CN114632128A

CN114632128A - Collateral-dredging and turbid-removing formula and using method thereof

Info

Publication number: CN114632128A
Application number: CN202210297441.7A
Authority: CN
Inventors: 王国辉; 韦绪性
Original assignee: Individual
Current assignee: Individual
Priority date: 2022-03-24
Filing date: 2022-03-24
Publication date: 2022-06-17

Abstract

The invention relates to the field of traditional Chinese medicine formulas, in particular to a formula for dredging collaterals and eliminating turbidity and a using method thereof. Aims to solve the problem of narrow application field of the medicament for dredging collaterals and dissolving turbidity in the prior art. The traditional Chinese medicine formula comprises, by weight, 1-25g of rhizoma atractylodis, 1-10g of phellodendron bark, 1-60g of semen coicis, 1-30g of radix cyathulae, 1-25g of edible tulip, 1-60g of rhizoma smilacis glabrae, 1-30g of rhizoma paridis, 1-24g of safflower, 1-24g of earthworm, 1-50g of pawpaw, 1-30g of yam rhizome and ash bark, and has the advantages that: the prescription for removing obstruction in channels and eliminating turbid pathogen clears heat and promotes diuresis, and simultaneously supplements with edible tulip, glabrous greenbrier rhizome, yam rhizome, rhizoma paridis, safflower, pawpaw, ash bark, earthworm and the like to promote diuresis, detoxify, remove obstruction in channels and relieve pain, thereby treating both symptoms and root causes. More and better treatment schemes are provided for the traditional Chinese medicine treatment of gout in the acute stage.

Description

Collateral-dredging and turbid-removing formula and using method thereof

Technical Field

The invention relates to the field of traditional Chinese medicine formulas, in particular to a formula for dredging collaterals and eliminating turbidity and a using method thereof.

Background

Gout is a crystal-related arthropathy caused by deposition of mono-sodiuurate. Acute gouty arthritis is mainly caused by inflammatory reaction caused by sodium urate micro-crystallization, mainly has the symptoms of severe pain, acute morbidity, red swelling and hot pain of joints and surrounding soft tissues and the like, and movement disorder of the joint is generally caused in ankle joints and big toe joints. The kidneys are often involved in the later stages leading to chronic interstitial nephritis and uric acid kidney stones.

Modern medicine considers that gout is a disease caused by purine metabolism disorder caused by genetic or acquired reasons and urate deposited in kidney, joints and the like. When uric acid is produced excessively, the saturation degree of urate in blood exceeds a normal range, the state is called hyperuricemia, and when the condition occurs, urate crystals are easily deposited inside and outside joint tissues, so that acute inflammatory reaction and chronic functional damage are caused, and the condition is called gout.

Modern medicine mostly applies non-steroidal anti-inflammatory drugs, colchicine, glucocorticoid and the like to symptomatic treatment during acute attack of gouty arthritis, and although the medicine has the effects of diminishing inflammation and relieving pain in a short period, the medicine has large side effects and more adverse reactions, such as kidney damage, gastrointestinal tract reaction, bone marrow suppression and the like, and has high recurrence rate. With the further understanding of the gouty arthritis by the traditional Chinese medicine, the traditional Chinese medicine shows unique advantages in the prevention and treatment of the gouty arthritis, and can prevent relapse while removing causes and improving symptoms. Therefore, it is a trend in treatment to develop the advantages of traditional Chinese medicine and find an effective treatment method with few side effects. In the field of traditional Chinese medicine, the traditional Chinese medicine formula is used for dredging collaterals and dissolving turbidity at the present stage, and is used for treating nephropathy, but few in diagnosis and treatment attempts of gout, so that the application aims to provide the traditional Chinese medicine formula for applying the traditional Chinese medicine formula in the field of gout

Disclosure of Invention

The invention aims to solve the problem of narrow application field of the collateral-dredging and turbidity-removing medicament in the prior art.

The specific scheme of the invention is as follows: a prescription for removing obstruction in channels and eliminating turbid pathogen is designed, and a traditional Chinese medicine formula comprises, by weight, 1-25g of rhizoma atractylodis, 1-10g of golden cypress, 1-60g of semen coicis, 1-30g of radix cyathulae, 1-25g of Indian iphigenia bulb, 1-60g of rhizoma smilacis glabrae, 1-30g of rhizoma paridis, 1-24g of safflower, 1-24g of earthworm, 1-50g of pawpaw, 1-30g of rhizoma dioscoreae hypoglaucae and 1-25g of cortex fraxini. .

