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CN103212033B - Drug composition for treating viral hepatitis - Google Patents

Drug composition for treating viral hepatitis Download PDF

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CN103212033B
CN103212033B CN201310150210.4A CN201310150210A CN103212033B CN 103212033 B CN103212033 B CN 103212033B CN 201310150210 A CN201310150210 A CN 201310150210A CN 103212033 B CN103212033 B CN 103212033B
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hepatitis
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郑法海
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Abstract

本发明公开一种治疗病毒性肝炎的药物组合物,该组合物由黄芪、党参、白术、茯苓、黄精、灵芝、茵陈、蒲公英、青叶胆、板蓝根、大黄、白花蛇舌草、何首乌、紫河车、五味子、女贞子、猪苓、白芍、丹参等原料药组成。本发明药物组合物按照常规工艺加入常规辅料制成临床接受的片剂、胶囊剂、颗粒剂、丸剂、口服液或汤剂。本发明药物组合物具有舒肝、护肝、保肝、清热利湿、退黄和软肝等作用,对治疗病毒性肝炎,如乙型肝炎,肝硬化,肝腹水等具有良好的治疗作用,效果显著,无毒副作用。The invention discloses a pharmaceutical composition for treating viral hepatitis. The composition consists of astragalus, Codonopsis pilosula, Atractylodes macrocephala, Poria cocos, sealwort, Ganoderma lucidum, capillary, dandelion, gallbladder, isatidis, rhubarb, hedyotis diffusa, Polygonum multiflorum, Composed of raw materials such as Ziheche, Schisandra, Ligustrum lucidum, Polyporus, Radix Paeoniae Alba, and Salvia miltiorrhiza. The pharmaceutical composition of the present invention is prepared into clinically acceptable tablets, capsules, granules, pills, oral liquids or decoctions by adding conventional auxiliary materials according to conventional techniques. The pharmaceutical composition of the present invention has the effects of soothing the liver, protecting the liver, protecting the liver, clearing heat and promoting dampness, reducing jaundice and softening the liver, and has good therapeutic effects on the treatment of viral hepatitis, such as hepatitis B, liver cirrhosis, liver ascites, etc. The effect is remarkable and there are no toxic side effects.

Description

一种治疗病毒性肝炎的药物组合物A kind of pharmaceutical composition for treating viral hepatitis

技术领域technical field

本发明涉及一种药物组合物,特别是涉及一种治疗病毒性肝炎的药物组合物。The invention relates to a pharmaceutical composition, in particular to a pharmaceutical composition for treating viral hepatitis.

背景技术Background technique

迄今对病毒性肝炎特别是乙型肝炎,肝硬化,肝腹水仍缺乏公认的安全特效药物,有些生物制剂包括《恩替卡韦,拉米夫定,替米夫定,阿德福韦,干扰素等。价格昂贵,但疗效并不确定。只能抑制病毒,长期服用还会造成病毒变异,一旦停药还会造成严重的重型肝炎,这是医学界公认的。我国是天然的中草药生产大国,中草药资源极为丰富,已鉴定的中草药就有12000多种,在传统中医理论的指导下,应用天然中草药治疗各种肝病方面都有了很好的疗效。我们是在尊寻古方运用传统医学,在中医临床医学根据,症,舌,脉,辩证组方用药治疗肝病,取得了很好的疗效。目前虽然用于治疗病毒性肝炎的中药研究和应用广泛,但是疗效不显著,作用单一,针对性较差,治疗周期长,复发率高,不能标本兼治。So far, there is still a lack of recognized safe and effective drugs for viral hepatitis, especially hepatitis B, liver cirrhosis, and liver ascites. Some biological agents include "entecavir, lamivudine, telmivudine, adefovir, interferon, etc. Expensive, but efficacy is uncertain. It can only suppress the virus, and long-term use will cause the virus to mutate, and once the drug is stopped, it will cause severe severe hepatitis, which is recognized by the medical profession. my country is a big country producing natural Chinese herbal medicines, and the resources of Chinese herbal medicines are extremely rich. There are more than 12,000 kinds of Chinese herbal medicines that have been identified. Under the guidance of traditional Chinese medicine theory, the application of natural Chinese herbal medicines in the treatment of various liver diseases has a good effect. We are looking for ancient prescriptions and using traditional medicine. In TCM clinical medicine, according to syndrome, tongue, pulse, and dialectical prescriptions to treat liver diseases, we have achieved good curative effect. Although the research and application of traditional Chinese medicine for the treatment of viral hepatitis are extensive, the curative effect is not significant, the effect is single, the pertinence is poor, the treatment cycle is long, the recurrence rate is high, and it cannot treat both the symptoms and the root causes.

