CN107137585A - A kind of pharmaceutical composition for treating primary trigeminal neuralgia - Google Patents

A kind of pharmaceutical composition for treating primary trigeminal neuralgia Download PDF

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CN107137585A
CN107137585A CN201710338741.4A CN201710338741A CN107137585A CN 107137585 A CN107137585 A CN 107137585A CN 201710338741 A CN201710338741 A CN 201710338741A CN 107137585 A CN107137585 A CN 107137585A
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medicine
decoction
drug
blood
trigeminal neuralgia
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臧运华
高向慧
郑志轩
王群
周喜燕
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Abstract

The present invention relates to a kind of pharmaceutical composition for treating primary trigeminal neuralgia, scorpio, tortoise plastron, cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear gall, adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus is made by following bulk drug in it;Wherein monarch drug in a prescription is scorpio, tortoise plastron, cassia seed, and ministerial drug is corydalis tuber, dragon's blood, cow-bezoar, bear gall, and adjutant is adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, and it is fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus to make medicine.The pharmaceutical composition prescription medicine monosodium glutamate letter of present invention treatment primary trigeminal neuralgia, all herbal medicines are again mutually coordinated while respectively voluntarily imitating, it is combined with each other in terms of primary trigeminal neuralgia is treated and achieves unexpected technique effect, all kinds of examples of patient more than 300 have been cured at present, it is efficient up to more than 97%.The present invention has the advantages that rapid-action, efficiency high, short treating period and uneasy to recur;Other distinctive four-quadrant point technique processed is easy to grasp and applied.

Description

A kind of pharmaceutical composition for treating primary trigeminal neuralgia
Technical field
The present invention relates to technical field of traditional Chinese medicines, it is related to a kind of Neurology drug application, more particularly to one kind is treated primary The pharmaceutical composition of property trigeminal neuralgia.
Background technology
Trigeminal neuralgia is a kind of Neurology common disease, with recurrent exerbation in the face trigeminal neuralgia distributed area of side Acutely pain is main sign to paroxysmal, and symptom feature is the rapid hair of morbidity, all standing, sudden strain of a muscle in Head And Face trigeminal neuralgia distributed areas Electric sample, cut sample, sample, intractable, insufferable severity pain are burnt, so that normal live and work is influenceed, it is domestic It is about 52 in every 100,000 people to count the sick incidence of disease.Wherein, primary trigeminal neuralgia is trigeminal neuralgia parting In a most common type, the primary trigeminal neuralgia general several seconds, to stopping suddenly after several minutes, has no other concurrent Disease is adjoint.There is especially sensitive trigger point in trigeminal neuralgia distributed area, and pain is usually confined to unilateral trigeminal neuralgia a certain branch or many Branch, has benefited from the development of the microsurgical vascular decompression of neurosurgery in recent years, and primary trident is found by microdissection operation Neuralgia also has a close relationship with facial microvascular, caused by main cause is adjacent blood vessel compressing Roots of trigeminal nerve, absolutely It is most of to have oppressed nerve root from the top of Roots of trigeminal nerve or interior top for artery on small glue, minority for AICA from Nerve root has been oppressed in the lower section of Roots of trigeminal nerve, and as reply, the method clinically more commonly used focuses mostly in neurosurgery hand Art is treated, and peripheral branch Avulsion, amputation and spinal tract of trigeminal nerve amputation are not appropriate for the patient of all age levels, and Pain is big relatively, risk is high, expense is more;, mostly can only be by taking carbamazepine or alcohol and Neurology is in Western medicine field The mode of injection is implemented passive control to illness and alleviated, but therapeutic effect is poor, recovery period big, easily recurrence, is used as trident god The carbamazepine of choice drug makes the medicine be difficult to be used for a long time because side effect is big or risk is higher in dysmenorrhoea god.
The content of the invention
Caused by traditional Chinese medicine thinks that primary trigeminal neuralgia is all internal cause, therefore in traditional prescription the monarch and his subjects formula, with relaxing muscles and tendons Dredging collateral, it is promoting blood circulation and removing blood stasis for the purpose of, evolution be Ligusticum wallichii, rhizoma Gastrodiae, radix glycyrrhizae, the dried rhizome of rehmannia, safflower isothermal botanical herbses, although formula it is appropriate Insure, but therapeutic effect is extremely limited, and intrinsically, traditional herbal medicine is the chronic medicine that takes stopgap measures.It is modern by combining The combination of Chinese tradiational and Western medicine and god are outer first to operation, and the artificial primary trigeminal neuralgia of the applicant can combine Traditional Chinese medical theory, sum up To accumulate in heat toxin, rising up of the stomach-fire, liver-fire flaming, can also further innovate it is dialectical for blood it is not normal so that qi and blood in length and breadth, train of thought hand over It is wrong, condense in artery on the small glue of encephalic, primary trigeminal neuralgia illness is made a return journey rapid and pain is violent, must have in the monarch and his subjects' medicine The violent medicine of tiger and wolf quickly suppresses, then is adjusted and smooth out with adjuvant thing so that the follow-up property of medicine of prescription is attributed to persistently gentle, therefore this treatment is former The pharmaceutical composition of hair property trigeminal neuralgia is made up of following bulk drug, scorpio, tortoise plastron, cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear Courage, adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus;Wherein monarch drug in a prescription be scorpio, tortoise plastron, Cassia seed, ministerial drug is corydalis tuber, dragon's blood, cow-bezoar, bear gall, and adjutant is adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, and it is fructus viticis, meat to make medicine Osmanthus, longstalk condorvine herb, Semen Cuscutae, hippocampus.
