CN102688401B - Couchgrass root Chinese medicinal oral liquid for treating chronic hepatitis and preparation method thereof - Google Patents
Couchgrass root Chinese medicinal oral liquid for treating chronic hepatitis and preparation method thereof Download PDFInfo
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Abstract
Description
技术领域 technical field
本发明涉及一种中药制品,尤其涉及一种用于治疗慢性肝炎茅根中药口服液及其制备方法。The invention relates to a traditional Chinese medicine product, in particular to a traditional Chinese medicine oral liquid for treating chronic hepatitis and a preparation method thereof.
背景技术 Background technique
慢性肝炎是指由不同病因引起的,病程至少持续超过6个月以上的肝脏坏死和炎症,临床上可有相应的症状、体征和肝生化检查异常,也可以无明显临床症状,仅有肝组织的坏死和炎症。病程呈波动性或持续进行性,如不进行适当的治疗,部分患者可进展为肝硬化。慢性肝炎轻、中度:典型慢性肝炎的早期症状轻微且缺乏特异性,呈波动性间歇性,甚至多年没有任何症状。最常见的就是容易疲劳和胃部不适,容易被忽略,也容易被误认为是胃病;临床上经常见到隐匿性肝硬化患者,在出现肝硬化之前,没有感觉到明显不适,也没有进行常规的体检,在不知不觉中逐步发展成为肝硬化;偶有患者出现恶心,腹胀、黄疸,尿色深,慢性肝炎由于肝细胞被破坏,肝功能反复异常,导致病情迁延不愈或反复发作,目前尚缺乏有效的治疗手段,给病人的生理和心理都造成了很大的痛苦,严重影响了病人的生活质量,并对病人的生命造成威胁。西药治疗慢性肝炎疾病用药存在弊病是副作用大,对患者有很大的伤害,而中医中草药己被世界公认是不可缺人类医药珍贵的宝库,采用中医中药的手段来治疗慢性肝炎疾病,是一极待开发的渠道,中医药具有药性平和,适用范围广等特点,作为慢性肝炎疾病治疗方面有其独到的效果。Chronic hepatitis refers to liver necrosis and inflammation caused by different etiologies, and the course of disease lasts for at least 6 months. Clinically, there may be corresponding symptoms, signs, and abnormal liver biochemical tests, or there may be no obvious clinical symptoms, only liver tissue of necrosis and inflammation. The course of the disease is fluctuating or continuous. Without proper treatment, some patients may progress to liver cirrhosis. Mild to moderate chronic hepatitis: The early symptoms of typical chronic hepatitis are mild and non-specific, fluctuating intermittently, and even without any symptoms for many years. The most common ones are easy fatigue and stomach discomfort, which are easy to be ignored and mistaken for stomach problems; patients with occult liver cirrhosis are often seen clinically. Unknowingly, it gradually develops into liver cirrhosis; occasionally patients experience nausea, abdominal distension, jaundice, and dark urine. Chronic hepatitis is caused by the destruction of liver cells and repeated abnormalities in liver function, resulting in protracted disease or recurrent attacks. At present, there is still a lack of effective treatment methods, which have caused great pain to the patient's physiology and psychology, seriously affected the quality of life of the patient, and threatened the patient's life. The disadvantages of Western medicine in the treatment of chronic hepatitis are the large side effects and great harm to patients. However, Chinese herbal medicine has been recognized by the world as an indispensable and precious treasure house of human medicine. It is extremely important to use traditional Chinese medicine to treat chronic hepatitis. As a channel to be developed, Chinese medicine has the characteristics of mild medicinal properties and wide application range, and has its unique effect in the treatment of chronic hepatitis diseases.
发明内容 Contents of the invention
本发明的目的是提供一种疗效持久,标本兼治,成本低的治疗慢性肝炎茅根中药口服液及其制备方法。The object of the present invention is to provide a long-lasting curative effect, treating both symptoms and root causes, and low-cost Maogen traditional Chinese medicine oral liquid for treating chronic hepatitis and a preparation method thereof.
