CN115252743B - Traditional Chinese medicine composition and traditional Chinese medicine preparation for treating or preventing arthralgia - Google Patents
Traditional Chinese medicine composition and traditional Chinese medicine preparation for treating or preventing arthralgia Download PDFInfo
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- A61K2236/30—Extraction of the material
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Abstract
The invention discloses a traditional Chinese medicine composition and a traditional Chinese medicine preparation for treating or preventing joint pain, wherein the traditional Chinese medicine composition comprises the following components in parts by weight: 15-30 parts of phellodendron, 10-25 parts of rheum officinale, 10-25 parts of radix scutellariae, 10-25 parts of gardenia, 4-10 parts of radix saposhnikoviae, 4-10 parts of notopterygium root, 4-10 parts of cinnamon, 10-25 parts of nutgrass galingale rhizome, 4-10 parts of radix curcumae and 4-10 parts of liquorice. The composition can effectively relieve joint pain and other problems caused by damp-heat blockage, and effectively solves the problems of numerous formula components and poor treatment effect of the existing composition.
Description
Technical Field
The invention relates to the technical field of traditional Chinese medicines, in particular to a traditional Chinese medicine composition and a traditional Chinese medicine preparation for treating or preventing joint pain.
Background
Gout is a recurrent inflammatory disease caused by increased purine biosynthesis and metabolism, excessive uric acid production or elevated uric acid in blood due to poor uric acid excretion, and deposition of urate crystals in joint synovium, bursa, cartilage and other tissues. It is a group of heterologous diseases caused by the precipitation of monosodium urate crystals (MSU) or uric acid in the extracellular fluid in a supersaturated state, causing the crystals to deposit in tissues. The disease is characterized in that single-water sodium urate crystals with double refraction can be found in joint fluid and tophus. The clinical characteristics are as follows: hyperuricemia, characteristic acute arthritis, tophus and interstitial nephritis caused by urate crystallization and deposition, joint deformity and dysfunction are serious, and uric acid urinary tract calculus is often accompanied.
Gout belongs to the category of traditional Chinese medicine heat arthralgia, and heat arthralgia with local red swelling and heat pain as main symptoms is the common medicine components for treating rheumatic heat arthralgia on the market at present, and the medicine components mainly have the effects of diminishing inflammation and easing pain, so that the medicine has an unsatisfactory treatment effect on gout.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a traditional Chinese medicine composition and a traditional Chinese medicine preparation for treating or preventing joint pain, which can effectively relieve the problems of joint pain and the like caused by damp-heat blockage and effectively solve the problems of numerous formula components and poor treatment effect of the traditional composition.
In order to achieve the above purpose, the technical scheme adopted by the invention for solving the technical problems is as follows:
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 15-30 parts of phellodendron, 10-25 parts of rheum officinale, 10-25 parts of radix scutellariae, 10-25 parts of gardenia, 4-10 parts of radix saposhnikoviae, 4-10 parts of notopterygium root, 4-10 parts of cinnamon, 10-25 parts of nutgrass galingale rhizome, 4-10 parts of radix curcumae and 4-10 parts of liquorice.
Further, the composition comprises the following components in parts by weight: 20-25 parts of phellodendron, 14-18 parts of rheum officinale, 14-18 parts of radix scutellariae, 14-18 parts of gardenia, 7-9 parts of radix sileris, 7-9 parts of notopterygium root, 7-9 parts of cinnamon, 14-18 parts of nutgrass galingale rhizome, 7-9 parts of radix curcumae and 7-9 parts of liquorice.
Further, the composition comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of radix sileris, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of nutgrass galingale rhizome, 8 parts of radix curcumae and 8 parts of liquorice.
A Chinese medicinal preparation for treating or preventing arthralgia is prepared from the above Chinese medicinal composition.
Further, the Chinese medicinal preparation is an external preparation.
Further, the external preparation is a plaster, a liniment or a spray.
Further, the preparation method of the external preparation comprises the following steps: soaking the above Chinese medicinal materials in cold water in a marmite, preferably soaking the decoction pieces for about 2cm, boiling with strong fire for 30min, maintaining with slow fire for 15-20 min, filtering to obtain decoction, decocting with water for 2 times again, mixing the decoctions, and mixing with adjuvants to obtain topical preparation.
