CN110882308A

CN110882308A - Traditional Chinese medicine for treating irritable bowel syndrome and preparation method thereof

Info

Publication number: CN110882308A
Application number: CN201911295583.4A
Authority: CN
Inventors: 李冬梅; 姬令山; 秦合伟; 张小路; 郭宁
Original assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Current assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Priority date: 2019-12-16
Filing date: 2019-12-16
Publication date: 2020-03-17

Abstract

The invention relates to the technical field of traditional Chinese medicine preparations, in particular to a traditional Chinese medicine for treating irritable bowel syndrome and a preparation method thereof, wherein the traditional Chinese medicine comprises the following traditional Chinese medicines in parts by weight: 3.5-6 parts of Heishui tablet, 3-8 parts of costustoot, 3-7 parts of clove, 4-9 parts of white peony root, 4-9 parts of Szechuan lovage rhizome, 4-10 parts of red peony root and 5-8 parts of borneol. The traditional Chinese medicine external application mode is adopted to treat the irritable bowel syndrome, so that symptoms of patients can disappear, the compliance of the patients is good, and the traditional Chinese medicine external application mode shows remarkable advantages and treatment prospects.

Description

Traditional Chinese medicine for treating irritable bowel syndrome and preparation method thereof

Technical Field

The invention relates to the technical field of traditional Chinese medicine preparations, in particular to a traditional Chinese medicine for treating irritable bowel syndrome and a preparation method thereof.

Background

Irritable Bowel Syndrome (IBS) is a functional bowel disease characterized by abdominal pain, abdominal distension, altered bowel habits, abnormal stool characteristics, mucous stool, and the like, which persists or recurs and is one of the common and frequently encountered diseases worldwide; the symptoms of the disease are easy to repeatedly attack and the curative effect is not ideal, thus seriously affecting the life quality of patients.

At present, the etiology and pathogenesis of irritable bowel syndrome are unclear, the irritable bowel syndrome is considered to be related to various factors, and due to the complexity of the irritable bowel syndrome and the uncertainty of the pathogenesis, western medicine lacks medicines with unique curative effect, and clinically, medicines such as sedative, gastrointestinal motility regulating medicines and antidiarrheal or cathartic are mainly adopted for treatment, so the treatment effect is poor; the traditional Chinese medicine has certain advantages and characteristics for treating irritable bowel syndrome, the curative effect is definite, but the problems of poor compliance and the like still exist in the existing oral medicines, so that the irritable bowel syndrome cannot be cured radically.

Disclosure of Invention

Aiming at the defects of the prior art, the invention aims to provide the traditional Chinese medicine for treating the irritable bowel syndrome and the preparation method thereof.

In order to solve the technical problems, the invention adopts the following technical scheme:

a traditional Chinese medicine for treating irritable bowel syndrome comprises the following components in parts by weight: 3.5-6 parts of Heishui tablet, 3-8 parts of costustoot, 3-7 parts of clove, 4-9 parts of white peony root, 4-9 parts of Szechuan lovage rhizome, 4-10 parts of red peony root and 5-8 parts of borneol.

Preferably, the composition consists of the following components in parts by weight: 4 parts of Heishun tablet, 4 parts of costustoot, 3 parts of clove, 5 parts of white peony root, 5 parts of Szechuan lovage rhizome, 5 parts of red peony root and 6 parts of borneol.

Preferably, the composition consists of the following components in parts by weight: 3.5 parts of Heishui tablet, 3 parts of costustoot, 5 parts of clove, 4 parts of white peony root, 4 parts of Szechuan lovage rhizome, 4 parts of red peony root and 5 parts of borneol.

Preferably, the composition consists of the following components in parts by weight: 6 parts of Heishun tablet, 8 parts of costustoot, 7 parts of clove, 9 parts of white peony root, 9 parts of Szechuan lovage rhizome, 10 parts of red peony root and 8 parts of borneol.

The invention also provides a preparation method of the traditional Chinese medicine for treating irritable bowel syndrome, which comprises the following steps:

step 1, weighing the following raw materials in parts by weight: 3.5-6 parts of Heixiang tablet, 3-8 parts of costustoot, 3-7 parts of clove, 4-9 parts of white paeony root, 4-9 parts of Szechuan lovage rhizome, 4-10 parts of red paeony root and 5-8 parts of borneol for later use;

step 2, drying the medicines in the step 1, grinding the medicines into fine powder, and sieving the fine powder with a 100-mesh sieve to obtain traditional Chinese medicine powder;

step 3, mashing the cleaned ginger to obtain juice, and uniformly stirring the ginger juice and the Chinese medicinal powder prepared in the step 2 to obtain a paste to obtain a Chinese medicinal formula;

wherein the mass ratio of the traditional Chinese medicine powder to the ginger juice is as follows: 10 g: 8-10 mL.

