CN105688090A - 一种缓解小儿关节过度活动综合征的中药制剂及制备方法 - Google Patents

一种缓解小儿关节过度活动综合征的中药制剂及制备方法 Download PDF

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CN105688090A
CN105688090A CN201610208619.0A CN201610208619A CN105688090A CN 105688090 A CN105688090 A CN 105688090A CN 201610208619 A CN201610208619 A CN 201610208619A CN 105688090 A CN105688090 A CN 105688090A
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董书兰
宋友春
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Abstract

本发明公开了一种缓解小儿关节过度活动综合征的中药制剂,它是由当归、桂枝、白芍、细辛、通草、鸡血藤、地龙、制附子、大枣、炙甘草、羌活、独活、威灵仙、黄芪、狗脊、元胡、川芎、炒苍术、生薏苡仁、姜黄、生龙骨、生牡蛎、木瓜、乌梢蛇、豨签草按照一定的重量配比制成,具有补血活血、滋补肝肾、健脾化湿、补中益气的功效,能够有效的缓解小儿关节过度活动综合征。

Description

一种缓解小儿关节过度活动综合征的中药制剂及制备方法
技术领域
本发明涉及一种中药制剂,具体涉及一种缓解小儿关节过度活动综合征的中药制剂,本发明还涉及该中药制剂的制备方法。
背景技术
关节过度活动综合征又名关节松弛症,1967年由Kirk等最早报道,认为本症是一种家族性、遗传性疾病,多为儿童患病,是四肢关节疼痛的原因之一,影响患儿肢体活动和功能。国外有报道儿童发生率为12%,国内报道较少见,而青年患者国内外均少有报道。目前有学者将本病征归于Ehlers—Danlos综合征Ⅲ型,此型仅有关节松弛,而无皮肤松弛及Ehlers—Danlos综合征其他各型的特征。关节松弛可发生在单个关节或全身各关节,可能会导致运动发育迟缓、运动性关节痛及骨关节炎。本症是遗传性疾病。患儿无明显性别差异,大多数2~3岁甚至学会走路时,即有关节松弛现象,疼痛多发生在下肢关节,膝关节尤其多见,上肢肩、肘等关节也有发生。一般为两侧对称,无关节肿胀及活动受限,在运动后更明显。疼痛虽不十分严重,但足以影响儿童正常活动。
小儿关节过度活动综合征的主要病因是:可能是结缔组织遗传紊乱的结果。多数学者认为它是由基因决定的结缔组织松弛所造成,对关节囊和韧带的影响较大。先天性多发关节松弛症的大部分病例为散发存在,个别为常染色体隐性遗传。也有学者认为关节松弛症不存在致命的并发症,应该区分于涉及关节过度活动度的遗传性结缔组织病疾病,将其命名为良性关节过度活动综合征。一些患儿可有其他骨关节肌肉方面的合并症,如频繁踝扭伤、反复髋、肩关节脱位、髌骨移位及脊柱侧凸、扁平足、退行性关节炎等。