Further preferably, the scorpio, the weight ratio of tortoise plastron are 1:3.
Further preferably, the proportioning of the bulk drug is, 1 part of scorpio, 3 parts of tortoise plastron, 10 parts of cassia seed, 40 parts of corydalis tuber, blood Exhaust 20 parts, 3 parts of cow-bezoar, 3 parts of bear gall, 5 parts of adenophora tetraphylla, 5 parts of rhizoma nardostachyos, 10 parts of tendril-leaved fritillary bulb, 10 parts of radix polygonati officinalis, 8 parts of fructus viticis, 6 parts of Chinese cassia tree, 3 parts of longstalk condorvine herb, 5 parts of Semen Cuscutae, hippocampus 3 part.
Further, the formula of the bulk drug is, scorpio 1g, tortoise plastron 3g, cassia seed 10g, corydalis tuber 40g, dragon's blood 20g, Cow-bezoar 3g, bear gall 3g, adenophora tetraphylla 5g, rhizoma nardostachyos 5g, tendril-leaved fritillary bulb 10g, radix polygonati officinalis 10g, fructus viticis 8g, Chinese cassia tree 6g, longstalk condorvine herb 3g, Semen Cuscutae 5g, hippocampus 3 g.
Bulk drug pharmacology and formulation principle:
Scorpio:Classification system Buthus martensii Karsch. are Buthidae animal buthus martensii Karscs.It is pungent, it is mild-natured; Enter liver, stomach, the heart channel of Hang-Shaoyin;Property of medicine promoting blood circulation, inducing meastruation to relieve menalgia, relieving restlessness that clears away heart-fire, cool blood to disappear carbuncle;Side in main promoting blood circulation to remove blood stasis, remove obstruction in channels to relieve pain, We take the attribute that its Return liver, stomach, the heart three are passed through, and can disappear down stomach fire, the multiple liver of anti-inflammatory, and the property of medicine is violent, and relieving pain and activating blood circulation works rapid.
Tortoise plastron:The carapace and plastron of Classification system Chinemys reevesii. Testudinidae animal tortoises.Taste is salty, sweet, and property is micro- It is cold;Return liver, stomach, the heart channel of Hang-Shaoyin;The property of medicine is gentle, removing toxic substances is put down a rebellion, it is solid through only collapsing, nourishing and suppressing Yang, the strong bone of kidney-nourishing, blood-nourishing bushing.For the moon Empty hectic fever, hectic fever due to yin night sweat, has a dizzy spell, endogenous deficient wind, muscles and bones impotence, has a guilty conscience forgetful, and uterine bleeding is through more.We take it to put down a rebellion benefit Gas, evacuation blood knot encephalic, only collapse vein in length and breadth, the attribute passed through with Return liver, stomach, the heart three.
Cassia seed:The dry mature seed of Classification system Catsia tora Linn. legumes Cassia or little Cassia tora.Taste Sweet, hardship, it is cold in nature;Enter liver, kidney, the heart channel of Hang-Shaoyin;Property of medicine promoting blood circulation, inducing meastruation to relieve menalgia, relieving restlessness that clears away heart-fire, cool blood to disappear carbuncle.We take it to reduce In encephalic capillary blood pressure and it is promoting blood circulation and removing obstruction in channels the effect of, have removing toxic substances effect with fixed attention concurrently, the attribute passed through with Return liver, kidney, the heart three.
In summary, we's selection scorpio, tortoise plastron, the taste animal of cassia seed three, mineral medicine are monarch drug in a prescription, and its object is to pin Trigeminal neuralgia is made a return journey rapidly, sharp ache the characteristics of, the vigorous scorpio of the selection property of medicine is flat as targeted drug, tortoise plastron Slow property medicine, cassia seed are harmonicity medicine, for accumulateing in " " heat toxin, rising up of the stomach-fire, liver-fire flaming, and qi and blood in length and breadth, arteries and veins Network interlocks, condensed in artery on the small glue of encephalic " dialectical type and wanted organ-tissue, make every effort to direct at exterior syndrome, in onset time and Real effect, scorpio, tortoise plastron 1 are played in drug action:3 mediation for wanting the timely equivalent of toxicity progress with comparison scorpio, The side effects such as the caused deficiency of vital energy are restrained and offset, tortoise plastron gently repairs, but works and slightly delays, consumption is greatly to reconcile other three tastes monarchs Principle of reatment is set to by medicine, tortoise plastron, consolidates based on scattered stomach fire, protect liver void, inducing diaphoresis is promoting blood circulation and removing obstruction in channels auxiliary, therefore effect target selection Clearly, monarch drug in a prescription needs quick acting, and gets around other channels and collaterals as far as possible and go directly drug effect internal organs, centipede in selected three tastes bulk drug, Scorpio, the dried venom of toads are included into liver, stomach, the warp of the heart three, and can go directly blood vessel rapid-onset in the case where being guided without priming, and protect liver protects stomach, does not lead Unrelated internal organs are pulled, the collaboration of three tastes is that scorpio dissipates straight-through cool blood, and tortoise plastron amount senior general entirety monarch drug in a prescription four gas turns temperature, and cassia seed works slow Slow but efficacy stability, the straight-through dredging collateral that scorpio serves immediately is continued to consolidate in the later stage, is cooperateed with the conditioning of the four-quadrant five tastes Mutual aid row is imitated.
