CN110251586A - 一种治疗寒湿型腰肌劳损的中药组合物、制备方法和用途 - Google Patents
一种治疗寒湿型腰肌劳损的中药组合物、制备方法和用途 Download PDFInfo
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Abstract
本发明属于中药材配方技术领域,具体是涉及到一种治疗寒湿型腰肌劳损的中药组合物、制备方法和用途,包括如下重量份数的组分,独活15份、寄生10份、秦艽10份、防风10份、川芎10份、当归15份、生地15份、白芍25份、桂枝10份、茯苓20份、杜仲15份、川牛膝15份、党参20份、甘草6份、细辛3份、附子10份和防己10份,本发明相比现有技术,其效果更好。
Description
技术领域
本发明属于中药材配方技术领域,具体是涉及到一种治疗寒湿型腰肌劳损的中药组合物、制备方法和用途。
背景技术
随着社会的发展,压力源和外界刺激愈来愈多,腰肌劳损患者也日益增多。腰痛在成年人丧失劳动力的原因中位列第三。在国内,腰腿痛患者的临床发病率为80%,是临床常见病、多发病。腰肌劳损的发病率呈日益上升趋势,患者逐渐增多,且难以痊愈。腰肌劳损患者多采用药物治疗和物理疗法。药物治疗多服用消炎止痛或者松弛肌肉的药物,或者再辅助一些活血止痛、舒筋通络的中成药。物理疗法多采用热疗、针灸、推拿和按摩等。
然而这些治疗方法存在一定副作用。比如选用口服非甾体类抗炎药等消炎止痛,选择普鲁卡因对压痛点进行局部封闭,上两种方法虽能及时缓解疼痛,但中远期效果较差,存在药物副反应,容易出现消化不良、消化道溃疡等并发症,且长期治疗易形成药物依赖性。
价格昂贵。药物治疗和物理疗法费用较高,对大多患者产生一定的经济负担和家庭压力。
易反弹复发。西医治疗采用对症治疗,消除症状效果明显,但在治疗腰肌劳损时容易反弹复发;同时腰肌劳损属于无菌性炎症,一般情况下药物疗法和理疗无法消除无菌性炎症。物理疗法止痛及时疗效确切,但中远期效果较差。
手术治疗时,在治疗腰肌劳损的过程中,对非手术治疗无效者,可选择手术治疗,其原理是剥离病灶粘连,但手术治疗具有创伤大,后期疗效不佳的缺点。
独活寄生汤药酒联合火疗对寒湿型腰肌劳损的效果观察,彭小玉等,湖南中医杂志,第35卷第2期,2019年2月,公开了一种采用独活等6味药配合火疗法治疗寒湿型腰肌劳损,具有一定效果。
发明内容
本发明要解决的技术问题是提供一种治疗寒湿型腰肌劳损的中药组合物、制备方法和用途,相比现有技术,其效果更好。
本发明的为一种治疗寒湿型腰肌劳损的中药组合物,包括如下重量份数的组分,独活15份、寄生10份、秦艽10份、防风10份、川芎10份、当归15份、生地15份、白芍25份、桂枝10份、茯苓20份、杜仲15份、川牛膝15份、党参20份、甘草6份、细辛3份、附子10份和防己10份。
优选的,包括如下重量份数的组分,独活15份、寄生10份、秦艽10份、防风10份、川芎10份、当归15份、生地15份、白芍25份、桂枝10份、茯苓20份、杜仲15份、川牛膝15份、党参20份、甘草6份、细辛3份、附子10份和防己10份,伴血淤者加红花10份和桃仁10份。
本发明提供一种治疗寒湿型腰肌劳损的中药组合物的制备方法,包括如下步骤,将各组分按比例混合,加入酒精度数至少为45度的白酒中,遮光密封浸泡,去渣,过滤,得到治疗寒湿型腰肌劳损的中药组合物。优选的,所述各组分的总重量和白酒的重量比为(0.8-1.2):10。优选的,所述白酒的酒精度数为55度。
