CN111643637B - 一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物及其制备方法和应用 - Google Patents
一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物及其制备方法和应用 Download PDFInfo
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Abstract
本发明涉及一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物及其制备方法和应用。该组合物包括以下原料:当归、白芷、生白芍、红景天、薏苡仁、泽泻、莪术、壁虎、僵蚕、佛手、蒲公英、柴胡、清半夏、预知子、藤梨根、山慈菇。该中药组合物具有疏肝解郁、消瘀散结、化浊解毒的功效,可有效防止萎缩性胃炎及胃癌前病变的病程进展,逆转胃粘膜萎缩,避免其癌变,疗效明确,且价格低廉。
Description
技术领域
本发明涉及中医中药技术领域,特别是涉及一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物及其制备方法和应用。
背景技术
胃癌前病变包括肠上皮化生和不典型增生,主要伴存于慢性萎缩性胃炎。慢性萎缩性胃炎是临床常见病之一,患者可无任何症状或仅有消化不良症状。虽然症状不足以使病人苦不堪言,但是它是胃癌的癌前疾病。慢性萎缩性胃炎及胃癌前病变有癌变风险,若不及时干预则可导致胃癌的发生,因此防治慢性萎缩性胃炎势在必行。目前,西医对于慢性萎缩性胃炎及胃癌前病变缺乏有效的治疗药物,主要治疗目的在于根除幽门螺杆菌,但慢性萎缩性胃炎及胃癌前病变都是多种病因共同作用的结果,幽门螺杆菌感染是病因之一,仅仅根除幽门螺杆菌并不能完全逆转萎缩性胃炎,预防其癌变。
发明内容
针对现有技术中的西药治疗慢性萎缩性胃炎及胃癌前病变并不能完全逆转萎缩性胃炎、预防其癌变的问题,本发明提供一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物。
以及,本发明还提供上述防治慢性萎缩性胃炎及胃癌前病变的中药组合物的制备方法。
以及,本发明还提供上述防治慢性萎缩性胃炎及胃癌前病变的中药组合物在制备治疗慢性萎缩性胃炎及胃癌前病变药物中的应用。
为达到上述发明目的,本发明实施例采用了如下的技术方案:
一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,包括以下重量份数配比的原料:当归9~15份、白芷3~10份、生白芍6~15份、红景天10~15份、薏苡仁15~30份、泽泻6~9份、莪术6~9份、壁虎3~5份、僵蚕9~12份、佛手9~15份、蒲公英9~15份、柴胡6~9份、清半夏3~9份、预知子8~12份、藤梨根9~15份和山慈菇9~12份。
本发明的中药组合物具有疏肝解郁、消瘀散结、化浊解毒的功效,可有效防止萎缩性胃炎及胃癌前病变的病程进展,逆转胃粘膜萎缩,避免其癌变,疗效明确,且价格低廉。
在上述配方的各味中药中:
当归味甘、辛,性温;补血活血,调经止痛,润肠通便;
白芷味辛,性温;解表散寒,祛风止痛,通鼻窍,燥湿止带,消肿排脓;
白芍味苦、酸,性微寒;平肝止痛,养血调经,敛阴止汗;
红景天味甘、苦,性平;益气活血,通脉平喘;
薏苡仁味甘、淡,性凉;利水渗湿,健脾,除痹,清热排脓;
泽泻味甘,性寒;利小便,清湿热;
莪术味辛、苦,性温;行气破血,消积止痛;
壁虎味咸,性寒。有小毒;祛风,活络,散结;
僵蚕味咸、辛,性平;息风止痉,祛风止痛,化痰散结;
