CN105560696A - 一种用于治疗脂肪肝的药物 - Google Patents
一种用于治疗脂肪肝的药物 Download PDFInfo
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Abstract
本发明涉及一种用于治疗脂肪肝的药物,它是由以下重量配比的原料药材制备而成:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份。本发明运用:分心木,健脾益气,补肾涩精;腐婢根,清热解毒;老虎耳,利尿消肿;合萌,清热去风,利湿消肿解毒;发痧藤,祛风解表,舒筋活血;王瓜子,清热利湿,凉血止血;无漏子,益气补虚,消食除痰,主气虚赢弱;岩谷伞,镇静安神,清心明目;七爪风,祛风除湿,活血通络。诸药合用,共奏疏肝健脾,化湿消积祛痰之功。临床实验证明,本发明能够安全有效治疗脂肪肝。
Description
技术领域
本发明涉及一种中药,具体涉及一种用于治疗脂肪肝的药物。
背景技术
由于疾病或药物等因素导致肝细胞内脂质积聚超过肝湿重的5%,称之为脂肪肝,肝内积聚的脂质依病因不同可以是三酰甘油、脂肪酸、磷脂或胆固醇酯等,其中以三酰甘油为多。根据脂肪含量,可将脂肪肝分为轻型(含脂肪5%~10%)、中型(含脂肪10%~25%)、重型(含脂肪25%~50%或>30%)三型,脂肪肝是一个常见的临床现象,而不是一个独立的疾病。
脂肪肝的临床表现与其病因,病理类型及其伴随疾病状态密切相关,临床上,根据起病缓急可将脂肪肝分为急性和慢性两大类,前者相对少见,病理上多表现为典型的小泡性肝细胞脂肪变,后者主要指由肥胖,糖尿病和酗酒等引起的大泡性肝细胞脂肪变。祖国医学无“脂肪肝”的病名,可归属于“胁痛”、“积聚”等的范畴。多数学者认为其病因与过食肥甘厚味、饮酒过度、久卧久坐、体丰痰盈、感受湿热毒邪、情志失调、久病体虚等有关。祖国医学认为,脂肪肝最常见原因为饮食不节,过食肥甘厚味,肆意饮酒,慢性刺激,过度安逸少动,形体肥胖等。这些因素极易导致肝脾受损,肝失疏泄,脾失健运。
临床表现
脂肪肝形成后,大部分表现食欲不振,恶心,呕吐,体重下降,乏力,腹胀,肝区不适或隐痛。
体格检查:可触及肿大的肝脏(一般在右肋下2-3厘米以内),表面光滑,边缘圆钝,质地软或中等硬度,可有轻度压痛,部分病人有叩击痛,重症病人可出现肝硬化表现。
诊断上主要依靠实验室B超检查,因为查弥漫性脂肪肝的超声波图像主要表现为回声波衰减,因此按其衰减的程度,脂肪肝分为3种:
(1)轻度脂肪肝:表现为近场回声增强,远场回声衰减不明显,肝内管状结构仍可见。
(2)中度脂肪肝:前场回声增强,后场回声衰减,管状结构模糊。
(3)重度脂肪肝:近场回声显著增强,远场回声明显衰减,管状结构不清,无法辨认,超声对重度脂肪肝的灵敏度达95%。
药物治疗①祛脂保肝药物主要用于伴有肝功能损害和(或)症状明显的非酒精性脂肪性肝炎和酒精性肝病患者的辅助治疗。如胆碱、蛋氨酸、部分B族维生素。②中药治疗脂肪肝可用中医中药治疗,效果比较理想。同时应注意饮食:适宜的热量摄取,合理分配三大营养要素并兼顾其质量,适当补充维生素,矿物质及膳食纤维,戒酒和改变不良饮食习惯,调整饮食是治疗大多数慢性脂肪肝的基本方法;以及生活习惯:运动每次持续10~30min,每周3次以上,对肥胖者运动疗法比单纯节食减肥更重要,其原因为运动减肥祛除的主要是腹部内脏脂肪,常可引起三酰甘油,低密度脂蛋白(LDL)下降及高密度脂蛋白(HDL)升高,葡萄糖耐量改善以及血压下降。
本发明所涉及药材均可见记载于《中华本草》。
发明内容
本发明旨在提供一种用于治疗脂肪肝的药物,通过选择合适的药材及其配比,达到安全有效治愈脂肪肝的目的。
为了达到上述目的,本发明采用以下技术方案:
一种用于治疗脂肪肝的药物,其特征在于,它是由以下重量配比的原料药材制备而成:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份。
下面结合中药学理论说明本发明有益效果:
发明人认为,脂肪肝的基本病机为饮食不节,过食肥甘厚味,肆意饮酒,慢性刺激,过度安逸少动,形体肥胖等。这些因素极易导致肝脾受损,肝失疏泄,脾失健运。从而致痰浊内生,气滞血瘀,肝络瘀阻。故临床治疗常以疏肝健脾,化湿消积祛痰为主。水湿、痰浊、瘀血在脂肪肝的发生发展过程中起关键作用。
本发明运用:分心木,健脾益气,补肾涩精;腐婢根,清热解毒;老虎耳,利尿消肿;合萌,清热去风,利湿消肿解毒;发痧藤,祛风解表,舒筋活血;王瓜子,清热利湿,凉血止血;无漏子,益气补虚,消食除痰,主气虚赢弱;岩谷伞,镇静安神,清心明目;七爪风,祛风除湿,活血通络。诸药合用,共奏疏肝健脾,化湿消积祛痰之功。
下面结合临床实验数据说明本发明的有益效果:
1、一般资料
发明人2012年6月-2014年6月间共收集80例脂肪肝患者。随机分为:治疗组40例,对照组40例。其中治疗组男22例,女18例,年龄20~67岁,平均年龄(49.46±10.16)岁;对照组男23例,女17例,年龄19~65岁,平均年龄(49.46±10.83)岁。两组性别、年龄、病程等资料无显著性差异,具有可比性。