The traditional Chinese medicine composition comprises, by weight, 15g of rhizoma atractylodis, 12g of golden cypress, 40g of semen coicis, 25g of radix cyathulae, 15g of edible tulip, 45g of rhizoma smilacis glabrae, 15g of rhizoma paridis, 12g of safflower, 12g of earthworm, 30g of pawpaw, 15g of rhizoma dioscoreae hypoglaucae and 20g of cortex fraxini.

Or also comprises the following components of 1 to 25g of arisaema cum bile and 1 to 25g of concretio silicea bambusae in parts by weight.

Also comprises the following components of 1 to 25g of zedoary, 1 to 25g of pseudo-ginseng and 1 to 10g of ground beetle in parts by weight;

also comprises the following components of 1-10g of pangolin, 1-10g of long-noded pit viper, 1-121g of scorpion and 1-6g of centipede in parts by weight.

Also comprises the following components by weight portion, 1-25g of cortex moutan, 1-25g of red peony root, 1-25g of radix rehmanniae and 1-25g of lithospermum.

The administration mode is as follows: the decoction for dredging collaterals and eliminating turbid is taken twice a day in the morning and evening in 1 dose (400 ml in total, packaged in 2 bags); the ibuprofen sustained-release capsule simulating medicine is 1 granule each time and 2 times a day; taken for 1 week.

The invention has the beneficial effects that:

after one treatment cycle, the patient's blood uric acid decreased, urine uric acid increased, and both blood sedimentation and hypersensitivity C-reactive protein decreased substantially to normal. The traditional Chinese medicine has the advantages of excellent effect and small side effect for treating gouty arthritis, and has the effects of clearing heat and promoting diuresis, and simultaneously assisting with Indian iphigenia bulb, glabrous greenbrier rhizome, yam rhizome, paris polyphylla, safflower, pawpaw, ash bark, earthworm and the like, promoting diuresis, detoxifying, dredging collaterals and relieving pain, and treating both principal and secondary aspects of diseases. Provides more and better treatment schemes for the traditional Chinese medicine treatment of gout in the acute stage.

Detailed Description

The following description is presented in conjunction with the preferred embodiments of the present invention, and it is to be understood that the preferred embodiments described herein are presented only for the purpose of illustrating and explaining the present invention, and are not intended to limit the present invention.

Example 1

A formula of a traditional Chinese medicine for dredging collaterals and eliminating turbid pathogen comprises, by weight, 1-25g of rhizoma atractylodis, 1-10g of golden cypress, 1-60g of semen coicis, 1-30g of radix cyathulae, 1-25g of edible tulip, 1-60g of rhizoma smilacis glabrae, 1-30g of rhizoma paridis, 1-24g of safflower, 1-24g of earthworm, 1-50g of pawpaw, 1-30g of rhizoma dioscoreae hypoglaucae and 1-25g of cortex fraxini.

The traditional Chinese medicine composition comprises, by weight, 15g of rhizoma atractylodis, 12g of golden cypress, 40g of semen coicis, 25g of radix cyathulae, 15g of edible tulip, 45g of rhizoma smilacis glabrae, 15g of rhizoma paridis, 12g of safflower carthamus, 12g of earthworm, 30g of pawpaw, 15g of rhizoma dioscoreae hypoglaucae and 20g of cortex fraxini.

After each decoction is formed, 1 particle of the ibuprofen slow release capsule simulant is combined, and the ibuprofen slow release capsule is taken 2 times a day.

The administration and case modes of the reagent are as follows:

according to the research, patients with the dampness-heat internal accumulation syndrome in the acute stage of gout, who meet the diagnosis standard, are selected from 7 months to 10 months from 2021 in 2019, and the clinical curative effect of the collateral-dredging and turbidity-removing formula on treating the dampness-heat internal accumulation type gout in the acute stage is observed by randomly contrasting the test method.

1. Diagnostic criteria gout classification criteria, gout acute phase 2015. The traditional Chinese medicine diagnosis standard refers to the content of 'tenth edition of traditional Chinese medicine diagnostics', and the internal retention of damp-heat: red, swollen and hot pain in joints, fever or no fever, yellow and greasy or thick and greasy tongue coating, and wiry and slippery pulse.

