CN105944027A - Traditional Chinese medicine composition for treating tuberculous pleurisy - Google Patents

Traditional Chinese medicine composition for treating tuberculous pleurisy Download PDF

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CN105944027A
CN105944027A CN201610468551.XA CN201610468551A CN105944027A CN 105944027 A CN105944027 A CN 105944027A CN 201610468551 A CN201610468551 A CN 201610468551A CN 105944027 A CN105944027 A CN 105944027A
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radix
chinese medicine
rhizoma
medicine composition
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丁常燕
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Abstract

The invention discloses a traditional Chinese medicine composition for treating tuberculous pleurisy, which is prepared from the following traditional Chinese medicine raw materials in parts by weight: 10-30 parts of astragalus mongholicus, 10-20 parts of radix bupleuri, 10-20 parts of bighead atractylodes, 5-15 parts of radix curcumae, 10-20 parts of radix polygonati officinalis, 5-15 parts of fructus arctii, 10-20 parts of rhizoma imperatae, 10-20 parts of prepared rehmannia root, 10-20 parts of hibiscus rosa-sinensis, 5-15 parts of common bletilla tuber, 10-20 parts of commelina communis, 10-20 parts of radix stemonae, 10-20 parts of uncinate spikemoss herb, 5-15 parts of American ginseng, 10-20 parts of grifola, 10-20 parts of fructu broussonetiae, 10-20 parts of ardisia japonica Bl., 5-15 parts of rose hips, 10-20 parts of earthworms, 10-20 parts of fructus trichosanthis, 5-15 parts of cortex phellodendri, 10-20 parts of concha meretricis seu cyclinae and 5-15 parts of liquorice. The traditional Chinese medicine composition has the effects of clearing heat and drying damp, dispelling wind and detoxifying, dispersing phlegm and eliminating stagnation and promoting blood circulation to arrest pain, and is significant in treatment effect and reliable in action when used for treating tuberculous pleurisy.

