CN108853346A - 一种治疗唇炎的外用药膏 - Google Patents
一种治疗唇炎的外用药膏 Download PDFInfo
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Abstract
本发明之目的是提供一种治疗唇炎的外用药膏,由以下重量份数计的:茜草炭60‑80份、黄连30‑50份、冬瓜子油300‑400份、白及9‑15份、槐花15‑20份和蜂蜡60‑80份制成;本发明纯中药配制,具有清热解毒,消肿止痛,祛风止痒之功效,有效于唇炎的治疗,可显著减轻患者皮损红肿瘙痒程度、改善皮损面积、皮损表现、促进皮损愈合,疗效好,用药安全,是治疗唇炎药物上的创新,经济和社会效益显著。
Description
技术领域
本发明涉及中药,尤其涉及一种治疗唇炎的外用药膏。
背景技术
唇炎是一种初期以唇部的干燥、红肿、痒痛、疱疹等,日久破溃流水,糜烂、结痴、起灰白色鳞屑为主要临床症状。病情易反反复复,可持续数月甚至数年不愈,或者患部可有暂时愈合,但常复发。是口腔黏膜病中常见的一组种类繁多、临床表型各异、病理变化和发病机制不同的疾病。文献报道慢性唇炎的发生可能与季节更替、天气突然变化、局部理化刺激、日光照射、精神因素、免疫失调、遗传等因素有关。近年来的临床患病率正呈逐年递增的趋势,由于本病会影响美观及饮食,对患者的身心健康及日常生活会有很大的影响,由于慢性唇炎的病因病机尚不明确,目前尚无确切有效的针对性治疗药物,临床主要采用局部使用激素或抗生素外涂、局部封闭或采用冷冻、激光、微波等物理疗法。局部应用糖皮质激素类药物能有效减轻唇部炎症,减少渗出,但是长期使用会出现局部黏膜萎缩、色素沉着等副作用,对于美观性要求较高的患者较难接受;冷冻、激光、微波等治疗价格昂贵,并且远期疗效不稳定,易复发,因此,提供一种能有效治疗唇炎的外用药膏势在必行。
发明内容
针对上述情况,为克服现有技术之缺陷,本发明之目的是提供一种治疗唇炎的外用药膏,可有效解决唇炎治疗的用药问题。
本发明解决的技术方案是,一种治疗唇炎的外用药膏,由以下重量份数计的:茜草炭60-80份、黄连30-50份、冬瓜子油300-400份、白及9-15份、槐花15-20份和蜂蜡60-80份制成;
其中,(1)将黄连、白及、槐花混合在一起,加混合药物重量7-10倍的水,浸泡1h,武火煎沸,改为文火煎煮30-60min,过滤,得第一次滤液,药渣加其重量7-10倍的水,武火煎沸,改为文火煎煮30-60min,过滤,得第二次滤液,药渣加其重量7-10倍的水,武火煎沸,改为文火煎煮30-60min,过滤,得第三次滤液,合并3次滤液,得提取液;
(2)将提取液在冷冻干燥机中浓缩,得到原提取液体积25%的提取液浸膏;
(3)将茜草放在无烟炭火中烧,烧至尚冒青烟、外面焦里面未焦,成茜草炭,研磨成过100-120目的茜草炭细粉;
(4)将蜂蜡在70-80℃水浴中加热熔融;
(5)将提取液浸膏、茜草炭细粉和冬瓜子油混合均匀,再加入熔融的蜂蜡,搅拌均匀,0-4℃冷却12小时,分装,密封保存,即为成品。
本发明纯中药配制,具有清热解毒,消肿止痛,祛风止痒之功效,有效于唇炎的治疗,可显著减轻患者皮损红肿瘙痒程度、改善皮损面积、皮损表现、促进皮损愈合,疗效好,用药安全,是治疗唇炎药物上的创新,经济和社会效益显著。
