CN107837363A - 一种治疗慢性心率失常的中药组合物及其制备方法 - Google Patents
一种治疗慢性心率失常的中药组合物及其制备方法 Download PDFInfo
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Abstract
本发明属于中药技术领域,具体涉及一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参10~20份、麦冬10~15份、五味子10~20份、丹参10~15份、檀香6~9份、砂仁10~15份、党参10~15份、炒白术8~15份、山药10~15份、汉三七粉20~35份、肉桂3~9份、补骨脂10~15份、山萸肉10~15份、熟地20~25份、麻黄3~6份、香薷3~6份;本发明以太子参为君药,以麦冬和五味子为臣药,以丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、发汗麻黄为佐药,以香薷为使药,配伍合理,对于慢性心律失常,补阳通脉、益气补中、活血散瘀、补肾固虚,疗效显著,安全无毒副作用,适合长期服用。
Description
技术领域
本发明属于中药技术领域,具体涉及一种治疗慢性心率失常的中药组合物及其制备方法。
背景技术
心率失常是指由于心脏疾病或全身性因素及其他器官障碍等原因引起的心脏冲动频率、节奏、起源部位、传导速度或激动次序的异常。心率失常按失常时心率的快慢可分为快速性和缓慢性心律失常。慢性心律失常,心室率<60次/分,起源点可是窦房结,房室结或其他心肌组织,心电图特点:QRS波群总数<60次/分。病因:窦性心动过缓,窦房阻滞及Ⅱ度Ⅰ型房室传导阻滞常见于正常人。其他多见于器质性心脏病者。发病诱因:常为心脏传导系统退行性病变,原发心脏病加重。常是各种心脏病终末期表现。临床症状:心悸,胸闷,头晕,黑蒙,出汗。有心脏病者症状重,可有心绞痛,心衰加重,晕厥,休克,猝死等。临床体征:主要表现为心率减慢,可有血压下降,房室收缩不同步时听诊可及“大炮音”。目前,药物治疗主要原则是:提升窦性心律或交界区心律,维持心脏的血液动力学稳定,最根本的治疗还是人工永久心脏起搏器的植入。但是药物的毒副作用大、易复发,不适合长期服用维持、稳定病情,植入人工永久心脏起搏器费用昂贵且有创伤、风险大,不到万不得已,患者不会采用这种治疗方式。
中医认为,缓慢性心律失常的病因病机认为是心脾肾阳气亏虚,寒湿、痰饮、瘀血之邪阻滞心脉,心脉瘀阻流通不畅。心肾阳虚过度会导致命门火衰。
发明内容
为解决上述问题,本发明采用的技术方案是:
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参10~20份、麦冬10~15份、五味子10~20份、丹参10~15份、檀香6~9份、砂仁10~15份、党参10~15份、炒白术8~15份、山药10~15份、汉三七粉20~35份、肉桂3~9份、补骨脂10~15份、山萸肉10~15份、熟地20~25份、麻黄3~6份、香薷3~6份。
较优组分为:该中药组合物由以下重量份的原料组成:太子参12~18份、麦冬11~14份、五味子12~18份、丹参11~14份、檀香7~8份、砂仁11~14份、党参11~14份、炒白术9~12份、山药11~14份、汉三七粉25~30份、肉桂5~8份、补骨脂11~14份、山萸肉11~14份、熟地21~24份、麻黄4~5份、香薷4~5份。
最优组分为:该中药组合物由以下重量份的原料组成:太子参15份、麦冬12份、五味子16份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份;或,该中药组合物由以下重量份的原料组成:太子参16份、麦冬13份、五味子15份、丹参13份、檀香7份、砂仁12份、党参13份、炒白术10份、山药12份、汉三七粉28份、肉桂6份、补骨脂12份、山萸肉13份、熟地22份、麻黄4份、香薷5份。