Description

A kind of Chinese medicine composition treating tuberculous pleuritis
Technical field
The present invention relates to the medicinal preparation not determining structure of a kind of traditional herbal medicines, a kind of Chinese medicine composition treating tuberculous pleuritis.
Background technology
Tuberculous pleuritis is that tubercule bacillus and autolysate thereof, metabolite enter the pleural space of hypersensitization body and the pleura inflammation that causes.Often it is divided into dry pleurisy, exudative pleurisy, tuberculous empyema (rare) three types.Clinic mainly shows as heating, cough companion sick pleurobranch pain, out of breath etc., common is more than 3 years old child.At present, clinical treatment tuberculous pleuritis generally uses extraction chest fluid or antituberculosis drugs treat, although conditions of patients can be made to be eased, but life-time service, it is easily generated dependency, easily recurs after drug withdrawal, cure the symptoms, not the disease.
The traditional Chinese medical science is thought, tuberculous pleuritis belongs to the categories such as " chest pain ", " cough ", " heating " of the traditional Chinese medical science.Many because of qi depression to blood stasis, passages through which vital energy circulates obturation is obstructed, is stopped at caused by breast in the heresy that expectorant muddy water is wet.
According to theory of Chinese medical science, for the pathogeny of tuberculous pleuritis, with vital energy regualting and blood circulation-promoting, Cleering damp and dissolving phlegm as the rule for the treatment of, carry out dialectical composition of prescription, to reach the purpose for the treatment of both the principal and secondary aspects of a disease.
Summary of the invention
Prior art uses extraction chest fluid or antituberculosis drugs treat tuberculous pleuritis exist to cure the symptoms, not the disease and the deficiency of easily recurrence after drug withdrawal to overcome, the present invention provide a kind of prepare conveniently, medicine source is wide, evident in efficacy, reliable effect, the Chinese medicine composition for the treatment of tuberculous pleuritis that has no side effect.
nullThe technical solution adopted for the present invention to solve the technical problems is: a kind of Chinese medicine composition treating tuberculous pleuritis，It is characterized in that: its raw material of Chinese medicine and weight be: Radix Astragali 10-30 part，Radix Bupleuri 10-20 part，Rhizoma Atractylodis Macrocephalae 10-20 part，Radix Curcumae 5-15 part，Rhizoma Polygonati Odorati 10-20 part，Fructus Arctii 5-15 part，Rhizoma Imperatae 10-20 part，Radix Rehmanniae Preparata 10-20 part，Flos Hibisci Rosae-Sinensis 10-20 part，Pseudobulbus Bletillae (Rhizoma Bletillae) 5-15 part，Herba Commelinae 10-20 part，Radix Stemonae 10-20 part，Herba Selaginellae Uncinatae 10-20 part，Radix Panacis Quinquefolii 5-15 part，Polyporus 10-20 part，Fructus Broussonetiae 10-20 part，Herba Ardisiae Japonicae 10-20 part，Rose hip 5-15 part，Pheretima 10-20 part，Fructus Trichosanthis 10-20 part，Cortex Phellodendri 5-15 part，Concha Meretricis seu Cyclinae 10-20 part，Radix Glycyrrhizae 5-15 part.
The preferred technical solution of the present invention is: a kind of Chinese medicine composition treating tuberculous pleuritis, it is characterised in that: its raw material of Chinese medicine and weight be: the Radix Astragali 20 parts, Radix Bupleuri 15 parts; the Rhizoma Atractylodis Macrocephalae 15 parts, Radix Curcumae 10 parts, Rhizoma Polygonati Odorati 15 parts; Fructus Arctii 10 parts, Rhizoma Imperatae 15 parts, Radix Rehmanniae Preparata 15 parts; Flos Hibisci Rosae-Sinensis 15 parts, the Pseudobulbus Bletillae (Rhizoma Bletillae) 10 parts, Herba Commelinae 15 parts; the Radix Stemonae 15 parts; Herba Selaginellae Uncinatae 15 parts, Radix Panacis Quinquefolii 10 parts, Polyporus 15 parts; Fructus Broussonetiae 15 parts; Herba Ardisiae Japonicae 15 parts, rose hip 10 parts, Pheretima 15 parts; Fructus Trichosanthis 15 parts; Cortex Phellodendri 10 parts, Concha Meretricis seu Cyclinae 15 parts, 10 parts of Radix Glycyrrhizae.
Chinese medicine composition of the present invention is under Traditional Chinese medical theory and clinical experience instruct, selected medicament composing prescription.In Chinese medicine composition of the present invention: the Radix Astragali has benefiting QI for strengthening the superficies, arresting sweating and admittedly takes off, holds in the palm skin ulcer granulation promoting, effect of inducing diuresis to remove edema；Radix Bupleuri have evacuation bring down a fever, effect of yang invigorating soothing liver-QI；The Rhizoma Atractylodis Macrocephalae has effect that invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis are antiabortive；Radix Curcumae has effect of regulating qi to disperse stagnation, heart fire-clearing upset-relieving；Rhizoma Polygonati Odorati has effect of nourishing YIN to relieve dryness, promoting the production of body fluid to quench thirst；Fructus Arctii has dispelling wind and heat pathogens, lung qi dispersing rash, sore-throat relieving eliminating stagnation, effect of removing toxic substances and promoting subsidence of swelling；Rhizoma Imperatae has effect of cooling blood for hemostasis, clearing away heat and promoting diuresis；Radix Rehmanniae Preparata has effect of yin nourishing of enriching blood, life essence-filling, marrow-benefitting；Flos