CN111450229A - 一种治疗结肠炎的中药组合物 - Google Patents

一种治疗结肠炎的中药组合物 Download PDF

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CN111450229A
CN111450229A CN202010505587.7A CN202010505587A CN111450229A CN 111450229 A CN111450229 A CN 111450229A CN 202010505587 A CN202010505587 A CN 202010505587A CN 111450229 A CN111450229 A CN 111450229A
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rhizoma
diarrhea
traditional chinese
chinese medicine
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徐延青
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Abstract

本发明公开一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参3‑15份、白术3‑16份、茯苓3‑16份、黄芪3‑22份、升麻1‑12份、柴胡3‑17份、麻黄3‑11份、苍术2‑20份、干姜3‑15份、肉桂3‑15份、赤石脂10‑35份、黄连5‑15份、香附2‑20份、木香3‑15份、五倍子3‑15份、乌药2‑20份、清半夏2‑15份、厚朴2‑12份、车前子3‑14份、破故子3‑15份、诃子2‑15份、槟榔2‑15份、肉蔻3‑10份、砂仁2‑15份、甘草2‑12份、丁香3‑13份、法半夏2‑15份、当归2‑20份、陈皮2‑15份、兔丝子3‑22份、川椒2‑18份、乌梅2‑20份、白芍2‑15份、香椿根皮1‑17份、五味子2‑18份、海蛸2‑23份、元胡1‑20份、薄荷2‑5份。本发明将各中药原料配伍,治疗虚寒痢疾,久虚泄泻,五更泄泻,泻痢腹痛,泻痢无度,滑脱不禁,脐腹疼痛,便秘腹疼等症,治愈率高、治疗效果显著。

Description

一种治疗结肠炎的中药组合物
技术领域
本发明属于中药技术领域。
背景技术
结肠炎是一种常见病、多发病和疑难病,且得病率处于上升趋势,多年临床研究得知,该病在中年人和老年人中发病率极高,发病人数中,青少年占20%,中年人占40%,老年人占40%,男性多于女性。
结肠炎的发病机制十分复杂,目前认为与免疫、遗传、感染、精神因素等有关,主要体现在肾泄和脾虚泻等。主要病理分析如下。
肾泻:因泄泻多在五更,其病变以肾为主,肾者主二便,故得此名。泄而有时期,如潮汐者,天人相应使之然。本病肝肾阳气不足,命门火不生土,肝肾昼则得天时之阳气相助,夜则得人身之阳气相符,故不作泄,反之阳气不固。肾阳乍虚,关门不约,而五更拂晓恰是肝木得令之时,欲愈发陈疏泄,肾阳虚,水寒,木欲达而不能达,寒水侮土,脾土湿陷而不升,土生木,肾水温暖则肝木升达,脾土升运,肾水沉沦则肝木渴,陷则脾陷不升即不上达,则必下泄。
脾虚泻:肝脾虚,均以脾虚为主,脾土虚不能培植肝木,木郁不达反克脾土,脾土虚不能制水,水阴寒水之气反得侮土,脾不能腐热,水湿不能上运,与谷滓并注于肠,脾不能沤运纳之则泄,下坠腹痛,一日数次或十数次,所以五更泄者病起肝肾,昼泄饭后泄者病起于肝脾,久病虚寒,处在肝、肾、脾为之,右人云《泻痢为腹疾而腹为三阴之都会,一脏不调便能泻痢,故三阴下利》又日《三日实,六日虚,九日亏》,病久心虚,中气下陷,而不能摄固,故此为常久不愈之症。
