CN111569010B - Traditional Chinese medicine composition and application thereof in preparation of medicine for treating neocoronary pneumonia - Google Patents
Traditional Chinese medicine composition and application thereof in preparation of medicine for treating neocoronary pneumonia Download PDFInfo
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Abstract
The invention relates to the technical field of traditional Chinese medicines, and in particular relates to a traditional Chinese medicine composition and application thereof in preparation of a medicine for treating neocoronary pneumonia. The composition comprises the following raw materials: gypsum Fibrosum, radix Isatidis, cimicifugae rhizoma, herba Agastaches, herba Taraxaci, Coptidis rhizoma, lalang grass rhizome, cortex moutan, semen Phaseoli Radiati and ramulus Uncariae cum uncis. The composition is mainly used for treating fever, cough, asthma, anorexia, dyspnea, diarrhea, etc. caused by new coronavirus infection, and can be used for effectively treating new coronary pneumonia caused by new coronavirus infection.
Description
Technical Field
The invention relates to the technical field of traditional Chinese medicines, and in particular relates to a traditional Chinese medicine composition and application thereof in preparation of a medicine for treating neocoronary pneumonia.
Background
The novel coronavirus (hereinafter referred to as new coronavirus) can be transmitted by respiratory droplets and in close contact, has strong transmission capability and is difficult to prevent. Medical care personnel are exposed in an environment with high virus content for a long time and can be infected by a large number of patients and asymptomatic virus carriers if the medical care personnel are in contact with the virus carriers. For the elderly and people with underlying diseases, immunity is generally low and there is also a risk of infection after exposure to viruses. The latent period after infection of new corona virus can be as long as 14 days, asymptomatic infected persons in the latent period are also infectious, and data show that one new corona infected person can infect several to tens of persons. After the infection of new coronavirus, the clinical manifestations are fever, diarrhea, cough, anorexia, palpitation and shortness of breath, and the severe patients can cause pneumonia, severe acute respiratory syndrome, renal failure and even death.
The novel coronavirus pneumonia (hereinafter referred to as new coronary pneumonia) is different from common pneumonia, the common pneumonia is less infectious, generally caused by incomplete treatment after external pathogenic factors are infected, and generally diagnosed as wind-heat invading lung or fire-toxin accumulating lung in the field of traditional Chinese medicine. The new coronary pneumonia belongs to the category of 'grumpy' in the traditional Chinese medicine, mainly attacks the lung meridian of hand taiyin and the large intestine meridian of hand yangming, causes the lung to lose the function of dispersing and descending, and dampness blocks the middle energizer, has the basic pathogenesis characteristics of 'dampness, toxicity, stasis and block', mainly causes 'dampness', easily blocks qi activity, attacks the middle energizer spleen and stomach, has symptoms of digestive system symptoms of the spleen and stomach, is encumbered by dampness pathogen, has a lingering course of disease, has early clinical manifestations of poor appetite, sleepiness and weakness, head covering and thick and greasy fur, and has similar symptoms no matter whether men or women are old or young. The clinical manifestations of the middle stage are no fever or alternating chills and fever with chest distress and shortness of breath, cough, dyspnea, mouth opening and shoulder raising during respiration, red tongue with yellow greasy or yellow dry coating, little or yellow phlegm, and smooth and rapid pulse. In terms of treatment, common pneumonia mostly has high fever as a main symptom, so the used traditional Chinese medicines mostly have large dose of heat-clearing and toxicity-removing medicines as main medicines. The new coronary pneumonia is mainly low-grade fever, the lung fails to disperse and descend, and belongs to deficiency syndrome, so the new coronary pneumonia is not suitable for large-dose cold and cool medicines. Therefore, the traditional Chinese medicine treatment scheme for common pneumonia is not suitable for treating the new coronary pneumonia.
