CN112915149A - 一种治疗坐骨神经痛的中药配方 - Google Patents

一种治疗坐骨神经痛的中药配方 Download PDF

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CN112915149A
CN112915149A CN201911196326.5A CN201911196326A CN112915149A CN 112915149 A CN112915149 A CN 112915149A CN 201911196326 A CN201911196326 A CN 201911196326A CN 112915149 A CN112915149 A CN 112915149A
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李连福
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Abstract

本发明公开了一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤12‑18克,杜仲10‑14克,甘草6‑10克,元参10‑14克,萆解9‑15克,木瓜10‑14克,桑枝11‑13克,白药10‑14克,防风8‑16克,防己10‑14克,半枫荷11‑13克,石南藤9‑15克,草灵仙10‑14克,川断10‑14克,当归9‑15克,蚕沙10‑14克,毛冬青10‑14克,怀牛膝7‑13克。本发明提供的中药配方起到舒筋活络、消炎止痛之功效,无副作用;18种中药原料协同作用,具有起效快、疗效确切、安全性高和用药简单的特点,同时可以有效缓解坐骨神经痛引起的腰腿酸痛、肌肉萎缩等症状。

Description

一种治疗坐骨神经痛的中药配方
技术领域
本发明属于中药技术领域,具体涉及一种治疗坐骨神经痛的中药配方。
背景技术
现在医院西医治疗坐骨神经痛、腰痛一般只是打止痛针、服一些芬必得之类的止痛药物,或者在痛处贴一些膏药,缓解暂时疼痛,但不能治本。现在中医治疗坐骨神经痛、腰痛一直没有找到一种特效药,治疗过程长,费用多。坐骨神经痛相当于中医的痹证(腿痛或腰腿痛)。中医认为下肢经络痹阻不通是本病的基本病理改变。而引起经络痹阻的原因很多,有外感所致者,也有内伤引起的。常见的主要原因有老年阳气衰微,寒邪乘虚入侵,痹阻经络而成阳虚寒凝证;或素体气血亏虚,活动减少,气血运行缓慢,多表现为气血不足之证;肝主筋,肾主骨,腰为肾之府,高年多为肝肾不足,腰腿筋骨失养,也可形成肝肾亏虚之腰腿痛。本病可概括为寒凝经脉、湿热痰瘀、气血凝滞、阳虚寒凝、气虚血弱、肝肾亏虚六个证型。其治疗实者以祛风、散寒、清热、除湿、化痰、活血通络的方法;虚者以温阳散寒,益气养血,补益肝肾的方法。另外,轻度的椎间盘突出症导致坐骨神经痛,肌肉萎缩等综合症。经过椎间盘大孔的时候被梨肌压迫,就是沿着坐骨神经走行出现的疼痛,主要麻木、放电样,或者酸、痛,坐骨神经症从大腿外侧延伸至小腿外侧至脚后跟疼痛。
发明内容
针对现有技术中的不足之处,本发明提供一种治疗坐骨神经痛的中药配方。
为了达到上述目的,本发明技术方案如下:
一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:
鸡血藤12-18克,杜仲10-14克,甘草6-10克,元参10-14克,萆解9-15克,木瓜10-14克,桑枝11-13克,白药10-14克,防风8-16克,防己10-14克,半枫荷11-13克,石南藤9-15克,草灵仙10-14克,川断10-14克,当归9-15克,蚕沙10-14克,毛冬青10-14克,怀牛膝7-13克。
进一步的,所述治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤15克,杜仲12克,甘草8克,元参12克,萆解12克,木瓜12克,桑枝12克,白药12克,防风12克,防己12克,半枫荷12克,石南藤12克,草灵仙12克,川断12克,当归12克,蚕沙12克,毛冬青12克,怀牛膝10克。
上述原料的功效作用与作用:
(1)鸡血藤:【性味】温,甘、苦。【归经】心经、脾经。【功效作用】活血、舒筋。治腰膝酸痛,麻木瘫痪,月经不调;
(2)杜仲:【性味】温,甘。【归经】肝经、肾经。【功效作用】补肝肾,强筋骨,安胎。用于肾虚腰痛,筋骨无力,妊娠漏血,胎动不安;高血压;
(3)甘草:【性味】平;甘。【归经】胃经、肺经、脾经。【功效作用】清热解毒,润肺止咳,调和诸药;炙甘草能补脾益气。主治咽喉肿痛,咳嗽,脾胃虚弱,胃、十二指肠溃疡,肝炎,癔病,痈疖肿毒,药物及食物中毒;