Corydalis tuber:Classification system Corydalis Rhizoma. bitters, micro-pungent, it is warm-natured.Enter liver, stomach.The property of medicine is invigorated blood circulation, profit Gas, analgesic.Treat for stomachache, chest and hypochondrium, stomachache, sudden and violent pain in the back, colic, dysmenorrhoea, postpartum abdominal pain due to blood stasis , Disorder lumps in the abdomen, traumatic injury.Now it is used for Treat coronary heart disease, arrhythmia cordis.We take the effect of its is promoting blood circulation and removing obstruction in channels, the effect of eliminating damage, are passed through with Return liver, stomach, the heart three Attribute.
Cow-bezoar:Knot in Classification system Bos taurus domesticusGmelin. bovids oxes or buffalo gall-bladder Stone.It is bitter, sweet, it is cool in nature;Enter the heart, Liver Channel;Property of medicine waking up the patient from unconsciousness by clearing away heart fire, slit phlegm arresting convulsion is clearing heat and detoxicating;Cow-bezoar is oral to animal, with anti- Convulsions, sedation, and can antipyretic, anti-inflammatory and stimulation enterocinesia, a defecating feces excretion.We take the small anti-high-blood-sugar function of cow-bezoar and Some cardiotonics, deoxycholic aicd has calm, anticonvulsion and choleretic effect.
Bear gall:Drying bile in Classification system Selenarctos thibetanus. ursidae animal black bear gall-bladders.Taste Hardship, it is cold in nature;It is clearing heat and detoxicating, improving eyesight, only convulsion;For excessive heat of infant infantile convulsion, epilepsy is twitched, jaundice.
Cow-bezoar, bear gall share influence of the zoopery to intracranial vessel, and zoopery shows that cow-bezoar is at most excited, bear gall At most suppress.
For primary trigeminal neuralgia treatment, inducing diaphoresis medication needs channeled through focus, consolidates, need to follow drop Stomach Qi, protect liver, promoting the circulation of qi, the principle of promoting blood circulation, we's selection corydalis tuber, dragon's blood, cow-bezoar, bear gall four traditional Chinese medicine material are as ministerial drug, wherein member Recklessly, dragon's blood priming enters blood, cow-bezoar, bear gall balance intracranial blood pressure, and aids in confrontation scorpio to write residual poison mutual aid blood-breaking, regulation Intracranial vessel and the trifacial blood vessel of periphery cohesion compressing.
Adenophora tetraphylla:The dry root of Classification system RadixAdenophorae. Campanulaceae wheel blades.It is sweet, it is mild-natured;Return Lung, stomach;Property of medicine nourishiing yin to clear away the lung-heat, reinforcing stomach reg fluid, resolving sputum, QI invigorating;For lung-heat type cough, deficiency of Yin overstrain cough, dry cough phlegm is sticked, and stomach-Yin is not Foot, deficiency of food vomiting, deficiency of both vital energy and Yin, restlessness and fever with thirst.We take it to calm down the cold of the tuber of multiflower knotweed, adenophora tetraphylla decoction have reduction body temperature, Ease pain, the effect such as velocity of blood flow of releiving.
Rhizoma nardostachyos:Classification system Nardostachys chinensis Batal. patrinia herb rhizoma nardostachyos root and rhizomes.Taste It is sweet, pungent, it is warm-natured;Enter spleen, stomach;Property of medicine regulating qi-flowing for relieving pain, appetizing of being amusing is active to stimulate the menstrual flow;For abdominal fullness and distention, poor appetite is vomitted Tell;Toothache, tinea pedis pyogenic infections are controlled in external application.We take its active dysmenorrhoea, and auxiliary priming guides all medicine property of medicine in place.
Tendril-leaved fritillary bulb:The bulb of Classification system Fritillaria cirrhosa. plant Fritillaria Cirrhosa D. Dons.It is bitter, sweet, it is cool in nature;Enter Lung channel;Control cough with lung heat, chronic cough of deficiency lung, spitting of blood, consumptive lung disease, lung carbuncle, chest diaphragm distending pain.The vessel retraction of imperialine, by bottom blood vessel To trifacial repressive.
Radix polygonati officinalis:The beautiful rhizome of Classification system Polygonatum odoratum. liliaceous plants.It is sweet, it is mild-natured, it is micro- cool; Enter lung, stomach;Property of medicine nourishing Yin and moistening dryness, relieving restlessness is quenched the thirst;We are used for heart failure caused by hypertension, and coronal Atherosclerosis The angina pectoris of the property changed heart disease.
We take adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, the taste of radix polygonati officinalis four to be adjutant, and wherein adenophora tetraphylla, rhizoma nardostachyos assist monarch, ministerial drug to strengthen Therapeutic action, the gentle monarch drug in a prescription monarch drug in a prescription property of medicine, is combined into and helps assistant;Tendril-leaved fritillary bulb be property it is cooler enter lung channel, can clear up monarch drug in a prescription work after holding It is continuous strong, and reconcile the property of medicine fusion of monarch drug in a prescription, for system assistant;Radix polygonati officinalis is crude drug preparation, with monarch drug in a prescription scorpio nature and flavor on the contrary, but taken work( Effect is coordinated, and is using corrigent.
Fructus viticis:Classification system Vitex rotundifoliaL.V.Trifolia L.Pungent, Chinese cassia tree is bitter, cold nature.Return Lung, bladder, Liver Channel.Joint at dispelling wind and heat from the body, head clearing, dehumidifying.Exogenous headache, polarization head wind, the mesh that swoons is dark, and cute conjunctivitis is more Pain, gingivitis, arthritis with fixed pain caused by dampness contraction in tear, mesh eyeball.
