CN110680856A - 一种湿疹熏洗散 - Google Patents

一种湿疹熏洗散 Download PDF

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CN110680856A
CN110680856A CN201911152894.5A CN201911152894A CN110680856A CN 110680856 A CN110680856 A CN 110680856A CN 201911152894 A CN201911152894 A CN 201911152894A CN 110680856 A CN110680856 A CN 110680856A
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孙元旨
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Shimen County Hospital Of Traditional Chinese Medicine
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Abstract

本发明涉及中药技术领域，尤其涉及一种湿疹熏洗散，本发明采用黄柏、苦参、野菊花、蛇床子苍术、秦艽、桃仁、赤芍、大黄、侧柏叶、防风、制川乌、制草乌、花椒、黄柏、艾叶、地肤子、黄连、当归、白鲜皮诸药研为细末，使用前将20克细粉(纱布包装)用冷水浸泡约30分钟后，煎煮30‑45分钟后熏洗患处，具有清热解毒，祛风止痒，消肿止痛的效果。

Description

一种湿疹熏洗散
技术领域
本发明涉及中药技术领域，尤其涉及一种湿疹熏洗散。
背景技术
湿疹是一种常见的由内外多种因素引起的表皮及真皮浅层的炎症性皮肤。其特征为自觉剧烈瘙痒，易反复发作，缠绵难愈。中医学中并无“湿疹”之病名，而将其归属于“浸淫疮”、“湿毒”范畴。主要发病原因为多种因素导致T淋巴细胞接触过敏原而发生Ⅳ型变态反应，患者烧伤后残余创面及瘫痕很容易发生急性湿疹，主要临床症状为患者皮肤出现丘疹、红斑等，急性湿疹可反复发作，难以治愈，若对急性湿疹不进行及时的治疗和控制，将严重影响患者生活及工作。
发明内容
本发明的目的在于提供一种湿疹熏洗散，其具有清热解毒，祛风止痒，消肿止痛的效果。
为了解决上述技术问题，本发明一种湿疹熏洗散，按以下重量份的原料药制成：苦参20-40份、野菊花10-20份、蛇床子20-40份苍术20-40份、秦艽10-20份、桃仁5-15份、赤芍5-15份、大黄5-15份、侧柏叶20-40份、防风5-15份、制川乌5-15份、制草乌5-15份、花椒5-15份、黄柏10-20份、艾叶10-20份、地肤子20-40份、黄连5-15份、当归5-15份、白鲜皮20-40份。
优选的，按以下重量份的原料药制成：苦参25-35份、野菊花12-17份、蛇床子25-35份苍术25-35份、秦艽12-17份、桃仁8-12份、赤芍8-12份、大黄8-12份、侧柏叶25-35份、防风8-12份、制川乌8-12份、制草乌8-12份、花椒8-12份、黄柏12-17份、艾叶12-17份、地肤子25-35份、黄连8-12份、当归8-12份、白鲜皮25-35份。
进一步优选的，按以下重量份的原料药制成：苦参30份、野菊花15份、蛇床子30份苍术30份、秦艽15份、桃仁10份、赤芍10份、大黄10份、侧柏叶30份、防风10份、制川乌10份、制草乌10份、花椒10份、黄柏15份、艾叶15份、地肤子30份、黄连10份、当归10份、白鲜皮30份。
本发明有益效果：本发明采用黄柏、苦参、野菊花、蛇床子苍术、秦艽、桃仁、赤芍、大黄、侧柏叶、防风、制川乌、制草乌、花椒、黄柏、艾叶、地肤子、黄连、当归、白鲜皮诸药研为细末，使用前将20克细粉，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，具有清热解毒，祛风止痒，消肿止痛的效果。
具体实施方式
下面结合实施例对本发明作进一步详细描述。
实施例一
一种湿疹熏洗散，按以下重量份的原料药制成：苦参20份、野菊花10份、蛇床子20份苍术20份、秦艽10份、桃仁5份、赤芍5份、大黄5份、侧柏叶20份、防风5份、制川乌5份、制草乌5份、花椒5份、黄柏10份、艾叶10份、地肤子20份、黄连5份、当归5份、白鲜皮20份。苦参清热祛风，燥湿杀虫，野菊花疏风散热，可解在表之风热之邪，共为主药。蛇床子燥湿杀虫，苍术清热燥湿，共为辅药。佐以黄柏、秦艽、白鲜皮清热燥湿，大黄、黄连清热解毒，防风、地肤子祛风止痒，花椒驱虫止痒，“治风先治血，血行风自灭”，加用赤芍、侧柏叶清热凉血，桃仁、当归养血活血。制川乌、制草乌既能祛风止痒，还有止痛之功，艾叶有温经散寒，转肃杀之气为融合，使用前将20克细粉(纱布包装)，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，一日一次。
实施例二
一种湿疹熏洗散，按以下重量份的原料药制成：苦参25份、野菊花12份、蛇床子25份苍术25份、秦艽12份、桃仁8份、赤芍8份、大黄8份、侧柏叶25份、防风8份、制川乌8份、制草乌8份、花椒8份、黄柏12份、艾叶12份、地肤子25份、黄连8份、当归8份、白鲜皮25份。苦参清热祛风，燥湿杀虫，野菊花疏风散热，可解在表之风热之邪，共为主药。蛇床子燥湿杀虫，苍术清热燥湿，共为辅药。佐以黄柏、秦艽、白鲜皮清热燥湿，大黄、黄连清热解毒，防风、地肤子祛风止痒，花椒驱虫止痒，“治风先治血，血行风自灭”，加用赤芍、侧柏叶清热凉血，桃仁、当归养血活血。制川乌、制草乌既能祛风止痒，还有止痛之功，艾叶有温经散寒，转肃杀之气为融合，使用前将20克细粉(纱布包装)，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，一日一次。