The beneficial effects of the invention are as follows:
the cortex phellodendri is reused as a monarch drug in the composition, and the composition has the effects of clearing heat, drying dampness, purging fire, removing toxin and treating sore and has the characteristic of walking down the coke; the rhubarb and the baical skullcap root are compatible as ministerial drugs, and the two drugs are used for clearing heat, drying dampness and detoxifying to assist the monarch drug amur corktree bark in dispelling pathogenic factors of damp-heat limb arthralgia; but also can promote blood circulation and remove blood stasis by using rhubarb to promote blood circulation and quickly improve pain symptoms. The gardenia, the radix sileris, the notopterygium root, the cinnamon, the nutgrass galingale rhizome, the radix curcumae and other medicines are added, wherein the gardenia is good at removing triple energizer, and the effects of clearing heat and purging fire, cooling blood and detoxifying remove damp-heat toxin accumulated in viscera and blood vessels are achieved, so that the monarch and ministerial medicine effect is comprehensively enhanced, and diseases caused by excessive pathogenic qi are prevented; wind-dispelling and dampness-removing effects of radix Saposhnikoviae and Notopterygii rhizoma can enhance arthralgia-relieving and pain-relieving effects; cinnamon is combined with rheum officinale and curcuma aromatica which activate blood to warm and dredge channels and collaterals to dredge the channels and relieve pain, and is combined with warm wind-proof, notopterygium root, nutgrass galingale rhizome and other medicines which are warm in nature, and auxiliary and ministerial medicines are adjunctively prepared to remove cold and stagnation and ice and stay evil, so that the Chinese medicine is prepared by dredging collaterals and removing arthralgia and relieving pain; the nutgrass galingale rhizome can promote qi circulation, not only can dissipate arthralgia and block qi stagnation, but also can promote qi circulation to promote blood circulation and remove arthralgia; radix Curcumae has effects of promoting blood circulation and relieving pain for blood heat stasis, cooling blood, dispelling blood stasis. The above 6 medicines or adjuvants or adjuvant systems are combined with each other as the adjuvant medicines in the prescription. The liquorice regulates all the medicines in the whole formula, so that cold and heat are suitable and the synergy is achieved; rou Gui, xiang Fu and Yu jin are all fragrant, so they can promote transdermal effect when used for external treatment, and Licorice root can be used as the guiding drug in the recipe. The whole formula is compatible, has the main effects of clearing heat, drying dampness, removing toxicity, promoting blood circulation, promoting qi circulation and dredging channels, and has the effects of relieving and promoting health and rehabilitation for inadaptation such as pain, swelling, joint movement limitation and the like caused by damp-heat blockage of joints.
Detailed Description
Example 1
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 17 parts of phellodendron, 13 parts of rheum officinale, 13 parts of radix scutellariae, 13 parts of gardenia, 6 parts of radix sileris, 6 parts of notopterygium root, 4 parts of cinnamon, 8 parts of nutgrass galingale rhizome, 6 parts of radix curcumae and 7 parts of liquorice.
The preparation method of the external preparation prepared from the composition comprises the following steps: soaking the above Chinese medicinal materials in cold water in a marmite, preferably soaking the decoction pieces for about 2cm, boiling with strong fire for 30min, maintaining with slow fire for 15-20 min, filtering to obtain decoction, decocting with water for 2 times again, mixing the decoctions, and mixing with adjuvants to obtain topical plaster.
Example 2
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 27 parts of phellodendron, 20 parts of rheum officinale, 14 parts of radix scutellariae, 20 parts of gardenia, 6 parts of radix saposhnikoviae, 6 parts of notopterygium root, 9 parts of cinnamon, 20 parts of nutgrass galingale rhizome, 9 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Example 3
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 22 parts of phellodendron, 18 parts of rheum officinale, 18 parts of scutellaria baicalensis, 12 parts of gardenia, 8 parts of radix sileris, 9 parts of notopterygium root, 10 parts of cinnamon, 22 parts of nutgrass galingale rhizome, 10 parts of radix curcumae and 7 parts of liquorice.
The preparation method is the same as in example 1.
Example 4
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of radix sileris, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of nutgrass galingale rhizome, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 1
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of coptis chinensis, 16 parts of rheum officinale, 16 parts of scutellaria baicalensis, 16 parts of gardenia, 8 parts of radix saposhnikoviae, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of rhizoma cyperi, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 2
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of ligusticum wallichii, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of radix sileris, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of rhizoma cyperi, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 3
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of scutellaria baicalensis, 16 parts of purslane, 8 parts of radix sileris, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of rhizoma cyperi, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 4
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of radix saposhnikoviae, 8 parts of radix angelicae pubescentis, 8 parts of cinnamon, 16 parts of rhizoma cyperi, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 5
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of stephania tetrandra, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of nutgrass galingale rhizome, 8 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Comparative example 6
A traditional Chinese medicine composition for treating or preventing joint pain comprises the following components in parts by weight: 10 parts of phellodendron, 25 parts of rheum officinale, 25 parts of scutellaria baicalensis, 10 parts of gardenia, 8 parts of radix sileris, 8 parts of notopterygium root, 5 parts of cinnamon, 16 parts of nutgrass galingale rhizome, 12 parts of radix curcumae and 8 parts of liquorice.
