CN105535575A - 减轻化疗副反应的药物 - Google Patents
减轻化疗副反应的药物 Download PDFInfo
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- CN105535575A CN105535575A CN201510947547.7A CN201510947547A CN105535575A CN 105535575 A CN105535575 A CN 105535575A CN 201510947547 A CN201510947547 A CN 201510947547A CN 105535575 A CN105535575 A CN 105535575A
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- rhizoma
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Abstract
本发明公开了一种减轻化疗副反应的药物,取下述重量配比的主要原料制备而成:青竹茹6-12份,白术(麸炒)6-15份,黄连4-8份,丹参6-12份,白及5-12份,大黄3-6份,木贼5-11份,厚朴6-12份,青黛3-6份,香附(醋)4-8份,没药6-18份,广木香6-12份,凤凰衣9-15份,天名精4-9份,姜半夏4-12份。本发明的优良效果还表现在:本发明完全按照中医药原理及肿瘤病人的身心特点,能有效的减轻化疗副反应;所选材料皆为传统中药材,无任何毒副作用。
Description
分案申请,原申请号2014101448693,申请日2014.04.12,名称减轻肿瘤病人化疗副反应的中药组合物及制法。
技术领域
本发明公开了一种中药组合物,特别是一种减轻肿瘤病人化疗副反应的中药组合物及制法。本发明属中医中药领域。
背景技术
恶性肿瘤是严重威胁人类健康和生命的一大疾病,化疗是治疗恶性肿瘤的方法之一。化疗,即化学疗法,是利用化学药物杀死肿瘤细胞、抑制肿瘤细胞的生长繁殖和促进肿瘤细胞的分化的一种治疗方式,它是一种全身性治疗手段对原发灶、转移灶和亚临床转移灶均有治疗作用。近年来抗癌药物的不断涌现、科学技术的进步以及联合化疗方案的合理应用使肿瘤的化疗疗效有了显著提高,但是化疗属于“攻伐”的范围,往往会出现攻邪伤正的局面,化疗治疗肿瘤在杀伤肿瘤细胞的同时,也将正常细胞和免疫(抵抗)细胞一同杀灭,所以化疗是一种"玉石俱焚"的治疗方法。化疗的主要副反应为骨髓抑制、消化道反应和神经毒素反应等,特别是中晚期肿瘤或身体虚弱的病人,盲目使用化疗,不仅会导致病情迅速恶化,更会加速病人的死亡。
化疗的副反应主要表现为:
1.神经系统毒性:主要是指化疗药物对周围末梢神经产生损害作用,患者可出现肢端麻木,肢端感觉迟钝等。
2.恶心、呕吐与食欲不振:接受化疗之后,由于药物作用会随着药物在体内的浓度高低而有强弱,所以患者在接受化疗之后会出现精神不振、恶心呕吐和食欲下降等症状。
3.骨髓抑制:大多数对恶性肿瘤患者有作用的化疗药物均可引起骨髓抑制,表现为白细胞和血小板下降,甚者红细胞、血色素下降等。
4.腹泻:对于化疗的患者来说腹泻是一个常见的问题。腹泻可以非常严重,甚至危及生命,但腹泻也是化疗的常见副反应。
5.疲劳:恶性肿瘤患者在化疗期间,因为时间较长,所以患者就需要大量消耗人体的一些能量,疾病带来的压力,每天往返治疗以及放射对正常细胞的影响都会导致疲劳。
6.脱发:毛囊在受到化学治疗药物的影响,掉发通常会发生在接受数次化学治疗之后,您会觉得头发掉的比平常厉害,累计多次之后,头发较为稀松,容易看见头皮。
恶性肿瘤属于中医“积”、“虚劳”的范畴,存在着正虚邪实的表现。并且由于病程的绵延,会导致“久病及肾”的现象。在接受化疗之后,其正虚症候更加明显,伤于胃则恶心纳呆,伤于肾则头晕耳鸣,齿落发脱,腰酸足软,伤于心则心悸气短。因此,减轻肿瘤病人化疗副反应具有十分重要的医学价值。
