CN106215161A - 一种改善血瘀体质的药物组合物和一种药砖及其制备方法 - Google Patents
一种改善血瘀体质的药物组合物和一种药砖及其制备方法 Download PDFInfo
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Abstract
本发明提供了一种药物组合物,包括桃仁100‑140份、大黄10‑50份、芒硝10‑40份、桂枝10‑50份、炙甘草10‑50份、红花10‑50份、川芎40‑80份、赤芍30‑70份、川牛膝10‑50份、当归30‑70份、生地10‑50份、柴胡60‑100份、枳壳10‑50份、穿山甲10‑50份、栝楼根40‑80份、水蛭40‑80份、虻虫10‑50份、蛴螬5‑35份、干漆10‑50份、苦杏仁10‑50份、黄芩40‑80份、白芍10‑50份、蒲黄10‑50份、丹皮30‑70份、生姜100‑140份、麦冬30‑70份、法半夏40‑80份。本发明还提供了使用所述药物组合物制备的药砖及其制备方法。
Description
技术领域
本发明涉及中药领域,具体而言,涉及一种改善血瘀体质的药物组合物和一种药砖及其制备方法。
背景技术
血瘀体质就是体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础,以血瘀表现为主要特征的体质状态。
《灵枢·逆顺肥手》云:“广肩腋,项肉薄,皮厚而黑色,唇临临然,其血黑以浊,其气涩以迟。”《灵枢·通天》:“太阴之人,多阴而无阳,其阴血浊,其卫气涩。”皆指出该型之人有气血凝滞、瘀浊不畅的特点。《伤寒论》237条:“所以然者,本有久瘀血,故令不忘。”《景岳全书》“禀有阴阳,则或以阴脏喜温暖……有血实不宜涩,有血瘀不宜泄……此固人人之有不同也。”
血行不畅,气血不能濡养机体,则形体消瘦,发易脱落,肌肤干或甲错;不通则痛,故易患疼痛,女性多见痛经;血行郁滞。则血色变紫变黑,故见面色晦黯,皮肤偏黯,口唇黯淡或紫,眼眶黯黑,鼻部黯滞;脉络瘀阻,则见皮肤色素沉着,容易出现瘀斑,妇女闭经,舌质黯有点、片状瘀斑、舌下静脉曲张、脉象细涩或结代;血液淤积不散而凝结成块,则见经色紫黑有块;血不循经而溢出脉外,则见崩漏。
通过外用药剂治疗血瘀,多采用中药热敷疗法,利用热毛巾、热水袋或者具有加热作用的治疗仪器,将中药敷在人体表,通过药物与热敷的双重作用,来缓解、治疗寒性体质。中药热敷疗法就是利用皮肤的生理特性,使药物通过皮肤表层吸收、角质层渗透和真皮转运进入血液循环而发挥药理效应。中药热敷集中了中医药疗、热疗、中药离子渗透治疗疗法等多种功能,融热度、湿度、药物浓度于一体,因病施治,药物对症,可有效治疗多种疾病。直接对中药进行加热,免去了传统的那种需要先将中药煎煮成液体繁复过程,通过由源源不断的热药分子以对流和渗透的方式直接作用于人体,扩张局部和全身的血管,促进体表组织的血液循环,改善皮肤的吸收作用,促进汗腺的大量分泌,加速皮肤的新陈代谢;同时由热敷药物中逸出的中药粒子(为分子或离子)作用于体表直接产生除螨、杀虫、杀菌、消炎、止痒、治痛等作用,或经透皮吸收人体通过激发组织细胞受体的生物化学过程发挥药疗作用,进而消除病灶。
但是,相关技术中的中药热敷疗法,由于中药需要和患者的表皮接触,而且还需要医护人员或者患者手持着毛巾、热水袋或者具有加热作用的治疗仪器,对敷有中药的位置加热,所以,不便于医护人员或者患者操作。因此,需要有新型的热敷疗法来解决上述问题。
现有技术中报道了使用养生火炕作为医疗器械,在火炕中加热制成药砖的药物组合物,以此方式给药时,加热后的药砖会释放中药粒子(为分子或者离子),从而经过透皮吸收进入人体内,激发组织细胞受体的生物化学过程挥发药疗的作用,进而达到治疗患处的目的。这样,不需要医护人员或者患者手持加热设备对患者的患处进行。
然而,由于常规用于中药热敷疗法与采用养生火炕加热药砖给药的方式差异很大,为了适应不同的给药方式,需要一种能够制备成药砖,并很好地适应加热给药这种给药方式的组合物,其同时还需兼具良好的药效。
