CN105456586A - 一种治疗气虚型子宫脱垂的中药 - Google Patents
一种治疗气虚型子宫脱垂的中药 Download PDFInfo
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Abstract
本发明属于中药领域，具体涉及一种治疗气虚型子宫脱垂的中药，由翅果藤、黄毛榕、苞蔷薇根、大金发藓、白背叶、岩枇杷、栘枍、芋头花、野鸦椿子等原料药按重量份配比制成。本发明治疗气虚型子宫脱垂，具有疗效显著，副作用小，口服方便，患者易于接受等特点，值得临床推广。
Description
技术领域
本发明属于中药领域，具体涉及一种治疗气虚型子宫脱垂的中药。
背景技术
子宫脱垂是指子宫从正常位置沿阴道下降，宫颈外口达坐骨棘水平以下，甚至子宫全部脱出于阴道口以外。好发于产后妇女。临床上主要表现为腰酸、腹部下坠、劳动和行走后症状可加重，更为严重的可出现尿频或排尿困难、尿潴留、尿失禁及白带增多等相关症状。
现代医学认为，子宫脱垂多发生于体弱多病、年老体衰或多产妇，子宫脱垂多由分娩时损伤，分娩过程中软产道及其周围的盆底组织极度扩张，肌纤维拉长或撕裂，尿生殖裂孔受损松弛而扩大，特别是助产手术分娩所导致的损伤，导致维持子宫正常位置的盆腔深浅筋膜及肛提肌损伤，这种损伤若未缝合或缝合不佳，或产妇产后过早参加体力劳动，特别是重体力劳动，将影响盆底组织张力的恢复，削弱子宫支持力，使未复旧的大子宫不同程度的下移而发生子宫脱垂。治疗多采用子宫托或手术治疗，前者操作不便，需持续配戴，后者损伤大且副作用多。
中医将子宫脱垂称“阴挺”，亦称“阴脱”、“阴菌”。因多发生在产后，故又称“产肠不收”。中医将子宫脱垂分为气虚型、肾虚型。气虚型子宫脱垂的主要症候为：子宫下移或脱出阴道口外，劳则加剧，卧则消失。带下量多、色白、质稀，小腹下坠，而色少华，神疲乏力，少气懒言，小便频数。舌淡、苔薄白，脉缓弱。
发明内容
本发明的目的在于提供一种治疗气虚型子宫脱垂的中药，具有疗效显著，副作用小，口服方便，患者易于接受等特点，值得临床推广。
本发明的技术方案是这样实现的：一种治疗气虚型子宫脱垂的中药，由以下重量份的原料药制成：翅果藤30-60克、黄毛榕30-60克、苞蔷薇根20-30克、大金发藓20-30克、白背叶20-30克、岩枇杷20-30克、栘枍20-30克、芋头花10-20克、野鸦椿子10-20克。
优选的，一种治疗气虚型子宫脱垂的中药，由以下重量份的原料药制成：翅果藤40克、黄毛榕40克、苞蔷薇根25克、大金发藓25克、白背叶25克、岩枇杷25克、栘枍25克、芋头花10克、野鸦椿子10克。
本发明所用各原料药的药理药性分析如下。
翅果藤：为萝藦科翅果藤，以根入药。《全国中草药汇编》记载：其性味：甘、苦、辛，归肺、脾、肝三经，可补中益气，止咳，调经。主治感冒，咳嗽，月经过多，子宫脱垂，脱肛等病。
黄毛榕：为桑科黄毛榕，以根皮入药。《新华本草纲要》记载：黄毛榕根皮：味甘、性平。有健脾益气，活血祛风的功效。用于气血虚弱、子宫下垂、脱肛、风湿痹痛、泄泻等症。
苞蔷薇根：为蔷薇科植物硕苞蔷薇的根。性味：甘、苦、涩、温，归脾、肾经。《中华本草》记载其根具有益脾补肾、敛肺涩肠、止汗、活血调经、祛风湿、散结解毒的功效,《福建民伺草药》：“化气消疝，涩精益阴”，《浙江中药资源名录》：“祛风活血，通经补肾”。主治腰膝酸软，水肿，脚气，遗精，盗汗，阴挺，久泻，脱肛，咳嗽气喘，胃脘痛，疝气，风湿痹痛，月经不调，闭经，带下，瘰疬，肠痈，烫伤等。
