicaowu, Zanthoxylum bungeanum, Zedoary, Sanleng and dried ginger; Adjuvant drugs include Radix Paeoniae Alba, Radix Scutellariae, Smilax Smilax, Chonglou, Xu Changqing. A preparation method of Wentong Zhitong ointment, comprising the following steps: the first step, weighing various traditional Chinese medicines according to the proportion, powdering and sieving respectively; the second step, sterilizing and drying the medicinal powder for use; the third step, mixing castor oil, The powder is heated and stirred until it melts, then the powder is added, and the ointment is applied on the medical adhesive tape, and the finished ointment is obtained. On the basis of Wanying Ointment, the present invention applies the theory of modern Chinese medicine and innovates the formula, and has remarkable clinical therapeutic effect on rheumatoid arthritis, rheumatoid arthritis and other diseases belonging to cold-damp arthralgia patients, and the ointment preparation of the present invention The method is simple and easy to produce on a large scale, and the finished ointment is easily digested and absorbed by patients.
Description
技术领域technical field
本发明涉及一种中药制剂及其制备方法,尤其涉及一种温通止痛中药制剂及其膏剂制备方法。The invention relates to a traditional Chinese medicine preparation and a preparation method thereof, in particular to a traditional Chinese medicine preparation for warming and relieving pain and a preparation method thereof.
背景技术Background technique
寒湿痹证病机为正气不足,风寒湿外邪侵袭,经络闭阻,气血运行不畅。临床表现为四肢肌肉关节或疼痛或肿胀或屈伸不利,周身困重或无力,遇冷加重,得温痛减,舌淡苔白或腻,脉弦紧。自清代《医宗金鉴》设立“万应膏”治疗寒湿痹证,深受后世医家推崇。但是现有的“万应膏”疗效一般,不能满足患者的需要。The pathogenesis of cold-damp arthralgia syndrome is deficiency of righteousness, invasion of wind-cold-damp exogenous pathogens, blockage of meridians, and poor circulation of QI and blood. The clinical manifestations are muscle and joint pain or swelling or poor flexion and extension of the extremities, heaviness or weakness all over the body, aggravated by cold, relieved by warm pain, pale tongue with white or greasy coating, and stringy and tense pulse. Since the Qing Dynasty "Yi Zong Jin Jian" established "Wan Ying Ointment" to treat cold-damp arthralgia, it is highly praised by later generations of doctors. However, the existing "Wanying Ointment" has a general curative effect and cannot meet the needs of patients.
发明内容Contents of the invention
为了克服现有技术中,治疗寒湿痹痛的药物制剂治疗效果不显著的缺陷,提供一种温通止痛中药制剂及其膏剂制备方法。In order to overcome the defect in the prior art that the therapeutic effect of the medicinal preparation for treating cold-damp arthralgia is not significant, a traditional Chinese medicine preparation for warming and relieving pain and a preparation method of the ointment are provided.
本发明通过下述方案实现:The present invention realizes by following scheme:
一种温通止痛 中药制剂该中药制剂,包括君药、臣药和佐药,以质量份计,所述君药包括制马钱子15-20份;A traditional Chinese medicine preparation for warming and relieving pain. The Chinese medicine preparation includes a monarch drug, a subject drug and an adjuvant drug, in parts by mass, and the monarch drug includes 15-20 parts of Semen Nuxtrix;
所述臣药包括威灵仙25-35份、制川乌10-15份、制草乌10-15份、花椒15-20份、莪术10-15份、三棱15-20份、干姜15-20份;The ministerial medicines include 25-35 parts of Clematis, 10-15 parts of Zhichuanwu, 10-15 parts of Zhicaowu, 15-20 parts of Zanthoxylum bungeanum, 10-15 parts of Curcuma, 15-20 parts of Sanleng, dried ginger 15-20 copies;
所述佐药包括白芍10-15份、黄芩15-20份、土茯苓15-20份、重楼15-20份、徐长卿25-35份;The adjuvant includes 10-15 parts of Radix Paeoniae Alba, 15-20 parts of Scutellaria baicalensis, 15-20 parts of Smilax smilax, 15-20 parts of Rhododendron chinensis, and 25-35 parts of Xu Changqing;
所述中药制剂还包括辅料,所述辅料包括蓖麻油、芝麻油、松节油、琥珀粉。The traditional Chinese medicine preparation also includes auxiliary materials, which include castor oil, sesame oil, turpentine oil, and amber powder.
