CN104887803A - Use of traditional Chinese medicine in treatment of eczema - Google Patents
Use of traditional Chinese medicine in treatment of eczema Download PDFInfo
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- CN104887803A CN104887803A CN201510265786.4A CN201510265786A CN104887803A CN 104887803 A CN104887803 A CN 104887803A CN 201510265786 A CN201510265786 A CN 201510265786A CN 104887803 A CN104887803 A CN 104887803A
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Abstract
The invention provides use of a traditional Chinese medicine in treatment of eczema. The traditional Chinese medicine is prepared from the following raw pharmaceutical materials in parts by weight: 30-40 parts of lithospermum erythrorhizon, 30-40 parts of atractylodes macrocephala, 10-20 parts of fructus aurantii, 20-30 parts of cnidium monnieri, 20-30 parts of lonicera japonica, 10-20 parts of Sophora flavescens, 5-10 parts of phellodendron bark, 15-25 parts of poria cocos and 20-30 parts of rhubarb root. Proven by treatment effect tests, the traditional Chinese medicine has the beneficial effects that the effect on treating eczema is very remarkable, and the treatment effect is definite; due to external application, the side effect is low; and the traditional Chinese medicinal materials which are relatively economical and practical are selected, so that the traditional Chinese medicine is more easily accepted by patients.
Description
Technical field
The present invention relates to Chinese medicine composition, be specifically related to the purposes of a kind of Chinese medicine in treatment eczema.
Background technology
Eczema is the reaction of a kind of scytitis, is commonly encountered diseases, the frequently-occurring disease of department of dermatologry.Divide acute, subacute, chronic three phases.Acute stage, tool oozed out tendency, and chronic phase then infiltrates, plumpness.Some patient directly translates into chronic eczema.Skin lesion has the features such as pleomorphism, symmetry, pruritus and easy recurrent exerbation.
Eczematosis, because of complexity, is often internal and external reasons interaction result.Endogenous cause of ill is as chronic digestive system disease, psychentonia, insomnia, overtired, emotion changes, endocrine disturbance, infection, dysbolism etc., and exopathogenic factor such as living environment, climate change, food etc. all can affect the generation of eczema.Environmental stimuli as daylight, cold, drying, sweltering heat, hot water is scalded and various animal skin, plant, cosmetics, soap, staple fibre etc. all can bring out.Therefore eczema is a kind of delayed allergy that the complicated inside and outside factor causes.
The medicine of current treatment eczema is various.Western medicine class drug main will adopt antianaphylactic treatment, does not have the curative effect of effecting a radical cure, easily recurrence and or many, or rare hormone composition, has side effect.The medicine of Chinese medicine class treatment eczema is also reported for work more, as patent CN104383087A, disclose a kind of medicine for the treatment of skin eczema, be made up of the material of following weight portion: Sabia parviflora Wall.ex Roxb 500-1000 part, Herba Fici Stenophyliae 700-1200 part, Herba Lycopodii Obscuri 500-1000 part, Herba Clematidis tanguticae 500-800 part, field Radix Arnebiae (Radix Lithospermi) 600-900 part, Caulis Arcangelisiae 500-800 part, northern Herba Androsaces Umbellatae (Herba Androsaces Coccineae) 600-900 part, field fiber crops 500-1000 part, Herba Chloranthi Henryi (Herba Choranthi seu Lysimachiae) 600-900 part, Herba Saussureae gramineae 500-800 part, purslane speedwell Herba 500-800 part and Herba Rabdosiae Sculponeatae 500-900 part; Patent CN104306806A, disclose a kind of Chinese medicine composition for the treatment of eczema, be made up of the Chinese herb of following composition: Herba Schizonepetae 15-30 part, Radix Rehmanniae 10-20 part, Flos Chrysanthemi Indici 10-20 part, parching to brown Siberian cocklebur 8-15 part, Scorpio 2-5 part, Testa sojae atricolor 10-20 part, Radix Sophorae Flavescentis 10-20 part, Folium Isatidis 10-20 part, Herba Verbenae 15-25 part, Semen Coicis 10-20 part, Herba Taraxaci 5-15 part.But above-mentioned Chinese Herbs is general, be extremely necessary that effort research and development are evident in efficacy, the Chinese medicine composition of the treatment eczema for the treatment of both the principal and secondary aspects of a disease.
Summary of the invention
The object of the invention is for deficiency of the prior art, the purposes of a kind of Chinese medicine in treatment eczema is provided.
