CN105796986A - 一种治疗小儿脑积水的中药组合物 - Google Patents
一种治疗小儿脑积水的中药组合物 Download PDFInfo
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Abstract
本发明公开了一种治疗小儿脑积水的中药组合物,其中药原料及重量份配比为:山茱萸10‑30份,石菖蒲10‑20份,熟地黄10‑20份,牡丹皮5‑15份,山药10‑20份,桑白皮10‑20份,菊花5‑15份,川芎10‑20份,肉苁蓉10‑20份,路路通10‑20份,红花5‑15份,石韦10‑20份,川牛膝10‑20份,党参5‑15份,竹茹10‑20份,半边莲10‑20份,羚羊角5‑15份,补骨脂10‑20份,远志10‑20份,黄精5‑15份,穿心莲10‑20份,甘草5‑15份。本发明中药组合物具有清热解毒、利水化湿、健脾益肾、通窍化瘀的功效,其治疗小儿脑积水疗效显著,作用可靠。
Description
技术领域
本发明涉及一种传统草药的未确定结构的医用配制品,尤其是一种治疗小儿脑积水的中药组合物。
背景技术
小儿脑积水是由于脑脊液循环发生障碍,颅内压增高所引起的头颅扩大和脑功能障碍的一种疾病。其症状表现随患儿的发病年龄变化而变化,主要表现为烦躁、发育迟缓、头痛呕吐、嗜睡、癫痫等,体征有头围增大、囟门张力高、上视困难、视乳头水肿和外展神经麻痹等。目前,较严重的小儿脑积水一般采用手术治疗,虽然手术见效快,但风险大,费用高,并且容易引发其他并发症;而较轻的小儿脑积水一般使用抗生素类药物治疗,但这些西药的副作用会对儿童的成长带来较大的影响。
中医认为,小儿脑积水多因先天不足,肾气亏虚,脾胃虚弱,运化失常;或因外邪入侵,热毒炽盛,壅积于内,阻塞窍络而致。
根据中医理论,针对小儿脑积水的发病机理,以健脾益肾、通窍化瘀为治则,进行辩证配伍组方,以达到标本兼治的目的。
发明内容
为了克服现有技术中抗生素类药物和手术治疗小儿脑积水存在风险大、副作用大的不足,本发明提供一种配制方便、药源广、成本低、疗效显著、作用可靠、无副作用的治疗小儿脑积水的中药组合物。
本发明解决其技术问题所采用的技术方案是:一种治疗小儿脑积水的中药组合物,其特征在于:其中药原料及重量份配比为:山茱萸10-30份,石菖蒲10-20份,熟地黄10-20份,牡丹皮5-15份,山药10-20份,桑白皮10-20份,菊花5-15份,川芎10-20份,肉苁蓉10-20份,路路通10-20份,红花5-15份,石韦10-20份,川牛膝10-20份,党参5-15份,竹茹10-20份,半边莲10-20份,羚羊角5-15份,补骨脂10-20份,远志10-20份,黄精5-15份,穿心莲10-20份,甘草5-15份。
本发明的优选技术方案是:一种治疗小儿脑积水的中药组合物,其特征在于:其中药原料及重量份配比为:山茱萸20份,石菖蒲15份,熟地黄15份,牡丹皮10份,山药15份,桑白皮15份,菊花10份,川芎15份,肉苁蓉15份,路路通15份,红花10份,石韦15份,川牛膝15份,党参10份,竹茹15份,半边莲15份,羚羊角10份,补骨脂15份,远志15份,黄精10份,穿心莲15份,甘草10份。