Hibisci Rosae-Sinensis has effect of clearing away heat and promoting diuresis, removing toxic substances and promoting subsidence of swelling；The Pseudobulbus Bletillae (Rhizoma Bletillae) has effect of astringing to arrest bleeding, detumescence and promoting granulation；Herba Commelinae has effect of heat-clearing and toxic substances removing, inducing diuresis to remove edema；The Radix Stemonae has effect of nourishing the lung to keep the adverse QI downward, cough-relieving, parasite killing；Herba Selaginellae Uncinatae has clearing away heat-damp and promoting diuresis, removing toxic substances, effect of repercussive hemostasis；Radix Panacis Quinquefolii has effect of boosting qi and nourishing yin, clearing away heat and promoting production of body fluid；Polyporus has effect of promoting diuresis to eliminate damp pathogen；Fructus Broussonetiae has effect of the kidney invigorating liver heat removing, improving eyesight, diuresis；Herba Ardisiae Japonicae has relieving cough and resolving phlegm, effect of dispel the wind removing toxic substances, promoting blood circulation and stopping pain；Rose hip has effect of strengthening the spleen to promote digestion, promoting blood flow to regulate menstruation, astringing lung-QI and relieving cough；Pheretima has clearing heat for calming endogenous wind, lung-clearing asthma-relieving, inducing diuresis for treating stranguria syndrome, effect of current meridians；Fructus Trichosanthis has clearing away heat and eliminating phlegm, relieving stuffiness of the chest by dispersing aggregation of pathogens, moisturizes effect of laxation；Cortex Phellodendri has heat clearing and damp drying, pathogenic fire purging except steaming, effect of detoxification sore treatment；Concha Meretricis seu Cyclinae has effect of clearing away heat and promoting diuresis, resolving phlegm and softening hard masses；Radix Glycyrrhizae has effect of invigorating the spleen and replenishing QI, heat-clearing and toxic substances removing, expelling phlegm for arresting cough, coordinating the actions of various ingredients in a prescription.Drug component in the present composition, through dialectical compatibility, complements each other using, and has synergism, plays heat clearing and damp drying, removing toxic substances of dispeling the wind, clearing away phlegm eliminating stagnation, effect of promoting blood circulation and stopping pain altogether, tuberculous pleuritis reaches the purpose for the treatment of both the principal and secondary aspects of a disease.
The component of the present composition all uses natural raw material of Chinese medicine, and its preparation is easy, medicine source is wide, low cost.It follows the prescriptions principle of the traditional Chinese medical science, and various component drug use the use that is decocted in water for oral dose.Verifying by clinic application, it is evident in efficacy, reliable effect, mild in medicine property and, toxic and side effects does not occurs, total effective rate 92.6%, cure rate reaches 77.8%.
Detailed description of the invention
Below in conjunction with embodiment, the present invention will be further described.
Embodiment 1
A kind of Chinese medicine composition treating tuberculous pleuritis, its raw material of Chinese medicine and weight proportion be: Radix Astragali 20g, Radix Bupleuri 15g, Rhizoma Atractylodis Macrocephalae 15g; Radix Curcumae 10g, Rhizoma Polygonati Odorati 15g, Fructus Arctii 10g, Rhizoma Imperatae 15g; Radix Rehmanniae Preparata 15g, Flos Hibisci Rosae-Sinensis 15g, Pseudobulbus Bletillae (Rhizoma Bletillae) 10g, Herba Commelinae 15g; Radix Stemonae 15g, Herba Selaginellae Uncinatae 15g, Radix Panacis Quinquefolii 10g, Polyporus 15g; Fructus Broussonetiae 15g, Herba Ardisiae Japonicae 15g, rose hip 10g, Pheretima 15g; Fructus Trichosanthis 15g, Cortex Phellodendri 10g, Concha Meretricis seu Cyclinae 15g, Radix Glycyrrhizae 10g.
Embodiment 2
A kind of Chinese medicine composition treating tuberculous pleuritis, its raw material of Chinese medicine and weight proportion be: Radix Astragali 30g, Radix Bupleuri 10g, Rhizoma Atractylodis Macrocephalae 20g; Radix Curcumae 5g, Rhizoma Polygonati Odorati 20g, Fructus Arctii 5g, Rhizoma Imperatae 20g; Radix Rehmanniae Preparata 10g, Flos Hibisci Rosae-Sinensis 20g, Pseudobulbus Bletillae (Rhizoma Bletillae) 5g, Herba Commelinae 20g; Radix Stemonae 10g, Herba Selaginellae Uncinatae 20g, Radix Panacis Quinquefolii 5g, Polyporus 20g; Fructus Broussonetiae 10g, Herba Ardisiae Japonicae 20g, rose hip 5g, Pheretima 20g; Fructus Trichosanthis 10g, Cortex Phellodendri 15g, Concha Meretricis seu Cyclinae 10g, Radix Glycyrrhizae 15g.
Embodiment 3
A kind of Chinese medicine composition treating tuberculous pleuritis, its raw material of Chinese medicine and weight proportion be: Radix Astragali 10g, Radix Bupleuri 20g, Rhizoma Atractylodis Macrocephalae 10g; Radix Curcumae 15g, Rhizoma Polygonati Odorati 10g, Fructus Arctii 15g, Rhizoma Imperatae 10g; Radix Rehmanniae Preparata 20g, Flos Hibisci Rosae-Sinensis 10g, Pseudobulbus Bletillae (Rhizoma Bletillae) 15g, Herba Commelinae 10g; Radix Stemonae 20g, Herba Selaginellae Uncinatae 10g, Radix Panacis Quinquefolii 15g, Polyporus 10g; Fructus Broussonetiae 20g, Herba Ardisiae Japonicae 10g, rose hip 15g, Pheretima 10g; Fructus Trichosanthis 20g, Cortex Phellodendri 5g, Concha Meretricis seu Cyclinae 20g, Radix Glycyrrhizae 5g.
Embodiment 4
