CN105288143A - Traditional Chinese medicine composition for treating asthma - Google Patents
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- CN105288143A CN105288143A CN201510919333.9A CN201510919333A CN105288143A CN 105288143 A CN105288143 A CN 105288143A CN 201510919333 A CN201510919333 A CN 201510919333A CN 105288143 A CN105288143 A CN 105288143A
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Abstract
The invention provides a traditional Chinese medicine composition for treating asthma. The traditional Chinese medicine composition is prepared from the following raw materials in parts by weight: herba epimedii, fructus psoraleae, astragalus membranaceus, radix pseudostellariae, adenophora stricta, panax notoginseng, crotalaria sessiiflora, radix ophiopogonis, platycodon grandiflorum, roasted ephedra, apricot kernel, raw gypsum, exocarpium citrus grandis, radix peucedani, rhizoma atractylodis macrocephalae, medicine terminalia fruits, divaricate saposhnikovia roots, pyrrosia lingua and fritillaria cirrhosa which are utilized as components I, and semen pharbitidis, rheum officinale, processed nux vomica, red peony roots, hairyvein agrimony and calomel which are utilized as components II. The components I are prepared into internal medicines, and the components II are prepared into an acupoint patch for use in combination. The traditional Chinese medicines are capable of nourishing the kidneys and lung, supporting the healthy energy and promoting blood circulation to remove blood stasis as main functions, and replenishing qi to invigorate the spleen, calming the adverse-rising energy and relieving asthma as auxiliary functions, and has a significant curative effect on treatment of asthma, particularly chronic duration of bronchial asthma.
Description
Technical field
The present invention relates to a kind of Chinese medicine composition for the treatment of asthma, belong to traditional Chinese medicine field.
Background technology
Bronchial asthma (bronchialasthma, asthma) be by the various kinds of cell particularly chronic airway inflammation that participates in of mastocyte, eosinophilic granulocyte and T lymphocyte, in susceptible person, this kind of inflammation can cause panting of recurrent exerbation, the symptoms such as tachypnea, uncomfortable in chest and (or) cough, how occurring at night and (or) morning, air flue increases multiple stimulating factor reactivity.But symptom can be alleviated voluntarily or through treatment.In the recent decade, the U.S., Britain, Australia, the national asthma prevalence such as New Zealand and mortality rate on the rise, about there are 100,000,000 asthmatic patients in the whole world, become a kind of major chronic illnesses of serious threat public health, the prevalence of China's asthma is about 1%, child Ke Da 3%, about has more than 1,000 ten thousand asthmatic patients according to the measuring and calculating whole nation.
Asthma always is the common multiple stubborn disease of China, and asthma serious harm human health is treated timely and effectively if can not get, can life-threatening.Although Western medicine instant effect, side effect is large; So a lot of asthmatic patient all selects treatment by Chinese herbs asthma, therefore need the Chinese medicine composition developing determined curative effect.
Summary of the invention
The present invention is directed to the deficiency that existing treatment by Chinese herbs asthma exists, a kind of Chinese medicine composition for the treatment of asthma is provided, treatment asthma especially bronchial asthma chronic sustained phase, determined curative effect.
Technical solution of the present invention is as follows: a kind of Chinese medicine composition for the treatment of asthma, comprises the crude drug of following component by weight:
Component one: Herba Epimedii 10-20 part, Fructus Psoraleae 10-15 part, Radix Astragali 20-40 part, Radix Pseudostellariae 20-30 part, Radix Adenophorae (Radix Glehniae) 10-15 part, Radix Notoginseng 5-10 part, Herba Crotalariae sessiliflorae 5-10 part, Radix Ophiopogonis 5-15 part, Radix Platycodonis 5-15 part, Herba Ephedrae (processed) 5-10 part, Semen Armeniacae Amarum 5-10 part, Gypsum Fibrosum 10-20 part, Exocarpium Citri Grandis 10-15 part, Radix Peucedani 3-9 part, Rhizoma Atractylodis Macrocephalae 6-12 part, Fructus Chebulae 3-9 part, Radix Saposhnikoviae 5-10 part, Folium Pyrrosiae 5-10 part, Bulbus Fritillariae Cirrhosae 3-10 part;
Component two: Semen Pharbitidis 10-15 part, Radix Et Rhizoma Rhei 15-20 part, Semen Strychni (processed) 10-15 part, Radix Paeoniae Rubra 6-12 part, Herba Agrimoniae 10-15 part, Calomelas 5-10 part.
Described component one makes oral medicine, and preparation method is:
(1) take Herba Epimedii by recipe quantity, Fructus Psoraleae, the Radix Astragali, Radix Pseudostellariae, Radix Adenophorae (Radix Glehniae) be ground into coarse powder, cross 50 mesh sieves, with 50% alcohol dipping 24h of 10 times amount, collect with the percolation speed of 5ml/min liquid of filtering, liquid of filtering is at 65 DEG C,-0.08MPa concentrating under reduced pressure, reclaim ethanol, be concentrated into the thick paste that relative density is 1.3-1.32, by gained thick paste at 60 DEG C, drying under reduced pressure 8h under-0.08MPa, namely obtains drug extract powder after crossing 100 mesh sieves for subsequent use;
(2) Radix Notoginseng, Herba Crotalariae sessiliflorae, Radix Ophiopogonis, Radix Platycodonis, Herba Ephedrae (processed), Gypsum Fibrosum, Radix Peucedani, the Rhizoma Atractylodis Macrocephalae, Fructus Chebulae, Radix Saposhnikoviae, Folium Pyrrosiae is taken by recipe quantity, add 5 times amount distilled water and carry out decoction extraction, extraction time is 1-3h, extract 2-4 time, by extracting solution sucking filtration, discard filtering residue, merge and obtain extracting solution; Filtrate heating is concentrated, to proportion (90 degree heat are surveyed) for 1:1 time, standing 48 hours of 40% precipitate with ethanol, in collection, liquid is for subsequent use;
(3) take Semen Armeniacae Amarum, Exocarpium Citri Grandis, Bulbus Fritillariae Cirrhosae by recipe quantity, be ground into fine powder, cross 100 mesh sieves for subsequent use;
(4) pear and Fructus Benincasae are peeled mash, add the drug extract powder of step (1) and the medicated powder of step (3), then pour the medicine juice of step (2) into, to contain altogether in a jorum and even, add crystal sugar; Be placed in steamer Steam by water bath about 50 minutes, one-tenth thickness paste.