内因素体,内因,因体质虚弱则寒从中生,体质者,正气之说,正气衰则邪气入病缠体。正气盛则邪不相干,无邪不病,内因和外因之调和有直接的因果关系,在研究中发现:小儿、少年则有夜间腹部受寒袭(即凉腹)之泄泻病症,青年、中年饮食太过或过食生冷而生的腹痛、腹泻之外因之痛,壮年和老年有情志不调和,服之过寒之药物伤及脾胃及宿食不消的虚弱性腹泻、腹胀、虚泻、肾泻之病。
西医认为的慢性肠炎、结肠炎、溃疡性结肠炎、非特异性结肠炎,按祖国医学的中医为阳虚性病变,其症状有腹痛、腹泻、肠鸣关元虚寒,有的四肢不温,遇热则轻,遇寒则重,里急后重,饭后腹泻,体乏无力,为之肝肾阳虚的寒凝病症。《素问,生气通天论》曰“阳气者若天与日失其所,则折寿而不彰”,治疗此病,必调阳而又不能伤阳。
便秘性结肠炎,中医认为的腹痛,腹胀便秘,心肺之热,移热于大肠,使之肠燥、肠失血而不调喜冷,时常坠感,痛不移位,结而不解的热症。
中医的治疗法则:根据《内经·素问·三部九侯论》曰:“虚者补之”,《素问·至真要大论》曰:“损者益之”之立论,中医辩证,论治“八法”中的补法,而立则。根据《素河·举病论篇》曰:“寒气客于小肠,小肠不得成聚,故后泄腹痛矣”。又曰:“热气留于小肠,腹中痛,则坚干不得出,故痛而闭不痛矣”的机理而立法。
具体为:补法:补益先天不足,与后天失调(包括饮食不节、疲倦过度,情志不畅,病后失调等),虚症有:气虚、血虚、气血两虚、阴虚、阳虚、阴阳两虚等区分。补法对虚证辩证论治调和阴阳起到关键性作用,扶正培本就是补,泄泻症的形成是正气先有亏虚,然后邪气留滞,人的正气以维持机体的正常生理功能,抵御外邪,中医认为:邪之所凑,其气必虚,正气内守邪不可干。扶正培本,补虚扶正是治疗此病的根本法则之一。
吸湿祛痰法:痰和湿两者均系人体内的病理产物,作为病理病因之一,又作用于病体,泄泻症是以湿为病原,湿为痰原,痰在本病中为气原,气为痛原,泻为湿原,湿为阴邪,易阻滞气息,损伤阳气,湿性属水,水属于阴,故湿为阴邪,湿困脾胃,升降不利,气息阻滞,则脘痞腹胀,痰饮溢肠,则肠鸣,大便不爽,湿停下焦,痰气阻滞,气化不利,则小便短涩。湿为阴邪,阴盛则阳病,故湿邪入侵可损伤人体之阳气,故湿邪侵犯人体,常先困脾,使脾阳不振,水湿停聚,发为泄泻,所以《外感温热篇》有“湿感则阳阳微”之说。燥湿祛痰是治疗此病的大法之一,燥能去湿,无湿不作泻,湿为痰母,痰者百病之源。湿风可去湿,火可清湿,涩能吸湿,本方法用以燥者清湿,涩药吸湿,如海螵蛸、五倍子之类,酸能收,涩能吸,从而平复此病。
温经散寒法:寒积滞结证,是由脾阳不足,寒积中阻所致。寒实冷积,阻于肠间,阳气失运,则便秘腹痛,绕脐不走。脾阳不足不能布达四肢,则手足温,脉沉弦,根据:“寒者热之,结者散之,消者攻之”的原则,据《备急千金要方》。
赤白疾,病久难愈,连年不止。也就是现代医学的便秘性结肠炎之类,脉弦紧。治以温通并用,用泻下药以散结,以通便,用以辛温药以温经,宣通,散寒止痛。
散寒涩肠法:根据《素问·至真要大论》散者收之的原则立法,固与涩属于“十剂”的涩剂,气血精、津是营养人体的要素物质,如《灵枢.本脏篇》曰:人之血气精神者,所以寿生而固于性命者。在正常情况下,人体的气血,精、津液即不断补消耗,又不断得到补充,盈亏消长,周而复始,反之,每致滑脱不禁,散失不收,轻则有碍健康,重者危及生命,因此采用收敛固涩之法进行治疗,耗散滑脱之症。由于病因及发病部位的不同,治法不一,各有所见。
涩肠固脱剂,适用于泻痢日久不止,脾肾虚寒,以致大便不禁的病症。素体脾胃虚寒,不能腐熟水谷,或因久泻久痢,积滞虽去,脾胃损伤,关门不固以致泻痢无度,滑脱不禁,脾虚中气不足,故脱肛坠下,不思饮食,脾肾虚寒,故脐腹痛疼,治以涩肠止泻温中补虚。