(4)元参:【性味】甘、咸、微苦,寒。【归经】入肺、胃、肾经。【功效作用】凉血滋阴,泻火解毒,发烧烦渴,自汗盗汗,便秘,吐血鼻血,咽喉炎,肺结核。用于热病伤阴、舌绛烦渴、温毒发斑、津伤便秘、骨蒸劳嗽、目赤、咽痛、瘰疬、白喉、痈肿疮毒;
(5)萆解:【性味】苦,平。【归经】归肾、胃经。【功效作用】利湿去浊,祛风除痹;用于膏淋,白浊,白带过多,风湿痹痛,关节不利,腰膝疼痛;
(6)木瓜:【性味】温,酸。【归经】脾经、肝经。【功效作用】平肝和胃,去湿舒筋。治吐泻转筋,湿痹,脚气,水肿,痢疾;
(7)桑枝:【性味】平,苦。【归经】肝经。【功效作用】祛风湿,利关节。用于肩臂、关节酸痛麻木;
(8)白药:【性味】温,辛。【功效作用】祛风湿;止痛。主风湿痹痛;跌打伤痛;
(9)防风:【性味】温,辛、甘。【归经】脾经、肝经、膀胱经。【功效作用】解表祛风,胜湿,止痉。用于感冒头痛,风湿痹痛,风疹瘙痒,破伤风;
(10)防己:【性味】寒,苦。【归经】肺经、膀胱经。【功效作用】行水,泻下焦湿热。治水肿臌胀,湿热脚气,手足挛痛,癣疥疮肿;
(11)半枫荷:【性味】温,甘。【功效作用】祛风除湿,舒筋活血。用于风湿性关节炎,类风湿关节炎,腰肌劳损,慢性腰腿痛,半身不遂,跌打损伤,扭挫伤;外用治刀上出血;
(12)石南藤:【性味】温,辛。【功效作用】祛风湿,强腰膝,止痛,止咳。用于风湿痹痛,扭挫伤,腰膝无力,痛经,风寒感冒,咳嗽气喘;
(13)草灵仙:【性味】寒,苦。【功效作用】祛风除湿,解毒,止血。用于感冒,风湿性腰腿痛,肌肉痛,膀胱炎;外用治创伤出血,毒蛇咬伤,毒虫咬伤;
(14)川断:又名续断,【性味】温,辛、苦。【归经】肝经、肾经。【功效作用】补肝肾,续筋骨,调血脉。治腰背酸痛,足膝无力,胎漏,崩漏,带下,遗精,跌打损伤,金疮,痔漏,痈疽疮肿;
(15)当归:【性味】温,甘、辛。【归经】肝、心、脾经。【功效作用】具有补血活血,调经止痛,润肠通便之功效作用。用于血虚萎黄、眩晕心悸、月经不调、经闭痛经、虚寒腹痛、肠燥便秘、风湿痹痛、跌扑损伤、痈疽疮疡;
(16)蚕沙:【性味】温,甘、辛。【归经】胃经、脾经、肝经。【功效作用】祛风除湿;和胃化浊;活血通经。主风湿痹痛;肢体不遂;风疹瘙痒;吐泻转筋;闭经;崩漏;
(17)毛冬青:【性味】平,徽苦、甘。【归经】肺经、肝经、大肠经。【功效作用】清热解毒,活血通昹,扁桃体炎,血栓闭塞性脉管炎等;
(18)怀牛膝:【性味】平;酸、苦。【归经】肝经、肾经。【功效作用】滋补之功,如牛之力。主治寒湿痿痹,四枝拘挛膝痛,不可屈伸,遂血气,伤热火烂,长于补益肝肾,强腰膝活血。
有益效果:本发明提供的中药配方起到舒筋活络、消炎止痛之功效,无副作用;18种中药原料协同作用,具有起效快、疗效确切、安全性高和用药简单的特点,同时可以有效缓解坐骨神经痛引起的腰腿酸痛、肌肉萎缩等症状。
具体实施方式
以下参照具体的实施例来说明本发明。本领域技术人员能够理解,这些实施例仅用于说明本发明,其不以任何方式限制本发明的范围。
实施例1
一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤15克,杜仲12克,甘草8克,元参12克,萆解12克,木瓜12克,桑枝12克,白药12克,防风12克,防己12克,半枫荷12克,石南藤12克,草灵仙12克,川断12克,当归12克,蚕沙12克,毛冬青12克,怀牛膝10克。称取上述中药原料加小碗水,朱凯后再煮十分钟即可分两次服用。
实施例2
一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤18克,杜仲10克,甘草10克,元参10克,萆解15克,木瓜10克,桑枝13克,白药10克,防风16克,防己10克,半枫荷13克,石南藤9克,草灵仙14克,川断10克,当归15克,蚕沙10克,毛冬青14克,怀牛膝7克。称取上述中药原料加小碗水,朱凯后再煮十分钟即可分两次服用。
实施例3
一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤12克,杜仲14克,甘草6克,元参14克,萆解9克,木瓜14克,桑枝11克,白药14克,防风8克,防己14克,半枫荷11克,石南藤15克,草灵仙10克,川断14克,当归9克,蚕沙14克,毛冬青10克,怀牛膝13克。称取上述中药原料加小碗水,朱凯后再煮十分钟即可分两次服用。
实施例4
一种治疗坐骨神经痛的中药配方,由以下重量计原料的组成:鸡血藤]6克,杜仲11克,甘草9克,元参11克,萆解14克,木瓜11克,桑枝12克,白药11克,防风15克,防己11克,半枫荷12克,石南藤10克,草灵仙13克,川断11克,当归14克,蚕沙11克,毛冬青13克,怀牛膝12克。称取上述中药原料加小碗水,朱凯后再煮十分钟即可分两次服用。