目前对于小儿关节过度活动综合征的治疗可以采用口服阿司匹林、布洛芬等进行缓解症状,但是长期服用抗生素和止痛药,不仅会产生耐药性,还会产生毒素积累,严重的可能会导致耳聋和肾功能损害,对小孩的毒副作用就更为严重了,因此临床上尚缺乏一种效果肯定,专用于缓解并治疗小儿关节过度活动综合征的药物。
发明内容
本发明的目的在于提供一种小儿关节过度活动综合征的中药制剂,该中药制剂对于小儿关节过度活动综合征具有缓解患者临床症状,增强患者体质,无毒副作用,价格低廉的特点。使患者早日摆脱病痛,进而达到缓解小儿关节过度活动综合征的目的。
本发明的另一目的是提供该缓解小儿关节过度活动综合征的中药制剂的制备方法。
发明人在多年的临床医疗实践中,根据该病症的发展规律,以及中药的配伍原则,并通过大量的临床验证,反复探索总结出一种缓解小儿关节过度活动综合征的中药制剂的新配方,本发明选择当归、桂枝、白芍、细辛、通草、鸡血藤、地龙、制附子、大枣、炙甘草、羌活、独活、威灵仙、黄芪、狗脊、元胡、川芎、炒苍术、生薏苡仁、姜黄、生龙骨、生牡蛎、木瓜、乌梢蛇、豨签草进行组合,将这些药物组合,使得各药物功效产生协同作用,使之具有补血活血、滋补肝肾、健脾化湿、补中益气的功效,从而能够有效缓解小儿关节过度活动综合征。
本发明中药物的作用:
其中:
当归:为伞形科植物当归Angelicasinensis(Oliv.)Diels的干燥根。性味:甘、辛、苦,温。归肝、心、脾经。功效:补血;活血;调经止痛;润燥滑肠。当归对中枢神经系统有抑制作用,挥发油有镇静、催眠、镇痛、麻醉等作用。当归能合人参、党参等补气之品,调治气不摄血之伤科杂病,调治骨质疏松症、急性骨萎缩症、股骨头无菌性坏死,促进骨折愈合。
桂枝:为樟科植物肉桂CinnamomumcassiaPresl的干燥嫩枝。性味:辛、甘,温。归心、肺、膀胱经。功效:发汗解肌,温通经脉,助阳化气,平冲降气。主治风寒表证;寒湿痹痛;癓瘕结块;胸痹;心悸;痰饮。《长沙药解》载:“入肝家而行血分,定经络而达荣郁。善解风邪,最调木气。升清阳之脱陷,降浊阴之冲逆,舒筋脉之急挛;利关节之壅阻,散遏抑,止痛楚,通经络,开痹涩,甚去湿寒。止奔豚,更安惊悸。”现代医学研究证实,桂枝能有效扩张血管、促进发汗,所含的桂皮醛、桂皮酸钠有解热、镇痛、镇静、抗惊厥作用,此外桂枝还有抗菌、抗病毒的功效。
白芍:为双子叶植物毛茛科植物芍药PaeonialactifloraPall.的干燥根。性味:凉,苦酸,微寒。功效:补血柔肝、平肝止痛,敛阴收汗。性味:凉,苦酸,微寒。功效:补血柔肝、平肝止痛,敛阴收汗。研究表明:白芍中含有的芍药甙有抗菌、解热、抗炎、增加冠状动脉流量、改善心肌营养血流、扩张血管、对抗急性心肌缺血、抑制血小板聚集、镇静、镇痛、解痉、抗溃疡、调节血糖的作用。白芍煎剂能抑制痢疾杆菌、肺炎链球菌、大肠杆菌、伤寒杆菌、溶血性链球菌、绿脓杆菌等。本品能养肝血、敛肝阴、抑肝阳、疏肝气,又能缓挛急、止疼痛,为治疗肝经各种疼痛之良药。
细辛:为马兜铃科植物北细辛AsarumheterotropoidesFr.Schmidtvar.mandshuricum(Maxim.)Kitag.、汉城细辛AsarumsieboldiiMiq.var.seoulenseNakai或华细辛AsarumsieboldiiMiq.的干燥全草。性味:辛;温;小毒。归肺经、肾经、心经、肝经、胆经、脾经。功效:散结消肿;解表散寒;祛风止痛;温肺化饮;下气祛痰,通窍。抗菌、抗病毒作用细辛醇浸剂、挥发油等对革兰阳性菌、枯草杆菌和伤寒杆菌有一定的体外抑制作用,煎剂对结核杆菌和伤寒杆菌亦有抑制作用。细辛辛香走窜,有较好的祛风寒,止疼痛的作用,用治风湿痹痛,腰膝酸冷。
