CN105770827B - 一种治疗癌性疼痛的药纸及其制作方法 - Google Patents

一种治疗癌性疼痛的药纸及其制作方法 Download PDF

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CN105770827B
CN105770827B CN201610242395.5A CN201610242395A CN105770827B CN 105770827 B CN105770827 B CN 105770827B CN 201610242395 A CN201610242395 A CN 201610242395A CN 105770827 B CN105770827 B CN 105770827B
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唐东昕
杨柱
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Guizhou University of Traditional Chinese Medicine
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Abstract

本发明公开了一种治疗癌性疼痛的药纸及其制作方法,所述药纸主要由生川乌,生草乌,生南星,生半夏,生麻黄,桂枝,山栀,广木香,三棱,莪术,榔片,樟脑,急性子,公丁香,血竭,制乳香,制没药,川椒,冰片,干姜及阿魏制备而成。所述药纸配合药液,用苗医隔药纸火疗法治疗癌性疼痛,效果较好,适用各种体表有癌性疼痛症状的患者。本发明药纸采用中药提取药液后的药渣制成,可对药渣中的有效成分进行再利用,还可减少药渣对环境的污染,避免浪费,节约资源。

Description

一种治疗癌性疼痛的药纸及其制作方法
技术领域
本发明涉及一种治疗癌性疼痛的药纸及其制作方法,属于药品技术的领域。
技术背景
上皮组织恶性肿瘤,即癌症。随着人类改变自然能力的越来越强,导致自然环境日益恶化,癌症的发病率和死亡率近年来逐渐增加。最近资料显示,美国预计2006年将有1,399,790新癌症患者,并有564,830死于癌症。自从1999年开始,在年龄大于85岁人群中,癌症已经取代心脏疾病成为死亡率最高的疾病,在1~-14岁儿童中,也排至第二的位置。而在中国,2000年统计在内的48种癌症,覆盖了7300万人口,相当于2000年中国人口的5.7%。,虽然各国每年投入研究癌症治疗的经费数目可观,但时至今日它仍是人类所未能攻克的一大难题。
癌性疼痛是恶性肿瘤患者最常见的症状之一,据WHO统计每天至少有500万癌症患者在遭受着疼痛的折磨。新诊断为恶性肿瘤的患者中约有1/4伴有疼痛,治疗过程中约有1/3患者伴癌性疼痛,进展期患者约3/4伴有疼痛。此外,疼痛是患者最惧怕的症状之一,难以缓解的疼痛症状常导致不舒适感,并极大地影响了患者的日常活动、自理能力、情感活动、严重影响患者与家属及朋友之间的交流,患者生活质量严重下降。
苗医隔药纸火疗法是苗医的一种外治法,它是集苗医火疗、药疗及熨疗于一体的外治法,该法由火、药液及介质纱布、药纸四部分组成。该法是在施治的穴位或部位上贴附药液浸泡过的纱布和药纸,点燃药纸,通过药纸作用于穴位或患病部位的强热刺激和药物成分的双重作用,使疗效更好,但是目前还没有采用药纸配合药液治疗癌性疼痛的相关报道。