本发明提供一种治疗寒湿型腰肌劳损的中药组合物在制备治疗寒湿型腰肌劳损疾病方面的用途。在治疗时,取治疗寒湿型腰肌劳损的中药组合物,纱布3块,治疗盘一个,将中药组合物浸泡纱布至不滴水为度。使用前将中药组合物隔水加热。患者俯卧位,将纱布平铺于患者自觉疼痛部位,然后在颈椎至尾椎间背部铺上3~4层全棉热湿毛巾(四周略拧干)。患者取俯卧位,将药酒浸泡后的纱布平铺于患者腰部,上面平铺2层全棉热湿毛巾(四周拧干、中间略湿),用体积浓度为95%的乙醇溶液均匀平撒在局部,燃烧10~20s后用湿毛巾扑灭。每次治疗30min,1次/d,10次为1个疗程,共治疗2个疗程。
本发明的有益效果是,方中的独活、细辛等药物主要起到祛邪的作用,杜仲、寄生等补益气,能够有效的补益肝肾精血,强腰健骨,祛除风寒湿邪。细辛辛散温通,通彻表里,散寒力强,对外感风寒与内化寒饮均有显著疗效,具有散寒止痛作用。秦艽辛散苦降,微寒清热,性质平和。是治疗风湿痹痛、筋脉拘挛的通用药。川芎辛温,辛能行散,性温能通畅,为血中气药,既能活血祛瘀调经,又能行气祛风止痛,治疗风湿痹痛、肢体麻木。独活寄生汤对于治疗腰肌劳损具有一定疗效,其作为中医中治疗寒湿型腰痛的常用方剂,主要对肝肾两虚、风寒湿邪侵袭而导致的痹症具有很好的疗效方义:本方为治疗久痹而肝肾两虚,气血不足之常用方。其证乃因感受风寒湿邪而患痹证,日久不愈,累及肝肾,耗伤气血所致。风寒湿邪客于肢体关节,气血运行不畅,故见腰膝疼痛,久则肢节屈伸不利,或麻木不仁,正如《素问·痹论》所言:“痹在于骨则重,在于脉则不仁。”肾主骨,肝主筋,邪客筋骨,日久必致损伤肝肾,耗伤气血。又腰为肾之府,膝为筋之府,肝肾不足,则见腰膝痿软;气血耗伤,故心悸气短。《素问·逆调论》云:“营气虚则不仁,卫气虚则不用,营卫俱虚则不仁且不用。”其证属正虚邪实,治宜扶正与祛邪兼顾,既应祛散风寒湿邪,又当补益肝肾气血。方中重用独活为君,辛苦微温,善治伏风,除久痹,且性善下行,以祛下焦与筋骨间的风寒湿邪。臣以细辛、防风、秦艽、桂枝,细辛入少阴肾经,长于搜剔阴经之风寒湿邪,又除经络留湿;秦艽祛风湿,舒筋络而利关节;桂枝温经散寒,通利血脉;防风祛一身之风而胜湿,君臣相伍,共祛风寒湿邪。本证因痹证日久而见肝肾两虚,气血不足,遂佐入寄生、杜仲、川牛膝以补益肝肾而强壮筋骨,且寄生兼可祛风湿,川牛膝尚能活血以通利肢节筋脉;当归、川芎、白芍养血和血,茯苓、甘草健脾益气,以上诸药合用,具有补肝肾、益气血之功。且白芍与甘草相合,尚能柔肝缓急,以助舒筋。当归、川芎、川牛膝、桂枝活血,寓“治风先治血,血行风自灭”之意。甘草调和诸药,兼使药之用。附子,大辛大热,气性雄烈之品,而温阳、散寒、祛湿、扶正,振奋阳气,能使周身气血周流,痹痛自止,多与桂枝、白术、甘草同用,具有良好的抗炎、镇痛,免疫抑制等药理作用,防己味苦、辛,性寒,能够利水消肿,祛风湿止痛,主要用于治疗风湿痹证、水肿、小便不利、脚气、湿疮肿毒等。红花味辛,微苦、性温、具有活血通经、散癖止痛的作用。桃仁作为活血化瘀常用药。配伍特点:纵观全方,以祛风寒湿邪为主,辅以补肝肾、益气血之品,邪正兼顾,祛邪不伤正,扶正不留邪。
本发明在治疗过程中,患者无皮肤损伤,依从性良好,易于接受,无不良反应,是治疗寒湿型腰肌劳损的一种简便易行、经济实惠的方法,改善患者的生活质量,值得临床推广运用。
