CN114949158A - 用于鼻炎、湿疹、荨麻疹的中药 - Google Patents
用于鼻炎、湿疹、荨麻疹的中药 Download PDFInfo
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Abstract
本发明公开了一种用于鼻炎、湿疹、荨麻疹的中药，属于中医药领域。本发明包括下述重量份的原料：葛根10—30份、炒苍耳子10‑25份、桂枝10‑25份、生姜10‑25份、赤芍10‑25份、连翘5‑15份、桑白皮5‑15份、赤小豆50‑70份、炙甘草5‑15份。本发明中药制品针对鼻炎、湿疹、荨麻疹的病因病理治疗，疗效确切，宣发解表与通利水道驱邪外出标本同治。
Description
技术领域
本发明属于中医药领域，具体涉及一种治疗鼻炎、湿疹、荨麻疹的中药。
背景技术
鼻炎、湿疹、荨麻疹虽然是三种不同的疾病，但从西医学角度讲都有免疫异常和过敏的机理和症状。西医常规治疗对初发病者多采用抗过敏治疗，对于久病者再加用调节免疫治疗。从中医角度讲这三种疾病都有风邪湿邪滞表和肺气不宣，常规治疗多采用抑制调理。现在常规治疗的缺点是仅抑制症状而没有驱邪外出，使邪滞留反复发作迁年不愈。本发明首先从机理上明确了“风邪湿邪滞表必须解表宣发、不可抑制的理论”，从治疗上“确定了解表与利尿相结合的组方”，从反复发作困扰患者，为便于治疗，明确了急性发作服用汤剂、服药不便或缓解期可以服用颗粒剂的用法。
发明内容
本发明的目的是提供一种用于鼻炎、湿疹、荨麻疹的中药。
本发明的技术方案是：一种用于鼻炎、湿疹、荨麻疹的中药，它包括下述重量份的原料：葛根10—30份、炒苍耳子10-25份、桂枝10-25份、生姜10-25份、赤芍10-25份、连翘5-15份、桑白皮5-15份、赤小豆50-70份、炙甘草5-15份。
进一步地，它包括下述重量份的原料：葛根20份、炒苍耳子15份、桂枝15份、生姜15份、赤芍15份、连翘10份、桑白皮10份、赤小豆60份、炙甘草10份。
本发明中药制品药理和治疗机理分析如下：鼻炎、湿疹、荨麻疹虽然是三种不同的疾病，但其发病机理都有外感风寒湿邪、肺气不宣的本质，治疗可以遵循中医“异病同治”和“邪在表汗而发之”的原则。这也符合中医理论：不同的病症在发生发展过程中出现了相同的病因病机、则可以用同样的治疗方法和药物。
所以本组方中葛根、赤小豆为君药，葛根功效发表解肌、升阳透疹、解热生津，在组方中用其发表解肌、升阳透疹，赤小豆利水消肿、解毒排脓。葛根散腰以上风邪、赤小豆利水解腰以下风湿邪。桂枝发汗解表、温经通阳，生姜发汗解表、利水消肿，炒苍耳子通鼻窍、祛风湿、止痛，赤芍本方中功效为清热活血、祛瘀止痛，真可谓“治风先治血、血行风自灭”，共为臣药；葛根、桂枝、苍耳子相配不仅加强发汗解表、更加强了宣肺通鼻窍之功，生姜既可以帮助发汗解表、还可以帮助赤小豆利水之功。以桑白皮利尿消肿，连翘清热解毒、消痈散结为佐药，桑白皮既可佐君臣葛根和苍耳子开宣肺气治疗鼻炎和荨麻疹、又能佐君臣赤小豆和生姜利尿消肿治疗湿疹，连翘清热解毒、消痈散结，作为“疮家圣药”对新旧湿疹均可治疗。炙甘草补脾益气、缓急止痛、缓和药性，在本方中为佐使药，不仅调和诸药，还可补脾益气提供免疫力。
本发明中药可煎汤服用，也可制成颗粒剂方便服用，方便选择使用。
本发明的有益效果：本发明中药制品针对鼻炎、湿疹、荨麻疹的病因病理治疗，疗效确切，宣发解表与通利水道驱邪外出标本同治。
具体实施方式
以下通过具体实施方式对本发明进行详细说明。
一种用于鼻炎、湿疹、荨麻疹的中药，它包括下述重量份的原料：葛根10—30份、炒苍耳子10-25份、桂枝10-25份、生姜10-25份、赤芍10-25份、连翘5-15份、桑白皮5-15份、赤小豆50-70份、炙甘草5-15份。
它包括下述重量份的原料：葛根20份、炒苍耳子15份、桂枝15份、生姜15份、赤芍15份、连翘10份、桑白皮10份、赤小豆60份、炙甘草10份。
该中药制品采用如下方法制作：
一种是汤剂：将葛根等9种药加水800毫升，煎煮至400毫升，去渣、分早午晚3次饭后热服。
一种是颗粒剂：按照组方比例扩大100倍放入中药煎煮罐煎煮，浸膏、烘干、制粒、每包装6克，每次服用6克、每日3次，饭后服用。
实施例1、取葛根20份、炒苍耳子15份、桂枝15份、生姜15份、赤芍15份、连翘10份、桑白皮10份、赤小豆60份、炙甘草10份。
按照组方比例扩大100倍放入中药煎煮罐煎煮，浸膏、烘干、制粒、每包装6克，每次服用6克、每日3次，饭后服用。
实施例2、取葛根10份、炒苍耳子10份、桂枝10份、生姜10份、赤芍10份、连翘5份、桑白皮5份、赤小豆50份、炙甘草5份。
