CN104547775A - 一种治疗中焦湿热症的中药 - Google Patents

一种治疗中焦湿热症的中药 Download PDF

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CN104547775A
CN104547775A CN201510019706.7A CN201510019706A CN104547775A CN 104547775 A CN104547775 A CN 104547775A CN 201510019706 A CN201510019706 A CN 201510019706A CN 104547775 A CN104547775 A CN 104547775A
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rhizoma
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于秀梅
谷右天
崔新成
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Abstract

本发明涉及中药应用领域，特别公开了一种治疗中焦湿热症的中药。该一种治疗中焦湿热症的中药，以清半夏，陈皮，茯苓，黄芩，栀子，苍术，厚朴，枳壳，青皮，木香，焦三仙，甘草为主方，主要根据病症的变化和兼症的多少而进行相应的加减：热轻去栀子，热重加黄连；湿浊偏重者加清半夏、陈皮、苍术、茯苓，或加藿香、佩兰；伴有恶心、呕吐者加竹茹；伴呃逆、嗳气者加代赭石、莱菔子；大便粘腻臭秽者加黄柏；本发明配制简单，不仅对中焦湿热症能进行彻底的根治，而且能全面调整人体各器官，标本兼顾，化痰散结、消积导滞、理气和中，本发明生产成本低，治疗效果好，有利于病患及时减轻病状，并达到彻底治愈的治疗效果。