本发明中药组合物是在传统中医理论和临床经验指导下,精选药物组方。本发明中药组合物中:山茱萸具有补益肝肾、涩精固脱的功效;石菖蒲具有化痰开窍、化湿行气、祛风利痹、消肿止痛的功效;熟地黄具有补血养阴、填精益髓的功效;牡丹皮具有清热凉血、活血散瘀的功效;山药具有健脾补肺、益胃补肾、固肾益精、聪耳明目、助五脏、强筋骨、长志安神、延年益寿的功效;桑白皮具有泻肺平喘、利水消肿的功效;菊花具有疏散风热、平肝明目、清热解毒的功效;川芎具有活血祛瘀、行气开郁、祛风止痛的功效;肉苁蓉具有补肾阳、益精血、润肠通便的功效;路路通具有祛风活络、利水通经的功效;红花具有活血通经、散瘀止痛的功效;石韦具有利水通淋、清肺泄热的功效;川牛膝具有活血通经、祛风除湿、通利关节、利尿通淋的功效;党参具有补中益气、健脾益肺的功效;竹茹具有清热化痰、除烦止呕的功效;半边莲具有利水消肿、清热解毒的功效;羚羊角具有平肝息风、清肝明目、凉血解毒的功效;补骨脂具有补肾助阳、固精缩尿、暖脾止泻、纳气平喘的功效;远志具有安神益智、祛痰镇惊、行气散郁的功效;黄精具有滋肾润肺、补脾益气、养阴生津的功效;穿心莲具有清热解毒、凉血消肿的功效;甘草具有补脾益气、清热解毒、祛痰止咳、调和诸药的功效。本发明组合物中的药物组分经辩证配伍,在作用上相辅相成,具有协同作用,共奏清热解毒、利水化湿、健脾益肾、通窍化瘀之功效,对小儿脑积水达到标本兼治的目的。
本发明组合物的组分均采用天然的中药原料,其配制简便、药源广、成本低。其遵循中医的处方用药原则,各种组分药物采用水煎服用。经临床应用验证,其疗效显著,作用可靠,药性平和,未出现毒副作用,总有效率83%,治愈率达52%。
具体实施方式
下面结合实施例对本发明做进一步说明。
实施例
1
一种治疗小儿脑积水的中药组合物,其中药原料及重量配比为:山茱萸20g,石菖蒲15g,熟地黄15g,牡丹皮10g,山药15g,桑白皮15g,菊花10g,川芎15g,肉苁蓉15g,路路通15g,红花10g,石韦15g,川牛膝15g,党参10g,竹茹15g,半边莲15g,羚羊角10g,补骨脂15g,远志15g,黄精10g,穿心莲15g,甘草10g。
实施例
2
一种治疗小儿脑积水的中药组合物,其中药原料及重量配比为:山茱萸30g,石菖蒲10g,熟地黄20g,牡丹皮5g,山药20g,桑白皮10g,菊花15g,川芎10g,肉苁蓉20g,路路通10g,红花15g,石韦10g,川牛膝20g,党参5g,竹茹20g,半边莲10g,羚羊角15g,补骨脂10g,远志20g,黄精5g,穿心莲20g,甘草5g。
实施例
3
一种治疗小儿脑积水的中药组合物,其中药原料及重量配比为:山茱萸10g,石菖蒲20g,熟地黄10g,牡丹皮15g,山药10g,桑白皮20g,菊花5g,川芎20g,肉苁蓉10g,路路通20g,红花5g,石韦20g,川牛膝10g,党参15g,竹茹10g,半边莲20g,羚羊角5g,补骨脂20g,远志10g,黄精15g,穿心莲10g,甘草15g。
实施例
4
一种治疗小儿脑积水的中药组合物,其中药原料及重量配比为:山茱萸23g,石菖蒲12g,熟地黄18g,牡丹皮7g,山药18g,桑白皮12g,菊花13g,川芎12g,肉苁蓉18g,路路通12g,红花13g,石韦12g,川牛膝18g,党参7g,竹茹18g,半边莲12g,羚羊角13g,补骨脂12g,远志18g,黄精7g,穿心莲18g,甘草7g。
实施例
5
一种治疗小儿脑积水的中药组合物,其中药原料及重量配比为:山茱萸17g,石菖蒲18g,熟地黄12g,牡丹皮13g,山药12g,桑白皮18g,菊花7g,川芎18g,肉苁蓉12g,路路通18g,红花7g,石韦18g,川牛膝12g,党参13g,竹茹12g,半边莲18g,羚羊角7g,补骨脂18g,远志12g,黄精13g,穿心莲12g,甘草13g。