以质量份计,所述蓖麻油为220-330份,芝麻油12-25份,松节油110-170份,所述琥珀粉为120-180份。In parts by mass, the castor oil is 220-330 parts, the sesame oil is 12-25 parts, the turpentine oil is 110-170 parts, and the amber powder is 120-180 parts.
一种温通止痛膏剂制备方法,包括以下步骤:A preparation method of Wentong Zhitong ointment, comprising the following steps:
第一步、将制马钱子、花椒、制川乌、制草乌、威灵仙、莪术、三棱、干姜、黄芩、白芍、土茯苓、重楼、徐长卿诸味中药分别打粉过120目筛,混匀后即为所需药粉;The first step is to grind the traditional Chinese medicines of Strychnis chinensis, Zanthoxylum bungeanum, Chuanwu, Zhicaowu, Clematis, Curcuma, Sanleng, dried ginger, Scutellaria baicalensis, Baishao, Smilax, Chonglou, Xu Changqing, etc. 120-mesh sieve, and the required powder is obtained after mixing;
第二步、将药粉消毒干燥后待用;The second step is to sterilize and dry the medicinal powder for use;
第三步、将蓖麻油、芝麻油、松节油加入已经消毒灭菌的配药桶中,然后在加热搅拌过程中加入适量的琥珀粉,待蓖麻油、芝麻油、松节油和琥珀粉至熔融状态后加入第二步消毒干燥后的药粉,搅拌均匀后得到药膏,将药膏涂于医用贴胶上,所得即为膏剂成品。The third step is to add castor oil, sesame oil, and turpentine into the sterilized dispensing barrel, then add an appropriate amount of amber powder during heating and stirring, and add the second amber powder after the castor oil, sesame oil, turpentine, and amber powder are molten. The medicinal powder after step disinfection and drying is stirred evenly to obtain an ointment, and the ointment is applied on the medical plaster to obtain the finished ointment.
在第二步中,所述消毒采用高温消毒,所述高温消毒的温度为90-110摄氏度,消毒时间持续为20-40分钟。In the second step, the disinfection adopts high-temperature disinfection, the temperature of the high-temperature disinfection is 90-110 degrees Celsius, and the disinfection time lasts for 20-40 minutes.
在第三步中,所述配药桶的消毒灭菌采用75%体积分数的乙醇消毒,用紫外线灭菌,灭菌时间为1小时。In the third step, the dispensing barrel is sterilized with 75% ethanol by volume and sterilized by ultraviolet rays, and the sterilization time is 1 hour.
所述诸位中药的用量如下:马钱子15-20份、威灵仙25-35份、制川乌10-15份、制草乌10-15份、花椒15-20份、莪术10-15份、三棱15-20份、干姜15-20份、白芍10-15份、黄芩15-20份、土茯苓15-20份、重楼15-20份、徐长卿25-35份。The dosages of the traditional Chinese medicines are as follows: 15-20 parts of Nuxychia, 25-35 parts of Clematis, 10-15 parts of Aconitum, 10-15 parts of Aconitum, 15-20 parts of Zanthoxylum bungeanum, 10-15 parts of Curcuma 15-20 parts of Sanleng, 15-20 parts of dried ginger, 10-15 parts of white peony root, 15-20 parts of Scutellaria baicalensis, 15-20 parts of Smilax smilax, 15-20 parts of Chonglou, 25-35 parts of Xu Changqing.
所述蓖麻油、芝麻油、松节油、琥珀粉的量如下:蓖麻油为220-330份,芝麻油12-25份,松节油110-170份,所述琥珀粉为120-180份。The amounts of the castor oil, sesame oil, turpentine and amber powder are as follows: castor oil is 220-330 parts, sesame oil is 12-25 parts, turpentine is 110-170 parts, and the amber powder is 120-180 parts.
