CN1785366A - Gastric blood paste suppressing agent and its preparation method - Google Patents

Abstract

A Chinese medicine in the form of paste for treating gastrorrhagia and protecting gastric mucosa is prepared from 12 Chinese-medicinal materials including bupleurum root, white peony root, rhubarb, liquorice root, etc.

Description

A kind of gastric blood paste suppressing agent and preparation method thereof

Technical field

The present invention relates to a kind of is the Chinese patent medicine of feedstock production, specifically gastric blood paste suppressing agent and preparation method thereof with the Chinese herbal medicine.

Background technology

Upper gastrointestinal hemorrhage is clinical common multiple internal medicine acute disease, belongs to motherland's medical science " hematemesis ", " melena " category.Chinese medicine thinks that this disease is many by eating and drinking without temperance, long-pending heat in the stomach, and feelings will is become estranged, and pathogenic fire derived from stagnation of liver-QI causes fire and contains QI rising in reverse order, and the absurd row of forcing blood forms.

In the existing literature report, domesticly see what stone of Xintian County institute of traditional Chinese medicine is conigenous and intend stomach blood health paste (Radix Astragali, Radix Sanguisorbae, charred Radix Et Rhizoma Rhei, charred Nodus Nelumbinis Rhizomatis, the Pseudobulbus Bletillae (Rhizoma Bletillae), Radix Notoginseng, Endoconcha Sepiae) treatment upper gastrointestinal hemorrhage, this side is a method of treatment with nourishing qi to stop, cooling blood for hemostasis, No.1 Hospital Attached To Jinzhou Medical College Bi Xu east, with self-control hemostasis paste (Radix Notoginseng powder, losec, gavirin tablet) treatment upper gastrointestinal hemorrhage, this is the Integrative Chinese-Western prescription.Liling city, Hunan Province institute of traditional Chinese medicine Pengze dragon, utilization self-control HUANGBAI(sic) hemostasis paste (Radix Astragali, Radix Et Rhizoma Rhei, Pollen Typhae carbon, the Pseudobulbus Bletillae (Rhizoma Bletillae), Os Sepiae, YUNNAN BAIYAO) treatment upper gastrointestinal hemorrhage, the flat research of the Longyan first hospital woods, then single with the rhubarb powder treatment etc.1-2 such as domestic useful Chinese herb rhubarb, Radix Notoginseng, the Pseudobulbus Bletillae (Rhizoma Bletillae), Os Sepiae flavor and other Chinese medicines are formed the research of pastes and powder treatment upper gastrointestinal hemorrhage.But do not see the report identical with pharmaceutical formulation of the present invention.

Summary of the invention

The purpose of this invention is to provide a kind of clearing stomach pathogenic fire reducing that has, soothing the liver sending down the abnormal ascending QI, presses down acid, protection gastric mucosa, promotes multiple effects such as gastrointestinal peristalsis cooling blood for hemostasis and comprehensive hemostasis, and effect is gastric blood paste suppressing agent and preparation method thereof more fully.

Medicine of the present invention is formed by following weight portion feedstock production:

Radix Bupleuri 10～20, the Radix Paeoniae Alba 10～30, Fructus Aurantii Immaturus 10～20, Os Sepiae 10～30, Bulbus Fritillariae Thunbergii 10～30, the Pseudobulbus Bletillae (Rhizoma Bletillae) 10～30, Cortex Magnoliae Officinalis 10～20, Semen Arecae 10～20, Rhizoma Atractylodis 10～20, the Radix Linderae 10～20, Radix Et Rhizoma Rhei 15～30, Radix Glycyrrhizae 6 grams～10.

Preparation method of the present invention is:

1) 1/2 Pseudobulbus Bletillae (Rhizoma Bletillae) is continued to employ and is ground into fine powder;

2) all the other medicines reduce pressure to boil and carry twice except that Radix Et Rhizoma Rhei, and Radix Et Rhizoma Rhei adds in boiling for the second time when carrying, and merging filtrate is concentrated into thick paste, sneaks into Pseudobulbus Bletillae (Rhizoma Bletillae) fine powder, mixes thoroughly;

3) medicine after mixing thoroughly, carry out drying under reduced pressure after, pulverized 80 mesh sieves, promptly can be made into powder.