通草:为五加科植物通脱木Tetrapanaxpapyriferus(Hook.)K.Koch的干燥茎髓。性味:甘、淡、微寒。归肺、胃经。功效:清势利水;通乳。主淋症涩痛;小便不利;水肿;黄疸;湿温病;小便短赤;产后乳少;经闭;带下。现代药理学研究:通草有利尿作用,并能明显增加尿钾排出量,有促进乳汁分泌等作用。通草多糖具有一定调节免疫和抗氧化的作用。
鸡血藤:为豆科Leguminosae植物密花豆SpatholobussuberectusDunn的干燥藤茎。性味:苦、甘,温。归肝、肾经。功效:补血,活血,通络。本品行血养血,舒筋活络,为治疗经脉不畅,络脉不和病证的常用药。治中风手足麻木,肢体瘫痪,常配伍益气活血通络药,如黄芪、太子参等药;治血虚不养筋之肢体麻木及血虚萎黄,多配益气补血药之黄芪、当归等药用。
地龙:为钜蚓科动物参环毛蚓Pheretimaaspergillum(E.Perrier)、通俗环毛蚓PheretimavulgarisChen、威廉环毛蚓Pheretimaguillelmi(Michaelsen)或栉盲环毛蚓PheretimapectiniferaMichaelsen的干燥体。性味:咸,寒。归肝、脾、膀胱经。功效:清热定惊,通经活络,清热平喘,利水通淋。本品性寒,既能息风止痉,又善于清热定惊,故适用于热极生风所致的神昏谵语、痉挛抽搐及小儿惊风,或癫痫、癫狂等症。本品长于通络止痛,适用于多种原因导致的经络阻滞、血脉不畅,肢节不利之症。性寒清热,尤适用于关节红肿疼痛、屈伸不利之热痹,常与防己、秦艽、忍冬藤、桑枝等除湿热、通经络药物配伍;如用治风寒湿痹,肢体关节麻木、疼痛尤甚、屈伸不利等症,则应与川乌、草乌、南星、乳香等祛风散寒,通络止痛药配伍,如小活络丹(《和剂局方》)。
制附子:为毛茛科植物乌头AconitumcarmichaeliDebx.的子根的加工品。性味:辛、甘,大热;有毒。归心、肾、脾经。功效:回阳救逆,补火助阳,散寒止痛。用于亡阳虚脱,肢冷脉微,阳萎,宫冷,心腹冷痛,虚寒吐泻,阴寒水肿,阳虚外感,寒湿痹痛。本品辛热燥烈,走而不守,能通行十二经,既能追复散失之亡阳,又能资助不足之元阳,与补益药同用,可治一身上下阳气衰微、阴寒内盛之证,能上助心阳以通脉,中温脾阳以健运,下温肾阳以益火,脾肾阳虚、寒湿内盛所致的脘腹冷痛、大便溏泻常配干姜。
大枣:为鼠李科枣属植物枣ZiziphusjujubaMill.var.inermis(Bunge)Rehd.的干燥成熟果实。性味:甘,温。归脾、胃经。功效:果(大枣):补中益气,养血安神。用于脾虚食少,乏力便溏,妇人脏躁。树皮:消炎,止血,止泻。用于气管炎,肠炎,痢疾,崩漏;外用治外伤出血。根:行气,活血,调经。用于月经不调,红崩,白带。《本经》:主心腹邪气,安中养脾,助十二经。平胃气,通九窍,补少气、少津液,身中不足,大惊,四肢重,和百药。《本草再新》:补中益气,滋肾暖胃,治阴虚。
