CN105327017A - 一种治疗风湿性关节炎的中药 - Google Patents
一种治疗风湿性关节炎的中药 Download PDFInfo
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Abstract
本发明涉及中药领域，一种治疗风湿性关节炎的中药，是由下列重量的原料药物组成：一种治疗风湿性关节炎的中药，其特征在于它是由下列重量的原料药物组成：雷公藤15克，白芍30克，虎杖30克，青风藤30克，猫眼草15克，猫爪草15克，大青叶15克，黄芪15克，当归15克，甘草15克。本发明治疗风湿性关节炎的中药可明显改善患者关节的红肿热痛，肿胀难消，功能受限等症状，副作用小、服用方便、疗效好、价格低，经临床应用观察治疗150例患者，有效率96％。
Description
技术领域
本发明涉及中药领域，具体涉及一种治疗风湿性关节炎的中药。
背景技术
关节炎属于中医“痹症”范畴，痹症是指人体机表、经络因感受风、寒、湿、热等引起的以肢体关节及肌肉酸痛、麻木、重着、屈伸不利，甚或关节肿大灼热等为主症的一类病症。临床上有渐进性或反复发作性的特点。主要病机是气血痹阻不通，筋脉关节失于濡养所致。
古代痹证的概念比较广泛，包括西医学的风湿性关节炎、类风湿性关节炎、骨性关节炎、强直性脊柱炎、痛风等，但本发明将关节炎的治疗进一步细化，主要是针对风湿性关节炎的治疗。
病因病机：本病与外感风寒湿热之邪和人体正气不足有关。风寒湿等邪气，在人体卫气虚弱时容易侵入人体而致病。汗出当风、坐卧湿地、涉水冒雨等，均可使风寒湿等邪气侵入机体经络，留于关节，导致经脉气血闭阻不通，不通则痛,正如《素问·痹论》所说：“风寒湿三气杂至，合而为痹。”根据感受邪气的相对轻重，常分为行痹(风痹)、痛痹(寒痹)、着痹(湿痹)。若素体阳盛或阴虚火旺，复感风寒湿邪，邪从热化或感受热邪，留注关节，则为热痹。总之，风寒湿热之邪侵入机体，痹阻关节肌肉筋络，导致气血闭阻不通，产生本病。
临床表现：表现为游走性关节炎，多由一个关节转移至另一个关节，常对称累计膝、踝、肩、腕、肘、髋大关节，局部呈红肿热痛的炎症表现，但永不化脓，部分患者数个关节同时发病，亦可波及手足小关节或脊柱关节。约80％患者的发病年龄在20-45岁左右，以青壮年为多，女性多于男性。
辩证：
主症：关节疼痛，局部灼热红肿，痛不可触，关节活动不利，可累及多个关节，伴有发热恶风，口渴烦闷，苔黄燥，脉滑数。
治疗：本病早中期西医多采用口服非甾体类抗炎药，急性期可配合使用皮质激素及免疫抑制剂，晚期出现关节畸形口服药物已无法阻止病情进展，多采用手术方法矫正畸形。中医多以外用膏药、按摩推拿、针灸、艾灸为主，虽有效果，但不理想。目前治疗关节炎的中药制剂较多，但针对某一型的关节炎的治疗较少，且临床疗效良莠不齐，本发明立足于风湿性关节炎的病因病机，力求研究一种治疗风湿性关节炎的中药制剂，为临床医师提供一种治疗风湿性关节炎的有益方法，同时也为广大患者提供一种治疗风湿性关节炎的便捷手段。
发明内容
本发明针对现有技术不足，提供一种通过清热解毒，通痹止痛等作用，使风湿性关节炎患者的自觉症状得到明显的改善，且服用方便的治疗风湿性关节炎的中药。
本发明的技术方案是：一种治疗风湿性关节炎的中药，其特征在于它是由下列重量的原料药物组成：雷公藤15克，白芍30克，虎杖30克，青风藤30克，猫眼草15克，猫爪草15克，大青叶15克，黄芪15克，当归15克，甘草15克。