公开号为CN1357354A(申请号01114965.5)的中国专利文献公开了一种名为“治疗恶性肿瘤放化疗副反应的药物及其制备方法”,其由党参、黄芪、茯苓、白术、女贞子、枸杞子、焦楂、甘草制成。其配方制备方法复杂,不适用于个人操作。申请公布号为CN102327390A(申请号201110314905.2)的中国专利文献公开了一种名为“一种防治化疗毒副反应的中药组方及其丸剂的制备方法”,该中药组方有阿胶、人参、肉桂、川芎、熟地黄、茯苓、白术、黄芪、当归、白芍、菟丝子、枸杞子、川牛膝、陈皮、灵芝、肉苁蓉、鹿茸、麝香、钟乳石、巴戟天、附子、海参、甘草、鹿角胶、黄酒按照一定的重量配比组成。其配方药材众多,且个别药材价格较高,增加了患者的经济负担。
发明内容
针对现有技术的不足,本发明的目的是提供一种制备简单、便于携带、服用方便的减轻肿瘤病人化疗副反应的中药组合物及制法。该中药组合物完全按照肿瘤病人的身心特点研制,疗效确切且无任何毒副作用。
本发明的技术方案是:
减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成:青竹茹6-12份,白术(麸炒)6-15份,黄连4-8份,丹参6-12份,白及5-12份,大黄3-6份,木贼5-11份,厚朴6-12份,青黛3-6份,香附(醋)4-8份,没药6-18份,广木香6-12份,凤凰衣9-15份,天名精4-9份,姜半夏4-12份。
减轻肿瘤病人化疗副反应的中药组合物,优选的方案为,取下述重量配比的主要原料制备而成:青竹茹8-10份,白术(麸炒)8-12份,黄连5-7份,丹参8-10份,白及7-10份,大黄3-5份,木贼7-9份,厚朴8-10份,青黛4-6份,香附(醋)5-7份,没药10-14份,广木香8-10份,凤凰衣11-13份,天名精5-7份,姜半夏7-9份。
减轻肿瘤病人化疗副反应的中药组合物,更加优选的方案为,取下述重量配比的主要原料制备而成:青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
本发明还提供了将上述中药组合物制成药学上可接受的粉剂、水剂、膏剂、颗粒剂、片剂或胶囊。
所述粉剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过60-120目筛(优选的,过85-115目筛;更加优选的,过105目筛);
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏混合粉碎过85-135目筛(优选的,过100-120目筛;更加优选的,过110目筛);
(3)将步骤(1)和(2)所得混匀即可。
所述水剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过60-120目筛(优选的,过85-115目筛;更加优选的,过105目筛);
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的2.5-4.5倍(优选的,3-4倍;更加优选的,3.5倍))煎煮2次,第一次1.2-2.4小时(优选的,1.5-2.0小时;更加优选的,1.8小时),第二次0.8-1.2小时(优选的0.9-1.1小时;更加优选的,1.0小时),滤液合并,放冷;
(3)将步骤(1)粉碎后的大黄和青黛加入步骤(2)所得药液,无菌封装。
所述膏剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过60-120目筛(优选的,过85-115目筛,更加优选的,过105目筛);
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的2.5-4.5倍(优选的,3-4倍;更加优选的,3.5倍))煎煮2次,第一次1.2-2.4小时(优选的,1.5-2.0小时;更加优选的,1.8小时),第二次0.8-1.2小时(优选的0.9-1.1小时;更加优选的,1.0小时),滤液合并,滤过,浓缩得相对密度为1.36-1.38(48℃)的清膏;
(3)将步骤(1)粉碎后的大黄和青黛加入步骤(2)所得清膏,无菌封装。
所述颗粒剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过60-120目筛(优选的,过85-115目筛;更加优选的,过105目筛);