The hand-foot-mouth disease also belongs to the category of 'grume' in the traditional Chinese medicine, has similar parts with the clinical manifestations of the new crown pneumonia, but the causes of the hand-foot-mouth disease are related to internal blood heat, external wind heat, cold, summer heat and damp qi, or seasonal pathogenic epidemic toxin, or accumulated heat of internal organs, pathogenic toxin stagnation, qi stagnation, water-damp internal stagnation, body vital qi and toxin conflict, and external penetrating muscle surface, so that hands, feet and oropharynx parts give off sparse herpes, and the causes and the clinical manifestations are different from the causes and the clinical manifestations of the new crown pneumonia, therefore, the traditional Chinese medicine treatment scheme of the hand-foot-mouth disease is not suitable for treating the new crown pneumonia.
However, no effective antiviral drug aiming at the new coronavirus is found at present, the treatment mainly comprises isolation and symptomatic support, an effective treatment method is not available, and the condition that symptoms do not disappear in time or the patients recover from yang can also appear in part of patients.
Disclosure of Invention
Aiming at the technical problems that no effective antiviral drug aiming at the new coronavirus is found and no effective treatment method is available at present, the invention provides a traditional Chinese medicine composition.
The invention also provides application of the composition in preparing a medicine for treating neocoronary pneumonia.
In order to achieve the purpose of the invention, the embodiment of the invention adopts the following technical scheme:
a traditional Chinese medicine composition comprises the following raw materials in parts by weight: 8-12 parts of gypsum, 8-12 parts of isatis root, 10-14 parts of cimicifuga foetida, 8-10 parts of patchouli, 8-10 parts of dandelion, 7-11 parts of coptis chinensis, 10-14 parts of cogongrass rhizome, 8-12 parts of moutan bark, 8-12 parts of mung bean and 10-14 parts of uncaria.
The traditional Chinese medicine composition provided by the invention comprises the following components:
gypsum Fibrosum, which is sweet and pungent in flavor and cold in nature, enters lung and stomach meridians, is good in ventilation and divides heat evil, can treat fever symptom after novel coronavirus infection, achieves the early stage cutoff effect of 'penetrating heat outside', and is used as a monarch drug in the Chinese medicinal composition.
Radix Isatidis is bitter in taste and cold in nature, and has effects of entering heart and stomach meridians, clearing heat and removing toxicity, cooling blood and relieving sore throat, and has the effect of removing toxicity, relieving sore throat and resolving hard mass.
Cimicifugae rhizoma is pungent, slightly sweet and cold in nature, enters lung, spleen, stomach and large intestine channels, has the functions of relieving exterior syndrome, promoting eruption, clearing heat and removing toxicity, lifting yang qi, ascending and dispersing property, relieving exterior syndrome and allaying fever, and has the effect of clearing heat and removing toxicity.
Patchouli is pungent in taste and slightly warm in nature, has the effects of invigorating spleen, stomach and lung channels, regulating the middle warmer, removing dirt, eliminating dampness, eliminating turbid pathogen, regulating the middle warmer and stopping vomiting, is used for treating turbid pathogen, fever and lassitude, chest distress, abdominal pain and vomiting and diarrhea, and can effectively improve symptoms of hypodynamia or watery nasal discharge, diarrhea and the like which are clinically shown after the novel coronavirus infection.
The dandelion is bitter and sweet in taste and cold in nature, enters liver and stomach meridians, has the effects of clearing heat and removing toxicity, resolving carbuncle and dissipating stagnation, and removing dampness and treating stranguria, has the effect of relieving diarrhea besides the effect of clearing heat and removing toxicity, and can improve fever and diarrhea symptoms after novel coronavirus infection.
Coptis root, rhizoma Coptidis, being bitter in taste, cold in nature, has the effects of clearing heat, drying dampness, purging fire and removing toxicity, is good at clearing damp-heat in the middle energizer, spleen and stomach and large intestine, and has significant curative effect on diarrhea of patients infected by the novel coronavirus.
The cogongrass rhizome is sweet in taste and cold in nature, has the effects of cooling blood, clearing heat and promoting urination, treating asthenic disease caused by overstrain, tonifying middle-jiao and Qi, clearing away the heat of the lung and the stomach, reducing the adverse flow of pathogenic fire, clearing away the heat of the stomach to stop vomiting, clearing away the heat of the lung to relieve cough, and can assist the main drug in clearing heat and relieve the symptoms of weakness caused by deficiency of vital qi after the novel coronavirus infection.
