CN105521074A - 一种拔风药贴及其制备方法 - Google Patents
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Abstract
本发明提供了一种拔风药贴及其制备方法，拔风药贴药效成分由以下原料制备而成：大黄29~35份、山枝29~35份、杏仁7~13份、川乌10~16份、通骨消根7~13份；所述的份均指重量份。本发明提供的药贴有别于其他热敷药贴，其针对痛风（甚至结石肿大）的病灶发热疼痛难忍的病症，能够起到快速降温和消炎止痛消肿拔风化结石的效果，且治疗周期短，成本低，毒副作用小，治疗效果理想。
Description
【技术领域】
本发明涉及中药领域，尤其是指一种治疗痛风的药物及其制备方法。
【背景技术】
痛风特指急性特征性关节炎和慢性痛风石疾病，主要包括急性发作性关节炎、痛风石形成、痛风石性慢性关节炎、尿酸盐肾病和尿酸性尿路结石，重者可出现关节残疾和肾功能不全。临床表现为急性痛风性关节炎、间歇发作期、慢性痛风石病变期、肾脏病变等。
中医将本病归属“痹证”、“历节”等范畴。中医认为本病的发生，可分为外因和内因两个方面。
1.外因：风、寒、湿、热之邪侵袭人体，痹阻经络。（1)风寒湿邪侵袭人体：居处或劳动环境寒冷潮湿，或涉水淋雨，或长期水下作业，或气候剧变等原因以致风寒湿邪侵袭人体而发病。（2)风湿热邪侵袭人体：外感风热，与湿相并，导致风湿热合邪为患；或风寒湿邪侵袭人体，郁而化热，痹阻经络、关节而发病。
2．内因正气不足或劳倦过度（1)劳逸不当：劳倦过度，耗伤正气，或汗出当风，外邪乘虚而入，以致经络阻滞，气血运行不畅而成痹怔。（2)体质亏虚：素体虚弱，或病后等气血不足，腠理空虚，卫气不固外邪乘虚而入。痹证日久不愈，血脉瘀阻，津聚痰凝。由经络及脏腑，导致脏腑痹。
通过广泛实践，对痛风的病因病机，目前中医在证候特点、辨证论治上提出，将本病分为风寒湿痹、风湿热痹、痰瘀痹阻和肝肾亏损型进行辨证治疗，在此，无论针对风寒湿痹还是风湿热痹，除风是主要的治疗手段，目前大部分中医药物治疗效果差、治疗周期长，病人难以得到有效缓解。
因此，针对痛风的治疗，仍是需要解决的重大难题。为此，本发明提出一种新的技术方案。
【发明内容】
本发明的目的是在于克服现有技术的不足，提供了一种以扶正固本为前提，祛风除湿、消肿化结石，治疗痛风的拔风药贴，并提供了制备该药贴的方法。
为了解决上述存在的技术问题，本发明采用下述技术方案：
一种拔风药贴，药效成分由以下原料制备而成：大黄29~35份、山枝29~35份、杏仁7~13份、川乌10~16份、通骨消根7~13份；所述的份均指重量份。
优选的处方是，大黄32份、山枝32份、杏仁10份、川乌13份、通骨消根10份；所述的份均指重量份。
一种制备拔风药贴的制备方法，制备步骤如下：
A、按重量比例选取山枝、杏仁、川乌、通骨消根和大黄药材，将上述药材净选、切制，制备成中药生片；
B、将山枝、杏仁、川乌、通骨消根分别炒干炮制；
C、将上一步骤制备的炒片与大黄混合粉碎，过500目筛，制备成混合方剂粉末；
D、在上一步骤制备的混合方剂粉末中加入浸润液搅拌成黏状，置于无纺布上，即得到本药贴。
优选的制备方法是，所述的浸润液为鸡蛋清。
本发明方剂主要的中草药根据传统医学及现代医学分析，药性及药理作用如下：
炒大黄：苦，寒；归脾、胃、大肠、肝、心包经；泻热毒、破和织滞、行淤血。
炒山枝：活血通络、祛风湿、补肾肺、消肿解毒，用于风湿性关节炎疼痛，坐骨神经痛。
炒杏仁：苦，微温；宣肺，润肠通便；用于抗炎镇痛，抗癌抗组织突变，降脂等。
炒川乌：辛、苦，热；有大毒。归心、肝、肾、脾经；祛风除湿，温经止痛；用于风寒湿痹、关节疼痛、心腹冷痛、寒疝作痛。
通骨消根：味辛；性平；祛风通络；散瘀止痛；主风湿痹痛。
本发明的积极效果在于：本发明提供的药贴有别于其他热敷药贴，将药粉与鸡蛋清相结合，针对痛风（甚至结石肿大）的病灶发热疼痛难忍的病症，能够起到快速降温和消炎止痛消肿拔风化结石的效果，且治疗周期短，成本低，毒副作用小，治疗效果理想。
经临床应用取得了明显的临床效果，治愈率达95.3%，总有效率达到98.6％，无明显毒副作用。