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的2.5-4.5倍(优选的,3-4倍;更加优选的,3.5倍))煎煮2次,第一次1.2-2.4小时(优选的,1.5-2.0小时;更加优选的,1.8小时),第二次0.8-1.2小时(优选的0.9-1.1小时;更加优选的,1.0小时),滤液合并,滤过,浓缩得相对密度为1.36-1.38(48℃)的清膏;
(3)取清膏0.8-1.2份(优选的,0.9-1.1份;更加优选的,1.0份),蔗糖1.5-3.5份(优选的,2-3份;更加优选的2.5份),糊精0.8-1.2份(优选的,0.9-1.1份;更加优选的,1.0份),混合后加步骤(1)所得大黄和青黛细粉,混匀,制成颗粒,干燥,即得颗粒剂。
所述片剂的制备方法是:将权利要求5所得中药组合物粉剂按照0.3-0.5g/片(优选的,0.35-0.45g/片;更加优选的,0.4g/片)计量,按照片剂的加工制备方法压制成圆形或其他形状的片状剂型。
所述胶囊的制备方法是:将权利要求5所得中药组合物粉剂按照0.4-0.6g/粒(优选的,0.45-0.55g/粒;更加优选的,0.5g/粒)计量,按照胶囊的加工制备方法加工成胶囊状剂型。
本发明所用主要中药原料的药理如下:
青竹茹:性味:味甘,微寒。归经:肺、胃、胆经。功效:清热化痰,除烦止呕。主治:痰热咳嗽,胆火挟痰,烦热呕吐,惊悸失眼,中风痰迷,舌强不语,胃热呕吐,妊娠恶阻,胎动不安。
白术(麸炒):性味:味苦、甘,温。归经:归脾、胃经。功效:健脾益气,燥湿利水,止汗,安胎。主治:脾气虚弱之乏力,食少腹胀,泄泻便秘,水饮内停之小便不利,水肿,痰饮眩晕,寒湿痹,身痛,气虚自汗,胎动不安。
黄连:性味:味苦,寒。归经:归心、肝、胃、大肠经。功效:清热泻火,燥湿,解毒。主治:热病邪入心经之高热,烦躁,谵妄或热盛迫血妄行之吐衄,湿热熊痞泄泻,痢疾,心火亢盛之心烦失眠,胃热呕吐,消谷善饥,肝火目赤肿痛,以及热毒疮疡,疔毒走黄,牙龈肿痛,口舌生疮,聤耳,痔血,湿疹,烫伤。
丹参:性味:味苦,微寒。归经:归心、心包、肝经。功效:活血祛瘀,调经止痛,除烦安神,凉血消痈。主治:妇女月经不调,痛经,经闭,产后淤滞腹痛,心腹疼痛,癥瘕积聚,热痹肿痛,跌打损伤,热入营血,烦躁不安,心烦失眠,痈疮肿毒。
白及:性味:味苦、甘、涩,微寒。归经:归肺、肾经。功效:收敛止血,消肿生肌。主治:咯血,吐血,衄血,便血,外伤出血,痈疮肿毒,烫灼伤,手足皲裂,肛裂。
大黄:性味:味苦,寒。归经:胃、大肠、肝、脾经。功效:攻积滞,清湿热,泻火,凉血,祛瘀,解毒。主治:实积便秘,热结胸痞;湿热泻痢,黄疸,淋病,水肿腹满,小便不利;目赤,咽喉肿痛,口舌生疮,胃热呕吐,吐血,咯血,衄血,便血,尿血;蓄血,经闭,产后淤滞腹痛,癥瘕积聚,跌打损伤,热毒痈疡,丹毒,烫伤。
木贼:性味:味甘、微苦,平。归经:归肺、肝、胆经。功效:疏风散热,明目退翳,止血。主治:风热目赤,目生云翳,迎风流泪,肠风下血,痔血,血痢,妇人月水不断,脱肛。
厚朴:性味:味苦,辛,性温。归经:归脾、胃、大肠经。功效:行气化湿、温中止痛、降逆平喘。主治:食积气滞;腹胀便秘;湿阻中焦,脘痞吐泻;痰壅气逆;胸满喘咳。
青黛:性味:味咸,寒。归经:归肝、肺、胃经。功效:清热,凉血,解毒。主治:温毒斑疹,吐血,衄血,咯血,小儿惊痫,肝火犯肺咳嗽,咽喉肿痛,丹毒,痄腮,疮肿,蛇虫咬伤。
香附(醋):性味:味辛、甘、微苦,平。归经:归肝、三焦经。功效:理气解郁,调经,安胎。主治:胁肋胀痛,乳房胀痛,疝气疼痛,月经不调,脘腹痞满疼痛,嗳气吞酸,呕恶,经行腹痛,崩漏带下,胎动不安。
没药:性味:味苦,辛,平。归经:归脾、心、肝经。功效:祛瘀,消肿,定痛。主治:胸腹痛,痛经,经闭,癥瘕,打肿痛,痈肿疮疡,目赤肿痛。
广木香:性味:味辛、苦,温。归经:归肺、肝、脾经。功效:行气止痛,温中和胃。主治:胸腹胀痛,呕吐,泄泻,痢疾里急后重。
凤凰衣:性味:味甘,淡,平。归经:归肺经。功效:养阴清肺,敛疮,消翳,接骨。主治:久咳久喘,咽痛失音,溃疡不敛,目生翳障,头目眩晕,创伤骨折。
天名精:基原:为菊科天名精属植物天名精的全草。性味:味苦、辛,寒。归经:归肝、肺经。功效:清热化痰,解毒杀虫,破瘀止血。主治:乳蛾喉痹,急慢惊风,牙痛,疔疮肿痛,痔瘘,皮肤痒疹,毒蛇咬伤,虫积,血瘕,吐血,衄血,血淋,创伤出血