本发明的有益效果为:在万应膏的基础上,应用现代中医药理论,创新配方,对于类风湿性关节炎、风湿性关节炎、强直性关节炎、骨性关节炎、风寒湿性腰腿病、颈椎病、肩周炎陈旧性软组织损伤等症属寒湿痹痛患者的临床治疗效果显著,且本发明的膏剂制备方法工艺简单容易大规模生产,制成的膏剂成品易被患者消化吸收。The beneficial effects of the present invention are: on the basis of Wanying ointment, modern Chinese medicine theory is applied, and the formula is innovated to treat rheumatoid arthritis, rheumatoid arthritis, ankylosing arthritis, osteoarthritis, wind-cold-damp lumbago disease, cervical spondylosis, periarthritis of shoulder, old soft tissue injury and other diseases belong to the clinical treatment effect of cold-damp arthralgia patients, and the ointment preparation method of the present invention is simple and easy to produce on a large scale, and the ointment finished product is easily digested and absorbed by patients. .
具体实施方式Detailed ways
下面结合具体实施例对本发明进一步说明:The present invention is further described below in conjunction with specific embodiment:
实施例1Example 1
一种温通止痛 中药制剂,该中药制剂包括君药、臣药和佐药,以质量份计,所述君药包括制马钱子15份;A traditional Chinese medicine preparation for warming and relieving pain, the Chinese medicine preparation includes a monarch drug, a subject drug and an adjuvant drug, in parts by mass, and the monarch drug includes 15 parts of Nuxebra chinensis;
所述臣药包括威灵仙25份、制川乌10份、制草乌10份、花椒15份、莪术10份、三棱15份、干姜15份;The ministerial medicine comprises 25 parts of Clematis, 10 parts of Aconitum aconitum, 10 parts of Aconitum aconiti, 15 parts of Zanthoxylum bungeanum, 10 parts of Curcuma, 15 parts of Sanleng, and 15 parts of dried ginger;
所述佐药包括白芍10份、黄芩15份、土茯苓15份、重楼15份、徐长卿25份;The adjuvant includes 10 parts of Radix Paeoniae Alba, 15 parts of Radix Scutellariae, 15 parts of Smilax Smilax, 15 parts of Chrysanthemum chinensis, and 25 parts of Xu Changqing;
所述中药制剂还包括辅料,所述辅料包括蓖麻油、芝麻油、松节油、琥珀粉。所述蓖麻油为220份,芝麻油12份,松节油110份,所述琥珀粉为120份。The traditional Chinese medicine preparation also includes auxiliary materials, which include castor oil, sesame oil, turpentine oil, and amber powder. The castor oil is 220 parts, the sesame oil is 12 parts, the turpentine oil is 110 parts, and the amber powder is 120 parts.
一种温通止痛膏剂制备方法,包括以下步骤:A preparation method of Wentong Zhitong ointment, comprising the following steps:
第一步、按照上述比例分别称取制马钱子、花椒、制川乌、制草乌、威灵仙、莪术、三棱、干姜、黄芩、白芍、土茯苓、重楼、徐长卿,然后将诸味中药分别打粉过120目筛,混匀后即为所需药粉;The first step, according to the above proportions, respectively weigh Zhinxuezi, Zanthoxylum bungeanum, Zhichuanwu, Zhicaowu, Clematis, Curcuma, Sanleng, Dried Ginger, Scutellaria, Baishao, Smilax, Chonglou, Xu Changqing, Then powder the various traditional Chinese medicines and pass through a 120-mesh sieve, and mix well to obtain the required medicinal powder;
第二步、将药粉消毒干燥后待用,其中消毒采用高温消毒,所述高温消毒的温度为90摄氏度,消毒时间持续为20分钟;The second step is to sterilize and dry the medicinal powder for use, wherein the disinfection adopts high-temperature disinfection, the temperature of the high-temperature disinfection is 90 degrees Celsius, and the disinfection time lasts for 20 minutes;
第三步、按照比例称取比例的蓖麻油加入已经消毒灭菌的配药桶中,所述配药桶的消毒灭菌采用75%体积分数的乙醇消毒,用紫外线灭菌,灭菌时间为1小时,将蓖麻油、芝麻油、松节油加入配药桶后加热搅拌,同时加入琥珀粉,待蓖麻油、芝麻油、松节油和琥珀粉至熔融状态后加入第二步消毒干燥后的药粉,搅拌均匀后得到药膏,将药膏涂于医用贴胶上,所得即为膏剂成品。The 3rd step, take the castor oil of proportion according to proportion and add in the sterilized dispensing barrel, the disinfection and sterilization of described dispensing barrel adopts the ethanol disinfection of 75% volume fraction, sterilizes with ultraviolet light, and sterilization time is 1 hour Add castor oil, sesame oil, and turpentine into the dispensing barrel, heat and stir, and add amber powder at the same time. After the castor oil, sesame oil, turpentine, and amber powder are in a molten state, add the medicated powder after the second step of disinfection and drying, and get an ointment after stirring evenly. Apply the ointment on the medical adhesive tape, and the result is the finished ointment.