The cortex moutan is bitter and pungent in taste and slightly cold in nature, enters lung meridian, enters blood system, and is good in clearing yin latent heat, is used for treating pathogenic yin latent heat in later stage of epidemic febrile disease, and is hot and cool early at night, so that the cortex moutan can be applied to middle-low fever in course of disease of novel severe patients with later stage of coronavirus qi consumption and yin impairment, and even has no obvious fever symptom.
The mung beans are sweet in taste and cool in nature, can clear heat and relieve summer heat, relieve restlessness and quench thirst, promote urination, have certain effects of inducing diuresis and relieving swelling, and can be used for treating difficult urination, edema and the like.
Uncaria rhynchophylla is sweet in flavor, cold in nature, capable of extinguishing wind and relieving convulsion, and capable of clearing heat and calming liver. In addition, patients infected by the novel coronavirus often have anxiety fear, and the application of uncaria can also relieve the anxiety symptoms of the patients infected by the novel coronavirus.
The whole prescription takes gypsum as the monarch drug, radix isatidis, rhizoma cimicifugae and patchouli as ministerial drugs, and dandelion, coptis chinensis, moutan bark, lalang grass rhizome, mung bean and uncaria as adjuvant drugs. Gypsum and coptis are bitter and cold products, the cold can clear away heat evil, the bitter can purge heart and relieve stuffiness, the combination of the two medicines can clear away heat, ensure qi smooth and relieve stuffiness. Ramulus Uncariae cum uncis and cortex moutan are used together to clear heat, cool blood, calm liver and extinguish wind, and are used for treating headache, dizziness and dysphoria due to hyperactivity of liver-yang caused by excessive heat and wind after infection. Herba Agastaches and radix Isatidis can be combined with rhizoma cimicifugae and radix Isatidis to achieve effects of eliminating dampness with aromatics, regulating the middle warmer, relieving vomit, promoting eruption, clearing away heat and toxic materials, relieving sore throat, and resolving hard mass. The whole prescription can be used for treating symptoms such as fever, cough, asthma, anorexia, dyspnea, diarrhea and the like caused by new coronavirus infection and other heat-toxin fire syndromes, and can effectively treat new coronary pneumonia caused by new coronavirus infection. Compared with the similar medicines, the traditional Chinese medicine composition has relatively small toxic and side effects and is safe to use.
Preferably, the traditional Chinese medicine composition comprises the following raw materials in parts by weight: 9-11 parts of gypsum, 9-11 parts of isatis root, 11-13 parts of cimicifuga foetida, 8.5-9.5 parts of patchouli, 8.5-9.5 parts of dandelion, 8-10 parts of coptis chinensis, 11-13 parts of lalang grass rhizome, 9-11 parts of moutan bark, 9-11 parts of mung bean and 11-13 parts of uncaria.
Preferably, the traditional Chinese medicine composition comprises the following raw materials in parts by weight: 10 parts of gypsum, 10 parts of isatis root, 12 parts of cimicifuga foetida, 9 parts of patchouli, 9 parts of dandelion, 9 parts of coptis chinensis, 12 parts of lalang grass rhizome, 10 parts of moutan bark, 10 parts of mung bean and 12 parts of uncaria.
In the practical use of the traditional Chinese medicine, 1g of the traditional Chinese medicine is used as each dose, and 1-2 doses are used every day according to the state of illness.
The embodiment of the invention also provides application of the traditional Chinese medicine composition in preparing a medicine for treating neocoronary pneumonia. The composition can effectively improve symptoms such as fever, cough, asthma, anorexia, dyspnea, diarrhea and the like caused by new coronary virus infection, has good effect through clinical verification, and can be used for preparing a medicament for treating new coronary pneumonia.
The embodiment of the invention also provides a medicine for treating neocoronary pneumonia, which comprises the composition.
Preferably, the preparation method of the medicament comprises the following steps: weighing the raw materials according to the raw material proportion in the traditional Chinese medicine composition, decocting and extracting the raw materials with water, collecting the obtained extracting solution, and concentrating. The obtained concentrated solution can be further treated by sterilization and drying according to actual needs.
