CN107198734A - 调经止痛的中药汤剂 - Google Patents
调经止痛的中药汤剂 Download PDFInfo
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Abstract
本发明公开了一种调经止痛的中药汤剂，属于中医中药技术领域。该中药汤剂包括以下的药物组成：当归、川芎、丹参、白芍、桂枝、柴胡、香附、乌药、木香、元胡、牛膝、甘草。综观全方，虽然药味不多，但药物之间相互协助，配伍严谨，达到了养血、活血、行气、调经、止痛的显著效果。对气滞血瘀型痛经补加蒲黄和五灵脂；对寒湿凝滞型痛经补加吴萸和小茴香；对气血虚弱型痛经补加党参和黄芪。本发明的组方简化，服用方便，价格低廉，安全可靠，充分体现了中医药在治疗疾病方面的特色和优势，便于临床推广和应用。
Description
技术领域
本发明属于中医中药技术领域，具体涉及一种调经止痛的中药汤剂。
背景技术
痛经是指妇女在月经来潮的前后几天或月经期中，发生下腹部疼痛或其他不适，影响日常生活和劳动。常伴有的症状为头晕、恶心、呕吐、腰骶部酸痛、全身乏力；疼痛严重者，有时会出现全身出汗，困乏无力，甚至会想出现昏厥等临床症状。痛经是妇科中的一种常见病症，在妇女中的发病率约占一半左右，而且少数患者较为严重，对妇女的正常生活带来了严重的影响。因此，在临床的治疗当中，虽然方法比较多，但效果并不显著，而且副作用也较多，治疗后容易复发。现代医学将痛经分为原发性痛经和继发性痛经两种类型。原发性痛经多见于未生育过的年轻女子、体质虚弱或对疼痛敏感的人。原发性痛经的病因目前还不太清楚，可能与精神因素和内分泌失调等因素有关。而继发性痛经多见于已生育过的妇女或中年妇女，一般发生的原因可能与盆腔炎症、子宫内膜异位、子宫肌瘤等疾病有关。
祖国医学认为痛经主要是气血运行不畅所致，即所谓的“不通则痛”。导致气血运行不畅的主要原因是情志不舒，肝气郁结，气滞血瘀。或感受寒凉，寒湿凝滞，瘀阻经络。或者体质虚弱，气血不足，不能濡养胞宫所致。痛经的治疗原则，当以调理冲任气血为主，使之气顺血和，冲任流通，经血畅行则病可愈。根据痛经的临床表现辩证分为三个证型：①.气滞血瘀型：经行之前一二日或月经期小腹胀痛，拒按，或伴有胸胁乳房胀痛，或经量少，经行不畅，，经血紫暗有块，舌质暗红有瘀点，脉沉涩；②.寒湿凝滞型：经前或经期小腹冷痛，得热痛减，月经量少色暗或混有血块，面色青白，舌边紫暗，脉沉紧；③.气血虚弱型：经期或行经后下腹隐隐作痛，绵绵不休，按之则痛减。经色淡红，量少质稀，面色苍白或萎黄，舌色淡，脉细弱。
本发明人在临床治疗痛经的过程中，充分发挥中医药的独特优势，运用自拟调经止痛汤给予治疗，临床治愈率高，复发率低，疗效显著。
发明内容
本发明针对现有痛经治疗方法多存在效果不佳、并可能伴有副作用及治后易复发等问题，提供了一种用于调经止痛的中药汤剂，该中药汤剂配伍严谨，使用安全可靠，临床治愈率高，复发率低，疗效显著。
为了达到上述目的，本发明采用以下技术方案。
一种调经止痛的中药汤剂，包括以下的药物组成：当归12-20g、川芎12-20g、丹参10-15g、白芍10-15g、桂枝8-12g、柴胡4-8g、香附8-12g、乌药8-12g、木香8-12g、元胡8-12g、牛膝8-12g、甘草4-8g。
作为优选，所述调经止痛的中药汤剂还包括：蒲黄8-12g、五灵脂8-12g。
进一步，所述调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、蒲黄10g、五灵脂10g。
作为优选，所述调经止痛的中药汤剂还包括：吴萸8-12g、小茴香8-12g。
进一步，所述调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、吴萸10g、小茴香10g。
作为优选，所述调经止痛的中药汤剂还包括：党参12-20g、黄芪12-20g。