发明内容Contents of the invention

本发明目的在于提供一种治疗病毒性肝炎的药物组合物。The purpose of the present invention is to provide a pharmaceutical composition for treating viral hepatitis.

本发明是通过如下技术方案实现的:The present invention is achieved through the following technical solutions:

本发明药物组合物的原料药组成为:The bulk drug of the pharmaceutical composition of the present invention consists of:

黄  芪15-45重量份 党  参15-45重量份 白  术15-45重量份15-45 parts by weight of Radix Astragali, 15-45 parts by weight of Codonopsis Ginseng, 15-45 parts by weight of Atractylodes Rhizome

茯  苓15-45重量份 黄  精15-45重量份 灵  芝15-45重量份Poria cocos 15-45 parts by weight Polygonatum 15-45 parts by weight Ganoderma lucidum 15-45 parts by weight

茵  陈20-60重量份 蒲公英20-60重量份 青叶胆7-23重量份Yin Chen 20-60 parts by weight, Dandelion 20-60 parts by weight, Gallbladder 7-23 parts by weight

板蓝根10-30重量份 大  黄5-15重量份  白花蛇舌草10-30重量份10-30 parts by weight of Radix Radix, 5-15 parts by weight of Rhubarb, 10-30 parts by weight of Hedyotis diffusa

何首乌7-23重量份  紫河车3-9重量份   五味子10-30重量份Polygonum multiflorum 7-23 parts by weight Ziheche 3-9 parts by weight Schisandra 10-30 parts by weight

女贞子10-30重量份 猪  苓5-15重量份  白  芍15-45重量份Ligustrum lucidum 10-30 parts by weight, Polyporus 5-15 parts by weight, Radix Paeoniae Alba 15-45 parts by weight

丹  参20-60重量份 赤  芍15-45重量份 三  七5-15重量份Salvia 20-60 parts by weight Radix Paeoniae Rubra 15-45 parts by weight Sanqi 5-15 parts by weight

郁  金5-15重量份  柴  胡7-23重量份  砂  仁7-23重量份Turmeric 5-15 parts by weight, Bupleurum 7-23 parts by weight, Amomum 7-23 parts by weight

穿山甲3-9重量份   鳖  甲20-60重量份 龟  板15-45重量份Pangolin 3-9 parts by weight, soft-shelled turtle 20-60 parts by weight, turtle plate 15-45 parts by weight

甘  草5-15重量份。Licorice 5-15 parts by weight.

本发明药物组合物的原料药组成优选为:The bulk drug composition of the pharmaceutical composition of the present invention is preferably composed of:

黄芪30重量份 党参30重量份 白术30重量份30 parts by weight of Radix Astragali, 30 parts by weight of Codonopsis pilosula, 30 parts by weight of Atractylodes macrocephala

茯  苓30重量份 黄  精30重量份 灵  芝30重量份Poria cocos 30 weight parts Polygonatum 30 weight parts Ganoderma lucidum 30 weight parts

茵  陈40重量份 蒲公英40重量份 青叶胆15重量份Yin Chen 40 parts by weight, Dandelion 40 parts by weight, Gallbladder 15 parts by weight

板蓝根20重量份 大  黄10重量份 白花蛇舌草20重量份20 parts by weight of Radix Radix, 10 parts by weight of Rhubarb, 20 parts by weight of Hedyotis diffusa