姜半夏:性味:味辛、温。归经:归脾、胃、肺经。功效:降逆止呕。主治:呕吐反胃,胸脘痞闷,梅核气。
本发明中药组合物基于中医中药治疗化疗副反应原理,是在研究了大量文献、药理工作和临床试验的基础上制成的。本中药组合物完全按照中医药原则及恶性肿瘤患者的身心特点,对化疗引起的副反应有很好的治疗效果。
具体实施方式
下面结合实施例和实验例详细说明本发明的技术方案,但保护范围不限于此。
实施例1减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份10g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物粉剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏混合粉碎过110目筛;
(3)将步骤(1)和(2)所得混匀即可。
本发明粉剂服用方法:将粉剂分5g/袋,采用每天2-3次,每次一袋,用温开水冲服,7天一个疗程。
典型病例一柯XX,年龄:51岁,性别:男。2008年患食管中段恶性肿瘤,在医院接受化疗,化疗之后出现肢端麻木、恶心呕吐、食欲不振、身体疲乏等症状。服用本实施所得减轻肿瘤病人化疗副反应的中药组合物粉剂,采用每天3次,每次一袋,用温开水冲服,7天一个疗程。服用15天,患者食欲有所增强,不适症状减轻;服用1个月,不适症状明显好转,体力增强;继续服用2个月,患者自述不适症状消失。
实施例2减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份20g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物膏剂的制备方法是:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的3.5倍)煎煮2次,第一次1.8小时,第二次1.0小时,滤液合并,滤过,浓缩得相对密度为1.36-1.38(48℃)的清膏;
(3)将步骤(1)粉碎后的大黄和青黛加入步骤(2)所得清膏,无菌封装。
本发明膏剂服用方法:膏剂采用每天2次,每次6-8g,按照1:10的比例冲水服用,7天一个疗程。
典型病例二陈XX,年龄:56岁,性别:女。2007年原发性右肝癌破裂,急症剖腹,切除7×8cm癌块,之后用化疗的方法治疗残癌,患者自述化疗会引起一些副反应,主要有:疲乏、免疫力低下、食欲不振、精神萎靡、嗜睡等。服用本实施例所得减轻肿瘤病人化疗副反应的中药组合物膏剂,采用每天2次,每次8g,按照1:10的比例冲水服用,7天一个疗程。服用10天,患者精神状态好转,嗜睡状况减轻;服用1个月,食欲有所增强,不适症状逐渐消失;继续服用2个月,患者服用时未出现任何不适,自感不适症状完全消失。
实施例3减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份30g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物颗粒剂的制备方法为:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的3.5倍)煎煮2次,第一次1.8小时,第二次1.0小时,滤液合并,滤过,浓缩得相对密度为1.36-1.38(48℃)的清膏;
(3)取清膏1.0份,蔗糖2.5份,糊精1.0份,混合后加步骤(1)所得大黄和青黛细粉,混匀,制成颗粒,干燥,即得颗粒剂。
本发明颗粒剂服用方法:将颗粒剂分8g/袋,每天2-3次,每次一袋,用温开水冲服,7天一个疗程。
典型病例三肖XX,年龄:69岁,性别:女。2009年6月在医院检查发现肝部出现恶性肿瘤,因肿瘤较大,不宜进行手术,因此做化疗来缓解病痛,但是化疗出现一些副反应:肢端感觉迟钝、恶心呕吐、腹泻、身体乏力、脱发等。服用本实施例所得减轻肿瘤病人化疗副反应的中药组合物颗粒剂,采用每天3次,每次一袋,用温开水冲服,7天一个疗程。服用21天,患者恶心呕吐减轻,脱发亦减轻;服用2个月,患者不适症状逐渐消失,肢端感觉较之前灵敏;继续服用2个月,患者自感不适症状完全消失。