Description

一种治疗中焦湿热症的中药
(一)技术领域
本发明涉及中药应用领域，特别涉及一种治疗中焦湿热症的中药。
(二)背景技术
中焦湿热症是目前临床常见多发证型，随着人民物质文化水平的提高，饮食的丰富，常因嗜酒、过饱、过食肥甘厚味及不洁的饮食、无规律的饮食等诸多饮食不节因素均易伤及脾胃，引起食滞、湿阻、气滞等，而食滞、湿阻、气滞日久均可化热，从而形成脾胃中焦湿热症，导致临床中焦湿热症的患者逐步增多；湿为阴邪，其性重浊黏腻涩滞；热为阳邪，其性炎上，易化燥伤津，故湿热病的病因在“湿”与“热”，一阴一阳，彼此属性不同，侵犯人体后湿与热胶结，多滞着难化，这两种相互对立、矛盾的病邪共同致病于人体，导致了湿热病在临床表现上的复杂性和矛盾性。中焦湿热症是湿热之邪郁阻中焦脾胃，导致脾胃运化功能障碍，气机阻滞，升降失司的一类证候；症见脘腹痞满，甚者胀痛，连及胸膈，泛恶纳差，不思饮食，嗳气吞酸，口干而不欲饮，肢体困倦，便秘，舌质偏红，舌苔厚腻或黄腻，脉弦或滑数。
湿热是中医内蕴，指湿热蕴酿於中焦脾胃和肝胆而言；湿为重浊粘腻之邪，容易影响气机的流通，如与热邪相合，湿热交困，则热因湿阻而难清，湿因热蒸而阳气受伤更甚，临床表现为热势缠绵，下午热高，身重，神疲，懒言，神志昏沉，胸脘痞闷，恶心，纳呆，腹胀，便溏，或发黄疸，小便不利或黄赤，舌苔黄腻；多见於肠伤寒、黄疸型肝炎，钩端螺旋体病等。
目前临床上常用的治疗药物有保和丸、二陈丸、香砂六君子丸、大山楂丸、四磨汤口服液等，或清化痰湿，或行气健脾祛湿，或健脾消食，能够有效的清化体内湿热、健脾理气导滞的理想药物仍较欠缺；现有技术中的药物治疗效果不佳，治疗时间长，患者长时间的服药产生极大的心理压力，给患者的身心带来极大的伤害。
(三)发明内容
本发明为了弥补现有技术的不足，提供了一种制备简单、疗效显著的一种治疗中焦湿热症的中药。
本发明是通过如下技术方案实现的：
一种治疗中焦湿热症的中药，由以下的原料制成：
以清半夏12克，陈皮10克，茯苓20克，黄芩10克，栀子10克，苍术10克，厚朴10克，枳壳10克，青皮10克，木香10克，焦三仙各10克，甘草6克为主方，主要根据病症的变化和兼症的多少而进行相应的加减，在清热祛湿时佐以畅通气机、活血通络、益气养阴、行气消导等法，灵活加减；热轻去栀子，热重加黄连6克；湿浊偏重者加清半夏10-12克、陈皮10-12克、苍术10-15克、茯苓12-25克，或加藿香10-12克、佩兰10-12克；伴有恶心、呕吐者加竹茹10-12克；伴呃逆、嗳气者加代赭石10-15克、莱菔子12-15克；肝郁气滞者加柴胡12-15克、白芍15-25克，或增加木香10-15克、青皮10-12克、枳壳10-12克；痛重者加元胡10-15克；夹瘀者加三棱10-12克、莪术10-12克；腹胀便秘者加槟榔15-25克、生大黄(后入)6-8克；大便粘腻臭秽者加黄柏8-10克，将上述原料以常规方法制成煎剂。
用法用量：口服，一日一剂。
本发明各中药原料的药理活性如下：
半夏：燥湿化痰，降逆止呕，消痞散结。用于痰多咳喘，痰饮眩悸，风痰眩晕，痰厥头痛，呕吐反胃，胸脘痞闷，梅核气；生用外治痈肿痰核。
陈皮：理气健脾，燥湿化痰’用于脘腹胀满，食少吐泻，咳嗽痰多。
茯苓：利水渗湿，健脾，宁心；用于水肿尿少，痰饮眩悸，脾虚食少，便溏泄泻，心神不安，惊悸失眠。
黄芩：清热燥湿，泻火解毒，止血，安胎；用于湿温、暑湿，胸闷呕恶，湿热痞满，泻痢，黄疸，肺热咳嗽，高热烦渴，血热吐衄，痈肿疮毒，胎动不安。
栀子：泻火除烦，清热利湿，凉血解毒；外用消肿止痛；用于热病心烦，湿热黄疸，淋证涩痛，血热吐衄，目赤肿痛，火毒疮疡，外治扭挫伤痛。
苍术：燥湿健脾，祛风散寒，明目；用于湿阻中焦，脘腹胀满，泄泻，水肿，脚气痿蹙，风湿痹痛，风寒感冒，夜盲，眼目昏涩。
厚朴：燥湿消痰，下气除满；用于湿滞伤中，脘痞吐泻，食积气滞，腹胀便秘，痰饮喘咳。
枳壳：理气宽中，行滞消胀；用于胸胁气滞，胀满疼痛，食积不化，痰饮内停，脏器下垂。
青皮：有疏肝破气，消积化滞的功效；用于胸胁胀痛，疝气疼痛，乳癖，乳痈，食积气滞，脘腹胀痛
木香：行气止痛，健脾消食；用于胸胁、脘腹胀痛，泻痢后重，食积不消，不思饮食。煨木香实肠止泻。用于泄泻腹痛。
焦三仙：可消谷食积滞；麦芽行气消食、健脾开胃，常用于治疗食积不消、脾虚食少等。三者各司其职，能化解节假日里各种情况引起的积食。
甘草：缓解咳嗽，祛痰，治疗咽痛喉炎；甘草或甘草次酸有去氧皮质酮类作用，对慢性肾上腺皮质功能减退症有良好功效；甘草制剂能促进胃部粘液形成和分泌，延长上皮细胞寿命，有抗炎活性，常用于慢性溃疡和十二指肠溃疡的治疗；甘草的黄酮具有消炎、解痉和抗酸作用。
本发明所述中药为煎剂，将上述原料以常规方法制成煎剂后，定时，定量服用。
本发明配制简单，不仅对中焦湿热症能进行彻底的根治，而且能全面调整人体各器官，标本兼顾，化痰散结、消积导滞、理气和中，本发明生产成本低，治疗效果好，有利于病患及时减轻病状，并达到彻底治愈的治疗效果。
(四)具体实施方式
实施例：
取清半夏12克，陈皮10克，茯苓20克，黄芩10克，栀子10克，苍术10克，厚朴10克，枳壳10克，青皮10克，木香10克，焦三仙各10克，甘草6克为主方，主要根据病症的变化和兼症的多少而进行相应的加减；热轻去栀子，热重加黄连6克；湿浊偏重者加清半夏10-12克、陈皮10-12克、苍术10-15克、茯苓12-25克，或加藿香10-12克、佩兰10-12克；伴有恶心、呕吐者加竹茹10-12克；伴呃逆、嗳气者加代赭石10-15克、莱菔子12-15克；肝郁气滞者加柴胡12-15克、白芍15-25克，或增加木香10-15克、青皮10-12克、枳壳10-12克；痛重者加元胡10-15克；夹瘀者加三棱10-12克、莪术10-12克；腹胀便秘者加槟榔15-25克、生大黄(后入)6-8克；大便粘腻臭秽者加黄柏8-10克，将上述原料以常规方法制成煎剂。
用法用量：口服，一日一剂。
临床病例：
例1：患者，女，43岁。因脘腹痞满不舒半月余就诊，症见脘腹胀满，痞闷不舒，纳差，时有恶心，心烦，口干不思饮，身困乏力，矢气时作，大便溏而粘腻臭秽，舌质略红，苔淡黄厚腻，脉弦滑。并述半月前因外出就餐，饮食油腻后致病。辨证：湿热内蕴，脾胃运化失常。治法：化湿清热，行气导滞。清热祛湿汤加减。处方：清半夏12克，陈皮10克，茯苓20克，黄连6克，栀子10克，苍术10克，厚朴10克，竹茹10g，枳实10克，青皮10克，木香10克，焦三仙各10克，生甘草6克。4剂，水煎服，日一剂。二诊：诸证显减，恶心，心烦已除，食欲好转，苔变白厚，大便略溏，处方：上方去竹茹、栀子，改苍术为15g，7剂；三诊诸症基本消失，继服3剂以巩固疗效。
例2：患者，男，56岁。脘腹胀满隐痛4天来诊。患者2年来脘腹胀满时作，经他院胃镜检查，诊为慢性浅表性胃炎，曾服用中西药治疗，效果不佳，4天前因贪口食多，致脘腹胀满加重，伴胃脘隐痛，嗳气嘈杂，纳呆，口苦，口干，心烦，大便干燥，小便黄，舌红苔黄腻，脉弦滑。辨证：湿热中阻，气滞不畅。治法：化湿清热，行气导滞。清热祛湿汤加减。处方：清半夏12克，陈皮10克，茯苓15克，黄芩10克，栀子10克，厚朴10克，枳壳10克，青皮10克，木香10克，槟榔25克，莱菔子15克，白芍15克，焦三仙各10克，生甘草6克。6剂，水煎服，日一剂。二诊：脘腹胀满显减，大便仍干，1次/日，他症已不显，上方继服，后据方加减服药20余剂，诸证俱消，复查胃镜胃粘膜基本正常。

