CN109364221B - Traditional Chinese medicine preparation for treating renal edema - Google Patents
Traditional Chinese medicine preparation for treating renal edema Download PDFInfo
- Publication number
- CN109364221B CN109364221B CN201811602600.XA CN201811602600A CN109364221B CN 109364221 B CN109364221 B CN 109364221B CN 201811602600 A CN201811602600 A CN 201811602600A CN 109364221 B CN109364221 B CN 109364221B
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- traditional chinese
- prepared
- chinese medicine
- medicine preparation
- edema
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Abstract
The invention relates to a traditional Chinese medicine preparation for treating renal edema, which is prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-decocted), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of lalang grass rhizome. 15 g of curcuma aromatica and 10 g of green tangerine peel are added for treating the two types of abdominal distension; for abdominal distension, 10 g of dried orange peel is added. The traditional Chinese medicine preparation is prepared from pure traditional Chinese medicines, treats both principal and secondary aspects of diseases and has obvious curative effect.
Description
Technical Field
The invention belongs to the technical field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine preparation for treating renal edema.
Background
Renal edema is one of the more common diseases, and is a syndrome of water-salt metabolism disorder. Renal edema can be accompanied by a series of clinical symptoms such as swelling of the head, face, eyelids, limbs and abdomen. The treatment method is divided into medication and sodium salt intake restriction. The medicine treatment mainly comprises taking honeysuckle flower inflammation-secreting tablets and antibiotics, but the long-term taking is needed, and the side effect is large. Long term restriction of sodium intake can lead to hyponatremia. The medicament is prepared from a plurality of traditional Chinese medicine components, the traditional Chinese medicine focuses on regulating the body, has small side effect and small effect, has the effect of treating both principal and secondary aspect of disease, and has particularly obvious effect on patients who are not cured for a long time and have recurrent attacks.
Disclosure of Invention
The invention aims to provide a traditional Chinese medicine preparation for treating renal edema, which has quick effect on treating the renal edema and small side effect.
The technical scheme of the invention is as follows: the traditional Chinese medicine preparation for treating renal edema is prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-decocted), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of lalang grass rhizome. 15 g of curcuma aromatica and 10 g of green tangerine peel are added for treating the two types of abdominal distension; for abdominal distension, 10 g of dried orange peel is added.
The preparation method comprises the following steps: putting the raw materials into a decocting vessel, adding 1500ml of water, soaking for 20 minutes, decocting with slow fire for 30 minutes, filtering to obtain liquid medicine, adding 500ml of boiled water into the decocting vessel, decocting with slow fire for 20 minutes, and filtering to obtain liquid medicine. Mixing the two liquid medicines, averagely dividing into two parts, and taking twice in the morning and evening. A treatment course lasts for 10 days. For people with three highs of hyperglycemia, hyperlipemia and hypertension, the effect of assisting in treating the three highs can be better when the traditional Chinese medicine is taken.
The traditional Chinese medicine theory considers that the renal edema is a water-salt metabolism disorder syndrome. Edema is associated with dysfunction of the lung, spleen and kidney. The lung governs qi of the whole body, and lung qi is dispersing and unblocking, so spleen qi ascends, kidney qi transforms into fluid and water four distribute and its swelling is self-eliminated. The principal deficiency and excess syndrome is the main pathogenesis of kidney disease, the kidney edema mainly refers to qi deficiency and spleen deficiency, and the liver qi stagnation and spleen-kidney deficiency are the etiology and pathogenesis of kidney edema. According to the invisible relationship between the lung and the kidney, the mother-organ is tonified in case of deficiency, and the lung-qi is tonified in case of deficiency to strengthen the kidney-water; the lung is the upper source of water, and the invention can complement each other to strengthen the diuresis function by using the lung-ventilating product on the basis of replenishing qi to invigorate the spleen, so that the invention has the condition of lifting a kettle and uncovering the cover. The formula has effects of strengthening body resistance, eliminating pathogenic factors, and tonifying and eliminating, and can be used for treating various edemas caused by deficiency of lung qi, spleen qi, and water-dampness stagnation. Adopts the traditional Chinese medicine treatment to expand the blocked part, drain the accumulated water and relieve the compression so as to achieve the healing effect.
In the formula of the invention, the astragalus, the codonopsis pilosula, the liquorice and the angelica tonify the middle-jiao and qi; coix seed, red tuckahoe, bighead atractylodes rhizome, prepared monkshood and cassia twig have the effects of tonifying spleen, removing dampness, tonifying fire and supporting yang. Perilla leaf, mulberry bark and fresh reed rhizome for ventilating the lung and expressing the exterior; rhizoma alismatis, grifola, semen plantaginis, talcum, herba leonuri and rhizoma imperatae are capable of inducing diuresis and excreting dampness and promoting diuresis; fructus forsythiae and rhizoma Coptidis are used as adjuvant materials for clearing heat and purging fire, and relieving inflammation and removing toxic substance. The medicines are combined to tonify middle-jiao and Qi, invigorate spleen and remove dampness, ventilate lung qi, promote urination and remove dampness. Treat the pathogenesis of the renal edema and treat both principal and secondary aspects of diseases.