Described component two makes acupoint plaster, and preparation method is: all medicines of component two are taken by recipe quantity, dried, grinds as smalls, adds Calomelas and adjusts evenly, then grind one time, cross 80 mesh sieves, adds refined honey and adjusts cream; Plaster to be mounted on the kraft paper being applied to 3 centimeter square or cotton acupoint plaster.Described refined honey is middle honey: heated by Mel, temperature reaches 116-118 DEG C, and water content is at 14%-16%, and density is about 1.37, occurs the light yellow glossiness all even and fine bubble seethed, twists with the fingers toughness with hands, occurs without white silk when two fingers separate.
Used time acupoint plaster is baked soft after carry out applying ointment or plaster respectively at big vertebra, Hsinshu (acupoint) (two), ke shu (two), fei shu (two) and Dingchuan (two) acupuncture point fixing, each 6-8h, interval is treated once for 10 days, continuous use two months.
The clinical symptoms subject matter asthma of bronchial asthma, uncomfortable in chest, cough, dyspnea etc.Theory of Chinese medical science is thought, the category that bronchial asthma belongs to " asthma " " heavy breathing disease ", and its pathogenesis is that lung deficiency of the kidney is empty, causes water liquid transporting bad, volt in phlegm retention, and then impairment of dispersing and descending function of the lung, and mental disorder silt knot, abnormal rising of lung-QI, finally cause asthma, cough.This disease is not easily effected a radical cure, easy recurrent exerbation.Chinese medicine of the present invention is with invigorating the lung and the kidney, strengthening the body resistance, blood circulation promoting and blood stasis dispelling, and replenishing QI to invigorate the spleen, lowering the adverse QI to relieve asthma are Therapeutic Principle, the treatment asthma especially bronchial asthma chronic sustained phase, has significant curative effect.The strong sun of the Herba Epimedii of component one, Fructus Psoraleae, Radix Pseudostellariae the kidney warming, QI invigorating consolidate and are all monarch drug, Radix Notoginseng, the Rhizoma Atractylodis Macrocephalae, Radix Saposhnikoviae invigorating the spleen and benefiting QI, blood circulation promoting and blood stasis dispelling are all ministerial drug, Radix Adenophorae (Radix Glehniae), Herba Crotalariae sessiliflorae, Radix Ophiopogonis, Radix Platycodonis, Herba Ephedrae (processed), Semen Armeniacae Amarum, Gypsum Fibrosum, Bulbus Fritillariae Cirrhosae clearing away heat and nourishing YIN, nourishing the lung to arrest cough is relievingd asthma and is all adjuvant drug, Exocarpium Citri Grandis, Fructus Chebulae, Folium Pyrrosiae, Radix Peucedani fall apart wind heat clearing away, and lowering the adverse-rising QI to resolve phlegm is for making medicine.Monarch compatibility is reasonable, collaborative work mutually.Moreover, different processing methods is taked for different medical materials time prepared by instant component one, alcohol extraction percolation or water body precipitation or directly grind into powder, the effective ingredient of each medical material of maximum reservation, add taste that pear and Fructus Benincasae can not only improve Chinese medicine very well when boiling to be beneficial to and to take, more strengthen the eliminating dampness and promoting diuresis of medicine, effect of nourishing the lung to arrest cough.No matter be grown up or children taking simple and convenient, avoid common Chinese repulsion psychology, moreover, more decrease and the intestines and stomach stimulated.
One of the present invention's innovation is by acupoint plaster in conjunction with oral medicine, Orally taken and externally corporation governance asthma.Point application therapy, for managing foundation of falling with Chinese medicine meridian theory, medicine pulverization, with water, vinegar, wine, Ovum Gallus domesticus album, Mel, vegetable oil, menthocamphorate, medicinal liquid even saliva furnishing pasty state, or with in solidifying the oils and fats (as vaseline etc.) of shape, yellow vinegar, rice, Fructus Jujubae make ointment, pill or medicinal cake, or Chinese medicine decoction be boiled into cream, or fall apart on plaster by medicamental pulverata, directly stick acupuncture point, affected part again, be used for the one of disease therapy without traumatic pain acupoint therapy.It is that important composition Deng of Chinese therapeutics divides, it is a set of uniqueness, the effective Therapeutic Method that China working people sums up out in combating the disease for a long time, it experienced by the evolution put into practice, be familiar with, put into practice, be familiar with many times, has very long developing history.