本发明效果确切,无副作用,中药组合物有疏散风寒、温经通络止痛的功效,而酒本身就具有扩张血管,促进血液循环的作用,作用在局部能够促进新陈代谢,加速炎性物质的转化和吸收,从而起到明显的消炎止痛作用;并且中药是通过简单的物理加工提炼成药酒,有效成分不易散失,副作用小。
本发明成本低廉,运用药酒、纱布、湿毛巾、酒精等,材料较少,成本较低,患者接受度高,减少患者住院费用,值得在临床上推广。
具体实施方式
实施例1
一种治疗寒湿型腰肌劳损的中药组合物,包括独活15g、寄生10g、秦艽10g、防风10g、川芎10g、当归15g、生地15g、白芍25g、桂枝10g、茯苓20g、杜仲15g、川牛膝15g、党参20g、甘草6g、细辛3g,附子10g,防己10g,伴血淤者加红花10g,桃仁10g。将上述所有中药放入可密闭玻璃瓶内,加入2000ml白酒(高粱酒,酒精度数55°),遮光密封浸泡10天,隔日摇匀震荡1次,10天后去渣、沉淀过滤后取上清液,得治疗寒湿型腰肌劳损的中药组合物。
对比例1
一种中药组合物,包括独活9g、桑寄生6g、牛膝6g、细辛6g、桂仲6g、附子10g、防己10g,加入2000ml白酒(同一厂家酿造的高粱酒,酒精度为50°),密封浸泡10d,隔天摇匀震荡1次,10d后去渣、沉淀过滤后取上清液。
实验例1
采用上述实施例1制备得到的中药对患者进行治疗,全部病例均来源于2018年5月至2019年5月湖南省中医药研究院附属医院骨伤科,已明确诊断为寒湿型腰肌劳损,共80例。按照随机数字表法分为观察组和对照组,每组各40例。观察组中,男26例,女14例,平均年龄(43.83±11.62)岁,平均病程(3.47±1.99)个月。对照组中,男22例,女18例,平均年龄(47.57±10.96)岁,平均病程(3.57±1.92)个月。疾病的诊断标准参照《最新腰腿痛诊断治疗学》中有关腰肌劳损的诊断标准拟定,和《中医病证诊断疗效标准》中的有关标准拟定。
对上述患者采用实施例1和对比例1的药物进行治疗后,采用视觉类比量表(VAS)评分法,血栓素(TXB2)、6-酮-前列腺素(6-Keto-PGF1a)含量测定进行测评,采用《中药新药临床研究指导原则》中的有关标准进行评定。结果如表1-2所述。
表1实施例1和对比例1的临床疗效比较表
组别 | 例数 | 痊愈 | 显效 | 有效 | 无效 |
实施例1 | 40 | 0 | 17 | 23 | 0 |
对比例1 | 40 | 0 | 4 | 32 | 4 |
表2实施例1和对比例1的指标检测比较表
通过表1和表2的数据可以看出,实施例1的效果明显优于对比例1,说明本配方的改良取得了良好的效果,方中的独活、细辛等药物主要起到祛邪的作用,杜仲、寄生等补益气,能够有效的补益肝肾精血,强腰健骨,祛除风寒湿邪。细辛辛散温通,通彻表里,散寒力强,对外感风寒与内化寒饮均有显著疗效,具有散寒止痛作用。秦艽辛散苦降,微寒清热,性质平和。是治疗风湿痹痛、筋脉拘挛的通用药。川芎辛温,辛能行散,性温能通畅,为血中气药,既能活血祛瘀调经,又能行气祛风止痛,治疗风湿痹痛、肢体麻木。独活寄生汤对于治疗腰肌劳损具有一定疗效,其作为中医中治疗寒湿型腰痛的常用方剂,主要对肝肾两虚、风寒湿邪侵袭而导致的痹症具有很好的疗效方义:本方为治疗久痹而肝肾两虚,气血不足之常用方。其证乃因感受风寒湿邪而患痹证,日久不愈,累及肝肾,耗伤气血所致。