Chinese cassia tree:Classification system Cortex Cinnamomi Cassiae.It is pungent, sweet, property heat.Enter kidney,spleen,liver warp.Work(exists Kidney-replenishing, warming spleen and stomach, removing internal cold is promoted blood circulation, analgesic, the insufficiency of the kidney yang, impotence, frequent micturition, waist and knee crymodynia, low blood.
Longstalk condorvine herb:Classification system Marsdenia longipes W.T.Wang.It is sweet, slight bitter, puckery, it is warm-natured.It is poisonous.It is living Blood stops blooding, relieving cough and asthma.For traumatic injury, rheumatalgia, internal haemorrhage, bronchitis, asthma;Fracture, traumatism and bleeding are controlled in external application.
Semen Cuscutae:Classification system Cuscutae Seme.It is pungent, sweet, it is mild-natured.Return liver, kidney, the spleen channel.Liver and kidney benefiting, controlling nocturnal emission with astringent drugs contracting Urine, antiabortive, improving eyesight, antidiarrheal;External application disappears wind nti-freckle.For kidney deficiency and liver, soreness and weakness of waist and knees, impotence and seminal emission, enuresis frequent micturition.Kidney deficiency tire Leakage, fetal irritability, blurred vision tinnitus, spleen kidney deficiency is rushed down;Externally treating leucoderma.
Hippocampus:Classification system Hippocampus.It is sweet, it is warm-natured.Return liver and kidney channel;Warming kidney and enhancing body, mass dissipating and swelling eliminating.For sun Impotence, the enuresis, deficiency of the kidney and dyspnea, the accumulation of lump in the abdomen lump in the abdomen, injury from falling down;Controlling outward carbuncle swells furunculosis.
We take fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, the hippocampus five tastes to make medicine, not with its property of medicine cure mainly for according to According to wherein taking fructus viticis tying-in to enter blood as guiding drug, drawing monarch, minister, adjutant to encephalic capillary;Chinese cassia tree warming meridian, temperature Kidney-replenishing provides myocardium protection renal as dirty medicine is protected when monarch, minister, adjutant row effect;Longstalk condorvine herb promoting blood circulation tonifying Qi, Semen Cuscutae Kidney-nourishing contracting urine, hippocampus warming kidney and enhancing body accelerate scorpio metabolism and cassia seed work as harmonizing drug, make monarch, minister, adjutant collaboration altogether Ji.
The formulation of the pharmaceutical composition of this treatment primary trigeminal neuralgia can be decoction decoction or oral administration solution.
Wherein, decoct a kind of preparation method of decoction and decoct concentration for tradition is mixed, be specially:By formula measure scorpio, tortoise plastron, Cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear gall, adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, sea Horse medicine materical crude slice, is crushed as the last mesh sieve of mistake 50 of medicine, by the medicine end after sieving with after 45 DEG C of deionized water immersion half an hour, uses gauze The dregs of a decoction are filtered to obtain, with tying after the gauze wrapped dregs of a decoction, are put into automatic boiling-machine, adds under 2500g water, normal temperature and pressure and decocts Boil 3 hours, remove pack, the packing of gained decoction is produced.
Wherein, it is described decoct decoction another preparation method headed by my late father, minister, help, make medicine materical crude slice classification point decoct, a Ran Housi As dividing liquid of boiling medicine to be condensed into cream after merging molten, following steps are specifically included:(1) monarch drug in a prescription is decocted:Take twice of formula ratio scorpio, Tortoise plastron, Semen Cassiae, are crushed as the last mesh sieve of mistake 100 of medicine, by the medicine end after sieving with 45 DEG C of deionized water immersion 1 hour Afterwards, medicine puree is filtered to obtain with two-layer nonwoven, tying after medicine puree is wrapped up with the two-layer nonwoven, is put into automatic boiling-machine, plus Enter 200g water, decocted 1 hour at operating pressure 170kPa, 130 DEG C of temperature, remove non-woven fabrics pack, in decoction addition 10g Continue to decoct 2 hours under honey, normal temperature differential pressure, be paste to decoction concentration, obtain monarch drug in a prescription ointment;
(2) ministerial drug is decocted:Corydalis tuber, dragon's blood, cow-bezoar, the bear gall medicine materical crude slice of formula ratio are taken, is crushed as the last mesh sieve of mistake 20 of medicine, general Medicine end after sieving is soaked after half an hour with 45 DEG C of deionized water, and the dregs of a decoction are filtered to obtain with single-layer nonwoven, the non-woven fabrics is used Tying after the dregs of a decoction is wrapped up, is put into automatic boiling-machine, 500g water is added, 2 are decocted at operating pressure 80kPa, 120 DEG C of temperature small When, obtain ministerial drug decoction;
(3) adjutant is decocted:The adenophora tetraphylla of formula ratio, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis medicine materical crude slice are taken, is crushed as the last mesh sieve of mistake 10 of medicine, Medicine end after sieving is soaked after half an hour with 60 DEG C of deionized water, medicine is filtered into obtain in the medicine end after sieving with layer non-woven fabrics Slag, with tying after the non-woven wraps dregs of a decoction, is put into automatic boiling-machine, adds 50g water, half is decocted at normal temperatures and pressures small When, obtain adjutant decoction;
(4) decoct medicine:Take fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, the hippocampus medicine materical crude slice of formula ratio, crush for medicine it is last 10 mesh sieves are crossed, the medicine end after sieving is soaked after 15 minutes with 60 DEG C of deionized water, layer nonwoven is used at the medicine end after sieving Cloth filters to obtain the dregs of a decoction, with tying after the non-woven wraps dregs of a decoction, is put into automatic boiling-machine, adds 100g water, normal in normal temperature Pressure decocts half an hour, must make medicine decoction;
(5) four-quadrant merges:First by the minister obtained by step (2) to (4), help, medicine liquid medicine mixing is obtained admixing medical solutions, this is mixed Medicine liquid heating is closed to 60 DEG C, the monarch drug in a prescription ointment obtained by step (1) is then added into admixing medical solutions, under temperature 60 C, by monarch drug in a prescription Ointment is stirred to complete molten, and packing is produced.