佛手味辛、苦,性温;疏肝解郁,理气和中,燥湿化痰;
蒲公英味苦、甘,性寒;清热解毒,消肿散结,利湿通淋;
柴胡味苦、辛,性微寒;解表退热,疏肝解郁,升举阳气;
清半夏味辛,性温;燥湿化痰,降逆止呕,消痞散结;
预知子味苦,性寒;舒肝理气,活血止痛,利尿,杀虫;
藤梨根味酸、涩,性凉;清热、利湿、解毒、消肿、抗癌、抗肿瘤、祛风除湿、利尿止血;
山慈菇味甘、微辛,性凉;清热解毒,消痈散结。
在本发明的中药组合物中,山慈菇具有化浊解毒、散结消肿的功效,莪术具有破血行气,消癥化积的功效,二者合用可化浊解毒、消癥散结,治疗癥瘕痞块,为君药;
清半夏主入脾胃经,燥湿化浊之力强,白芷主入胃经,助清半夏燥湿化浊,蒲公英清热解毒,尚能消肿散结,三者合用杜绝浊毒生成之源,浊毒无以生,则导致胃粘膜萎缩和肠化的病机不再,在本方中具有不可替代的作用;藤梨根助山慈菇化浊解毒消肿,在本方中可截断胃癌前病变的疾病进程;壁虎能疏通经络,促进细胞修复,用于本方可促进胃腺体的修复;僵蚕作为虫类药,性善走窜,剔邪搜络,无微不入,无坚不破,攻坚破积之力强。壁虎、僵蚕、红景天均可活血通络,助莪术破血消癥。以上七味药在该中药组合物中为臣药;
薏苡仁、泽泻健脾,柴胡、佛手、预知子疏肝,三者可调理肝脾以扶正,使得正气存内、邪不可干。浊毒日久伤阴,当归、白芍补血养阴以扶正,鼓舞正气。白芍尚可佐制柴胡截肝阴之性,另外,由于胃病日久,多数病人伴有精神抑郁或暴躁易怒等,白芍入肝经,与柴胡配伍,柔肝、疏肝治肝郁引起的精神抑郁,又可平抑肝阳治肝阳上亢导致的暴躁易怒。预知子还具有一定的抗癌作用。以上七味药在该中药组合物中为佐使药。
传统理论认为胃癌前病变不可逆转,而本发明通过将以上诸药在特定用量范围内合用,能够消瘀散结、化浊解毒,逆转胃粘膜萎缩,在临床应用中能够有效治疗萎缩性胃炎及胃癌前病变。
本方在实际使用中,每重量份为1g即为每剂用量,根据病情每日服用1剂,每剂可分早晚两次服用,一个月为一疗程。
优选地,该中药组合物包括以下重量份数配比的原料:当归11~13份、白芷6~9份、生白芍10~15份、红景天12~15份、薏苡仁18~25份、泽泻7~9份、莪术6~7份、壁虎3~4份、僵蚕10~12份、佛手11~13份、蒲公英11~13份、柴胡7~9份、清半夏5~7份、预知子10~12份、藤梨根11~13份和山慈菇11~12份。
优选地,该中药组合物包括以下重量份数配比的原料:当归12份、白芷9份、生白芍15份、红景天15份、薏苡仁20份、泽泻9份、莪术6份、壁虎3份、僵蚕12份、佛手12份、蒲公英12份、柴胡9份、清半夏6份、预知子12份、藤梨根12份和山慈菇12份。
以及,本发明实施例还提供了上述防治慢性萎缩性胃炎及胃癌前病变的中药组合物的制备方法,所述制备方法具体包括以下操作:按上述中药组合物的原料配比称取各原料,混合后以水煎煮提取,即得。
该制备方法操作简便,所得成品可进一步浓缩、干燥后制成常规口服剂型。
优选地,所述煎煮为以水煎煮1~2次,每次30~45min。
以及,本发明实施例还提供了上述防治慢性萎缩性胃炎及胃癌前病变的中药组合物的另一种制备方法,所述制备方法具体包括以下操作:按上述中药组合物的原料配比称取各原料,分别煎煮、提取、干燥后,混合均匀即得。
该制备方法所得成品为干燥的提取物粉末,更便于保存、运输和携带,服用时将所得粉末用温开水冲服即可。
优选地,所述煎煮为以水煎煮1~2次,每次30~45min。
以及,本发明实施例还提供上述防治慢性萎缩性胃炎及胃癌前病变的中药组合物在制备治疗慢性萎缩性胃炎及胃癌前病变的药物中的应用。
优选地,所述药物的剂型为口服制剂。
具体实施方式