Claims (2)

1.一种治疗中焦湿热症的中药，其特征为，由以下重量份数的原料制成：以清半夏12克，陈皮10克，茯苓20克，黄芩10克，栀子10克，苍术10克，厚朴10克，枳壳10克，青皮10克，木香10克，焦三仙各10克，甘草6克为主方，主要根据病症的变化和兼症的多少而进行相应的加减：热轻去栀子，热重加黄连6克；湿浊偏重者加清半夏10-12克、陈皮10-12克、苍术10-15克、茯苓12-25克，或加藿香10-12克、佩兰10-12克；伴有恶心、呕吐者加竹茹10-12克；伴呃逆、嗳气者加代赭石10-15克、莱菔子12-15克；肝郁气滞者加柴胡12-15克、白芍15-25克，或增加木香10-15克、青皮10-12克、枳壳10-12克；痛重者加元胡10-15克；夹瘀者加三棱10-12克、莪术10-12克；腹胀便秘者加槟榔15-25克、生大黄(后入)6-8克；大便粘腻臭秽者加黄柏8-10克。
2.根据权利要求1所述的一种治疗中焦湿热症的中药，其特征在于：所述中药为常规方式制成的中药煎剂。
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CN106038887A (zh) * 2016-07-05 2016-10-26 山西忻州兴华皮肤病专科医院 一种治疗胃病中焦寒湿兼有上焦火证的中药
CN109010583A (zh) * 2017-06-12 2018-12-18 洛阳士雄聚元医疗集团股份有限公司 一种治疗因暑湿导致的急性热病的中药
CN114177233A (zh) * 2021-11-30 2022-03-15 湖南省开元博物馆 一种治疗小儿脾虚型疳积用中药及其制备方法

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