Meridians " in belong to internal organs, outer network podomere, link up the exterior and the interior, run through upper and lower " are the passages that the circular flow of human body the four stages in the course of an epidemic febrile disease goes out people, and to be then above-mentioned substance running the joint in path at acupuncture point, are " lung qi send out " and the place of " manner parade out people ".According to TCM Zang-fu one meridians correlation theory, acupuncture point by meridians and internal organs closely related, not only have each internal organs physiology of reflection or the function of pathology, be also the effective stimulus point for the treatment of vital organs of the human body disease simultaneously.Various heresy of causing a disease is trapped in inside of human body, and function suffers damage and affects, and causes meridians not smooth, strongly fragrant and obstructed, and QI-blood circulation is not smooth, then here raw all kinds of diseases and ailments are.Now, the abnormal conditions such as numbness, pain, redness, tuberosity or certain sensitive district (band) may be there are in channel course position (especially acupoint region belonging to it).And use point application therapy, stimulate and act on the corresponding skin zones such as body surface acupuncture points on the human body, by conduction and the adjustment of meridians, correct the inclined Sheng of internal organs negative and positive or partially decline, " with the gas of logical closing ... swollen with dissipating blood stasis knot ", improve the operation of meridian qi and blood, to physiological function and the pathological state of the vital organs of the human body, produce good treatment and whole effect of withering, thus reach with skin consolidating superficial resistance, to show poison holding, with through logical dirty, get rid of evils with cave and object that righting is kept fit.
Due to bronchial asthma, it is a kind of disease being feature based on the airway allergy inflammation of eosinophilic granulocyte, mastocyte reaction and airway hyperreactivity.These two kinds of pathological changes all have with lung and directly contact, and point by point has good curative effect.Acupoint plaster of the present invention selects the acupuncture points such as big vertebra, Hsinshu (acupoint) (two), ke shu (two), fei shu (two) and Dingchuan (two) to apply ointment or plaster, and have received beyond thought curative effect.Big vertebra calls hundred labor, upper reed.Belong to governor vessel.The meeting of three sun, governor vessel.On back median line, in spinous process of the seventh cervical vertebrae lower recess.Be furnished with the medial branch of the 8th rami posteriores nervorum cervicalium and the first rami posteriores nervorum thoracalium; Transverse cervical artery branch.Cure mainly heating, malaria, heatstroke, flu, demented, epilepsy, osteopyrexia and fever, night sweat, cough with asthma, rigid back is anxious, stiffness of the nape; And pulmonary tuberculosis, bronchitis etc.XINYU acupoint is one of conventional acupuncture points on the human body of bladder meridian, and under being positioned at the 5th spinous process of thoracic vertebra, side opens 1.5 cun, has trapezius muscle, rhomboideus, and deep layer is musculus longissimus; Prop up after having the 5th, the 5th intercostal artery and vein; Be furnished with the cutaneous branch of the 5th, the 6th rami posteriores nervorum thoracalium, deep layer is the 5th, the 6th rami posteriores nervorum thoracalium lateral branch.Cure mainly the heart and spiritual diseases, cough, haematemesis.Ke shu, bladder meridian the 17th acupuncture point is the blood meeting of the Eight Strategic Nerve Points, and ke shu is at back, and when under the 7th spinous process of thoracic vertebra, side opens 1.5 cun.Cure mainly gastric abscess, vomiting, singultus, diet little under, cough, haematemesis, hectic fever, night sweat.Lung, lungs; Yu, infusion; This cave is the back shu points of lung, therefore named.This cave belongs to bladder meridian, for bladder meridian follows one of back shu points being positioned at back on walking along the street line, back shu points is applicable to treat corresponding Zang-Fu syndrome and relevant histoorgan disease, therefore FEIYU acupoint be treatment pneumonopathy want cave, except can be used for the local diseases such as treatment neck-shoulder pain, be also good at treatment lung system illness as flu, cough, asthma etc.DINGCHUAN acupoint: belong to extra-point.Bow shape or clinostatism, at back, under spinous process of the seventh cervical vertebrae, side opens 0.5 cun.Relieving cough and asthma, Tongxuanlifei.Mainly treating bronchitis, bronchial asthma, pertussis, stiff neck, shoulder joint soft tissue injury etc.The mechanism of action more complicated of point application therapy, still imperfectly understands.We think that its possible mechanism has following three aspects: one is stimulation and the regulating action at acupuncture point; Two is the drug actions after drug absorption; Three is both comprehensive superpositions.
The pharmacological action of the present invention's each component used is as follows:
Herba Epimedii: acrid, sweet, warm.Return liver, kidney channel.Kidney-replenishing, bone and muscle strengthening, wind-damp dispelling.For impotence and seminal emission, muscles and bones flaccidity is soft, rheumatic arthralgia, numbness contracture; Climacteric hypertension.
Fructus Psoraleae: pungent, bitter, temperature.Return kidney, spleen channel.Warming the kidney to activate YANG, improving inspiration by invigorating kidney-QI, antidiarrheal.For impotence and seminal emission, enuresis frequent micturition, chills and pain of the waist and kness, suffers from a deficiency of the kidney and breathes heavily, Diarrhoea; External curing vitiligo, alopecia areata.
The Radix Astragali: sweet, temperature.Return lung, spleen channel.Invigorating QI to consolidate the body surface resistance, diuresis poison holding, evacuation of pus, expelling pus and promoting granulation.Weak for the deficiency of vital energy, anorexia and loose stool, sinking of QI of middle-JIAO, chronic diarrhea proctoptosis, metrorrhagia of having blood in stool, exterior deficiency spontaneous perspiration, deficiency of vital energy edema, carbuncle difficulty is burst, and burst for a long time and do not hold back, blood deficiency dull yellowish colored skin, interior-heat is quenched one's thirst; Chronic nephritis proteinuria, diabetes.