The pharmacological effects of the raw materials of the traditional Chinese medicine are as follows:
astragalus root: tonify qi, consolidate the constitution, astringe sweating, promote granulation, and eliminate edema. Edema due to chronic nephritis, deficiency of spleen and kidney: it is often combined with Dang Shen, Bai Zhu and Fu Ling.
Radix codonopsitis; tonify middle-jiao and Qi, strengthen spleen and nourish lung, calm and allay fever, and tonify lung qi. Compendium supplement: for lung deficiency, it can tonify lung qi.
White atractylodes rhizome: dry dampness and invigorate spleen, strengthen superficies to check sweating, induce diuresis and alleviate edema. The book Ben Cao Hui Yan (treatise on materia Medica): bai Zhu is also the key herb for strengthening spleen and stomach, dissipating dampness and removing arthralgia, promoting digestion and relieving stuffiness. Spleen deficiency failing to strengthen the body can tonify the body, stomach deficiency failing to accommodate the body, and operation can help.
Licorice root, radix Glycyrrhizae Praeparata has effects of invigorating qi and strengthening the middle warmer; relieving spasm and pain; moistening lung to arrest cough; purging pathogenic fire and removing toxic substances; harmonize the drugs. The book Ben Cao Hui Yan (treatise on materia Medica): licorice root, radix Glycyrrhizae is also indicated for regulating the middle warmer, tonifying qi, tonifying deficiency and removing toxicity. Invigorating spleen and stomach, consolidating deficiency of qi, coordinating yin and yang, and regulating ying and wei. For internal injury due to strain, spleen qi deficiency, yang deficiency, lung qi deficiency, it is combined with Shen and Qin to reinforce its actions with mild action.
Angelica sinensis for enriching blood; promoting blood circulation; regulating menstruation and relieving pain; moistening dryness and smoothing intestine. The book materia Medica is as follows: dang Gui is sweet and heavy in flavor, so it can tonify blood, and its qi is light and pungent, so it can also move blood, tonify middle energizer and move middle energizer, and is good at qi in blood and holy herb in blood. It is usually used as an assistant to tonify the body, so it can nourish yin and blood, tonify qi and produce essence, calm the five internal organs, strengthen the body and benefit the spirit, and is not suitable for diseases with physical deficiency.
Coix seed: induce diuresis to alleviate edema, invigorate spleen to remove dampness, relax muscles and tendons and remove arthralgia. The book Danjing Shu (the single Jing Shu): "Yi ren" is sweet in flavor and can enter spleen and tonify spleen due to dry nature, and also can seep and purge when it is bland, so it can not flex and stretch in the main tendons and spasm, and rheumatism, remove pathogenic factors of muscles and bones, promote the intestines and stomach, eliminate edema, and make people eat.
Talc: induce diuresis to treat stranguria, clear away summer-heat.
Red poria: move water, remove dampness and heat, benefit heart qi. In the recipe of the medicine, Fu Ling, a holy medicine with the actions of inducing resuscitation, supporting yang and removing dampness, is also known. Sweet and neutral in flavor, tonifying yang, invigorating spleen, expelling water, promoting the production of body fluid and guiding qi.
And (3) polyporus umbellatus: induce diuresis and excrete dampness. Difficulty in urination; edema and fullness; the book of medical science: polyporus umbellatus is light in flavor, and light in flavor mainly permeates and circulates in the channels of the human spleen, so that the Polyporus umbellatus is the most rapid in treatment of water retention, dampness and diarrhea, stranguria treatment, dampness removal, edema elimination and jaundice treatment, and therefore, Yun and Succinum have the same effect.
Motherwort: promoting blood circulation to regulate menstruation; promoting urination and relieving swelling; clearing away heat and toxic material. The herbal Zhenzhen: motherwort herb, herba Leonuri, as a essential agent for antenatal and postnatal fetus, has the effects of removing water and promoting blood circulation, removing lochiostasis and promoting tissue regeneration, regulating menstruation and removing toxicity.
Rhizoma alismatis: induce diuresis, drain dampness and purge heat. The book of materia Medica: alisma orientale, best seeps into the water channel and is special for passing urine.
Semen plantaginis for clearing away heat and promoting urination; eliminating dampness and relieving diarrhea; improving eyesight; dispel phlegm. The book Jing: mainly treat dysuria, alleviate pain, induce diuresis, remove damp arthralgia.