有鉴于此,提出本发明。
发明内容
本发明的第一目的在于提供一种改善血瘀体质的药物组合物,所述的药物组合物能够有效地改善血瘀体质,并特别适应加热外用给药的给药方式;
本发明的第二目的在于提供一种药砖,所述药砖由所述药物组合物与黄土混合制备,能够很好地通过加热释放出药物活性物质,达到治疗效果;
本发明的第三目的在于提供所述药砖的制备方法,所述方法工序步骤明确,易于控制,重现性好。
为了实现本发明的上述目的,特采用以下技术方案:
本发明的一个方面涉及一种改善血瘀体质的药物组合物,所述组合物包括按重量份计的以下组分:
桃仁100-140份、大黄10-50份、芒硝10-40份、桂枝10-50份、炙甘草10-50份、红花10-50份、川芎40-80份、赤芍30-70份、川牛膝10-50份、当归30-70份、生地10-50份、柴胡60-100份、枳壳10-50份、桔梗60-100份、穿山甲10-50份、栝楼根40-80份、水蛭40-80份、虻虫10-50份、蛴螬5-35份、干漆10-50份、苦杏仁10-50份、黄芩40-80份、白芍10-50份、五灵脂10-50份、蒲黄10-50份、吴茱萸5-35份、丹皮30-70份、生姜100-140份、麦冬30-70份、法半夏40-80份。
桃仁、大黄、桂枝、芒硝、炙甘草之间具有配伍作用,其联用时可作为理血剂,具有逐瘀泻热之功效。主治下焦蓄血证。少腹急结,小便自利,神志如狂,甚则烦躁谵语,至夜发热;以及血瘀经闭,痛经,脉沉实而涩者。临床常用于治疗急性盆腔炎、胎盘滞留、附件炎、肠梗阻、子宫内膜异位症、急性脑出血等属瘀热互结下焦者。
桃仁、红花、当归、生地黄、牛膝、川芎、桔梗、赤芍、枳壳、甘草、柴胡之间具有配伍作用,其联用时可作为理血剂,具有活血化瘀,行气止痛之功效。主治胸中血瘀证。胸痛,头痛,日久不愈,痛如针刺而有定处,或呃逆日久不止,或饮水即呛,干呕,或内热瞀闷,或心悸怔忡,失眠多梦,急躁易怒,入暮潮热,唇暗或两目暗黑,舌质暗红,或舌有瘀斑、瘀点,脉涩或弦紧。临床常用于治疗冠心病心绞痛、风湿性心脏病、胸部挫伤及肋软骨炎之胸痛,以及脑血栓形成、高血压病、高脂血症、血栓闭塞性脉管炎、神经官能症、脑震荡后遗症之头痛、头晕等属瘀阻气滞者。
柴胡、瓜蒌根、当归、红花、甘草、穿山甲、大黄、桃仁之间具有配伍作用,其联用时可作为理血剂,具有活血祛瘀,疏肝通络之功效。主治跌打损伤,瘀血阻滞证。胁肋瘀肿,痛不可忍。临床常用于治疗肋间神经痛、肋软骨炎、胸胁部挫伤、乳腺增生症等属瘀血停滞者。
吴茱萸、桂枝、川芎、当归、芍药、丹皮、生姜、法半夏、麦冬之间具有配伍作用。其联用时可用于治疗跌打损伤,瘀血滞留胁肋,气机阻滞所致。胁肋为肝经循行之处,跌打损伤,瘀血停留,气机阻滞,故胁肋瘀肿疼痛,甚至痛不可忍。治当活血祛瘀,兼以疏肝行气通络。
熟大黄、鳖虫、水蛭、虻虫、蛴螬、干漆、桃仁、苦杏仁、黄芩、地黄、白芍、甘草具有配伍作用,其联用时可以活血破瘀,通经消症瘕。用于瘀血内停所致的症瘕、闭经,盆腔包块、子宫内膜异位症、继发性不孕症,症见腹部肿块、肌肤甲错、面色黯黑、潮热羸瘦、经闭不行。
优选地,所述组合物包括按重量份计的以下组分:
桃仁110-130份、大黄20-40份、芒硝20-30份、桂枝20-40份、炙甘草20-40份、红花20-40份、川芎50-70份、赤芍40-60份、川牛膝20-40份、当归40-60份、生地20-40份、柴胡70-90份、枳壳20-40份、桔梗70-90份、穿山甲20-40份、栝楼根50-70份、水蛭50-70份、虻虫25-35份、蛴螬10-30份、干漆20-40份、苦杏仁20-40份、黄芩50-70份、白芍20-40份、五灵脂20-40份、蒲黄20-40份、吴茱萸10-30份、丹皮40-60份、生姜110-130份、麦冬40-60份、法半夏50-70份。
优选地,所述组合物还包括辅药,优选地,所述辅药包括按重量份计的以下组分:
黄芪50-70份、党参70-90份、陈皮90-110份、青皮50-70份、木香50-70份、荔枝核90-110份、绿萼梅50-70份、娑罗子20-40份、三棱50-70份、莪术50-70份、姜黄20-40份、延胡索20-40份、鳖虫20-40份、何首乌50-70份。
黄芪,甘,微温。归肺、脾、肝、肾经。其有增强机体免疫功能、保肝、利尿、抗衰老、抗应激、降压和较广泛的抗菌作用。但表实邪盛,气滞湿阻,食积停滞,痈疽初起或溃后热毒尚盛等实证,以及阴虚阳亢者,均须禁服。
党参,味甘,性平。有补中益气、止渴、健脾益肺,养血生津。用于脾肺气虚,食少倦怠,咳嗽虚喘,气血不足,面色萎黄,心悸气短,津伤口渴,内热消渴。懒言短气、四肢无力、食欲不佳、气虚、气津两虚、气血双亏以及血虚萎黄等症。但表证未解而中满邪实的不能用。该品功效与人参相似,惟药力薄弱。治一般虚证,可代替人参使用;虚脱重证,则仍用人参为宜。秋季采挖,洗净,晒干。
陈皮,味苦、辛,性温。归肺、脾经。理气健脾,燥湿化痰。用于脘腹胀满,食少吐泻,咳嗽痰多。
青皮,味苦、辛,性温。归肝、胆、胃经。有疏肝破气,消积化滞的功效。用于胸胁胀痛,疝气疼痛,乳癖,乳痈,食积气滞,脘腹胀痛。
木香,味辛、苦,性温,归脾;大肠、三焦经。可行气,止痛,健脾,消食
荔枝核,甘、微苦,温。归肝、肾经。具有行气散结,祛寒止痛的功效。用于寒疝腹痛,睾丸肿痛。
绿萼梅,酸涩,平。归肝、胃、肺经舒肝,和胃,化痰。治梅核气,肝胃气痛,食欲不振,头晕,瘰疬。
绿萼梅花色洁白,香味极浓,有“花中君子”的美称。它性平,最大特点就是能够理气,调理脾胃,疏理气血,但却不会伤阴,非常难得。所以无论是家里的老人,还是幼小宝宝,都可以用绿萼梅来保健。常用于郁闷心烦、肝胃气痛、食欲不振等症。绿萼梅水外用还能预防面部血瘀形成斑点。绿萼梅还有以下两个功效。
娑罗子,甘,温。归肝、胃经。可理气宽中,和胃止痛。用于胸腹胀闷,胃脘疼痛。治胃寒作痛,脘腹胀满,疳积虫痛,疟疾,痢疾。相关的文献记载如下。
何首乌,苦、甘、涩,微温。归肝、肾经。可补益精血,截疟,解毒,润肠通便。补肝,益肾,养血,祛风。治肝肾阴亏,发须早白,血虚头晕,腰膝软弱,筋骨酸痛,遗精,崩带,久疟,久痢,慢性肝炎,痈肿,瘰疬,肠风,痔疾。制首乌补肝肾,益精血,乌须发,壮筋骨;用于眩晕耳鸣、须发早白、腰膝酸软、肢体麻木、神经衰弱、高血脂症。
三棱,辛、苦,平。归肝、脾经。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。
莪术,辛、苦,温。归肝、脾经能治行气止痛、积散结、破血祛瘀作用。
鳖虫,味咸,性寒。归肝经。破血逐瘀,续筋接骨。具有破血逐瘀,续筋接骨之功效。用于跌打损伤,筋伤骨折,血瘀经闭,产后瘀阻腹痛,瘾瘕痞块。
姜黄,辛苦,温。入脾、肝经。姜黄能行气破瘀,通经止痛。主治胸腹胀痛,肩臂痹痛,心痛难忍,产后血痛,疮癣初发,月经不调,闭经,跌打损伤。
破血,行气,通经,止痛。治心腹痞满胀痛,臂痛,症瘕,妇女血瘀经闭,产后瘀停腹痛,跌扑损伤,痈肿。用于气滞血瘀的胸腹痛、痛经及肢体疼痛,常配元胡、香附。
延胡索,辛;苦;温;无毒。归肝;胃;心;肺;脾经。具有活血、散瘀、理气、止痛的功效。主心腹腰膝诸痛;月经不调;症瘕;崩中;产后血晕;恶露不尽;跌打损伤。用于行气止痛、活血散瘀、跌打损伤等。
本发明的另一方面涉及一种用于改善血瘀体质的药砖,所述药砖主要由所述的药物组合物和黄土制成。
黄土与中草药及各种矿物质能够有机结合,选用的黄土中含有对人身体有益的硼、碘、锌、硒、铜、镁、钙等30多种微量元素,起到抗衰老、抗癌变、维持细胞膜的稳定性、提高免疫功能,再与中草药及各种矿物质的有机结合后,产品的养生功效得到了极大的提高。
优选地,所述黄土和所述药物组合物的重量比为:(0.5-2):1。
本发明的另一方面涉及所述药砖的制备方法,所述方法包括以下步骤:
1)将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;
