CN105749218A - 用于治疗剖腹产后发热的药剂 - Google Patents

用于治疗剖腹产后发热的药剂 Download PDF

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CN105749218A
CN105749218A CN201610146806.0A CN201610146806A CN105749218A CN 105749218 A CN105749218 A CN 105749218A CN 201610146806 A CN201610146806 A CN 201610146806A CN 105749218 A CN105749218 A CN 105749218A
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rhizoma
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薛梅
丁桂伟
薛盼盼
张萍
陈永庆
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Abstract

本发明公开了一种用于治疗剖腹产后发热的药剂，它是由以下重量份配比的中药原料制作而成：当归10～20份、川芎5～10份、桃仁5～10份、炮姜1～5份、柴胡10～15份、黄岑5～15份、生石膏15～20份、知母5～10份、薄荷5～10份、木通5～10份、杭菊花5～10份、茯神5～10份、熟枣仁5～10份、菖蒲5～10份、血珀5～10份、荆芥5～10份、防风1～5份、桂枝1～5份、连翘5～10份、粉丹皮5～10份、白通草5～10份、生地黄5～10份。该药剂可以治疗剖腹产后的持续性发热，主治因感染邪毒、血虚引起的发热。

Description

用于治疗剖腹产后发热的药剂
技术领域
本发明涉及中药领域，具体涉及一种用于治疗产后发热的药剂。
背景技术
产后发热是产科病症之一，表现为产妇分娩后持续发热，或突然高热，并伴有其它症状。常见的为外感、血虚、食滞、感染邪毒等因素引发。尤其是对于剖腹产后发热的患者，会引起恶露不畅、瘀血停滞、阻碍气机、久而化热等问题，目前临床上常用的治疗发热的药物多数为抗生素，副作用大，对于体质虚弱的产妇难以承受，而且抗生素使用过多会增加药物的副作用和治疗成本，难以提高产妇伤口愈合的时间，进一步长时间的发热，会使产妇的身体更加虚弱，影响健康。
发明内容
针对上述技术问题，本发明提供了一种用于治疗剖腹产后发热的药剂，该药剂可以治疗剖腹产后的持续性发热，主治因感染邪毒、血虚引起的发热。
本发明技术方案包括：
一种用于治疗剖腹产后发热的药剂，它是由以下重量份配比的中药原料制作而成：当归10～20份、川芎5～10份、桃仁5～10份、炮姜1～5份、柴胡10～15份、黄岑5～15份、生石膏15～20份、知母5～10份、薄荷5～10份、木通5～10份、杭菊花5～10份、茯神5～10份、熟枣仁5～10份、菖蒲5～10份、血珀5～10份、荆芥5～10份、防风1～5份、桂枝1～5份、连翘5～10份、粉丹皮5～10份、白通草5～10份、生地黄5～10份。
作为本发明的一个优选方案，上述中药原料的重量份配比为：当归15份、川芎6份、桃仁6份、炮姜3份、柴胡12份、黄岑9份、生石膏18份、知母6份、薄荷6份、木通6份、杭菊花6份、茯神9份、熟枣仁9份、菖蒲6份、血珀6份、荆芥6份、防风3份、桂枝3份、连翘8份、粉丹皮8份、白通草8份、生地黄8份。
上述药剂的制备方法包括以下步骤：
a按照上述重量份配比分别称取当归、川芎、桃仁、炮姜、柴胡、黄岑、生石膏、知母、薄荷、木通、杭菊花、茯神、熟枣仁、菖蒲、血珀、荆芥、防风、桂枝、连翘、粉丹皮、白通草、生地黄，合并后加水浸泡1小时，然后煎煮40分钟，过滤，得滤液一与药渣；
b、向步骤a所得药渣中加入水继续煎煮，水的加入量为药渣重量的8倍，煎煮60分钟，过滤，得滤液二与药渣；
c、将滤液一和滤液二合并，静置，再次过滤，得滤液三，即得本发明药剂。
本发明的药理及有益技术效果：
当归具有补血和血、调经止痛、润燥滑肠之功效；川芎具有祛风燥湿、活血止痛之功效；桃仁具有活血祛瘀、润肠通便之功效；炮姜具有温经止血之功效；柴胡具有增强表里退虚热功效；黄岑具有清热燥湿、凉血安胎、解毒之功效；生石膏具有清热泻火、除烦止渴、收敛生肌之功效；知母具有清热泻火、生津润燥之功效；薄荷主治宣散风热、清头目、透疹；木通具有泻火行水、通利血脉之功效；杭菊花具有疏散风热、平肝明目、清热解毒之功效；茯神具有宁心、安神、利水之功效；熟枣仁具有安神之功效；菖蒲具有开窍、化痰、健胃之功效；血珀具有改善血液之功效；荆芥具有镇痰、怯风、凉血之功效；防风具有祛风解表、胜湿止痛、解痉、止痒之功效；桂枝具有发汗解肌、温通经脉、助阳化气、平冲降气之功效；连翘具有清热解毒、消肿散结之功效；粉丹皮具有清热凉血、和血消瘀之功效；白通草主治湿热淋痛、小便不利，生地黄具有清热生津滋阴、养血的功效。上述诸味药经辩证配伍，主治因感染邪毒、血虚引起的发热。