为实现上述目的,本发明是通过以下技术方案实现的:To achieve the above object, the present invention is achieved through the following technical solutions:
本发明的技术方案是:治疗慢性肝炎茅根中药口服液,是由下列重量份的中药原料制备而成:The technical scheme of the present invention is: the Chinese medicine oral liquid for treating chronic hepatitis is prepared from the following Chinese medicine raw materials in parts by weight:
茅根90-180份、茵陈90-180份、白术30-90份、姜半夏30-90份、柴胡30-90份、地黄90-180份、三七30-90份、地龙30-90份、甘草30-60份。90-180 parts of Chine root, 90-180 parts of Yin Chen, 30-90 parts of Atractylodes macrocephala, 30-90 parts of Jiang Pinellia, 30-90 parts of Bupleurum, 90-180 parts of Rehmannia, 30-90 parts of Panax notoginseng, 30-90 parts of Dilong 30-60 parts of licorice.
所述的治疗慢性肝炎茅根中药口服液,是由下列重量份的中药原料制备而成:The described Chinese medicine oral liquid of Maogen for treating chronic hepatitis is prepared from the following Chinese medicine raw materials in parts by weight:
茅根180份、茵陈180份、白术90份、姜半夏90份、柴胡90份、地黄180份、三七90份、地龙90份、甘草60份。180 parts of Chinensis, 180 parts of Yinchen, 90 parts of Atractylodes macrocephala, 90 parts of Jiang Pinellia, 90 parts of Bupleurum, 180 parts of Rehmannia, 90 parts of Panax notoginseng, 90 parts of Dilong, 60 parts of Licorice.
所述的治疗慢性肝炎茅根中药口服液的制备方法,具体步骤如下The preparation method of described treatment chronic hepatitis Maogen Chinese medicine oral liquid, concrete steps are as follows
取茅根180份、茵陈180份、白术90份、姜半夏90份、柴胡90份、地黄180份、三七90份、地龙90份、甘草60份,用水煎煮二次,每次用水量为药材重量的8-10倍量,煎煮二次,每次1-2小时,滤过,滤液浓缩成在60-65℃测相对密度1.10-1.25的清膏,加乙醇至使含乙醇量为60%,搅匀,静置24小时,滤过,取滤液回收乙醇,浓缩成含固体重量65-67%的浸膏,加入蔗糖20%、炼蜜12%、防腐剂1-3%,原液灌封,辐照灭菌,包装成品,制成口服液,即得。Take 180 parts of Chinensis, 180 parts of Yinchen, 90 parts of Atractylodes macrocephala, 90 parts of Jiang Pinellia, 90 parts of Bupleurum, 180 parts of Dihuang, 90 parts of Panax notoginseng, 90 parts of Dilong, 60 parts of licorice, decoct twice with water, each time with water The amount is 8-10 times the weight of the medicinal material, decocted twice, 1-2 hours each time, filtered, the filtrate is concentrated into a clear paste with a relative density of 1.10-1.25 measured at 60-65 ° C, and ethanol is added Stir evenly until the ethanol content is 60%, let it stand for 24 hours, filter, take the filtrate to recover ethanol, concentrate it into an extract containing 65-67% of solid weight, add 20% of sucrose, 12% of refined honey, preservative 1-3%, the stock solution is filled and sealed, sterilized by irradiation, packaged as a finished product, and made into an oral liquid to obtain.
用法与用量:口服,本发明药物每次20毫升,每日3次,饭后半小时,3个月为一个疗程。Usage and dosage: take orally, each 20 milliliters of medicine of the present invention, every day 3 times, half an hour after meal, 3 months is a course of treatment.