Radix Pseudostellariae: sweet, micro-hardship is flat.Return spleen, lung meridian.Replenishing QI to invigorate the spleen, promoting the production of body fluid for nourishing the lung.Tired for insufficiency of the spleen body, inappetence, weak after being ill, deficiency of both vital energy and Yin, spontaneous perspiration is thirsty, dryness of the lung dry cough.
Radix Adenophorae (Radix Glehniae): sweet is cool.Clearing away heat and nourishing YIN, nourishing the lung to arrest cough.Cure mainly tracheitis, pertussis, cough due to lung-heat, cough up phlegm yellow thick.
Radix Notoginseng: sweet, micro-hardship, temperature.Return liver, stomach warp.Dissipating blood stasis stops blooding, subduing swelling and relieving pain.For spitting of blood, spit blood, epistaxis, has blood in stool, metrorrhagia, traumatic hemorrhage, and breast abdomen twinges, tumbling and swelling.
Herba Crotalariae sessiliflorae: heat clearing away, dampness removing, removing toxic substances.Control dysentery, furuncle, infantile malnutrition.
Radix Ophiopogonis: sweet, micro-hardship, is slightly cold.GUIXIN, lung, stomach warp.YIN nourishing and the production of body fluid promoting, lung moistening clears away heart-fire.For dryness of the lung dry cough.Chronic consumptive disease is coughed, and Tianjin wound is thirsty, vexed insomnia, and interior-heat is quenched one's thirst, dryness of the intestine constipation; Pharyngeal diphtheria.
Radix Platycodonis: bitter, pungent is flat.Return lung meridian.Lung qi dispersing, sore-throat relieving, eliminates the phlegm, evacuation of pus.For cough with copious phlegm, uncomfortable in chest not smooth, pharyngalgia, hoarseness, lung abscess vomiting pus, skin infection difficulty in discharging of pus.
Herba Ephedrae: pungent, micro-hardship, temperature.Return lung, urinary bladder channel.Diaphoresis cold expelling, depressed lung-energy dispersing, inducing diuresis to remove edema.For anemofrigid cold, uncomfortable in chestly to breath with cough, edema due to wind pathogen edema; Bronchial asthma.Herba ephedrae nourishing the lung to arrest cough.Be used for table disease to separate, asthma and cough.
Semen Armeniacae Amarum: bitter, temperature, poisonous.Enter lung, large intestine channel.Expelling phlegm for arresting cough, relievings asthma, intestine moistening.Control exogenous cough, dyspnea with fullness of the chest, sore throat, dryness of the intestine constipation.
Gypsum Fibrosum: sweet, pungent, Great Cold.Attach to the lung and stomach meridians.Clearing away heat-fire, relieving restlessness is quenched the thirst.For fever caused by exogenous pathogenic factors, high hot excessive thirst, dyspnea and cough due to lung-heat, the high Sheng of stomach-fire, headache, toothache.
Exocarpium Citri Grandis: pungent, bitter, temperature.Return lung, spleen channel.Cold expelling, dampness, promoting the circulation of QI, expectorant.For cough due to wind and cold, itching of the throat abundant expectoration, food stagnation is got sick from drinking too much wine, and vomiting and nausea painful abdominal mass is vexed.
Radix Peucedani: bitter, pungent, is slightly cold.Return lung meridian.Loose wind heat clearing away, lowering the adverse-rising QI to resolve phlegm.For cough due to pathogenic wind-heat's abundant expectoration, expectorant dyspnea of heat type is full, coughs up phlegm yellow thick.
The Rhizoma Atractylodis Macrocephalae: bitter, sweet, temperature.Return spleen, stomach warp.Invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis, antiabortive.For insufficiency of the spleen lack of appetite, abdominal distention is had loose bowels, phlegm retention vertigo and palpitation, edema, spontaneous perspiration, frequent fetal movement.Rhizoma Atractylodis Macrocephalae spleen invigorating, stomach function regulating, antiabortive.For insufficiency of the spleen lack of appetite, loose stool of having loose bowels, frequent fetal movement.
Fructus Chebulae: bitter, sour, puckery, flat.Return lung, large intestine channel.Astringing intestine to stop diarrhea is astringed the lung, pathogenic fire reducing sore-throat relieving.For chronic diarrhea chronic dysentery, proctoptosis of having blood in stool, the deficiency of the lung is breathed with cough, and chronic cough is more than, pharyngalgia hoarseness.
Radix Saposhnikoviae: acrid, sweet, warm.Return bladder, liver, spleen channel.Inducing diaphoresis to dispel wind, victory is wet, relieving convulsion.For headache due to common cold, rheumatic arthralgia, rubella pruritus, tetanus.
Folium Pyrrosiae: nature and flavor are sweet, bitter, are slightly cold.Enter lung, urinary bladder channel.The effect such as have relieving stranguria by diuresis, lung heat clearing expels the heat-evil.Can clearing away damp-heat, diuresis be led to beautiful jade, are controlled knife injury, scald, de-power is deficient.
Bulbus Fritillariae Cirrhosae: bitter, sweet, is slightly cold.Return lung, heart channel.Clearing heat and moistening lung, preventing phlegm from forming and stopping coughing.For lung-heat type cough, the few expectorant of dry cough, deficiency of YIN chronic cough, sputum with blood.