进一步,上述的治疗慢性心率失常的中药组合物,该中药组合物可以制成搽剂、粉剂、胶囊和汤剂中的任意一种。
本发明公开了一种治疗慢性心率失常的中药组合物的制备方法,剂型为胶囊,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末填充在胶囊中,即得到治疗慢性心率失常的中药胶囊。
本发明公开了第二种所述的治疗慢性心率失常的中药组合物的制备方法,剂型为粉剂,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末装入中药网包中,即得到治疗慢性心率失常的中药粉剂。
本发明公开了第三种所述的治疗慢性心率失常的中药组合物的制备方法,剂型为汤剂,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于药锅中,并加入清水浸泡30min,去除药粉中杂物;清水的加入量以淹没所有中药原料为宜,浸泡后,采用武火煮沸后,文火加热30~50分钟,过滤得一次药液;
步骤(3):向步骤(2)中砂锅中的药渣中加入清水,清水的加入量以淹没所有药渣为宜,进行第二次煎煮,先武火煮沸,再文火煮30分钟,过滤得二次药液;
步骤(4):将步骤(2)和步骤(3)中所得药液合并,装袋,自然冷却至室温后置于冰箱中冷藏,冷藏温度控制在0~5℃,由此制得治疗慢性心率失常的中药汤剂。
各组分药理如下:
太子参:性味归经:甘,微苦,微温。入肺、脾经。功能主治:补益脾肺,益气生津。治肺虚咳嗽,脾虚食少,心悸,怔忡,水肿,消渴,精神疲乏。1.用于脾气虚弱、胃阴不足的食少倦怠。能益脾气,养胃阴。常配山药、石斛等同用。但其补益脾气之力不及党参。2.用于气虚津伤的肺虚燥咳及心悸不眠、虚热汗多。能益气生津。治气虚肺燥咳嗽,配北沙参、麦冬等,治气阴两虚的心悸不眠、多汗,配酸枣仁、五味子等。但其补气益阴生津之力,均弱于西洋参。
麦冬:性味:甘,微苦,微寒。归经:归心、肺、胃经。功能主治:养阴生津,润肺清心。用于肺燥干咳。虚痨咳嗽,津伤口渴,心烦失眠,内热消渴,肠燥便秘;咽白喉。
五味子:性味归经:酸、甘,温。归肺,心、肾经。收敛固涩,益气生津,补肾宁心。用于久嗽虚喘,梦遗滑精,遗尿尿频,久泻不止,自汗,盗汗,津伤口渴,短气脉虚,内热消渴,心悸失眠。
丹参:性味:味苦,微寒。归经:归心、肝经。功效:活血祛瘀,通经止痛,清心除烦,凉血消痈。用于胸痹心痛,脘腹胁痛,瘕瘕积聚,热痹疼痛,心烦不眠,月经不调,痛经经闭,疮疡肿痛。
檀香:性味归经:辛,温。归脾、胃、心、肺经。功能主治:行气温中,开胃止痛。用于寒凝气滞,胸膈不舒,胸痹心痛,脘腹疼痛,呕吐食少。
砂仁:味辛,性温;归脾、胃、肾经。功能主治:行气调中,和胃,醒脾。治腹痛痞胀,胃呆食滞,噎膈呕吐,寒泻冷痢,妊娠胎动。
党参:性味归经:甘,平。归脾经、肺经。功能主治:补中,益气,生津。治脾胃虚弱,气血两亏,体倦无力,食少,口渴,久泻,脱肛。
炒白术:炒白术,是一种补虚药,具有健脾益气等效果,是将蜜炙麸皮撒入热锅内,待冒烟时加入白术片,炒至焦黄色、逸出焦香气,取出,筛去蜜炙麸皮。燥湿利水,止汗,安胎。用于脾虚食少,腹胀泄泻,痰饮眩悸,水肿,自汗,胎动不安。
山药:性味归经:味甘,性平。入肺经、脾经、肾经。健脾,补肺,固肾,益精。治脾虚泄泻,久痢,虚劳咳嗽,消渴,遗精、带下,小便频数。
汉三七粉:三七粉,别名汉三七,三七粉是用三七主根打成的粉,成分和三七主根一样,富含三七皂苷、三七多糖、三七素、黄酮有效成分。性味归经:甘微苦,温。肝经、胃经、大肠经。止血,散瘀,消肿,定痛。治吐血,咳血,衄血,便血,血痢,崩漏,癥瘕,产后血晕,恶露不下,跌扑瘀血,外伤出血,痈肿疼痛。