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合具体实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。
实施例1
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归12g、白芷9g、生白芍15g、红景天15g、薏苡仁20g、泽泻9g、莪术6g、壁虎3g、僵蚕12g、佛手12g、蒲公英12g、柴胡9g、清半夏6g、预知子12g、藤梨根12g和山慈菇12g。
制备方法:
将上述原料混合后置于煎药机中,加入1800g水煎煮45min,过滤,将药渣用1200g水煎煮30min,过滤,合并滤液,即得。
实施例2
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归12g、白芷9g、生白芍15g、红景天15g、薏苡仁20g、泽泻9g、莪术6g、壁虎3g、僵蚕12g、佛手12g、蒲公英12g、柴胡9g、清半夏6g、预知子12g、藤梨根12g和山慈菇12g。
制备方法:
将以上各原料分别以水煎煮2次,第一次45min,过滤后药渣再次煎煮30min,过滤,合并滤液,浓缩,干燥,得到各原料的煎煮提取物。将所得各煎煮提取物混合,即得。
实施例3
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归11g、白芷6g、生白芍10g、红景天12g、薏苡仁18g、泽泻7g、莪术6g、壁虎3g、僵蚕10g、佛手11g、蒲公英11g、柴胡7g、清半夏5g、预知子10g、藤梨根11g和山慈菇11g。
制备方法:
将上述原料混合后置于煎药机中,加入1500g水煎煮45min,过滤,将药渣用1200g水煎煮30min,过滤,合并滤液,即得。
实施例4
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归13g、白芷9g、生白芍15g、红景天15g、薏苡仁25g、泽泻9g、莪术7g、壁虎4g、僵蚕12g、佛手13g、蒲公英13g、柴胡9g、清半夏7g、预知子12g、藤梨根13g和山慈菇12g。
制备方法同实施例2。
实施例5
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归9g、白芷3g、生白芍6g、红景天10g、薏苡仁15g、泽泻6g、莪术6g、壁虎3g、僵蚕9g、佛手9g、蒲公英9g、柴胡6g、清半夏3g、预知子8g、藤梨根9g和山慈菇9g。
制备方法:
将上述原料混合后置于煎药机中,加入1300g水煎煮45min,过滤,将药渣用1100g水煎煮30min,过滤,合并滤液,即得。
实施例6
本发明实施例提供了一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,每剂包括以下重量配比的原料:
当归15g、白芷10g、生白芍15g、红景天15g、薏苡仁30g、泽泻9g、莪术9g、壁虎5g、僵蚕12g、佛手15g、蒲公英15g、柴胡9g、清半夏9g、预知子12g、藤梨根15g和山慈菇12g。
制备方法同实施例2。
效果例1
本效果例提供了本发明实施例1中防治慢性萎缩性胃炎及胃癌前病变的中药组合物的临床应用效果统计的结果。
统计对象:2010~2015年就诊于河北省中医院消化内科门诊的经病理诊断为萎缩性胃炎或伴肠上皮化生病例480例,其中单纯萎缩性胃炎238例,萎缩性胃炎伴轻度肠上皮化生115例,萎缩性胃炎伴中度肠上皮化生98例,萎缩性胃炎伴重度肠上皮化生29例。该480例病例均服用本发明实施例1提供的中药组合物进行治疗,用量为每天服用1剂,分早晚两次服用。平均治疗6个疗程后,该480例患者的逆转率(萎缩减轻/消失或肠上皮化生减轻/消失,四种情况至少出现其中一种情况即为逆转)为61.46%,随访3年,81.88%的患者疾病无进展。