Semen Pharbitidis: nature and flavor: cold in nature, bitter in the mouth; Poisonous.Return lung meridian, kidney channel, large intestine channel.Containing pharbitin (resin glycoside), fatty oil, organic acid etc.Function cures mainly: removing water retention by purgation relieving constipation, and drink is washed in expectorant, and parasite killing is attacked long-pending.For edema distension, constipation and anuresis, phlegm retention is gathered, and QI rising in reverse order is breathed with cough, abdominal pain due to worm stagnation, ascarid, taeniasis.
Radix Et Rhizoma Rhei: bitter, cold.Return spleen, stomach, large intestine, liver, pericardium channel.Purging heat and dredging bowels, removing pathogenic heat from blood and toxic substance from the body, eliminating blood stasis and inducing menstruation.For excess-heat constipation, stagnant stomachache, dysentery is not well, jaundice due to damp-heat, and heat in blood tells nosebleed, conjunctival congestion, pharyngeal swelling, abdominalgia with intestinal abscess, carbuncle furuncle, blood stasis amenorrhea, traumatic injury
Semen Strychni: bitter, temperature; Very toxic.Return liver, spleen channel.Removing obstruction in the collateral to relieve pain, mass dissipating and swelling eliminating.For rheumatoid arthritis stubborn, paralysis and numbness, injury from falling down, ulcer sore pain; Poliomyelitis sequela, rheumatoid arthritis.
Herba Agrimoniae: bitter, puckery is flat.GUIXIN, Liver Channel.Astringing to arrest bleeding, preventing the attack (or recurrence) of malaria, dysentery relieving, removing toxic substances.For hemoptysis, spit blood, metrostaxis, malaria, dysentery, de-power impairment caused by overstrain, carbuncle sore tumefacting virus, pudendal pruritus leukorrhagia.
Radix Paeoniae Rubra: bitter, is slightly cold.Return Liver Channel.Clearing away heat and cooling blood, eliminating stasis to stop pain.For maculae caused by violent heat pathogen, hematemesis and epistaxis, conjunctival congestion and swelling pain, hypochondriac pain due to stagnation of liverQI, amenorrhea dysmenorrhea, lump in the abdomen is suffered from abdominal pain, injury from falling down, carbuncle skin infection.
Calomelas: pungent, cold; Poisonous.Return large intestine, small intestine meridian.External parasite killing, counteracting toxic substances, sore; The removing food stagnancy that eliminates the phlegm for oral administration, relieving constipation of relieving oedema or abdominal distension through diuresis or purgation.External treatment is used for scabies, stubborn dermatitis, ecthyma, syphilis, skin infection, eczema; Take orally and stagnate for sputum, edema expands, difficulty in urination and defecation.
Chinese medicine composition of the present invention has following beneficial effect:
(1) definite effect, namely take generally had obvious effect at about 1 month afterwards, and obviously alleviating and improving appears in the state of an illness.After raw material of Chinese medicine medicine of the present invention carries out alcohol extraction or water extraction process, effectively can remove impurity component wherein, as starch, pigment, inorganic salt etc., and farthest the effective ingredient in Chinese medicine such as alkaloid, organic acid etc. are dissolved out, improve bioavailability.Carried out different extraction processs for different medical materials, the extract purity of gained be higher, method simple and effective.
(2) the present invention is from wholistic therapy, is conceived to adjustment whole body equilibrium between yin and yang, so not easily recur after curing, curative effect lasting stability.Asthmatic shows effect, and causes Patients with Lung deficiency of the kidney empty, and therefore treatment is worked as based on invigorating the lung and the kidney, strengthening the body resistance, blood circulation promoting and blood stasis dispelling, and medicine of the present invention is through studying intensively, and each component is collaborative to be done mutually, treating both the principal and secondary aspects of a disease, determined curative effect.
(3) all use Chinese herbal medicine, misery is little, risk is low, without toxicity.The present invention's ointment no matter for oral administration or external acupoint plaster, take safety, painful little.Ointment for oral administration is different from Chinese medicine decoct, and bitterness is difficult to swallow, and ointment of the present invention pear Fructus Benincasae crystal sugar boils, and strengthens curative effect, kill two birds with one stone while improving taste.And point-application is without gastro-intestinal administration, the fraud of not damaged taste, controls and does not commit, and controls the inferior and does not go against one's superiors, and does not go against one's superiors down in controlling.And during clinical practice, there is not skin allergy or blister, can relievedly use.
Below in conjunction with clinical treatment situation, further illustrate curative effect of the present invention.
1 data and method
1.1 physical data
Select in April ,-2014 in May, 2010, the 160 routine bronchial asthma chronic sustained phase patients that accept for medical treatment of my institute's Respiratory Medicine are object of study, wherein women 89 example, male 111 example, the age 20-63 year, 38.6 years old mean age.The course of disease is 2-30, average 9.4 years.Be divided into two groups at random: observation group and matched group.Often organize 80 examples, the physical data such as age, sex, the course of disease, clinical manifestation of two groups of patients compares no difference of science of statistics, has comparability.
1.2 method
1.2.1 matched group adopts regular western medicine to treat.Concrete grammar is: give patient's symbicort turbuhaler (common name: budesonide formoterol powders for inhalation) Inhalation in Treating 1 day/time, 1 suction/time, treatment 2 months continuously.