炙甘草:为豆科植物甘草GlycyrrhizauralensisFisch.,胀果甘草GlycyrrhizaInflataBat.或光果甘草GlycyrrhizaGlabraL.的干燥根及根茎。炙甘草为甘草的蜜烘制加工品。性味:甘,平。归心、肺、脾、胃经。功效:补脾和胃,益气复脉。《日华子本草》:安魂定魄。补五劳七伤,一切虚损、惊悸、烦闷、健忘。通九窍,利百脉,益精养气,壮筋骨,解冷热。
羌活:为伞形科植物羌活(背翅芹)NotopterygiumincisumTingexH.T.Chang或宽叶羌活NotopterygiumforbesiiBoiss.的干燥根茎及根。性味:辛、苦,温。归膀胱、肾经。功效:散寒,祛风,除湿,止痛。用于风寒感冒头痛,风湿痹痛,肩背酸痛。羌活辛温,气雄而散,既能解表,又能胜湿止痛,辛散祛风,味苦燥湿,性温散寒,能祛风寒湿邪,又轻体上达,故善治上半身风寒湿痹。可配防风、独活等同用。《日华子本草》:治一切风并气,筋骨拳挛,四肢赢劣,头旋眼目赤疼及伏梁水气,五劳七伤,虚损冷气,骨节酸疼,通利五脏。
独活:为伞形科植物重齿毛当归AngelicapubescensMaxim.f.biserrataShanetYuan的干燥根。性味:辛、苦,微温。归肾、膀胱经。功效:祛风除湿,通痹止痛。用于风寒湿痹,腰膝疼痛,少阴伏风头痛。临床上常用于祛风胜湿,通痹止痛,凡风寒湿痹,关节疼痛,无论新久,均可应用,尤以下部之痹痛、腰膝酸痛、两足痿痹、屈伸不利等症为适宜。
威灵仙:为毛茛科植物威灵仙ClematischinensisOsbeck、棉团铁线莲(山蓼)ClematishexapetalaPall.或东北铁线莲(黑薇)ClematismanshuricaRupr.的干燥根及根茎。性味:辛,咸,温,有毒。归膀胱经。功效:祛风除湿,通络止痛,消痰水,散癖积。用于风湿痹痛、肢体麻木、屈伸不利。凡风湿痹痛、麻木不仁,无论上下皆可用,为风湿痹痛要药,《药品化义》中云:灵仙,性猛急,善走而不守,宣通十二经络。主治风、湿、痰壅滞经络中,致成痛风走经,骨节疼痛,或肿,或麻木。现代研究证实,威灵仙含白头翁素和白头翁醇、皂甙等,具有镇痛、抗利尿作用。醋浸液对鱼骨刺有一定软化作用,并使局部肌肉松弛,促使骨刺脱落。煎剂有明显的抗菌作用,对革兰氏阳性及阴性菌、霉菌均有较强抑制作用,起到抗菌消炎的作用,且不会使细菌产生耐药性。
黄芪:为豆科植物蒙古黄芪Astragalusmembranaceus(Fisch.)Bge.var.mongholicus(Bge.)Hsiao或膜荚黄芪Astragalusmembranaceus(Fisch.)Bge.的干燥根。性味:甘,微温。归肺、脾、肝、肾经。功效:补气升阳、固表敛汗、利水消肿、托疮排脓、通调水道。在《本草汇言》中有记载:“黄芪,补肺健脾,实卫敛汗,驱风运毒之药也。故阳虚之人,自汗频来,乃表虚而腠理不密也,黄芪可以实卫而敛汗;伤寒之证,行发表而邪汗不出,乃里虚而正气内乏也,黄芪可以济津以助汗;贼风之疴,偏中血脉而手足不随者,黄芪可以荣筋骨;痈疡之证,脓血内溃,阳气虚而不敛者,黄芪可以生肌肉,又阴疮不能起发,阳气虚而不愈者,黄芪可以生肌肉。”本品在体外对志贺氏痢疾杆菌、炭疽杆菌、甲型溶血性链球菌、乙型溶血性链球菌、白喉杆菌、假白喉杆菌、肺炎双球菌、金黄色葡萄球菌、柠檬色葡萄球菌、枯草杆菌等均有抑制作用。