本发明实施例中的中药组合物按常规的水煎法制取药剂。具体方法如下:将组方的中药原料放入容器中,加冷水漫过药面,浸泡15~20分钟,再加水没过药面约6厘米,进行第一次煎煮,未沸前采用武火煎煮,沸后用文火煎煮20~30分钟;第二次煎煮,加水没过药面约6厘米,水沸后煎煮15~20分钟。两次煎煮去渣取汁,合并。
本发明以实施例1所给出的一种治疗小儿脑积水的中药组合物,做临床疗效总结如下:
一、一般性资料:本发明中药组合物应用于临床观察病例58例,其中男35例,女23例,年龄1~14岁。
二、诊断标准:
1、头颅呈普遍均匀性增大,且增长速度较快,骨缝分离,前囟明显饱满而扩大,头皮青筋暴露;颅部叩诊呈破壶音,头重颈肌不能支持而下垂,两眼下视;可有烦躁、嗜睡、食欲不振,甚至呕吐、惊厥;
2、CT检查提示脑实质菲薄,脑组织面积减少,脑室增宽扩大;头颅X线摄片可见骨板变薄,颅缝分开,蝶鞍增宽;眼底检查可见视神经萎缩或乳头水肿。
三、用法用量:临床应用时,一天一剂,水煎两遍取汁约200ml,分早、晚两次温热服用,五天为一疗程。
四、疗效标准:
1、治愈:头颅停止增大,前囟、颅缝渐闭,神志正常;
2、好转:头颅停止增大,前囟、颅缝明显收缩,神情转清;
3、未愈:头颅继续增大,症状日趋严重。
五、治疗效果:该临床观察病例中,服药4-12个疗程,治愈30例,好转18例,未愈10例。治疗期间未发生毒副作用。
六、典型病例:
病例1:周某,男,3岁。家长代述:出生不久后,但无不适感,未在意。近期出现食欲不振,呕吐,两眼下视,经诊断为:小儿脑积水。由于患儿尚小,遂采取保守治疗。服用本发明的中药组合物制备的药剂4个疗程后,头颅停止增长,各症状明显好转;继续服用4个疗程,症状消失,CT检查结果正常,治愈。随访半年未见复发。
病例2:孙某,女,8岁。患者出生时患有小儿脑积水,发育缓慢,行走相比不如同龄人,并伴有呕吐,喂食困难等症状。经多次治疗,无显著疗效。服用本发明的中药组合物制备的药剂4个疗程,孩子呕吐,喂食困难等症状明显好转,行走能力也得到明显改善;续服3个疗程后,各症状消失,治愈。回访未见复发。
Claims (2)
1.一种治疗小儿脑积水的中药组合物,其特征在于:其中药原料及重量份配比为:山茱萸10-30份,石菖蒲10-20份,熟地黄10-20份,牡丹皮5-15份,山药10-20份,桑白皮10-20份,菊花5-15份,川芎10-20份,肉苁蓉10-20份,路路通10-20份,红花5-15份,石韦10-20份,川牛膝10-20份,党参5-15份,竹茹10-20份,半边莲10-20份,羚羊角5-15份,补骨脂10-20份,远志10-20份,黄精5-15份,穿心莲10-20份,甘草5-15份。
2.根据权利要求1所述的一种治疗小儿脑积水的中药组合物,其特征在于:其中药原料及重量份配比为:山茱萸20份,石菖蒲15份,熟地黄15份,牡丹皮10份,山药15份,桑白皮15份,菊花10份,川芎15份,肉苁蓉15份,路路通15份,红花10份,石韦15份,川牛膝15份,党参10份,竹茹15份,半边莲15份,羚羊角10份,补骨脂15份,远志15份,黄精10份,穿心莲15份,甘草10份。
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