具体实施方式
以下结合实施例对本发明的具体实施方式做详细说明。
实施例1:本发明一种治疗唇炎的外用药膏,由以下重量份数计的:茜草炭65-75份、黄连35-45份、冬瓜子油320-380份、白及10-14份、槐花16-18份和蜂蜡65-75份制成;
其中,(1)将黄连、白及、槐花混合在一起,加混合药物重量8-9倍的水,浸泡1h,武火煎沸,改为文火煎煮40-50min,过滤,得第一次滤液,药渣加其重量8-9倍的水,武火煎沸,改为文火煎煮40-50min,过滤,得第二次滤液,药渣加其重量8-9倍的水,武火煎沸,改为文火煎煮40-50min,过滤,得第三次滤液,合并3次滤液,得提取液;
(2)将提取液在冷冻干燥机中浓缩,得到原提取液体积25%的提取液浸膏;
(3)将茜草放在无烟炭火中烧,烧至尚冒青烟、外面焦里面未焦,成茜草炭,研磨成过100-120目的茜草炭细粉;
(4)将蜂蜡在70-80℃水浴中加热熔融;
(5)将提取液浸膏、茜草炭细粉和冬瓜子油混合均匀,再加入熔融的蜂蜡,搅拌均匀,0-4℃冷却12小时,分装,密封保存,即为成品。
实施例2:
本发明一种治疗唇炎的外用药膏, 由以下重量份数计的:茜草炭60份、黄连30份、冬瓜子油300份、白及9份、槐花15份和蜂蜡60份制成;制备方法同实施例1。
实施例3:
本发明一种治疗唇炎的外用药膏,由以下重量份数计的:茜草炭70份、黄连40份、冬瓜子油350份、白及12份、槐花17.5份和蜂蜡70份制成,制备方法同实施例1。
实施例4:
本发明一种治疗唇炎的外用药膏, 由以下重量份数计的:茜草炭80份、黄连50份、冬瓜子油400份、白及15份、槐花20份和蜂蜡80份制成,制备方法同实施例1。
其中,茜草炭:凉血活血,祛瘀通经。用于吐血,衄血,崩漏,外伤出血,经闭瘀阻,关节痹痛,跌扑肿痛。
黄连:清热燥湿,泻火解毒。用于湿热痞满,呕吐吞酸,泻痢,黄疸,高热神昏,心火亢盛,心烦不寐,血热吐魈,目赤,牙痛,痈肿疔疮等;外治湿疹,湿疮,耳道流脓。
冬瓜子油:润燥生津,用于疮疡,湿疹,水火烫伤。
白及:收敛止血,消肿生肌。用于咯血、吐血、外伤出血,疮疡肿毒,皮肤皲裂。
槐花:凉血止血,清肝泻火。用于吐血、衄血、便血、痔血、血痢,崩漏,肝热目赤,头痛眩晕。
唇炎与中医的“唇风”颇为相似,隋代医家巢元方在《诸病源候论·紧唇候》中指出:“脾胃有热,气发于唇,则唇生疮。而重被风邪寒湿之气搏于疮,则微肿湿烂,或冷或热,乍瘥乍发,积月累年,谓之紧唇,亦名沈唇。”其病位在中焦脾胃, 病机为脾胃湿热,火热上攻。 病因为患者过食辛辣厚味、吸烟嗜酒,导致脾胃受损,升降失调,运化失常,湿浊内生,日久化热,湿热之邪郁积成热毒,循经上扰于唇,熏蒸口唇而成红肿糜烂, 其次咬唇 、舔唇,使唇红受损, 复感风毒之邪气 , 导致湿热与风毒, 循经上蒸, 熏灼于唇 ,久之气血失畅 ,凝滞脉络而形成病损 ,加之风性易燥 ,耗伤津液 ,故唇部干燥、痒痛,日久破溃流水、结痴、起灰白色鳞屑。