A kind of Chinese medicine composition treating tuberculous pleuritis, its raw material of Chinese medicine and weight proportion be: Radix Astragali 23g, Radix Bupleuri 12g, Rhizoma Atractylodis Macrocephalae 18g; Radix Curcumae 7g, Rhizoma Polygonati Odorati 18g, Fructus Arctii 7g, Rhizoma Imperatae 18g; Radix Rehmanniae Preparata 12g, Flos Hibisci Rosae-Sinensis 18g, Pseudobulbus Bletillae (Rhizoma Bletillae) 7g, Herba Commelinae 18g; Radix Stemonae 12g, Herba Selaginellae Uncinatae 18g, Radix Panacis Quinquefolii 7g, Polyporus 18g; Fructus Broussonetiae 12g, Herba Ardisiae Japonicae 18g, rose hip 7g, Pheretima 18g; Fructus Trichosanthis 12g, Cortex Phellodendri 13g, Concha Meretricis seu Cyclinae 12g, Radix Glycyrrhizae 13g.
Embodiment 5
A kind of Chinese medicine composition treating tuberculous pleuritis, its raw material of Chinese medicine and weight proportion be: Radix Astragali 17g, Radix Bupleuri 18g, Rhizoma Atractylodis Macrocephalae 12g; Radix Curcumae 13g, Rhizoma Polygonati Odorati 12g, Fructus Arctii 13g, Rhizoma Imperatae 12g; Radix Rehmanniae Preparata 18g, Flos Hibisci Rosae-Sinensis 12g, Pseudobulbus Bletillae (Rhizoma Bletillae) 13g, Herba Commelinae 12g; Radix Stemonae 18g, Herba Selaginellae Uncinatae 12g, Radix Panacis Quinquefolii 13g, Polyporus 12g; Fructus Broussonetiae 18g, Herba Ardisiae Japonicae 12g, rose hip 13g, Pheretima 12g; Fructus Trichosanthis 18g, Cortex Phellodendri 7g, Concha Meretricis seu Cyclinae 18g, Radix Glycyrrhizae 7g.
Chinese medicine composition in embodiment of the present invention decocting method routinely produces medicament.Concrete grammar is as follows: put in container by the raw material of Chinese medicine of prescription, adds cold water and covers powder, soak 15～20 minutes, added water no powder about 8 centimetres, carries out decocting for the first time, at a simmer before use intense fire to decoct, with slow fire boiling 20～30 minutes after boiling；Second time decocts, and added water no powder about 6 centimetres, decocts 15～20 minutes after water boiling.Twice decoction is removed slag extracting juice, merges.
The present invention, with a kind of Chinese medicine composition treating tuberculous pleuritis given by embodiment 1, does clinical efficacy and is summarized as follows:
One, general data: Chinese medicine composition of the present invention is applied to clinical observation case 54 example, the maleest 26 examples, female 28 example, age 3～70 years old.The shortest person of the course of disease 2 months, elder reach 2 years, average 1 year.
Two, diagnostic criteria:
1, morbidity is anxious, has the symptoms such as heating, general malaise, chest pain, dry cough；Dyspnea is had during a large amount of hydrothorax；
2, without obvious sign when hydrothorax is few；When hydrops is more, Ipsilateral chest is full, and Breathing movement weakens.Percussion is flatness；Auscultation diminished breath sound or disappearance, during a large amount of hydrops, trachea and heart shift to strong side；
3, white blood cell count normally or slightly increases, and erythrocyte sedimentation rate speeds, and tuberculin test is positive more；
4, the image of hydrothorax seen from chest X-ray；
5, thoracentesis is transudate, and wherein cell is based on lymphocyte；Lactic acid dehydrogenase often increases；Being difficult to find tulase in chest fluid, tulase is cultivated sometimes positive；
6, the pleuritis that other reasons causes should be got rid of, such as Cancerous Pleural Effusion and thoracic cavity mesothelioma etc..
Three, usage and dosage: during clinical practice, one day potion, decocting twice extracting juice about 300ml, point early, late twice warm is taken, and within five days, is a course for the treatment of.
Four, criterion of therapeutical effect:
1, curing: chest fluid is wholly absent, chest x-ray and B ultrasonic display are adhered without pachynsis pleurae；
2, take a turn for the better: chest fluid is wholly absent, but part pachynsis pleurae is adhered；
3, do not heal: chest fluid is not wholly absent.
Five, therapeutic effect: in this clinical observation case, take medicine 4-10 the course for the treatment of, cure 42 examples, take a turn for the better 8 examples, the most 4 examples.Toxic and side effects is there is not during treatment.
Six, model case:
Case 1: bent certain, man, 16 years old.There is chest distress without obvious inducement over nearly 3 months in patient's readme, with heating often, and cough, substantially increases the weight of after activity.Giving " antituberculotics " treatment two weeks at local hospital, sb.'s illness took a favorable turn, but exacerbation of symptoms after drug withdrawal.After 4 courses for the treatment of of medicament taking prepared by the Chinese medicine composition of the present invention, conscious sense uncomfortable in chest alleviates, without symptoms such as cough, heatings；Continue to take 3 courses for the treatment of, transference cure, cure.
Case 2: high certain, female, 28 years old.Patient's readme suffers from tuberculous pleuritis existing 3 years, always feels uncomfortable in chest, chest pain, is out of breath.Period took a lot of antiphthisic western medicine, but effect is the most inconspicuous.Taking 5 courses for the treatment of of medicament prepared by the Chinese medicine composition of the present invention, feeling of oppression and pain in the chest substantially alleviates, and chest x-ray display chest fluid disappears substantially；Continue after taking 3 courses for the treatment of, each transference cure, cure.