进一步，所述调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、党参15g、黄芪15g。
所述调经止痛的中药汤剂的煎服方法是：将中药倒入砂锅内，加温水以淹没药面2cm为度浸泡约45-75min，用武火熬开，文火煎煮15-25min，滤出药液，二次煎法同前取液，将两次药液共400ml混合后分早晚两次温服，每次200ml，每天一剂。于月经前三天口服，根据症状轻重程度，连服四至七天，两月为一个疗程，症状较轻者服用一个疗程，症状较重者加服一个疗程。
与现有技术相比，本发明的有益技术效果：
⑴本发明的调经止痛汤剂中当归、川芎均为血中气药，善于养血和血，调经止痛；丹参一味，功同四物，既能补血养血，又能活血调经；白芍、甘草，缓急止痛；桂枝温经散寒，通络止痛；木香、乌药、柴胡、元胡疏肝解郁，行气止痛；牛膝补肝肾，强筋骨，引血下行，活血化瘀；综观全方，虽然药味不多，但药物之间相互协助，配伍严谨，达到了养血、活血、行气、调经、止痛的显著效果。
⑵本发明根据临床表现辩证分型用药，对症下药；对气滞血瘀型痛经补加蒲黄和五灵脂以疏肝理气，活血化瘀；对寒湿凝滞型痛经补加吴萸和小茴香以温经散寒，活血止痛；对气血虚弱型痛经补加党参和黄芪以健脾益气，养血止痛。
⑶组方简化，服用方便，价格低廉，安全可靠，充分体现了中医药在治疗疾病方面的特色和优势，便于临床推广和应用。
具体实施方式
下面通过实施例对本发明技术方案进行详细说明，但是本发明的保护范围不局限于所述实施例。
实施例1
一种调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、蒲黄10g、五灵脂10g。
本实施例的中药汤剂适用于痛经，用于调经止痛，尤其是针对气滞血瘀型痛经的疗效为佳。
煎服方法是：将上述中药倒入砂锅内，加温水以淹没药面2cm为度浸泡约60min，用武火熬开，文火煎煮20min，滤出药液，二次煎法同前取液，将两次药液共400ml混合后分早晚两次温服，每次200ml，每天一剂。于月经前三天口服，根据症状轻重程度，连服四至七天，两月为一个疗程，症状较轻者服用一个疗程，症状较重者加服一个疗程。
实施例2
一种调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、吴萸10g、小茴香10g。
本实施例的中药汤剂适用于痛经，用于调经止痛，尤其是针对寒湿凝滞型痛经的疗效为佳。
煎服方法是：将上述中药倒入砂锅内，加温水以淹没药面2cm为度浸泡约60min，用武火熬开，文火煎煮20min，滤出药液，二次煎法同前取液，将两次药液共400ml混合后分早晚两次温服，每次200ml，每天一剂。于月经前三天口服，根据症状轻重程度，连服四至七天，两月为一个疗程，症状较轻者服用一个疗程，症状较重者加服一个疗程。
实施例3
一种调经止痛的中药汤剂包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、党参15g、黄芪15g。
本实施例的中药汤剂适用于痛经，用于调经止痛，尤其是针对气血虚弱型痛经的疗效为佳。
煎服方法是：将上述中药倒入砂锅内，加温水以淹没药面2cm为度浸泡约60min，用武火熬开，文火煎煮20min，滤出药液，二次煎法同前取液，将两次药液共400ml混合后分早晚两次温服，每次200ml，每天一剂。于月经前三天口服，根据症状轻重程度，连服四至七天，两月为一个疗程，症状较轻者服用一个疗程，症状较重者加服一个疗程。
1.病例资料
60病例都来自于我院门诊，以第九版《中医妇科学》中的诊断标准为准。她们之前都是经过其他方法治疗，但疗效一般，或者反复发作的患者。她们之中年龄最小者16岁，最大者45岁，平均年龄27岁。病程最短者2月，最长者12年。
2.辩证分型