本发明选用具有清热解毒,消肿止痛,燥湿生肌之功效的药物制作而成,本发明中茜草炭与黄连用量大,为君药,二者合用可达到清热解毒,燥湿止痒,对多种病毒有很好的抑制作用;冬瓜子油为臣药,外用可长时间保持唇部湿润,起到润燥生津、生肌敛疮之功效,易被皮肤吸收,可增强君药的功效;槐花和白及为佐使药,现代研究证明槐花有抗氧化及抗菌杀虫等功效,有益于保护皮肤黏膜,白及因其苦涩,具有一定的燥湿和收敛的功效,对皮肤黏膜溃烂、渗出等症状,可以发挥良好的使创面愈合的作用。蜂蜡主要为粘度调节剂,使药膏达到润滑,另外蜂蜡作为基质还具有收涩生肌止痛之作用为使药。
本发明选用具有清热滋阴润燥,消肿止痛功效的药物制作而成,互相支持,可直接作用于病变部位,保持唇部皮肤表面水分、促进皮肤新陈代谢,通过清热滋阴润燥,消肿止痛,可显著减轻患者皮损红肿瘙痒程度、改善皮损面积、皮损表现、促进皮损愈合,具有良好的治疗作用,适用于唇炎临床治疗与护理的推广应用,并经试验效果非常好,有关试验资料如下:
唇炎的入选标准及排除标准:
诊断依据参照由人民卫生出版社出版的第四版《口腔黏膜病学》和《中国临床皮肤病学》第2版中对慢性唇炎的诊断描述,皮损多见于下唇中部,后逐渐扩展到整个下唇或上下唇 ;上下唇充血肿胀、干燥、结痂、反复脱屑、皲裂,易出血;局部有烧灼感、刺痛或触痛 ;经久不愈,可持续数年或更久。
入选标准:临床症状符合慢性唇炎的表现;病程在15天以上;年龄大于1月的患者;征得患者同意
排除标准:对本发明药物药物过敏者;病损区有严重感染;1周内有局部使用糖皮质激素或其他免疫制剂患者或接受其他中药治疗者;合并有严重严重心血管、肝、肾系统等严重原发性疾病,合并有传染性疾病;近一月内参加其他药物临床实验者。且依从性差的患者。
病例选择
选择唇炎患者75例临床观察,病人随机分为2组 ,治疗组40例,其中男性12例,女性28例,年龄2月到16岁,平均年龄7.6岁,病程15天到2年;对照组35例,其中男性9例,女性26例,年龄2月到15岁,平均年龄7.1岁,病程15天到2年2月。两组比例的病程、病情程度基本一致,无显著差异,具有可比性。
药物选择
治疗组患者每次饭后 ,用温水清洗患处,涂抹本发明药膏,儿童每日1-2次,每次1-2g,均匀涂抹于患处,嘱患者饮食清淡,忌辛辣刺激性食物 ,避免日晒,改正舔唇咬唇的不良习惯。7天为1疗程。
对照组选用每次饭后 ,用温水清洗患处, 涂抹 3 %硼酸软膏,儿童每日1-2次,每次1-2g,均匀涂抹于患处。嘱患者饮食清淡,忌辛辣刺激性食物 ,避免日晒,改正舔唇咬唇的不良习惯。7天为1疗程。
观察指标:
观察治疗前后疼痛、干燥、瘙痒、充血、肿胀、鳞屑、糜烂等临床表现。采用 5级评分法,对患者以上症状进行量化。0级(0分):唇部无不适症状;1级(1分):唇部有轻微疼痛,自觉唇部干燥、伴有瘙痒,无充血、肿胀、鳞屑、糜烂;2级(2分):唇部主要表现为充血、肿胀、疼痛、有少量鳞屑(小于 1/2红唇),无糜烂;3级(3分):鳞屑较多(大1/2红唇) 、糜烂面小于2mm、伴有破溃流脓,疼痛,影响饮食;4级(4分):鳞屑遍及整个红唇、糜烂面大于2mm 小于半唇;5级(5分):疼痛、双唇部遍及鳞屑、双唇大面积糜烂。
疗效评定标准:
痊愈:皮损完全消退,症状消失,疗效指数≥95%;
显效:皮损大部分消退,症状明显减轻,95% >疗效指数60%;
有效:皮损部分消退,症状有所改善,60%> 疗效指数≥20%;
无效:皮损消退不明显,症状未见减轻或反见恶化,疗效指数 < 20%。
疗效指数 = (治疗前评分 - 治疗后评分) /治疗前评分 ×100%