肉桂:性味归经:味辛甘,性热。归肾经、脾经、心经、肝经。功能主治:补元阳,暖脾胃,除积冷,通血脉。治命门火衰,肢冷脉微,亡阳虚脱,腹痛泄泻,寒疝奔豚,腰膝冷痛,经闭症瘕,阴疽,流注,及虚阳浮越,上热下寒。
补骨脂:性味归经:味辛;苦;性温。肾经;心包经;脾经;胃经;肺经。补肾助阳。治肾虚冷泻,遗尿,滑精,小便频数,阳痿,腰膝冷痛,虚寒喘嗽。外用治白癜风。
山萸肉:性味归经:味酸,性微温。入肝经、肾经。补肝肾,涩精气,固虚脱。治腰膝酸痛,眩晕,耳鸣,阳痿,遗精,小便频数,肝虚寒热,虚汗不止,心摇脉散。
熟地:性味归经:味甘、性温。归肝、肾经。功能主治:补血滋润、益精填髓。用于血虚萎黄、眩晕心悸、月经不调、崩不止、肝肾阴亏、潮热盗汗、遗精阳痿、不育不孕、月经不调、崩漏下血、腰膝酸软、耳鸣耳聋、头目昏花、须发早白、消渴、便秘、肾虚喘促。
麻黄:性味归经:辛、微苦,温。归肺、膀胱经。功能主治:发汗散寒,宣肺平喘,利水消肿。用于风寒感冒,胸闷喘咳,风水浮肿;支气管哮喘。蜜麻黄润肺止咳。多用于表症已解,气喘咳嗽。
香薷:性味归经:辛,微温。归肺、胃经。发汗解暑,行水散湿,温胃调中。治夏月感寒饮冷,头痛发热,恶寒无汗,胸痞腹痛,呕吐腹泻,水肿,脚气。
本发明以补益脾肺、益气生津的太子参为君药,以养阴生津的麦冬和益气生津、润肺清心的五味子为臣药,以通经止痛的丹参、行气温中的檀香、行气调中的砂仁、补中益气的党参、健脾益气的炒白术、固肾益精的山药、散瘀定痛的汉三七粉、补阳通脉的肉桂、补肾助阳的补骨脂、补肝肾固虚脱的山萸肉、补血滋润的熟地、发汗散寒的麻黄为佐药,以发汗解暑、行水散湿、温胃调中的香薷为使药,配伍合理,对于慢性心律失常,从整体调控角度入手通过多种途径进行调理治疗,补阳通脉、益气补中、活血散瘀、补肾固虚,疗效显著,安全无毒副作用,适合长期服用。
该中药组合物可以制备成中药片剂、颗粒、中药丸等多种形式,并不局限为汤剂和胶囊,适用于多种治疗方式,用药方式。
具体实施方式
下面结合实施例对本发明进行进一步说明。
实施例1
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参10份、麦冬15份、五味子10份、丹参15份、檀香6份、砂仁15份、党参10份、炒白术15份、山药10份、汉三七粉35份、肉桂3份、补骨脂15份、山萸肉10份、熟地25份、麻黄3份、香薷6份。
实施例2
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参20份、麦冬10份、五味子20份、丹参10份、檀香9份、砂仁10份、党参15份、炒白术8份、山药15份、汉三七粉20份、肉桂9份、补骨脂10份、山萸肉15份、熟地20份、麻黄6份、香薷3份。
实施例3
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参12份、麦冬14份、五味子12份、丹参14份、檀香7份、砂仁14份、党参11份、炒白术12份、山药11份、汉三七粉30份、肉桂5份、补骨脂14份、山萸肉11份、熟地24份、麻黄4份、香薷5份。
实施例4
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参18份、麦冬11份、五味子18份、丹参11份、檀香8份、砂仁11份、党参14份、炒白术9份、山药14份、汉三七粉25份、肉桂8份、补骨脂11份、山萸肉14份、熟地21份、麻黄5份、香薷4份。
实施例5
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参15份、麦冬12份、五味子16份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份。
实施例6
一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参16份、麦冬13份、五味子15份、丹参13份、檀香7份、砂仁12份、党参13份、炒白术10份、山药12份、汉三七粉28份、肉桂6份、补骨脂12份、山萸肉13份、熟地22份、麻黄4份、香薷5份。