The technical scheme that the present invention takes is:
The purposes of Chinese medicine in treatment eczema, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 30-40 part, Rhizoma Atractylodis Macrocephalae 30-40 part, Fructus Aurantii 10-20 part, Fructus Cnidii 20-30 part, Radix Ophiopogonis 20-30 part, Radix Sophorae Flavescentis 10-20 part, Cortex Phellodendri 5-10 part, Poria 15-25 part, Radix Et Rhizoma Rhei 20-30 part.
As one preferably embodiment, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 36-40 part, Rhizoma Atractylodis Macrocephalae 32-36 part, Fructus Aurantii 15-20 part, Fructus Cnidii 25-28 part, Radix Ophiopogonis 25-28 part, Radix Sophorae Flavescentis 10-15 part, Cortex Phellodendri 5-10 part, Poria 20-25 part, Radix Et Rhizoma Rhei 25-30 part.
As a kind of more excellent embodiment, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 38 parts, the Rhizoma Atractylodis Macrocephalae 32 parts, Fructus Aurantii 15 parts, Fructus Cnidii 25 parts, Radix Ophiopogonis 25 parts, Radix Sophorae Flavescentis 15 parts, Cortex Phellodendri 10 parts, 20 parts, Poria, Radix Et Rhizoma Rhei 25 parts.
Beneficial effect of the present invention is: the purposes that the invention provides a kind of Chinese medicine, and this treatment by Chinese herbs eczema effect is very remarkable, determined curative effect, for external, side effect is little, and the comparatively economical and practical Chinese crude drug that has drawn from, to be easier to accept by patient, patient also can prepare voluntarily.
Detailed description of the invention
Below detailed description of the invention provided by the invention is further described, but it is only preferred version, does not limit the scope of the invention.
embodiment 1
Radix Arnebiae (Radix Lithospermi) 38 parts, the Rhizoma Atractylodis Macrocephalae 32 parts, Fructus Aurantii 15 parts, Fructus Cnidii 25 parts, Radix Ophiopogonis 25 parts, Radix Sophorae Flavescentis 15 parts, Cortex Phellodendri 10 parts, 20 parts, Poria, Radix Et Rhizoma Rhei 25 parts, 80 mesh sieves are crossed after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 2
Radix Arnebiae (Radix Lithospermi) 36 parts, the Rhizoma Atractylodis Macrocephalae 36 parts, Fructus Aurantii 15 parts, Fructus Cnidii 28 parts, Radix Ophiopogonis 25 parts, Radix Sophorae Flavescentis 15 parts, Cortex Phellodendri 5 parts, 25 parts, Poria, Radix Et Rhizoma Rhei 25 parts, cross 80 mesh sieves after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 3
Radix Arnebiae (Radix Lithospermi) 40 parts, the Rhizoma Atractylodis Macrocephalae 32 parts, Fructus Aurantii 20 parts, Fructus Cnidii 25 parts, Radix Ophiopogonis 28 parts, Radix Sophorae Flavescentis 10 parts, Cortex Phellodendri 10 parts, 20 parts, Poria, Radix Et Rhizoma Rhei 30 parts, 80 mesh sieves are crossed after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 4
Radix Arnebiae (Radix Lithospermi) 30 parts, the Rhizoma Atractylodis Macrocephalae 40 parts, Fructus Aurantii 10 parts, Fructus Cnidii 30 parts, Radix Ophiopogonis 20 parts, Radix Sophorae Flavescentis 20 parts, Cortex Phellodendri 5 parts, 25 parts, Poria, Radix Et Rhizoma Rhei 20 parts, cross 80 mesh sieves after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 5
Radix Arnebiae (Radix Lithospermi) 40 parts, the Rhizoma Atractylodis Macrocephalae 30 parts, Fructus Aurantii 20 parts, Fructus Cnidii 20 parts, Radix Ophiopogonis 30 parts, Radix Sophorae Flavescentis 10 parts, Cortex Phellodendri 10 parts, 15 parts, Poria, Radix Et Rhizoma Rhei 30 parts, 80 mesh sieves are crossed after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 6
Radix Arnebiae (Radix Lithospermi) 40 parts, the Rhizoma Atractylodis Macrocephalae 40 parts, Fructus Aurantii 20 parts, Fructus Cnidii 20 parts, Radix Ophiopogonis 20 parts, Radix Sophorae Flavescentis 20 parts, Cortex Phellodendri 10 parts, 15 parts, Poria, Radix Et Rhizoma Rhei 20 parts, 80 mesh sieves are crossed after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
embodiment 7
1 method
1.1 case selections: include 63 routine patients with chronic eczema volunteers altogether in.