风寒湿邪客于肢体关节,气血运行不畅,故见腰膝疼痛,久则肢节屈伸不利,或麻木不仁,正如《素问·痹论》所言:“痹在于骨则重,在于脉则不仁。”肾主骨,肝主筋,邪客筋骨,日久必致损伤肝肾,耗伤气血。又腰为肾之府,膝为筋之府,肝肾不足,则见腰膝痿软;气血耗伤,故心悸气短。《素问·逆调论》云:“营气虚则不仁,卫气虚则不用,营卫俱虚则不仁且不用。”其证属正虚邪实,治宜扶正与祛邪兼顾,既应祛散风寒湿邪,又当补益肝肾气血。方中重用独活为君,辛苦微温,善治伏风,除久痹,且性善下行,以祛下焦与筋骨间的风寒湿邪。臣以细辛、防风、秦艽、桂枝,细辛入少阴肾经,长于搜剔阴经之风寒湿邪,又除经络留湿;秦艽祛风湿,舒筋络而利关节;桂枝温经散寒,通利血脉;防风祛一身之风而胜湿,君臣相伍,共祛风寒湿邪。本证因痹证日久而见肝肾两虚,气血不足,遂佐入寄生、杜仲、川牛膝以补益肝肾而强壮筋骨,且寄生兼可祛风湿,川牛膝尚能活血以通利肢节筋脉;当归、川芎、白芍养血和血,茯苓、甘草健脾益气,以上诸药合用,具有补肝肾、益气血之功。且白芍与甘草相合,尚能柔肝缓急,以助舒筋。当归、川芎、川牛膝、桂枝活血,寓“治风先治血,血行风自灭”之意。甘草调和诸药,兼使药之用。附子,大辛大热,气性雄烈之品,而温阳、散寒、祛湿、扶正,振奋阳气,能使周身气血周流,痹痛自止,多与桂枝、白术、甘草同用,具有良好的抗炎、镇痛,免疫抑制等药理作用,防己味苦、辛,性寒,能够利水消肿,祛风湿止痛,主要用于治疗风湿痹证、水肿、小便不利、脚气、湿疮肿毒等。红花味辛,微苦、性温、具有活血通经、散癖止痛的作用。桃仁作为活血化瘀常用药。配伍特点:纵观全方,以祛风寒湿邪为主,辅以补肝肾、益气血之品,邪正兼顾,祛邪不伤正,扶正不留邪。
Claims (6)
1.一种治疗寒湿型腰肌劳损的中药组合物,其特征是,包括如下重量份数的组分,独活15份、寄生10份、秦艽10份、防风10份、川芎10份、当归15份、生地15份、白芍25份、桂枝10份、茯苓20份、杜仲15份、川牛膝15份、党参20份、甘草6份、细辛3份、附子10份和防己10份。
2.如权利要求1所述的治疗寒湿型腰肌劳损的中药组合物,其特征是,包括如下重量份数的组分,独活15份、寄生10份、秦艽10份、防风10份、川芎10份、当归15份、生地15份、白芍25份、桂枝10份、茯苓20份、杜仲15份、川牛膝15份、党参20份、甘草6份、细辛3份、附子10份、防己10份、红花10份和桃仁10份。
3.一种如权利要求1或2所述的治疗寒湿型腰肌劳损的中药组合物的制备方法,其特征是,包括如下步骤,将各组分按比例混合,加入酒精度数至少为45度的白酒中,遮光密封浸泡,去渣,过滤,得到治疗寒湿型腰肌劳损的中药组合物。
4.如权利要求3所述的制备方法,其特征是,所述各组分的总重量和白酒的重量比为(0.8-1.2):10。
5.如权利要求3所述的制备方法,其特征是,所述白酒的酒精度数为55度。
6.一种如权利要求1或2所述的治疗寒湿型腰肌劳损的中药组合物在制备治疗寒湿型腰肌劳损疾病方面的用途。
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薛怀宝等: "独活寄生汤加减治疗腰肌劳损体会", 《现代中西医结合杂志》 * |
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Application publication date: 20190920 |