Cassia twig: dispelling cold and relieving exterior syndrome; warming and dredging channels and collaterals; activate yang and transform qi. Caocaoda: cold-dampness congeals in the muscles and yang-qi is not in the exterior, so Zhong Zhi stands up the Gui Zhi Tang Fang to strengthen spleen yang and to achieve the depression of nutrient system. The essence of Gui Zhi is that it covers the skin and lines of skin, so it is cold in the skin, but it is not enough to get yang qi through, and the remainder of ying fen is not steamed to become sweat.
Fructus forsythiae: clearing away heat and toxic materials; dispersing swelling and dissipating stagnation and treating wind-heat type common cold. Treatise on herb Property: mainly relieve stranguria, promote urination, and remove heart heat.
Coptis chinensis: clearing heat and purging fire; drying dampness; and (5) detoxifying. The book of materia Medica: huang Lian is bitter and cold in nature, bitter and dry in nature, cold prevailing in heat, and can purge and descend all the remaining damp fire, but heat of heart, spleen, liver and kidney, fire of gallbladder, stomach and large and small intestines, it is not treated. The upper part of the body is to clear wind-fire, the middle part is to calm vomiting of liver and stomach, and the lower part is to relieve pain and stagnation of abdomen, so it can dry dampness and clear heat.
Preparing monkshood; reviving yang to rescue adverse qi, tonifying fire to strengthen yang, and expelling pathogenic wind, cold and dampness. The Fu Zi uses Bai Zhu as adjuvant and is the holy herb for eliminating cold-dampness, and the channel guiding is added for the damp herb. When benefiting fire, the yin nebula can be eliminated, so it is also indicated for constipation.
Perilla leaf: the material Zheng Yi (Perilla) causes the new and old Xuan Ji and the mild Xuan Ji. Therefore, the qi descending can be promoted and the qi ascending can be promoted and controlled. Leaves are dispersing, stems are dispersing, while children are mild in nature.
White mulberry root-bark: purge lung and relieve dyspnea, induce diuresis to alleviate edema, clear heat and purge lung.
Red bean; induce diuresis to remove dampness, resolve swelling and remove toxicity.
Fresh reed rhizome; clearing heat, promoting fluid production, relieving restlessness, moistening lung and regulating stomach.
Rhizoma Imperatae; cool blood, stop bleeding, induce diuresis, clear heat and remove toxicity.
The traditional Chinese medicine preparation is prepared from pure traditional Chinese medicines, treats both principal and secondary aspects of diseases and has obvious curative effect.
Detailed Description
The present invention will be further described with reference to the following examples.
Example 1: the traditional Chinese medicine preparation for treating renal edema is prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-decocted), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of lalang grass rhizome.
Example 2: the traditional Chinese medicine preparation for treating renal edema is prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-decocted), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis, 15 g of lalang grass rhizome, 15 g of radix curcumae and 10 g of pericarpium citri.
Example 3: the traditional Chinese medicine preparation for treating renal edema is prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of leonurus, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-decocted), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis, 15 g of lalang grass rhizome and 10 g of dried orange peel.
Clinical data
48 patients with renal edema are collected in a hospital from 2017, 1 month to 2018, 10 months, and randomly drawn into two groups, wherein the observation group comprises 24 patients, the age is 3-68 years, and the average age is 48.6 years; the control group had 24 cases aged 2-70 years, with a mean age of 46.2 years. The general clinical data of the two groups of patients are not statistically significant (P > 0.05). Both groups of patients had obvious edema symptoms of both lower limbs, had proteinuria of different degrees in the test, and had some symptoms accompanied by hypertension and hyperglycemia.
The treatment method comprises the following steps: 1. and (4) a control group. Based on basic treatment such as blood pressure reduction, blood fat reduction, blood sugar reduction and the like, the prednisone western medicine is also used for treatment.
2. And (5) observing the groups. On the basis of basic treatment such as blood pressure reduction, blood fat reduction, blood sugar reduction and the like, the basic recipe or the recipe of the embodiment 2 or the embodiment 3 of the traditional Chinese medicine preparation (20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talc, 20 g of poria cocos, 10 g of grifola, 15 g of leonurus, 12 g of rhizoma alismatis, 15 g of plantain seed (bag-fried), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of rhizoma imperatae). One dose is taken every day in the morning and at night, and the dose is taken half an hour after meals.
And (3) observation of curative effect: after 30 days of treatment, statistical analysis and treatment are carried out by observing each index of edema degree, symptom integral, laboratory examination and the like of the patients before and after two groups of treatment.
Observation group: 24 patients, 16 patients are cured clinically, 4 patients are effective, 2 patients are ineffective, and the total effective rate is 91.7%; the average symptom integral of the observation group before treatment was 15.42 + -5.22 points, and the average symptom integral after treatment was 7.00 + -3.44 points.