实施例4减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份40g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物片剂的制备方法为:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏混合粉碎过110目筛;
(3)将步骤(1)和(2)所得混匀得粉剂;
(4)将步骤(3)所得粉剂按照0.4g/片计量,按照片剂的加工制备方法压制成圆形或其他形状的片状剂型。
本发明片剂服用方法:片剂采用每天3次,每次5-8片,用温开水冲服,7天一个疗程。
典型病例四林XX,年龄:37岁,性别:男。患者因骨巨细胞瘤2008年2月进行人工股骨头置换手术,2008年7月肿瘤向双肺广泛转移,2008年8月CT肺转移灶最大直径14×14cm,发热、咳喘、身痛,通过化疗来减轻病痛,但是化疗引起一些副反应:浑身无力、精神萎靡、食欲低下并伴有恶心呕吐等现象,服用抗化疗副反应药物,皆无明显效果。服用本实施例所得减轻肿瘤病人化疗副反应的中药组合物片剂,采用每天3次,每次8片,用温开水冲服,7天一个疗程。服用15天,患者不适症状有所减轻,纳食渐多;服用1个月,恶心呕吐现象消失,精神状态改善,不适症状逐渐消失;继续服用2个月,患者自感已无副反应。
实施例5减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份50g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物胶囊的制备方法为:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏混合粉碎过110目筛;
(3)将步骤(1)和(2)所得混匀得粉剂;
(4)将步骤(3)所得粉剂按照0.5g/粒计量,按照胶囊的加工制备方法加工成胶囊状剂型。
本发明胶囊服用方法:胶囊采用每天3次,每次6-10粒,用温开水冲服,7天一个疗程。
典型病例五吴XX,年龄:55岁,性别:女。2010年发现右扁桃体恶性淋巴瘤,经化疗,肿物消失,但化疗引起恶心呕吐、食欲低下、嗜睡、精神不振等副反应。为减轻化疗引起的副反应,患者服用本实施例所得减轻肿瘤病人化疗副反应的中药组合物胶囊剂,采用每天3次,每次10粒,用温开水冲服,7天一个疗程。服用1个月,患者恶心呕吐减轻,嗜睡状况亦减轻;服用2个月,不适症状改善,精神状态好转;继续服用2个月,患者无不适症状。
实施例6减轻肿瘤病人化疗副反应的中药组合物,取下述重量配比的主要原料制备而成(每份60g):青竹茹9份,白术(麸炒)10份,黄连6份,丹参9份,白及8份,大黄4份,木贼8份,厚朴9份,青黛5份,香附(醋)6份,没药12份,广木香9份,凤凰衣12份,天名精6份,姜半夏8份。
上述减轻肿瘤病人化疗副反应的中药组合物水剂的制备方法为:
(1)将大黄、青黛分别粉碎成细粉,过105目筛;
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的3.5倍)煎煮2次,第一次1.8小时,第二次1.0小时,滤液合并,放冷;
(3)将步骤(1)粉碎后的大黄和青黛加入步骤(2)所得药液,无菌封装。
本发明水剂服用方法:水剂采用每天2次(温热),每次300-500ml,7天一个疗程。
试验例1实施例6所得减轻肿瘤病人化疗副反应的中药组合物水剂的临床应用:2009年3月-2012年2月,在5所医院筛选120例患者,其中女性61例,男性59例,年龄最大的76岁,最小年龄35岁。试验之前3周,对该人群进行连续观察,记录症状及变化,随机分为两组,实验组及对照组,实验组服用实施例6所得产品,对照组服用其它药品(圣液口服液、硒维康等常规药品)。使用方法为:每天服用两次(温热),每次300m1-500m1(视具体情况有所调整),7天一个疗程。疗效情况判定标准:治愈:服用本品一个疗程,不适症状消失,精力及体力明显增强;有效:服用本品一个疗程,不适症状减轻或部分消失,精力及体力增强;无效:服用本品一个疗程,不适症状无变化。结果如表1所示。