此外,中药产业作为我国传统产业,规模庞大,现有的中药资源种类达12807种,其中药用植物占11146种。同时,我国的中药材资源蕴含藏量也十分巨大,仅对320种常用植物类药材的统计,总蕴藏量就达850万吨左右。中药渣是医药加工企业生产中草药过程中产生的主要固体废物,也是中国特有的植物纤维资源。目前对这一工业废物的处置,还没有较好的办法,基本上是将药渣丢弃或是焚烧,企业为此每年不得不缴纳数高额的排污费,其实,药物提取药液后,还有很多有效成分留在药渣中,丢弃会造成资源的浪费。据报道,在杭州市,仅胡庆余堂一家年生产石斛类保健品中药渣就达3000吨以上。仅云南省两家进行三七皂苷分离的药厂平均每年产生的三七药渣就达到15万吨。可见,全国所有中药厂所产生的药渣量将是一个庞大的数字,浪费很严重,且也会对环境造成污染。
发明内容:
本发明的目的在于,提供一种治疗癌性疼痛的药纸及其制作方法。所述药纸配合药液,用苗医隔药纸火疗法治疗癌性疼痛,效果较好,适用各种体表有癌性疼痛症状的患者。本发明药纸采用中药提取药液后的药渣制成,可对药渣中的有效成分进行再利用,还可减少药渣对环境的污染,避免浪费,节约资源。
为解决上述技术问题,本发明采用以下技术方案实现:一种治疗癌性疼痛的药纸,按重量份计算,主要由生川乌10-40份,生草乌10-40份,生南星10-40份,生半夏10-40份,生麻黄10-40份,桂枝10-40份,山栀10-40份,广木香10-40份,三棱10-40份,莪术10-40份,榔片10-40份,樟脑1-8份,急性子1-8份,公丁香1-8份,血竭1-8份,制乳香1-8份,制没药1-8份,川椒1-8份,冰片1-8份,干姜1-8份及阿魏1-8份制备而成。
前述的治疗癌性疼痛的药纸,按重量份计算,主要由生川乌15-25份,生草乌15-25份,生南星15-25份,生半夏15-25份,生麻黄15-25份,桂枝15-25份,山栀15-25份,广木香15-25份,三棱15-25份,莪术15-25份,榔片15-25份,樟脑1-5份,急性子1-5份,公丁香1-5份,血竭1-5份,制乳香1-5份,制没药1-5份,川椒1-5份,冰片1-5份,干姜1-5份及阿魏1-5份制备而成。
前述的治疗癌性疼痛的药纸,按重量份计算,主要由生川乌20份,生草乌20份,生南星20份,生半夏20份,生麻黄20份,桂枝20份,山栀20份,广木香20份,三棱20份,莪术20份,榔片20份,樟脑3份,急性子3份,公丁香3份,血竭3份,制乳香3份,制没药3份,川椒3份,冰片3份,干姜3份及阿魏3份制备而成。
一种治疗癌性疼痛的药纸的制作方法,取上述药物,粉碎成粗颗粒,用水或乙醇提取后,过滤,取滤渣按照常规造纸术的工艺加工成药纸,即得。
前述的治疗癌性疼痛的药纸的制作方法,具体包括下述步骤:
(1)取上述药物,用水或乙醇提取后,过滤,取滤渣备用;
(2)滤渣用浓度为60-90%的石灰水浸泡,捞出,洗净后,于90-110℃下蒸煮,得蒸煮后的滤渣,备用;
(3)取蒸煮后的滤渣,粉碎,过滤,加水,边加边搅拌,直至滤渣浓度为0.9-1.2g/ml,得糊状纸料,备用;
(4)取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,2-4h后取下,得薄纸片,备用;
(5)将薄纸片以5-15张为单位叠纸,叠纸时,上下两张指头错开0.5-2cm,得叠纸;
(6)将叠纸在通风处晾干,即得。
前述的治疗癌性疼痛的药纸的制作方法,具体包括下述步骤:
(1)取上述药物,用水或乙醇提取后,过滤,取滤渣备用;
(2)滤渣用浓度为70-80%的石灰水浸泡100-120天,捞出,洗净后,于90-110℃下蒸煮1-2h,得蒸煮后的滤渣,备用;
(3)取蒸煮后的滤渣,粉碎,过滤,取过40目筛子的滤渣,加水,边加边搅拌,直至滤渣浓度为1.1g/ml,得糊状纸料,备用;
(4)取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,3h后取下,得薄纸片,备用;
(5)将薄纸片以10张为单位叠纸,叠纸时,上下两张指头错开1.2cm,得叠纸;
(6)将叠纸在通风处晾干,即得。