Wherein, the preparation method of the oral administration solution is to carry out pre-treatment to raw medicinal material first, then by molten by several times Solution, specifically includes following steps:
(1) bulk drug pre-treatment:Take the scorpio of three times formula ratio, tortoise plastron, cassia seed;Take twice formula ratio corydalis tuber, dragon's blood, Cow-bezoar, bear gall;Adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus are measured by formula, is crushed Mix, add 1200g deionized waters, decoct 6 hours at normal temperatures and pressures, filter to obtain a decoction, 800g is being added to filter residue Deionized water, decocts 4 hours at pressure 80kPa, 120 DEG C of temperature, filters to obtain secondary decoction, then add 400g deionizations to slag Water, decocts 2 hours at pressure 170kPa, 130 DEG C of temperature, filters to obtain three decoctions;One, two, three above-mentioned decoction is closed And, continue to decoct 3 hours to merging to add in decoction under 300g honey, normal temperature differential pressure, be paste to decoction concentration, obtain pre-treatment Bulk drug;
(2) prepared by oral administration solution:Sorbierite 100g is added in 5000g deionizations, sorbic acid 3g obtains oral liquid solvent, by it Middle 2500g solvents are heated to temperature 50 C at ambient pressure, will be added in the pre-treatment raw material obtained by step (1) after the heating In solvent, stirred to the complete molten of pre-treatment bulk drug and dissolved with mixing plant, refrigeration at least 24 is small below 5 DEG C of normal pressure temperature When, a drug solution must be refrigerated, the heating of other 2500g oral liquids solvent is heated to temperature 60 C at ambient pressure, poured into cold The drug solution finished is hidden, secondary drug solution is filtered to obtain after stirring evenly, filling sterilizing is produced.
The above-mentioned Chinese medicine composition addition of the present invention prepares various customary adjuvants required during ointment, such as wetting agent, Binder etc. is prepared into conventional method of Chinese medicinal.
The pharmaceutical composition prescription medicine monosodium glutamate letter of present invention treatment primary trigeminal neuralgia, all herbal medicines are respectively voluntarily being imitated While it is again mutually coordinated, be combined with each other and unexpected technology effect achieved in treatment primary trigeminal neuralgia field Really, all kinds of examples of patient more than 300 have been cured at present, it is efficient up to more than 97%.The daily morning and evening of the invention takes medicine once, is within three weeks One course for the treatment of.Show by long-term clinic trial, prescription of the present invention mutually cooperate with releive stomach fire, it is cool disappear hepatitis and with And Quick dredging qi and blood train of thought, reduction artery are to the effect of trigeminal neuralgia pressure, this prescription is rapid-action, efficiency high, short treating period and It is uneasy to recur;In addition without valuable product in being formulated, Chinese medicine source used is sufficient, without in great shortage, though formula courageously medication rationally, mutually It is thorough to mend, and distinctive four-quadrant point technique processed is easy to grasp, promote and apply in addition, with obvious economic and social benefit.
Embodiment
Basic recipe amount:Scorpio 1g, tortoise plastron 3g, cassia seed 10g, corydalis tuber 40g, dragon's blood 20g, cow-bezoar 3g, bear gall 3g, Nansha Join 5g, rhizoma nardostachyos 5g, tendril-leaved fritillary bulb 10g, radix polygonati officinalis 10g, fructus viticis 8g, Chinese cassia tree 6g, longstalk condorvine herb 3g, Semen Cuscutae 5g, hippocampus 3 g.
Embodiment 1:Scorpio, tortoise plastron, cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear gall, adenophora tetraphylla, rhizoma nardostachyos, river are measured by formula Shellfish, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus medicine materical crude slice, are crushed as the last mesh sieve of mistake 50 of medicine, by the medicine after sieving End is soaked after half an hour with 45 DEG C of deionized water, is obtained the dregs of a decoction with filtered through gauze, with tying after the gauze wrapped dregs of a decoction, is put into In automatic boiling-machine, add under 2500g water, normal temperature and pressure and decoct 3 hours, remove pack, the packing of gained decoction is produced into decoction Decoction A.