实施例2Example 2
一种温通止痛 中药制剂,该中药制剂包括君药、臣药和佐药,以质量份计,所述君药包括制马钱子20份;A traditional Chinese medicine preparation for warming and relieving pain, the Chinese medicine preparation includes a monarch drug, a subject drug and an adjuvant drug, in parts by mass, and the monarch drug includes 20 parts of Semen Nyxtrix;
所述臣药包括威灵仙35份、制川乌15份、制草乌15份、花椒20份、莪术15份、三棱20份、干姜20份;The ministerial medicine comprises 35 parts of Clematis, 15 parts of Zhichuanwu, 15 parts of Zhicaowu, 20 parts of Zanthoxylum bungeanum, 15 parts of Curcuma, 20 parts of Sanleng, and 20 parts of dried ginger;
所述佐药包括白芍15份、黄芩20份、土茯苓20份、重楼20份、徐长卿35份;The adjuvant includes 15 parts of Radix Paeoniae Alba, 20 parts of Radix Scutellariae, 20 parts of Smilax Smilax, 20 parts of Chrysanthemum chinensis, and 35 parts of Xu Changqing;
所述中药制剂还包括辅料,所述辅料包括蓖麻油、芝麻油、松节油、琥珀粉。所述蓖麻油为330份,芝麻油25份,松节油170份,所述琥珀粉为180份。The traditional Chinese medicine preparation also includes auxiliary materials, which include castor oil, sesame oil, turpentine oil, and amber powder. Described castor oil is 330 parts, and sesame oil is 25 parts, and turpentine oil is 170 parts, and described amber powder is 180 parts.
一种温通止痛膏剂制备方法,包括以下步骤:A preparation method of Wentong Zhitong ointment, comprising the following steps:
第一步、按照上述比例分别称取制马钱子、花椒、制川乌、制草乌、威灵仙、莪术、三棱、干姜、黄芩、白芍、土茯苓、重楼、徐长卿,然后将诸味中药分别打粉过120目筛,混匀后即为所需药粉;The first step, according to the above proportions, respectively weigh Zhinxuezi, Zanthoxylum bungeanum, Zhichuanwu, Zhicaowu, Clematis, Curcuma, Sanleng, Dried Ginger, Scutellaria, Baishao, Smilax, Chonglou, Xu Changqing, Then powder the various traditional Chinese medicines and pass through a 120-mesh sieve, and mix well to obtain the required medicinal powder;
第二步、将药粉消毒干燥后待用,其中消毒采用高温消毒,所述高温消毒的温度为110摄氏度,消毒时间持续为40分钟;The second step is to sterilize and dry the medicinal powder for use, wherein the disinfection adopts high-temperature disinfection, the temperature of the high-temperature disinfection is 110 degrees Celsius, and the disinfection time lasts for 40 minutes;
第三步、按照比例称取比例的蓖麻油加入已经消毒灭菌的配药桶中,所述配药桶的消毒灭菌采用75%体积分数的乙醇消毒,用紫外线灭菌,灭菌时间为1小时,将蓖麻油、芝麻油、松节油加入配药桶后加热搅拌,同时加入琥珀粉,待蓖麻油、芝麻油、松节油和琥珀粉至熔融状态后加入第二步消毒干燥后的药粉,搅拌均匀后得到药膏,将药膏涂于医用贴胶上,所得即为膏剂成品。The 3rd step, take the castor oil of proportion according to proportion and add in the sterilized dispensing barrel, the disinfection and sterilization of described dispensing barrel adopts the ethanol disinfection of 75% volume fraction, sterilizes with ultraviolet light, and sterilization time is 1 hour Add castor oil, sesame oil, and turpentine into the dispensing barrel, heat and stir, and add amber powder at the same time. After the castor oil, sesame oil, turpentine, and amber powder are in a molten state, add the medicated powder after the second step of disinfection and drying, and get an ointment after stirring evenly. Apply the ointment on the medical adhesive tape, and the result is the finished ointment.