Can be prepared into the medicine of multiple dosage form with prescription of the present invention.

Among the present invention early stage the single medicine clinical and pharmacological research carried out for three more than ten years, include tannic acid as principal agent Radix Et Rhizoma Rhei in the side, have local convergence and vasoconstrictive effect, the Pseudobulbus Bletillae (Rhizoma Bletillae) is rich in volatile oil, starch and lymphatic temperament, good local hemostasis effect is arranged, can make the hemocyte cohesion, form artificial thrombosis, the Pseudobulbus Bletillae (Rhizoma Bletillae) is ground and more increases its gluing property, the oral bleeding part that directly acts on after face boils paste.Innovative point of the present invention mainly shows: have the clearing stomach pathogenic fire reducing, soothing the liver sending down the abnormal ascending QI, presses down acid, protection gastric mucosa, promotes multiple effects such as gastrointestinal peristalsis cooling blood for hemostasis and comprehensive hemostasis.The Chinese prescription effect of report more comprehensively at present.

Medicine of the present invention obtains satisfactory effect through 63 example treatment upper gastrointestinal hemorrhage clinical observations.

Treatment upper gastrointestinal hemorrhage 63 examples are reported as follows:

One, data and method

1. the inpatient of the physical data 128 routine patients upper gastrointestinal hemorrhage of year accepting for medical treatment for nineteen ninety-five to 2004, wherein male 72 examples, woman's 56 examples, all turn out to be upper gastrointestinal hemorrhage before the treatment through gastroscope, except the concurrent esophagus of hepatitis interstitialis chronica or varices of fundus of stomach is broken, the upper gastrointestinal hemorrhage case due to digestive tract tumor, prolapse of gastric mucosa, biliary tract etc., be divided into treatment at random by the sequencing of being admitted to hospital and organize 63 examples, man's 41 examples, woman's 22 examples, 24～82 years old age, matched group 65 examples, male 42 examples, woman's 23 examples, 22～78 years old age.Two groups of patient's sexes, age, state of an illness typing and amounts of bleeding etc. are through X ²Check there are no significant difference has comparability.Two groups of clinical datas see Table 1:

Table 1 liang group case clinical data relatively

Group		Cause of bleeding (example)		Extent of hemorrhage
							Gastric ulcer	Duodenal ulcer	Stress ulcer	Slightly	Moderate	Severe
	Treatment group matched group	22 20	36 39	5 6	20 22	38 40							5 3

2, extent of hemorrhage

Slightly: estimate blood volume in 500 milliliters, melena is shaped, and idol has giddy, cardiopalmus, and pulse frequency, hemoglobin do not have significant change.

Moderate: estimate blood volume at 500～1000 milliliters, the loose stool darkish complexion is as lacquer, and haematemesis, cardiopalmus, xerostomia, dizzy or see faintness, pulse frequency about 100 times/minute, hemoglobin 70～100 grams per liters can be arranged.

Severe: estimate blood volume more than 1000 milliliters, hematemesis hematochezia is done frequently, dizzy cardiopalmus, xerostomia oliguria, cold extremities due to sweating very then, staring spells or stupor, faint and thready pulse wild, pulse frequency is more than 120 times/minute, blood pressure drops, systolic pressure are below 90mmHg, and hemoglobin is lower than 70 grams per liters. ^①

Two, Therapeutic Method

1, matched group: adopt conventional western medicine: lie up (1); (2) replenishment of blood content; (3) gastric acid inhibitory and protection gastric mucosa; (4) hemorrhage; (5) the severe bleeding person to add norepinephrine with brine ice oral; (6) then fasting of vomiter is arranged to severe bleeding in, notice during the fasting that energy is supplied with, interior environment stable, treatments such as blood transfusion, shock in case of necessity.