Embodiment 2:
(1) monarch drug in a prescription is decocted:The scorpio of twice of formula ratio, tortoise plastron, Semen Cassiae are taken, is crushed as the last mesh sieve of mistake 100 of medicine, After medicine end after sieving is soaked 1 hour with 45 DEG C of deionized water, medicine puree is filtered to obtain with two-layer nonwoven, with the double-deck nothing Tying after cloth parcel medicine puree is spun, is put into automatic boiling-machine, adds 200g water, decocted at operating pressure 170kPa, 130 DEG C of temperature Boil 1 hour, remove non-woven fabrics pack, continue to decoct 2 hours under decoction addition 10g honey, normal temperature differential pressure, to decoction concentration For paste, monarch drug in a prescription ointment is obtained;
(2) ministerial drug is decocted:Corydalis tuber, dragon's blood, cow-bezoar, the bear gall medicine materical crude slice of formula ratio are taken, is crushed as the last mesh sieve of mistake 20 of medicine, general Medicine end after sieving is soaked after half an hour with 45 DEG C of deionized water, and the dregs of a decoction are filtered to obtain with single-layer nonwoven, the non-woven fabrics is used Tying after the dregs of a decoction is wrapped up, is put into automatic boiling-machine, 500g water is added, 2 are decocted at operating pressure 80kPa, 120 DEG C of temperature small When, obtain ministerial drug decoction;
(3) adjutant is decocted:The adenophora tetraphylla of formula ratio, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis medicine materical crude slice are taken, is crushed as the last mesh sieve of mistake 10 of medicine, Medicine end after sieving is soaked after half an hour with 60 DEG C of deionized water, medicine is filtered into obtain in the medicine end after sieving with layer non-woven fabrics Slag, with tying after the non-woven wraps dregs of a decoction, is put into automatic boiling-machine, adds 50g water, half is decocted at normal temperatures and pressures small When, obtain adjutant decoction;
(4) decoct medicine:Take fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, the hippocampus medicine materical crude slice of formula ratio, crush for medicine it is last 10 mesh sieves are crossed, the medicine end after sieving is soaked after 15 minutes with 60 DEG C of deionized water, layer nonwoven is used at the medicine end after sieving Cloth filters to obtain the dregs of a decoction, with tying after the non-woven wraps dregs of a decoction, is put into automatic boiling-machine, adds 100g water, normal in normal temperature Pressure decocts half an hour, must make medicine decoction;
(5) four-quadrant merges:First by the minister obtained by step (2) to (4), help, medicine liquid medicine mixing is obtained admixing medical solutions, this is mixed Medicine liquid heating is closed to 60 DEG C, the monarch drug in a prescription ointment obtained by step (1) is then added into admixing medical solutions, under temperature 60 C, by monarch drug in a prescription Ointment is stirred to complete molten, and packing produces decoction decoction B.
Embodiment 3:
(1) bulk drug pre-treatment:Take the scorpio of three times formula ratio, tortoise plastron, cassia seed;Take twice formula ratio corydalis tuber, dragon's blood, Cow-bezoar, bear gall;Adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus are measured by formula, is crushed Mix, add 1200g deionized waters, decoct 6 hours at normal temperatures and pressures, filter to obtain a decoction, 800g is being added to filter residue Deionized water, decocts 4 hours at pressure 80kPa, 120 DEG C of temperature, filters to obtain secondary decoction, then add 400g deionizations to slag Water, decocts 2 hours at pressure 170kPa, 130 DEG C of temperature, filters to obtain three decoctions;One, two, three above-mentioned decoction is closed And, continue to decoct 3 hours to merging to add in decoction under 300g honey, normal temperature differential pressure, be paste to decoction concentration, obtain pre-treatment Bulk drug;
(2) prepared by oral administration solution:Sorbierite 100g is added in 5000g deionizations, sorbic acid 3g obtains oral liquid solvent, by it Middle 2500g solvents are heated to temperature 50 C at ambient pressure, will be added in the pre-treatment raw material obtained by step (1) after the heating In solvent, stirred to the complete molten of pre-treatment bulk drug and dissolved with mixing plant, refrigeration at least 24 is small below 5 DEG C of normal pressure temperature When, a drug solution must be refrigerated, the heating of other 2500g oral liquids solvent is heated to temperature 60 C at ambient pressure, poured into cold The drug solution finished is hidden, secondary drug solution is filtered to obtain after stirring evenly, filling sterilizing produces oral administration solution.
The above-mentioned Chinese medicine composition addition of the present invention prepares various customary adjuvants required during ointment, such as wetting agent, Binder etc. is prepared into conventional method of Chinese medicinal.
Clinical data (data medication is all the decoction decoction B obtained by embodiment 2)
1. general information:This observation case so far, accepts 30 for medical treatment to Neurology section of our hospital and is diagnosed as three in March, 2013 Fork neuralgia (it is possible that the department of stomatology, ear-nose-throat department exclude tooth, face organ's complication respectively) carries out clinical observation treatment, and female 30 Example, 16 the ranges of age of man are 37~76 years old, average age 45.6 years old, 35 months to 67 years old age.
2. treatment method:The embodiment of the present invention 2 is taken to decoct decoction B, medication sooner or later daily once, is treated for continuous three weeks for one Journey.
3. result conclusion:
(1) curative effect determinate standard:Recovery from illness:Facial pain is wholly absent, and symptom is not occurring in the next course for the treatment of;Take a turn for the better: Facial pain is wholly absent, and the next course for the treatment of of medication state symptom is not occurring;It is stable:Facial pain is effectively alleviated, state of taking medicine Next course for the treatment of illness is not carried in family;It is invalid:Facial pain continues to deteriorate without alleviation, under drug withdrawal state.First 3 of statistics is effective.
(2) result:Recovery from illness 28, is 61%, takes a turn for the better 10, is 22%, stablizes 7, account for 15%, invalid 1, account for 2%, Total effective rate is 98%.