本发明的中药原料中,茅根:甘、寒,归肺、胃、膀胱经,凉血止血、清热利尿;茵陈:苦、辛,微寒,归脾、胃、肝、胆经,清湿热、退黄疸、用于黄疸尿少、湿疮瘙痒、传染性黄疸型肝炎;白术:苦、甘、温,归脾、胃经,补气健脾、燥湿利水、止汗、安胎;姜半夏:辛、温、有毒,归脾、胃、肺经,降逆止呕、用于呕吐反胃、胸脘痞闷、梅核气;柴胡:苦、微寒,归肝经、胆经,疏散退热、升阳舒肝、感冒发热、寒热往来、疟疾、肝郁气滞、胸肋胀痛、脱肛、子宫脱落、月经不调;地黄:甘、苦、寒,归心、肝、肾经,清热凉血,养阴生津;地龙:寒、咸,入肝经、脾经、膀胱经,清热息风、通络、平喘、利尿:三七:甘、微苦、温,归心、肝、脾经,化瘀止血、活血定痛;甘草:甘、平,归心、脾、肺、胃经,补脾益气、润肺止咳、清热解毒、缓解止痛、缓和药性;诸药共奏疏肝利胆退黄、活血化淤、通络养肝之功,本发明中药制剂消除肝胆气机郁滞,减轻肝脏损害,使胆汁分泌与排泄功能恢复正常,起到扶正不滞邪、祛邪不伤正的作用,成本低,值得临床推广应用。Among the raw materials of traditional Chinese medicine of the present invention, Rhizoma Chinensis: sweet and cold, returns to lung, stomach and bladder meridian, cools blood and stops bleeding, clears away heat and diuresis; Capillaris: bitter, pungent, slightly cold, returns to spleen, stomach, liver and gallbladder meridian, clears damp and heat , anti-jaundice, for jaundice oliguria, eczema pruritus, infectious jaundice hepatitis; : pungent, warm, poisonous, return spleen, stomach, lung meridian, reduce adverse flow rate and stop vomiting, be used for vomiting and regurgitation, chest cavity full of oppression, Meihe Qi; Bupleurum: bitter, slightly cold, return liver meridian, gallbladder meridian, evacuate Antipyretic, raising yang and soothing the liver, common cold and fever, alternating cold and heat, malaria, stagnation of liver and qi stagnation, distending pain in the chest and ribs, prolapse of the anus, prolapse of the uterus, irregular menstruation; Clearing heat and cooling blood, nourishing yin and promoting body fluid; Dilong: cold and salty, enters the Liver, Spleen, and Bladder meridians, clears heat and calms wind, unblocks collaterals, relieves asthma, diuretic: Notoginseng: sweet, slightly bitter, warm, returns to the heart, liver , spleen meridian, blood stasis and hemostasis, blood circulation and analgesic; Licorice: sweet, flat, heart-guiding, spleen, lung, stomach meridian, invigorating spleen and Qi, moistening lung and relieving cough, clearing heat and detoxification, relieving pain and relieving drug properties; all medicines play a role in soothing the liver With the functions of invigorating the gallbladder and reducing jaundice, promoting blood circulation and removing stasis, dredging collaterals and nourishing the liver, the traditional Chinese medicine preparation of the present invention eliminates stagnation of liver and gallbladder qi, relieves liver damage, restores normal bile secretion and excretion functions, and plays a role in strengthening the body without stagnation of evils and eliminating evils. The effect of injury is positive, the cost is low, and it is worthy of clinical promotion and application.
具体实施方式 Detailed ways
实施例1:Example 1:
中药原料:茅根180份、茵陈180份、白术90份、姜半夏90份、柴胡90份、地黄180份、三七90份、地龙90份、甘草60份。Chinese medicine raw materials: 180 parts of Chinensis, 180 parts of Yinchen, 90 parts of Atractylodes macrocephala, 90 parts of Jiang Pinellia, 90 parts of Bupleurum, 180 parts of Dihuang, 90 parts of Panax notoginseng, 90 parts of Dilong, 60 parts of licorice.
制法:取茅根180份、茵陈180份、白术90份、姜半夏90份、柴胡90份、地黄180份、三七90份、地龙90份、甘草60份,用水煎煮二次,每次用水量为药材重量的8-10倍量,煎煮二次,每次1-2小时,滤过,滤液浓缩成在60-65℃测相对密度1.10-1.25的清膏,加乙醇至使含乙醇量为60%,搅匀,静置24小时,滤过,取滤液回收乙醇,浓缩成含固体重量65-67%的浸膏,加入蔗糖20%、炼蜜12%、防腐剂1-3%,原液灌封,辐照灭菌,包装成品,制成口服液,即得。Preparation method: Take 180 parts of Chinensis, 180 parts of Yinchen, 90 parts of Atractylodes macrocephala, 90 parts of Jiang Pinellia, 90 parts of Bupleurum, 180 parts of Dihuang, 90 parts of Sanqi, 90 parts of Dilong, and 60 parts of Licorice, and decoct them twice with water. Each time the water consumption is 8-10 times the weight of the medicinal material, decoct twice, each time for 1-2 hours, filter, the filtrate is concentrated into a clear paste with a relative density of 1.10-1.25 measured at 60-65°C , add ethanol until the ethanol content is 60%, stir well, let it stand for 24 hours, filter, take the filtrate to recover ethanol, concentrate it into an extract containing 65-67% solid weight, add 20% sucrose, 12% refined honey , 1-3% of preservatives, potting the stock solution, sterilizing by irradiation, packaging the finished product, and making it into an oral liquid, to get final product.
