CN105535338A - 一种治疗老年性肩周炎的中药制剂及护理方法 - Google Patents

一种治疗老年性肩周炎的中药制剂及护理方法 Download PDF

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CN105535338A
CN105535338A CN201511035326.9A CN201511035326A CN105535338A CN 105535338 A CN105535338 A CN 105535338A CN 201511035326 A CN201511035326 A CN 201511035326A CN 105535338 A CN105535338 A CN 105535338A
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吕富冉
葛传芳
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Abstract

本发明公开了一种治疗老年性肩周炎的中药制剂，属于中药技术领域。针对老年性肩周炎的发病机理，按照中医辨证施治的原则，发明人选择具有补肾益气、温经通络的中药黄毛榕、勾儿茶、马鬃参、假木通、黑种草、菩提香、鸭脚木皮、川牛膝、三楞筋骨草、双翎草、沙塘木，水煎成汤剂，经临床试验，总有效率达到92.7％。

Description

一种治疗老年性肩周炎的中药制剂及护理方法
技术领域
本发明涉及一种中药组合物，尤其涉及一种治疗老年性肩周炎的中药制剂。
背景技术
现代医学认为，肩周炎是肩关节周围软组织的无菌性炎症，伴有渗出或软组织粘连。发病的原因主要是老年人各个脏器功能减退，进一步发展到内分泌失调或退行性改变，其主要症状是肩关节周围软组织疼痛、无力、活动障碍。疼痛具有持久性，患者可自觉夜间疼痛加重，甚至不能入睡。疼痛导致肩部肌肉持续性痉挛，肌肉痉挛和疼痛不仅局限于肩关节周围，也可向四周放射，向下可放射至末节手指，向上可放射到头顶甚至对侧颞部，也可向后牵涉到背部，向前放射到乳头区域。肩周炎病程分为急性期、冻结期、恢复期3期。急性期的特点是肩关节有被捆绑的感觉，且逐渐感觉疼痛，活动不灵便；冻结期的特点是疼痛夜间加重而不能入眠，肩关节可以完全不能活动，似被冰冻一样，本期时间长短不一，可以是数周或数年，严重影响老年人的生活。发明在临床治疗实践中，研制成了一种中药，经临床试验对老年性肩周炎有很好的治疗作用，能够明显减轻或消除肩部临床症状，提高老年患者的生活质量，具有临床推广应用价值。
发明内容
本发明的目的是提供一种治疗老年性肩周炎的中药制剂。中医学认为，肩周炎发病多与气血不足有关，患者多因年老体衰、功能退化或因劳累过度而导致肝肾亏损，气血不足，肩部外感风、寒、湿邪因素，血受寒则凝，不能濡养筋脉，以致风寒湿邪客于血脉筋肉，引起拘急疼痛，关节屈伸不利。
本发明的目的是通过以下技术方案实现的，该治疗老年性肩周炎的中药制剂由以下重量份的中药制成：黄毛榕15-30份、勾儿茶15-30份、马鬃参3-6份、假木通3-8份、黑种草1-3份、菩提香1-2份、鸭脚木皮5-8份、川牛膝2-6份、三楞筋骨草8-15份、双翎草4-7份、沙塘木4-8份。
优选的，黄毛榕23份、勾儿茶22份、马鬃参4.5份、假木通5份、黑种草2份、菩提香1.5份、鸭脚木皮6.5份、川牛膝4份、三楞筋骨草11份、双翎草5.5份、沙塘木6份。
制备方法水煎制成汤剂。
方中：黄毛榕健脾益气、活血祛风；勾儿茶补脾利湿、舒经活络；马鬃参通经活络、假木通通经活络、补血；黑种草补肾、通经；菩提香滋阴补肾、消肿止痛；鸭脚木皮清热解毒、舒筋活络；川牛膝通经活血；三楞筋骨草温经活络；双翎草温经通络、祛风除湿；沙塘木通经活络、清热祛湿。
临床资料
1、一般资料全部病例为2012年5月至2013年8月期间我科门诊老年性肩周炎患者，按就诊顺序随机分为治疗组和对照组，治疗组70例，其中男性27例，女性43例，年龄在60～69岁之间，发病距首次就诊时间为18d～14个月；对照组60例，其中男性25例，女性35例，年龄在61～72岁之间，发病距首次就诊时间3周～12个月，2组患者一般资料经统计学处理差异无统计学意义(P＞0.05)，具有可比性。