临床资料
1、病例选择：随机选择80例剖腹产产后发热就诊者，分为治疗组40例和对照组40例；上述治疗组和对照组在病情、性别、年龄、病程等方面经统计学处理差异无显著性，所有病例均符合产后发热的诊断标准。
2、治疗方法：
对照组：布洛芬片0.1g/片，每日三次，口服3日。治疗组在对照组用药基础上加用本发明药剂，7天为一个疗程。
3、排除标准：
(1)有乙肝等传染病；
(2)过敏体质患者；
(凡符合上述任何1项为排除病例)。
4、注意事项：忌烟、酒及辛辣、生冷、油腻食物；
5、疗效判断标准：(以服用7天为一个疗程标准)
治愈：症状全部消失；
显效：症状基本消失；
有效：症状减轻；
无效：症状在治疗前后无变化。
6、治疗效果
如表1所示，采用本发明药物治疗4个疗程，治愈35例，显效4例，有效1例，无效0例，总有效率100％；对照组治愈25例，显效5例，有效1例，无效9例。
表1
组 例数 治愈/例 显效/例 有效/例 无效/例 总有效例
治疗组 40 35 4 1 0 40
对照组 40 25 5 1 9 31
7、典型病例
陈女士，32岁，白领，2013年6月3日在青岛开发区医院住院，2013年6月5日上午8点做剖腹产手术，2013年6月5日20:00左右开始发烧，而且患者感觉全身恶心，睡觉有时说胡话，检查：产妇患高烧，体温39℃，头晕、无汗，当日22:00体温接近39.8℃；
治疗：服用布洛芬片0.1g/片的基础上服用本发明药剂，一日3次，以7天为一个疗程，三个疗程之后，患者痊愈，疗效判定：痊愈。
具体实施方式
实施例1：
分别称取当归10g、川芎10g、桃仁5g、炮姜5g、柴胡10g、黄岑5g、生石膏15g、知母5g、薄荷10g、木通5g、杭菊花10g、茯神5g、熟枣仁5g、菖蒲10g、血珀10g、荆芥5g、防风1g、桂枝1g、连翘5g、粉丹皮10g、白通草5g、生地黄10g。
上述药剂的制备方法：
a按照上述重量份配比分别称取当归、川芎、桃仁、炮姜、柴胡、黄岑、生石膏、知母、薄荷、木通、杭菊花、茯神、熟枣仁、菖蒲、血珀、荆芥、防风、桂枝、连翘、粉丹皮、白通草、生地黄，合并后加水浸泡1小时，然后煎煮40分钟，过滤，得滤液一与药渣；
b、向步骤a所得药渣中加入水继续煎煮，水的加入量为药渣重量的8倍，煎煮60分钟，过滤，得滤液二与药渣；
c、将滤液一和滤液二合并，静置，再次过滤，得滤液三，即得本发明药剂。
实施例2：
分别称取当归20g、川芎5g、桃仁10g、炮姜1g、柴胡15g、黄岑15g、生石膏20g、知母10g、薄荷5g、木通10g、杭菊花5g、茯神5g、熟枣仁5g、菖蒲10g、血珀10g、荆芥5g、防风1g、桂枝1g、连翘5g、粉丹皮10g、白通草5g、生地黄10g。
制备方法与实施例1相同。
实施例3：
分别称取当归10g、川芎10g、桃仁5g、炮姜5g、柴胡10g、黄岑5g、生石膏15g、知母5g、薄荷10g、木通5g、杭菊花10g、茯神10g、熟枣仁10g、菖蒲5g、血珀5g、荆芥10g、防风5g、桂枝5g、连翘10g、粉丹皮5g、白通草10g、生地黄5g。
制备方法与实施例1相同。
实施例4：
分别称取当归15g、川芎6g、桃仁6g、炮姜3g、柴胡12g、黄岑9g、生石膏18g、知母6g、薄荷6g、木通6g、杭菊花6g、茯神9g、熟枣仁9g、菖蒲6g、血珀6g、荆芥6g、防风3g、桂枝3g、连翘8g、粉丹皮8g、白通草8g、生地黄8g。
制备方法与实施例1相同。
实施例5：
分别称取当归15g、川芎8g、桃仁10g、炮姜3g、柴胡12g、黄岑10g、生石膏15g、知母10g、薄荷8g、木通8g、杭菊花8g、茯神5g、熟枣仁10g、菖蒲10g、血珀10g、荆芥5g、防风1g、桂枝1g、连翘10g、粉丹皮8g、白通草8g、生地黄8g。
制备方法与实施例1相同。
实施例6：
分别称取当归18g、川芎5g、桃仁10g、炮姜3g、柴胡12g、黄岑10g、生石膏20g、知母8g、薄荷10g、木通5g、杭菊花5g、茯神8g、熟枣仁10g、菖蒲8g、血珀10g、荆芥5g、防风3g、桂枝3g、连翘8g、粉丹皮10g、白通草5g、生地黄10g。
制备方法与实施例1相同。