1.2.2 observation group adopts Chinese medicine composition of the present invention, and Chinese medicine for oral administration is treated in conjunction with acupoint plaster.Concrete grammar is: oral medicine potion every day, sooner or later takes at twice, serve on two months.Acupoint plaster, each 6-8h, interval is treated once for 10 days, continuous use two months.
1.3 the standard of curative effect evaluation
Recovery from illness: patient's symptoms of asthma disappears completely, clinical indices is all normal, and suppressing panting calming medicine of can stopping using;
Effective: patient's symptoms of asthma substantially disappears or obviously improves, clinical indices is normal or have larger improvement, and asthma attack number of times, degree obviously reduce, can substantially without suppressing panting calming medicine;
Effective: patient's symptoms of asthma and clinical indices testing result take a turn for the better to some extent, and asthma attack number of times, degree decrease, suppressing panting calming medicine number of applications reduces;
Invalid: patient's symptoms of asthma and clinical indices testing result are all not improved, and asthma attack number of times, degree are without alleviating; Total effective rate=(recovery from illness+effective+effectively) number of cases/total case load × 100%.
1.4 statistical analysis
Adopt SPSS15.0 software to carry out statistical analysis to the data obtained, enumeration data employing rate (%) represents, carries out x
2inspection, P ﹤ 0.05 has statistical significance for difference.
2 results
Matched group and observation group were through the treatment of 2 months, and result is as shown in the table:
Recovery from illness | Effective | Effectively | Invalid | Total effective rate % | |
Matched group | 9 | 20 | 35 | 16 | 80 |
Observation group | 15 | 29 | 34 | 2 | 97.5 |
Result of study shows, adopt observation group's patient clinical total effective rate (97.5%) of acupoint plaster Combined with Chinese Herbal treatment, be significantly higher than the matched group patient (80%) of regular western medicine treatment, difference has statistical significance (P ﹤ 0.05) and shows that Clinical Action of Traditional Chinese Drugs of the present invention is better than regular western medicine treatment, Drug therapy bronchial asthma chronic sustained phase patient of the present invention greatly can reduce its asthma attack number of times, improve clinical symptoms, promote that pulmonary function recovers, improve patients ' life quality, clinic is applied.
Model case:
1, patient Liu, man, 33 years old.Because of cough during patient 2 years old, pant and go to see a doctor for several times, department of pediatrics is diagnosed as bronchitis asthma.Increase with the age, symptoms of asthma is not reaccessed, and normally can go to school, live later.Started from 2011, after patient moving, feel uncomfortable in chest, tachypnea, monthly 2-3 night uncomfortable in chest, awaken, and with cough.Go to see a doctor, doctor gives Budesonide dry powder inhaler and albuterol aerosol treatment, and symptoms of asthma is more stable.Started from 2013, there is again uncomfortable in chest, cough at 2-3 night, awaken in patient, has tachypnea after motion.Because worrying that long-term powder for inhalation has side effect, front to our hospital.Give that medicine of the present invention is for oral administration adds external application, after treatment two weeks, above-mentioned symptom obviously alleviates, and after 1 month, above-mentioned symptom disappears.Continue to take drug withdrawal after 1 month, follow up a case by regular visits to and do not occurring above-mentioned symptom so far.
2, patient Wang, man, 60 years old, has asthma and chronic bronchitis 20 years, recurrent exerbation 5 years, uncomfortable in chest, pant, cough constantly all the year, uses multiple method to treat, still recurrent exerbation.Have again acute respiratory infection that symptom is aggravated recently, through antibiotic therapy two weeks, yellow sputum reduced, but thick sputum, be difficult to expectoration.To our hospital, give that medicine of the present invention is for oral administration adds external application, treat above-mentioned symptom after 1 month and obviously alleviate, above-mentioned symptom disappearance after 2 months.Continue to take drug withdrawal after 2 months, follow up a case by regular visits to and do not occurring above-mentioned symptom so far.
Detailed description of the invention
Embodiment 1. 1 kinds treats the Chinese medicine composition of asthma, comprises the crude drug of following component by weight:
Component one: Herba Epimedii 10 grams, Fructus Psoraleae 10 grams, the Radix Astragali 20 grams, Radix Pseudostellariae 20 grams, Radix Adenophorae (Radix Glehniae) 10 grams, Radix Notoginseng 5 grams, Herba Crotalariae sessiliflorae 5 grams, Radix Ophiopogonis 5 grams, Radix Platycodonis 5 grams, Herba Ephedrae (processed) 5 grams, 5 grams, Semen Armeniacae Amarum, Gypsum Fibrosum 10 grams, Exocarpium Citri Grandis 10 grams, Radix Peucedani 3 grams, the Rhizoma Atractylodis Macrocephalae 6 grams, Fructus Chebulae 3 grams, Radix Saposhnikoviae 5 grams, Folium Pyrrosiae 5 grams, Bulbus Fritillariae Cirrhosae 3 grams;
Component two: Semen Pharbitidis 10 grams, Radix Et Rhizoma Rhei 15 grams, Semen Strychni (processed) 10 grams, Radix Paeoniae Rubra 6 grams, Herba Agrimoniae 10 grams, Calomelas 5 grams.