根据痛经的临床表现辩证分为三个证型：①.气滞血瘀型：经行之前一二日或月经期小腹胀痛，拒按，或伴有胸胁乳房胀痛，或经量少，经行不畅，，经血紫暗有块，舌质暗红有瘀点，脉沉涩；②.寒湿凝滞型：经前或经期小腹冷痛，得热痛减，月经量少色暗或混有血块，面色青白，舌边紫暗，脉沉紧；③.气血虚弱型：经期或行经后下腹隐隐作痛，绵绵不休，按之则痛减。经色淡红，量少质稀，面色苍白或萎黄，舌色淡，脉细弱。
3.治疗方法
辩证分型后分别采用实施例1、2、3的组方、煎服方法对应治疗气滞血瘀型、寒湿凝滞型、气血虚弱型痛经患者。
4.中医护理
健康教育和护理指导在痛经的治疗过程中至关重要，因此要做好以下宣教和护理：①指导患者要正确认识月经的生理现象，纠正对月经现象抱有羞涩、恐惧和厌恶的心理，保持乐观的情绪；②月经期间不宜过累，尽量避免剧烈运动；③月经期间饮食宜选择新鲜而容易消化的食物，不宜过饱，禁食生冷油腻之品，禁止饮酒，多喝开水，保持大便通畅：④月经期间应注意保暖，不接触冷水，以免受寒而降低身体的抵抗力；⑤月经期间要保持局部清洁，勤换内衣内裤；⑥月经期间静止同房，以免引起感染；⑦平时(除月经期外)要适当参加体育锻炼和体力劳动，增强体质并做好计划生育等措施。
5.疗效评定标准
根据痛经的中医证候疗效评定：①.痊愈：治疗后经行腹痛消失，证候积分减少≥90％；②.显效：治疗后经行腹痛明显减轻，证候积分减少≥70％，＜90％；③有效：治疗后腹痛减轻，证候积分减少≥30％，＜70％；④.无效：治疗后经行腹痛及其症状无改变或加重，证候积分＜30％。
6.结果
本组治疗60例中，痊愈45例(75.00％)，显效10例(16.67％)，有效5例(8.33％)，无效0例。总有效率达100％，疗程最短者一月，最长者两个疗程。
Claims (8)
1.一种调经止痛的中药汤剂，其特征在于，包括以下的药物组成：当归12-20g、川芎12-20g、丹参10-15g、白芍10-15g、桂枝8-12g、柴胡4-8g、香附8-12g、乌药8-12g、木香8-12g、元胡8-12g、牛膝8-12g、甘草4-8g。
2.根据权利要求1所述调经止痛的中药汤剂，其特征在于：还包括蒲黄8-12g、五灵脂8-12g。
3.根据权利要求1所述调经止痛的中药汤剂，其特征在于，包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、蒲黄10g、五灵脂10g。
4.根据权利要求1所述调经止痛的中药汤剂，其特征在于：还包括吴萸8-12g、小茴香8-12g。
5.根据权利要求1所述调经止痛的中药汤剂，其特征在于，包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、吴萸10g、小茴香10g。
6.根据权利要求1所述调经止痛的中药汤剂，其特征在于：党参12-20g、黄芪12-20g。
7.根据权利要求1所述调经止痛的中药汤剂，其特征在于，包括以下的药物组成：当归15g、川芎15g、丹参12g、白芍12g、桂枝10g、柴胡6g、香附10g、乌药10g、木香10g、元胡10g、牛膝10g、甘草6g、党参15g、黄芪15g。
8.根据权利要求1所述调经止痛的中药汤剂，其特征在于：煎服方法是将中药倒入砂锅内，加温水以淹没药面2cm为度浸泡约45-75min，用武火熬开，文火煎煮15-25min，滤出药液，二次煎法同前取液，将两次药液共400ml混合后分早晚两次温服，每次200ml，每天一剂。于月经前三天口服，根据症状轻重程度，连服四至七天，两月为一个疗程，症状较轻者服用一个疗程，症状较重者加服一个疗程。
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| CN117323403A (zh) * | 2023-11-10 | 2024-01-02 | 安庆市大观区郑龙翔中医诊所 | 一种治疗痛经的中药汤剂 |
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