Claims (2)

1.一种用于治疗剖腹产后发热的药剂，其特征在于它是由以下重量份配比的中药原料制作而成：当归10～20份、川芎5～10份、桃仁5～10份、炮姜1～5份、柴胡10～15份、黄岑5～15份、生石膏15～20份、知母5～10份、薄荷5～10份、木通5～10份、杭菊花5～10份、茯神5～10份、熟枣仁5～10份、菖蒲5～10份、血珀5～10份、荆芥5～10份、防风1～5份、桂枝1～5份、连翘5～10份、粉丹皮5～10份、白通草5～10份、生地黄5～10份。
2.根据权利要求1所述的用于治疗剖腹产后发热的药剂，其特征在于，各中药原料的重量份配比为：当归15份、川芎6份、桃仁6份、炮姜3份、柴胡12份、黄岑9份、生石膏18份、知母6份、薄荷6份、木通6份、杭菊花6份、茯神9份、熟枣仁9份、菖蒲6份、血珀6份、荆芥6份、防风3份、桂枝3份、连翘8份、粉丹皮8份、白通草8份、生地黄8份。
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CN1255306A (zh) * 1998-11-29 2000-06-07 李恩洪 绿色生物功能饮料的制造方法
CN101837113A (zh) * 2010-07-01 2010-09-22 泰一和浦（北京）中医药研究院有限公司 一种治疗经行发热的中药组合物及其制备方法
CN103948894A (zh) * 2014-04-30 2014-07-30 臧爱芹 一种护理上治疗剖宫产术后不明原因发热的药剂的制备方法
CN104666863A (zh) * 2013-12-03 2015-06-03 邵玲 一种治疗发热的中药
CN104800562A (zh) * 2015-05-06 2015-07-29 青岛市口腔医院 一种治疗口腔扁平苔藓的中药组合物及其制备方法

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CN1255306A (zh) * 1998-11-29 2000-06-07 李恩洪 绿色生物功能饮料的制造方法
CN101837113A (zh) * 2010-07-01 2010-09-22 泰一和浦（北京）中医药研究院有限公司 一种治疗经行发热的中药组合物及其制备方法
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