实施例7:制成胶囊
实施例1~6所述的治疗慢性心率失常的中药组合物的制备方法,剂型为胶囊,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末装入胶囊中,即得到治疗慢性心率失常的中药胶囊。
实施例8制成粉剂
实施例1~6所述的治疗慢性心率失常的中药组合物的制备方法,剂型为粉剂,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末装入中药网包中,即得到治疗慢性心率失常的中药粉剂。
实施例9制成汤剂
实施例1~6所述的治疗慢性心率失常的中药组合物的制备方法,剂型为汤剂,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于药锅中,并加入清水浸泡30min,去除药粉中杂物;清水的加入量以淹没所有中药原料为宜,浸泡后,采用武火煮沸后,文火加热30~50分钟,过滤得一次药液;
步骤(3):向步骤(2)中砂锅中的药渣中加入清水,清水的加入量以淹没所有药渣为宜,进行第二次煎煮,先武火煮沸,再文火煮30分钟,过滤得二次药液;
步骤(4):将步骤(2)和步骤(3)中所得药液合并,装袋,自然冷却至室温后置于冰箱中冷藏,冷藏温度控制在0~5℃,由此制得治疗慢性心率失常的中药汤剂。
毒性试验
选取体重相当的成年小白鼠40只,分为对照组和给药组,饲养条件一致,对照组不喂药,给药组每天喂本发明所述的治疗慢性心率失常的药1次,每天记录各个小白鼠的身体状况、摄食、饮水、体重,试验持续六个月,与对照组相比,给药组小白鼠身体状况、摄食、饮水、体重增长均正常,且未见小白鼠生病或死亡。提示该药安全性好,无毒副作用。
本发明以实施例5所给出的数据进行了临床疗效追踪,疗效汇总如下:
1.选取慢性心率失常病例数200例,平均年龄55.3岁,将患者随机分为四组,治疗组50例,对照组150例,两组年龄等资料无显著性差异,具有可比性。
2.治疗方法,治疗组口服本发明优选配方实施例5制得的中药组合物,每日分早晚两次服用汤剂,一个疗程7天。
饮食禁忌:(1)忌烟、酒、咖啡、可可。(2)忌辛辣、燥热动血的食物。(3)忌霉变、油煎、肥腻食物。
3.诊断标准
参照《现代中医临床诊断学》中的诊断依据进行临床诊断:
痊愈:心室率>60次/分,心电图特点:QRS波群总数>60次/分,心悸,胸闷,头晕,黑蒙,出汗症状消失;
显效:心室率<60次/分,心电图特点:QRS波群总数<60次/分,但是心悸,胸闷,头晕,黑蒙,出汗症状偶有发生;
好转:心室率<60次/分,心电图特点:QRS波群总数<60次/分,但是心悸,胸闷,头晕,黑蒙,出汗症状有所缓解;
无效:心室率<60次/分,心电图特点:QRS波群总数<60次/分,但是心悸,胸闷,头晕,黑蒙,出汗症状无缓解。
总有效率=(治愈+显效+好转)/n×100%。
4.临床观察实验结果:
病例数200,其中治疗组50例;对照组150例,对照组随机平均分成三组,每组50例。
治疗组:采用的药方为实施例5的药方、实施例10提供的制备方法,
对照组1:采用的是缺君药(太子参):一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:麦冬12份、五味子16份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份。
对照组2:采用的是缺臣药(麦冬):一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参15份、五味子16份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份。
