CN108653680A - 一种治疗寒凝血瘀型痛经的肚脐贴 - Google Patents

一种治疗寒凝血瘀型痛经的肚脐贴 Download PDF

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CN108653680A
CN108653680A CN201810848727.3A CN201810848727A CN108653680A CN 108653680 A CN108653680 A CN 108653680A CN 201810848727 A CN201810848727 A CN 201810848727A CN 108653680 A CN108653680 A CN 108653680A
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莫镇涛
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Abstract

本发明涉及一种治疗寒凝血瘀型痛经的肚脐贴,该肚脐贴的药膏由有效成分和医学上可接受的辅料组成,其特征在于,所述的有效成分由以下重量百分比的中药饮片组成:巴戟天7%‑9%,肉桂9%‑11%,当归9%‑11%,蒲黄9%‑11%,白芍9%‑11%,香附9%‑11%,艾叶9%‑11%,川芎5%‑7%,郁金7%‑9%,续断5%‑7%,乌药5%‑7%,吴茱萸5%‑7%。经临床验证,本发明所述的治疗寒凝血瘀型痛经的肚脐贴能够显著痛经症状,总有效率达94.4%,且无任何临床不良反应。

Description

一种治疗寒凝血瘀型痛经的肚脐贴
发明领域
本发明涉及医用配制品,具体涉及含有来自植物未确定结构的治疗寒凝血瘀型痛经的中药制剂。
技术背景
痛经指妇女正值经期或行经前后出现周期性小腹痉挛性疼痛,或痛引腰骶,甚则剧痛昏厥者,又称“经行腹痛”,严重者伴有头痛、恶心呕吐、腰腿痛,手足厥冷,甚至昏厥,严重影响患者的学习、工作和生活。中医认为,禀赋不足,胞宫失于濡养,寒湿、湿热邪气内伏,停滞于胞宫和冲任二脉,引起气血运行不畅,痛经病位在子宫、冲任,以“不通则痛”或“不荣则痛”为主要病机,分为湿热瘀阻型、气血虚弱型、肾气亏损型、气滞血瘀型、寒凝血瘀型。其中,寒凝血瘀型痛经为较常见的原发性痛经,主要因患者体质阳虚,阴寒内盛,或过食寒凉生冷,寒从内生;久居寒湿之地,寒湿伤于下焦;或经期冒雨游泳等使风寒湿邪客于冲任,导致经血凝滞不畅,不通则痛,或者忽冷忽热,造成寒气下结,湿气不能顺畅排泄,形成血瘀的症状。临床表现为遇冷、潮湿就会加重,小腹喜温喜按,得暖痛减,经色淡量少,伴有腰酸腿软,手足欠温,小便清长等。西医治疗痛经主要以口服布洛芬缓释胶囊缓解疼痛为主,但长期服用容易对消化道产生刺激,且往往治标不治本。中医治疗痛经,标本兼治,且毒副作用小,因此,寻求一种新的治疗寒凝血瘀型痛经且疗效显著的特色中药制剂具有重要现实意义。
发明内容
本发明所要解决的技术问题是提供一种治疗寒凝血瘀型痛经的肚脐贴,该肚脐贴能够标本兼治,治疗痛经疗效显著。
本发明解决上述技术问题的方案如下:
一种治疗寒凝血瘀型痛经的肚脐贴,该肚脐贴的药膏由有效成分和医学上可接受的辅料组成,其特征在于,所述的有效成分由以下重量百分比的中药饮片组成:巴戟天7%-9%,肉桂9%-11%,当归9%-11%,蒲黄9%-11%,白芍9%-11%,香附9%-11%,艾叶9%-11%,川芎5%-7%,郁金7%-9%,续断5%-7%,乌药5%-7%,吴茱萸5%-7%。
上述肚脐贴中,所述的中药饮片的最佳重量百分比为:巴戟天8%,肉桂10%,当归10%,蒲黄10%,白芍10%,香附10%,艾叶10%,川芎6%,郁金8%,续断6%,乌药6%,吴茱萸6%。
本发明所述的肚脐贴的药膏由以下方法制备而成:取所述的中药饮片,粉碎成细粉,加入凡士林和羊毛脂,混匀即可。
中医认为,脐为先天之命蒂,后天之气舍,经气之汇海,五脏六腑之本。又由脐位于子宫附近,肚脐给药具有直达病所的优势。本发明肚脐贴的有效成分由巴戟天,肉桂,当归,蒲黄,白芍,香附,艾叶,川芎,郁金,续断,乌药,吴茱萸组成。方中肉桂具有温经散寒的功效,白芍具有柔肝止痛的功效,共为君药;艾叶具有散寒止痛,温经止血的功效,当归具有活血化瘀、调经止痛、润肠通便的功效,蒲黄具有化瘀止血,利尿通淋的功效,郁金具有行气祛瘀,清心解郁的功效,香附具有行气解郁,调经止痛,乌药具有行气止痛、温肾散寒的功效,吴茱萸具有散寒止痛、疏肝下气、助阳止泻,它们能起到散寒止痛,化瘀止血,行气解郁的作用,助君药散寒止痛,共为臣药;续断具有补肝肾、强筋骨、调血脉、止崩漏的功效,巴戟天具有散寒除湿,止痹痛的功效,能起到治疗痛经引发腰痛的作用,共为佐药;川芎具有行气活血,引方中诸药直达病所的功效为使药。全方共奏温经散寒,活血止血,行气止痛的功效,达到治疗寒凝血瘀型痛经的目的。