本发明所述药纸主要由生川乌,生草乌,生南星,生半夏,生麻黄,桂枝,山栀,广木香,三棱,莪术,榔片,樟脑,急性子,公丁香,血竭,制乳香,制没药,川椒,冰片,干姜及阿魏制备而成。其中生川乌,英文名Aconite Root,别名鹅儿花、铁花、无毒。生于山地草坡或灌丛中。具有祛风除湿,温经止痛的功效。用于风寒湿痹、关节疼痛、心腹冷痛、寒疝作痛。用于治疗风寒湿痹、关节疼痛等病症。一般炮制后内服。生川乌酊外用能刺激皮肤,继而产生麻木感,故外用作某些神经痛及风湿的镇痛剂。生草乌,中药名。为毛茛科多年生草本植物乌头(野生种)或北乌头的块根。辛、苦,热;有大毒。归心、肝、肾、脾经。具有祛风除湿,温经止痛的功效。用于风寒湿痹,关节疼痛,心腹冷痛,寒疝作痛,麻醉止痛。生南星,中药,取自天南星(天南星科植物天南星Arisaema erubescens(Wall.)Schott.、异叶天南星Arisaemaheterophyllum Blume或东北天南星Arisaema amurense Maxim.)的根茎。苦、辛,温;具有燥湿化痰,祛风止痉,散结消肿的功效。用于顽痰咳嗽,风痰眩晕,中风痰壅,口眼歪斜,半身不遂,癫痫,惊风,破伤风。生用外治痈肿,蛇虫咬伤。生半夏为天南星科多年生草本植物半夏的块茎,功效为燥湿化痰、降逆止呕、消痞散结,用于痰多咳喘、痰饮眩悸、风痰眩晕、痰厥头痛、呕吐反胃、胸脘痞闷、梅核气等。生用可外治痈肿痰核,姜半夏多用于降逆止呕。辛,温。有毒。归脾、胃、肺经。生麻黄,Raw ephedra,生麻黄发汗利尿作用于较强,灸麻黄发汗力弱,适用于咳嗽气喘。桂枝,正名:肉桂(学名:Cinnamomum cassia Presl),又名玉桂、桂皮等,属樟目,樟科中等大乔木;一年生枝条圆柱形,顶芽芽鳞宽卵形,绿色的叶子互生,长椭圆形至近披针形;花白色,长约4.5mm;果椭圆形,成熟时黑紫色,无毛;花期6~8月,果期10~12月。其性味辛、甘,温,入肺、心、膀胱经,是主治里寒常用的温里药,具有补元阳、通血脉、暖脾胃之功效,常与补肝肾药、补气血药配伍,治疗肾阳不足、命门火衰、肢冷脉微,与其它温里药配伍治疗脘腹冷痛、寒痹腰痛,具有明显的镇痛和抗癌防癌的作用。现有的各种驱风油类药物如清凉油、风湿油等皆含有桂油成分。桂枝能发汗解肌,温经通脉,助阳化气,散寒止痛。主风寒表证;寒湿痹痛;四肢厥冷;经闭痛经;症瘕结块;胸痹;心悸;痰饮;小便不利。用于风寒感冒,脘腹冷痛,血寒经闭,关节痹痛,痰饮,水肿,心悸,奔豚。山栀(学名:Gardenia jasminoides),山栀的叶、花、果实及根均能入药,具有清热、泻火、解毒、凉血的功效。治热病虚烦不眠,黄疸,淋病,消渴,目赤,咽痛,吐血,衄血,血痢,尿血,热毒疮疡,扭伤肿痛。①《本经》:"味苦,寒。"广木香,也叫云木香(Aucklandia lappa Decne.)是风毛菊属的多年生草本,高100-200厘米。主根粗壮,圆柱形,具特殊香气。叶片三角状卵形或长三角形,叶缘浅裂或波状;茎生叶阔椭圆形。瘦果线形。花期7~8月,果期8~10月。生于云南等地,其根可用于健胃消胀、调气解郁、止痛安胎。主治行气止痛,温中和胃。用于胸腹胀痛,呕吐,泄泻,痢疾里急后重。三棱,中药名。为黑三棱科植物黑三棱Sparganium stoloni erum,Buch.-Ham.的干燥块茎。冬季至次年春采挖,洗净,削去外皮,晒干。分布于东北、黄河、流域、长江中下游及西藏。具有破血行气,消积止痛的功效。用于症瘕痞块,痛经,瘀血经闭,胸痹心痛,食积胀痛。性味:辛、苦,平。归肝、脾经。莪术,别称蒁药、莪荗、青姜、黑心姜、姜黄,拉丁文学名:Curcuma zedoaria(Christm.)Rosc.,莪术为姜科、姜黄属多年生宿根草本,本品为姜科植物蓬莪术Curcuma phaeocaulis Val.、广西莪术Curcuma KwangsiensisS.G.Lee et C.F.Liang或温郁金Curcuma wenyujin Y.H.Chen et C.Ling的干燥根茎。