2、诊断标准国家中医药管理局早在1994年就发布了肩周炎诊断标准，即肩部疼痛，夜间加重，肩关节运动功能受限，局部有压痛点，X线检查周围软组织可见钙化，骨质结构无阳性改变。此标准包括在《中医病证诊断疗效标准》中，本研究也参照此标准。
纳入标准与诊断标准中的条件符合，年龄在60岁以上，自愿采用本疗法或对照疗法完成所有疗程者。
排除标准①与诊断标准中的条件不符合；②不是肩周炎引起的肩关节运动功能受限和肩部疼痛者；③年龄小于60岁的患者；④伴有重要脏器严重疾病，血液系统疾病及精神疾病患者；⑤不能采用本研究中的疗法连续治疗所有疗程者。
3、治疗方法治疗组口服本中药制剂，药物组成：称取黄毛榕23g、勾儿茶22g、马鬃参4.5g、假木通5g、黑种草2g、菩提香1.5g、鸭脚木皮6.5g、川牛膝4g、三楞筋骨草11g、双翎草5.5g、沙塘木6g，将上述中药制成口服煎剂，每剂煎2次，每次加水500ml，煎取200ml，共400ml早晚各1次顿服，每个疗程服用10剂，疗程之间休息3d，共服用3个疗程。对照组采用药物封闭方法治疗，用注射用5号口腔长针头，抽取2％利多卡因4ml，曲安奈德2ml，维生素B1250mg维生素B150mg，在肱骨头内下方牙痛处进针，针尖达关节腔内，将注射器内的配制液推入，注射时针头在关节腔不同方向进行，拔出针后压迫止血。每次治疗后休息7d，共做3次，即3个疗程。
4、疗效标准治愈：肩关节运动功能正常、疼痛消失；显效：ROM均增加2级，疼痛明显缓解；有效：ROM、疼痛均增加1级；无效：疼痛和肩功能无改善。
5、治疗结果患者治疗后观察疗效，治疗组70例患者其中治愈30例(42.8％)显效25例(35.7％)，有效10例(14.2％)，无效5例(7.3％)，总有效率92.7％。对照组60患者其中治愈20例(33％)显效15例(25％)，有效10例(17％)，无效15例(25％)，总有效率75％。两组比较，治疗组治愈率、总有效率明显优于对照组，具有可比性(P＜0.05)。
具体实施方式
实施例一：称取黄毛榕23g、勾儿茶22g、马鬃参4.5g、假木通5g、黑种草2g、菩提香1.5g、鸭脚木皮6.5g、川牛膝4g、三楞筋骨草11g、双翎草5.5g、沙塘木6g，上述中药水煎成汤剂。
实施例二：称取黄毛榕30g、勾儿茶30g、马鬃参6g、假木通8g、黑种草3g、善提香2g、鸭脚木皮8g、川牛膝6g、三楞筋骨草15g、双翎草7g、沙塘木8g，上述中药水煎成汤剂。
实施例三：称取黄毛榕15g、勾儿茶15g、马鬃参3g、假木通3g、黑种草1g、菩提香1g、鸭脚木皮5g、川牛膝2g、三楞筋骨草8g、双翎草4g、沙塘木4g，上述中药水煎成汤剂。

Claims (2)

1.一种治疗老年性肩周炎的中药制剂，其特征在于该中药制剂由以下重量份的中药制成：黄毛榕15-30份、勾儿茶15-30份、马鬃参3-6份、假木通3-8份、黑种草1-3份、菩提香1-2份、鸭脚木皮5-8份、川牛膝2-6份、三楞筋骨草8-15份、双翎草4-7份、沙塘木4-8份。
2.如权利要求1所述的一种治疗老年性肩周炎的中药制剂，其特征在于该中药制剂由以下重量份的中药制成：黄毛榕23份、勾儿茶22份、马鬃参4.5份、假木通5份、黑种草2份、菩提香1.5份、鸭脚木皮6.5份、川牛膝4份、三楞筋骨草11份、双翎草5.5份、沙塘木6份。
CN201511035326.9A 2015-12-29 2015-12-29 一种治疗老年性肩周炎的中药制剂及护理方法 Pending CN105535338A (zh)

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CN101983652A (zh) * 2010-10-08 2011-03-09 黄岭 一种治疗肩周炎的中药
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