CN111035753A - 一种治疗心肌炎的药剂 - Google Patents

一种治疗心肌炎的药剂 Download PDF

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CN111035753A
CN111035753A CN202010085835.7A CN202010085835A CN111035753A CN 111035753 A CN111035753 A CN 111035753A CN 202010085835 A CN202010085835 A CN 202010085835A CN 111035753 A CN111035753 A CN 111035753A
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裘健
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Abstract

本发明涉及一种治疗心肌炎的药剂，由以下原料药制成：中药部分为：由以下原料药制成，中药部分为：茯苓20克、桂枝15克、黄芪15‑20克、党参10‑15克、鸡血藤10‑15克、桑寄生9‑12克、桃仁6‑9克、红花6‑9克、当归10‑15克、白术10‑15克、泽泻15‑20克、佛手10‑15克、薤白10‑15克、瓜萎10‑12克、炒枣仁8‑12克、柏子仁10‑12克、苦参6‑9克、茯神9‑12克、甘草9克。西药部分为：维生素B12、辅酶A、肌苷、细胞色素C；如心肌炎患者为病毒性感染所致，应加入抗生素和维生素C。上述6味西药起到改善心肌代谢和杀菌抑菌之功效。本发明采用中西医法治疗心肌炎，治疗效果直达病灶，复发率低。

Description

一种治疗心肌炎的药剂
技术领域
本发明专利属于中医药技术领域，具体是一种治疗心肌炎的药剂。
背景技术
心肌炎是心脏类疾病的一种，儿童和40岁以下成年人是多发人群，心肌炎是由各种病原菌引起的心肌细胞、心内膜和心外膜的炎症反应，心肌炎的病理改变是呈局限性的。其临床表现各异，主要为：心悸、乏力、胸闷和头晕。治疗方法主要分为药物治疗和非药物治疗。非药物治疗主要以手术为主，但由于心肌炎的特殊性，手术治疗一是效果不好，同时存在一定的风险；现在药物治疗主要以西药治疗为主，服用抗细菌、抗真菌和抗原虫药物为主，但上述药物主要以抗病毒药物为主，治疗以治标为主，对心脏功能的调理恢复效果不明显。本发明采用中西医结合疗法，在抗菌消炎的基础上，注重养心安神、理气活血。中药注重从养心安神、理气活血、补血调脉做起，具有标本兼治之功效；西药注重纠正心肌功能，改善心肌缺血，控制心律失常。本发明中药采用中西医结合，疗效直接，效果甚好。
发明内容
本发明的目的在于提供一种治疗心肌炎的药剂。
分析心肌炎的病因病机，西医认为心肌炎是由于患者自身机体抵抗力减弱，致使病毒更容易侵入人体内。由于人体体内免疫系统不能有效清除病毒，导致心肌细胞受损，进而引起临床上不同程度的胸闷、气短和乏力等症状，导致心肌炎。中医理论认为，心肌炎是由于患者自身“本虚”加之外界邪毒侵入机体内所至，伤及心脉，导致气血两虚，血行不畅，心血淤滞，引发一系列临床症状。中医治疗心肌炎病注重健脾利水，养心活血，补血调脉，温肾助阳；西医治疗心肌病注重提高心肌功能，改善心肌缺血。
本发明的技术方案是：一种治疗心肌炎的药剂，由以下原料药制成，中药部分为：茯苓20克、桂枝15克、黄芪15-20克、党参10-15克、鸡血藤10-15克、桑寄生9-12克、桃仁6-9克、红花6-9克、当归10-15克、白术10-15克、泽泻15-20克、佛手10-15克、薤白10-15克、瓜萎10-12克、炒枣仁8-12克、柏子仁10-12克、苦参6-9克、茯神9-12克、甘草9克。西药部分为：维生素B12、辅酶A、肌苷、细胞色素C；如心肌炎患者为病毒性感染所致，应加入抗生素和维生素C。上述6味西药起到改善心肌代谢和杀菌抑菌之功效。
制备方法：取上述中药部分，加水1500g，文火煎煮30分钟，过滤制成汤剂。每日一剂，分早晚饭后服用。6味西药用量按照说明书使用即可，西药一日三次，待中药服用半小时后服用。
本发明配方中，茯苓有健脾渗湿利水，益脾助阳，除湿化痰、将浊生新之功，能温补肝肾之阳气；桂枝辛甘温，善能温运阳气，通达三焦，化痰饮行水气,上述二药为君药。黄芪、党参能够益气养血，补中益气，鸡血藤、桑寄生、桃仁、红花、当归和白术，兼备温通血脉、活血化瘀和强心助阳之功效为臣药；泽泻味甘而淡善泄伏水，与茯苓、白术同用有益气运脾、淡湿利尿之功效，佛手、薤白和瓜萎具有理气化痰、宽胸散结之功效，炒枣仁、柏子仁、苦参、茯神补血养心、养心安神为佐药；甘草以其甘缓之力制茯苓淡渗不过，以其清泻之力，缓桂枝的辛温之热，以升浮施降之功，缓解白术的壅滞之性为使药。西药部分，维生素B12，具有促进红细胞的发育和成熟，使肌体造血机能处于正常状态；辅酶A作用于白细胞减少，原发性血小板减少；肌酐增强肌张力，防止细胞和血小板减少；细胞色素C辅助治疗组织缺氧，治疗心肌缺氧，抗生素具有杀菌和抑菌之功效；维生素C具有凝血，增强免疫力之功效。中西药结合使用，治疗心肌炎心脏病有标本兼治的效果。
本发明采用中西医结合方法，标本兼治，副作用小，疗效快。能较好地调理改善心脏功能。
具体实施方式
下面结合实施例对本发明作进一步说明。
根据心肌炎患者实际病情，在医护人员的指导下，合理选取实施例配药。
实施例1：一种治疗心肌炎的药剂，治疗轻度心肌炎患者，选用以下原料药制成：茯苓10克、桂枝5克、黄芪15克克、党参10克、鸡血藤10克、桑寄生9克、桃仁6克、红花6克、当归10克、白术10克、泽泻15克、佛手10克、薤白10克、瓜萎10克、炒枣仁8克、柏子仁10克、苦参6克、茯神9克、甘草4克。西药部分为：维生素B12、辅酶A、肌苷、细胞色素C。制备方法：取上述中药部分，加水1500g，文火煎煮30分钟，过滤制成汤剂。每日一剂，分早晚饭后服用。6味西药用量按照说明书使用即可，西药一日三次，待中药服用半小时后服用。
实施例2：一种治疗心肌炎的药剂，治疗重度心肌炎患者，选用以下原料药制成：中药部分为：茯苓20克、桂枝10克、黄芪20克、党参15克、鸡血藤15克、桑寄生12克、桃仁9克、红花9克、当归15克、白术15克、泽泻20克、佛手15克、薤白15克、瓜萎12克、炒枣仁12克、柏子仁12克、苦参9克、茯神12克、甘草9克。西药部分为：维生素B12、辅酶A、肌苷、细胞色素C。制备方法：取上述中药部分，加水1500g，文火煎煮30分钟，过滤制成汤剂。每日一剂，分早晚饭后服用。6味西药用量按照说明书使用即可，西药一日三次，待中药服用半小时后服用。
实施例3：一种治疗心肌炎的药剂，治疗病毒性心肌炎患者由以下原料药制成：中药部分为：茯苓20克、桂枝15克、黄芪20克、党参10克、鸡血藤10克、桑寄生9克、桃仁6克、红花6克、当归10克、白术10克、泽泻15克、佛手10克、薤白10克、瓜萎10克、炒枣仁8克、柏子仁10克、苦参6克、茯神9克、甘草4克。西药部分为：维生素B12、辅酶A、肌苷、细胞色素C、抗生素和维生素C两位原料药。制备方法：取上述中药部分，加水1500g，文火煎煮30分钟，过滤制成汤剂。每日一剂，分早晚饭后服用。6味西药用量按照说明书使用即可，西药一日三次，待中药服用半小时后服用。
临床资料
1.1临床资料
本组试验所研究的60例病毒性心肌炎患者均是从我院2018年度收治的病理中选取而得，具有一定代表性。在征得患者同意后，随机抽取，将患者分为实验组和对照组，每组30位患者。
1.2体检
对上述实验组和对照组患者进行再次体检，确认病情轻重，根据“心肌炎”症状，诊断患者病情，合理实施治疗。
1.3临床表现
患者伴有心悸、乏力、胸闷和头晕，呼吸急促，严重者丧失劳动能力。
1.4临床试验
给实验组患者本发明中药实施例2，药量按照患者病情灵活增减；病毒性心肌炎按实施例3服药。给对照组患者服以普通治疗“心肌炎”药物曲美他嗪，药量按照药物说明书增减，实验治疗单个疗程为7日。
1.5 试验结果
临床实验结果：连续服药5个疗程，每日服药2次后。实验组患者经体检化验各项指标正常者28例，有效效率为93% ；对照组患者经体检化验各项指标达标者仅为20例，有效率仅为67%。
由此看出，本发明采用中西医结合治疗法治疗心肌炎，效果更显著。