何首乌15重量份 紫河车6重量份  五味子20重量份Polygonum multiflorum 15 parts by weight Ziheche 6 parts by weight Schisandra chinensis 20 parts by weight

女贞子20重量份 猪  苓10重量份 白  芍30重量份Ligustrum lucidum 20 parts by weight, Polyporus 10 parts by weight, Radix Paeoniae Alba 30 parts by weight

丹  参40重量份 赤  芍30重量份 三  七10重量份40 parts by weight of Salvia miltiorrhiza, 30 parts by weight of Radix Paeoniae Rubra, 10 parts by weight of Sanqi

郁  金10重量份 柴  胡15重量份 砂  仁15重量份Turmeric 10 parts by weight Bupleurum 15 parts by weight Amomum 15 parts by weight

穿山甲6重量份  鳖  甲40重量份 龟  板30重量份Pangolin 6 parts by weight, soft-shelled turtle 40 parts by weight, turtle plate 30 parts by weight

甘  草10重量份。Licorice 10 parts by weight.

本发明药物组合物的原料药组成优选为:The bulk drug composition of the pharmaceutical composition of the present invention is preferably composed of:

黄  芪17重量份 党  参43重量份 白  术17重量份Astragalus 17 parts by weight Codonopsis 43 parts by weight Atractylodes macrocephala 17 parts by weight

茯  苓43重量份 黄  精17重量份 灵  芝43重量份Poria cocos 43 parts by weight Polygonatum 17 parts by weight Ganoderma lucidum 43 parts by weight

茵  陈25重量份 蒲公英55重量份 青叶胆9重量份Yin Chen 25 parts by weight, Dandelion 55 parts by weight, Gallbladder 9 parts by weight

板蓝根28重量份 大  黄7重量份  白花蛇舌草28重量份28 parts by weight of Radix Radix, 7 parts by weight of Rhubarb, 28 parts by weight of Hedyotis diffusa

何首乌9重量份  紫河车7重量份  五味子12重量份Polygonum multiflorum 9 parts by weight Ziheche 7 parts by weight Schisandra chinensis 12 parts by weight

女贞子28重量份 猪  苓7重量份  白  芍43重量份Ligustrum lucidum 28 parts by weight, Polyporus 7 parts by weight, Radix Paeoniae Alba 43 parts by weight

丹  参25重量份 赤  芍43重量份 三  七7重量份Salvia 25 parts by weight, Radix Paeoniae Rubra 43 parts by weight, Sanqi 7 parts by weight

郁  金13重量份 柴  胡9重量份  砂  仁21重量份Turmeric 13 parts by weight Bupleurum 9 parts by weight Amomum 21 parts by weight

穿山甲4重量份  鳖  甲55重量份 龟  板17重量份Pangolin 4 parts by weight, soft-shelled turtle 55 parts by weight, turtle plate 17 parts by weight

甘  草13重量份。Licorice 13 parts by weight.

本发明药物组合物的原料药组成优选为:The bulk drug composition of the pharmaceutical composition of the present invention is preferably composed of:

黄  芪43重量份 党  参17重量份 白  术43重量份Astragalus 43 parts by weight Codonopsis 17 parts by weight Atractylodes macrocephala 43 parts by weight

茯  苓17重量份 黄  精43重量份 灵  芝17重量份Poria cocos 17 parts by weight Polygonatum 43 parts by weight Ganoderma lucidum 17 parts by weight

茵  陈55重量份 蒲公英25重量份 青叶胆21重量份55 parts by weight of wormwood, 25 parts by weight of dandelion, 21 parts by weight of gallbladder

板蓝根12重量份 大  黄13重量份 白花蛇舌草12重量份12 parts by weight of Radix Radix, 13 parts by weight of Rhubarb, 12 parts by weight of Hedyotis diffusa