2. treatment group: when adopting conventional western medicine, oral from intending " stomach blood ends " powder (medicine of the present invention), usage: each 5 grams, boil together with the dilution Amylum Nelumbinis Rhizomatis, put and take after cold, or injection in the stomach tube.Every day 3～4 times.One week of the course of treatment.

Three, criterion of therapeutical effect and therapeutic outcome

1, criterion of therapeutical effect:

(1) clinical cure: A spits blood in one week or melena stops, and fecal occult blood testing is negative for three days on end.B is hemorrhage, and simultaneous phenomenon obviously improves.

(2) produce effects: A spits blood in one week or melena stops, for three days on end fecal occult blood testing (+).B is hemorrhage, and simultaneous phenomenon makes moderate progress.

(3) effective: A one all internal hemorrhages reduce, and fecal occult blood transfers (++) to by strong sun.B is hemorrhage, and the symptom of following is slightly improved.

(4) invalid: A is through controlling a week, and haemophilia, severe bleeding do not have improvement even increase the weight of after treating 24 hours.The hemorrhage simultaneous phenomenon of B does not have improvement or increases the weight of.

(5) increase the weight of: A is through controlling a week, and amount of bleeding is growing on and on.B is hemorrhage, and simultaneous phenomenon increases the weight of, or disease (shock) occurs taking off. ^②

2, therapeutic outcome

Two groups of curative effects relatively see Table 2

Table 2 liang group curative effect relatively

Group	The example number	Cure	Produce effects	Effectively	Invalid	Increase the weight of	Total effective rate (%)
								Treatment group matched group	63 65	25 13	19 30	11 10	3 9	5 3	87.3 81.5

Though treatment group total effective rate is higher than matched group, two groups are not relatively had significant difference (X ²=0.806, P＞0.05).And treatment group cure rate is apparently higher than matched group, two groups of relatively there were significant differences (X ²=5.937, P＜0.05〉two groups of stool clearance times: treatment group average out to 3.2+1.6 days, matched group average out to 4.6+1.5 days.Two groups relatively have significant difference P＜0.05.The treatment group was not met the impaired performance of quick and obvious hepatic and renal function during whole treatment.

Discuss:

Upper gastrointestinal hemorrhage is clinical common anxious critical illness, how by due to the ESD mucosa pathological changes, sees at most with digestive ulcerative bleeding.From plan side " stomach blood end " be the inventor overview name side at all times and in conjunction with oneself for many years clinical experience and form, have eliminating stomach-fire, soothing the liver sending down the abnormal ascending QI, the effect of cooling blood for hemostasis.Single medicinal material in the side, mixture, electuary have been seen in many reports, as Radix Et Rhizoma Rhei, include tannic acid, have local convergence and vasoconstrictive effect.The Pseudobulbus Bletillae (Rhizoma Bletillae) is rich in volatile oil, starch and lymphatic temperament, and good local hemostasis effect is arranged, and can make the hemocyte cohesion, forms artificial thrombosis, and the Pseudobulbus Bletillae (Rhizoma Bletillae) is ground and more increases its gluing property, the oral bleeding part that directly acts on after face boils paste.Os Sepiae, Bulbus Fritillariae Thunbergii have tangible absorption pepsin and in and the effect of gastric acid, thereby can protect ulcer surface.Paeoniflorin in the Radix Paeoniae has preventive effect to stress ulcer, and suppresses gastric secretion.All the other all medicine synergism play the effect of clearing stomach hemostatic jointly.By above-mentioned clinicaling curative effect contrast observation, can see that add and use from plan side " stomach blood ends ", bleeding stopping period obviously shortens on the basis of conventional western medicine, cure rate improves.Reduced the hospital stays thus, reduced medical expense, alleviated the patient burden, and do not seen obvious toxic-side effects, safety, reliable.Therefore from intending " stomach blood ends " side's treatment upper gastrointestinal hemorrhage good effect, can improve dosage form, strive for the scientific research project verification, further use at clinical expansion.