2. Inclusion criteria meet the diagnostic criteria set forth above; the age is between 18 and 65 years.

3. Eliminating allergy of the medicinal ingredients of the standard prescription for dredging collaterals and eliminating turbidity or ibuprofen allergy; alcohol or drug abuse; patients with serious primary diseases such as cardiovascular and cerebrovascular diseases, endocrine, liver, kidney, hematopoietic system, etc.; psychotic patients; pregnant and lactating women.

4. Removing and falling-off standard misdiagnosis and misinclusion; those with severe adverse reactions during the study, including but not limited to cardiovascular events, severe liver, kidney impairment, gastrointestinal bleeding, etc.; other diseases appearing during the study may require treatment to affect efficacy; those without follow-up records; self-administration of other drugs to prevent evaluation of drug effect; the patient loses visit or quits by himself; cases of blindness or emergency uncovering.

The treatment groups and the control groups are randomly divided by a random number generator method according to the numbering of the treatment orders.

Treatment groups: avoid drinking alcohol and low purine diet. Adopts a prescription decoction (uniformly processed and prepared by a prescription of a traditional Chinese medicine of Xiaotong) for removing obstruction in channels and dissolving turbidity and an ibuprofen sustained-release capsule (Fenbide) simulation medicine (red starch capsule). The decoction for dredging collaterals and eliminating turbid is taken twice a day in the morning and evening in 1 dose (400 ml in total, packaged in 2 bags); the ibuprofen sustained-release capsule simulating medicine is 1 granule each time and 2 times a day; taken for 1 week.

The prescription for removing obstruction in channels and eliminating turbid pathogen comprises: 15g of rhizoma atractylodis, 12g of golden cypress, 40g of semen coicis, 25g of radix cyathulae, 15g of Indian iphigenia bulb, 45g of rhizoma smilacis glabrae, 15g of rhizoma paridis, 12g of safflower, 12g of earthworm, 30g of pawpaw, 15g of rhizoma dioscoreae hypoglaucae and 20g of cortex fraxini.

The control group was kept on alcohol and low purine diet. The ibuprofen sustained-release capsule (Fenbide) (Chinese medicine standard H10900089 of Zhongmei Tianjin Shike pharmaceutical Co., Ltd.) is adopted for treatment, and caramel water is given as a placebo, and the usage is the same as the traditional Chinese medicine decoction. The ibuprofen sustained-release capsule is 1 granule each time and 2 times a day; taken for 1 week.

A patient management discipline. Daily telephone follow-up, abstinence from alcohol and low-purine diet guidelines, daily pain relief was registered (self-scoring by VAS score). The patients who can not take the medicine according to the requirements or have serious adverse reactions are subjected to the re-diagnosis and the elimination.

1, before and after 24 hours of treatment, VAS score after one week, blood uric acid, blood sedimentation and hypersensitivity C-reactive protein.

2 safety items, blood routine, abnormal change of liver and kidney function, gastrointestinal hemorrhage and severity and adverse event record of each group before and after treatment.

Statistical processing of data with SPSS19.0 statistical software

Then collecting two groups of data, and using the obtained metering data

Performing statistical treatmentThe homogeneity of variance is determined by F test, and is given to corresponding t test, p<Significance was considered at 5%. Gender was checked using Caller's count data.

76 cases were included in the group, between 7 months in 2019 and 10 months in 2021. 16 cases of abscission, 12 cases of abscission are managed and controlled by epidemic situation and are not subjected to repeated diagnosis and follow-up, and 4 cases of abscission are caused by individual reasons and are not finished with the experiment. The total collection is completed by 60 cases. The specific cases are as follows:

TABLE 1 general case

Table 1: counting data of sex use, checking by chi-square

TABLE 2 change in VAS scores

TABLE 3 blood uric acid changes

TABLE 4 variation of uric acid (units mmol/l)

)

TABLE 5 blood sedimentationChange (unit mmol/l)

)

TABLE 6 Change in hypersensitive C reactive protein (in mg/l

)

According to clinical observation, the liver and kidney function and blood coagulation and hematopoiesis function of 60 patients have no abnormality.

1. Case general situation comparison: as can be seen from Table 1, the age, sex and time of onset of disease of the patients in the two groups were statistically analyzed, and the differences between the two groups were not significant.

2. Consistency comparison before admission: according to tables 4-6, the results show that there is no significant difference in VAS score, blood uric acid, blood sedimentation, and hypersensitivity C-reactive protein, and the results are comparable.