药理分析：本发明中的雷公藤，辛苦寒，归肝肾经。具有祛风湿，活血通络，消肿止痛，杀虫解毒的功效；白芍，苦、酸，微寒。归肝、脾经。具有养血敛阴，柔肝止痛，平抑肝阳的功效；青风藤，辛、苦、平。归肝脾经。具有祛风湿，通经络，利小便的功效；虎杖，微苦微寒，归肝胆肺经，具有利湿退黄，清热解毒，散瘀止痛，化痰止咳的功效；猫眼草，苦微寒，有毒，归肺肝经，具有镇咳，祛痰散结，逐水，拔毒杀虫的功效；猫爪草，辛苦微温，归肺肝经，具有化痰散结，解毒消肿的功效；大青叶，苦寒，归心胃经，具有清热解毒，凉血消斑的功效；黄芪，甘微温，归脾肺经，具有健脾补中，升阳举陷，益卫固表，利尿，托毒生肌的功效；当归，辛甘温，归心肝脾经，具有补血调经，活血止痛，润肠通便的功效；甘草，甘、平。归心、肺、脾、肾经。具有补脾益气，祛痰止咳，缓急止痛，清热解毒，调和诸药的功效。
方义分析：大剂量雷公藤、白芍、青风藤、虎杖，具有清热解毒，消肿止痛的功效，为君药；猫眼草、猫爪草、大青叶，清热解毒，散结止痛，辅助君药加强治疗作用，为臣药；黄芪、当归，与君臣药性味相反，防止苦寒太过，且气血双补，托毒外出，增强祛邪之力，且不伤正，为佐药；甘草，缓急止痛，调和诸药，为使药。
制备方法：将所述的原料药物混合，进行粉碎研磨成细粉，粒度为80～120目；将所得细粉投入混合搅拌机充分混匀；将混匀后的细粉用小瓶或包装盒分装成40份。
服用方法：每日两次，每次1份，温水冲服。
本发明具有清热解毒，通痹止痛的作用。
具体实施方式：
实施例1：一种治疗风湿性关节炎的中药，其是由下列重量的原料药物组成：雷公藤15克，白芍30克，虎杖30克，青风藤30克，猫眼草15克，猫爪草15克，大青叶15克，黄芪15克，当归15克，甘草15克。
本发明治疗关节炎的中药临床疗效总结：
一、选择病例标准
凡临床上具有关节红肿热痛，肿胀难消，功能受限等症状者均作为选择病例的标准。
二、诊断标准
主症：关节疼痛，局部灼热红肿，痛不可触，关节活动不利，可累及多个关节，伴有发热恶风，口渴烦闷，苔黄燥，脉滑数。
三、治疗方案
取雷公藤15克，白芍30克，虎杖30克，青风藤30克，猫眼草15克，猫爪草15克，大青叶15克，黄芪15克，当归15克，甘草15克混合，进行粉碎研磨成细粉，粒度为80～120目；将所得细粉投入混合搅拌机充分混匀；将混匀后的细粉用小瓶或包装盒分装成40份。
每日2次，每次1份，温开水送服，20天为一疗程，可连服2-3个疗程。四、疗效评定标准
痊愈：症状完全消失，无任何不适症状；
有效：症状明显减轻，或部分症状消失，需继续治疗；
无效：症状未有任何改善，甚而有加重之趋势。
五、治疗结果：
本发明治疗风湿性关节炎的中药在临床上应用多年，共150人服用，年龄最大的70岁，最小的15岁。其中女性占72％，男性占28％，服药一个疗程后，症状均有所好转，服药4个疗程后，64人痊愈，80人有效，6人无效，有效率96％，本发明中药疗效显著。
六、典型病例：
1：张女士，30岁。8周前相继出现双侧腕关节、肘关节、膝关节肿胀疼痛，活动不利。查体：双侧腕关节、肘关节、膝关节肿胀，压痛（+），触之发热，浮髌试验（+），白细胞、中性粒细胞增高，血沉增快，X光片无异常，舌质红，苔黄燥，脉滑数
一日二次服用，一疗程后，关节肿痛消失。继续服用两个疗程巩固疗效。半年后随访未复发。
2：王先生，54岁。半年前双膝关节红肿热痛，活动不利，查体：双膝肿胀，压痛（+），触之发热，浮髌试验（+），白细胞、中性粒细胞增高，血沉增快，轻度贫血，尿中有少量蛋白、红细胞和白细胞。抗“O”600，血沉增快，X光片示骨质疏松，舌质淡红，苔黄燥，脉弦数。
一日二次服用，一个半疗程后疼痛消失。半年后随访，未复发。
Claims (1)
1.一种治疗关节炎的中药，其特征在于它是由下列重量的原料药物组成：雷公藤15克，白芍30克，虎杖30克，青风藤30克，猫眼草15克，猫爪草15克，大青叶15克，黄芪15克，当归15克，甘草15克。
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