实施例3Example 3
一种温通止痛 中药制剂,该中药制剂包括君药、臣药和佐药,以质量份计,所述君药包括制马钱子17份;A traditional Chinese medicine preparation for warming and relieving pain, the Chinese medicine preparation includes a monarch drug, a subject drug and an adjuvant drug, in parts by mass, and the monarch drug includes 17 parts of Nuxe chinensis;
所述臣药包括威灵仙30份、制川乌13份、制草乌12份、花椒17份、莪术12份、三棱17份、干姜17份;The ministerial medicines include 30 parts of Clematis, 13 parts of Zhichuanwu, 12 parts of Zhicaowu, 17 parts of Zanthoxylum bungeanum, 12 parts of Curcuma, 17 parts of Sanleng, and 17 parts of dried ginger;
所述佐药包括白芍12份、黄芩17份、土茯苓16份、重楼17份、徐长卿31份;The adjuvant includes 12 parts of Radix Paeoniae Alba, 17 parts of Radix Scutellariae, 16 parts of Smilax Smilax, 17 parts of Chrysanthemum chinensis, and 31 parts of Xu Changqing;
所述中药制剂还包括辅料,所述辅料包括蓖麻油、芝麻油、松节油、琥珀粉。所述蓖麻油为275份,芝麻油19份,松节油140份,所述琥珀粉为150份。The traditional Chinese medicine preparation also includes auxiliary materials, which include castor oil, sesame oil, turpentine oil, and amber powder. Described castor oil is 275 parts, and sesame oil is 19 parts, and turpentine oil is 140 parts, and described amber powder is 150 parts.
一种温通止痛膏剂制备方法,包括以下步骤:A preparation method of Wentong Zhitong ointment, comprising the following steps:
第一步、按照上述比例分别称取制马钱子、花椒、制川乌、制草乌、威灵仙、莪术、三棱、干姜、黄芩、白芍、土茯苓、重楼、徐长卿,然后将诸味中药分别打粉过120目筛,混匀后即为所需药粉;The first step, according to the above proportions, respectively weigh Zhinxuezi, Zanthoxylum bungeanum, Zhichuanwu, Zhicaowu, Clematis, Curcuma, Sanleng, Dried Ginger, Scutellaria, Baishao, Smilax, Chonglou, Xu Changqing, Then powder the various traditional Chinese medicines and pass through a 120-mesh sieve, and mix well to obtain the required medicinal powder;
第二步、将药粉消毒干燥后待用,其中消毒采用高温消毒,所述高温消毒的温度为90摄氏度,消毒时间持续为20分钟;The second step is to sterilize and dry the medicinal powder for use, wherein the disinfection adopts high-temperature disinfection, the temperature of the high-temperature disinfection is 90 degrees Celsius, and the disinfection time lasts for 20 minutes;
第三步、按照比例称取比例的蓖麻油加入已经消毒灭菌的配药桶中,所述配药桶的消毒灭菌采用75%体积分数的乙醇消毒,用紫外线灭菌,灭菌时间为1小时,将蓖麻油、芝麻油、松节油加入配药桶后加热搅拌,同时加入琥珀粉,待蓖麻油、芝麻油、松节油和琥珀粉至熔融状态后加入第二步消毒干燥后的药粉,搅拌均匀后得到药膏,将药膏涂于医用贴胶上,所得即为膏剂成品。The 3rd step, take the castor oil of proportion according to proportion and add in the sterilized dispensing barrel, the disinfection and sterilization of described dispensing barrel adopts the ethanol disinfection of 75% volume fraction, sterilizes with ultraviolet light, and sterilization time is 1 hour Add castor oil, sesame oil, and turpentine into the dispensing barrel, heat and stir, and add amber powder at the same time. After the castor oil, sesame oil, turpentine, and amber powder are in a molten state, add the medicated powder after the second step of disinfection and drying, and get an ointment after stirring evenly. Apply the ointment on the medical adhesive tape, and the result is the finished ointment.
本发明的一种止通中药制剂可以为颗粒剂、汤剂、胶囊或者膏剂,在下述毒性实验和临床典型实例中,所述温通止痛膏剂即为本发明的一种止通中药制剂。A Zhitong Chinese medicine preparation of the present invention can be a granule, a decoction, a capsule or an ointment. In the following toxicity experiments and clinical typical examples, the Wentong Zhitong ointment is a Zhitong Chinese medicine preparation of the present invention.