2)将所述桃核承气汤汤和血府逐瘀汤混合并减压浓缩得中间浓缩液;
3)将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液;
4)将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏干燥、粉碎并混匀后,并与所述最终浓缩液混合制得混合物;
5)将所述混合物冲压成型并烘干定型,制得成品药砖。
通过将某些特定组分共同水煎,可以充分发挥其协同配伍的作用,形成具有良好药效的汤剂,其与其他组分的粉碎物和黄土混匀后可以充分发挥各组分之间的协同增效作用,并得到特别适宜于养生火炕的加热给药方式的药砖。
优选地,所述方法的步骤4)中,将黄芪、党参、陈皮、青皮、木香、荔枝核、绿萼梅、娑罗子、三棱、莪术、姜黄、延胡索、鳖虫、何首乌分别制成饮片后粉碎,与其他组分的粉碎物混合,并一同与所述最终浓缩液混合制得混合物。
优选地,所述中间浓缩液,在50℃时的相对密度为1.05-1.08g/cm3;所述最终浓缩液在50℃时的相对密度为1.30-1.35g/cm3。
通过将汤剂浓缩,可以便于后续步骤中其与粉末状的其他组分的混合。
优选地,所述步骤1)中,煎煮进行两次,每次加入水的重量为待煎煮药材总重量的8-12倍,每次煎煮时间为50-70min,每次煎煮后滤液过300目筛。
水煎药物组合物种的一些组分,可以利于提取药材中的有效成分,并且使得其有害成分随药渣一起滤除。
优选地,所述步骤5)中,冲压过程中的加压时间为2-3min,烘干温度为40-45℃,优选地,烘干持续时间为1.5-2.5h。
与现有技术相比,本发明的有益效果为:
本发明的药物组合物能够有效地改善血瘀体质,并特别适应加热外用给药的给药方式;
本发明的药砖由所述药物组合物与黄土混合制备,能够很好地通过加热释放出药物活性物质,达到治疗效果;
本发明提供的制备方法,工序步骤明确,易于控制,重现性好。
具体实施方式
下面将结合实施例对本发明的实施方案进行详细描述,但是本领域技术人员将会理解,下列实施例仅用于说明本发明,而不应视为限制本发明的范围。实施例中未注明具体条件者,按照常规条件或制造商建议的条件进行。所用试剂或仪器未注明生产厂商者,均为可以通过市售购买获得的常规产品。
实施例1
按照如下步骤制备用于治疗血瘀体质的药砖
1.准备按重量份计的以下原料以及药材总重0.5倍量的黄土
桃仁100份、大黄10份、芒硝10份、桂枝10份、炙甘草10份、红花10份、川芎40份、赤芍30份、川牛膝10份、当归30份、生地10份、柴胡60份、枳壳10份、桔梗60份、穿山甲10份、栝楼根40份、水蛭40份、虻虫10份、蛴螬5份、干漆10份、苦杏仁10份、黄芩40份、白芍10份、五灵脂10份、蒲黄10份、吴茱萸5份、丹皮30份、生姜100份、麦冬30份、法半夏40份。
2.将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;煎煮进行两次,每次加入水的重量为待煎煮药材总重量的8倍,每次煎煮时间为50min,每次煎煮后滤液过300目筛。
3.将所述桃核承气汤和血府逐瘀汤混合并减压浓缩得中间浓缩液所述中间浓缩液,在50℃时的相对密度为1.05g/cm3;
4.将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液,所述最终浓缩液在50℃时的相对密度为1.30g/cm3;
5.将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
6.将所述混合物冲压成型并烘干定型,制得成品药砖,其中,冲压过程中的加压时间为2min,烘干温度为40℃,烘干持续时间为1.5h。
实施例2
按照如下步骤制备用于治疗血瘀体质的药砖
1.准备按重量份计的以下原料以及药材总重2倍量的黄土