后者习称“温莪术”。冬季茎叶枯萎后采挖,洗净,蒸或煮至透心,晒干或低温干燥后除去须根及杂质。株高约1米;根茎圆柱形,肉质,具樟脑般香味,淡黄色或白色;根细长或末端膨大成块根。栽培或野生于林荫下,分布于印度、马来西亚和中国各地。能治行气止痛、积散结、破血祛瘀作用。辛、苦,温。归肝、脾经。破血行气,消积止痛。用于血瘀腹痛、肝脾肿大、心腹胀痛,积聚,妇女血瘀经闭,跌打损伤作痛饮食积滞。行气止痛,破血消积:用于气滞血瘀之经闭、胸胁痛、腹痛及症瘕肿块等。常配三棱。消食化积:用于饮食积滞之胃腹胀痛,常配焦麦芽、焦槟榔。樟脑,Cinnamomumcamphora(L.)PreslLauruscamphoraL.,为樟科植物樟的枝、干、叶及根部,经提炼制得的颗粒状结晶。樟脑具有通关窍、利滞气、辟秽浊、杀虫止痒、消肿止痛的功效,主治疥癣瘙痒、跌打伤痛、牙痛等症状。主要成分为纯粹的右旋樟脑(d-Camphora),是莰类化合物。樟脑涂于皮肤有温和的刺激及防腐作用。用力涂擦有发赤作用;轻涂则类似薄荷,有清凉感,此乃由于刺激冷觉感受器的作用。它还有轻度的局部麻醉作用。对于胃肠道粘膜,樟脑有刺激作用,使胃部感到温暖及舒适,大量则能产生恶心及呕吐。临床上用樟脑擦剂有镇痛、止痒作用。口服有驱风作用以及轻微的祛痰作用。樟脑经粘膜、皮下、肌肉皆易吸收。口服吸收也快。在肝中解毒颇迅速,氧化成樟脑醇,再与葡萄糖醛酸结合而由尿中排出。急性子,Garden Balsam Seed,为凤仙花科植物凤仙的种子。秋季,果实成熟后采收,除去果皮等杂质,晒干。干燥种子略呈扁球形至扁卵圆形,长2.5~3毫米,宽2~3毫米。种皮赤褐色,或棕色,表面密布小窝点及橙黄色短条纹。种脐位于种子的狭端,稍突出,质坚硬,以颗粒饱满者为佳:含风仙甾醇、帕灵锐酸、皂甙、脂肪油、多糖、蛋白质、氨基酸、挥发油,以及槲皮素的多糖甙和山柰酚的衍生物等黄酮类。性味与归经:微苦、辛,温;有小毒。归脾、肝经。功能与主治:败毒抗癌、散淤消肿。破血软坚,消积。用于癓瘕痞块,经闭,噎膈。公丁香,Syzygium aromaticum(L.)Merr.EtPerry,为桃金娘科常绿乔木植物Eugeniacaryophyllata Thunb的花蕾,公丁香及果实(母丁香),性辛,味温。入肺、脾、胃、肾四经。功效:温中、暖肾、降逆。主治:治呃逆、呕吐、反胃、痢疾、心腹冷痛、痃癖、疝气、癣症。血竭,Daemonorops draco Bl.,中药名。为棕榈科植物麒麟竭果实渗出的树脂经加工制成。分布于印度尼西亚爪哇、苏门答腊、婆罗洲等处。具有活血定痛,化瘀止血,生肌敛疮的功效。用于跌打损伤,心腹瘀痛,外伤出血,疮疡不敛。性味:甘、咸,平。归心、肝经。活血定痛,化瘀止血,敛疮生肌。的功效,用于跌打损伤,心腹瘀痛,外伤出血,疮疡不敛。乳香,中药名。为橄榄科植物乳香树Boswellia carterii Birdw.及同属植物Boswellia bhaurdajiana Birdw.树皮渗出的树脂。分为索马里乳香和埃塞俄比亚乳香,每种乳香又弁为乳香珠和原乳香。性味:辛、苦,温。.归心、肝、脾经。活血行气止痛,消肿生肌的功效。用于胸痹心痛,胃脘疼痛,痛经经闭,产后瘀阻,症瘕腹痛,风湿痹痛,筋脉拘挛,跌打损伤,痈肿疮疡。没药,中药名。为橄榄科植物地丁树Commiphora myrrha Engl.或哈地丁树Commiphora molmol Engl.的干燥树脂。分为天然没药和胶质没药。分布于索马里、埃塞俄比亚及阿拉伯半岛南部等地。具有散瘀定痛,消肿生肌之功效。常用于胸痹心痛,胃脘疼痛,痛经经闭,产后瘀阻,癥瘕腹痛,风湿痹痛,跌打损伤,痈肿疮疡等病症的治疗。归心、肝、脾经。味辛、苦,性平。川椒,中药名。为芸香科植物青椒(香椒、青花椒、山椒、狗椒)Zanthoxylum schinifolium Sieb.et Zucc.