发明内容
本发明目的在于提供一种治疗结肠炎的中药组合物。
基于上述目的,本发明采取以下技术方案:
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参3-15份、白术3-16份、茯苓3-16份、黄芪3-22份、升麻1-12份、柴胡3-17份、麻黄 3-11份、苍术2-20份、干姜3-15份、肉桂3-15份、赤石脂10-35份、黄连 5-15份、香附2-20份、木香3-15份、五倍子3-15份、乌药2-20份、清半夏2-15份、厚朴2-12份、车前子3-14份、破故子3-15份、诃子2-15份、槟榔2-15份、肉蔻3-10份、砂仁2-15份、甘草2-12份、丁香3-13份、法半夏2-15份、当归2-20份、陈皮2-15份、兔丝子3-22份、川椒 2-18份、乌梅2-20份、 白芍2-15份、香椿根皮1-17份、五味子2-18份、海蛸2-23份、元胡1-20份、薄荷 2-5份。
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参5-12份、白术5-11份、茯苓5-11份、黄芪5-18份、升麻3-8份、柴胡5-12份、麻黄 5-8份、苍术5-15份、干姜5-10份、肉桂5-10份、赤石脂15-30份、黄连 8-10份、香附5-15份、木香5-10份、五倍子5-10份、乌药5-15份、清半夏5-10份、厚朴5-8份、车前子5-10份、破故子5-10份、诃子5-10份、槟榔5-10份、肉蔻5-10份、砂仁5-10份、甘草5-8份、丁香5-8份、法半夏5-10份、当归5-15份、陈皮5-10份、兔丝子5-18份、川椒 5-10份、乌梅 5-15份、白芍5-10份、香椿根皮3-12份、五味子5-12份、海蛸5-18份、元胡3-15份、薄荷 3-5份。
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参8份、白术9份、茯苓8份、黄芪11份、升麻5份、柴胡9份、麻黄 6份、苍术10份、干姜8份、肉桂7份、赤石脂22份、黄连 8份、香附10份、木香7份、五倍子8份、乌药10份、清半夏5份、厚朴7份、车前子6份、破故子9份、诃子10份、槟榔5份、肉蔻10份、砂仁7份、甘草8份、丁香6份、法半夏10份、当归10份、陈皮8份、兔丝子14份、川椒 5份、乌梅 10份、白芍9份、香椿根皮12份、五味子11份、海蛸13份、元胡12份、薄荷 4份。
制备治疗结肠炎的中药组合物,诸药炮制(每种原料按500g量):甘草用蜂蜜(50ml),柴胡用醋(50ml)分别拌匀,闷24小时后,微炒即可;白术和苍术用灶心土(300g)炒黄褐色为度,姜汁炒半夏,车前子煨炒为妙,米壳性寒用蜂蜜少许拌后,笼蒸1小时,补骨脂用酒(75ml)和盐(20g),和水拌炒,兔丝子用水煮半小时,然后捣泥入药,用小麦面包裹诃子,肉蔻火煨为准,乌梅去仁,陈皮盐水浸12时入药,香椿根皮去土用火烘干或烘干入药;以上诸药经炮制后,和其它原料用棉布包裹,笼蒸1小时,研磨成粉、混匀,制成水丸剂(直径约7mm)或粉剂装胶囊。
使用方法:水丸剂,每日3次,每次30丸;粉剂,每日3次,每次9克,儿童减半,虚寒性腹泻用温热水送服,便秘性结肠炎用温凉茶送服。
禁忌:一切生冷食物,酒、油腻食物。
与现有技术相比,本发明具有以下有益效果:
1)本发明中用米壳涩肠止涩、止疼,肉蔻,诃子暖脾温中,涩肠止泻,用人参、白术益气健脾,当归、白芍养血和血,白芍又治下痢腹痛,以官桂调冷气温中,补脾肾,消散阻寒,木香、厚朴理气醒脾,使诸补涩之品不致壅滞气息,甘草调和诸药,和白芍缓急止痛,以养脏气,升麻、厚朴配伍使中焦脾升胃降,气息通畅,以消腹胀,木香、薄荷即能解除胃肠平滑肌痉挛,又能消肠胀气,而有止痛,消胀之功。柴胡、薄荷疏肝气而使之不郁,用补骨脂辛苦大温,补命门之火,以温养脾,土以治肾泄,则固涩止泻功强无比,肉蔻辛温,温脾暖胃和乌梅酸涩,和赤石脂涩胀止泻及养肝,又固府。干姜、香附辛之大热,温中散寒,与赤石脂合用,温中涩肠,热痢能除,见人参,白术、茯苓虚泻能止,并川椒结中能散,平肝消郁。香附、砂仁开胃健脾,丁香、川椒暖胃温中和于中焦,木香温中利气,和于槟榔除以里急后重,见于黄连除灼热止泻止痛,车前子水出有道,法半夏、清半夏燥湿祛痰,与五倍子性酸之药合用,吸湿固肠,干姜辛、苦、温、滑中散寒理气止痛,香椿根皮苦涩性温,祛风除湿,止痢、止痛、香椿根皮苦、涩、寒、滑痢、止痛,合干姜涩久泻,兔丝子温肾壮阳主升元气,合补骨脂,治肾泄有功,麻黄性辛温散寒,使病邪从皮毛而出,不得聚内,以防受风、寒、湿邪而入体,和黄芪,扶正培本,内固,外驱。五倍子、海蛸,吸湿、涩肠止泻,黄连、当归,清除湿热、养血润肠,诸药合用,益气健脾、温补脾肾、固肠止泻,温中散寒,理气止痛,活血散结,吸湿祛痰,达到治愈之目的;
2)本发明将各中药原料配伍,温中补虚、涩肠止涩、温肾暖脾、补中益气、升阳举陷、健脾和胃、燥湿祛痰、固本止泻、养血润肠。治疗虚寒痢疾,久虚泄泻,五更泄泻,泻痢腹痛,泻痢无度,滑脱不禁,脐腹疼痛,便秘腹疼等症,治愈率高、治疗效果显著。
具体实施方式
实施例1
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参8份、白术9份、茯苓8份、黄芪11份、升麻5份、柴胡9份、麻黄 6份、苍术10份、干姜8份、肉桂7份、赤石脂22份、黄连8份、香附10份、木香7份、五倍子8份、乌药10份、清半夏5份、厚朴7份、车前子6份、破故子9份、诃子10份、槟榔5份、肉蔻10份、砂仁7份、甘草8份、丁香6份、法半夏10份、当归10份、陈皮8份、兔丝子14份、川椒 5份、乌梅 10份、白芍9份、香椿根皮12份、五味子11份、海蛸13份、元胡12份、薄荷 4份。
实施例2
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参5份、白术7份、茯苓11份、黄芪13份、升麻3份、柴胡8份、麻黄 8份、苍术13份、干姜10份、肉桂10份、赤石脂25份、黄连9份、香附5份、木香10份、五倍子5份、乌药5份、清半夏9份、厚朴8份、车前子9份、破故子6份、诃子5份、槟榔9份、肉蔻7份、砂仁9份、甘草7份、丁香5份、法半夏8份、当归15份、陈皮10份、兔丝子9份、川椒10份、乌梅 13份、白芍5份、香椿根皮9份、五味子6份、海蛸8份、元胡3份、薄荷 5份。
实施例3
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参10份、白术5份、茯苓7份、黄芪18份、升麻8份、柴胡5份、麻黄 7份、苍术15份、干姜5份、肉桂6份、赤石脂15份、黄连10份、香附13份、木香5份、五倍子10份、乌药15份、清半夏7份、厚朴6份、车前子5份、破故子10份、诃子7份、槟榔10份、肉蔻5份、砂仁5份、甘草6份、丁香8份、法半夏5份、当归5份、陈皮5份、兔丝子5份、川椒 7份、乌梅 9份、白芍7份、香椿根皮4份、五味子9份、海蛸18份、元胡6份、薄荷5份。
实施例4
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参12份、白术11份、茯苓5份、黄芪5份、升麻6份、柴胡12份、麻黄 5份、苍术5份、干姜7份、肉桂5份、赤石脂30份、黄连8份、香附15份、木香9份、五倍子7份、乌药13份、清半夏10份、厚朴5份、车前子10份、破故子5份、诃子8份、槟榔7份、肉蔻9份、砂仁10份、甘草5份、丁香7份、法半夏7份、当归12份、陈皮7份、兔丝子17份、川椒 8份、乌梅 6份、白芍10份、香椿根皮6份、五味子10份、海蛸6份、元胡15份、薄荷 3份。