一、各个组分的功能和功能主治1. The functions and indications of each component
马钱子,又名苦实、番木鳖、马前子,为马钱科植物马钱的种子。性寒,味苦,有毒。归肝、脾经。功效散结消肿、通络止痛,传统用于风湿顽痹、麻木瘫痪、疽痈肿痛、跌打损伤等。《医学衷中参西录》中说马钱子“开通经络,透达关节之功远胜于它药”。马钱子临床应用近千年不衰,说明它具有显著的效果,可谓是“毒药猛剂善起沉疴”。但同时由于它是一味“毒药”,也限制了其临床应用。马钱子虽有大毒,但治病疗效肯定。临床应用时马钱子必须炮制规范,剂量一定精确。以马钱子能通经络、止疼痛之功效,临床多用于治疗风湿疼痛、经络拘挛之症,常与川乌、草乌、三棱、莪术等药物配合;在伤科、外科方面,取马钱子消结肿、止疼痛作用,治疗跌扑损伤、骨折等瘀滞肿痛之症,故在此方中为君药。Nuxychia, also known as Kushi, Pangea, and Maqianzi, is the seed of the Strychaceae plant Nux. Cold in nature, bitter in taste, poisonous. Return liver, spleen channel. Efficacy Dispersing stagnation, reducing swelling, dredging collaterals and relieving pain, traditionally used for rheumatism intractable numbness, numbness, paralysis, ulcers, swelling and pain, bruises, etc. "Medical Hearts in Shenxilu" says that Nuxychia "opens the meridians and penetrates the joints far better than other medicines". Nuxychnium has been used in clinical practice for nearly a thousand years, which shows that it has remarkable effects, and it can be described as "poisonous and powerful medicine that is good at causing serious illness". But at the same time, because it is blindly "poison", it also limits its clinical application. Although Nuxynum is very poisonous, it has a certain curative effect. Nuxychnium must be processed in a standardized manner during clinical application, and the dosage must be accurate. Nuxychia can dredge meridians and relieve pain. It is mostly used clinically to treat rheumatic pain and meridian spasm. Qianzi has the effect of reducing swelling and relieving pain, and can treat stasis, swelling and pain such as injury from falls and fractures, so it is the king drug in this prescription.
花椒可温中散寒,除湿,止痛,治疗风寒湿痹,《本经》:"主风邪气,温中,除寒痹,坚齿发,明目。""主邪气咳逆,温中……寒湿痹痛,下气。"《别录》:"除六腑寒冷,伤寒,温疟,大风汗不出,心腹留饮……开腠理,通血脉,坚齿发,调关节,耐寒暑,可作膏药"。制川草乌性温,有毒,可祛风除湿,温经止痛。用于风寒湿痹,关节疼痛的要药,威灵仙辛咸,温,有毒,祛风除湿,通络止痛,主治痛风顽痹、风湿痹痛,肢体麻木,腰膝冷痛,筋脉拘挛,屈伸不利等。三棱、莪术破血行气,可治疗跌打肿痛。干姜味辛,性热,温中散寒,回阳通脉,治疗寒湿痹痛,并可解威灵仙、制川乌、制草乌之毒。以上诸药辅助制马钱子消肿止痛,温经散寒。Zanthoxylum bungeanum can warm the middle and dispel cold, dehumidify, relieve pain, and treat wind-cold-damp arthralgia. ...cold-damp arthralgia, lower qi." "Bie Lu": "In addition to coldness in the six viscera, typhoid fever, warm malaria, strong wind and no sweating, the heart and abdomen stay to drink... Open the interstitial muscles, unblock the blood vessels, strengthen the teeth and hair, regulate the joints, In cold and heat, it can be used as a plaster." Aconitum sichuanensis is warm in nature, poisonous, can dispel wind and dampness, warm meridian and relieve pain. An essential medicine for wind-cold-damp arthralgia and arthralgia, clematis pungent, salty, warm, poisonous, expelling wind and dampness, dredging collaterals and relieving pain, mainly treating gouty arthralgia, rheumatism arthralgia, numbness of limbs, cold pain in waist and knees, spasm of tendons and arteries , Unfavorable flexion and extension, etc. Sanleng and curcuma break blood and promote qi, and can treat bruises, swelling and pain. Dried ginger is pungent in taste, hot in nature, warms the middle and dispels cold, restores yang and unblocks the veins, treats cold-damp arthralgia, and can relieve the poison of Clematis, Zhichuanwu, and Zhicaowu. Above all medicines are assisted to make Fructus Nuxygae for reducing swelling and relieving pain, warming the meridians and expelling cold.