桃仁140份、大黄50份、芒硝40份、桂枝50份、炙甘草50份、红花50份、川芎80份、赤芍70份、川牛膝50份、当归70份、生地50份、柴胡100份、枳壳50份、桔梗100份、穿山甲50份、栝楼根80份、水蛭80份、虻虫50份、蛴螬35份、干漆50份、苦杏仁50份、黄芩80份、白芍50份、五灵脂50份、蒲黄50份、吴茱萸35份、丹皮70份、生姜140份、麦冬70份、法半夏80份。
2.将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;煎煮进行两次,每次加入水的重量为待煎煮药材总重量的12倍,每次煎煮时间为70min,每次煎煮后滤液过300目筛。
3.将所述桃核承气汤和血府逐瘀汤混合并减压浓缩得中间浓缩液所述中间浓缩液,在50℃时的相对密度为1.08g/cm3;
4.将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液,所述最终浓缩液在50℃时的相对密度为1.35g/cm3;
5.将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
6.将所述混合物冲压成型并烘干定型,制得成品药砖,其中,冲压过程中的加压时间为3min,烘干温度为45℃,烘干持续时间为2.5h。
实施例3
按照如下步骤制备用于治疗血瘀体质的药砖
1.准备按重量份计的以下原料以及药材总重1.5倍量的黄土
桃仁110份、大黄20份、芒硝20份、桂枝20份、炙甘草20份、红花20份、川芎50份、赤芍40份、川牛膝20份、当归40份、生地20份、柴胡70份、枳壳20份、桔梗70份、穿山甲20份、栝楼根50份、水蛭50份、虻虫25份、蛴螬10份、干漆20份、苦杏仁20份、黄芩50份、白芍20份、五灵脂20份、蒲黄20份、吴茱萸10份、丹皮40份、生姜110份、麦冬40份、法半夏50份、黄芪50份、党参70份、陈皮90份、青皮50份、木香50份、荔枝核90份、绿萼梅50份、娑罗子20份、三棱50份、莪术50份、姜黄20份、延胡索20份、鳖虫20份、何首乌50份。
2.将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;煎煮进行两次,每次加入水的重量为待煎煮药材总重量的12倍,每次煎煮时间为70min,每次煎煮后滤液过300目筛。
3.将所述桃核承气汤和血府逐瘀汤混合并减压浓缩得中间浓缩液所述中间浓缩液,在50℃时的相对密度为1.08g/cm3;
4.将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液,所述最终浓缩液在50℃时的相对密度为1.35g/cm3;
5.将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏、党参、陈皮、青皮、木香、荔枝核、绿萼梅、娑罗子、三棱、莪术、姜黄、延胡索、鳖虫、何首乌干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
6.将所述混合物冲压成型并烘干定型,制得成品药砖,其中,冲压过程中的加压时间为3min,烘干温度为45℃,烘干持续时间为2.5h。
实施例4
按照如下步骤制备用于治疗血瘀体质的药砖
1.准备按重量份计的以下原料以及药材总重1倍量的黄土
桃仁130份、大黄40份、芒硝30份、桂枝40份、炙甘草40份、红花40份、川芎70份、赤芍60份、川牛膝40份、当归60份、生地40份、柴胡90份、枳壳40份、桔梗90份、穿山甲40份、栝楼根70份、水蛭70份、虻虫35份、蛴螬30份、干漆40份、苦杏仁40份、黄芩70份、白芍40份、五灵脂40份、蒲黄40份、吴茱萸30份、丹皮60份、生姜130份、麦冬60份、法半夏70份、黄芪70份、党参90份、陈皮110份、青皮70份、木香70份、荔枝核110份、绿萼梅70份、娑罗子40份、三棱70份、莪术70份、姜黄40份、延胡索40份、鳖虫40份、何首乌70份。
