CN105687900A - 一种治疗强直性脊柱炎的中药组合物及制备 - Google Patents
一种治疗强直性脊柱炎的中药组合物及制备 Download PDFInfo
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Abstract
本发明涉及一种治疗强直性脊柱炎的中药组合物及制备,其特征是中药的原料药份数如下:羌活6~9份、豨莶草4~6份、槲寄生4~6份、千年健6~8份、凤仙透骨草4~6份、巴戟天2~4份、文冠果6~9份、北刘寄奴4~6份、竹节参6~9份、血竭4~6份、没药6~9份、薏苡仁8~12份、泽兰4~6份、蜂胶6~10份、甘草6~9份。本发明的有益效果是:祛风祛湿、祛瘀止痛、补益肝肾、调节免疫,祛除酸、麻、痛、胀、僵,达到提高生活质量,脊柱康复的目的。副作用少。疗效高。
Description
技术领域
本发明涉及一种治疗强直性脊柱炎的中药组合物及制备。
众所周知,强直性脊柱炎(AS)是以骶髂关节和脊柱附着点炎症为主要症状的疾病。与HLA-B27呈强关联。某些微生物(如克雷白杆菌)与易感者自身组织具有共同抗原,可引发异常免疫应答。使四肢大关节,以及椎间盘纤维环及其附近结缔组织纤维化和骨化,以及关节强直为病变特点的慢性炎性疾病。强直性脊柱炎属风湿病范畴,是血清阴性脊柱关节病的一种。该病病因尚不明确,是以脊柱为主要病变部位的慢性病,累及骶髂关节,引起脊柱强直和纤维化,造成不同程度眼、肺、肌肉、骨骼病变,属自身免疫性疾病。对于16~25岁青年,尤其是青年男性。强直性脊柱炎一般起病比较隐匿,早期可无任何临床症状,有些病人在早期可表现出轻度的全身症状,如乏力、消瘦、长期或间断低热、厌食、轻度贫血等。由于病情较轻,病人大多不能早期发现,致使病情延误,失去最佳治疗时机。目前治疗常采用非甾体类抗炎药、甲氨蝶呤、激素治疗,其副作用大,给患者的心身带来不适。
发明内容
本发明中药的有益效果是:祛风祛湿、祛瘀止痛、补益肝肾、调节免疫,祛除酸、麻、痛、胀、僵,达到提高生活质量,脊柱康复的目的。临床上常根据不同症型辨证施治。
本发明所要解决的技术问题是为了克服技术上的不足,提供一种疗效好、疗程短,缓解率高,成本低,无毒副作用的一种治疗强直性脊柱炎的中药组合物及制备。
为了上述目的,一种治疗强直性脊柱炎的中药组合物,其特征是中药的原料药份数如下:羌活6~9份、豨莶草4~6份、槲寄生4~6份、千年健6~8份、凤仙透骨草4~6份、巴戟天2~4份、文冠果6~9份、北刘寄奴4~6份、竹节参6~9份、血竭4~6份、没药6~9份、薏苡仁8~12份、泽兰4~6份、蜂胶6~10份、甘草6~9份。
制备方法:先将巴戟天加水蒸馏收集蒸馏液备用;将薏苡仁煮熟调成糊备用;再将羌活、豨莶草、槲寄生、千年健、凤仙透骨草、北刘寄奴、文冠果、血竭、没药、泽兰、没药、甘草加入7倍65%乙醇溶液多功能提取罐中加热回流1小时,回收乙醇至尽,滤液滤过备用;将上述残渣加竹节参水煎2小时,取滤液加上述蒸馏液、薏苡仁糊搅拌均匀,浓缩至相对密度为1.15-1.25((50℃)膏剂,即得。