效果例2
本效果例提供了本发明实施例1中防治慢性萎缩性胃炎及胃癌前病变的中药组合物的临床应用的个体案例。
案例1:
曹某,男,54岁,河北邢台人,机关干部。患者2016年体检时查电子胃镜+病理,诊断为慢性萎缩性胃炎,平素无胃疼、胃胀、打嗝、纳呆等不适,服用发明实施例1中防治慢性萎缩性胃炎及胃癌前病变的中药组合物3个月(每日1剂)后复查电子胃镜,萎缩性胃炎减轻,守本方继续调养3个月(每日1剂),无复发。
案例2:
马某,男,51岁,河北石家庄人,个体。患者平素因工作繁忙,进食不规律,时有胃脘疼痛,打嗝明显,时候胃脘胀满,经查电子胃镜和病理,诊断为慢性萎缩性胃炎(胃体为主)伴腺体肠上皮化生(中度),服用发明实施例1中防治慢性萎缩性胃炎及胃癌前病变的中药组合物1个月(每日1剂)后症状逐渐患者,继续服用本配方药物3个月(每日1剂),复查电子胃镜,胃体萎缩程度减轻,肠上皮化生变为灶性。
案例3:
陈某,女,48岁,山东济南人,家庭主妇。患者平素情绪易于急躁,生气时胃脘疼痛,且患者有胃癌家族史,经查电子胃镜和病理,诊断为重度慢性萎缩性胃炎。诊断后坚持服用发明实施例1中防治慢性萎缩性胃炎及胃癌前病变的中药组合物6个月(每日1剂),复查电子胃镜,病理提示轻度萎缩。
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换或改进等,均应包含在本发明的保护范围之内。
Claims (7)
1.一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物,其特征在于:由以下重量份数配比的原料组成:当归9~15份、白芷3~10份、生白芍6~15份、红景天10~15份、薏苡仁15~30份、泽泻6~9份、莪术6~9份、壁虎3~5份、僵蚕9~12份、佛手9~15份、蒲公英9~15份、柴胡6~9份、清半夏3~9份、预知子8~12份、藤梨根9~15份和山慈菇9~12份。
2.根据权利要求1所述的防治慢性萎缩性胃炎及胃癌前病变的中药组合物,其特征在于:由以下重量份数配比的原料组成:当归11~13份、白芷6~9份、生白芍10~15份、红景天12~15份、薏苡仁18~25份、泽泻7~9份、莪术6~7份、壁虎3~4份、僵蚕10~12份、佛手11~13份、蒲公英11~13份、柴胡7~9份、清半夏5~7份、预知子10~12份、藤梨根11~13份和山慈菇11~12份。
3.根据权利要求2所述的防治慢性萎缩性胃炎及胃癌前病变的中药组合物,其特征在于:由以下重量份数配比的原料组成:当归12份、白芷9份、生白芍15份、红景天15份、薏苡仁20份、泽泻9份、莪术6份、壁虎3份、僵蚕12份、佛手12份、蒲公英12份、柴胡9份、清半夏6份、预知子12份、藤梨根12份和山慈菇12份。
4.一种防治慢性萎缩性胃炎及胃癌前病变的中药组合物的制备方法,其特征在于,所述制备方法具体包括以下操作:按权利要求1~3任一项所述中药组合物的原料配比称取各原料,混合后以水煎煮提取,即得。
5.根据权利要求4所述的防治慢性萎缩性胃炎及胃癌前病变的中药组合物的制备方法,其特征在于,所述煎煮为以水煎煮1~2次,每次30~45min。
6.权利要求1~3任一项所述防治慢性萎缩性胃炎及胃癌前病变的中药组合物在制备治疗慢性萎缩性胃炎及胃癌前病变的药物中的应用。
7.根据权利要求6所述的应用,其特征在于,所述药物的剂型为口服制剂。
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