为了更好的理解本发明,下面将通过临床实验来证明本发明所具有的技术效果。
一、临床资料
将59例寒凝血瘀型痛经患者,年龄18~23岁,随机分为两组,治疗组为36例(平均年龄20岁),对照组为23例(平均年龄21岁)。两组病例在年龄、性别、病程等方面经统计学分析无显著性差异(P>0.05),具有可比性。
二、诊断标准
符合《中医病证诊断疗效标准》对寒凝血瘀型痛经的诊断标准:经行小腹冷痛,得热则舒,经量少,色紫黯有块,伴形寒肢冷。
三、排除标准
①继发性痛经,生殖器官有明显器质性病变,经妇科检查、B超显像、腹腔镜等技术检查有盆腔炎、子宫肿瘤、子宫内膜异位病变而致的痛经;②合并心、脑、肾、肝、肺等重大器质性疾病者;③合并传染病、恶性肿瘤以及精神病患者;④同时应用其他方法治疗痛经者。
四、治疗方法
治疗组:取实施例1所述的肚脐贴,经前两天开始贴在脐部神阙穴上,每日1贴,连续治疗4天。
对照组:口服布洛芬缓释胶囊,每次1粒,每天2次,经期前2天开始服用,疼痛消失停服(连续服用不得超过5天)。
嘱咐两组患者在治疗期间忌食生冷,不洗冷水和游泳等。
五、疗效评定标准
1、疗效评价标准:痛经疗效判定标准参照教材及中药新药临床研究指导原则。拟定具体标准如下:痊愈:治疗后积分恢复至0分,腹痛及其他症状消失;显效:70%≤治疗后总积分减少<95%,腹痛明显减轻其余症状好转;有效:30%≤治疗后总积分减少<70%,腹痛减轻其余症状好转;无效:治疗后总积分减少不足30%,腹痛及其他症状无改变者。
2、积分评价标准:⑴经期及其前后小腹疼痛采用VAS疼痛评分标准,0分:无痛,不影响睡眠,1分-3分:轻度疼痛,不影响睡眠,4分-6分:中度疼痛,轻度影响睡眠,7分-10分:重度疼痛,疼痛导致不能睡眠或从睡眠中痛醒。⑵坐卧不宁1分,⑶休克2分,⑷面色白0.5分,⑸冷汗淋漓1分,⑹四肢厥冷1分,⑺需卧床休息1分,⑻影响工作学习1分,⑼用一般止痛措施不缓解1分,⑽用一般止痛措施疼痛暂缓0.5分,⑾伴腰部酸痛0.5分,⑿伴恶心呕吐0.5分,⒀伴肛门坠胀0.5分,⒁疼痛在l天以内0.5分。⒂疼痛每增加1天加0.5分。总积分为第(1)项的痛感积分与(2)~(15)项的症状积分之和。
六、治疗结果
全部数据采用SPSS 17.0统计学软件进行统计分析。计数资料,以表示,比较采用t检验,等级资料,以例数表示,比较采用秩和检验。P<0.05表示差异具有统计学意义。统计结果见表1~2。
表1两组治疗寒凝血瘀型痛经疗效比较
注:※表示治疗组与对照组比较P<0.05。
从表1中的结果可以看出,与常用的布洛芬缓释胶囊比较,本发明肚脐贴治疗寒凝血瘀型痛经的总有效率高于对照组,差异具有统计学意义(P<0.05)。
表2两组治疗前后痛经症状积分比较
注:#表示同组治疗前后比较P<0.05。
从表2中的结果可以看出,治疗前,两组症状积分差异不具有统计学意义(P>0.05);同组治疗前后比较,症状积分比较差异显著(P<0.05);治疗后,治疗组症状积分与对照组比较,差异不具有统计学意义(P>0.05)。
综上结果表明,本发明所述的治疗寒凝血瘀型痛经的肚脐贴能够显著改善痛经症状,总有效率达94.4%,且无任何临床不良反应发生。
具体实施方式
下述实施例中的巴戟天,肉桂,当归,蒲黄,白芍,香附,艾叶,川芎,郁金,续断,乌药,吴茱萸均为饮片。下述实施例所述的肚脐贴,每贴药膏的用量按生药量计均为0.6克。
实施例1
1、处方:巴戟天40g,肉桂50g,当归50g,蒲黄50g,白芍50g,香附50g,艾叶50g,川芎30g,郁金40g,续断30g,乌药30g,吴茱萸30g。
2、制备方法:将上述处方药饮片粉碎成80目细粉;取凡士林400g,羊毛脂100g与药粉混匀,得药膏;将药膏置于脱敏胶布上,覆盖上防粘层,即得所述的肚脐贴。
实施例2
1、处方:巴戟天35g,肉桂55g,当归55g,蒲黄55g,白芍55g,香附45g,艾叶55g,川芎25g,郁金35,续断25g,乌药25g,吴茱萸35g。
2、制备方法:将上述处方药饮片粉碎成80目细粉;取凡士林375g,羊毛脂125g与药粉混匀,得药膏;将药膏置于脱敏胶布上,覆盖上防粘层,即得所述的肚脐贴。
实施例3
1、处方:巴戟天45g,肉桂45g,当归45g,蒲黄45g,白芍45g,香附55g,艾叶45g,川芎35g,郁金45g,续断35g,乌药35g,吴茱萸25g。
2、制备方法:将上述处方药饮片粉碎成80目细粉;取凡士林350g,羊毛脂150g与药粉混匀,得药膏;将药膏置于脱敏胶布上,覆盖上防粘层,即得所述的肚脐贴。