实施例三
一种湿疹熏洗散，按以下重量份的原料药制成：苦参30份、野菊花15份、蛇床子30份苍术30份、秦艽15份、桃仁10份、赤芍10份、大黄10份、侧柏叶30份、防风10份、制川乌10份、制草乌10份、花椒10份、黄柏15份、艾叶15份、地肤子30份、黄连10份、当归10份、白鲜皮30份。苦参清热祛风，燥湿杀虫，野菊花疏风散热，可解在表之风热之邪，共为主药。蛇床子燥湿杀虫，苍术清热燥湿，共为辅药。佐以黄柏、秦艽、白鲜皮清热燥湿，大黄、黄连清热解毒，防风、地肤子祛风止痒，花椒驱虫止痒，“治风先治血，血行风自灭”，加用赤芍、侧柏叶清热凉血，桃仁、当归养血活血。制川乌、制草乌既能祛风止痒，还有止痛之功，艾叶有温经散寒，转肃杀之气为融合，使用前将20克细粉(纱布包装)，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，一日一次。
实施例四
一种湿疹熏洗散，按以下重量份的原料药制成：苦参35份、野菊花17份、蛇床子35份苍术35份、秦艽17份、桃仁12份、赤芍12份、大黄12份、侧柏叶35份、防风12份、制川乌12份、制草乌12份、花椒12份、黄柏17份、艾叶17份、地肤子35份、黄连12份、当归12份、白鲜皮35份。苦参清热祛风，燥湿杀虫，野菊花疏风散热，可解在表之风热之邪，共为主药。蛇床子燥湿杀虫，苍术清热燥湿，共为辅药。佐以黄柏、秦艽、白鲜皮清热燥湿，大黄、黄连清热解毒，防风、地肤子祛风止痒，花椒驱虫止痒，“治风先治血，血行风自灭”，加用赤芍、侧柏叶清热凉血，桃仁、当归养血活血。制川乌、制草乌既能祛风止痒，还有止痛之功，艾叶有温经散寒，转肃杀之气为融合，使用前将20克细粉(纱布包装)，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，一日一次。
实施例五
一种湿疹熏洗散，按以下重量份的原料药制成：苦参40份、野菊花20份、蛇床子40份苍术40份、秦艽20份、桃仁15份、赤芍15份、大黄15份、侧柏叶40份、防风15份、制川乌15份、制草乌15份、花椒15份、黄柏20份、艾叶20份、地肤子40份、黄连15份、当归15份、白鲜皮40份。苦参清热祛风，燥湿杀虫，野菊花疏风散热，可解在表之风热之邪，共为主药。蛇床子燥湿杀虫，苍术清热燥湿，共为辅药。佐以黄柏、秦艽、白鲜皮清热燥湿，大黄、黄连清热解毒，防风、地肤子祛风止痒，花椒驱虫止痒，“治风先治血，血行风自灭”，加用赤芍、侧柏叶清热凉血，桃仁、当归养血活血。制川乌、制草乌既能祛风止痒，还有止痛之功，艾叶有温经散寒，转肃杀之气为融合，使用前将20克细粉(纱布包装)，用冷水浸泡约30分钟后，煎煮30-45分钟后熏洗患处，一日一次。
主治：湿疹、荨麻疹、肛门瘙痒症等瘙痒性疾病，痔疮、肛周脓肿、肛瘘等肛门疾病。
禁忌：皮肤破溃处禁用；仅供外用，忌内服。
临床数据：
1研究方法
1.1病例来源
研究对象来源于2018年1月至今，在我院肛肠皮肤科的住院患者，选取其中符合湿疹纳入标准的患者共76例。
诊断标准：所有患者均符合《中国临床皮肤病学》中慢性湿疹的诊断标准。排除重度心衰、肺心病发作期、肺结核活动期、患有咯血或脑中风发作期、急性传染病、跌打损伤的出血期、孕妇等。
1.2分组方法：符合纳入标准的患者按入院顺序单号为治疗组，双号为对照组。随机对照组38例(西医常规治疗)，治疗组38例(西医常规治疗+熏洗散外洗)。
1.3治疗方法
1.3.1对照组(西医常规治疗)：运用基础药物(维生素C+葡萄糖酸钙静滴、氯雷他定口服)抗组胺止痒、改善血管通透性，避免热水烫洗，进行心理疏导。
1.3.2治疗组(西医常规治疗+熏洗散外洗)：在西医常规治疗的基础上，给予中药熏洗患处。
1.3.3观察疗程：1周1个疗程，1个疗程后观察临床疗效。
1.4观察指标
1.4.1疗效标准：参照《中医病证诊断疗效标准》[1]评定疗效。
1.4.2观察指标：湿疹面积及严重程度指数(EASI)评分[2]
(1)湿疹皮损面积评分：0分，无皮疹；1分，湿疹面积﹤10％；2分，湿疹面积为10％～19％；3分，湿疹面积为20％～49％；4分，湿疹面积为50％～69％；5分，湿疹面积为70％～89％；6分，湿疹面积为90％～100％。
(2)湿疹皮损严重程度评分：将湿疹皮损[红斑、硬肿(水肿)/丘疹、表皮剥脱、苔藓化]分别按照严重程度以0～3分计分：0分，表示无(无某体征)；1分，表示轻(仔细观察才能见到某体征)；2分，表示中(可立即看到某体征)；3分，表示重(某体征非常明显)。
(3)瘙痒程度评分：用线性视觉模拟尺评分法(VAS)对瘙痒程度评分[2]。0分，无瘙痒；1～3分，偶尔瘙痒，不影响生活；4～6分，阵发性瘙痒，时轻时重，影响生活，需用药；7～10分，剧烈瘙痒，严重影响生活。
1.5统计学方法：采用SPSS17.0统计软件进行统计学分析，计量资料进行t检验，计数资料进行χ2检验，P＜0.05表示有统计学意义。
1.5.1结果
2组慢性湿疹患者疗效比较见表1。
表1 2组慢性湿疹患者疗效比较(38例)
Figure BDA0002284044160000061
注：与对照组比较，*P＜0.05
2组慢性湿疹患者治疗前后皮损严重程度、皮损面积、瘙痒程度评分比较见表2。
表2 2组慢性湿疹患者治疗前后皮损严重程度、皮损面积、瘙痒程度评分比较(x±s，分)
注：与本组治疗前比较，*P＜0.05；与对照组治疗后比较，△P＜0.05。
参考文献
[1]国家中医药管理局.中医病证诊断疗效标准[M]南京：南京大学出版社，1994：146－147.
[2]赵辨.湿疹面积及严重程度指数评分法[J].中华皮肤科杂志，2004，37(1)：3－4。
以上内容仅为本发明的较佳实施例，对于本领域的普通技术人员，依据本发明的思想，在具体实施方式及应用范围上均会有改变之处，本说明书内容不应理解为对本发明的限制。