Claims (2)

1. the Chinese medicine composition treating tuberculous pleuritis, it is characterized in that: its raw material of Chinese medicine and weight be: Radix Astragali 10-30 part, Radix Bupleuri 10-20 part, Rhizoma Atractylodis Macrocephalae 10-20 part, Radix Curcumae 5-15 part, Rhizoma Polygonati Odorati 10-20 part, Fructus Arctii 5-15 part, Rhizoma Imperatae 10-20 part, Radix Rehmanniae Preparata 10-20 part, Flos Hibisci Rosae-Sinensis 10-20 part, Pseudobulbus Bletillae (Rhizoma Bletillae) 5-15 part, Herba Commelinae 10-20 part, Radix Stemonae 10-20 part, Herba Selaginellae Uncinatae 10-20 part, Radix Panacis Quinquefolii 5-15 part, Polyporus 10-20 part, Fructus Broussonetiae 10-20 part, Herba Ardisiae Japonicae 10-20 part, rose hip 5-15 part, Pheretima 10-20 part, Fructus Trichosanthis 10-20 part, Cortex Phellodendri 5-15 part, Concha Meretricis seu Cyclinae 10-20 part, Radix Glycyrrhizae 5-15 part.
A kind of Chinese medicine composition treating tuberculous pleuritis the most according to claim 1, it is characterised in that: its raw material of Chinese medicine and weight be: the Radix Astragali 20 parts, Radix Bupleuri 15 parts; the Rhizoma Atractylodis Macrocephalae 15 parts, Radix Curcumae 10 parts, Rhizoma Polygonati Odorati 15 parts; Fructus Arctii 10 parts, Rhizoma Imperatae 15 parts, Radix Rehmanniae Preparata 15 parts; Flos Hibisci Rosae-Sinensis 15 parts, the Pseudobulbus Bletillae (Rhizoma Bletillae) 10 parts, Herba Commelinae 15 parts; the Radix Stemonae 15 parts; Herba Selaginellae Uncinatae 15 parts, Radix Panacis Quinquefolii 10 parts, Polyporus 15 parts; Fructus Broussonetiae 15 parts; Herba Ardisiae Japonicae 15 parts, rose hip 10 parts, Pheretima 15 parts; Fructus Trichosanthis 15 parts; Cortex Phellodendri 10 parts, Concha Meretricis seu Cyclinae 15 parts, 10 parts of Radix Glycyrrhizae.
CN201610468551.XA 2016-06-25 2016-06-25 Traditional Chinese medicine composition for treating tuberculous pleurisy Pending CN105944027A (en)

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Citations (2)

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CN103386022A (en) * 2013-06-25 2013-11-13 李�杰 Chinese medicine composition for treating tuberculous pleurisy
CN104189847A (en) * 2014-09-19 2014-12-10 宋秀花 Traditional Chinese medicine for treating tuberculous exadative pleurisy

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103386022A (en) * 2013-06-25 2013-11-13 李�杰 Chinese medicine composition for treating tuberculous pleurisy
CN104189847A (en) * 2014-09-19 2014-12-10 宋秀花 Traditional Chinese medicine for treating tuberculous exadative pleurisy

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Application publication date: 20160921