2.将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;煎煮进行两次,每次加入水的重量为待煎煮药材总重量的10倍,每次煎煮时间为65min,每次煎煮后滤液过300目筛。
3.将所述桃核承气汤和血府逐瘀汤混合并减压浓缩得中间浓缩液所述中间浓缩液,在50℃时的相对密度为1.07g/cm3;
4.将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液,所述最终浓缩液在50℃时的相对密度为1.33g/cm3;
5.将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏、党参、陈皮、青皮、木香、荔枝核、绿萼梅、娑罗子、三棱、莪术、姜黄、延胡索、鳖虫、何首乌干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
6.将所述混合物冲压成型并烘干定型,制得成品药砖,其中,冲压过程中的加压时间为2min,烘干温度为42℃,烘干持续时间为1.5h。
实施例5
按照如下步骤制备用于治疗血瘀体质的药砖
1.准备按重量份计的以下原料以及药材总重1.5倍量的黄土
桃仁120份、大黄30份、芒硝20份、桂枝30份、炙甘草30份、红花30份、川芎60份、赤芍50份、川牛膝30份、当归50份、生地30份、柴胡80份、枳壳30份、桔梗80份、穿山甲30份、栝楼根60份、鳖虫30份、水蛭60份、虻虫30份、蛴螬15份、干漆30份、苦杏仁30份、黄芩60份、白芍30份、五灵脂30份、蒲黄30份、吴茱萸15份、丹皮50份、生姜120份、麦冬50份、法半夏60份、黄芪60份、党参80份、陈皮100份、青皮60份、木香60份、荔枝核100份、绿萼梅60份、娑罗子30份、三棱60份、莪术60份、姜黄30份、延胡索30份、何首乌60份。
2.将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;煎煮进行两次,每次加入水的重量为待煎煮药材总重量的12倍,每次煎煮时间为70min,每次煎煮后滤液过300目筛。
3.将所述桃核承气汤和血府逐瘀汤混合并减压浓缩得中间浓缩液所述中间浓缩液,在50℃时的相对密度为1.06g/cm3;
4.将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液,所述最终浓缩液在50℃时的相对密度为1.32g/cm3;
5.将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏、党参、陈皮、青皮、木香、荔枝核、绿萼梅、娑罗子、三棱、莪术、姜黄、延胡索、鳖虫、何首乌干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
6.将所述混合物冲压成型并烘干定型,制得成品药砖,其中,冲压过程中的加压时间为3min,烘干温度为42℃,烘干持续时间为2h。
实验例
征募500名血瘀体质的志愿者,平均分为5组,组1-5分别使用实施例1-5中制备的药砖配合养生火炕进行治疗实验,治疗两周后,对其体质的血瘀状况进行测评,并最终给出治疗效果的评价,评价分为好、中、差三种;其中,血瘀体质得到明显改善,血瘀症状基本完全消失的评为好;血瘀体质得到有效改善,血瘀症状部分消失的评为中;血瘀体质基本无改善,血瘀导致的症状几乎未见消失的评为差,得到各评价的志愿者人数统计结果如下表所示。
组别/效果评价 | 好 | 中 | 差 |
1 | 78 | 13 | 9 |
2 | 82 | 16 | 2 |
3 | 87 | 13 | 0 |
4 | 94 | 6 | 0 |
5 | 96 | 4 | 0 |
由上表可以看出,本发明的药砖,尤其是按照本发明优选组分配比制备的药砖,在治疗血瘀体质方面有效率极高。
尽管已用具体实施例来说明和描述了本发明,然而应意识到,在不背离本发明的精神和范围的情况下可以作出许多其它的更改和修改。因此,这意味着在所附权利要求中包括属于本发明范围内的所有这些变化和修改。