狗脊:本品为蚌壳蕨科植物金毛狗脊Cibotiumbarometz(L.)J.Sm.的干燥根茎。性味:苦、甘,温。归肝、肾经。功能主治:补肝肾,强腰脊,祛风湿。用于腰膝酸软,下肢无力,风湿痹痛。《本草经疏》:狗脊,苦能燥湿,甘能益血,温能养气,是补而能走之药也。肾虚则腰背强,机关有缓急之病,滋肾益气血,则腰背不强,机关无缓急之患矣。周痹寒湿膝痛者,肾气不足,而为风寒湿之邪所中也,兹得补则邪散痹除而膝亦利矣。老人肾气衰乏,肝血亦虚,则筋骨不健,补肾入骨,故利老人也。失溺不节,肾气虚脱故也。
元胡:又称延胡素,为罂粟科植物延胡索CorydalisyanhusuoW.T.Wang的干燥块茎。性味:辛、苦、温。归肝、脾经。功效:活血,利气,止痛。用于胸胁、脘腹疼痛,经闭痛经,产后瘀阻,跌扑肿痛。。本品辛散温通,能行血中气滞,气中血滞,活血行气止痛,善治血瘀气滞所致的多种疼痛,其止痛作用优良。《本草求真》中记载:延胡索,不论是血是气,积而不散者,服此力能通达,以其性温,则于气血能行能畅,味辛则于气血能润能散,所以理一身上下诸痛,往往独行功多。
川芎:为伞形科植物川芎LigusticumchuanxiongHort.的干燥根茎。性味:辛,温。归肝、胆、心经。功效:活血行气,祛风止痛。本品辛散温通,能上行巅顶,下达血海,外彻皮毛,旁通四肢,既能活血又能行气,昔人谓川芎为血中之气药,殆言其寓辛散、解郁、通达、止痛等功能。川芎有明显的镇静作用。抗菌作用等体外试验:川芎对大肠、痢疾(宋内氏)、变形、绿脓、伤寒、副伤寒杆菌及霍乱弧菌等有抑制作用。
炒苍术:为菊科植物茅苍术Atractylodeslancea(Thunb.)DC.或北苍术Atractylodeschinensis(DC.)Koidz.的干燥根茎。性味:辛、苦,温;归脾、胃、肝经;功效:燥湿健脾、祛风散寒、明目;本品苦辛性温,芳烈燥散,可升可降,走而不守,能是湿邪除而恢复脾的运化功能。
生薏苡仁:为禾本科植物薏苡Coixlacryma-jobiL.var.ma-yuen(Roman.)Stapf的干燥成熟种仁。性味:甘、淡、凉。归脾、胃、肺经。功效:健脾渗湿、除痹止痛、清热排脓。用于水肿,脚气,小便不利,湿痹拘挛,脾虚泄泻,肺痈,肠痈;扁平疣。
姜黄:为姜科植物姜黄CurcumalongaL.的干燥根茎。性味:辛、苦,温。归脾、肝经。破血行气,通经止痛。用于胸胁剌痛,闭经,癓瘕,风湿肩臂疼痛,跌扑肿痛。姜黄和郁金配合使用善治臂背痛。
生龙骨:龙骨为古代哺乳动物如象类、犀牛类、三趾马等的骨骼化石。性味:甘、涩,平。入心、肝、肾、大肠经。镇惊安神,敛汗固精,止血涩肠,生肌敛疮。治惊痫癫狂,怔忡健忘,失眠多梦,自汗盗汗,遗精淋浊,吐衄便血,崩漏带下,泻痢脱肛,溃疡久不收口。
生牡蛎:为牡蛎科动物长牡蛎OstreagigasThunberg、大连湾牡蛎OstreatalienwhanensisGrosse或近江牡蛎OstrearivularisGould等的贝壳。性味:咸、微寒。归肝、胆、肾经。功效:平肝潜阳、软坚散结、收敛固涩。