实施例2:Example 2:
中药原料:茅根135份、茵陈135份、白术60份、姜半夏60份、柴胡60份、地黄135份、三七60份、地龙60份、甘草40份。Chinese medicine raw materials: 135 parts of Chinensis, 135 parts of Yin Chen, 60 parts of Atractylodes macrocephala, 60 parts of Jiang Pinellia, 60 parts of Bupleurum, 135 parts of Dihuang, 60 parts of Panax notoginseng, 60 parts of Dilong, 40 parts of licorice.
制法:取茅根135份、茵陈135份、白术60份、姜半夏60份、柴胡60份、地黄135份、三七60份、地龙60份、甘草40份,用水煎煮二次,每次用水量为药材重量的8-10倍量,煎煮二次,每次1-2小时,滤过,滤液浓缩成在60-65℃测相对密度1.10-1.25的清膏,加乙醇至使含乙醇量为60%,搅匀,静置24小时,滤过,取滤液回收乙醇,浓缩成含固体重量65-67%的浸膏,加入蔗糖20%、炼蜜12%、防腐剂1-3%,原液灌封,辐照灭菌,包装成品,制成口服液,即得。Preparation method: Take 135 parts of Chinensis, 135 parts of capillary, 60 parts of Atractylodes macrocephala, 60 parts of ginger pinellia, 60 parts of Bupleurum, 135 parts of rehmannia glutinosa, 60 parts of Sanqi, 60 parts of earthworm, and 40 parts of licorice, and decoct them twice with water. Each time the water consumption is 8-10 times the weight of the medicinal material, decoct twice, each time for 1-2 hours, filter, the filtrate is concentrated into a clear paste with a relative density of 1.10-1.25 measured at 60-65°C , add ethanol until the ethanol content is 60%, stir well, let it stand for 24 hours, filter, take the filtrate to recover ethanol, concentrate it into an extract containing 65-67% solid weight, add 20% sucrose, 12% refined honey , 1-3% of preservatives, potting the stock solution, sterilizing by irradiation, packaging the finished product, and making it into an oral liquid, to get final product.
实施例3:Example 3:
中药原料:茅根90份、茵陈90份、白术30份、姜半夏30份、柴胡30份、地黄90份、三七30份、地龙30份、甘草30份。Chinese medicine raw materials: 90 parts of Chinensis, 90 parts of Yin Chen, 30 parts of Atractylodes macrocephala, 30 parts of Jiang Pinellia, 30 parts of Bupleurum, 90 parts of Dihuang, 30 parts of Panax notoginseng, 30 parts of Dilong, 30 parts of licorice.
制法:取茅根90份、茵陈90份、白术30份、姜半夏30份、柴胡30份、地黄90份、三七30份、地龙30份、甘草30份,用水煎煮二次,每次用水量为药材重量的8-10倍量,煎煮二次,每次l-2小时,滤过,滤液浓缩成在60-65℃测相对密度1.10-1.25的清膏,加乙醇至使含乙醇量为60%,搅匀,静置24小时,滤过,取滤液回收乙醇,浓缩成含固体重量65-67%的浸膏,加入蔗糖20%、炼蜜12%、防腐剂1-3%,原液灌封,辐照灭菌,包装成品,制成口服液,即得。Preparation method: Take 90 parts of Chinensis, 90 parts of Yinchen, 30 parts of Atractylodes macrocephala, 30 parts of Jiang Pinellia, 30 parts of Bupleurum, 90 parts of Dihuang, 30 parts of Sanqi, 30 parts of Dilong, and 30 parts of Licorice, and decoct them twice with water. Each time the water consumption is 8-10 times the weight of the medicinal material, decoct twice, each time for 1-2 hours, filter, and the filtrate is concentrated into a clear paste with a relative density of 1.10-1.25 measured at 60-65°C , add ethanol until the ethanol content is 60%, stir well, let it stand for 24 hours, filter, take the filtrate to recover ethanol, concentrate it into an extract containing 65-67% solid weight, add 20% sucrose, 12% refined honey , 1-3% of preservatives, potting the stock solution, sterilizing by irradiation, packaging the finished product, and making it into an oral liquid, to get final product.
实施例4:Example 4:
1)临床资料:慢性肝炎25例,男19例,女6例,年龄21~55岁。1) Clinical data: 25 cases of chronic hepatitis, 19 males and 6 females, aged 21-55 years.