Described component one makes oral medicine, and preparation method is:
(1) take Herba Epimedii by recipe quantity, Fructus Psoraleae, the Radix Astragali, Radix Pseudostellariae, Radix Adenophorae (Radix Glehniae) be ground into coarse powder, cross 50 mesh sieves, with 50% alcohol dipping 24h of 10 times amount, collect with the percolation speed of 5ml/min liquid of filtering, liquid of filtering is at 65 DEG C,-0.08MPa concentrating under reduced pressure, reclaim ethanol, be concentrated into the thick paste that relative density is 1.3-1.32, by gained thick paste at 60 DEG C, drying under reduced pressure 8h under-0.08MPa, namely obtains drug extract powder after crossing 100 mesh sieves for subsequent use;
(2) Radix Notoginseng, Herba Crotalariae sessiliflorae, Radix Ophiopogonis, Radix Platycodonis, Herba Ephedrae (processed), Gypsum Fibrosum, Radix Peucedani, the Rhizoma Atractylodis Macrocephalae, Fructus Chebulae, Radix Saposhnikoviae, Folium Pyrrosiae is taken by recipe quantity, add 5 times amount distilled water and carry out decoction extraction, extraction time is 1-3h, extract 2-4 time, by extracting solution sucking filtration, discard filtering residue, merge and obtain extracting solution; Filtrate heating is concentrated, to proportion (90 degree heat are surveyed) for 1:1 time, standing 48 hours of 40% precipitate with ethanol, in collection, liquid is for subsequent use;
(3) take Semen Armeniacae Amarum, Exocarpium Citri Grandis, Bulbus Fritillariae Cirrhosae by recipe quantity, be ground into fine powder, cross 100 mesh sieves for subsequent use;
(4) pear 1 and 50 grams, Fructus Benincasae are peeled mash, add the drug extract powder of step (1) and the medicated powder of step (3), then pour the medicine juice of step (2) into, to contain altogether in a jorum and even, add crystal sugar; Be placed in steamer Steam by water bath about 50 minutes, one-tenth thickness paste.Potion, divided and sooner or later took for twice every day.
Described component two makes acupoint plaster, and preparation method is: all medicines of component two are taken by recipe quantity, dried, grinds as smalls, adds Calomelas and adjusts evenly, then grind one time, cross 80 mesh sieves, adds refined honey and adjusts cream; Plaster to be mounted on the kraft paper being applied to 3 centimeter square or cotton acupoint plaster.Described refined honey is middle honey: heated by Mel, temperature reaches 116-118 DEG C, and water content is at 14%-16%, and density is about 1.37, occurs the light yellow glossiness all even and fine bubble seethed, twists with the fingers toughness with hands, occurs without white silk when two fingers separate.
Used time acupoint plaster is baked soft after carry out applying ointment or plaster respectively at big vertebra, Hsinshu (acupoint) (two), ke shu (two), fei shu (two) and Dingchuan (two) acupuncture point fixing, each 6-8h, interval is treated once for 10 days, continuous use two months.
Embodiment 2. 1 kinds treats the Chinese medicine composition of asthma, comprises the crude drug of following component by weight:
Component one: Herba Epimedii 20 grams, Fructus Psoraleae 15 grams, the Radix Astragali 40 grams, Radix Pseudostellariae 30 grams, Radix Adenophorae (Radix Glehniae) 15 grams, Radix Notoginseng 10 grams, Herba Crotalariae sessiliflorae 10 grams, Radix Ophiopogonis 15 grams, Radix Platycodonis 15 grams, Herba Ephedrae (processed) 10 grams, 10 grams, Semen Armeniacae Amarum, Gypsum Fibrosum 20 grams, Exocarpium Citri Grandis 15 grams, Radix Peucedani 9 grams, the Rhizoma Atractylodis Macrocephalae 12 grams, Fructus Chebulae 9 grams, Radix Saposhnikoviae 10 grams, Folium Pyrrosiae 10 grams, Bulbus Fritillariae Cirrhosae 10 grams;
Component two: Semen Pharbitidis 15 grams, Radix Et Rhizoma Rhei 20 grams, Semen Strychni (processed) 15 grams, Radix Paeoniae Rubra 12 grams, Herba Agrimoniae 15 grams, Calomelas 10 grams.
Preparation and instructions of taking are with embodiment 1.
Embodiment 3. 1 kinds treats the Chinese medicine composition of asthma, comprises the crude drug of following component by weight:
Component one: Herba Epimedii 15 grams, Fructus Psoraleae 12 grams, the Radix Astragali 25 grams, Radix Pseudostellariae 25 grams, Radix Adenophorae (Radix Glehniae) 12 grams, Radix Notoginseng 8 grams, Herba Crotalariae sessiliflorae 8 grams, Radix Ophiopogonis 10 grams, Radix Platycodonis 10 grams, Herba Ephedrae (processed) 8 grams, 8 grams, Semen Armeniacae Amarum, Gypsum Fibrosum 15 grams, Exocarpium Citri Grandis 12 grams, Radix Peucedani 6 grams, the Rhizoma Atractylodis Macrocephalae 10 grams, Fructus Chebulae 6 grams, Radix Saposhnikoviae 8 grams, Folium Pyrrosiae 8 grams, Bulbus Fritillariae Cirrhosae 8 grams;
Component two: Semen Pharbitidis 12 grams, Radix Et Rhizoma Rhei 18 grams, Semen Strychni (processed) 12 grams, Radix Paeoniae Rubra 10 grams, Herba Agrimoniae 12 grams, Calomelas 6 grams.
Preparation and instructions of taking are with embodiment 1.