何首乌21重量份 紫河车5重量份  五味子28重量份Polygonum multiflorum 21 parts by weight Ziheche 5 parts by weight Schisandra chinensis 28 parts by weight

女贞子12重量份 猪  苓13重量份 白  芍17重量份Ligustrum lucidum 12 parts by weight, Polyporus 13 parts by weight, Radix Paeoniae Alba 17 parts by weight

丹  参55重量份 赤  芍17重量份 三  七13重量份Salvia 55 parts by weight, Radix Paeoniae Rubra 17 parts by weight, Sanqi 13 parts by weight

郁  金7重量份  柴  胡21重量份 砂  仁9重量份Turmeric 7 parts by weight Bupleurum 21 parts by weight Amomum 9 parts by weight

穿山甲7重量份  鳖  甲25重量份 龟  板43重量份Pangolin 7 parts by weight, soft-shelled turtle 25 parts by weight, turtle plate 43 parts by weight

甘  草7重量份。Licorice 7 parts by weight.

本发明药物组合物按照常规工艺加入常规辅料制成临床接受的片剂、胶囊剂、颗粒剂、丸剂、口服液或汤剂。The pharmaceutical composition of the present invention is prepared into clinically acceptable tablets, capsules, granules, pills, oral liquids or decoctions by adding conventional auxiliary materials according to conventional techniques.

本发明药物组合物具有舒肝、护肝、保肝、清热利湿、退黄和软肝等作用,对治疗病毒性肝炎,如乙型肝炎,肝硬化,肝腹水等具有良好的治疗作用,效果显著,无毒副作用。The pharmaceutical composition of the present invention has the effects of soothing the liver, protecting the liver, protecting the liver, clearing heat and promoting dampness, reducing jaundice and softening the liver, and has good therapeutic effects on the treatment of viral hepatitis, such as hepatitis B, liver cirrhosis, liver ascites, etc. The effect is remarkable and there are no toxic side effects.

下面实验例用于进一步说明本发明,但不限于本发明。The following experimental examples are used to further illustrate the present invention, but are not limited thereto.

一、实验例1. Experimental example

1、临床观察1. Clinical observation

治疗组选本发明胶囊剂(按照实施例1方法制备)治疗病毒性肝炎150例,其中乙型肝炎50、肝硬化50例、肝腹水50例;其中男性70例,女性80例。Treatment group selects capsule of the present invention (prepared according to embodiment 1 method) to treat viral hepatitis 150 examples, wherein hepatitis B 50 examples, liver cirrhosis 50 examples, hepatic ascites 50 examples; Wherein male 70 examples, women 80 examples.

2、药物选择及服用方法2. Drug selection and administration method

治疗组选本发明胶囊剂(按照实施例1方法制备),治疗三个疗程(30天一疗程),一天3次,每次2粒。Treatment group chooses capsule of the present invention (prepared according to the method of embodiment 1), treats three courses for the treatment of (30 days one course of treatment), 3 times a day, each 2 capsules.

3、诊断标准3. Diagnostic criteria

1)乙型肝炎1) Hepatitis B

(1)半年内接受过血及血制品治疗,或有任何医疗性损伤如:不洁的注射、针灸、穿刺、手术等,或与乙型肝炎病人或乙型肝炎病毒携带者有密切接触。(1) Received blood and blood product treatment within six months, or had any medical injury such as unclean injection, acupuncture, puncture, surgery, etc., or had close contact with hepatitis B patients or hepatitis B virus carriers.

(2)血清ALT升高。(2) Elevated serum ALT.

(3)血清HBsAg阳性伴抗-HBcIgM阳性(≥1∶1000)或HBV-DNA阳性。(3) Serum HBsAg positive with anti-HBcIgM positive (≥1:1000) or HBV-DNA positive.

2)肝硬化2) liver cirrhosis

(1)肝功能检查,对于有肝脏疾病的患者来说,做肝功能的检查会有助于他们了解病情的发展阶段以及肝脏的损害程度,对于疾病的治疗是十分关键的。(1) Liver function test. For patients with liver disease, liver function test will help them understand the development stage of the disease and the degree of liver damage, which is very critical for the treatment of the disease.