本发明以中医慢性肝炎为例,经25例临床观察。选择中医诊断慢性肝炎为标准:肢软乏力,浑身没劲;纳差、腹胀、消化不良;脸色黝黑、有肝面容;肝区隐痛;肝纤维化严重;肝功能转氨酶持续不正常,其它指标如血浆白蛋白、血总胆红素等不合格。如上症状,即可确诊。The present invention takes chronic hepatitis of traditional Chinese medicine as an example, through clinical observation of 25 cases. Choose the standard of TCM diagnosis of chronic hepatitis: weak limbs, lack of energy, anorexia, abdominal distension, indigestion; dark complexion, liver face; dull pain in the liver area; severe liver fibrosis; abnormal liver function transaminases, other indicators such as plasma Albumin, total blood bilirubin, etc. were unqualified. The above symptoms can be diagnosed.
在确诊观察对象中,男19例,女6例,无其它严重疾病,年龄21~55岁。Among the confirmed observation objects, there were 19 males and 6 females, without other serious diseases, aged 21 to 55 years.
2)疗效判定:2) Judgment of curative effect:
显效:乏力缓解,身上有劲;纳差、腹胀、肝区隐痛缓解,肝区舒适;肝面容有所改观,脸色变得白皙;肝纤维化检查缓解明显。Significantly effective: fatigue relieved, body energetic; anorexia, abdominal distension, dull pain in the liver area relieved, and the liver area comfortable; liver complexion improved, and the complexion became fair; liver fibrosis examination was significantly relieved.
有效:乏力解决,身上有劲,腹胀、纳差、肝面容有所缓解。Effective: Fatigue is resolved, the body is strong, abdominal distension, anorexia, and liver complexion are relieved.
无效:病症无变化。Invalid: no change in symptoms.
3)治疗方法:口服,本发明实施例1每次20毫升,每日3次,饭后半小时,3个月为一个疗程。3) Treatment method: take orally, 20 ml each time of Example 1 of the present invention, 3 times a day, half an hour after meals, 3 months as a course of treatment.
4)治疗结果:患者服用本发明实施例1中药口服液,1个月后症状即有缓解,服用3个月后,症状明显改善。临床实验的25人,其中显效15人,有效9人,无效1人,总有效率96%。4) Treatment results: The patient took the traditional Chinese medicine oral liquid of Example 1 of the present invention, and the symptoms were relieved after 1 month, and the symptoms were obviously improved after 3 months of taking. Among the 25 people in the clinical trial, 15 people were markedly effective, 9 people were effective, and 1 person was ineffective, and the total effective rate was 96%.
实施例5:Example 5:
典型病例:邓某,女,45岁,检查诊断为慢性肝炎患者,肢软乏力、纳差、右肋隐痛伴口干口苦1年半,化验检查乙型肝炎表面抗原阳性2年,服用该发明实施例1中药口服液,1个月后症状即有缓解,服用3个月后,症状明显改善,三个疗程后检查肝功能正常,自觉症状消失。Typical case: Deng Mou, female, 45 years old, was diagnosed as a patient with chronic hepatitis, with weakness in limbs, anorexia, dull pain in the right rib, dry mouth and bitter mouth for 1.5 years. Hepatitis B surface antigen was positive in laboratory tests for 2 years. Invention Example 1 Chinese medicine oral liquid, the symptoms were relieved after 1 month, and the symptoms were obviously improved after 3 months of taking. After three courses of treatment, the liver function was normal, and the subjective symptoms disappeared.
实施例6:Embodiment 6:
典型病例:王某,男,57岁,检查诊断为慢性肝炎患者,没有进行治疗,后因饮食欠佳,恶心呕吐,皮肤发黄,巩膜黄等症状而对病情引起重视,服用该发明实施例1中药口服液,1个月后症状即有缓解,服用3个月后,症状明显改善,三个疗程后检查肝功能正常,自觉症状消失。Typical case: Wang Mou, male, 57 years old, was diagnosed as a patient with chronic hepatitis. He did not receive any treatment, and later he paid attention to his condition due to poor diet, nausea and vomiting, yellow skin, and yellow sclera. He took the embodiment of the invention 1 Traditional Chinese medicine oral liquid, the symptoms were relieved after 1 month, and the symptoms were obviously improved after 3 months of taking. After three courses of treatment, the liver function was normal, and the subjective symptoms disappeared.
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CN1923264B (en) * | 2006-08-02 | 2010-05-12 | 福建广生堂药业有限公司 | Capsule comprising artemisia capillaries and rhizoma imperatae for treating hepatitis |
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