对坐骨神经痛缓解的临床观察
1.一般资料
选择120例坐骨神经疼痛患者为研究对象。其中,男67例,女53例。年龄30~67岁,平均(47.4±5.2)岁。病程7d~3个月。120例患者中,46例诊断为腰骶关节退行性变,24例为隐性骶裂,22例诊断为腰骶纤维组织炎,17例为腰椎间盘脱出,11例为梨状肌损伤。患者临床主要表现为不同程度的一侧或两侧大腿后外侧、小腿外侧放射样痛,伴有突发性臀腿刀割样剧痛,腰部活动受限,夜不能寐。轻者跛行,重者步履艰难,行走困难。随机将120例患者分为四组,即实验一组30例,实验二组30例,实验四组30例,实验四组30例,四组患者性别、年龄、病情、病程以及体征等一般资料上,差异均无统计学意义(P>0.05),具有可比性。
2.治疗方法
实验一至四组120例患者分别服用本发明实施例1至4制备的中药配方,十天为一个疗程,两个疗程即可治愈。
3.疗效评价
于1个疗程后,分别对四组患者的临床缓解效果进行评价,(1)痊愈:临床症状及体征全部消失,功能活动不受限,功能恢复;(2)显效:临床症状及体征基本消失,功能活动不受限,但劳累过后有轻微不适感,功能恢复;(3)有效:疼痛症状减轻,功能活动仍有受限;(4)无效:患者临床症状及体征无变化,甚至加重。临床缓解总有效率=痊愈率+显效率+有效率。
4.疼痛评价
缓解后的疼痛程度采用视觉模拟评分法(VAS)分别对四组患者缓解后的疼痛程度进行评定。VAS方法下疼痛评价级别分为4级,无痛(0分):无疼痛感受;轻度疼痛(1~4分):疼痛感受较轻,可保证正常的睡眠;中度疼痛(5~7分):疼痛明显,不能忍受,影响正常睡眠:重度疼痛(8~10分):疼痛剧烈,不能忍受,严重影响正常睡眠。
5.治疗结果
(1)四组患者临床缓解效果对比分析,见表1。
表1四组患者临床缓解坐骨神经痛疗效分析
Figure BSA0000196109200000051
由表1可知,实验一至四组患者临床缓解的总有效率在90%以上,痊愈率在63.3%以上。结果显示:本发明配合传统中医针刺对坐骨神经痛的缓解有显著作用。
(2)四组患者缓解后的疼痛程度对比分析,见表2。
表2两组患者的夜间疼痛程度比较(例/%)
Figure BSA0000196109200000052
表2可知,实验一至四组患者缓解后无痛和轻度疼痛的总比率在86.6%以上,无痛率在53.3以上9。
典型病例:
(1)李某某,女,48岁。主诉反复右下肢疼痛1年多,患者1年前因工作时过度劳累后右下肢从臀部经大腿后方向小腿和足部放射性疼痛,疼痛为阵发性加剧,不能忍受。右下肢活动尚可,无发热畏寒,无头痛头晕,曾到多处缓解后病情稍好转,后又反复发作。诊断:右侧坐骨神经痛。给予口服本发明实施例1的中药煎煮汤剂5天后疼痛明显减轻,继续5天疼痛全消;巩固1个疗程,至今无复发。
(2)张某某,60岁,主诉两个月来右侧臀部至右下肢外侧放射至足踝疼痛酸胀,麻木,行走艰难,口苦,舌红;并经医院诊断为坐骨神经痛,本发明实施例1的中药煎煮汤剂10天后,痛感明显减轻,仍感麻木;又继续原方服用10天,诸症皆除,病获痊愈。

Claims (2)

1.一种治疗坐骨神经痛的中药配方,其特征在于,由以下重量计原料的组成:鸡血藤12-18克,杜仲10-14克,甘草6-10克,元参10-14克,草解9-15克,木瓜10-14克,桑枝11-13克,白药10-14克,防风8-16克,防己10-14克,半枫荷11-13克,石南藤9-15克,草灵仙10-14克,川断10-14克,当归9-15克,蚕沙10-14克,毛冬青10-14克,怀牛膝7-13克。
2.如权利要求1所述的治疗坐骨神经痛的中药配方,其特征在于,由以下重量计原料的组成:鸡血藤15克,杜仲12克,甘草8克,元参12克,草解12克,木瓜12克,桑枝12克,白药12克,防风12克,防己12克,半枫荷12克,石南藤12克,草灵仙12克,川断12克,当归12克,蚕沙12克,毛冬青12克,怀牛膝10克。
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CN1943652A (zh) * 2006-10-16 2007-04-11 吴春彦 治疗坐骨神经痛和腰腿痛的中药及其制备方法
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CN1820772A (zh) * 2005-02-16 2006-08-23 香港生物科技研究院有限公司 治疗类风湿性关节炎的药物及其制备方法
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