(list of references: 1. Lee opens emerging. tcm clinical scientific research guide [M]. and Chengdu: Sichuan science tech publishing house, 1990,540; 2. Department of Medical Administration of State Administration of Traditional Chinese Medicine blood disorder emergency case cooperative groups. tcm internal medicine emergency case diagnosis and treatment standard (blood disorder emergency case diagnosis and treatment standard) [M]. Beijing: Department of Medical Administration of State Administration of Traditional Chinese Medicine, 1994,60.)

The specific embodiment

Embodiment 1:

(kilogram) gets raw material by weight: Radix Bupleuri 10, the Radix Paeoniae Alba 10, Fructus Aurantii Immaturus 10, Os Sepiae 10, Bulbus Fritillariae Thunbergii 10, the Pseudobulbus Bletillae (Rhizoma Bletillae) 10, Cortex Magnoliae Officinalis 10, Semen Arecae 10, Rhizoma Atractylodis 10, the Radix Linderae 10, Radix Et Rhizoma Rhei 15, Radix Glycyrrhizae 6 grams.

Preparation method:

1) 1/2 Pseudobulbus Bletillae (Rhizoma Bletillae) is continued to employ and is ground into fine powder;

2) all the other medicines reduce pressure except that Radix Et Rhizoma Rhei, boil and carry twice, and Radix Et Rhizoma Rhei adds in boiling for the second time when carrying, and merging filtrate is concentrated into thick paste, sneaks into Pseudobulbus Bletillae (Rhizoma Bletillae) fine powder, mixes thoroughly;

3) medicine after mixing thoroughly, carry out drying under reduced pressure (existing routine techniques) after, pulverized 80 mesh sieves, promptly can be made into powder.

Embodiment 2:

(kilogram) gets raw material by weight: Radix Bupleuri 15, the Radix Paeoniae Alba 15, Fructus Aurantii Immaturus 15, Os Sepiae 15, Bulbus Fritillariae Thunbergii 15, the Pseudobulbus Bletillae (Rhizoma Bletillae) 20, Cortex Magnoliae Officinalis 15, Semen Arecae 15, Rhizoma Atractylodis 12, the Radix Linderae 15, Radix Et Rhizoma Rhei 20, Radix Glycyrrhizae 8 grams.

Press the method preparation of embodiment 1.

Embodiment 3:

(kilogram) gets raw material by weight: Radix Bupleuri 20, the Radix Paeoniae Alba 30, Fructus Aurantii Immaturus 20, Os Sepiae 30, Bulbus Fritillariae Thunbergii 30, the Pseudobulbus Bletillae (Rhizoma Bletillae) 30, Cortex Magnoliae Officinalis 20, Semen Arecae 20, Rhizoma Atractylodis 20, the Radix Linderae 20, Radix Et Rhizoma Rhei 30, Radix Glycyrrhizae 10.

Press the method preparation of embodiment 1.

Claims (2)

1. a gastric blood paste suppressing agent is characterized in that it is the medicine that is become by following weight portion feedstock production: Radix Bupleuri 10～20, the Radix Paeoniae Alba 10～30, Fructus Aurantii Immaturus 10～20, Os Sepiae 10～30, Bulbus Fritillariae Thunbergii 10～30, the Pseudobulbus Bletillae (Rhizoma Bletillae) 10～30, Cortex Magnoliae Officinalis 10～20, Semen Arecae 10～20, Rhizoma Atractylodis 10～20, the Radix Linderae 10～20, Radix Et Rhizoma Rhei 15～30, Radix Glycyrrhizae 6 grams～10.

2, the preparation method of the described gastric blood paste suppressing agent of claim 1 is characterized in that it is to carry out according to the following steps:

1) 1/2 Pseudobulbus Bletillae (Rhizoma Bletillae) is continued to employ and is ground into fine powder;

2) all the other medicines reduce pressure to boil and carry twice except that Radix Et Rhizoma Rhei, and Radix Et Rhizoma Rhei adds in boiling for the second time when carrying, and merging filtrate is concentrated into thick paste, sneaks into Pseudobulbus Bletillae (Rhizoma Bletillae) fine powder, mixes thoroughly;

3) medicine after mixing thoroughly, carry out drying under reduced pressure after, pulverized 80 mesh sieves, promptly can be made into powder.