(2)病毒学指标检查,在肝硬化(liver)的主要检查项目中,该方法有利于诊断出患者所患的是何种类型的肝硬化(liver),也有利于接下来制定治疗的方案。(2) Virological index inspection, among the main inspection items of liver cirrhosis, this method is helpful for diagnosing what type of liver cirrhosis the patient is suffering from, and is also conducive to formulating a treatment plan .

(3)肝穿刺活组织病理检查,在临床上治疗肝硬化(liver)疾病之前,最理想的就是先做一下肝穿刺活组织病理检查。它采用1秒钟穿刺法,然后将肝组织放在显微镜下进行检查,它的病理数据对于了解患者的肝脏是否出现纤维化以及结缔组织的形成有很大帮助。(3) Pathological examination of liver biopsy. Before clinical treatment of liver cirrhosis (liver), it is ideal to do pathological examination of liver biopsy. It uses a 1-second puncture method, and then puts the liver tissue under a microscope for inspection. Its pathological data is of great help in understanding whether the patient's liver has fibrosis and the formation of connective tissue.

(4)取血检查4项纤维化的血清学指标,这四项血清指标主要是透明质酸、层粘连蛋白、III型前胶原、IV型胶原。其中一旦其中的2-3项有出现明显的增高现象,那么就可以考虑是否是发生了早期肝硬化(liver)。(4) Take blood to check 4 serological indicators of fibrosis, these 4 serum indicators are mainly hyaluronic acid, laminin, type III procollagen, and type IV collagen. Once 2-3 of them have a significant increase, then it can be considered whether early liver cirrhosis (liver) has occurred.

(5)B超检查,在早期的肝硬化(liver)发生时,采用该方法就可以发现患者的肝肿大现象。另外肝回声也会显示出增强、增粗的情况。该检查方法不仅对疾病的早期发现有重要作用,对于晚期肝硬化(liver)疾病的诊断也是很有益处的。(5) B-ultrasound examination, when the early liver cirrhosis (liver) occurs, the patient's hepatomegaly can be found by this method. In addition, the liver echo will also show enhancement and thickening. This inspection method not only plays an important role in the early detection of diseases, but also is very beneficial to the diagnosis of advanced liver cirrhosis (liver) diseases.

3)肝腹水3) Hepatic ascites

腹水伴有全身浮肿者:任何器质性疾病引起的全身性浮肿,如程度严重,均可伴有腹水。常发生于心、肾疾病及营养不良,如慢性心力衰竭、肾病综合征、胃肠道蛋白丢失征等,腹水性质均为漏出液。仅有腹水而无全身浮肿者,或腹水出现于其他部位浮肿。Ascites accompanied by generalized edema: generalized edema caused by any organic disease, if severe, may be accompanied by ascites. It often occurs in heart and kidney diseases and malnutrition, such as chronic heart failure, nephrotic syndrome, gastrointestinal protein loss syndrome, etc. The nature of ascites is transudate. Only ascites without systemic edema, or ascites appears in other parts of the edema.

4、疗效标准4. Curative effect standard

1)乙型肝炎1) Hepatitis B

乙肝的治愈标准包括临床治愈、基本治愈和彻底治愈3种。The cure standard of hepatitis B includes clinical cure, basic cure and complete cure.

临床治愈是针对发病状态的乙肝患者而言,经过治疗肝功能完全复常即可判定为临床治愈。Clinical cure refers to the hepatitis B patients in the onset state, and it can be judged as clinical cure after the liver function is completely restored after treatment.

基本治愈和彻底治愈是针对多有乙肝人群而言,既包括病毒携带者,也包括发病状态的乙肝患者,指乙肝病毒的主要复制指标乙肝e抗原和乙肝病毒脱氧核糖核酸(HBVDNA)检测呈阴性,肝功能正常,并且能够维持1年以上者。Basic cure and complete cure are for most people with hepatitis B, including both virus carriers and hepatitis B patients in the onset state. It means that the main replication indicators of hepatitis B virus, hepatitis B e antigen and hepatitis B virus deoxyribonucleic acid (HBVDNA) test are negative , normal liver function, and can maintain more than 1 year.