黄芩药性苦寒,清热燥湿,泻火解毒,重楼清热解毒利湿,徐长卿祛风止痛,活血解毒,白芍味苦、酸,性微寒,可缓急止痛,土茯苓味甘淡性平,能祛风胜湿,制约温热药物以防其过于燥热伤阴。Scutellaria baicalensis is bitter and cold in nature, clearing away heat and dampness, purging fire and detoxifying, Zhonglou clearing away heat and detoxifying and promoting dampness, Xu Changqing dispelling wind and relieving pain, promoting blood circulation and detoxifying, white peony root is bitter and sour, slightly cold in nature, can relieve acute pain, Smilax tuckahoe is sweet and mild in nature, It can dispel wind and overcome dampness, and restrict warm and hot medicines to prevent it from being too hot and hurting yin.
二、毒性实验2. Toxicity test
2.1 急性毒性实验2.1 Acute toxicity test
完整皮肤准备:将大鼠在给药前24小时将背部脊柱两侧的毛剃掉。去毛面积约4cm×6cm2。破损皮肤准备:方法与完整皮肤准备相同,脱毛24小时后消毒,用针头在皮肤上划痕,以刺伤表皮,不伤真皮,轻度渗血为度。Complete skin preparation: Rats were shaved on both sides of the dorsal spine 24 hours before dosing. The dehaired area is about 4cm×6cm 2 . Damaged skin preparation: The method is the same as that of complete skin preparation. Disinfect after 24 hours of hair removal, and scratch the skin with a needle to stab the epidermis without injuring the dermis, with slight bleeding.
将大鼠分为空白对照组和实验组,实验组又分为完整皮肤组和破损皮肤组,各3个剂量组,每组4只,雌雄各半。将温通止痛膏剂均匀地涂敷于动物背部脱毛区24小时,24小时后,洗去受试药膏,连续观察7天。7天内24只小鼠无一只死亡及明显中毒反应。The rats were divided into a blank control group and an experimental group, and the experimental group was further divided into a complete skin group and a damaged skin group, each with 3 dosage groups, 4 rats in each group, half male and half male. Apply Wentong Zhitong ointment evenly to the depilated area on the back of the animal for 24 hours, wash off the test ointment after 24 hours, and observe continuously for 7 days. Within 7 days, none of the 24 mice died or had obvious poisoning reaction.
2.2 皮肤过敏性实验2.2 Skin allergy test
取大鼠18只,随机分为3组,即空白基质组;高剂量温通止痛膏剂组;1%2,4一二硝基氯苯组;每组雌雄各半。按30 mg/kg腹腔注射1%戊苯巴比妥钠麻醉,于给受试物前24h将大鼠背部两侧毛剃掉,去毛区范围每侧约4cm×6cm2,空白基质膏lg/只,高剂量组高剂量温通止痛膏剂lg/只,及1%2,4一二硝基氯苯0.2ml/只给药,涂于各组动物左侧脱毛区,持续6h,于第7、14天各重复l次,第28天用同样方法将高剂量温通止痛膏剂和1%2,4一二硝基氯苯涂于右侧脱毛区,激发6h后除去受试物。观察24、48、72h皮肤过敏情况。无皮肤过敏反应。18 rats were randomly divided into 3 groups, that is, the blank matrix group; the high-dose Wentongzhitong ointment group; the 1% 2,4-dinitrochlorobenzene group; each group was divided into males and females. Anesthetized by intraperitoneal injection of 1% pentobarbital sodium at 30 mg/kg, shaved off the hair on both sides of the back of the rat 24 hours before giving the test substance, the range of the depilated area was about 4cm × 6cm2 on each side, and the blank base paste lg/ In the high-dose group, high-dose Wentongzhitong ointment lg/piece, and 1% 2,4-dinitrochlorobenzene 0.2ml/piece, were applied to the left depilatory area of each group of animals for 6 hours, and on the 7th day , 14 days each repeated once, on the 28th day with the same method to apply high-dose Wentong Zhitong ointment and 1% 2,4-dinitrochlorobenzene to the right depilatory area, and remove the test substance after 6 hours of stimulation. Observe the skin allergies for 24, 48, and 72 hours. No skin allergic reaction.
