CN107296928A - 一种膏剂及其用途 - Google Patents
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Abstract
本发明提供了一种膏剂,本发明膏剂中,各药材配伍精当,可用于治疗无痰或少痰咳嗽,为临床用药提供了一种新的选择。
Description
技术领域
本发明涉及一种止咳膏剂。
背景技术
咳嗽是人体清除呼吸道内的分泌物或异物的保护性呼吸反射动作。虽然有其有利的一面,但剧烈长期咳嗽可导致呼吸道出血。正确区分一般咳嗽和咳嗽变异性哮喘,防止误诊。治疗咳嗽应区分咳嗽类型,西药、中药皆可。
西医认为,咳嗽主要是由上呼吸道感染、支气管炎、肺炎或喉炎引起。中医认为,咳嗽是因外感六淫,脏腑内伤,影响于肺所致有声有痰之症。见《素问·五脏生成篇》。《素问病机气宜保命集》:“咳谓无痰而有声,肺气伤而不清也;嗽是无声而有痰,脾湿动而为痰也。咳嗽谓有痰而有声,盖因伤于肺气动于脾湿,咳而为嗽也”。因外邪犯肺,或脏腑内伤,累及于肺所致。
目前止咳的药物甚多,但功效各异。但对于中药而言,常常会由于气味不佳,而导致儿童患者不易接受。本发明拟提供一种疗效较好的治疗儿童咳嗽的膏剂。
发明内容
本发明的目的在于提供一种治疗儿童咳嗽的膏剂及其用途。
本发明提供了一种膏剂,它包括如下重量配比的原辅料:
药物提取物 10-15份,薄荷油0.1-0.5份,蜂蜜1~2份,麦芽糖1~2份、单糖浆10~15份;
药物提取物由如下方法制备:
按重量配比取药材:苦杏仁5~10份、薏苡仁10~20份、豆蔻5~10份、厚朴5~10份、滑石15~25份、法半夏3~7份、甘草3~7份、隔山撬10~20份、桑白皮10~20份、地骨皮10~20份、糯米藤根10~20份;加水提取,水提液浓缩至1ml相当于饮片2~3g。
久咳必有脾胃之伤,本发明中,以苦杏仁祛痰止咳、薏苡仁健脾补肺、清热利湿为君,另以豆蔻(白豆蔻)、厚朴、滑石、法半夏、桑白皮、地骨皮清肺热、化湿行气、健脾消食、行气消积、清热渗湿、燥湿化痰、泻肺平喘为臣,再以甘草、隔山撬、糯米藤根益气补中、润肺止咳、补益肝肾、清热健脾为佐,诸药合用,共奏清热止咳、健脾益肺之功。其中地骨皮性寒,有清热凉血之功,脾胃虚寒本应忌服,但本发明使用其他健脾补中药物合用,可避免地骨皮过寒伤脾胃。
进一步地,各药材的重量配比如下:
苦杏仁7~8份、薏苡仁13~17份、豆蔻7~8份、厚朴7~8份、滑石18~22份、法半夏4~6份、甘草4~6份、隔山撬13~17份、桑白皮13~17份、地骨皮9~11份、糯米藤根13~17份。
本发明一个具体实施方式中,其原料药的重量配比如下:
苦杏仁7~8份、薏苡仁15份、豆蔻7~8份、厚朴7~8份、滑石20份、法半夏5份、甘草5份、隔山撬15份、桑白皮15份、地骨皮10份、糯米藤根15份。
本发明还提供了上述膏剂在制备儿童止咳药物中的用途。
进一步地,所述药物是治疗少痰咳嗽的药物。
本发明膏剂中,各药材配伍精当,可用于治疗无痰或少痰咳嗽,为临床用药提供了一种新的选择。
另外,本发明膏剂常常与另一药物配合使用,用于治疗肺热咳嗽,特别是痰多久咳,另一组合物B配伍如下:蜜制麻黄绒3~10份 苦杏仁5~10份 石膏12~17份 甘草2~7份 石菖蒲2~7份 淫羊藿1~4份 猪牙皂1~5份 滑石15~25份 知母7~13份 麦芽20~40份 白芷5~10份。
对于肺热咳嗽,特别是痰多久咳,可以先用组合物B3~4天,基本可以对痰湿有明显改善,再用本发明膏剂3~4天,可以有效治疗前述病症。但治疗这类病症,不能单用本发明药物组合物。
具体实施方式
实施例1 本发明膏剂的制备
