CN111012892A - 一种治疗寒痰咳嗽的中药制剂 - Google Patents

一种治疗寒痰咳嗽的中药制剂 Download PDF

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CN111012892A
CN111012892A CN202010005965.5A CN202010005965A CN111012892A CN 111012892 A CN111012892 A CN 111012892A CN 202010005965 A CN202010005965 A CN 202010005965A CN 111012892 A CN111012892 A CN 111012892A
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胡晓波
吴莉萍
张雪
代媛媛
吴季
王晓雨
李静
陈望月
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Chengdu First Peoples Hospital
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Abstract

本发明公开了一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒5‑10份,白芥子5‑10份,姜半夏10‑12份,陈皮10份,细辛3‑5份,干姜3‑10份,杏仁10份,百部5‑10份,款冬花10‑12份,苏子10‑12份,防风10份,蝉蜕5‑10份,地龙5‑10份,茯苓5‑10份,白前5‑10份,葶苈子10‑15份,厚朴5‑10份,紫苏叶5‑10份。本发明中药制剂取材容易、制备方便、费用低廉、最重要的是对症下药,治疗寒痰咳嗽见效快、疗效佳,治愈率高,不易反复,具有广阔的应用前景。

Description

一种治疗寒痰咳嗽的中药制剂
技术领域
本发明涉及中药制剂领域,具体是一种治疗寒痰咳嗽的中药制剂。
背景技术
寒痰咳嗽是由于人体外感寒邪,风寒束表所致肺气不宣,肃降失司,聚湿痰饮所致。或人体体质偏寒偏弱,感受外邪所致咳嗽。临床主要表现为反复咳嗽,迁延不愈,痰液色白稀薄,量多,或白粘痰,或小便清长,舌淡苔白,形寒肢冷等。
寒痰咳嗽病程较长,临床易误诊为肺热咳嗽,导致病情迁延不愈,服药时间长,治疗费用高,给患者带来极大的不便。
发明内容
本发明针对目前医院的制剂一般是治疗热咳的制剂,缺少寒痰制剂的问题,所提供了一种治疗寒痰咳嗽的中药制剂。
本发明是按照以下技术方案实现的。
一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒5-10份,白芥子5-10份,姜半夏10-12份,陈皮10份,细辛3-5份,干姜3-10份,杏仁10份,百部5-10份,款冬花10-12份,苏子10-12份,防风10份,蝉蜕5-10份,地龙5-10份,茯苓5-10份,白前5-10份,葶苈子10-15份,厚朴5-10份,紫苏叶5-10份。
进一步的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒5份,白芥子5份,姜半夏10份,陈皮10份,细辛3份,干姜3份,杏仁10份,百部5份,款冬花10份,苏子10份,防风10份,蝉蜕5份,地龙5份,茯苓5份,白前5份,葶苈子10份,厚朴5份,紫苏叶5份。
进一步的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒10份,白芥子5份,姜半夏12份,陈皮10份,细辛5份,干姜10份,杏仁10份,百部10份,款冬花12份,苏子12份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴10份,紫苏叶10份。
进一步的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒10份,白芥子10份,姜半夏12份,陈皮10份,细辛3份,干姜5份,杏仁10份,百部10份,款冬花12份,苏子10份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴5份,紫苏叶10份。
本发明获得了如下的有益效果。
本发明中药制剂符合中医寒痰咳嗽辩证理论,各中药原料配伍合理,具有温肺散寒,燥湿化痰,止咳平喘的功效,对于治疗寒痰咳嗽有确切疗效,能够解决寒痰咳嗽病程长、易复发、治疗费用高等问题。
具体实施方式
下面结合实施例对本发明进行进一步说明。
一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒5-10份,白芥子5-10份,姜半夏10-12份,陈皮10份,细辛3-5份,干姜3-10份,杏仁10份,百部5-10份,款冬花10-12份,苏子10-12份,防风10份,蝉蜕5-10份,地龙5-10份,茯苓5-10份,白前5-10份,葶苈子10-15份,厚朴5-10份,紫苏叶5-10份。
优选的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒5份,白芥子5份,姜半夏10份,陈皮10份,细辛3份,干姜3份,杏仁10份,百部5份,款冬花10份,苏子10份,防风10份,蝉蜕5份,地龙5份,茯苓5份,白前5份,葶苈子10份,厚朴5份,紫苏叶5份。