木瓜:为蔷薇科植物贴梗海棠Chaenomelesspeciosa(Sweet)Nakai的干燥近成熟果实。性味:酸、温。归肝、脾经。功效:舒筋活络、和胃化湿。木瓜有较好的舒筋活络的作用,又能除湿止痹痛,为治湿痹、筋脉拘急之要药。治风湿痹痛时一般用于腰膝酸痛者居多,常与虎骨等配用。
乌梢蛇:为游蛇科动物乌梢蛇Zaocysdhumnades(Cantor)的干燥体。性味:甘,平。归肝经。功效:祛风,通络,止痉。用于风湿顽痹,麻木拘挛,中风口眼歪斜,半身不遂,抽搐痉挛,破伤风,麻风疥癣,瘰疬恶疮。
豨签草:本品为菊科植物豨莶SiegesbeckiaorientalisL.、腺梗豨莶SiegesbeckiapubescensMakino或毛梗豨莶SiegesbeckiaglabrescensMakino的干燥地上部分。性味:辛、苦,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。用于风湿痹痛、筋骨不利等症。
本发明的方解是:方中当归补血活血,桂枝温通经脉、助阳化气,白芍补血柔肝、平肝止痛,细辛散结消肿、解表散寒,通草清湿利水,鸡血藤补血活血,以上六味共为君药,首先君药从肝、肾的角度进行调理患者的身体,中医上讲肝主筋,肾主骨,君药通过滋补肝肾、益精填髓,增强患者的体质,加快患者身体的康复,缓解患者的临床症状,进而达到治疗疾病的目的。地龙通经活络,制附子补火助阳、散寒止痛,大枣补中益气、养血安神,炙甘草补脾和胃、益气复脉,羌活、独活祛风除湿、通痹止痛,威灵仙祛风除湿,黄芪利水消肿,狗脊补肝肾、强腰脊,元胡活血理气,川芎活血行气、祛风止痛,以上几味共为臣药,臣药注重通痹止痛,减轻患者疼痛,并且臣药还具有调理患者的脾胃的作用,中医上讲,脾主肌肉,君药和臣药相结合,实现肝肾脾的三者协调,增加血液循环,达到改善患者临床症状的效果,进一步达到治疗的目的。炒苍术燥湿健脾,生薏苡仁健脾渗湿、清热排脓,姜黄通经止痛,生龙骨镇惊安神,生牡蛎平肝潜阳,木瓜舒筋活络,乌梢蛇祛风通络,豨签草祛风湿、利关节,以上几味共为佐药,增加君药臣药的药效,促进药物的吸收,减轻患者的病痛。此方诸药合用,君臣协力,佐使共辅,具有补血活血、滋补肝肾、健脾化湿、补中益气的功效,能够有效缓解小儿关节过度活动综合征。
本发明药物原料用量是经发明人进行大量摸索总结得出的,各原料用量为在下述重量份范围都具有较好的疗效:当归10-20份、桂枝13-23份、白芍10-20份、细辛1-5份、通草3-9份、鸡血藤19-29份、地龙4-14份、制附子7-17份、大枣5-15份、炙甘草15-25份、羌活13-23份、独活10-20份、威灵仙15-25份、黄芪25-35份、狗脊13-23份、元胡15-25份、川芎10-20份、炒苍术10-20份、生薏苡仁15-25份、姜黄7-17份、生龙骨19-29份、生牡蛎19-29份、木瓜10-20份、乌梢蛇7-17份、豨签草10-20份。
其中优选为:当归15份、桂枝18份、白芍15份、细辛3份、通草6份、鸡血藤24份、地龙9份、制附子12份、大枣10份、炙甘草20份、羌活18份、独活15份、威灵仙20份、黄芪30份、狗脊18份、元胡20份、川芎15份、炒苍术15份、生薏苡仁20份、姜黄12份、生龙骨24份、生牡蛎24份、木瓜15份、乌梢蛇12份、豨签草15份。
