CN113876916A - 一种筋骨消肿止痛膏及其制备方法 - Google Patents

一种筋骨消肿止痛膏及其制备方法 Download PDF

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CN113876916A
CN113876916A CN202111386482.5A CN202111386482A CN113876916A CN 113876916 A CN113876916 A CN 113876916A CN 202111386482 A CN202111386482 A CN 202111386482A CN 113876916 A CN113876916 A CN 113876916A
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parts
root
rhizome
muscle
prepared
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张向阳
薛爱荣
徐鹏
王丽娟
宋薛艺
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Affiliated Hospital Of Henan Academy Of Traditional Chinese Medicine
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Affiliated Hospital Of Henan Academy Of Traditional Chinese Medicine
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Abstract

本发明公开了一种筋骨消肿止痛膏及其制备方法。所述筋骨消肿止痛膏包括以下重量份的组分：威灵仙1‑2份、血竭3‑4份、制草乌1‑2份、制川乌1‑2份、五加皮1‑2份、木瓜1‑2份、牛膝1‑2份、红花1‑2份、生香附3‑4份、三棱1‑2份、莪术1‑2份、皂刺3‑4份、羌活1‑2份、乳香1‑2份、没药1‑2份、三七3‑4份、茜草1‑2份、川芎2‑3份、五灵脂1‑2份、防己1‑2份、辽细辛1‑2份、透骨草1‑2份、秦艽1‑2份、赤芍1‑2份、木鳖子1‑2份、白术1‑2份、冰片1‑2份、樟脑1‑2份。本申请筋骨消肿止痛膏是多年临床经验的总结，运用现代制药工艺，将其加工成膏药，治疗效果显著。

Description

一种筋骨消肿止痛膏及其制备方法
技术领域
本发明涉及中药配方领域，特别涉及一种筋骨消肿止痛膏及其制备方法。
背景技术
腰椎间盘突出症(lumbar disc herniation，LDH)是腰椎间盘在随着年龄增长而发生退行性改变的基础上，在急性损伤或慢性劳损作用下，纤维环破裂以致髓核向后突出，刺激和压迫神经根及其血管，引起血运障碍、水肿、炎症及致痛化学物质释放，导致腰痛及下肢放射性疼痛及感觉障碍等症状的一种疾病。LDH是临床常见病、多发病，多以慢性疼痛为主，多反复发作，病程较长，给患者带来很大的痛苦，严重地影响到患者的生活和工作能力。
目前治疗除消除诱因及原发病治疗外，LDH的治疗方法分为手术治疗和非手术治疗，而治疗方法的选择则需综合考虑病人的临床表现、病理类型、病理阶段，以及病人的年龄和身体状况。治疗上目前以保守治疗为主，且通过大量临床实验证明约80％-85％的LDH患者可经非手术治疗治愈或缓解。
LDH归属于中医“痹证”、“腰腿痛”的范畴，学者认为LDH病因主要有肝肾亏损、气滞血瘀和感受风寒等。辩证论治是中医内治的特点，虽各家对腰椎间盘突出症的分型不尽相同，但基本上可概括为血瘀、湿热、风寒、肾虚等型进行辩证施治；也有按病程分为急性期、缓解期和康复期等。
近年来，腰椎间盘突出症治疗的方法多种多样，从西医药物手术到中医保守疗法，各种方法各具千秋，各有所长，但目前的腰突症还没有一个统一诊疗方案，且临床治疗本病多采用综合疗法，单一疗法很难取得满意疗效。
发明内容
本发明为了解决上述技术问题，提供了一种筋骨消肿止痛膏及其制备方法。
本发明是通过以下技术方案得以实现的。
一种筋骨消肿止痛膏，包括以下重量份的组分：
威灵仙1-2份、血竭3-4份、制草乌1-2份、制川乌1-2份、五加皮1-2份、木瓜1-2份、牛膝1-2份、红花1-2份、生香附3-4份、三棱1-2份、莪术1-2份、皂刺3-4份、羌活1-2份、乳香1-2份、没药1-2份、三七3-4份、茜草1-2份、川芎2-3份、五灵脂1-2份、防己1-2份、辽细辛1-2份、透骨草1-2份、秦艽1-2份、赤芍1-2份、木鳖子1-2份、白术1-2份、冰片1-2份、樟脑1-2份。
优选的，一种筋骨消肿止痛膏，包括以下重量份的组分：
威灵仙1份、血竭4份、制草乌1份、制川乌1份、五加皮1份、木瓜1份、牛膝1份、红花1份、生香附4份、三棱1份、莪术1份皂刺4份、羌活1份、乳香1份、没药1份、三七4份、茜草1份、川芎3份、五灵脂2份、防己1份、辽细辛1份、透骨草1份、秦艽1份、赤芍1份、木鳖子1份、白术1份、冰片2份、樟脑2份。
一种上述筋骨消肿止痛膏的制备方法，包括以下步骤：
S1.称取规定量的威灵仙、血竭、制草乌、制川乌、五加皮、木瓜、牛膝、红花、生香附、三棱、莪术、皂刺、羌活、乳香、没药、三七、茜草、川芎、五灵脂、防己、辽细辛、透骨草、秦艽、赤芍、木鳖子、白术、冰片、樟脑，将上述药品粉碎过120目筛；
S2.加入氮酮、黏着剂、保湿剂，混合均匀。
进一步的，步骤S2中，氮酮的加入量为药粉重量的1 %。
进一步的，步骤S2中，黏着剂、保湿剂选用树脂，树脂的加入量为药粉重量的1/2。
进一步的，所述树脂选用萜烯树脂。
本申请具有以下有益效果。
本申请筋骨消肿止痛膏的组方是多年临床经验总结，运用现代制药工艺，将其加工成膏药，经前期临床使用已经取得了显著疗效。本申请可以把筋骨消肿止痛膏摊在无纺布上，无纺布透气性好，不易出现过敏现象。
具体实施方式
实施例1
一种筋骨消肿止痛膏的制备方法，包括以下步骤：
S1.称取威灵仙1g、血竭4g、制草乌1g、制川乌2g、五加皮1g、木瓜2g、牛膝1g、红花2g、生香附3g、三棱2g、莪术1g、皂刺4g、羌活1g、乳香2g、没药1g、三七4g、茜草1g、川芎3g、五灵脂1g、防己2g、辽细辛1g、透骨草2g、秦艽1g、赤芍2g、木鳖子1g、白术2g、冰片1g、樟脑2g，将上述药品粉碎过120目筛；
S2.加入0.51g氮酮、25.5 g萜烯树脂，混合均匀。
实施例2
一种筋骨消肿止痛膏的制备方法，包括以下步骤：
S1.称取威灵仙2g、血竭3g、制草乌2g、制川乌1g、五加皮2g、木瓜1g、牛膝2g、红花1g、生香附4g、三棱1g、莪术2g、皂刺3g、羌活2g、乳香1g、没药2g、三七3g、茜草2g、川芎2g、五灵脂2g、防己1g、辽细辛2g、透骨草1g、秦艽2g、赤芍1g、木鳖子2g、白术1g、冰片2g、樟脑1g，将上述药品粉碎过120目筛；
S2.加入0.51g氮酮、25.5 g萜烯树脂，混合均匀。
实施例3
一种筋骨消肿止痛膏的制备方法，包括以下步骤：
S1.称取威灵仙1g、血竭4g、制草乌1g、制川乌1g、五加皮1g、木瓜1g、牛膝1g、红花1g、生香附4g、三棱1g、莪术1g、皂刺4g、羌活1g、乳香1g、没药1g、三七4g、茜草1g、川芎3g、五灵脂2g、防己1g、辽细辛1g、透骨草1g、秦艽1g、赤芍1g、木鳖子1g、白术1g、冰片2g、樟脑2g，将上述药品粉碎过120目筛；
S2.加入0.45g氮酮、22.5g萜烯树脂，混合均匀。
临床实验
选择门诊腰椎间盘突出症患者60例，其中男41例，女19例；年龄最小19岁，最大 64岁；病程最长10年，最短5ｄ；突（膨）出部位：Ｌ4-5节段50例，Ｌ5-Ｓ1节段15例，Ｌ3-4节段2例；双节段19例，3节段3例；腰痛明显者 51例，坐骨神经痛者 42例，直腿抬高试验阳性者39例。
采用实施例3的筋骨消肿止痛膏进行治疗，经治疗后，结果如下：优9例、良28例、可21例、差2例，优良率占96.7％。
本具体实施方式的实施例均为本发明的较佳实施例，并非依此限制本发明的保护范围，故：凡依本发明的结构、形状、原理所做的等效变化，均应涵盖于本发明的保护范围之内。