或花椒(蜀椒、川椒、红椒、红花椒、大红袍)Zanthoxylum bungeanum Maxim.的干燥成熟果皮。秋季采收成熟果实,晒干,去除种子及杂质。生用或炒用。性味:辛、麻,温。归脾、胃、肾经。椒红:温中止痛,杀虫止痒的功效。用于脘腹冷痛,呕吐泄泻,虫积腹痛;外治湿疹,阴痒。冰片,Borneol,又名片脑、桔片、艾片、龙脑香、梅花冰片、羯布罗香、梅花脑、冰片脑、梅冰等,是由菊科艾纳香茎叶或樟科植物龙脑樟枝叶经水蒸汽蒸馏并重结晶而得。亦有用松节油经一系列化学方法工艺而得。其可用于闭证神昏、用于目赤肿痛,喉痹口疮、用于疮疡肿痛,溃后不敛等。《新修本草》:“主心腹邪气,风湿积聚,耳聋,明目,去目赤肤翳。”《唐本草》:"味辛苦,微寒。"入心、肝经。干姜,中药名。为姜科植物姜Zingiber oj-jicinaleRosc.的干燥根茎。冬季采挖,除去须根和泥沙,晒干或低温干燥。趁鲜切片晒干或低温干燥者称为“干姜片”。味辛,性热。归脾、胃、肾、心、肺经。具有温中散寒,回阳通脉,温肺化饮的功效。用治疗于脘腹冷痛,呕吐泄泻,肢冷脉微,寒饮喘咳。阿魏,中药名。为伞形科植物新疆阿魏Ferula sinkiangensisK.M.Shen或阜康阿魏Ferula fukanensis K.M.Shen的树脂。春末夏初盛花期至初果期均可采收,但以盛花期采收为佳。分次由茎上部往下斜割,收集渗出的乳状树脂,阴干。性味:苦、辛,温。归脾、胃经。具有消积,化瘕,散痞,杀虫的功效。用于肉食积滞,瘀血瘾瘕,腹中痞块,虫积腹痛。榔片,中医用作治疗虫积、食滞、脘腹胀痛、水肿、脚气等证。其果皮叫做“大父皮”,能行气、利水、消肿。除果实外,树叶也可食用。在万宁、陵水、三亚一带,吃槟榔已成了重要的习俗。槟榔切片后沾上佐料,细咀慢嚼,吐完绿水,又生丹津,吃后脸红耳赤,正如苏东坡即兴写的“两颊红潮曾妩媚,谁知侬是醉槟榔”的诗句。逢年过节以及求婚、定亲和办喜事,槟榔更是不可缺少。嚼食槟榔会醉,故又称“醉槟榔”。明代李时珍《本草纲目》云:“(槟榔)与扶留叶合蚌灰嚼之,可辟瘴疬,去胸中恶气。
祖国医学认为:“积者,阴气也,故沉而伏。”“痛者,寒气多也。”阴疽、流注、痰核、横痃、积聚肿块之成形多为阴寒邪毒之气留踞不去,气血涩滞,痰湿内阻,积久则血气瘀滞、脉络不通。因此本发明多选用温阳化癥,通行血气之药物。生川乌、生草乌、生南星、生半夏、生麻黄、急性子、阿魏等均具有温阳化癥抗癌的作用,为君药;山栀、广木香、三棱、莪术、榔片、公丁香、血竭、制乳没等活血化瘀行气,为臣药;桂枝、干姜、川椒辛温助阳,为佐药;冰片、樟脑辛香渗透,为使药。全膏药物峻烈,渗透力强,具有一定抗癌活性及化瘀散结功能。共奏温阳化癥、活血祛瘀的功效。
与现有技术相比,本发明采用上述药物提取药液后的药渣制成药纸,所制成的药纸可配合药液,用苗医隔药纸火疗法治疗癌性疼痛,效果较好,适用各种体表有癌性疼痛症状的患者。且本发明药纸采用中药提取药液后的药渣制成,可对药渣中的有效成分进行再利用,还可减少药渣对环境的污染,避免浪费,节约资源。
申请人进行了下列实验,可证明本发明具有有效的效果;
实验例1药效实验
1病例选择均为住院或门诊患者80例,随机分成2组,即本发明组和对照组,每组40例,80例均为体表有癌性疼痛症状的患者。其中,对照组中男24例,女16例,年龄最大85岁,最小32岁;本发明组中男28例,女12例,年龄最大85岁,最小32岁。
2用药方法
2.1药液配制:
药液配方:生川乌200g,生草乌200g,生南星200g,生半夏200g,生麻黄200g,桂枝200g,山栀200g,广木香200g,三棱200g,莪术200g,榔片200g,樟脑30g,急性子30g,公丁香30g,血竭30g,制乳香30g,制没药30g,川椒30g,冰片30g,干姜30g和阿魏30g。