大金发藓:为金发藓科植物大金发藓的全草，性味：甘、凉。具有滋阴补虚的功效。《贵州草药》记载：“滋阴敛汗，止咳，止血”，《四川常用中草药》记载：“补脾，止血，润肠。治漏症，内仿咳嗽，子宫脱垂，吐血”。
白背叶：为大戟科野桐属植物白背叶以根入药。性味：微苦、涩，平。《全国中草药汇编》记载：白背叶的根具有柔肝活血，健脾化湿，收敛固脱的功效。用于慢性肝炎，肝脾肿大，子宫脱垂，脱肛，白带，妊娠水肿。叶：消炎止血。外用治中耳炎，疖肿，跌打损伤，外伤出血等。
岩枇杷：为苦苣苔科植物锈毛旋蒴苣苔的全草，性味：甘、涩、平。《中华本草》记载其具有止咳、固脱、解毒的功效。主治咳嗽，子宫脱垂，痈疮红肿等病。
栘枍：为蔷薇科栘枍属植物栘枍，以树皮入药。性味：苦，凉。《全国中草药汇编》记载其树皮具有清热解毒，收敛，接骨的功效。用于肠炎，痢疾；外用治烧烫伤，骨折，黄水疮，湿疹，子宫脱垂等。
芋头花：为天南星科植物芋的花序。味辛、性平，归胃、大肠经。《民间常用草药汇编》记载其具有理气止痛、散瘀止血的功效。主治气滞胃痛，噎膈，吐血，子宫脱垂，小儿脱肛，内外痔，鹤膝风等。
野鸦椿子：为省沽油科植物野鸦椿的果实或种子。性微温，味苦，无毒。可温中理气，消肿止痛。治胃痛，寒疝，泻痢。脱肛，子宫下垂，睾丸肿痛。《湖南药物志》记载：治寒疝肿痛，睾丸肿，脱肛，子宫脱垂。
本发明还提供了一种治疗气虚型子宫脱垂的中药的制备方法：
（1）按配方比例将原料药洗净，置于砂锅内，放入8倍量水浸泡1-2小时，大火煮沸后改用小火煎煮30-40分钟，提取药液；
（2）药渣加入6倍量水，大火煮沸后改用小火煎煮20-30分钟，提取药液；
（3）取两次药液混合均匀装瓶，置于高温≥100℃的消毒容器中进行消毒，即得本发明药物。
使用时，每次服用150毫升，每日三次，服药期间禁食辛辣、糖。
该病中医称“阴挺”，其病机为睥虚气弱，中气下陷，冲任不固，无力系胞，则子宫脱垂；或素体虚弱，房劳多产，胞络损伤，子宫虚冷，摄纳无力。正如《诸病源候论》谓：“胞络伤损．子脏虚冷，气下冲则令阴挺出，谓之下脱”。脾虚中阳不振，化生不足，则面色少华，神疲乏力，气短懒言，小腹下坠等。舌淡、苔薄白，脉缓弱，亦为气虚之征。
中医认为，脾主中气，脾虚则中气不足，气虚下陷，冲任不固，无力系胞，则子宫下脱，劳则加剧；“气为血之帅，血为气之母”，患者久病体虚，营血亏虚。故本发明用翅果藤、黄毛榕为君药，起到健脾益气、补中活血的功效。配伍苞蔷薇根、大金发藓为臣，以增强健脾补虚之功。用白背叶、岩枇杷、栘枍收敛固脱，提系子宫，协助君药以升提下降之中气，共为佐药。用芋头花、野鸦椿子温中理气、止血止痛，共为使药。诸药合用，具有补中益气、健脾活血、收敛固脱、理气止痛的功效，使患者元气内充，清阳得升，疾病自愈。
本发明中药治疗本病疗效显著，副作用小，口服方便，患者易于接受，是临床上值得推广的一种治疗方法。
为了更好地理解和实施本发明，下面结合具体实施例进一步说明本发明。
具体实施例1:称取：翅果藤30克、黄毛榕30克、苞蔷薇根20克、大金发藓20克、白背叶20克、岩枇杷20克、栘枍20克、芋头花10克、野鸦椿子10克；
