CN108066737A - 一种双解泻心汤 - Google Patents

一种双解泻心汤 Download PDF

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CN108066737A
CN108066737A CN201810054367.XA CN201810054367A CN108066737A CN 108066737 A CN108066737 A CN 108066737A CN 201810054367 A CN201810054367 A CN 201810054367A CN 108066737 A CN108066737 A CN 108066737A
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王之印
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Abstract

一种双解泻心汤，涉及中草药技术领域，其特征在于：包括以下重量份的材料制成，黄连5‑9份、附子9‑14份、生姜14‑20份、灯芯草10‑14份、丹参4‑8份、沉香7‑10份、郁金6‑10份、陈皮5‑10份、茯神1‑4份、远志2‑7份、柏子仁3‑7份、合欢花4‑8份、枣仁3‑7份、甘草6‑12份。本发明方法合理、平衡阴阳、理气、止痛。

Description

一种双解泻心汤
技术领域
本发明涉及中草药技术领域，具体涉及一种双解泻心汤。
背景技术
胸痹之名称，首见于中医经典《内经》。《灵枢·本藏》：“肺大则多饮，善病胸痹、喉痹、逆气。”将饮邪痹阻胸中作为胸痹的主要病机。以胸部憋闷、疼痛，甚则胸痛彻背，短气，喘息不得卧等为主要表现的病症。多因素体阳虚，感受寒邪，寒凝心脉；或忧思恼怒，肝郁气滞，瘀血内阻；或饮食失节，损伤脾胃，聚湿生痰，闭阻心脉；或劳倦伤脾，生化无源，气血不足，心失所养；或久病不愈，房劳伤肾，进而损及心之阴阳等引起。常见证型有：①寒凝心脉型胸痹。证见心痛如绞、遇冷则疼痛加重，甚则伴有手足不温，冷汗出，心悸气短，心痛彻背，苔白脉紧，治宜通阳散寒，活血通脉，方用当归四逆汤加味。②痰浊闭阻型胸痹。证见心痛胸闷，咳痰粘稠，纳少倦怠，苔白腻脉滑，治宜理气化痰，方用二陈汤加味。③瘀血痹阻型胸痹。证见心痛如刺，痛有定处、舌暗红有瘀斑、苔薄，脉弦涩或结代，治宜活血化瘀，通脉止痛，方用血府逐瘀汤加减。④心气不足型胸痹。证见心痛伴胸闷气短，心悸乏力，舌淡脉细缓，治宜养心益气通脉，方用保元汤加味。⑤心阴不足型胸痹。证见心痛，头晕，心烦失眠，口干盗汗，舌红少津，脉细数，治宜滋阴养心，方用天王补心丹。⑥心阳亏虚型胸痹。证见心痛心悸，遇冷病甚，神疲气短，四肢不温，舌淡胖，脉沉迟，治宜补气温阳，方用人参汤加味。胸痹如持续发作，疼痛剧烈，也可变生厥证、脱证等危重证候。
胸痹者，胸中痹着不通，“痹着”之因，乃有胸中阳气不足，阴寒内盛，“不通”之果，必致胸中闷塞疼痛，多时不愈，如《金匮要略》所述，“阳微阴弦即胸痹而痛是也”。现今人们对于胸痹的认识虽然强调上述理论，且对其精义有颇多理解，但是具体谈疾论治，不宜拘泥于前贤之说。胸痹初发而症候典型有选择上述诸法，或有一定的效果，但遇除胸痹痛频繁且不愈，并且内外失调、阴阳失调，脏腑气血不和者，则多不愈。
发明内容
本发明所要解决的技术问题在于克服现有的技术缺陷提供一种方法合理、平衡阴阳、理气、止痛的一种双解泻心汤。
本发明所要解决的技术问题采用以下的技术方案来实现：
一种双解泻心汤，其特征在于：包括以下重量份的材料制成，
黄连5-9份、附子9-14份、生姜14-20份、灯芯草10-14份、丹参4-8份、沉香7-10份、郁金6-10份、陈皮5-10份、茯神1-4份、远志2-7份、柏子仁3-7份、合欢花4-8份、枣仁3-7份、甘草6-12份；
各原料药的优选重量份为：
黄连7份、附子11份、生姜18份、灯芯草12份、丹参5份、沉香9份、郁金8份、陈皮7份、茯神2份、远志2份、柏子仁4份、合欢花4份、枣仁5份、甘草8份；
本发明所用到的原料药可从普通中药店购买得到，其规格符合国家中药材标准即可；
用法用量：
将上述的药物分成同等重量份的两份，将其中一份药物取出，放入砂锅中加入60重量份的纯净水用武火熬煮2-3个小时，然后滤渣留汤剂；再将另一份的药物研磨，且过120目筛，然后加入汤剂中，用文火继续熬煮4-5个小时，待汤剂温度凉至40-45℃时即可服用，每天服用3次，饭前1-1.5个小时服用，五天一个疗程，2-4个疗程。
黄连、附子、生姜、灯芯草寒热并投，平衡阴阳，增加气血，故为君，而丹参、沉香、郁金、陈皮气血双调，和其脏腑，故为臣，茯神、远志、柏子仁、合欢花、枣仁、甘草补气安神、除烦止渴、清热解毒，故为佐；携君、臣、佐、药直达病所；治疗乃轻于病邪、而重于正气，轻于攻外、而重于调理，轻于局部而终于整体。
具体临床治疗结果参见下表：
例数 痊愈 有效 无效 有效率(％)
45 32 12 1 97.8
诊疗结果：有效率97.8％，总结本方治疗胸痹、疼痛，疗效确切并能改变病理症状。
本发明的有益效果为：本发明采用中草药配方，材料易得，制备方法简单，服用治疗效果好，价格低，常用于胸痹病症，本品有通气、理血之功效，寒热并投，还能够清热解毒、止痛、扩张血管，等功效，见效快，疗效可靠，随制随用无明显不良反应和副作用。
具体实施方式
为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解，下面进一步阐述本发明。