2.3 皮肤刺激性实验2.3 Skin irritation test
取大鼠12只,随机分为2组,即完整皮肤组;破损皮肤组;每组雌雄各半。按30 mg/kg腹腔注射1%戊苯巴比妥钠麻醉,将高剂量温通止痛膏剂于各组大鼠背部左侧脱毛区涂敷,各鼠背部右侧脱毛区涂敷同面积的空自基质膏,24h给药一次,连续7天,除去大鼠背部残留的膏体,各组动物饮食、活动正常,无烦躁等异常精神状态及全身中毒症状。Twelve rats were randomly divided into two groups, that is, the intact skin group and the damaged skin group; each group had half male and half male. Anesthetized by intraperitoneal injection of 1% pentobarbital sodium at 30 mg/kg, high-dose Wentong Zhitong ointment was applied to the depilated area on the left side of the back of the rats in each group, and the same area was applied to the depilated area on the right side of the back of each rat. The matrix ointment was administered once every 24 hours for 7 consecutive days, and the residual ointment on the back of the rats was removed. The animals in each group had normal diet and activities, and no abnormal mental state such as irritability and symptoms of systemic poisoning.
三、临床典型实例3. Typical clinical examples
赵××,女,62岁,退休工人,于2011年6月7日来本院就诊,主诉右膝关节反复肿痛3月余。患者3月前即感右膝关节酸痛,晨起时疼痛较重,右膝关节反复出现肿胀疼痛,受寒、劳累后加重,夜间疼痛更甚,休息后稍缓解。查体:右膝关节内侧及双膝眼处疼痛肿胀,压痛明显,右膝关节屈伸活动受限,髌骨研磨试验阳性,浮髌试验阴性,麦氏征阴性,抽屉试验阴性,侧向试验阴性。X线示:右膝关节增生退变。诊断:中医:骨痹(膝痹)。西医:右膝骨性关节炎。即选右膝疼痛处敷以温通止痛膏剂,1次/d,连续7天用药为一个疗程,同时在敷药前进行适当按摩,按上述治疗方案治疗一个疗程后,患者平地步行时不感疼痛,膝关节肿胀明显减轻,仅于上下楼梯时稍感右膝关节酸痛,下蹲稍感困难。继续按原方案治疗一个疗程后,患者右膝关节行走时无明显不适。Zhao ××, female, 62 years old, a retired worker, came to our hospital on June 7, 2011 for medical treatment, and complained of repeated swelling and pain in the right knee joint for more than 3 months. The patient felt soreness in the right knee joint three months ago, and the pain was severe in the morning. The swelling and pain in the right knee joint occurred repeatedly, which aggravated after being exposed to cold and fatigue, and the pain was worse at night, and it was slightly relieved after rest. Physical examination: Pain and swelling on the medial side of the right knee joint and both knees, obvious tenderness, limited flexion and extension of the right knee joint, positive patella grinding test, negative floating patella test, negative McBurney's sign, negative drawer test, and negative lateral test. X-ray shows: hyperplasia and degeneration of right knee joint. Diagnosis: Traditional Chinese Medicine: Gubi (Knee Bi). Western medicine: right knee osteoarthritis. That is, apply Wentong Pain Relief Ointment to the painful part of the right knee, once a day, and use it for 7 consecutive days as a course of treatment, and at the same time, perform appropriate massage before applying the medicine. , The swelling of the knee joint was significantly relieved. I only felt a little soreness in the right knee joint when going up and down the stairs, and it was a little difficult to squat down. After continuing to treat according to the original plan for a course of treatment, the patient had no obvious discomfort when walking on the right knee joint.
尽管已经对本发明的技术方案做了较为详细的阐述和列举,应当理解,对于本领域技术人员来说,对上述实施例做出修改或者采用等同的替代方案,这对本领域的技术人员而言是显而易见,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the technical solutions of the present invention have been elaborated and listed in detail, it should be understood that for those skilled in the art, it is necessary for those skilled in the art to make modifications to the above-mentioned embodiments or adopt equivalent alternatives. Obviously, the modifications or improvements made on the basis of not departing from the spirit of the present invention all belong to the protection scope of the present invention.
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