CN106880827A - 一种治疗寒湿凝滞型痛经的中药组合物 - Google Patents
一种治疗寒湿凝滞型痛经的中药组合物 Download PDFInfo
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Abstract
本发明公开了一种药物，特别公开了一种治疗寒湿凝滞型痛经的中药组合物。该治疗寒湿凝滞型痛经的中药组合物，其特殊之处在于：是由以下重量份数的组分制成：小茴香6‑9、干姜6‑9、桂枝6‑9、醋延胡索10‑12、醋没药6‑12、炒苍术10‑20、茯苓15‑30、当归10‑20、川芎10‑20、肉桂6‑9、九香虫（炒）6‑9、淡附片6‑9、艾叶10‑20、紫石英20‑30、葫芦巴6‑9、乌药10‑15、醋香附10‑15。本发明通过温经止痛，活血化瘀，改善症状，达到治疗痛经的效果。疗效显著，提高了病人的生活质量。本发明的中药，疗效好，见效快，无副作用，有效率达98％。
Description
技术领域
本发明主要涉及中药领域，尤其涉及一种治疗寒湿凝滞型痛经的中药。
背景技术
痛经是妇女在经期或行经前后，在少腹及腰部发生疼痛的一种妇科病，亦称“经行腹痛”。轻者腰腹疼痛，重者剧痛难忍，呻吟不止，面色苍白，手足厥冷，头晕欲吐。对妇女身心健康造成很大痛苦，是妇科常见病之一。
寒湿凝滞型痛经多因受到寒气、湿气的入侵，日常生活、工作的环境经常潮湿阴冷，或者忽冷忽热，造成寒气下结，湿气不能顺畅排泄，形成血瘀的症状。表现为经前或经期小腹冷痛，遇冷、潮湿就会加重，喜温喜按，得暖痛减，经色淡量少，伴有腰酸腿软，手足欠温，小便清长等。舌质紫黯，或有瘀斑，瘀点，舌苔白或腻，脉弦或沉紧。
目前治疗痛经的药物，西医基本以镇痛、镇静、解痉以及激素制剂等疗法为主，副作用大，需长期服药，易产生耐受性，治标不治本，容易反复，且缺乏专门针对寒湿凝滞型痛经的药物。传统中医由于具有强调整体观念、协调阴阳、表本兼治、毒副作用小等优点，越来越被人们认可。
发明内容
本发明目的就是为了弥补已有技术的缺陷，提供一种专门治疗寒湿凝滞型痛经的中药组合物，它对于治疗寒湿凝滞型痛经疗效明显，安全方便，副作用小。
本发明是通过以下技术方案实现的：
一种治疗寒湿凝滞型痛经的中药组合物，其特征在于：各原料的重量配比（单位g）为:
小茴香6-9、干姜6-9、桂枝6-9、醋延胡索10-12、醋没药6-12、炒苍术10-20、茯苓15-30、当归10-20、川芎10-20、肉桂6-9、九香虫（炒）6-9、淡附片 6-9、艾叶10-20、 紫石英20-30、葫芦巴6-9、乌药10-15、醋香附10-15。
一种治疗寒湿凝滞型痛经的中药组合物，其优选为：各原料的重量配比（单位g）为: 小茴香8、干姜8、桂枝6、醋延胡索10、醋没药6、炒苍术12、茯苓20、当归12、川芎12、肉桂6、九香虫（炒）6、淡附片6、艾叶12、紫石英20、葫芦巴6、乌药10、醋香附10。
本发明的配制方法如下：将上述中药用冷水浸泡1小时后煎煮，煎煮水份超过中药2-3公分，在水沸腾后用文火煎煮50分钟，过滤倒出药液即可。分早晚，一日两次。
具体实施方式：
一种治疗寒湿凝滞型痛经的中药组合物，其优选为：其各原料的重量配比（单位g）为:小茴香8、干姜8、桂枝6、醋延胡索10、醋没药6、炒苍术12、茯苓20、当归12、川芎12、肉桂6、九香虫（炒）6、淡附片6、艾叶12、紫石英20、葫芦巴6、乌药10、醋香附10。
称取以上对应组的原料组分，按照汤药的常规制法，加水煮成汤剂服用。分早晚，一日两次。
临床观察：
一般资料：
（1）寒湿凝滞证症状轻重分级表：
（2）病情程度分级标准：
综合上述症状、体征评分，以判定病情程度。
轻度：症状、体征积分和<8分。
中度：症状、体征积分和8～14分。
重度：症状、体征积分和>14分。
（3）疗效评定标准 ：
本发明主要用于寒湿凝滞型痛经，故以痛经症状和程度的改善情况为疗效评定标准，分为以下四种：