诊断标准
脂肪肝形成后,大部分表现食欲不振,恶心,呕吐,体重下降,乏力,腹胀,肝区不适或隐痛。
实验室检查主要表现:①BMI=体重(kg)/身高(m)2。对于亚洲成人而言,BMI≥23kg/m2提示体重超重,BMI≥25kg/m2提示轻度肥胖,BMI≥30kg/m2提示重度肥胖。②血浆脂类TG,FA,胆固醇,磷脂常升高,其中胆固醇升高显著,常>13mmol/L;③ALT,AST:一般为轻度升高,达正常上限的2~3倍,酒精性脂肪肝的AST升高明显,AST/ALT>2有诊断意义,非酒精性脂肪肝时则ALT/AST>1,ALT>130U,提示肝小叶脂肪浸润明显,ALT持续增高提示有脂肪性肉芽肿。
B超检查主要表现为①肝区近场弥漫性点状高回声,回声强度高于脾脏和肾脏,少数表现为灶性高回声。②远场回声衰减,光点稀疏。③肝内管道结构显示不清。④肝脏轻度或中度肿大,肝前缘变钝。
纳入标准①符合诊断标准;②年龄18~70岁;③依从性好;④自愿签署知情同意书。
排除标准①肝炎病毒感染(HAV,HBV,HCV,HDV,HEV)酒精性、药物性、自身免疫性或代谢性肝病;②患有严重心、肺、肝、肾脏疾病患者;③有精神系统疾病,不能配合治疗者;④发病后经其他药物治疗的患者。
2、治疗方法
治疗组口服本发明按照具体实施例3制得的胶囊,每日3次。治疗1个月。
对照组口服氧化胆碱,每次0.6mg,3次/d,维生素B,维生素C,维生素E,2片/次,3次/日,治疗1个月。
3、疗效标准与治疗结果
3.1疗效标准
①痊愈:BMI下降大于10%,TG下降大于20%,ALT、AST正常或下降大于50%,彩超显示肝内回声明显好转,肝内血管清晰;
②有效:BMI下降范围在5%~9%,TG下降范围在10%~19%,ALT、AST下降范围在20%~49%,彩超显示肝内回声有好转,肝内血管模糊;
③无效:BMI下降小于4%,TG下降小于9%,ALT、AST下降小于19%,彩超显示肝内回声无改变,肝内血管模糊。
3.2治疗统计结果见表1。
表1两组疗效比较
可见,本发明制得的药物能够安全有效治疗脂肪肝,治愈率高。
具体实施方式
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。
实施例1
称取:分心木9克、腐婢根12克、老虎耳10克、合萌15克、发痧藤6克、王瓜子9克、无漏子15克、岩谷伞6克、七爪风9克;加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩至120克,即得符合正常成人一天用量的煎剂。
用于治疗脂肪肝。口服,每日服用一次。
实施例2
称取:分心木9克、腐婢根12克、老虎耳10克、合萌15克、发痧藤6克、王瓜子9克、无漏子15克、岩谷伞6克、七爪风9克;加10倍量水,煎煮2小时,过滤;滤渣加8倍量水,煎煮1.5小时,过滤;合并滤液,浓缩,干燥,包装,即得符合正常成人一天用量的散剂。
用于治疗脂肪肝。口服,每日分早晚两次服用。
实施例3
称取:分心木9克、腐婢根12克、老虎耳10克、合萌15克、发痧藤6克、王瓜子9克、无漏子15克、岩谷伞6克、七爪风9克;加6倍量水,煎煮3次,每次煎煮1小时,合并煎煮液,浓缩,干燥,装入胶囊壳,即得符合正常成人一天用量的胶囊剂。
用于治疗脂肪肝。口服,每日分早中晚三次服用。
Claims (4)
1.一种用于治疗脂肪肝的药物,其特征在于,它是由以下重量配比的原料药材制备而成:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份。
2.如权利要求1所述的用于治疗脂肪肝的药物,其特征在于,其制备方法为:称取:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份;加8倍量水,煎煮1.5小时,过滤;滤渣加6倍量水,煎煮1小时,过滤;合并滤液,浓缩至120份,即得煎剂;上述份均是指重量份。
3.如权利要求1所述的用于治疗脂肪肝的药物,其特征在于,其制备方法为:称取:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份;加10倍量水,煎煮2小时,过滤;滤渣加8倍量水,煎煮1.5小时,过滤;合并滤液,浓缩,干燥,包装,即得散剂;上述份均是指重量份。
4.如权利要求1所述的用于治疗溃疡性结肠炎的药物,其特征在于,其制备方法为:称取:分心木9份、腐婢根12份、老虎耳10份、合萌15份、发痧藤6份、王瓜子9份、无漏子15份、岩谷伞6份、七爪风9份;加6倍量水,煎煮3次,每次煎煮1小时,合并煎煮液,浓缩,干燥,装入胶囊壳,即得胶囊剂;上述份均是指重量份。
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