Preferably, the thick paste of the traditional Chinese medicine prescription prepared in the step 3 is uniformly coated on gauze, and the diameter of the thick paste is 1.2-1.5 cm, and the thickness of the thick paste is 0.15-0.25 cm.

The action mechanism of the traditional Chinese medicine composition is as follows:

monarch drug: the HEISHEN tablet and the white peony root are monarch drugs, the HEISHEN tablet warms yang to dispel cold and relieve pain, and the white peony root softens liver and relieves spasm and pain;

ministerial drugs: radix Paeoniae Rubra has effects in promoting blood circulation, relieving pain, warming spleen and stomach, dispelling cold, and relieving pain; it can promote qi circulation, promote blood circulation, and relieve pain.

Adjuvant drugs: chuan Xiong can activate blood and dredge collaterals, mu Xiang can dispel stasis with fragrance, promote qi circulation and alleviate pain, and is used together to promote qi circulation and remove blood stasis, and Tong Zhi Duan is an adjuvant drug.

A messenger drug: borneol is pungent, bitter and cool in property, and has the efficacy of guiding drugs to penetrate skin, and is used as a guiding drug.

The invention has reasonable compatibility of raw materials, reasonable collocation according to 'monarch, minister, assistant and guide' and proper formula, and aims at treating pathogenesis of irritable bowel syndrome: congealing cold and qi stagnation, blood stasis and obstruction of collaterals have the functions of warming spleen and stomach for dispelling cold, promoting qi circulation and removing blood stasis; the HEISHUANG tablet has effects of warming yang, dispelling cold, and relieving pain; the white peony root has the functions of softening liver, relieving spasm and relieving pain, and the two medicines are used as monarch medicines together for treating the pain caused by irritable bowel syndrome; radix Paeoniae Rubra has effects of promoting blood circulation and relieving pain; flos Caryophylli has effects of warming spleen and stomach, dispelling cold, and relieving pain; the two medicines are used together as ministerial medicines, so that the effects of monarch medicines are enhanced, and the effects of promoting qi circulation, activating blood circulation and relieving pain are achieved together. The rhizoma ligustici wallichii is pungent, warm, fragrant and dry, walks without staying on the ground, can disperse, ascends to the vertex, enters the blood system, descends to the blood sea, and has the effects of promoting blood circulation and removing obstruction in channels; radix aucklandiae has effects of dispersing pathogen with aromatics, activating qi-flowing and relieving pain; the two medicines are used as adjuvant medicines to assist monarch medicine and ministerial medicine for dispelling cold, promoting qi circulation and removing blood stasis. The medicines are used together to warm the middle-jiao and dispel cold, promote qi circulation and remove blood stasis. The invention treats irritable bowel syndrome disease under the action of each raw material medicine.

The Chinese medicinal composition for treating irritable bowel syndrome has a remarkable prevention effect, and the Shenque point is also called as the umbilicus, is a channel point, and is a source and a triplet of Chong, ren and Du which are all intersected with the umbilicus, namely the congenital settlement, the acquired qi house, between the middle jiao and the lower jiao and a kidney function qi part, so that the Chinese medicinal composition is closely related to spleen, stomach and kidney, meanwhile, fat tissue is not arranged below the umbilicus, abundant blood vessels and lymphatic vessels are arranged in the umbilicus, and medicinal molecules can quickly permeate the skin of the umbilicus to quickly disperse the human blood to be distributed to the whole body; the umbilical peripheral nerve is also abundant and sensitive in feeling, and can regulate various systems such as neuroendocrine immunity and digestion and the like through medicine stimulation, so that the functions of various organs are improved. According to the statistics of the previous treatment results, the total effective rate of the traditional Chinese medicine composition reaches 97.14 percent or more.

Detailed Description

The following description will be made by reference to preferred embodiments 1 to 3 in conjunction with the embodiments of the present invention.

Example 1

A preparation method of a traditional Chinese medicine for treating irritable bowel syndrome comprises the following steps:

step 1, weighing the following raw materials in parts by weight: 4 parts of Heixiang tablets, 4 parts of costustoot, 3 parts of clove, 5 parts of white paeony root, 5 parts of Szechuan lovage rhizome, 5 parts of red paeony root and 6 parts of borneol for later use;

wherein the mass ratio of the traditional Chinese medicine powder to the ginger juice is as follows: 10 g: 9 mL.

Example 2

step 1, weighing the following raw materials in parts by weight: 3.5 parts of Heishui tablet, 3 parts of costustoot, 5 parts of clove, 4 parts of white peony root, 4 parts of Szechuan lovage rhizome, 4 parts of red peony root and 5 parts of borneol for later use;

wherein the mass ratio of the traditional Chinese medicine powder to the ginger juice is as follows: 10 g: 8 mL.