Embodiment 4. 1 kinds treats the Chinese medicine composition of asthma, comprises the crude drug of following component by weight:
Component one: Herba Epimedii 16 grams, Fructus Psoraleae 13 grams, the Radix Astragali 35 grams, Radix Pseudostellariae 24 grams, Radix Adenophorae (Radix Glehniae) 13 grams, Radix Notoginseng 9 grams, Herba Crotalariae sessiliflorae 7 grams, Radix Ophiopogonis 11 grams, Radix Platycodonis 14 grams, Herba Ephedrae (processed) 7 grams, 9 grams, Semen Armeniacae Amarum, Gypsum Fibrosum 18 grams, Exocarpium Citri Grandis 13 grams, Radix Peucedani 7 grams, the Rhizoma Atractylodis Macrocephalae 7 grams, Fructus Chebulae 7 grams, Radix Saposhnikoviae 7 grams, Folium Pyrrosiae 7 grams, Bulbus Fritillariae Cirrhosae 7 grams;
Component two: Semen Pharbitidis 14 grams, Radix Et Rhizoma Rhei 17 grams, Semen Strychni (processed) 11 grams, Radix Paeoniae Rubra 11 grams, Herba Agrimoniae 11 grams, Calomelas 7 grams.
Preparation and instructions of taking are with embodiment 1.
Claims (4)
1. treat a Chinese medicine composition for asthma, it is characterized in that, comprise the crude drug of following component by weight:
Component one: Herba Epimedii 10-20 part, Fructus Psoraleae 10-15 part, Radix Astragali 20-40 part, Radix Pseudostellariae 20-30 part, Radix Adenophorae (Radix Glehniae) 10-15 part, Radix Notoginseng 5-10 part, Herba Crotalariae sessiliflorae 5-10 part, Radix Ophiopogonis 5-15 part, Radix Platycodonis 5-15 part, Herba Ephedrae (processed) 5-10 part, Semen Armeniacae Amarum 5-10 part, Gypsum Fibrosum 10-20 part, Exocarpium Citri Grandis 10-15 part, Radix Peucedani 3-9 part, Rhizoma Atractylodis Macrocephalae 6-12 part, Fructus Chebulae 3-9 part, Radix Saposhnikoviae 5-10 part, Folium Pyrrosiae 5-10 part, Bulbus Fritillariae Cirrhosae 3-10 part;
Component two: Semen Pharbitidis 10-15 part, Radix Et Rhizoma Rhei 15-20 part, Semen Strychni (processed) 10-15 part, Radix Paeoniae Rubra 6-12 part, Herba Agrimoniae 10-15 part, Calomelas 5-10 part.
2. the Chinese medicine composition of described treatment asthma as claimed in claim 1, is characterized in that, described component one makes oral medicine, and preparation method is:
(1) take Herba Epimedii by recipe quantity, Fructus Psoraleae, the Radix Astragali, Radix Pseudostellariae, Radix Adenophorae (Radix Glehniae) be ground into coarse powder, cross 50 mesh sieves, with 50% alcohol dipping 24h of 10 times amount, collect with the percolation speed of 5ml/min liquid of filtering, liquid of filtering is at 65 DEG C,-0.08MPa concentrating under reduced pressure, reclaim ethanol, be concentrated into the thick paste that relative density is 1.3-1.32, by gained thick paste at 60 DEG C, drying under reduced pressure 8h under-0.08MPa, namely obtains drug extract powder after crossing 100 mesh sieves for subsequent use;
(2) Radix Notoginseng, Herba Crotalariae sessiliflorae, Radix Ophiopogonis, Radix Platycodonis, Herba Ephedrae (processed), Gypsum Fibrosum, Radix Peucedani, the Rhizoma Atractylodis Macrocephalae, Fructus Chebulae, Radix Saposhnikoviae, Folium Pyrrosiae is taken by recipe quantity, add 5 times amount distilled water and carry out decoction extraction, extraction time is 1-3h, extract 2-4 time, by extracting solution sucking filtration, discard filtering residue, merge and obtain extracting solution; Filtrate heating is concentrated, and when being 1:1 to proportion, 40% precipitate with ethanol leaves standstill 48 hours, and in collection, liquid is for subsequent use;
(3) take Semen Armeniacae Amarum, Exocarpium Citri Grandis, Bulbus Fritillariae Cirrhosae by recipe quantity, be ground into fine powder, cross 100 mesh sieves for subsequent use;
(4) pear and Fructus Benincasae are peeled mash, add the drug extract powder of step (1) and the medicated powder of step (3), then pour the medicine juice of step (2) into, to contain altogether in a jorum and even, add crystal sugar; Be placed in steamer Steam by water bath about 50 minutes, one-tenth thickness paste.
3. the Chinese medicine composition of described treatment asthma as claimed in claim 1, is characterized in that, described component two makes acupoint plaster, preparation method is: all medicines of component two are taken by recipe quantity, dried, grinds as smalls, adds Calomelas and adjusts evenly, grind one time again, cross 80 mesh sieves, add refined honey and adjust cream; Plaster to be mounted on the kraft paper being applied to 3 centimeter square or cotton acupoint plaster.
4. the Chinese medicine composition of described treatment asthma as claimed in claim 3, it is characterized in that, described refined honey is middle honey: heated by Mel, temperature reaches 116-118 DEG C, water content is at 14%-16%, and density is 1.37, occurs the light yellow glossiness all even and fine bubble seethed, twist with the fingers toughness with hands, occur without white silk when two fingers separate.
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CN114470046B (en) * | 2022-04-07 | 2023-05-23 | 王�琦 | Traditional Chinese medicine formula for treating allergic asthma and application thereof |
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