本发明中药功效:羌活味辛、苦,性温。归膀胱、肾经。功效:解表散寒,祛风除湿,止痛。用于头痛项强,风湿痹痛,肩背酸痛。豨莶草味辛、苦,性寒。归肝、肾经。功效:祛风湿,利关节,解毒。用于风湿痹痛,筋骨无力,腰膝酸软,四肢麻痹,半身不遂,风疹湿疮。槲寄生味苦,性平。归肝、肾经。功效:祛风湿,补肝肾,强筋骨,安胎元。用于风湿痹痛,腰膝酸软,筋骨无力,崩漏经多,妊娠漏血,胎动不安,头晕目眩。千年健苦、辛,温。归肝、肾经。功效:祛风湿,壮筋骨。用于风寒湿痹,腰膝冷痛,拘挛麻木,筋骨痿软。凤仙透骨草苦、辛,平;有小毒。归肝、肾经。祛风除湿,活血止痛。用于风湿痹痛,跌打伤痛。巴戟天味甘、辛,性微温。归肾、肝经。功效:补肾阳,强筋骨,祛风湿。用于阳痿遗精,宫冷不孕,月经不调,少腹冷痛,风湿痹痛,筋骨痿软。文冠果味甘、微苦,性凉。归肝、肾经。祛风除湿,消肿止痛,收湿敛疮。用于风湿痹痛,关节肿胀,屈伸不利,皮肤湿疮。北刘寄奴味苦,性寒。归脾、胃、肝、胆经。功效:活血祛瘀,通经止痛,凉血,止血,清热利湿。用于跌打损伤,外伤出血,瘀血经闭,月经不调,产后瘀痛,癥瘕积聚,血痢,血淋,湿热黄疸,水肿腹胀。竹节参味甘、微苦,性温。归肝、脾、肺经。功效:散瘀止血,消肿止痛,祛痰止咳,补虚强壮。用于痨嗽咯血,跌扑损伤,咳嗽痰多,病后虚弱。血竭味甘、咸,性平。归心、肝经。功效:活血定痛,化瘀止血,生肌敛疮。用于跌打损伤,心腹瘀痛,外伤出血,疮疡不敛。没药味辛、苦,性平。归心、肝、脾经。功效:散瘀定痛,消肿生肌。用于胸痹心痛,胃脘疼痛,痛经经闭,产后瘀阻,癥瘕腹痛,风湿痹痛,跌打损伤,痈肿疮疡。苏木味甘、咸,性平。归心、肝、脾经。功效:活血祛瘀,消肿止痛。用于跌打损伤,骨折筋伤,瘀滞肿痛,经闭痛经,产后瘀阻,胸腹刺痛,痈疽肿痛。薏苡仁味甘、淡,性凉。归脾、胃、肺经。功效:利水渗湿,健脾止泻,除痹,排脓,解毒散结。用于水肿,脚气,小便不利,脾虚泄泻,湿痹拘挛,肺痈,肠痈,赘疣,癌肿。泽兰味苦、辛,性微温。归肝、脾经。功效:活血调经,祛瘀消痈,利水消肿。用于月经不调,经闭,痛经,产后瘀血腹痛,疮痈肿毒,水肿腹水。蜂胶苦、辛,寒。归脾、胃经。抗菌消炎、调节免疫、抗氧化、加速组织愈合。用于高脂血症和糖尿病的辅助治疗。甘草味甘,性平。归心、肺、脾、胃经。功能主治:补脾益气,清热解毒,祛痰止咳,缓急止痛,调和诸药。以上药物配伍、相得益彰。
本发明遵循中医的处方原则,水煎服用,经多年临床应用验证,有效率95%以上,治愈率85%以上,无毒副作用。
具体实施方式
下面结合实施例对本发明作进一步描述:
实施例1:一种治疗强直性脊柱炎的中药组合物及制法,其特征是中药的原料药份数如下:羌活6~9份、豨莶草4~6份、槲寄生4~6份、千年健6~8份、凤仙透骨草4~6份、巴戟天2~4份、文冠果6~9份、北刘寄奴4~6份、竹节参6~9份、血竭4~6份、没药6~9份、薏苡仁8~12份、泽兰4~6份、蜂胶6~10份、甘草6~9份。制备同上述膏剂,即得。
实施例2:一种治疗强直性脊柱炎的中药组合物,其特征是中药的原料药份数如下:羌活g份、豨莶草6份、槲寄生4份、千年健6份、凤仙透骨草6份、巴戟天2份、文冠果6份、北刘寄奴6份、竹节参9份、血竭4份、没药9份、薏苡仁12份、泽兰4份、蜂胶6份、甘草9份。制备同实施例1即得膏剂,分装每份10g。
临床疗效总结:
一、一般资料:本发明多年来在临床应用广泛,治疗患者52例,其中男41例,女11例,年龄在16-25岁之间,平均21.2岁。病程在1-12天,平均7.8天.疗效频佳。
二、诊断标准:临床表现;(1)腰和(或)脊柱、腹股沟、臀部或下肢酸痛不适,或不对称性外周寡关节炎、尤其是下肢寡关节炎,症状持续≥6周。
(2)夜间痛或晨僵明显。(3)活动后缓解。(4)足跟痛或其他肌腱附着点病。(5)虹膜睫状体炎现在症或既往史。(6)AS家族史或HLA-B27阳性。(7)非甾体抗炎药(NSAIDs)能迅速缓解症状。2.影像学或病理学:(1)双侧X线骶髂关节炎≥III期。(2)双侧CT骶髂关节炎≥II期。(3)CT骶髂关节炎不足II级者,可行MRI检查。如表现软骨破坏、关节旁水肿和(或)广泛脂肪沉积,尤其动态增强检查关节或关节旁增强强度>20%,且增强斜率>10%/min者。(4)骶髂关节病理学检查显示炎症者。3.诊断:符合临床标准第1项及其他各项中之3项,以及影像学、病理学标准之任何一项者,可诊断AS。
三、服药方法:成人每日早、晚2次内服,每次10g,10日为1疗程。
四、疗效判断标准
治愈:临床症状完全消失。
好转:临床症状改善。
无效:临床症状无变化或加重。
五、治疗效果:本发明多年来在临床应用,治疗患者52例,治愈42例占80.78%;好转8例占15.38%;未愈2例占3.84%。总有效率为96.16%。
六、典型病例
1、丛XX,男,22岁,2012年8月就诊。主诉腰背部不适,清晨时僵硬,活动症状有改善1个月,加重3天,在当地卫生院经用双氯酚酸钾口服1周效果不佳。影像学检查:X光片有骶髂关节炎征象,即证实为脊柱病。患者要求服本发明中药2疗程,临床症状完全消失,半年后随访未再复发。
2、宋XX,男,16岁,2013年10月就诊,主诉腰背部不适,清晨时僵硬伴下肢痛不适2周,加重1天,在当地卫生院点滴头孢霉素、吃消炎痛片1周效果不佳,影像学检查提示:强直性脊柱炎。患者要求服本发明中药3疗程,临床症状完全消失,至今未复发。
3、李X,男,21岁,2014年6月就诊。患者腰背部不适,清晨时僵硬,活动症状改善,伴全身乏力,给予布洛芬口服病情反复发作,影像学检查提示:强直性脊柱炎。患者要求服本发明中药3疗程,临床症状完全消失,随访未再复发。
Claims (2)
1.一种治疗强直性脊柱炎的中药组合物,其特征是中药的原料药份数如下:羌活6~9份、豨莶草4~6份、槲寄生4~6份、千年健6~8份、凤仙透骨草4~6份、巴戟天2~4份、文冠果6~9份、北刘寄奴4~6份、竹节参6~9份、血竭4~6份、没药6~9份、薏苡仁8~12份、泽兰4~6份、蜂胶6~10份、甘草6~9份。
2.根据权利要求1一种治疗强直性脊柱炎的中药组合物的制备方法,其特征是先将巴戟天加水蒸馏收集蒸馏液备用;将薏苡仁煮熟调成糊备用;再将羌活、豨莶草、槲寄生、千年健、凤仙透骨草、北刘寄奴、文冠果、血竭、没药、泽兰、没药、甘草加入7倍65%乙醇溶液多功能提取罐中加热回流1小时,回收乙醇至尽,滤液滤过备用;将上述残渣加竹节参水煎2小时,取滤液加上述蒸馏液、薏苡仁糊搅拌均匀,浓缩至相对密度为1.15-1.25((50℃)膏剂,即得。
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