The preparation method is the same as in example 1.
Test examples
1. Treatment of gout
1. Clinical data
1.1 Patients 200 persons in the period of onset of gout, with the age between 35 and 66 years, with the average age of 46.3 years, were collected for clinical diagnosis in the period of time 2020-2022, were randomized into 10 groups of 20 persons each, were comparable between each group of patients, uric acid levels of each group of patients were measured and uric acid averages of the group of patients were calculated, uric acid averages of each group of patients were used as uric acid data of the group of patients, and then the patches of examples 1-4 and comparative examples 1-6 were used for each group of patients, respectively, one patch per day for 3 consecutive days, and uric acid levels of each group of patients were continuously measured and uric acid averages of each group of patients were calculated, with specific results shown in table 1.
Table 1: uric acid content
Uric acid content (umol/L) before use | Uric acid content after use (umol/L) | |
Example 1 | 582.1 | 298.4 |
Example 2 | 548.3 | 284.2 |
Example 3 | 542.2 | 279.6 |
Example 4 | 576.8 | 251.2 |
Comparative example 1 | 539.8 | 487.2 |
Comparative example 2 | 551.7 | 445.7 |
Comparative example 3 | 566.3 | 444.1 |
Comparative example 4 | 541.5 | 435.7 |
Comparative example 5 | 568.6 | 429.2 |
Comparative example 6 | 547.5 | 401.3 |
As can be seen from the data in the above table, the Chinese medicinal compositions in examples 1-4 can effectively reduce uric acid content in hematuria and relieve pain of patients; however, the effect of reducing uric acid content of patients is not as obvious as that of the composition in examples after the formulas of the traditional Chinese medicine compositions in comparative examples 1-6 are changed, namely, the traditional Chinese medicine composition claimed in the application has obvious effect of treating pains caused by gout.
2. Treatment of joint pain without explicit cause
200 Patients with joint pain, who had undergone hospital visit in the clinic between 2020 and 2022 years, were collected, the ages of the patients were between 30 and 66 years, all patients were excluded from the possibility of gout, the patients were randomly divided into 10 groups of 20 persons, the patches in examples 1 to 4 and comparative examples 1 to 6 were used for 10 groups of patients, respectively, 1 time a day for 3 days, and the conditions of the patients were observed and recorded, and the specific results are shown in table 2.
Diagnostic criteria:
the method is effective: the symptoms of joint pain of the patient are reduced;
Invalidation: the symptoms of the joint pain of the patient have no obvious change;
and (3) healing: the symptoms of the joint pain of the patient completely disappear;
effective rate = (effective number + healed number)/total number × 100%
Table 2: treatment of joint pain
Headcount (person) | Effective number of people (people) | The number of people (people) healed | Invalid person number (person) | Cure rate (%) | |
Example 1 | 20 | 10 | 10 | 0 | 100 |
Example 2 | 20 | 8 | 12 | 0 | 100 |
Example 3 | 20 | 7 | 13 | 0 | 100 |
Example 4 | 20 | 5 | 15 | 0 | 100 |
Comparative example 1 | 20 | 12 | 1 | 7 | 65 |
Comparative example 2 | 20 | 14 | 2 | 4 | 80 |
Comparative example 3 | 20 | 14 | 1 | 5 | 75 |
Comparative example 4 | 20 | 15 | 2 | 3 | 85 |
Comparative example 5 | 20 | 15 | 2 | 3 | 85 |
Comparative example 6 | 20 | 14 | 1 | 5 | 75 |
From the results in the above tables, it is known that the Chinese medicinal compositions in examples 1 to 4 also have a better therapeutic effect on joint pain caused by non-gout, and the therapeutic effect is far higher than that of the Chinese medicinal compositions in comparative examples 1 to 6.
Clinical application shows that the external preparation of the traditional Chinese medicine composition has a good treatment effect on the arthralgia in the attack stage, and can effectively relieve the pain symptoms of patients.