药液制作工艺:取上述药物,粉碎,加10倍量水煎煮3次,每次1.5h,过滤,滤液浓缩成浓缩液,作为药液。
2.2对照药纸:市售草纸。
2.3本发明药纸:按实施例1进行制作。
2.4使用方法:A.将纱布浸渍于药液中浸透,拿出铺放于肿瘤在体表的投射区;取单数(5、7、9……)层适当宽度的对照药纸或本发明药纸,将药纸用药液完全浸湿后贴附于纱布之上。
B.将蘸有95%的酒精火把点燃,对放置于患部上的浸透药液药纸表层进行“蜻蜓点水”式的燃烧,至患者感到热力渗透,能耐受热度为宜,然后用塑料薄膜覆盖药纸,保持温度,待冷却后再重复上述操作3~5次,每次操作均以患者自觉热度渗透为度,并能耐受。治疗全过程总共约需10~15分钟。每天1次。
3.观察方法
在给药后7天用目测标尺法(VAS法)记录疼痛程度,由患者在10cm的横线相应阶段上目测打“×”,以×的位置来表达患者疼痛的程度。
4.疼痛强度及疼痛缓解程度的分级疼痛强度按W H O分级标准,分为4级:0级无痛;1级轻度疼痛,可忍受,能正常生活,睡眠基本不受干扰,无需镇痛治疗;2级中度,持续疼痛,睡眠受到干扰,需镇痛治疗;3级重度疼痛,强烈持续疼痛,睡眠受到严重干扰,需用镇痛治疗。
疼痛缓解程度分4级:Ⅰ级轻度缓解,疼痛较治疗前约缓解1/4;Ⅱ级中度缓解,疼痛较治疗前约缓解1/2;Ⅲ级明显缓解,疼痛较治疗前约缓解3/4;Ⅳ级完全缓解,患者完全无痛。
5.疗效评定显效:治疗后疼痛缓解Ⅲ~Ⅳ度;有效:疼痛缓解Ⅰ~Ⅱ度;无效:疼痛无缓解或缓解1/4以下;显效率:(完全缓解例数+明显缓解例数)*100%/总观察例数;总有效:(显效例数+有效例数)/总观察数。
6.结果
记录各组观察结果,具体结果见表1和表2.
表1临床试验显效率统计结果
Figure BDA0000968688190000081
注:与对照组比较,*P<0.05。
表2临床试验总有效率统计结果
Figure BDA0000968688190000082
注:与对照组比较,+P<0.05。
结果表明:本发明组治疗后的显效率和总有效率均高于对照组,说明本发明药纸能有效治疗癌性疼痛,且效果较好。
下面结合实施例对发明作进一步的说明,但并不作为对本发明限制的依据。
具体实施方式:
实施例1.
配方:生川乌200g,生草乌200g,生南星200g,生半夏200g,生麻黄200g,桂枝200g,山栀200g,广木香200g,三棱200g,莪术200g,榔片200g,樟脑30g,急性子30g,公丁香30g,血竭30g,制乳香30g,制没药30g,川椒30g,冰片30g,干姜30g和阿魏30g。
工艺:
1、取上述药物,粉碎,加10倍量水煎煮3次,每次1.5h,过滤,取滤渣,备用,滤液浓缩成浓缩液,作为药液,;
2、滤渣用浓度为75%的石灰水浸泡110天,捞出,洗净后,于90-110℃下蒸煮1.5h,得蒸煮后的滤渣,备用;
3、取蒸煮后的滤渣,粉碎,过滤,取过40目筛子的滤渣,加水,边加边搅拌,直至滤渣浓度为1.1g/ml,得糊状纸料,备用;
4、取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,3h后取下得薄纸片,备用;
5、将薄纸片以10张为单位叠纸,叠纸时,上下两张指头错开1.2cm,得叠纸;
6、将叠纸晾在通风的竹竿上,晾干之后十叠一刀收好,对折,即得。
使用方法:
A.将纱布浸渍于药液中浸透,拿出铺放于肿瘤在体表的投射区;取单数(5、7、9……)层适当宽度的药纸,将药纸用药液完全浸湿后贴附于纱布之上。
B.将蘸有95%的酒精火把点燃,对放置于患部上的浸透药液药纸表层进行“蜻蜓点水”式的燃烧,至患者感到热力渗透,能耐受热度为宜,然后用塑料薄膜覆盖药纸,保持温度,待冷却后再重复上述操作3~5次,每次操作均以患者自觉热度渗透为度,并能耐受。治疗全过程总共约需10~15分钟。每天1次。
实施例2.