Example 3

step 1, weighing the following raw materials in parts by weight: 6 parts of Heishun tablet, 8 parts of costustoot, 7 parts of clove, 9 parts of white peony root, 9 parts of Szechuan lovage rhizome, 10 parts of red peony root and 8 parts of borneol for later use;

wherein the mass ratio of the traditional Chinese medicine powder to the ginger juice is as follows: 10 g: 10 mL.

The traditional Chinese medicine composition provided in embodiments 1 to 3 of the present invention has significant therapeutic effects on irritable bowel syndrome, and since the therapeutic effects of the traditional Chinese medicine composition provided in embodiments 1 to 3 are substantially parallel, the effects of the present invention will be described by taking the traditional Chinese medicine composition of embodiment 1 as an example, and the specific test examples include pharmacodynamic tests, toxicity tests and clinical tests.

(1) And (3) clinical trials:

1.1 general data

140 cases of diarrhea-predominant irritable bowel syndrome (IBS-D) patients in our hospital are selected and divided into 2 groups according to a computer random number table method: 70 patients in each group of the traditional Chinese medicine Shenque application group and the western medicine control group, wherein the western medicine control group comprises 35 male patients and 35 female patients, the age is 44.03 +/-11.60 years, the course of disease is 1.02 +/-0.61 years, the traditional Chinese medicine Shenque application group (the traditional Chinese medicine formula prepared in the embodiment 1 of the invention) comprises 36 male patients and 34 female patients, the age is 42.19 +/-10.91 years, and the course of disease is 1.23 +/-0.86 years.

1.2 Chinese medicine diagnostic Standard

Refer to "consensus of traditional Chinese and western medicine integration diagnosis and treatment for irritable bowel syndrome" (2017), "i zhi zi" (1), main symptoms: (1) defecation and diarrhea; (2) abdominal pain means diarrhea, and pain is relieved after diarrhea; (3) irritability, anxiety and restlessness, and good feeling of rest; the secondary symptoms are as follows: (1) fullness or pain in the hypochondrium; (2) keeping the food; (3) tiredness and hypodynamia; tongue pulse: (1) pale and swollen tongue with teeth marks and thin and white coating; (2) the pulse is wiry and thready.

1.3 Western diagnostic standards

Reference to diagnostic criteria for IBS-D in Roman IV: (1) repeated episodes of abdominal pain, with an average episode of at least 1 day per week over a period of approximately 3 months, accompanied by 2 or more of the following: with a change in the frequency of defecation, with a change in the stool characteristics (appearance). (2) While satisfying at least 1 of the following: defecation is more than 3 times per day; loose stools or severe watery stools; urgent defecation, incomplete defecation and abdominal distension. The current symptoms meet the above diagnostic criteria for at least 3 months, and 1 episode is present at least 6 months prior to diagnosis. (3) There were no positive manifestations of gastrointestinal imaging or colonoscopy in the absence of morphological changes and biochemical abnormalities that could explain the symptoms.

1.4 inclusion criteria

(1) The traditional Chinese medicine diagnosis standard of diarrhea-predominant irritable bowel syndrome is met; (2) meets the western medicine diagnosis standard of diarrhea-predominant irritable bowel syndrome; (3) the age is 18-60 years old; (4) without obvious abnormality of heart, liver and kidney functions.

1.5 exclusion criteria

Those suffering from severe liver dysfunction; the patient is a pathological gastrointestinal dysfunction; those with digestive tract tumors; the patient is in pregnancy or lactation; patients with allergic constitution, allergic to the drugs used in this study; patients with autoimmune deficiency and severe systemic infection; patients with mental disorders can not be treated cooperatively; patients with combined acute hepatitis; merging bile duct obstruction patients; the patient did not sign an informed consent.

1.6 methods of treatment

The western medicine control group is treated by western medicine: omeprazole tablets are taken orally, 20mg each time, 2 times per day; domperidone tablets are orally taken, 10mg each time and 3 times per day.

Chinese medicine Shenque application group: 4g of black shun tablet, 4g of costustoot, 3g of clove, 5g of white peony root, 5g of ligusticum wallichii, 5g of radix paeoniae rubra and 6g of borneol; pulverizing the traditional Chinese medicines into fine powder, drying the medicines, grinding the medicines into fine powder, sieving the powder with a 100-mesh sieve storage bottle for later use, taking a proper amount of ginger when in use, washing, soaking, mashing to obtain juice, mixing the ginger juice with the medicinal powder (the proportion of the medicinal powder to the ginger juice is 10 g: 9 ml), uniformly stirring to prepare a paste, wherein the diameter of the paste is 1.5 cm, the thickness of the paste is about 0.2 cm, the proper amount of the paste is spread on the central part of 5 x 5 cm pasting paper, and the paste is pasted on the Shenque acupoint for 4-6 hours each time.