实施例5
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参3份、白术15份、茯苓3份、黄芪21份、升麻12份、柴胡16份、麻黄10份、苍术19份、干姜13份、肉桂13份、赤石脂11份、黄连 5份、香附18份、木香14份、五倍子13份、乌药19份、清半夏2份、厚朴10份、车前子3份、破故子3份、诃子13份、槟榔14份、肉蔻6份、砂仁4份、甘草2份、丁香11份、法半夏13份、当归19份、陈皮15份、兔丝子6份、川椒 14份、乌梅4份、 白芍12份、香椿根皮8份、五味子15份、海蛸21份、元胡19份、薄荷 2份。
实施例6
一种治疗结肠炎的中药组合物,由以下重量份的原料制成:人参14份、白术4份、茯苓15份、黄芪4份、升麻1份、柴胡3份、麻黄 4份、苍术4份、干姜3份、肉桂4份、赤石脂34份、黄连13份、香附2份、木香3份、五倍子3份、乌药3份、清半夏13份、厚朴3份、车前子13份、破故子15份、诃子2份、槟榔2份、肉蔻3份、砂仁15份、甘草12份、丁香3份、法半夏2份、当归3份、陈皮3份、兔丝子22份、川椒 3份、乌梅18份、 白芍4份、香椿根皮15份、五味子5份、海蛸5份、元胡4份、薄荷 4份。
制备实施例1-6治疗结肠炎的中药组合物,诸药炮制(每种原料按500g量):甘草用蜂蜜(50ml),柴胡用醋(50ml)分别拌匀,闷24小时后,微炒即可;白术和苍术用灶心土(300g)炒黄褐色为度,姜汁炒半夏,车前子煨炒为妙,米壳性寒用蜂蜜少许拌后,笼蒸1小时,补骨脂用酒(75ml)和盐(20g),和水拌炒,兔丝子用水煮半小时,然后捣泥入药,用小麦面包裹诃子,肉蔻火煨为准,乌梅去仁,陈皮盐水浸12时入药,香椿根皮去土用火烘干或烘干入药;以上诸药经炮制后,和其它原料用棉布包裹,笼蒸1小时,研磨成粉、混匀,制成水丸剂(直径约7mm)或粉剂装胶囊。
实施例7 病例
疗效标准:按1987年中华全国中医学会肝肠学会会议制定的慢性溃疡性结肠炎疗效判定标准,痊愈:临床症状消失,肠镜等检查肠粘膜病变恢复正常;好转:临床症状减轻,肠镜等检查,肠粘膜病变较前明显改善,大便常规检查有少量红、白细胞;无效:治疗前后,临床症状和肠镜等检查无改善和无明显改善。
病例1
王xx,男,34岁,河南省新密市人,主诉病史:腹泻、腹痛、间断性脓血便10余年,10年前因患感冒痢疾,治疗后大便一直不正常,便前腹痛,日大便七八次,曾到某医院治疗,诊断为非特异性溃疡性结肠炎,治疗期间病情减轻,停药即重,服用中西药均无效。现症:全身乏力,形体消瘦,日大便七八次,腹泻、腹痛,有时有脓血便,下坠里急后重,舌尖微红,舌苔薄白,脉虚细,无肝炎、结核病史、手术及药物过敏史。西诊诊断为:慢性非特异性溃疡性结肠炎,中医诊断:痢疾(虚中挟实,寒热错杂),治疗:寒温补消并用。经用本发明实施例1的中药组合物口服水丸剂2个月,诸症消失,随访1年无复发,经查痊愈。
病例2
康xx,男,68岁,新密市人,2019年2月就诊,自述近5年来,反复发作的腹痛、腹泻,每日5-6次,有时有粘液,伴体乏无力,纳差,曾服诸多中西药,效果欠佳,舌淡、苔白、脉缓,西医诊断为溃疡性结肠炎,中医诊断为脾、肾、阳虚型寒痢。采用实施例2制成的中药组合物治疗,益气培本、温补脾肾之阳、祛寒化滞、涩肠止痢,调治2个月,自感症状消失、脾运健旺,正常参加工作生活,随诊半年无复发,经查痊愈。
病例3