彻底治愈是指乙肝病毒的所有抗原指标转为阴性,肝组织检查未见乙肝病毒存在者。临床证实,每年有2%~4%的自然转阴率,经过治疗,转阴率可能稍高一点,也只有不到8%的乙肝患者能够达到彻底治愈的标准。另有30%左右的乙肝患者通过治疗能达到临床治愈的标准。Complete cure means that all antigenic indicators of hepatitis B virus have turned negative, and no hepatitis B virus exists in liver tissue examination. It has been clinically proven that there is a natural negative conversion rate of 2% to 4% per year. After treatment, the negative conversion rate may be slightly higher, and only less than 8% of hepatitis B patients can reach the standard of complete cure. Another 30% of hepatitis B patients can reach the standard of clinical cure through treatment.

2)肝硬化2) liver cirrhosis

肝硬化可由一种或多种原因引起,患者肝细胞弥漫性变性坏死,最终变形、变硬而导致肝硬化。肝硬化的疗效标准可分为四个级别,即治愈、显效、有效、无效。Liver cirrhosis can be caused by one or more reasons. The patient's liver cells undergo diffuse degeneration and necrosis, and eventually deform and harden, leading to liver cirrhosis. The curative effect standard of liver cirrhosis can be divided into four grades, namely cured, markedly effective, effective, and ineffective.

治愈:达到临床治愈的患者腹水、黄疸完全消失,临床症状消失或基本消失,肝脾明显回缩变软或稳定不变,肝功能恢复正常,体力明显恢复,且停药后半年内均未复发。Cure: Ascites and jaundice completely disappear in patients who are clinically cured, clinical symptoms disappear or basically disappear, liver and spleen obviously retract and become soft or stable, liver function returns to normal, physical strength obviously recovers, and there is no recurrence within half a year after stopping the drug .

显效:治疗显效的患者腹水、黄疸消退,主要临床症状消失,体力明显恢复,肝脾稳定不变,肝功能亦得到明显改善,治愈后的患者如果半年内出现复发,也被认为是显效。Significantly effective: The ascites and jaundice subside in patients with markedly effective treatment, the main clinical symptoms disappear, the physical strength is obviously restored, the liver and spleen are stable, and the liver function is also significantly improved. If the cured patient relapses within half a year, it is also considered to be markedly effective.

有效:经过治疗后患者的腹水、黄疸明显消退,临床症状减轻,肝功能得到改善,表示肝硬化治疗取得效果。Effective: After treatment, the patient's ascites and jaundice disappeared obviously, the clinical symptoms were alleviated, and the liver function was improved, which indicated that the treatment of liver cirrhosis had achieved results.

无效:接受规范治疗半个月后患者的症状、体征、肝功能均无明显改善,甚至发生进一步恶化或死亡,提示治疗无效。Ineffective: After half a month of standardized treatment, the patient's symptoms, signs, and liver function did not improve significantly, and even worsened or died, indicating that the treatment was ineffective.

3)肝腹水3) Hepatic ascites

(1)临床治愈:病情得到有效控制,腹水、黄疸等不适表现完全消失,肝脏影像学检查肝脾明显回缩变软或稳定不变,肝功能各项指标恢复正常,身体素质明显好转,且停药后,腹水持久半年以上未复发者。(1) Clinically cured: the condition has been effectively controlled, ascites, jaundice and other discomforts have completely disappeared, the liver and spleen have obviously shrunk and softened or remained stable, the liver function indicators have returned to normal, and the physical fitness has improved significantly, and After stopping the drug, ascites persists for more than half a year without recurrence.