苦杏仁7.5g、薏苡仁15g、豆蔻7.5g、厚朴7.5g、滑石20g、法半夏5g、甘草5g、隔山撬15g、桑白皮15g、地骨皮10g、糯米藤根15g;加水煎煮2次,第一次加10倍量水煎煮10分钟,第二次加15倍量水煎煮30分钟过滤,合并水煎液后,浓缩至1ml相当于饮片2g。
取10g浓缩液,与0.1g薄荷油、2g蜂蜜、1g麦芽糖和10g糖浆,搅拌混合均匀,即得本发明膏剂。
本发明所得膏剂,深棕色,气芳香,味甜,入口有凉意,口感气味良好。
实施例2 本发明药物组合物的制备
苦杏仁7.5g、薏苡仁15g、豆蔻7.5g、厚朴7.5g、滑石20g、法半夏5g、甘草5g、隔山撬15g、桑白皮15g、地骨皮10g、糯米藤根15g;加水煎煮3次,第一次加10倍量水煎煮5分钟,第二次加8倍量水煎煮10分钟,第三次加8倍量水煎煮15分钟,过滤,合并水煎液后,浓缩至1ml相当于饮片2g。
取10g浓缩液,与0.5g薄荷油、1g蜂蜜、2g麦芽糖、10g糖浆,搅拌混合均匀,即得本发明膏剂。
有益效果:
本发明药物组合物至今共治疗咳嗽患儿三百余例,多为肺热咳嗽者使用该药物组合物,多数患儿咳嗽痰多,早晚咳嗽严重,大部分患者未见发热症状,治疗过程中偶有药味剂量调整,但均在本发明用药范围内。其治疗方式和效果如下:
本发明膏剂原料药(简称配方A):苦杏仁7.5g、薏苡仁15g、豆蔻7.5g、厚朴7.5g、滑石20g、法半夏5g、甘草5g、隔山撬15g、桑白皮15g、地骨皮10g、糯米藤根15g。
配方B:蜜制麻黄绒5g 苦杏仁7.5g 石膏15g 甘草5g 石菖蒲5g 淫羊藿2.5g 猪牙皂3g 滑石20g 知母10g 麦芽30g 白芷7.5g。
目前共收治肺热咳嗽患儿306例,痰多,久咳,咳嗽时间超过2个星期。先用配方B一日一剂,共使用3~4天,再使用配方A一日一剂,使用3~4天。使用上述方法,1个星期内治愈率达到80%,1个星期内症状减轻率高达99%。
据调查,若饮食控制得当,患儿一般会在1-2个星期痊愈,若喜食生冷、燥热食物,病症反复,嘱其家长控制饮食后,1个星期内基本能够痊愈。
另外,在单独使用配方B后,患儿服药1个星期内症状减轻率高达90%,患儿痰明显变少,咳嗽频率降低,再配合使用配方A(本发明糖浆剂)能获痊愈。
Claims (5)
1.一种膏剂,其特征在于:它包括如下重量配比的原辅料:
药物提取物 10-15份,薄荷油0.1-0.5份,蜂蜜1~2份,麦芽糖1~2份、单糖浆10~15份;
药物提取物由如下方法制备:
按重量配比取药材:苦杏仁5~10份、薏苡仁10~20份、豆蔻5~10份、厚朴5~10份、滑石15~25份、法半夏3~7份、甘草3~7份、隔山撬10~20份、桑白皮10~20份、地骨皮10~20份、糯米藤根10~20份;加水提取,水提液浓缩至1ml相当于饮片2~3g。
2.根据权利要求1所述的膏剂,其特征在于:各药材的重量配比如下:
苦杏仁7~8份、薏苡仁13~17份、豆蔻7~8份、厚朴7~8份、滑石18~22份、法半夏4~6份、甘草4~6份、隔山撬13~17份、桑白皮13~17份、地骨皮9~11份、糯米藤根13~17份。
3.根据权利要求2所述的膏剂,其特征在于:其原料药的重量配比如下:
苦杏仁7~8份、薏苡仁15份、豆蔻7~8份、厚朴7~8份、滑石20份、法半夏5份、甘草5份、隔山撬15份、桑白皮15份、地骨皮10份、糯米藤根15份。
4.权利要求1-3任意一项所述膏剂在制备儿童止咳药物中的用途。
5.根据权利要求4所述的用途,其特征在于:所述药物是治疗少痰咳嗽的药物。
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