Toxicity test (experiment medication is all the decoction decoction B obtained by embodiment 2)
(1) animal data:Cleaning grade KM mouse, are divided into 3 groups, every group 40, each 20 of male and female are tested preposition dynamic by 120 Thing freely ingests in indoor adaptation environment one week, takes the photograph water, 18~22 DEG C of room temperature, relative humidity 65~70%, illumination light and shade round the clock Alternately.
(2) experimental drug:The obtained obtained medical liquid B, embodiment 3 of decocting of decoction A, embodiment 2 that decoct of Example 1 is made The oral administration solution obtained, obtains the concentrate 150ml that concentration containing crude drug is 13.5g/ml after processing, and 4 DEG C of temperature is saved backup, made Used time is heated to 36~38 DEG C.
(3) experimental method:According to table of random number, mouse is divided into experimental group 1 to 3 and control group, experimental group 1 to 3 is filled Stomach administration present invention concentration decocts decoction A, decocts medical liquid B, oral administration solution, crude drug concentration 13.5g/ml, and gastric infusion amount is every Secondary 0.2ml/10g body weight, control group gavage deionized water 0.2ml/10g body weight, twice a day, equivalent to crude drug amount 27g/kg/ D, successive administration three months, withdrawal observation one month.Mouse weight, feed, drinking-water, excretion situation are recorded, gastric infusion is recorded The every physiological reaction of phase mouse between mouse items reaction afterwards, gastric infusion, and death condition.
(3) experimental result:By long_term toxcity experimental study, situation after observation 60d mouse stomach administrations, gastric infusion is given Before medicine, each group the weight of animals, feed, drinking-water, excretion situation no difference of science of statistics, after gastric infusion, the change of each group mouse weight, Feed drinking-water situation, no difference of science of statistics.Behaviouristics Non Apparent Abnormality, does not occur dead and other toxic reactions.
(4) interpretation of result:This experimental group dosage is 27g/kg/d, and mouse is 10 with the dosage conversion coefficient being grown up, Therefore mouse dosage is 900 times of clinical adult's dosage 65kg, 0.15g/kg/d, is given by continuously trimestral Medicine, administration mouse occurs without overt toxicity response situation, withdrawal observation one month, is also showed without cumulative toxicity, therefore susceptible of proof This pharmaceutical composition is safe.
It can be that professional and technical personnel in the field realize or used that above-mentioned embodiment, which is intended to illustrate the present invention, to above-mentioned Embodiment is modified and will be apparent for those skilled in the art, therefore the present invention includes but is not limited to Above-mentioned embodiment, it is any to meet the claims or specification description, meet with principles disclosed herein and novelty, The method of inventive features, technique, product, each fall within protection scope of the present invention.

Claims (8)

1. a kind of pharmaceutical composition for treating primary trigeminal neuralgia, it is characterized in that:It is made up of following bulk drug, scorpio, tortoise First, cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear gall, adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Tu thread Son, hippocampus;Wherein monarch drug in a prescription is scorpio, tortoise plastron, cassia seed, and ministerial drug is corydalis tuber, dragon's blood, cow-bezoar, bear gall, and adjutant is adenophora tetraphylla, sweet Pine, tendril-leaved fritillary bulb, radix polygonati officinalis, it is fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus to make medicine.
2. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 1, it is characterized in that:The scorpio, The weight ratio of tortoise plastron is 1:3.
3. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 2, it is characterized in that:The bulk drug Proportioning be, 1 part of scorpio, 3 parts of tortoise plastron, 10 parts of cassia seed, 40 parts of corydalis tuber, 20 parts of dragon's blood, 3 parts of cow-bezoar, 3 parts of bear gall, adenophora tetraphylla 5 Part, 5 parts of rhizoma nardostachyos, 10 parts of tendril-leaved fritillary bulb, 10 parts of radix polygonati officinalis, 8 parts of fructus viticis, 6 parts of Chinese cassia tree, 3 parts of longstalk condorvine herb, 5 parts of Semen Cuscutae, hippocampus 3 part.
4. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 3, it is characterized in that:The bulk drug Formula be, scorpio 1g, tortoise plastron 3g, cassia seed 10g, corydalis tuber 40g, dragon's blood 20g, cow-bezoar 3g, bear gall 3g, adenophora tetraphylla 5g, rhizoma nardostachyos 5g, tendril-leaved fritillary bulb 10g, radix polygonati officinalis 10g, fructus viticis 8g, Chinese cassia tree 6g, longstalk condorvine herb 3g, Semen Cuscutae 5g, hippocampus 3 g.
5. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 4, it is characterized in that:The medicine group The formulation of compound is decoction decoction or oral administration solution.
6. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 5, it is characterized in that:The decoction soup The preparation method of agent is to measure scorpio, tortoise plastron, cassia seed, corydalis tuber, dragon's blood, cow-bezoar, bear gall, adenophora tetraphylla, rhizoma nardostachyos, river by formula Shellfish, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus medicine materical crude slice, are crushed as the last mesh sieve of mistake 50 of medicine, by the medicine after sieving End is soaked after half an hour with 45 DEG C of deionized water, is obtained the dregs of a decoction with filtered through gauze, with tying after the gauze wrapped dregs of a decoction, is put into In automatic boiling-machine, add under 2500g water, normal temperature and pressure and decoct 3 hours, remove pack, the packing of gained decoction is produced.
7. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 5, it is characterized in that:The decoction soup The preparation method of agent comprises the following steps,
(1) monarch drug in a prescription is decocted:The scorpio of twice of formula ratio, tortoise plastron, Semen Cassiae are taken, crushes as the last mesh sieve of mistake 100 of medicine, incited somebody to action After medicine end after sieve is soaked 1 hour with 45 DEG C of deionized water, medicine puree is filtered to obtain with two-layer nonwoven, the two-layer nonwoven is used Tying after medicine puree is wrapped up, is put into automatic boiling-machine, 200g water is added, 1 is decocted at operating pressure 170kPa, 130 DEG C of temperature Hour, non-woven fabrics pack is removed, continues to decoct 2 hours under decoction addition 10g honey, normal temperature differential pressure, is to decoction concentration Paste, obtains monarch drug in a prescription ointment;
(2) ministerial drug is decocted:Corydalis tuber, dragon's blood, cow-bezoar, the bear gall medicine materical crude slice of formula ratio are taken, crushes as the last mesh sieve of mistake 20 of medicine, will sieve Medicine end afterwards is soaked after half an hour with 45 DEG C of deionized water, and the dregs of a decoction are filtered to obtain with single-layer nonwoven, the non-woven wraps are used Tying after the dregs of a decoction, is put into automatic boiling-machine, adds 500g water, is decocted 2 hours at operating pressure 80kPa, 120 DEG C of temperature, Obtain ministerial drug decoction;
(3) adjutant is decocted:The adenophora tetraphylla of formula ratio, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis medicine materical crude slice are taken, crushes as the last mesh sieve of mistake 10 of medicine, incited somebody to action Medicine end after sieve is soaked after half an hour with 60 DEG C of deionized water, and the medicine end after sieving is filtered to obtain into the dregs of a decoction with layer non-woven fabrics, used Tying after the non-woven wraps dregs of a decoction, is put into automatic boiling-machine, adds 50g water, half an hour is decocted at normal temperatures and pressures, is obtained Adjutant decoction;
(4) decoct medicine:Fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, the hippocampus medicine materical crude slice of formula ratio are taken, is crushed as the last mistake 10 of medicine Mesh sieve, the medicine end after sieving is soaked after 15 minutes with 60 DEG C of deionized water, by the medicine end layer non-woven fabrics mistake after sieving The dregs of a decoction are filtered to obtain, with tying after the non-woven wraps dregs of a decoction, are put into automatic boiling-machine, 100g water are added, at normal temperatures and pressures Half an hour is decocted, medicine decoction must be made;
(5) four-quadrant merges:First by the minister obtained by step (2) to (4), help, medicine liquid medicine mixing is obtained admixing medical solutions, by the mixing medicine Liquid is heated to 60 DEG C, the monarch drug in a prescription ointment obtained by step (1) then is added into admixing medical solutions, under temperature 60 C, by monarch drug in a prescription ointment Stirring is to complete molten, and packing is produced.
8. the pharmaceutical composition for the treatment of primary trigeminal neuralgia according to claim 5, it is characterized in that:It is described oral molten The preparation method of liquid comprises the following steps,
(1) bulk drug pre-treatment:Take the scorpio of three times formula ratio, tortoise plastron, cassia seed;Take twice formula ratio corydalis tuber, dragon's blood, ox Yellow, bear gall;Adenophora tetraphylla, rhizoma nardostachyos, tendril-leaved fritillary bulb, radix polygonati officinalis, fructus viticis, Chinese cassia tree, longstalk condorvine herb, Semen Cuscutae, hippocampus are measured by formula, crushes mixed It is even, 1200g deionized waters are added, decocts 6 hours at normal temperatures and pressures, filters to obtain a decoction, are gone to filter residue in addition 800g Ionized water, decocts 4 hours at pressure 80kPa, 120 DEG C of temperature, filters to obtain secondary decoction, then adds 400g deionized waters to slag, Decocted 2 hours at pressure 170kPa, 130 DEG C of temperature, filter to obtain three decoctions;One, two, three above-mentioned decoction is merged, Continue to decoct 3 hours to merging to add in decoction under 300g honey, normal temperature differential pressure, be paste to decoction concentration, obtain pre-treatment former Expect medicine;
(2) prepared by oral administration solution:Sorbierite 100g is added in 5000g deionizations, sorbic acid 3g obtains oral liquid solvent, will wherein 2500g solvents are heated to temperature 50 C at ambient pressure, molten after the heating by being added in the pre-treatment raw material obtained by step (1) In agent, stirred to the complete molten of pre-treatment bulk drug and dissolved with mixing plant, refrigerated at least 24 hours below 5 DEG C of normal pressure temperature, A drug solution must be refrigerated, the heating of other 2500g oral liquids solvent is heated to temperature 60 C at ambient pressure, pours into and has refrigerated A complete drug solution, filters to obtain secondary drug solution after stirring evenly, filling sterilizing is produced.
CN201710338741.4A 2017-05-15 2017-05-15 A kind of pharmaceutical composition for treating primary trigeminal neuralgia Pending CN107137585A (en)

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CN109498615A (en) * 2019-01-07 2019-03-22 尹志明 A kind of percutaneous drug administration preparation and application thereof for treating primary trigeminal neuralgia

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US20030224072A1 (en) * 2002-06-03 2003-12-04 Frome Bruce Marshall Topical and oral administration of a composition containing Pelargonium Graveolens for diagnosis and treatment of various neuralgias and other conditions
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498615A (en) * 2019-01-07 2019-03-22 尹志明 A kind of percutaneous drug administration preparation and application thereof for treating primary trigeminal neuralgia
CN109498615B (en) * 2019-01-07 2021-02-05 尹志明 Transdermal drug delivery preparation for treating primary trigeminal neuralgia and application thereof

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Application publication date: 20170908