Claims (6)

1.一种筋骨消肿止痛膏，其特征在于：包括以下重量份的组分：
威灵仙1-2份、血竭3-4份、制草乌1-2份、制川乌1-2份、五加皮1-2份、木瓜1-2份、牛膝1-2份、红花1-2份、生香附3-4份、三棱1-2份、莪术1-2份、皂刺3-4份、羌活1-2份、乳香1-2份、没药1-2份、三七3-4份、茜草1-2份、川芎2-3份、五灵脂1-2份、防己1-2份、辽细辛1-2份、透骨草1-2份、秦艽1-2份、赤芍1-2份、木鳖子1-2份、白术1-2份、冰片1-2份、樟脑1-2份。
2.根据权利要求1所述的一种筋骨消肿止痛膏，其特征在于：包括以下重量份的组分：
威灵仙1份、血竭4份、制草乌1份、制川乌1份、五加皮1份、木瓜1份、牛膝1份、红花1份、生香附4份、三棱1份、莪术1份皂刺4份、羌活1份、乳香1份、没药1份、三七4份、茜草1份、川芎3份、五灵脂2份、防己1份、辽细辛1份、透骨草1份、秦艽1份、赤芍1份、木鳖子1份、白术1份、冰片2份、樟脑2份。
3.一种权利要求1或2所述筋骨消肿止痛膏的制备方法，其特征在于：包括以下步骤：
S1.称取规定量的威灵仙、血竭、制草乌、制川乌、五加皮、木瓜、牛膝、红花、生香附、三棱、莪术、皂刺、羌活、乳香、没药、三七、茜草、川芎、五灵脂、防己、辽细辛、透骨草、秦艽、赤芍、木鳖子、白术、冰片、樟脑，将上述药品粉碎过120目筛；
S2.加入氮酮、黏着剂、保湿剂，混合均匀。
4.根据权利要求3所述的一种筋骨消肿止痛膏的制备方法，其特征在于：步骤S2中，氮酮的加入量为药粉重量的1%。
5.根据权利要求3所述的一种筋骨消肿止痛膏的制备方法，其特征在于：步骤S2中，黏着剂、保湿剂选用树脂，树脂的加入量为药粉重量的1/2。
6.根据权利要求5所述的一种筋骨消肿止痛膏的制备方法，其特征在于：所述树脂选用萜烯树脂。
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