下面具体实施方式对本发明作进一步的详细描述：
【具体实施方式】
处方实例一：按重量计，取大黄30份、山枝30份、杏仁7份、川乌10份、通骨消根10份的中药生片，将通骨消根、山枝、杏仁、川乌炒制，再将大黄与上述炮制的药材混合粉碎，过500目筛，制备成混合方剂粉末，再将此混合方剂粉末中加入鸡蛋清搅拌成黏状，置于无纺布上，制得本药贴。
处方实例二：按重量计，取大黄33份、山枝35份、杏仁10份、川乌13份、通骨消根10份的中药生片，将通骨消根、山枝、杏仁、川乌炒制，再将大黄与上述炮制的药材混合粉碎，过500目筛，制备成混合方剂粉末，再将此混合方剂粉末中加入鸡蛋清搅拌成黏状，置于无纺布上，制得本药贴。
处方实例三：按重量计，取大黄35份、山枝33份、杏仁13份、川乌15份、通骨消根12份的中药生片，将通骨消根、山枝、杏仁、川乌炒制，再将大黄与上述炮制的药材混合粉碎，过500目筛，制备成混合方剂粉末，再将此混合方剂粉末中加入鸡蛋清搅拌成黏状，置于无纺布上，制得本药贴。
以下是治疗方案：
一、先在病人病灶处使用本药贴，进行搜风和拔风，对慢性期痛风致关节肿大结石的病灶进行拔除风寒湿毒，把痛风关节肿大部位的风寒湿淤拔出皮肤上，此时，病灶皮肤上显示特有的“蓝紫色”（中医称为风寒湿毒）；
二、通过对慢性期痛风致关节肿大结石的病灶进行拔除风寒湿毒后，再行涂抹痛风搽剂，反复按摩，以达到消肿祛痛、祛痛风化石的目的；
三、在痛风病关节肿大结石病灶上，贴上痛风药贴；有效地消肿、止痛、溶化痛风结石，而且痛风药贴在使用时，还可以增加痛风搽剂，以达到对因陈旧性痛风导致肿大的关节起到化石效果。
在治疗方案中，以拔风—祛风—化石三步疗法为一体，达到祛风除湿、消肿化结石，治疗痛风病的目的；十天为一疗程。而本发明提供制备的药贴有别于其他热敷药贴，将药粉与鸡蛋清相结合，针对痛风（甚至结石肿大）的病灶发热疼痛难忍的病症，能够起到快速降温和消炎止痛消肿拔风化结石的效果；另外，本药贴也适用于各种风症引起的风湿、类风湿性关节炎。
以下为临床案例：
一、苏某，男，64岁，患痛风、风湿性关节炎多年，多家医院治无效，脚肿无法站立，左手弯曲肿大变形，在经过治疗方案五个疗程后，情况明显改善，关节化石消除，关节消肿，能够自行站立、行走，左手使用无碍，在跟踪治疗三个月后，已痊愈；
二、冯某，女，46岁，患痛风十三年，四处求医未能治愈，双膝肿大，已有积液，需要在医院抽液治疗，在经过治疗方案三个疗程后，双腿站立无碍，积液消除，症状基本消失，能够正常生活；
三、詹某，男，23岁，痛风病史五年，拇指关节与拇趾关节肿大，剧痛，夜不能寐，在经过治疗方案两个疗程后，关节肿状消，基本痊愈，在跟踪治疗一个月后，已痊愈。
尽管参照上面实施例详细说明了本发明，但是通过本公开对于本领域技术人员显而易见的是，而在不脱离所述的权利要求限定的本发明的原理及精神范围的情况下，可对本发明做出各种变化或修改。因此，本公开实施例的详细描述仅用来解释，而不是用来限制本发明，而是由权利要求的内容限定保护的范围。
Claims (4)
1.一种拔风药贴，其特征在于，药效成分由以下原料制备而成：大黄29~35份、山枝29~35份、杏仁7~13份、川乌10~16份、通骨消根7~13份；所述的份均指重量份。
2.根据权利要求1所述的一种拔风药贴，其特征在于，药效成分由以下原料制备而成：大黄32份、山枝32份、杏仁10份、川乌13份、通骨消根10份；所述的份均指重量份。
3.一种制备拔风药贴的制备方法，其特征在于，制备步骤如下：
A、按重量比例选取山枝、杏仁、川乌、通骨消根和大黄药材，将上述药材净选、切制，制备成中药生片；
B、将山枝、杏仁、川乌、通骨消根分别炒干炮制；
C、将上一步骤制备的炒片与大黄混合粉碎，过500目筛，制备成混合方剂粉末；
D、在上一步骤制备的混合方剂粉末中加入浸润液搅拌成黏状，置于无纺布上，即得到本药贴。
4.根据权利要求4所述的一种制备拔风药贴的制备方法，其特征在于，所述的浸润液为鸡蛋清。
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