制备方法：
（1）按配方比例将原料药洗净，置于砂锅内，放入8倍量水浸泡1小时，大火煮沸后改用小火煎煮30分钟，提取药液；
（2）药渣加入6倍量水，大火煮沸后改用小火煎煮20分钟，提取药液；
（3）取两次药液混合均匀装瓶，置于高温100℃的消毒容器中进行消毒，即得本发明药物。
具体实施例2:称取：翅果藤40克、黄毛榕40克、苞蔷薇根25克、大金发藓25克、白背叶25克、岩枇杷25克、栘枍25克、芋头花10克、野鸦椿子10克；
制备方法：
（1）按配方比例将原料药洗净，置于砂锅内，放入8倍量水浸泡1.5小时，大火煮沸后改用小火煎煮35分钟，提取药液；
（2）药渣加入6倍量水，大火煮沸后改用小火煎煮25分钟，提取药液；
（3）取两次药液混合均匀装瓶，置于高温100℃的消毒容器中进行消毒，即得本发明药物。
具体实施例3:称取：翅果藤60克、黄毛榕60克、苞蔷薇根30克、大金发藓30克、白背叶30克、岩枇杷30克、栘枍30克、芋头花20克、野鸦椿子20克；
制备方法：
（1）按配方比例将原料药洗净，置于砂锅内，放入8倍量水浸泡2小时，大火煮沸后改用小火煎煮40分钟，提取药液；
（2）药渣加入6倍量水，大火煮沸后改用小火煎煮30分钟，提取药液；
（3）取两次药液混合均匀装瓶，置于高温100℃的消毒容器中进行消毒，即得本发明药物。
下面，结合临床资料对本发明的有益效果作出说明。
1.1一般资料：
51例气虚型子宫脱垂患者，年龄28-65岁，平均35.8岁；孕次1—3次，平均2.4次；病程2个月-8年，平均2年5个月。
1.2诊断标准：
参照《中医妇科学》第2版，气虚型子宫脱垂的诊断标准：
（1）子宫下移或脱出阴道口外，劳则加剧，卧则消失；（2）带下量多、色白、质稀，小便频数；（3）小腹下坠，色少华，神疲乏力，少气懒言；（4）舌淡、苔薄白，脉缓弱；（5）妇科内检证实。
1.3治疗方法：
采用本发明中药：翅果藤40克、黄毛榕40克、苞蔷薇根25克、大金发藓25克、白背叶25克、岩枇杷25克、栘枍25克、芋头花10克、野鸦椿子10克。使用时，每次服用150毫升，每日三次，服药期间禁食辛辣、糖。一月为一疗程。3个疗程判断疗效。
1.4疗效标准：
治愈：症状消失，妇科内检宫颈口位置恢复正常；
显效：症状消失，妇科内检宫颈口位置较前有所提升；
有效：症状改善、子宫回纳阴道情况和妇科内检有改善；
无效：症状、子宫回纳阴道情况、妇科内检无改善。
1.5治疗结果：
治愈13例(25.49％)，显效21例(41.18％)，有效15例(29.41％)，无效2例(3.92％)，总有效率96.08％。
Claims (2)
1.一种治疗气虚型子宫脱垂的中药，其特征在于，由以下重量份的原料药制成：翅果藤30-60克、黄毛榕30-60克、苞蔷薇根20-30克、大金发藓20-30克、白背叶20-30克、岩枇杷20-30克、栘枍20-30克、芋头花10-20克、野鸦椿子10-20克。
2.根据权利要求1所述的一种治疗气虚型子宫脱垂的中药，其特征在于，由以下重量份的原料药制成：翅果藤40克、黄毛榕40克、苞蔷薇根25克、大金发藓25克、白背叶25克、岩枇杷25克、栘枍25克、芋头花10克、野鸦椿子10克。
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