治愈：治疗后经行腹痛消失，痛经症状积分减少≥90％；停药后3个月经周期未复发。
显效：治疗后经行腹痛明显减轻，痛经症状积分减少≥70％，<90％。
有效：治疗后经行腹痛减轻，痛经症状积分减少≥30％，<70％。
无效：治疗后经行腹痛无改善或加重，痛经症状积分减少<30％。
本发明人于 2012年1月至2014年5月，对 200例患者进行临床观察治疗。根据《中医病证诊断疗效标准》,确诊为寒湿凝滞型痛经。其中重度者16例，中度者86例，轻度者98例。
（4）治疗方法：
用本发明的药物用水煎煮取药液,每月经前连服7剂，调治持续3个月经周期，以巩固疗效。
(5)治疗效果：
临床治愈132例，显效54例，有效10例，无效4例，所有病例均无不良反应。
(6)总结：有效率98％，治愈率66％。
本发明通过温经止痛，活血化瘀，改善症状，达到治疗痛经的效果。方中小茴香，散寒止痛，理气和胃，活血、利气、止痛；干姜，温中逐寒，回阳通脉，治心腹冷痛，吐泻，肢冷脉微，寒次喘咳，风寒湿痹，阳虚吐、衄、下血；桂枝，可温经散寒，利水除湿，温通一身阳气，流畅一身血脉,且可调经通瘀；醋延胡索，活血散瘀，理气止痛，《本草经疏》曰：延胡索，温则能和畅，和畅则气行；辛则能润而走散,走散则血活,血活气行，故能主破血及产后诸病因血所为者；醋没药，散血消肿，定痛生肌 ；炒苍术，燥湿健脾，祛风散寒，明目；茯苓，利水渗湿，健脾和胃，宁心安神；当归，补血活血，调经止痛，润燥滑肠；川芎，活血行气，祛风止痛；肉桂，补元阳，暖脾胃，除积冷，通血脉；九香虫，理气止痛，温中助阳；淡附片，回阳救逆，温补脾肾，散寒止痛；艾叶，理气血，逐寒湿；温经，止血，安胎；紫石英，镇心，安神，降逆气，暖子宫；葫芦巴，温肾助阳，散寒止痛；乌药，温肾散寒，行气止痛，开胸解郁；醋香附，理气解郁，止痛调经。其疗效显著，大大减轻了患者痛苦，复发率明显下降，提高了患者的生活质量；而且其毒副作用相对较小，病人可安心服用。本发明的中药，疗效好，见效快，无副作用，有效率达98％。
为证明本发明具有很好的疗效，列举典型病例如下：
病例1.
张某，女，34岁，职员，2012年1月18日诊。经行腹痛2年余，现月经来潮第2天，少腹疼痛明显，伴恶心呕吐，手足欠温，形寒怯冷，腰痛重坠，月经涩滞不爽，色黯，血块量多，脉沉弦紧，舌淡，舌苔白腻，舌边有齿痕，中医诊断：痛经（寒湿凝滞型）。以本发明汤剂调治，连服7日，每日两次，嘱下次经前一周续服7日。2月15日二诊，月经来潮，未见明显腹痛，经色转红，无血块，行经5天干净，未见腹痛。随访3个月，月经周期为28天，经色红，5天干净，腹痛未见复发。
病例2.
刘某，女，23岁，职员，2013年8月14日，行经第二天前来就诊，小腹冷痛，按之痛甚，经量少，经血暗红有血块，畏寒肢冷，面色咣白，舌质暗红，苔白，脉沉弦紧，原起夏日吹空调较多，恰上次经期淋雨所致。曾去社区医院诊治，被诊断为痛经，给予吲哚美辛治疗，效果不佳。中医诊断：痛经（寒湿凝滞型）。以本发明汤剂调治，连服7日，每日两次，嘱下次经前一周续服7日。随后复诊，痊愈。
Claims (2)
1.一种治疗寒湿凝滞型痛经的中药组合物，其特征在于：其各原料的重量配比(单位g)为：小茴香6-9、干姜6-9、桂枝6-9、醋延胡索10-12、醋没药6-12、 炒苍术10-20、茯苓15-30、当归10-20、川芎10-20、肉桂6-9、九香虫（炒）6-9、淡附片 6-9、艾叶10-20、 紫石英20-30、葫芦巴6-9、乌药10-15、醋香附10-15。
2.如权利要求1所述的中药组合物，其特征在于：其各原料的重量配比(单位g)为：小茴香8、干姜8、桂枝6、醋延胡索10、醋没药6、炒苍术12、茯苓20、当归12、川芎12、肉桂6、九香虫（炒）6、淡附片6、艾叶12、紫石英20、葫芦巴6、乌药10、醋香附10。
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