1.1.1 inclusive criteria
1) diagnostic criteria of chronic eczema is met; 2) 5% < skin lesion area < 30%; 3) age 15-73 one full year of life.
1.1.2 exclusion standard
1) there is the vitals serious change person that the other reasons beyond eczema causes; 2) dull-witted and psychotic, gravid woman; 3) system application glucocorticoid, immunosuppressant person in 2 weeks; 4) antihistaminic and external glucocorticoid person is used in 2 weeks.
1.1.3 standard is rejected
1) group and exclusion standard person is incorporated into through auditing not to be inconsistent; 2) uncomplaisance medication person or duration of test merge other active drugs person; 3) experimenter of test has namely been exited in non-medication or medication few (<10%), does not namely list in efficacy analysis.
1.2 EXPERIMENTAL DESIGN
Employing is random, final result person is blind, parallel control clinical trial design.Divide 2 groups at random by patient, accept the corresponding treatment of 21 days.Patient is assessed the clinical symptoms of patient and sign by same final result index evaluation person after the 21st day with treatment respectively before the treatment, and record in detail.Call-on back by phone was carried out to Patients on Recurrence situation in 4th month after treatment terminates.
1.3 trial drugs and therapeutic scheme
1.3.1 trial drug
The decoction liquor of the embodiment of the present invention 1.
Control drug: Radix Arnebiae (Radix Lithospermi) 38 parts, the Rhizoma Atractylodis Macrocephalae 32 parts, Fructus Aurantii 15 parts, Fructus Cnidii 25 parts, Radix Ophiopogonis 25 parts, Radix Scutellariae 15 parts, Cortex Phellodendri 10 parts, 20 parts, Poria, Herba Centellae 25 parts, 80 mesh sieves are crossed after co-grinding, add 8 times amount soak by water 5 hours, then add 3 times amount soak by water 2 hours, natural cooling.
1.3.2 therapeutic scheme
Treatment group: the washing liquid becoming to contain crude drug amount 0.5g/ml by decoction liquor by warm water exchange, washout or immersion affected part 10min, every day 2 times, 21 days courses for the treatment of.
Matched group: the same treatment group of therapeutic scheme.
1.3.3 observation index and evaluation methodology
1.3.3.1 skin lesion area and severity scale
Adopt eczema area and Severity Index point system (Eczema Area and Severity Index, EASI).Whole body is divided into head/neck (H), upper limb (UL), trunk (T), lower limb (LL) 4 positions, within more than 8 years old, each site area of patient accounts for the ratio of whole body area, and head and neck calculates with 10%, upper limb 20%, trunk 30%, lower limb 40%.The ratio score value that skin lesion area accounts for each site area is 0 ~ 6, that is: 0 is without erythra, and 1 is <10%, and 2 be 10% ~ 19%, 3 be 20% ~ 49%, 4 be 50% ~ 69%, 5 be 70% ~ 89%, 6 is 90% ~ 100%.Clinical manifestation is divided into four, erythema (erythema, E), hard swollen (edema)/pimple (induration (edema)/papulation, I), exfoliation (excoriation, Ex), lichenization (1ichenification, L), respectively with 0 ~ 3 point of evaluation: 0=without; 1=is slight; 2=moderate; 3=severe.Calculate systemic ratio shared by ratio × each position that each position score value=(E+I+Ex+L) × skin lesion accounts for each site area, each position score value is added the total score being EASI skin lesion severity of symptom, and total score scope is 0 ~ 72 point.According to clinical symptoms and sign improve degree using therapeutic index as evaluation criteria, clinical efficacy to be roughly divided into be almost recovered, effective, effective and invalid level Four, therapeutic index=(after treatment front target skin lesion EASI-treatment target skin lesion EASI)/treatment front target skin lesion EASI × 100%.Be almost recovered: skin lesion disappears, transference cure, therapeutic index >=90%; Effective: skin lesion obviously disappears, symptom obviously disappears, therapeutic index 60% ~ 89%; Effective: skin lesion obviously disappears, symptom obviously disappears, therapeutic index 20% ~ 59%; Invalid: skin lesion disappears not obvious, symptom has no and alleviates or increase the weight of, therapeutic index <20%.Total effective rate=(recovery from illness number of cases+effective number of cases+effectively number of cases)/curative effect total cases × 100%.