岳xx,男,22岁,新密市米村镇人,患者于4年前参军,由于外感风寒和异地水土不服引起的腹泻症,到部队某医院就诊外感病基本痊愈,腹泻症无进展,自2020年3月以来,每天大便9-10次,气虚、纳差、体乏无力,工作能力丧失,天热眩晕,天冷四肢不温,因多家医院诊治无效,对生活丧失信心。精神抑郁、脉沉细弱、舌苔淡薄白。诊断为气血虚弱性滑泻症。采用实施例3制成的中药组合物,滋补气血、温肾壮阳、升元气补脾阳,使之阴阳调和,调治2个月,症状消失,体力恢复,参加工作月余,复查痊愈。
病例4
许xx,男,54岁,新密市米村镇人,煤矿工人,患者12年前,因在工作期间,喝井下水,寒滞于胃,当时下坠腹痛、腹泻。在某矿医院就诊,用一些抗生素治疗,当时缓解,4天后,突感下坠腹痛,解脓血便,每日6-7次,经治月余稍轻,工作劳累过度、饮食不正常,易复发。经几家医院诊治,无明显变化,最近半年日大便8-9次,饭后即泻,有粘液便,每早五更,腹痛泻下。就诊,症见脐脘痛、腹泻、脉沉细弱紧、舌质淡苍白、纳差、体乏困酸无力,停止工作3个月,诊断为:中气虚弱、脾胃虚寒、肝肾阳虚,采用实施例3制成的中药组合物治疗,补中益气、健脾和胃、滋补肝肾、调和阴阳、固肠止泻,调治70天,体检各项功能恢复如常,痊愈。
经统计,采用本发明的中药组合物治疗687例患者,治疗2个疗程后,痊愈的有596例,好转93例,无效18例,有效率为96%,治愈率为86.7%,药理有效,轻者3天,重者3-7天。

Claims (3)

1.一种治疗结肠炎的中药组合物,其特征在于,由以下重量份的原料制成:人参3-15份、白术3-16份、茯苓3-16份、黄芪3-22份、升麻1-12份、柴胡3-17份、麻黄 3-11份、苍术2-20份、干姜3-15份、肉桂3-15份、赤石脂10-35份、黄连 5-15份、香附2-20份、木香3-15份、五倍子3-15份、乌药2-20份、清半夏2-15份、厚朴2-12份、车前子3-14份、破故子3-15份、诃子2-15份、槟榔2-15份、肉蔻3-10份、砂仁2-15份、甘草2-12份、丁香3-13份、法半夏2-15份、当归2-20份、陈皮2-15份、兔丝子3-22份、川椒 2-18份、乌梅2-20份、 白芍2-15份、香椿根皮1-17份、五味子2-18份、海蛸2-23份、元胡1-20份、薄荷 2-5份。
2.如权利要求1所述的治疗结肠炎的中药组合物,其特征在于,由以下重量份的原料制成:人参5-12份、白术5-11份、茯苓5-11份、黄芪5-18份、升麻3-8份、柴胡5-12份、麻黄 5-8份、苍术5-15份、干姜5-10份、肉桂5-10份、赤石脂15-30份、黄连 8-10份、香附5-15份、木香5-10份、五倍子5-10份、乌药5-15份、清半夏5-10份、厚朴5-8份、车前子5-10份、破故子5-10份、诃子5-10份、槟榔5-10份、肉蔻5-10份、砂仁5-10份、甘草5-8份、丁香5-8份、法半夏5-10份、当归5-15份、陈皮5-10份、兔丝子5-18份、川椒 5-10份、乌梅 5-15份、白芍5-10份、香椿根皮3-12份、五味子5-12份、海蛸5-18份、元胡3-15份、薄荷 3-5份。
3.如权利要求2所述的治疗结肠炎的中药组合物,其特征在于,由以下重量份的原料制成:人参8份、白术9份、茯苓8份、黄芪11份、升麻5份、柴胡9份、麻黄 6份、苍术10份、干姜8份、肉桂7份、赤石脂22份、黄连 8份、香附10份、木香7份、五倍子8份、乌药10份、清半夏5份、厚朴7份、车前子6份、破故子9份、诃子10份、槟榔5份、肉蔻10份、砂仁7份、甘草8份、丁香6份、法半夏10份、当归10份、陈皮8份、兔丝子14份、川椒 5份、乌梅 10份、白芍9份、香椿根皮12份、五味子11份、海蛸13份、元胡12份、薄荷 4份。
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