Claims (10)
1.一种改善血瘀体质的药物组合物,其特征在于,所述组合物包括按重量份计的以下组分:
桃仁100-140份、大黄10-50份、芒硝10-40份、桂枝10-50份、炙甘草10-50份、红花10-50份、川芎40-80份、赤芍30-70份、川牛膝10-50份、当归30-70份、生地10-50份、柴胡60-100份、枳壳10-50份、桔梗60-100份、穿山甲10-50份、栝楼根40-80份、水蛭40-80份、虻虫10-50份、蛴螬5-35份、干漆10-50份、苦杏仁10-50份、黄芩40-80份、白芍10-50份、五灵脂10-50份、蒲黄10-50份、吴茱萸5-35份、丹皮30-70份、生姜100-140份、麦冬30-70份、法半夏40-80份。
2.根据权利要求1所述的药物组合物,其特征在于,所述组合物包括按重量份计的以下组分:
桃仁110-130份、大黄20-40份、芒硝20-30份、桂枝20-40份、炙甘草20-40份、红花20-40份、川芎50-70份、赤芍40-60份、川牛膝20-40份、当归40-60份、生地20-40份、柴胡70-90份、枳壳20-40份、桔梗70-90份、穿山甲20-40份、栝楼根50-70份、水蛭50-70份、虻虫25-35份、蛴螬10-30份、干漆20-40份、苦杏仁20-40份、黄芩50-70份、白芍20-40份、五灵脂20-40份、蒲黄20-40份、吴茱萸10-30份、丹皮40-60份、生姜110-130份、麦冬40-60份、法半夏50-70份。
3.根据权利要求1所述的药物组合物,其特征在于,所述组合物还包括辅药,优选地,所述辅药包括按重量份计的以下组分:
黄芪50-70份、党参70-90份、陈皮90-110份、青皮50-70份、木香50-70份、荔枝核90-110份、绿萼梅50-70份、娑罗子20-40份、三棱50-70份、莪术50-70份、姜黄20-40份、延胡索20-40份、鳖虫20-40份、何首乌50-70份。
4.一种用于改善血瘀体质的药砖,其特征在于,所述药砖主要由权利要求1-3中任意一项所述的药物组合物和黄土制成。
5.根据权利要求4所述的药砖,其特征在于,所述黄土和所述药物组合物的重量比为:(0.5-2):1。
6.权利要求4或5所述的药砖的制备方法,其特征在于,所述方法包括以下步骤:
1)将桃仁、大黄、桂枝、芒硝、炙甘草加水煎煮得桃核承气汤;将桃仁、红花、当归、生地、川牛膝、川芎、桔梗、赤芍、枳壳、柴胡加水煎煮得到血府逐瘀汤;
2)将所述桃核承气汤汤和血府逐瘀汤混合并减压浓缩得中间浓缩液;
3)将所述中间浓缩液置于夹层锅内继续浓缩,得最终浓缩液;
4)将穿山甲、栝楼根、水蛭、虻虫、蛴螬、干漆、苦杏仁、黄芩、白芍、五灵脂、蒲黄、吴茱萸、丹皮、生姜、麦冬、法半夏干燥、粉碎并混匀后,与所述最终浓缩液混合制得混合物;
5)将所述混合物冲压成型并烘干定型,制得成品药砖。
7.根据权利要求6所述的方法,其特征在于,所述方法的步骤4)中,将黄芪、党参、陈皮、青皮、木香、荔枝核、绿萼梅、娑罗子、三棱、莪术、姜黄、延胡索、鳖虫、何首乌分别制成饮片后粉碎,与其他组分的粉碎物混合,并一同与所述最终浓缩液混合制得混合物。
8.根据权利要求6所述的方法,其特征在于,所述中间浓缩液,在50℃时的相对密度为1.05-1.08g/cm3;所述最终浓缩液在50℃时的相对密度为1.30-1.35g/cm3。
9.根据权利要求6所述的方法,其特征在于,所述步骤1)中,煎煮进行两次,每次加入水的重量为待煎煮药材总重量的8-12倍,每次煎煮时间为50-70min,每次煎煮后滤液过300目筛。
10.根据权利要求6所述的方法,其特征在于,所述步骤5)中,冲压过程中的加压时间为2-3min,烘干温度为40-45℃,优选地,烘干持续时间为1.5-2.5h。
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