(2)显效:病情得到有效控制,临床主要症状表现(如腹水、黄疸等等)明显消退,身体素质及肝脏功能显著改善,肝脾影像学检查可无明显改变。(2) Significantly effective: the condition is effectively controlled, the main clinical symptoms (such as ascites, jaundice, etc.) are obviously subsided, the physical fitness and liver function are significantly improved, and there is no obvious change in the imaging examination of the liver and spleen.

(3)有效:病情得到有效控制,且临床不适症状,如腹水、高黄疸等等得以消退,肝功能有明显的改善者。(3) Effective: the condition has been effectively controlled, and the clinical discomfort symptoms, such as ascites, high jaundice, etc., have subsided, and the liver function has improved significantly.

(4)无效:肝腹水在治疗半月后临床不适症状、体征,及肝功能检查均无明显改善,或病情有进一步恶化甚至死亡者。(4) Ineffective: After half a month of treatment for hepatic ascites, clinical discomfort symptoms, signs, and liver function tests have not improved significantly, or the condition has further deteriorated or even died.

5、治疗结果5. Treatment results

表1本发明药物治疗乙型肝炎的疗效结果The curative effect result of table 1 medicine treatment hepatitis B of the present invention

组别group 治疗人数number of people treated 治愈cure 显效markedly effective 有效efficient 无效invalid 总有效率total effective rate 治疗组therapy group 5050 3030 1515 44 11 98%98%

表2本发明药物治疗肝硬化的疗效结果The curative effect result of table 2 medicine treatment liver cirrhosis of the present invention

组别group 治疗人数number of people treated 治愈cure 显效markedly effective 有效efficient 无效invalid 总有效率total effective rate 治疗组therapy group 5050 2525 1515 88 22 96%96%

表3本发明药物治疗肝腹水的疗效结果The curative effect result of table 3 medicine treatment liver ascites of the present invention

组别group 治疗人数number of people treated 治愈cure 显效markedly effective 有效efficient 无效invalid 总有效率total effective rate 治疗组therapy group 5050 2828 1515 55 22 96%96%

6、结论6 Conclusion

本发明药物治疗病毒性肝炎150例,三个疗程(每个疗程12天),其中乙型肝炎总有效率为98%,肝硬化和肝腹水总有效率分别为96%。The medicine of the present invention treats 150 cases of viral hepatitis, three courses of treatment (12 days each), wherein the total effective rate of hepatitis B is 98%, and the total effective rate of liver cirrhosis and hepatic ascites is respectively 96%.