The preparation method is simple to operate and is suitable for small-batch production and large-production-scale production. The composition can be extracted and concentrated by the preparation method, and has reduced dosage and convenient administration. The obtained concentrated solution can be further made into oral dosage forms such as oral liquid, tablet, granule, capsule, powder, etc.
Preferably, the water decoction extraction method is to decoct the raw materials with water which is 6-8 times of the weight of the raw materials for 2-3 times, and each time lasts for 1-1.5 hours.
Preferably, the water decoction extraction method comprises the steps of firstly decocting the raw materials for 1.5 hours by using water with the weight 8 times of that of the raw materials, and then decocting the raw materials for 1 hour by using water with the weight 6 times of that of the raw materials.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Examples
The embodiment of the invention provides a traditional Chinese medicine composition, and in each embodiment, raw materials in each dose are shown in table 1 (unit: g).
TABLE 1 raw material composition of the Chinese medicinal composition in each example
Example 1 | Example 2 | Example 3 | Example 4 | Example 5 | |
Gypsum Fibrosum | 10 | 9 | 11 | 8 | 12 |
Radix Isatidis | 10 | 9 | 11 | 8 | 12 |
Cimicifugae foetidae | 12 | 11 | 13 | 10 | 14 |
Pogostemon cablin | 9 | 8.5 | 9.5 | 8 | 10 |
Dandelion | 9 | 8.5 | 9.5 | 8 | 10 |
Coptis chinensis | 9 | 8 | 10 | 7 | 11 |
Rhizoma Imperatae | 12 | 11 | 13 | 10 | 14 |
Cortex moutan | 10 | 9 | 11 | 8 | 12 |
Mung bean | 10 | 9 | 11 | 8 | 12 |
Ramulus Uncariae cum uncis | 12 | 11 | 13 | 10 | 14 |
The embodiment of the invention also provides a medicine for treating neocoronal pneumonia, which is prepared by weighing the raw materials according to the formula of each traditional Chinese medicine composition in the embodiment 1-5, decocting the raw materials with water which is 6-8 times of the weight of the raw materials for 2-3 times, and decocting for 1-1.5 hours each time, collecting the obtained extract, concentrating and sterilizing. The raw material composition of each agent and the parameter conditions in the preparation method in each example are shown in table 2.
TABLE 2 raw material composition and preparation parameters for the examples
Example 6 | Example 7 | Example 8 | Example 9 | Example 10 | |
Composition of raw materials | Same as example 1 | Same as example 2 | Same as example 3 | Same as example 4 | Same as example 5 |
The water adding amount for the first extraction | 824g | 752g | 896g | 680g | 820g |
Time of first extraction | 1.5h | 1h | 1.5h | 1h | 1.5h |
The water adding amount for the second extraction | 618g | 564g | 672g | 680g | 750g |
Second extraction time | 1h | 1h | 1.5h | 1h | 1h |
Adding water for the third extraction | / | 564g | / | / | 750g |
Time of the third extraction | / | 1h | / | / | 1h |
Relative density after concentration | 1.08 | 1.05 | 1.07 | 1.10 | 1.06 |
Effect example 1
The effect example provides the use effect of the medicine for treating the new coronary pneumonia.
1. The source of the cases is:
28 patients (including 7 overseas input cases) with new coronary pneumonia are treated and treated by the fifth hospital in Shijiazhuan city, wherein the patients have the minimum age of 4 years, the maximum age of 72 years and the average age of 42 years, and have symptoms for 3-10 days before treatment. The new coronavirus of each patient is detected to be positive, the total number of white blood cells is mostly not increased, the main clinical symptoms are mainly manifested by fever, dry cough and hypodynamia, and a few patients are accompanied by symptoms such as nasal obstruction, watery nasal discharge, pharyngalgia, myalgia, diarrhea and the like; severe patients often have dyspnea and/or hypoxemia after one week of onset, and severe patients can rapidly progress to acute respiratory distress syndrome, septic shock, metabolic acidosis difficult to correct, coagulation dysfunction, multiple organ failure and the like; mild patients only manifest low fever, slight asthenia, etc., and no manifestations of pulmonary inflammation.