Claims (3)

1.一种治疗心肌炎的药剂，其特征是，中药部分由以下原料药制成：茯苓10克、桂枝5克、黄芪15克、党参10克、鸡血藤10克、桑寄生9克、桃仁6克、红花6克、当归10克、白术10克、泽泻15克、佛手10克、薤白10克、瓜萎10克、炒枣仁8克、柏子仁10克、苦参6克、茯神9克、甘草4克；西药部分为：维生素B12、辅酶A、肌苷、细胞色素C。
2.一种治疗心肌炎的药剂，其特征是，中药部分由以下原料药制成：中药部分为：茯苓20克、桂枝10克、黄芪20克、党参15克、鸡血藤15克、桑寄生12克、桃仁9克、红花9克、当归15克、白术15克、泽泻20克、佛手15克、薤白15克、瓜萎12克、炒枣仁12克、柏子仁12克、苦参9克、茯神12克、甘草9克；西药部分为：维生素B12、辅酶A、肌苷、细胞色素C。
3.一种治疗心肌炎的药剂，其特征是，中药部分由以下原料药制成：茯苓20克、桂枝15克、黄芪20克、党参10克、鸡血藤10克、桑寄生9克、桃仁6克、红花6克、当归10克、白术10克、泽泻15克、佛手10克、薤白10克、瓜萎10克、炒枣仁8克、柏子仁10克、苦参6克、茯神9克、甘草4克；西药部分为：维生素B12、辅酶A、肌苷、细胞色素C、抗生素和维生素C两位原料药。
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