Comparing the traditional Chinese medicine composition in comparative example 1 with the traditional Chinese medicine composition in example 4, the golden cypress is replaced by the golden thread with similar action, and the treatment effect of the replaced golden cypress is obviously deteriorated although the action of the golden cypress is similar, and the fact that the golden cypress used in the application has interaction with other medicines proves that the whole treatment effect of the prescription can be improved, and the interaction between the prescriptions disappears after the golden cypress is replaced, so that the treatment effect is poor.
Comparing the traditional Chinese medicine composition in comparative example 2 with the traditional Chinese medicine composition in example 4, the rheum officinale is replaced by ligusticum wallichii with similar effect, but the result shows that the treatment effect of the replaced formula is poor, and the traditional Chinese medicine composition has interaction relationship with other components, so that the interaction relationship in the replaced formula disappears to cause the poor treatment effect.
The traditional Chinese medicine compositions in comparative examples 3-5 also respectively replace components in the compositions, and the results show that the treatment effect of the replaced compositions is poor, and the results prove that the interaction relationship between the replaced compositions is changed, so that the treatment effect is poor, and further prove that the compositions have interaction synergistic effect and have better treatment effect when being matched.
Comparing the traditional Chinese medicine composition of comparative example 6 with example 4, the composition has unchanged components, but the dosage of the components changes, and the result shows that the treatment effect of the changed composition also becomes poor, which proves that the monarch, minister, assistant and guide relationship in the composition with changed dosage changes correspondingly, so that the treatment effect of the composition changes.
Claims (4)
1. The traditional Chinese medicine composition for treating or preventing joint pain is characterized by comprising the following components in parts by weight: 17 parts of phellodendron, 13 parts of rheum officinale, 13 parts of radix scutellariae, 13 parts of gardenia, 6 parts of radix sileris, 6 parts of notopterygium root, 4 parts of cinnamon, 8 parts of nutgrass galingale rhizome, 6 parts of radix curcumae and 7 parts of liquorice; or (b)
The composite material consists of the following components in parts by weight: 27 parts of phellodendron, 20 parts of rheum officinale, 14 parts of radix scutellariae, 20 parts of gardenia, 6 parts of radix saposhnikoviae, 6 parts of notopterygium root, 9 parts of cinnamon, 20 parts of nutgrass galingale rhizome, 9 parts of radix curcumae and 8 parts of liquorice; or (b)
The composite material consists of the following components in parts by weight: 22 parts of phellodendron, 18 parts of rheum officinale, 18 parts of scutellaria baicalensis, 12 parts of gardenia, 8 parts of radix sileris, 9 parts of notopterygium root, 10 parts of cinnamon, 22 parts of nutgrass galingale rhizome, 10 parts of radix curcumae and 7 parts of liquorice; or (b)
The composite material consists of the following components in parts by weight: 24 parts of phellodendron, 16 parts of rheum officinale, 16 parts of radix scutellariae, 16 parts of gardenia, 8 parts of radix sileris, 8 parts of notopterygium root, 8 parts of cinnamon, 16 parts of nutgrass galingale rhizome, 8 parts of radix curcumae and 8 parts of liquorice.
2. A traditional Chinese medicine preparation for treating or preventing joint pain, which is characterized by being prepared from the traditional Chinese medicine composition of claim 1.
3. The Chinese medicinal preparation for treating or preventing joint pain according to claim 2, wherein the preparation is an external preparation.
4. The Chinese medicinal preparation for treating or preventing joint pain according to claim 3, wherein the external preparation is a plaster, a liniment or a spray.
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Citations (2)
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CN102988558A (en) * | 2012-11-29 | 2013-03-27 | 王萍 | Healthful traditional Chinese medicine composition for gouty arthritis |
CN105664056A (en) * | 2016-03-17 | 2016-06-15 | 孙绍裘 | Traditional Chinese medicine composition for treating orthopedic diseases, preparing method of traditional Chinese medicine composition and preparation |
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CN102988558A (en) * | 2012-11-29 | 2013-03-27 | 王萍 | Healthful traditional Chinese medicine composition for gouty arthritis |
CN105664056A (en) * | 2016-03-17 | 2016-06-15 | 孙绍裘 | Traditional Chinese medicine composition for treating orthopedic diseases, preparing method of traditional Chinese medicine composition and preparation |
Non-Patent Citations (2)
Title |
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三黄散内服外敷治疗急性痛风性关节炎;彭育新;《中国中医急症》;第21卷(第7期);1156 * |
金黄栀子散外敷治疗急性扭挫伤86例;王运太 等;《中医外治杂志》(第2期);47 * |
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