Claims (3)

1.一种治疗寒凝血瘀型痛经的肚脐贴,该肚脐贴的药膏由有效成分和医学上可接受的辅料组成,其特征在于,所述的有效成分由以下重量百分比的中药饮片组成:巴戟天7%-9%,肉桂9%-11%,当归9%-11%,蒲黄9%-11%,白芍9%-11%,香附9%-11%,艾叶9%-11%,川芎5%-7%,郁金7%-9%,续断5%-7%,乌药5%-7%,吴茱萸5%-7%。
2.根据权利要求1所述的一种治疗寒凝血瘀型痛经的肚脐贴,其特征在于,所述的中药饮片的重量百分比为:巴戟天8%,肉桂10%,当归10%,蒲黄10%,白芍10%,香附10%,艾叶10%,川芎6%,郁金8%,续断6%,乌药6%,吴茱萸6%。
3.根据权利要求1或2所述的一种治疗寒凝血瘀型痛经的肚脐贴,其特征在于,该肚脐贴的药膏由以下方法制得:取所述的中药饮片,粉碎成细粉,加入凡士林和羊毛脂,混匀即可。
CN201810848727.3A 2018-07-28 2018-07-28 一种治疗寒凝血瘀型痛经的肚脐贴 Pending CN108653680A (zh)

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CN114652785A (zh) * 2022-04-15 2022-06-24 贵州中医药大学第一附属医院 一种用于原发性寒湿凝滞型痛经的敷贴及其制备方法
CN115089684A (zh) * 2022-06-08 2022-09-23 华中科技大学同济医学院附属协和医院 一种治疗痛经脐贴

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CN103239702A (zh) * 2013-05-24 2013-08-14 温美珍 一种治疗痛经的药物

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CN114652785A (zh) * 2022-04-15 2022-06-24 贵州中医药大学第一附属医院 一种用于原发性寒湿凝滞型痛经的敷贴及其制备方法
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