1.7 Observation index

The improvement conditions of abdominal pain, diarrhea, abdominal distension, diet and anal pendant distension are observed. Grading the symptoms according to a grading standard established by the professional Committee for spleen and stomach diseases of Chinese medical society: no symptoms (score 0); mild (1 point): the symptoms are slight, the physician only realizes the existence of the symptoms under the prompt of the symptoms, the life and the work are not affected, and the following symptoms can be tolerated: medium (2 points): severe symptoms, which have affected life and work, but can be tolerated; severe (score 3): severe symptoms, hampering work and life, and difficult to tolerate. Efficacy index ═ (pre-treatment score-post-treatment score)/pre-treatment score × 100%.

1.8 therapeutic Standard

(1) Comprehensive therapeutic effect standard: the index of curative effect is evaluated according to the guideline of clinical research of new Chinese medicine. The effect is shown: the curative effect index is reduced by more than or equal to 75 percent; the method has the following advantages: the curative effect index is reduced by more than or equal to 25 percent and less than 75 percent; and (4) invalidation: the therapeutic index decreased by < 25%. (2) Evaluating the curative effect of a single symptom, and controlling: disappearance of symptoms; the effect is shown: reduction in symptom rating by grade 2; the method has the following advantages: reduction in symptom rating by grade 1; and (4) invalidation: the above standard is not met.

1.9 statistical methods

SPSS17.0 statistical software was used. Measure data to

Showing, the comparison between groups is carried out by the line t test; count data expressed as a percentage, compare column χ between groups²Or Fisher test, P<A difference of 0.05 is statistically significant.

(2) Results

Chinese medicine Shenque application group: the total effective rate (97.14%) is obviously higher than that of the western medicine control group

(85.71%), the differences were statistically significant (P < 0.05). (see Table 1)

TABLE 12 group comparison of the overall therapeutic effects

Group of	Number of examples	Show effect	Is effective	Invalidation	Total effective
						Chinese medicine shenque point application set	70	50(71.42％)	18(25.71％)	2(2.85％)	68(97.14％)^a
Western medicine control group	70	35(50.00％)	25(35.71％)	10(14.28％)	60(85.71％)

Note: p <0.05 compared to control.

In summary, because the pathogenesis of irritable bowel syndrome is unclear, western medicine mostly adopts symptomatic treatment in treatment, such as the administration of spasmolytic drugs for abdominal pain, the administration of antidiarrheal drugs for diarrhea, the administration of cathartic drugs for constipation, gastrointestinal motility drugs and the like, and in recent years, anti-depression treatment, the supplement of intestinal probiotics and the like are advocated, but the clinical curative effect is often unsatisfactory. The traditional Chinese medicine has obvious advantages in IBS treatment, and the curative effect of medicine in IBS treatment is superior to that of western medicine shown by domestic multi-center clinical research and systematic evaluation. The clinical observation result of the research shows that the application of the Shenque acupoint on the Chinese medicine for treating IBS is a safe and effective method. After treatment, symptoms such as diarrhea, abdominal pain, abdominal distension, inappetence and the like obviously disappear, and the stool frequency and the stool properties are normal.

It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.

Claims

1. The traditional Chinese medicine for treating irritable bowel syndrome is characterized by comprising the following components in parts by weight: 3.5-6 parts of Heishui tablet, 3-8 parts of costustoot, 3-7 parts of clove, 4-9 parts of white peony root, 4-9 parts of Szechuan lovage rhizome, 4-10 parts of red peony root and 5-8 parts of borneol.

2. The traditional Chinese medicine for treating irritable bowel syndrome according to claim 1, which is prepared from the following components in parts by weight: 4 parts of Heishun tablet, 4 parts of costustoot, 3 parts of clove, 5 parts of white peony root, 5 parts of Szechuan lovage rhizome, 5 parts of red peony root and 6 parts of borneol.

3. The traditional Chinese medicine for treating irritable bowel syndrome according to claim 1, which is prepared from the following components in parts by weight: 3.5 parts of Heishui tablet, 3 parts of costustoot, 5 parts of clove, 4 parts of white peony root, 4 parts of Szechuan lovage rhizome, 4 parts of red peony root and 5 parts of borneol.

4. The traditional Chinese medicine for treating irritable bowel syndrome according to claim 1, which is prepared from the following components in parts by weight: 6 parts of Heishun tablet, 8 parts of costustoot, 7 parts of clove, 9 parts of white peony root, 9 parts of Szechuan lovage rhizome, 10 parts of red peony root and 8 parts of borneol.

5. The method for preparing a traditional Chinese medicine for treating irritable bowel syndrome according to claim 1, comprising the steps of:

6. The method of claim 5, wherein the thick paste of the formula of the Chinese medicinal composition prepared in step 3 is uniformly applied on gauze, and the thick paste has a diameter of 1.2-1.5 cm and a thickness of 0.15-0.25 cm.