用水煎，以汤剂服用、每日一剂、每日三次。
实施例3、取葛根30份、炒苍耳子25份、桂枝5份、生姜25份、赤芍25份、连翘15份、桑白皮15份、赤小豆70份、炙甘草15份。
按照组方比例扩大100倍放入中药煎煮罐煎煮，浸膏、烘干、制粒、每包装6克，每次服用6克、每日3次，饭后服用。
《疗效实验》：
经过对50例胃炎患者、50例湿疹患者、50例荨麻疹患者的试验观察，充分证明了本制品行之有效。
一、鼻炎患者
1. 诊断标准
1.1 西医诊断标准：鼻塞、多涕、嗅觉下降、头昏头痛、严重者失眠、记忆下降。
1.2 中医辨证标准：鼻塞、鼻涕量多而白粘或黄稠，嗅觉减退，头痛头昏，舌红舌苔白、脉浮数。
2. 实验病例标准
2.1 纳入病例标准
（1）符合鼻炎诊断标准者；
（2）符合中医辨证外感风寒湿邪、肺气不宣者。
2.2 排除病例标准：没有鼻炎症状及指征者。
3. 治疗方法：采取随机分组自身对照比较法，比较患者治疗前后的症状、体征和结果变化。
治疗观察50例，服用实施例1制备的治疗鼻炎、湿疹、荨麻疹的中药制品，每次6克，每日3次。
4. 疗效观察指标
4.1 患者自身的感觉与症状；
4.2 中医舌象、脉象。
5. 疗效判断标准
（1）显效：症状消失；
（2）有效：症状好转；
（3）无效：与服药前没有变化。
6. 治疗结果参见表1。
二、湿疹患者
1. 诊断标准
1.1 西医诊断标准：湿疹是由多种内外因素引起的瘙痒剧烈的一种皮肤炎症反应。可见丘疹、小水泡、糜烂或皮肤增厚。
1.2 中医辨证标准：湿疹初期皮肤起红疹、糜烂渗出，舌红舌苔黄、脉浮数：到慢性期反复发作瘙痒、渗出，舌苔腻、脉濡。
2. 实验病例标准
2.1 纳入病例标准
（1）符合湿疹诊断标准者；
（2）符合中医辨证外感风寒湿邪、肺气不宣者。
2.2 排除病例标准：不符合湿疹诊断标准者。
3. 治疗方法：采取随机分组自身对照比较法，比较患者治疗前后的症状、体征和结果变化。
治疗观察50例，实施例1制备的治疗鼻炎、湿疹、荨麻疹的中药制品，服用实施例1制备的治疗鼻炎、湿疹、荨麻疹的中药制品，每次6克,每日3次。
4. 疗效观察指标
4.1 患者自身的感觉与症状；
4.2 中医舌象、脉象。
5. 疗效判断标准
（1）显效：症状消失；
（2）有效：症状好转；
（3）无效：与服药前一样。
6. 治疗结果参见表2。
三、荨麻疹
1. 诊断标准：荨麻疹是一种常见的皮肤病，发病迅速，局部或全身突然出现红色肿块，剧烈瘙痒。
2. 实验病例标准
2.1 纳入病例标准：符合荨麻疹诊断标准者。
2.2 排除病例标准：不符合荨麻疹诊断标准者。
3. 治疗方法：采取随机分组自身对照比较法，比较患者治疗前后的症状、体征和结果变化。
治疗观察50例，服用实施例1制备的治疗鼻炎、湿疹、荨麻疹的中药制品，每次6克,每日3次。
4. 疗效观察指标
4.1 皮肤外表变化；
4.2 患者自身的感觉与症状；
4.3 中医舌象、脉象。
5. 疗效观察指标
（1）显效：症状消失；
（2）有效：症状好转；
（3）无效：与服药前没有变化。
6. 治疗结果参见表3。
《典型病例》
1、 滕某某，男，52岁，常年鼻炎发作、流涕、头面部经常起疹，常有口腔溃疡。明确鼻炎诊断后，给予本发明实施例3药物治疗，每次6克，每日3次。两日即显效流涕止、一周周后头面部痘疹消退，自觉神清气爽。
2、 方某某，女，45岁，皮疹、瘙痒两年余，曾经在其他医院中西医治疗无效。明确风湿疹诊断后，给予本发明实施例2药物治疗，每次150毫升，每日3次。服用两天后风湿疹发出、5天后结痂痊愈。
3、 王某某，女，40岁，患风湿疹6年，全身皮肤起湿疹、瘙痒。曾经在许多医院治疗、反反复复不见好转。明确诊断后、给与本发明实施例1药物治疗，每次6克，每日3次。服药一个月痊愈。
Claims (2)
1.一种用于鼻炎、湿疹、荨麻疹的中药，其特征在于它包括下述重量份的原料：葛根10—30份、炒苍耳子10-25份、桂枝10-25份、生姜10-25份、赤芍10-25份、连翘5-15份、桑白皮5-15份、赤小豆50-70份、炙甘草5-15份。
2.根据权利要求1所述的用于鼻炎、湿疹、荨麻疹的中药，其特征在于它包括下述重量份的原料：葛根20份、炒苍耳子15份、桂枝15份、生姜15份、赤芍15份、连翘10份、桑白皮10份、赤小豆60份、炙甘草10份。
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| 王波等: "麻黄连翘赤小豆汤结合针灸 治疗变应性鼻炎 61 例临床观察", 《中国实验方剂学杂志》 * |
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