对照组3:采用的是缺臣药(五味子):一种治疗慢性心率失常的中药组合物,以重量份计,该中药组合物由以下重量份的原料组成:太子参15份、麦冬12份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份。
治疗组,男性25例、女性25例,年龄20~70岁,发病时间1年~10年。治疗周期为3~8个疗程,治愈率62%,显效率74%,有效率92%。
对照组1,男性25例、女性25例,年龄20~70岁,发病时间1年~10年。治疗周期为3~8个疗程,治愈率6%,显效率为24%,有效率为22%。
对照组2,男性25例、女性25例,年龄20~70岁,发病时间1年~10年。治疗周期为3~8个疗程,治愈率4%,显效率为14%,有效率为24%。
对照组3,男性25例、女性25例,年龄20~70岁,发病时间1年~10年。治疗周期为3~8个疗程,治愈率8%,显效率为12%,有效率为32%。
5.典型病例
5.1陈某某,女,46岁。汤阴人,经常出现眩晕症状以及心悸症状,西医诊断为慢性心率失常,采用异丙肾上腺素治疗,用药期间,症状得以控制,停药就会复发,考虑到药物的毒副作用大,病情又没有严重到必须手术的程度不想实施手术,遂到发明人所在的中医门诊就诊,发明人诊断后,患者的病症实为心肾阳虚所致,给予本发明提供的中药,两周后不再出现眩晕症状,四周后心悸症状明显减轻,只是偶尔发作,为巩固治疗,又用药两周,心悸症状完全消失,痊愈,经心电图检测,QRS波群总数>60次/分,为巩固疗效,又坚持服药1个月,一年后追访:无复发。
5.2张某,男,58岁,汤阴人。频繁出现胸闷、心慌气短、面色苍白、四肢发冷,偶尔出现昏厥,中医诊断为过度心肾阳虚导致的命门火衰所致,给于本发明提供的中药,两周后不再频繁发作,四周后,发作次数明显减少,六周后,只是偶尔发作,又用药两周,不再发作,为巩固治疗,又用药两周。一年后追访:无复发。
5.3欧阳某某,男,62岁,患心率失常多年,心脏的跳动始终维持在55左右,年轻时由于家境贫寒,经常饥一顿饱一顿,造成的心脏供血不足和脑供血不足,窦性心率过缓,窦性心率不齐,偶发的房性期前收缩,阵发性室上性心动过速,心悸,胸闷,头晕,低血压,出汗,经中西医诊治多年,只缓解,未能痊愈,经人介绍来到我处诊治,给予本发明实施例5的药方,制成中药汤剂,一日两次,早晚服用,用药四周后,患者自述,脑袋清醒了,心脏明显感觉跳的快了,去医院检查心电图,QRS波群总数59-60次/分,继续用药四周后,QRS波群总数62次/分,为巩固疗效,又继续用药两个月,近半年未见复发。
5.4木某某,女,68岁,患有心率失常多年,归因在于脑供血不足,窦性心率过缓,窦性心率不齐,偶发的房性期前收缩,阵发性室上性心动过速,心悸,胸闷,头晕,低血压,出汗,经中西医诊治多年,只缓解,未能痊愈,来到我处诊治时,没法坐着只能是躺在病床上,给予本发明实施例5的药方,制成中药汤剂,用药两周后,来我处诊治时,不需要再躺着,是自己步行来的,又继续用药两个月,身体明显比以前硬朗,心慌、气短症状明显得到改善,其坚持服药六个月后,症状已基本缓解,又坚持用药三个月,儿女欣喜,觉得她像换了一个人一样,现在身体健康,尽享天伦之乐。
5.5罗某某,由于一次交通事故,落下慢性心率失常的毛病,年轻时未有明显症状,也不影响正常生活,近几年,频繁出现胸闷、心慌气短、面色苍白、四肢发冷,偶尔出现昏厥,经心电图检测,QRS波群总数<60次/分,中医诊断为过度心肾阳虚导致的命门火衰所致,给于本发明提供的中药,四周后不再频繁发作,八周后,发作次数明显减少,十周后,只是偶尔发作,又用药两周,不再发作,为巩固治疗,又用药两个月。一年后追访:无复发。
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其他实施例中实现。因此,本发明将不会被限制于本文所示的这些实施例,而是要更符合与本文所公开的原理和新颖特点相一致的最宽的范围。