2. The treatment method comprises the following steps:
each person takes one dose of the medicine for treating the new coronary pneumonia, which is provided by the embodiment 6 of the invention, every day, and the medicine is treated according to the methods of ' ten, treatment ' (one) general treatment ' and ' three) treatment for severe and critical cases ' in a novel diagnosis and treatment scheme (trial seventh edition) of coronavirus pneumonia, which is published by the State health and wellness Commission.
3. The therapeutic effect judgment standard is as follows:
and (3) curing: the body temperature returns to normal, the nucleic acid detection of the new coronavirus turns negative, and the pneumonia is not shown in the imaging;
the method has the following advantages: the body temperature returns to normal, and the imaging shows slight pneumonia;
and (4) invalidation: the clinical symptoms are not obviously improved, and the imaging pneumonia is shown.
4. The treatment effect is as follows:
the patients in 28 cases with confirmed diagnosis are all cured, and the cure rate is 100 percent. After healing, follow-up until now, no yang recovery.
5. Typical cases are:
patient fangqi, male, 67 years old, symptoms: dry cough, low fever, lassitude, bronchiectasis, etc. After the medicine for treating the new coronary pneumonia provided by the embodiment 6 of the invention is taken every day, the body temperature is reduced to be normal after 6 days, and the symptoms related to the new coronary pneumonia are obviously weakened; after the application for 5 days, the virus nucleic acid detection is negative, and no new coronary pneumonia is shown in the chest imaging.
The results show that the traditional Chinese medicine composition provided by the invention can effectively treat the new coronavirus infection.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents or improvements made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (8)
1. The traditional Chinese medicine composition is characterized by comprising the following raw materials in parts by weight: 8-12 parts of gypsum, 8-12 parts of isatis root, 10-14 parts of cimicifuga foetida, 8-10 parts of patchouli, 8-10 parts of dandelion, 7-11 parts of coptis chinensis, 10-14 parts of cogongrass rhizome, 8-12 parts of moutan bark, 8-12 parts of mung bean and 10-14 parts of uncaria.
2. The traditional Chinese medicine composition according to claim 1, which is prepared from the following raw materials in parts by weight: 9-11 parts of gypsum, 9-11 parts of isatis root, 11-13 parts of cimicifuga foetida, 8.5-9.5 parts of patchouli, 8.5-9.5 parts of dandelion, 8-10 parts of coptis chinensis, 11-13 parts of lalang grass rhizome, 9-11 parts of moutan bark, 9-11 parts of mung bean and 11-13 parts of uncaria.
3. The traditional Chinese medicine composition according to claim 2, which is prepared from the following raw materials in parts by weight: 10 parts of gypsum, 10 parts of isatis root, 12 parts of cimicifuga foetida, 9 parts of patchouli, 9 parts of dandelion, 9 parts of coptis chinensis, 12 parts of lalang grass rhizome, 10 parts of moutan bark, 10 parts of mung bean and 12 parts of uncaria.
4. Use of the Chinese medicinal composition of any one of claims 1 to 3 in the preparation of a medicament for treating neocoronary pneumonia.
5. A medicine for treating neocoronary pneumonia, which is characterized by comprising the traditional Chinese medicine composition of any one of claims 1-3.
6. The medicine for treating the neocoronary pneumonia according to claim 5, wherein the preparation method of the medicine comprises the following steps: weighing the raw materials according to the raw material proportion in the traditional Chinese medicine composition, decocting and extracting the raw materials with water, collecting the obtained extracting solution, and concentrating.
7. The medicine for treating neocoronary pneumonia according to claim 6, wherein the water decoction extraction method is to decoct the raw materials with water 6-8 times of the weight of the raw materials for 2-3 times, and each time lasts for 1-1.5 hours.
8. The medicine for treating neocoronary pneumonia according to claim 7, wherein the water decoction extraction method comprises decocting the raw materials for 1.5 hours with water which is 8 times of the weight of the raw materials, and then decocting the raw materials for 1 hour with water which is 6 times of the weight of the raw materials.
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