Control group: 24 patients cured 4 cases clinically, 4 cases with obvious effect, 8 cases with effect and 8 cases with no effect, and the total effective rate is 66.7%. Mean symptom score after treatment was 10.06 ± 4.44 points.
And (4) conclusion: the traditional Chinese medicine preparation disclosed by the invention has a remarkable curative effect on treating renal edema and improving the comprehensive symptoms of patients, and is good in safety.
Typical cases
Case 1: tian Yi, male, 26 years old, 1 month in 2018 and 15 days of first diagnosis. The main complaints are: the patient has no obvious cause of edema of the lower limb 2 months ago, and the urine volume is reduced by 300-500 ml/d. The symptoms of edema have a tendency of aggravation, accompanied by abdominal distension and diarrhea, hypodynamia and anorexia, urinary protein (++++), which is diagnosed as nephrotic syndrome, and renal edema is diagnosed in the traditional Chinese medicine, the traditional Chinese medicine preparation (20 g of astragalus root, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of coix seed, 15 g of talcum, 20 g of poria cocos, 10 g of grifola, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of plantain seed (bag-fried), 9 g of cassia twig, 10 g of forsythia, 10 g of coptis chinensis, 12 g of prepared aconite, 10 g of perilla leaf, 10 g of white mulberry root-bark, 12 g of phaseolus calcaratus, 15 g of fresh reed rhizome, 15 g of lalang grass rhizome and 10 g of dried orange. One dose is taken every day in the morning and at night, and the dose is taken half an hour after meals. The disease can be cured in 30 days.
Case 2: a certain Wang is a male with age of 36 years and a first diagnosis in 12 months and 2 days in 2017. The patient complains about edema of both lower limbs for half a year, frequent micturition, urgent micturition, dizziness and hypodynamia. The tongue is dark red, yellow and thick, and the pulse is deep and thready. Urine examination; urine protein (+++), white blood cell (++). The syndrome differentiation of traditional Chinese medicine belongs to spleen and kidney deficiency type edema. The formula of the traditional Chinese medicine preparation (20 g of astragalus membranaceus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica sinensis, 15 g of semen coicis, 15 g of talc, 20 g of poria cocos, 10 g of grifola, 15 g of leonurus, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-fried), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of folium perillae, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of rhizoma imperatae) in the invention is. One dose is taken every day in the morning and at night, and the dose is taken half an hour after meals. Hospitalization is carried out for 10 days, then the patient is returned to home for medication treatment, and the patient is healed in 30 days.
Case 3: one certain male, 56 years old, first diagnosis in 2017, 10 and 5 months. A main complaint; edema in both lower limbs is aggravated in the near future, half a year. The medical history of hypertension and diabetes is more than 20 years. Physical examination: mild edema of the eyelid face, 168/90mmHg blood pressure, heart rate: 81 times/min, sunken edema (+++), red tongue with thin and white coating and deep and thready pulse. Traditional Chinese medicine diagnosis: edema is due to deficiency of both the spleen and kidney. For treatment, it can invigorate spleen, replenish qi, warm yang and induce diuresis. The formula of the traditional Chinese medicine preparation (20 g of astragalus membranaceus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica sinensis, 15 g of semen coicis, 15 g of talc, 20 g of poria cocos, 10 g of grifola, 15 g of leonurus, 12 g of rhizoma alismatis, 15 g of semen plantaginis (bag-fried), 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of folium perillae, 10 g of cortex mori, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of rhizoma imperatae) in the invention is. One dose is taken every day in the morning and at night, and the dose is taken half an hour after meals. After the medicine is taken at home for treatment, the disease is cured in 30 days.
Claims (3)
1. The traditional Chinese medicine preparation for treating renal edema is characterized by being prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis, 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori radicis, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis and 15 g of lalang grass rhizome.
2. The traditional Chinese medicine preparation for treating renal edema is characterized by being prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis, 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori radicis, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis, 15 g of lalang grass rhizome, 15 g of radix curcumae and 10 g of.
3. The traditional Chinese medicine preparation for treating renal edema is characterized by being prepared from the following raw materials: 20 g of astragalus, 20 g of codonopsis pilosula, 15 g of bighead atractylodes rhizome, 9 g of liquorice, 15 g of angelica, 15 g of semen coicis, 15 g of talcum, 20 g of poria cocos, 10 g of polyporus umbellatus, 15 g of motherwort, 12 g of rhizoma alismatis, 15 g of semen plantaginis, 9 g of cassia twig, 10 g of fructus forsythiae, 10 g of coptis chinensis, 12 g of prepared monkshood, 10 g of perilla leaf, 10 g of cortex mori radicis, 12 g of phaseolus calcaratus, 15 g of fresh rhizoma phragmitis, 15 g of lalang grass rhizome and 10 g of dried orange peel.
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