3. Change after treatment: the VAS score was improved after 24 hours after treatment, and after one week, the VAS score was improved significantly, and the improvement in the treated group was better than that in the control group. After 7 days of treatment, the blood uric acid of the treatment group is reduced and the urine uric acid is increased compared with the control group, and the blood sedimentation and the hypersensitivity C-reactive protein of the two groups are basically reduced to be normal without statistical difference.

Through the above examples, it can be confirmed that the formula for dredging collaterals and eliminating turbidity can obviously improve pain symptoms of patients in the acute stage of gout with syndrome of damp-heat accumulation, wherein the symptom relieving degree after 24 hours is slightly worse than that of ibuprofen. And the gout improving condition after 7 days is better than that of ibuprofen. The inflammation index is reduced to normal after treatment. The treatment of the hypouricemia and the increase of the uric acid in urine in the group suggests that the recipe may increase the excretion of uric acid, thereby improving the symptoms and simultaneously playing the role of reducing uric acid.

The prescription for removing obstruction in channels and eliminating turbid pathogen clears heat and promotes diuresis, and simultaneously supplements with edible tulip, glabrous greenbrier rhizome, yam rhizome, rhizoma paridis, safflower, pawpaw, ash bark, earthworm and the like to promote diuresis, detoxify, remove obstruction in channels and relieve pain, thereby treating both symptoms and root causes. Provides more and better treatment schemes for the traditional Chinese medicine treatment of gout in the acute stage.

The theoretical basis of the invention is as follows:

the gout is divided into an acute attack stage, an intermittent stage and a chronic arthritis stage, wherein in the acute attack stage, the formula uses the Simiao powder and the five flavors of disinfectant drinks, and is supplemented with spleen-strengthening and stomach-harmonizing medicines; in the intermission period, the three-kernel decoction and the yang-invigorating and stomach-benefiting decoction are used together with the blood-activating and collateral-dredging medicines; in the chronic arthritis stage, Shenling Baizhu san and Shenqi pills are used, and in the acute stage, the Shenling Baizhu san and Shenqi pills are used for clearing heat and removing toxicity, and dredging collaterals and promoting diuresis; in the chronic and intermittent periods, it is usually used to invigorate the spleen and warm the kidney, resolve blood stasis and remove dampness. The acute attack stage is mainly characterized by turbid toxin and fatigue, and the swelling and pain are relieved when the turbid toxin is cleared away; in the chronic stage and the intermittent stage, the spleen and kidney should be properly adjusted and benefited on the basis of discharging and resolving turbidity-toxin, and the treatment of both principal and secondary aspects should be performed.

According to the classification standard established by the State administration of traditional Chinese medicine, gout is divided into 4 types, namely damp-heat accumulation type, stagnant heat retardation type, phlegm retardation type and liver-kidney yin deficiency type; wherein, the damp-heat accumulation type is treated by the method of clearing heat and removing dampness, and activating blood and removing toxicity and dissipating stagnation, and the formula is modified by Simiao powder; for blood stasis and heat stagnation type, it is used to clear heat and remove toxicity, unblock collaterals and alleviate pain, and Zhi Tan Teng Tang is used in the recipe; for phlegm-turbidity type, Luo Mi Tang is used to treat the syndrome of marked diseases and transforming into turbid; for liver and kidney yin deficiency type, it is indicated for tonifying liver and kidney, and is indicated for Liu Wei Di Huang Wan.

According to the traditional Chinese medicine composition, rhizoma atractylodis has the effects of eliminating dampness and strengthening spleen, expelling wind and removing cold, improving eyesight, cortex phellodendri has the effects of clearing heat and eliminating dampness, purging fire and relieving toxicity, edible tulip has the effects of clearing heat and removing toxicity, resolving carbuncle and resolving masses, rhizoma smilacis glabrae has the effects of removing toxicity, dehumidifying and easing joint movement, rhizoma paridis has the effects of clearing heat and removing toxicity, relieving swelling and pain, cooling liver and arresting convulsion, safflower has the effects of promoting blood circulation and removing blood stasis, dissipating dampness and removing swelling, earthworm has the effects of clearing heat and arresting convulsion, dredging collaterals, relieving asthma and inducing diuresis, and pawpaw has the effects of relaxing tendons and activating collaterals, harmonizing stomach and eliminating dampness.