Claims (8)
1.一种治疗慢性心率失常的中药组合物,其特征在于,以重量份计,该中药组合物由以下重量份的原料组成:太子参10~20份、麦冬10~15份、五味子10~20份、丹参10~15份、檀香6~9份、砂仁10~15份、党参10~15份、炒白术8~15份、山药10~15份、汉三七粉20~35份、肉桂3~9份、补骨脂10~15份、山萸肉10~15份、熟地20~25份、麻黄3~6份、香薷3~6份。
2.根据权利要求1所述的治疗慢性心率失常的中药组合物,其特征在于,该中药组合物由以下重量份的原料组成:太子参12~18份、麦冬11~14份、五味子12~18份、丹参11~14份、檀香7~8份、砂仁11~14份、党参11~14份、炒白术9~12份、山药11~14份、汉三七粉25~30份、肉桂5~8份、补骨脂11~14份、山萸肉11~14份、熟地21~24份、麻黄4~5份、香薷4~5份。
3.根据权利要求2所述的治疗慢性心率失常的中药组合物,其特征在于,该中药组合物由以下重量份的原料组成:太子参15份、麦冬12份、五味子16份、丹参12份、檀香8份、砂仁13份、党参12份、炒白术11份、山药13份、汉三七粉27份、肉桂7份、补骨脂13份、山萸肉12份、熟地23份、麻黄5份、香薷4份。
4.根据权利要求2所述的治疗慢性心率失常的中药组合物,其特征在于,该中药组合物由以下重量份的原料组成:太子参16份、麦冬13份、五味子15份、丹参13份、檀香7份、砂仁12份、党参13份、炒白术10份、山药12份、汉三七粉28份、肉桂6份、补骨脂12份、山萸肉13份、熟地22份、麻黄4份、香薷5份。
5.根据权利要求1~4任意一项所述的治疗慢性心率失常的中药组合物,其特征在于,该中药组合物可以制成搽剂、粉剂、胶囊和汤剂中的任意一种。
6.根据权利要求1~4任意一项所述的治疗慢性心率失常的中药组合物的制备方法,剂型为胶囊,其特征在于,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末填充在胶囊中,即得到治疗慢性心率失常的中药胶囊。
7.根据权利要求1~4任意一项所述的治疗慢性心率失常的中药组合物的制备方法,剂型为粉剂,其特征在于,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于清水中浸泡10~15min,去除药粉中杂物;
步骤(3):将步骤(2)所得的中药原料从水中捞出,置于自然光下晒干;晒干后含水率控制在小于或等于98%;
步骤(4):将步骤(3)干燥后的中药置于中药研磨机中研磨成粉,过500~800目筛分后,在紫外光杀菌灯下杀菌处理12~24小时;
步骤(5):将步骤(4)得到的中药粉末装入中药网包中,即得到治疗慢性心率失常的中药粉剂。
8.根据权利要求1~4任意一项所述的治疗慢性心率失常的中药组合物的制备方法,剂型为汤剂,其特征在于,包括如下步骤:
步骤(1):按照所述治疗慢性心率失常的中药组合物的原料重量份称取太子参、麦冬、五味子、丹参、檀香、砂仁、党参、炒白术、山药、汉三七粉、肉桂、补骨脂、山萸肉、熟地、麻黄、香薷;
步骤(2):将步骤(1)中称取的中药原料置于药锅中,并加入清水浸泡30min,去除药粉中杂物;清水的加入量以淹没所有中药原料为宜,浸泡后,采用武火煮沸后,文火加热30~50分钟,过滤得一次药液;
步骤(3):向步骤(2)中砂锅中的药渣中加入清水,清水的加入量以淹没所有药渣为宜,进行第二次煎煮,先武火煮沸,再文火煮30分钟,过滤得二次药液;
步骤(4):将步骤(2)和步骤(3)中所得药液合并,装袋,自然冷却至室温后置于冰箱中冷藏,冷藏温度控制在0~5℃,由此制得治疗慢性心率失常的中药汤剂。
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