Claims (3)

1.一种湿疹熏洗散，其特征在于，按以下重量份的原料药制成：苦参20-40份、野菊花10-20份、蛇床子20-40份 苍术20-40份、秦艽10-20份、桃仁5-15份、赤芍5-15份、大黄5-15份、侧柏叶20-40份、防风5-15份、制川乌5-15份、制草乌5-15份、花椒5-15份、黄柏10-20份、艾叶10-20份、地肤子20-40份、黄连5-15份、当归5-15份、白鲜皮20-40份。
2.根据权利要求1所述的一种湿疹熏洗散，其特征在于，按以下重量份的原料药制成：苦参25-35份、野菊花12-17份、蛇床子25-35份 苍术25-35份、秦艽12-17份、桃仁8-12份、赤芍8-12份、大黄8-12份、侧柏叶25-35份、防风8-12份、制川乌8-12份、制草乌8-12份、花椒8-12份、黄柏12-17份、艾叶12-17份、地肤子25-35份、黄连8-12份、当归8-12份、白鲜皮25-35份。
3.根据权利要求1所述的一种湿疹熏洗散，其特征在于，按以下重量份的原料药制成：苦参30份、野菊花15份、蛇床子30份 苍术30份、秦艽15份、桃仁10份、赤芍10份、大黄10份、侧柏叶30份、防风10份、制川乌10份、制草乌10份、花椒10份、黄柏15份、艾叶15份、地肤子30份、黄连10份、当归10份、白鲜皮30份。
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CN115054668A (zh) * 2022-07-06 2022-09-16 大有药业扬州有限公司 一种治疗痔疮的中药洗剂及其制备方法

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CN1742964A (zh) * 2005-09-21 2006-03-08 灵宝市商业医院 一种治疗皮肤病的中药洗液
CN105412751A (zh) * 2016-01-18 2016-03-23 孙铭晓 一种治疗小儿湿疹中药洗液

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CN1742964A (zh) * 2005-09-21 2006-03-08 灵宝市商业医院 一种治疗皮肤病的中药洗液
CN105412751A (zh) * 2016-01-18 2016-03-23 孙铭晓 一种治疗小儿湿疹中药洗液

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* Cited by examiner, † Cited by third party
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CN115054668A (zh) * 2022-07-06 2022-09-16 大有药业扬州有限公司 一种治疗痔疮的中药洗剂及其制备方法

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