优选的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒10份,白芥子5份,姜半夏12份,陈皮10份,细辛5份,干姜10份,杏仁10份,百部10份,款冬花12份,苏子12份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴10份,紫苏叶10份。
优选的,一种治疗寒痰咳嗽的中药制剂,包括以下重量份数的中药原料:炙麻黄绒10份,白芥子10份,姜半夏12份,陈皮10份,细辛3份,干姜5份,杏仁10份,百部10份,款冬花12份,苏子10份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴5份,紫苏叶10份。
各组分的药理作用如下:
麻黄味辛、温,微苦,归肺、膀胱经,发汗散寒,宣肺平喘,利水消肿,用于风寒感冒,胸闷喘咳,风水浮肿。麻黄发汗力强,老年、体虚、小孩宜用麻黄绒。
白芥子味辛,温,入肺经,利气豁痰,除寒暖中,散肿止痛。用于寒痰喘咳,胸胁胀痛,痰滞经络。
姜半夏,性味辛温,入脾、胃经及肺经,用于痰多咳喘,痰饮眩悸,风痰眩晕,痰厥头痛,呕吐反胃,胸脘痞闷,梅核气。生半夏有毒,姜制半夏能减轻其毒性,又能燥湿降逆止呕,主治胃寒及痰饮呕吐。
陈皮,苦、辛,温,归肺经、脾经。具有健脾和胃,行气宽中,降逆化痰的功效。
细辛,辛,温,有小毒,归肺、肾、心、肝、胆、脾经。能散寒祛风,止痛;温肺化饮;通窍。主风寒表证,痰饮咳喘,鼻塞,鼻渊等。
干姜,味辛,性热,归脾、胃、心、肺经。温中散寒,回阳通脉,燥湿消痰,温肺化饮。于脘腹冷痛,呕吐腹泻;肺寒久咳气喘,痰多清稀。
杏仁,甘酸、微温、冷利、有小毒,入肝、心、胃;止渴生津,清热去毒,主咳逆上气,金创,惊痫等。
百部,甘、苦,微温,归肺经。润肺下气止咳,杀虫。用于新久咳嗽,肺痨咳嗽,百日咳。蜜百部润肺止咳。
款冬花,性辛甘温润平和,入肺经气分,为润肺化痰止嗽之良药。以温而不热、辛而不燥、甘而不滞为特点,凡咳嗽不论外感内伤、寒热虚实皆可应用。特别是对于肺虚久嗽、肺寒痰多之咳嗽最为适用。
苏子,辛、温,归肺、大肠经,降气消痰,止咳平喘,润肠通便。用于痰壅气逆,咳嗽气喘,肠燥便秘。
防风,味辛甘,性微温而润,祛风解表;胜湿止痛;解痉;止痒。主外感风寒,头痛身痛。
蝉蜕,味甘、咸,性凉,归肺、肝经。疏散风热,利咽开音,透疹,明目退翳,息风止痉。用于风热感冒,温病初起,咽痛音哑,麻疹不透,风疹瘙痒,目赤翳障,急慢惊风,破伤风证,小儿夜啼不安。
地龙,清热定惊、通络、平喘、利尿的功效。常炒制后用于高热、神昏、惊痫抽搐、关节痹痛、肺热喘咳、尿少水肿、高血压等症。
茯苓,味甘、淡,性平,归心、肺、脾、肾经。利水渗湿,健脾,宁心。于水肿尿少,痰饮眩悸,脾虚食少,便溏泄泻,心神不安,惊悸失眠。
白前,辛甘,微温,入肺经。降气化痰,止咳。
葶苈子,性味辛、苦、寒。泻肺降气,祛痰平喘,利水消肿。
厚朴,苦辛,温,入脾、胃、大肠经。主治食积气滞;腹胀便秘;湿阻中焦,脘痞吐泻;痰壅气逆;胸满喘咳。
紫苏叶,性味辛、微温,归脾、肺二经。用于感冒风寒,发热恶寒,头痛鼻塞,兼见咳嗽或胸闷不舒者。
本发明中药制剂共治疗寒痰咳嗽病例232例,4日为一疗程,两个疗程评估,治愈172例,有效35例,无效25例,总有效率89.2%。
典型病例
病例一:患者林某,女,78月,因“反复咳嗽一月余”由门诊以“急性支气管炎,肺部感染”收入院。患者于一月余前不慎受凉后出现咳嗽,痰多,色白,易咯出,伴有气促,鼻塞流涕,无发热,无寒战抽搐,精神尚可,纳寐欠佳,二便调。舌质淡红,舌苔薄白,脉滑。院外反复西药治疗无缓解。中医辨证为风寒束表,肺寒咳嗽,予寒性咳嗽方,散寒化痰止咳,具体如下:炙麻黄绒10克,白芥子5克,姜半夏10克,陈皮10克,细辛3克,干姜3克,杏仁10克,百部10克,款冬花10克,苏子10克,防风10克,蝉蜕5克,地龙5克,茯苓10克,白前10克,葶苈子10克,厚朴5克,紫苏叶10克,水煎服,服用后次日症状开始好转,咳嗽明显缓解,痰量减少,治疗1周后好转出院。
病例二:患者范某,男,58岁,因“咳嗽、咯痰伴气促10+天”于门诊以“慢性支气管炎”收入院。患者述于10+天前无明显诱因下出现咳嗽,咯痰,痰白浓稠,不易咳出,伴气促,无发热畏寒,无流涕鼻塞,无头昏头痛,精神尚可,纳寐欠佳。既往因慢性支气管炎,反复住院治疗。患者舌红,苔薄白,脉浮数。患者在院外反复中西医治疗症状无缓解。中医辨证风寒犯肺,予寒痰咳嗽方,散寒化痰止咳平喘,具体如下:麻黄10克,白芥子10克,姜半夏10克,陈皮10克,细辛3克,干姜3克,杏仁10克,百部10克,款冬花10克,苏子10克,防风10克,蝉蜕10克,地龙10克,茯苓10克,白前10克,葶苈子10克,厚朴10克,紫苏叶10克,水煎服,餐后温服。患者于次日咳嗽症状好转,气紧等症状明显好转,治疗10日后好转出院。
申请人声明,以上所述仅为本发明的具体实施方式,但本发明的保护范围并不局限于此,所属技术领域的技术人员应该明了,任何属于本技术领域的技术人员在本发明揭露的技术范围内,可轻易想到的变化或替换,均落在本发明的保护范围和公开范围之内。