表1:服用实施例6所得产品治疗效果验证
治疗效果:治愈71例(71%),有效28例(28%),无效1例(1%),总有效率99%。效果明显优于对照组。
服用期间自感症状及其体力精神变化如表2所示。
表2:
本发明选择青竹茹、白术(麸炒)、黄连、丹参、凤凰衣、姜半夏等进行配伍,使得这些药物组合后产生协同作用,能够更有效地减轻肿瘤病人化疗副反应。服用20天,53%以上的感到有所好转,不适症状改善;服用40天,74%以上的感到有所好转,不适症状改善或消失,精神、体力增强;服用60天,97%以上的感到有所好转,不适症状改善或消失,精神、体力增强,部分患者自感痊愈。实验组中服用60天以上,有效率可达95%,而对照组仅为75%。
最后应说明的是,实施例只是本发明最优的具体实施方式而已,并不用于限制本发明,尽管参照前述实施例对本发明进行了详细的说明,对于本领域的技术人员来说,其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。
Claims (2)
1.减轻肿瘤病人化疗副反应的中药组合物,其特征在于,取下述重量配比的主要原料制备而成:青竹茹12份,白术(麸炒)15份,黄连8份,丹参12份,白及12份,大黄6份,木贼11份,厚朴12份,青黛6份,香附(醋)8份,没药18份,广木香12份,凤凰衣15份,天名精9份,姜半夏12份。
2.减轻肿瘤病人化疗副反应的中药组合物水剂的制备方法,其特征在于,
(1)将大黄、青黛分别粉碎成细粉,过60-120目筛(优选的,过85-115目筛;更加优选的,过105目筛);
(2)将青竹茹、白术(麸炒)、黄连、丹参、白及、木贼、厚朴、香附(醋)、没药、广木香、凤凰衣、天名精和姜半夏置于砂锅内,加水(用水量为原料药总重的2.5-4.5倍(优选的,3-4倍;更加优选的,3.5倍))煎煮2次,第一次1.2-2.4小时(优选的,1.5-2.0小时;更加优选的,1.8小时),第二次0.8-1.2小时(优选的0.9-1.1小时;更加优选的,1.0小时),滤液合并,放冷;
(3)将步骤(1)粉碎后的大黄和青黛加入步骤(2)所得药液,无菌封装。
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| CN105582371A (zh) * | 2015-09-21 | 2016-05-18 | 彭奋 | 减轻肿瘤病人化疗副反应的养胃制剂及其制备方法 |
| CN105687854A (zh) * | 2016-03-16 | 2016-06-22 | 魏晓梅 | 减轻肿瘤病人化疗副反应的护理药剂及其制备方法 |
| CN106361904A (zh) * | 2016-11-12 | 2017-02-01 | 曹芳 | 用于缓解肿瘤病人化疗副反应的中药组合物 |
| CN111671794A (zh) * | 2020-07-09 | 2020-09-18 | 中科诺金科技有限公司 | 一种减轻化疗引起的消化道反应的中药制剂及其制备方法 |
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| CN101428124B (zh) * | 2007-11-05 | 2011-08-24 | 张忠美 | 提高免疫力膏药的制备方法 |
| CN102512626B (zh) * | 2011-12-15 | 2014-06-04 | 天长市中医院 | 一种用于恶性肿瘤放化疗后巩固治疗的药物组合物及用途 |
| CN102614442B (zh) * | 2012-01-01 | 2013-07-17 | 徐永波 | 增力、益血、止吐中药胶囊 |
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| CN109529042B (zh) * | 2018-12-19 | 2021-09-28 | 天津中新药业集团股份有限公司乐仁堂制药厂 | 药物联合制剂及中药组合物在制备化疗药物增效减毒剂中的应用 |
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