配方:生川乌300g,生草乌300g,生南星300g,生半夏300g,生麻黄300g,桂枝300g,山栀300g,广木香300g,三棱300g,莪术300g,榔片300g,樟脑40g,急性子40g,公丁香40g,血竭40g,制乳香40g,制没药40g,川椒40g,冰片40g,干姜40g和阿魏40g。
工艺:
1、取上述药物,粉碎,加6倍量浓度为70-80%的乙醇提取2小时,提取液过滤,回收乙醇并浓缩成浓缩液,备用,作为药液;滤渣备用;
2、滤渣用浓度为80%的石灰水浸泡120天,捞出,洗净后,于90-110℃下蒸煮2h,得蒸煮后的滤渣,备用;
3、取蒸煮后的滤渣,粉碎,过滤,取过40目筛子的滤渣,加水,边加边搅拌,直至滤渣浓度为1.2g/ml,得糊状纸料,备用;
4、取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,4h后取下得薄纸片,备用;
5、将薄纸片以15张为单位叠纸,叠纸时,上下两张指头错开2cm,得叠纸;
6、将叠纸晾在通风的竹竿上,晾干之后十叠一刀收好,对折,即得。
使用方法:同实施例1。
实施例3.
配方:生川乌100g,生草乌100g,生南星100g,生半夏100g,生麻黄100g,桂枝100g,山栀100g,广木香100g,三棱100g,莪术100g,榔片100g,樟脑20g,急性子20g,公丁香20g,血竭20g,制乳香20g,制没药20g,川椒20g,冰片20g,干姜20g及阿魏20g。
工艺:
1、取上述药物,粉碎,加8倍量水煎煮2次,每次1h,过滤,取滤渣,备用,滤液浓缩成浓缩液,作为药液;
2、滤渣用浓度为70-80%的石灰水浸泡100天,捞出,洗净后,于90-110℃下蒸煮1h,得蒸煮后的滤渣,备用;
3、取蒸煮后的滤渣,粉碎,过滤,取过40目筛子的滤渣,加水,边加边搅拌,直至滤渣浓度为0.9g/ml,得糊状纸料,备用;
4、取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,2h后取下得薄纸片,备用;
5、将薄纸片以5张为单位叠纸,叠纸时,上下两张指头错开0.5cm,得叠纸;
6、将叠纸晾在通风的竹竿上,晾干之后十叠一刀收好,对折,即得。
使用方法:同实施例1。

Claims (1)

1.一种治疗癌性疼痛的药纸,其特征在于:按重量份计算,由生川乌20份,生草乌20份,生南星20份,生半夏20份,生麻黄20份,桂枝20份,山栀20份,广木香20份,三棱20份,莪术20份,榔片20份,樟脑3份,急性子3份,公丁香3份,血竭3份,制乳香3份,制没药3份,川椒3份,冰片3份,干姜3份及阿魏3份制备而成;所述治疗癌性疼痛的药纸的制作方法,具体包括下述步骤:
(1)取上述药物,用水或乙醇提取后,过滤,取滤渣备用;
(2)滤渣用浓度为70-80%的石灰水浸泡100-120天,捞出,洗净后,于90-110℃下蒸煮1-2h,得蒸煮后的滤渣,备用;
(3)取蒸煮后的滤渣,粉碎,过滤,取过40目筛子的滤渣,加水,边加边搅拌,直至滤渣浓度为1.1g/ml,得糊状纸料,备用;
(4)取长方形木框,中间绷着纱窗,糊状纸料均匀的涂抹在纱窗上,3h后取下,得薄纸片,备用;
(5)将薄纸片以10张为单位叠纸,叠纸时,上下两张指头错开1.2cm,得叠纸;
(6)将叠纸在通风处晾干,即得。
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