CN107669920A - 中药治疗胃粘膜脱垂症及制备 - Google Patents
中药治疗胃粘膜脱垂症及制备 Download PDFInfo
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Abstract
本发明公开了一种中药治疗胃粘膜脱垂症,按重量份数是包括以下中药成分:半夏24g,麦冬16g,人参7g,甘草6g,粳米7g,大枣12枚,沙参7g,冰糖4g,生地黄16g,玉竹6g。本发明中药组合物的制备和使用方法:将药材(除冰糖外)用清水浸泡1小时,浸泡的水量以淹没药面5cm为宜,将药放在火上,用武火熬开,沸腾后改用文火煎煮50分钟,将药液倒出,用冰糖冲服,每天1剂,分3次温服,6剂为1个疗程,需用药2~5个疗程。
Description
技术领域
本发明属于中药组合物,具体地说,是涉及一种用于胃粘膜脱垂症治疗的中药配方及其制备方法。
背景技术
胃黏膜脱垂是由于异常松弛的胃黏膜逆行突入食管或向前通过幽门管脱入十二指肠球部,临床上以后者多见。临床症状表现有腹痛,上消化道出血,恶心、呕吐,消瘦、轻度贫血,上腹部可有轻压痛,无反跳痛。本病可分为原发和继发两种,前者与高度活动的胃黏膜皱襞和先天性胃皱襞肥大有关;后者多继发于胃炎、消化性溃疡以及心力衰竭、低蛋白血症引起的黏膜下水肿。本病常见于30~60岁的成年人,患者以30—60岁为多见。
目前,胃粘膜脱垂症尚无特效疗法。以内科治疗为主,注意饮食,少吃多餐,戒烟酒,避免刺激性食物;注意体位,采用左侧卧位,尽量避免右侧卧位;可给予镇静药和抗胆碱能类药物,以抑制过强的胃蠕动,以减少脱垂机会,应尽量避免使用促胃动力药,以免加重黏膜脱垂。有幽门梗阻者应禁食、胃肠减压,并补液、纠正水电解质紊乱;对伴有胃炎、溃疡或上消化道出血者应给予相应的治疗。而内科保守治疗失败时,需考虑行外科手术治疗。但长期或短时间进行治疗,原发病变反跳加重与继发的副作用,可使患者产生很大的痛苦,治疗过程反反复复,效果不明显,费用高等,给患者的造成较大的心里压力和病痛压力。
发明内容
本发明的目的在于提供一种用于胃粘膜脱垂症的中药制剂及其制备方法,该中药制剂对于治疗胃粘膜脱垂症具有治疗效果显著,治愈时间短,价格低廉,无不良反应和副毒作用的特点。
为了实现上述发明目的,本发明制成该药物有效成分的原料组成及其重量配比为:半夏24g,麦冬16g,人参7g,甘草6g,粳米7g,大枣12枚,沙参7g,冰糖4g,生地黄16g,玉竹6g。
本发明中药组合物的制备和使用方法:将药材(除冰糖外)用清水浸泡1小时,浸泡的水量以淹没药面5cm为宜,将药放在火上,用武火熬开,沸腾后改用文火煎煮50分钟,将药液倒出,用冰糖冲服,每天1剂,分3次温服,6剂为1个疗程,需用药2~5个疗程。
发明用于治疗胃粘膜脱垂症的中药汤剂,选择天然药物,针对胃粘膜脱垂症病因病机,各味药材各具其效,互相协调,麦冬、生地黄生津养阴,滋液除燥;人参益气生津,调营和阴;粳米益脾胃,化生阴津;半夏开胃行津,调畅气机,降肺胃逆气;沙参、玉竹滋养脾胃之阴,清热润燥;冰糖滋阴生津,兼以益气;大枣、甘草益胃气,养脾阴。
具体实施方式
实施例1:一种治疗胃粘膜脱垂症的中药汤剂,按重量份数包括以下中药成分:半夏24g,麦冬16g,人参7g,甘草6g,粳米7g,大枣12枚,沙参7g,冰糖4g,生地黄16g,玉竹6g。
实施例2:如果患者饥不欲食,在上述组分中加山楂7g,鸡内金7g,神曲7g。
实施例3:如果患者大便干,在上述组分中加肉苁蓉6g,火麻仁6g。
实施例4:如果患者盗汗,在上述组分中加五味子7g,牡蛎7g。
将药材(除冰糖外)用清水浸泡1小时,浸泡的水量以淹没药面5cm为宜,将药放在火上,用武火熬开,沸腾后改用文火煎煮50分钟,将药液倒出,用冰糖冲服,每天1剂,分3次温服,6剂为1个疗程,需用药2~5个疗程。
以下通过实用例来阐明本发明所述用于胃粘膜脱垂症护理的中药配方的临床治疗效果。
1、临床资料
患者60例,诊断标准:上腹部疼痛:多发于饭后,常呈阵发性,缺乏周期性及节律性,用碱性药物不易缓解,右侧卧位易引起疼痛或使其加重,左侧卧位常可使疼痛减轻,常伴有上腹饱胀、嗳气、恶心、呕吐等症状,亦可出现幽门梗阻和上消化道出血的症状,有些患者可无明显症状。
2、疗效标准
治愈:症状消失,多次上消化道钡餐造影无异常发现;
好转:症状减轻,多次上消化道钡餐造影仍有反复;
无效:临床症状无明显好转或加重。
3、治疗结果
治疗效果:该临床观察病例中,服药2-5个疗程,痊愈45例,随访未见复发;显效 8例,有效5例,无效2例,总有效率88.3%,中药品不良反应(ADR)评价,未发生不良反应和毒副作用。
典型案例:
患者王某,女,36岁,青岛市人,主诉:饭后上腹部疼痛,呈阵发性,缺乏周期性及节律性,用碱性药物不易缓解,患者上腹部有压痛,X线检查十二指肠球底部出现蕈状充盈缺损影,幽门管常增宽,确诊为胃粘膜脱垂症,服用本发明配方1个疗程后症状减退,用药6天后,疼痛消失,继续用药6天,彻底治愈,电话随访半年未复发。
Claims (5)
1.一种中药治疗胃粘膜脱垂症,其特征在于:该中药配方按重量份数包括以下中药成分:半夏24g,麦冬16g,人参7g,甘草6g,粳米7g,大枣12枚,沙参7g,冰糖4g,生地黄16g,玉竹6g。
2.如权利要求1所述的中药治疗胃粘膜脱垂症,其特征在于:该中药配方还包括山楂7g,鸡内金7g,神曲7g。
3.如权利要求1所述的中药治疗胃粘膜脱垂症,其特征在于:该中药配方还包括肉苁蓉6g,火麻仁6g。
4.如权利要求1所述的中药治疗胃粘膜脱垂症,其特征在于:该中药配方还包括五味子7g,牡蛎7g。
5.如权利要求1所述的中药治疗胃粘膜脱垂症的制备方法,其特征在于:将药材(除冰糖外)用清水浸泡1小时,浸泡的水量以淹没药面5cm为宜,将药放在火上,用武火熬开,沸腾后改用文火煎煮50分钟,将药液倒出,用冰糖冲服,每天1剂,分3次温服,6剂为1个疗程,需用药2~5个疗程。
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