本发明药物可以采用中药制剂的常规方法制备成任何常规内服制剂,如丸剂、散剂、片剂、口服液等。例如可以将这些原料药研成粉末混合均匀制成散剂冲服;可以用水煎,经过滤得滤液,加入防腐剂制成口服液;必要时也可以直接服用汤剂,由于患者多为患儿,对于药物多产生抵抗心理,因此本发明优选的制备方法是制备成口服液。
本发明优选的制备方法是口服液,其制备方法如下:
步骤一:按本发明重量配比,称取地龙、制附子、乌梢蛇、炒苍术粉碎至200目筛,备用;
步骤二:按本发明重量配比,称取当归、白芍、羌活、独活、威灵仙、黄芪、狗脊、川芎、姜黄浸泡约1小时,用水蒸气蒸馏法提取其挥发油,提取2次,第一次1.5小时,第二次1小时,合并、浓缩提取液,备用;
步骤三:按本发明重量配比,称取生龙骨、生牡蛎放入砂锅中,加水超过3-5厘米,先用武火用武火煎沸后,再用文火煎30分钟,然后将步骤二中的药渣和桂枝、细辛、通草、鸡血藤、生薏苡仁、炙甘草一起放入砂锅中,加水超过药物3厘米左右,煎煮20分钟,最后加入大枣、木瓜继续煎煮15分钟,过滤,得滤液,备用;
步骤四:将步骤一中所得粉末,步骤二中所得水蒸气蒸馏液以及步骤三所得滤液加入木糖醇或甘草甜素做调味剂、羟苯酯类0.03%,苯甲酸0.2%及作混合做防腐剂,用蒸馏水或离子水调整至总量,放入冰库泠沉24-48小时,过滤,灌装,流通蒸汽灭菌,即得所述的缓解小儿关节过度活动综合征的中药制剂。
本发明药物具有补血活血、滋补肝肾、健脾化湿、补中益气的功效,且缓解患者临床症状,增强患者体质,无毒副作用,价格低廉,该中药制剂采用的方式治疗可以解除小儿关节过度活动综合征给患者带来的病痛上的折磨,减少西药对患者身体的伤害,减轻患者的病痛,并且可以减少并发症的发生,调理患者身体,进而达到治疗的目的。
具体实施方式
实施例一、当归10份、桂枝13份、白芍10份、细辛1份、通草3份、鸡血藤19份、地龙4份、制附子7份、大枣5份、炙甘草15份、羌活13份、独活10份、威灵仙15份、黄芪25份、狗脊13份、元胡15份、川芎10份、炒苍术10份、生薏苡仁15份、姜黄7份、生龙骨19份、生牡蛎19份、木瓜10份、乌梢蛇7份、豨签草10份。
步骤一:按本发明重量配比,称取地龙、制附子、乌梢蛇、炒苍术粉碎至200目筛,备用;
步骤二:按本发明重量配比,称取当归、白芍、羌活、独活、威灵仙、黄芪、狗脊、川芎、姜黄浸泡约1小时,用水蒸气蒸馏法提取其挥发油,提取2次,第一次1.5小时,第二次1小时,合并、浓缩提取液,备用;
步骤三:按本发明重量配比,称取生龙骨、生牡蛎放入砂锅中,加水超过3-5厘米,先用武火用武火煎沸后,再用文火煎30分钟,然后将步骤二中的药渣和桂枝、细辛、通草、鸡血藤、生薏苡仁、炙甘草一起放入砂锅中,加水超过药物3厘米左右,煎煮20分钟,最后加入大枣、木瓜继续煎煮15分钟,过滤,得滤液,备用;
步骤四:将步骤一中所得粉末,步骤二中所得水蒸气蒸馏液以及步骤三所得滤液加入木糖醇或甘草甜素做调味剂、羟苯酯类0.03%,苯甲酸0.2%及作混合做防腐剂,用蒸馏水或离子水调整至总量,放入冰库泠沉24-48小时,过滤,灌装,流通蒸汽灭菌,即得所述的缓解小儿关节过度活动综合征的中药制剂。实施例二、当归15份、桂枝18份、白芍15份、细辛3份、通草6份、鸡血藤24份、地龙9份、制附子12份、大枣10份、炙甘草20份、羌活18份、独活15份、威灵仙20份、黄芪30份、狗脊18份、元胡20份、川芎15份、炒苍术15份、生薏苡仁20份、姜黄12份、生龙骨24份、生牡蛎24份、木瓜15份、乌梢蛇12份、豨签草15份。