Claims (4)

1.一种治疗寒痰咳嗽的中药制剂,其特征在于:包括以下重量份数的中药原料:炙麻黄绒5-10份,白芥子5-10份,姜半夏10-12份,陈皮10份,细辛3-5份,干姜3-10份,杏仁10份,百部5-10份,款冬花10-12份,苏子10-12份,防风10份,蝉蜕5-10份,地龙5-10份,茯苓5-10份,白前5-10份,葶苈子10-15份,厚朴5-10份,紫苏叶5-10份。
2.根据权利要求1所述的一种治疗寒痰咳嗽的中药制剂,其特征在于:包括以下重量份数的中药原料:炙麻黄绒5份,白芥子5份,姜半夏10份,陈皮10份,细辛3份,干姜3份,杏仁10份,百部5份,款冬花10份,苏子10份,防风10份,蝉蜕5份,地龙5份,茯苓5份,白前5份,葶苈子10份,厚朴5份,紫苏叶5份。
3.根据权利要求1所述的一种治疗寒痰咳嗽的中药制剂,其特征在于:包括以下重量份数的中药原料:炙麻黄绒10份,白芥子5份,姜半夏12份,陈皮10份,细辛5份,干姜10份,杏仁10份,百部10份,款冬花12份,苏子12份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴10份,紫苏叶10份。
4.根据权利要求1所述的一种治疗寒痰咳嗽的中药制剂,其特征在于:包括以下重量份数的中药原料:炙麻黄绒10份,白芥子10份,姜半夏12份,陈皮10份,细辛3份,干姜5份,杏仁10份,百部10份,款冬花12份,苏子10份,防风10份,蝉蜕10份,地龙10份,茯苓10份,白前10份,葶苈子15份,厚朴5份,紫苏叶10份。
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