Modern medicine mostly applies non-steroidal anti-inflammatory drugs, colchicine, glucocorticoid and the like to symptomatic treatment during acute attack of gouty arthritis, and although the medicine has the effects of diminishing inflammation and relieving pain in a short period, the medicine has large side effects and more adverse reactions, such as kidney damage, gastrointestinal tract reaction, bone marrow suppression and the like, and has high recurrence rate. With the further understanding of the gouty arthritis by the traditional Chinese medicine, the traditional Chinese medicine shows unique advantages in the prevention and treatment of the gouty arthritis, and can prevent relapse while removing causes and improving symptoms. Therefore, it is a trend in treatment to develop the advantages of traditional Chinese medicine and find an effective treatment method with few side effects.

This disease is caused by damp-heat injected into the lower energizer, and is indicated for clearing heat, drying dampness and alleviating pain. In the prescription, Huangbai is a monarch drug which can clear damp-heat in lower energizer and cang Zhu can dry dampness and strengthen spleen to promote transportation; achyranthes root, radix Achyranthis bidentatae tonifies liver and kidney, strengthens tendons and bones, and draws guiding herbs downward. Therefore, for the treatment of numbness of both feet due to damp-heat in the lower energizer, the combination of Yi ren for excreting dampness, strengthening spleen, relaxing tendons and relieving spasm is combined with Fu Ling, gan floor, Di Long for clearing heat and removing toxicity. Dampness eliminating, joint smoothing, safflower blood circulation promoting and pain relieving in the formula, pawpaw channels smoothing and collaterals activating, yam rhizome and ash bark in the formula have the functions of clearing heat and drying dampness, and promoting diuresis and removing obstruction in channels, and are used as adjuvant drugs.

In addition and subtraction processing, addition and subtraction: rhizoma arisaematis cum bile and concretio silicea Bambusae seu Schizostachyi may be added for patients with subcutaneous nodule due to turbid phlegm retention; obvious blood stasis, arthralgia, swelling and deformity and difficult movement. Rhizoma Curcumae, radix Notoginseng, and Eupolyphaga Seu Steleophaga can be added to make tongue purple and dark and pulse astringent; for those with phlegm and blood stasis and pain, squama Manis, Agkistrodon, Scorpio, and Scolopendra can be added to remove meridian obstruction. Cortex moutan, radix Paeoniae Rubra, radix rehmanniae, and radix Arnebiae may be added to treat skin erythema and erythra, and has effects in clearing away heat, cooling blood, promoting blood circulation, and removing blood stasis.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. A formula for dredging collaterals and eliminating turbidity for treating gout is characterized in that: the traditional Chinese medicine formula comprises, by weight, 1-25g of rhizoma atractylodis, 1-10g of golden cypress, 1-60g of semen coicis, 1-30g of radix cyathulae, 1-25g of edible tulip, 1-60g of rhizoma smilacis glabrae, 1-30g of rhizoma paridis, 1-24g of safflower, 1-24g of earthworm, 1-50g of pawpaw, 1-30g of yam rhizome and ash bark.

2. The collateral-dredging turbidity-eliminating formulation according to claim 1, wherein: the traditional Chinese medicine composition comprises, by weight, 15g of rhizoma atractylodis, 12g of golden cypress, 40g of semen coicis, 25g of radix cyathulae, 15g of edible tulip, 45g of rhizoma smilacis glabrae, 15g of rhizoma paridis, 12g of safflower, 12g of earthworm, 30g of pawpaw, 15g of yam rhizome and 20g of cortex fraxini.

3. The collateral-dredging turbidity-eliminating formulation according to claim 1, wherein: also comprises the following components of 1 to 25g of arisaema cum bile and 1 to 25g of concretio silicea bambusae in parts by weight.

4. The collateral-dredging turbidity-eliminating formulation according to claim 1, wherein: also comprises the following components of 1-25g of zedoary, 1-25g of pseudo-ginseng and 1-10g of ground beetle in parts by weight.

5. The collateral-dredging turbidity-eliminating formulation according to claim 1, wherein: also comprises the following components of 1-10g of pangolin, 1-10g of long-noded pit viper, 1-121g of scorpion and 1-6g of centipede in parts by weight.

6. The collateral-dredging turbidity-eliminating formulation according to claim 1, wherein: also comprises the following components by weight portion, 1-25g of cortex moutan, 1-25g of red peony root, 1-25g of dried rehmannia root and 1-25g of lithospermum.

7. The use method of the collateral-dredging and turbidity-eliminating prescription according to claim 1, characterized in that: after each decoction is formed, 1 particle of the ibuprofen slow release capsule simulant is taken 2 times a day.