制备和使用方法同实施例一。
实施例三、当归20份、桂枝23份、白芍20份、细辛5份、通草9份、鸡血藤29份、地龙14份、制附子17份、大枣15份、炙甘草25份、羌活23份、独活20份、威灵仙25份、黄芪35份、狗脊23份、元胡25份、川芎20份、炒苍术20份、生薏苡仁25份、姜黄17份、生龙骨29份、生牡蛎29份、木瓜20份、乌梢蛇17份、豨签草20份。
制备和使用方法同实施例一。
治疗方法:
按照本发明药物实施例二,以及优选的制备方法制成的口服液,早晚各服一次,一天两次,20天为一个疗程。

Claims (4)

1.一种缓解小儿关节过度活动综合征的中药制剂,其特征在于,该中药制剂是由以下重量份的药物制成:当归10-20份、桂枝13-23份、白芍10-20份、细辛1-5份、通草3-9份、鸡血藤19-29份、地龙4-14份、制附子7-17份、大枣5-15份、炙甘草15-25份、羌活13-23份、独活10-20份、威灵仙15-25份、黄芪25-35份、狗脊13-23份、元胡15-25份、川芎10-20份、炒苍术10-20份、生薏苡仁15-25份、姜黄7-17份、生龙骨19-29份、生牡蛎19-29份、木瓜10-20份、乌梢蛇7-17份、豨签草10-20份。
2.根据权利要求1所述的缓解小儿关节过度活动综合征的中药制剂,其特征在于,由以下重量份的药物制成:当归15份、桂枝18份、白芍15份、细辛3份、通草6份、鸡血藤24份、地龙9份、制附子12份、大枣10份、炙甘草20份、羌活18份、独活15份、威灵仙20份、黄芪30份、狗脊18份、元胡20份、川芎15份、炒苍术15份、生薏苡仁20份、姜黄12份、生龙骨24份、生牡蛎24份、木瓜15份、乌梢蛇12份、豨签草15份。
3.根据权利要求1或2所述的缓解小儿关节过度活动综合征的中药制剂,其特征在于:所述中药制剂为口服液。
4.一种缓解小儿关节过度活动综合征的中药制剂的制备方法,其特征在于,制备方法如下:步骤一:按本发明重量配比,称取地龙、制附子、乌梢蛇、炒苍术粉碎至200目筛,备用;步骤二:按本发明重量配比,称取当归、白芍、羌活、独活、威灵仙、黄芪、狗脊、川芎、姜黄浸泡约1小时,用水蒸气蒸馏法提取其挥发油,提取2次,第一次1.5小时,第二次1小时,合并、浓缩提取液,备用;步骤三:按本发明重量配比,称取生龙骨、生牡蛎放入砂锅中,加水超过3-5厘米,先用武火用武火煎沸后,再用文火煎30分钟,然后将步骤二中的药渣和桂枝、细辛、通草、鸡血藤、生薏苡仁、炙甘草一起放入砂锅中,加水超过药物3厘米左右,煎煮20分钟,最后加入大枣、木瓜继续煎煮15分钟,过滤,得滤液,备用;步骤四:将步骤一中所得粉末,步骤二中所得水蒸气蒸馏液以及步骤三所得滤液加入木糖醇或甘草甜素做调味剂、羟苯酯类0.03%,苯甲酸0.2%及作混合做防腐剂,用蒸馏水或离子水调整至总量,放入冰库泠沉24-48小时,过滤,灌装,流通蒸汽灭菌,即得所述的缓解小儿关节过度活动综合征的中药制剂。
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