1.3.3.2 relapse rate
Call-on back by phone was carried out to recovery from illness and effective Patients on Recurrence situation in after treatment terminates 4th month.Calculate relapse rate: relapse rate=(after the patient number of cases/21 day treatment of recurrence recovery from illness and the total number of cases of effective patient) × 100%.
2 results
2.1 total effective rates compare
The routine patient of case-data 63 is probabilistically assigned and enters two groups, wherein treatment group 32 people, matched group 31 people, and two groups of Genders, mean age, EASI are marked comparing difference not statistically significant (P>0.05).Because of a variety of causes can not complete this test have 2 example, wherein treatment group 1 example, matched group 1 example.
To treat after 21 days total effective rate in table 1 for two groups.Treatment group compares with matched group total effective rate, has significant difference (P<0.05), shows that the Be very effective for the treatment of by Chinese herbs eczema provided by the invention is better than matched group Chinese medicine.
Table 1 respectively organizes total effective rate
| Recovery from illness | Effective | Effectively | Invalid | Total effective rate | |
| Treatment group | 16 | 8 | 6 | 1 | 96.8% |
| Matched group | 8 | 9 | 7 | 6 | 80.0% |
2.2 relapse rate
After 4 months, to treatment, within 21 days, recovery from illness and effective Patients Patients follow up a case by regular visits to afterwards in drug withdrawal.Two groups of patients, 4 months relapse rate comparative results are in table 2.Treatment group compares with matched group relapse rate, and treatment group relapse rate, significantly lower than matched group, shows that treatment by Chinese herbs eczema provided by the invention can treating both the principal and secondary aspects of a disease, determined curative effect.
Table 2 respectively organizes relapse rate
| Total number of persons | Recurrence | Do not recur | Relapse rate | |
| Treatment group | 24 | 2 | 22 | 8.3% |
| Matched group | 17 | 3 | 14 | 17.6% |
Claims (3)
1. the purposes of a Chinese medicine in treatment eczema, it is characterized in that, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 30-40 part, Rhizoma Atractylodis Macrocephalae 30-40 part, Fructus Aurantii 10-20 part, Fructus Cnidii 20-30 part, Radix Ophiopogonis 20-30 part, Radix Sophorae Flavescentis 10-20 part, Cortex Phellodendri 5-10 part, Poria 15-25 part, Radix Et Rhizoma Rhei 20-30 part.
2. purposes according to claim 1, it is characterized in that, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 36-40 part, Rhizoma Atractylodis Macrocephalae 32-36 part, Fructus Aurantii 15-20 part, Fructus Cnidii 25-28 part, Radix Ophiopogonis 25-28 part, Radix Sophorae Flavescentis 10-15 part, Cortex Phellodendri 5-10 part, Poria 20-25 part, Radix Et Rhizoma Rhei 25-30 part.
3. purposes according to claim 2, it is characterized in that, described Chinese medicine is made up of the crude drug of following weight portion: Radix Arnebiae (Radix Lithospermi) 38 parts, the Rhizoma Atractylodis Macrocephalae 32 parts, Fructus Aurantii 15 parts, Fructus Cnidii 25 parts, Radix Ophiopogonis 25 parts, Radix Sophorae Flavescentis 15 parts, Cortex Phellodendri 10 parts, 20 parts, Poria, Radix Et Rhizoma Rhei 25 parts.
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Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007021789A1 (en) * | 2005-08-11 | 2007-02-22 | Medical College Of Georgia Research Institute | Modified green tea polyphenol formulations |
| CN103285155A (en) * | 2013-05-15 | 2013-09-11 | 北京中医药大学东直门医院 | Traditional Chinese medicine composition for treating eczema and dermatitis |
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Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007021789A1 (en) * | 2005-08-11 | 2007-02-22 | Medical College Of Georgia Research Institute | Modified green tea polyphenol formulations |
| CN103285155A (en) * | 2013-05-15 | 2013-09-11 | 北京中医药大学东直门医院 | Traditional Chinese medicine composition for treating eczema and dermatitis |
Non-Patent Citations (1)
| Title |
|---|
| 宋瑜等: "马绍尧从脾论治湿疹经验", 《上海中医药大学学报》 * |
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