结果
3个疗程后统计,治疗组中痊愈27例,显效8例,有效3例,无效2例,治愈率67.5%,总有效率95%。
3个疗程后统计,对照组中痊愈7例,显效10例,有效6例,无效12例,治愈率20%,总有效率65.71%。
以上结果显示治愈率及有效率治疗者明显大于对照组。
典型病例
李某,女,9岁,以“口唇及唇周红肿干燥伴瘙痒脱屑1月”为主诉。患者诉口唇干燥,时有瘙痒,常以舌舔唇,以凉水润唇,但症状未明显改善,反而逐渐加重;有偏食习惯,不喜吃青菜,大便偏干, 2~3日一行。刻下症见口唇及唇周一圈红肿、干燥,部分皮肤开裂,伴有少量鳞屑,疼痛。予每次饭后用温水清洗,每日3次,每次1-2g,均匀涂抹于患处本发明膏剂,嘱患者饮食清淡,多食用蔬菜水果,保持大便通畅,避免日晒,改正舔唇咬唇的不良习惯。2个疗程后复诊,口唇 、唇周红肿干燥鳞屑消退,嘱继用2个疗程,3个月随访未再复发。
本发明膏药纯中药配制,最大程度保留了各个药材的药用功效,具有清热解毒,消肿止痛,祛风止痒之功效,可直接作用于病变部位,可显著减轻患者皮损红肿瘙痒程度、改善皮损面积、皮损表现、促进皮损愈合,具有良好的治疗作用,用药安全,是治疗唇炎药物上的创新,适用于唇炎临床治疗与护理的推广应用,经济和社会效益显著。
Claims (5)
1.一种治疗唇炎的外用药膏,其特征是:由以下重量份数计的:茜草炭60-80份、黄连30-50份、冬瓜子油300-400份、白及9-15份、槐花15-20份和蜂蜡60-80份制成;
其中,(1)将黄连、白及、槐花混合在一起,加混合药物重量7-10倍的水,浸泡1h,武火煎沸,改为文火煎煮30-60min,过滤,得第一次滤液,药渣加其重量7-10倍的水,武火煎沸,改为文火煎煮30-60min,过滤,得第二次滤液,药渣加其重量7-10倍的水,武火煎沸,改为文火煎煮30-60min,过滤,得第三次滤液,合并3次滤液,得提取液;
(2)将提取液在冷冻干燥机中浓缩,得到原提取液体积25%的提取液浸膏;
(3)将茜草放在无烟炭火中烧,烧至尚冒青烟、外面焦里面未焦,成茜草炭,研磨成过100-120目的茜草炭细粉;
(4)将蜂蜡在70-80℃水浴中加热熔融;
(5)将提取液浸膏、茜草炭细粉和冬瓜子油混合均匀,再加入熔融的蜂蜡,搅拌均匀,0-4℃冷却12小时,分装,密封保存,即为成品。
2.根据权利要求1所述的治疗唇炎的外用药膏,其特征是:由以下重量份数计的:茜草炭65-75份、黄连35-45份、冬瓜子油320-380份、白及10-14份、槐花16-18份和蜂蜡65-75份制成。
3.根据权利要求1所述的治疗唇炎的外用药膏,其特征是:由以下重量份数计的:茜草炭60份、黄连30份、冬瓜子油300份、白及9份、槐花15份和蜂蜡60份制成。
4.根据权利要求1所述的治疗唇炎的外用药膏,其特征是:由以下重量份数计的:茜草炭70份、黄连40份、冬瓜子油350份、白及12份、槐花17.5份和蜂蜡70份制成。
5.根据权利要求1所述的治疗唇炎的外用药膏,其特征是:由以下重量份数计的:由以下重量份数计的:茜草炭80份、黄连50份、冬瓜子油400份、白及15份、槐花20份和蜂蜡80份制成。
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