实施例1
一种双解泻心汤，其特征在于：包括以下重量份的材料制成，
黄连5-9份、附子9-14份、生姜14-20份、灯芯草10-14份、丹参4-8份、沉香7-10份、郁金6-10份、陈皮5-10份、茯神1-4份、远志2-7份、柏子仁3-7份、合欢花4-8份、枣仁3-7份、甘草6-12份；
各原料药的优选重量份为：
黄连7份、附子11份、生姜18份、灯芯草12份、丹参5份、沉香9份、郁金8份、陈皮7份、茯神2份、远志2份、柏子仁4份、合欢花4份、枣仁5份、甘草8份；
本发明所用到的原料药可从普通中药店购买得到，其规格符合国家中药材标准即可；
用法用量：
将上述的药物分成同等重量份的两份，将其中一份药物取出，放入砂锅中加入60重量份的纯净水用武火熬煮2-3个小时，然后滤渣留汤剂；再将另一份的药物研磨，且过120目筛，然后加入汤剂中，用文火继续熬煮4-5个小时，待汤剂温度凉至40-45℃时即可服用，每天服用3次，饭前1-1.5个小时服用，五天一个疗程，2-4个疗程。
实施例2
一种双解泻心汤，其特征在于：包括以下重量份的材料制成，
黄连5-9份、附子9-14份、生姜14-20份、灯芯草10-14份、丹参4-8份、沉香7-10份、郁金6-10份、陈皮5-10份、茯神1-4份、远志2-7份、柏子仁3-7份、合欢花4-8份、枣仁3-7份、甘草6-12份；
各原料药的优选重量份为：
黄连4份、附子9份、生姜14份、灯芯草10份、丹参4份、沉香7份、郁金6份、陈皮4份、茯神1份、远志2份、柏子仁3份、合欢花4份、枣仁3份、甘草6份；
本发明所用到的原料药可从普通中药店购买得到，其规格符合国家中药材标准即可；
用法用量：
将上述的药物分成同等重量份的两份，将其中一份药物取出，放入砂锅中加入60重量份的纯净水用武火熬煮2-3个小时，然后滤渣留汤剂；再将另一份的药物研磨，且过120目筛，然后加入汤剂中，用文火继续熬煮4-5个小时，待汤剂温度凉至40-45℃时即可服用，每天服用3次，饭前1-1.5个小时服用，五天一个疗程，2-4个疗程。
实施例3
一种双解泻心汤，其特征在于：包括以下重量份的材料制成，
黄连5-9份、附子9-14份、生姜14-20份、灯芯草10-14份、丹参4-8份、沉香7-10份、郁金6-10份、陈皮5-10份、茯神1-4份、远志2-7份、柏子仁3-7份、合欢花4-8份、枣仁3-7份、甘草6-12份；
各原料药的优选重量份为：
黄连9份、附子14份、生姜20份、灯芯草14份、丹参8份、沉香10份、郁金10份、陈皮10份、茯神4份、远志7份、柏子仁7份、合欢花8份、枣仁7份、甘草12份；
本发明所用到的原料药可从普通中药店购买得到，其规格符合国家中药材标准即可；
用法用量：
将上述的药物分成同等重量份的两份，将其中一份药物取出，放入砂锅中加入60重量份的纯净水用武火熬煮2-3个小时，然后滤渣留汤剂；再将另一份的药物研磨，且过120目筛，然后加入汤剂中，用文火继续熬煮4-5个小时，待汤剂温度凉至40-45℃时即可服用，每天服用3次，饭前1-1.5个小时服用，五天一个疗程，2-4个疗程。
病案1：
王某，男，45岁，2014年11月初诊，患有胸痹且间歇性疼痛、胸闷，多次住院治疗，但是疼痛只能缓解，胸闷持续；
使用本药剂2个疗程胸闷停止，3个疗程疼痛停止，5个疗程痊愈。
病案2：
赵某，女58岁，2015年5月初诊，胸痹且呼吸不畅，服用处方药治疗，但是无法治愈；
使用本药剂3个疗程痊愈。
以上显示和描述了本发明的基本原理和主要特征和本发明的优点。本行业的技术人员应该了解，本发明不受上述实施例的限制，上述实施例和说明书中描述的只是说明本发明的原理，在不脱离本发明精神和范围的前提下，本发明还会有各种变化和改进，这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。

Claims (2)

1.一种双解泻心汤，其特征在于：包括以下重量份的材料制成，
黄连5-9份、附子9-14份、生姜14-20份、灯芯草10-14份、丹参4-8份、沉香7-10份、郁金6-10份、陈皮5-10份、茯神1-4份、远志2-7份、柏子仁3-7份、合欢花4-8份、枣仁3-7份、甘草6-12份。
2.根据权利要求1所述的一种双解泻心汤，其特征在于：各原料药的优选重量份为：
黄连7份、附子11份、生姜18份、灯芯草12份、丹参5份、沉香9份、郁金8份、陈皮7份、茯神2份、远志2份、柏子仁4份、合欢花4份、枣仁5份、甘草8份。
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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104474524A (zh) * 2015-01-13 2015-04-01 鲁京文 一种治疗病毒性心肌炎的中药组合物

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104474524A (zh) * 2015-01-13 2015-04-01 鲁京文 一种治疗病毒性心肌炎的中药组合物

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陈松云等: "双解泻心汤治疗老年冠心病心绞痛30例临床观察", 《安徽中医临床杂志》 *

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