7、讨论7. Discussion

本发明药物组合物中黄芪拉丁学名Leguminosae,具有补气固表、利水退肿、托毒排脓、生肌等功效。党参拉丁学名Root of Pilose Asiabell,具有补中益气,健脾益肺之功效。白术为菊科植物白术Atractylodes macrocephala Koidz.的干燥根茎,具有健脾益气,燥湿利水,止汗,安胎之功效。茯苓拉丁学名Wolfiporia cocos,茯苓味甘、淡、性平,入药具有利水渗湿、益脾和胃、宁心安神之功用。黄精拉丁学名Polygonatum sibiricum,具有补气养阴,健脾,润肺,益肾之功效。灵芝拉丁学名Ganoderma lucidum,灵芝作为拥有数千年药用历史的中国传统珍贵药材,具备很高的药用价值,经过科研机构数十年的现代药理学研究证实,灵芝对于增强人体免疫力,调节血糖,控制血压,辅助肿瘤放化疗,保肝护肝,促进睡眠等方面均具有显著疗效。茵陈拉丁学名ArtemisiacapillarisThunb,具有清热利湿;退黄功效。蒲公英属菊科多年生草本植物,具有利尿、缓泻、退黄疸、利胆等功效。青叶胆为龙胆科植物青叶胆Swertiamileensis T.N.Ho et W.L.Shih的干燥全草,具有清热解毒;利湿退黄。主湿热黄疸;热淋涩痛;湿热泻痢;赤白带下;流行性感冒;疟疾发热;急性胃炎;急性咽喉炎;急性扁桃体炎。板蓝根十字花科植物菘蓝Isatis indigotica Fort.的干燥根,具有清热解毒、凉血消肿、利咽之功效。大黄蓼科植物掌叶大黄Rheum palmatum L.、唐古特大黄Rheum tanguticum Maxim.ex Balf.或药用大黄Rheum officinale Baill.的干燥根及根茎具有攻积滞、清湿热、泻火、凉血、祛瘀、解毒等功效。白花蛇舌草为茜草科植物白花蛇舌草Hedyotis diffusa Willd.[Oldenlandia diffusa(Willd.)Roxb.]的全草,具有清热解毒、消痛散结、利尿除湿之功效。何首乌为蓼科植物何首乌Polygonummultiflorum Thunb.的干燥块根,具有补益精血、乌须发、强筋骨、补肝肾之功效。紫河车为健康人的干燥胎盘,能促进乳腺、子宫、阴道、睾丸的发育,对甲状腺也有促进作用,对肺结核、支气管哮喘、贫血等亦有良效。五味子为木兰科植物五味子Schisandrachinensis(Turcz.)Baill.的干燥成熟果实,具有敛肺,滋肾,生津,收汗,涩精功效。治肺虚喘咳,口干作渴,自汗,盗汗,劳伤羸瘦,梦遗滑精,久泻久痢。女贞子为木犀科植物女贞Ligustrum lucidum Ait.的干燥成熟果实,具有补益肝肾;清虚热;明目之功效。猪苓为多孔菌科真菌猪苓Polyporus umbellatus(Pers.)Fries的干燥菌核,具有利水渗湿功效,用于小便不利,水肿,泄泻,淋浊,带下。白芍学名Paeoniasterniana Fletcher in Journ.,也称白花芍药,是毛茛科芍药属植物,具有养血柔肝,缓中止痛,敛阴收汗之功效。丹参又名赤参,紫丹参,红根等。为双子叶植物唇形科,干燥根及根茎。具有活血调经,祛瘀止痛,凉血消痈,清心除烦,养血安神之功效。赤芍为毛茛科植物芍药Paeonia lactiflora Pall.或川赤芍Paeonia veitchii Lynch的干燥根,具有行瘀、止痛、凉血、消肿之功效。三七为五加科植物三七Panax notoginseng(Burk.)F.H.Chen的干燥根。止血;散血;定痛之功效。郁金为姜科植物温郁金Curcumawenyujin Y.H.Chen et C.Ling、姜黄Curcuma longa L.、广西莪术Curcumakwangsiensis S.G.Lee et C.F.Liang或蓬莪术Curcuma phaeocaulis Val.的干燥块根。具有行气化瘀、清心解郁、利胆退黄、活血止痛、行气解郁、清心凉血之功效。柴胡拉丁学名RootofChneseThorowax,具有疏肝利胆、疏气解郁、散火之功效。砂仁(Fructus Amomi),是热带和亚热带姜科植物的的果实或种子,是中医常用的一味芳香性药材。具有行气调味,和胃醒脾功效。穿山甲鲮鲤科动物穿山甲Manis pentadactylaLinnaeus的鳞甲。具有活血散结;通经下乳;消痈溃坚之功效。主治血瘀经闭;症瘕;风湿痹痛;乳汁不下;痈肿;瘰疬。鳖甲为鳖科动物鳖Trionyx sinensis Wiegmann的背甲。具有滋肾潜阳,软坚散结之功效。[主治]骨蒸劳热、疟母、胁下坚硬、腰痛,经闭症瘕等症。龟板为龟科动物chinemys reevesii的腹甲及背甲。具有滋阴,潜阳,补肾,健骨。甘草为豆科植物甘草Glycyrrhiza uralensis Fisch.、胀果甘草Glycyrrhizainflata Bat.或光果甘草Glycyrrhiza glabra L.的干燥根及根茎。具有清热解毒,祛痰止咳、脘腹等功效。本发明药物组合物具有舒肝、护肝、保肝、清热利湿、退黄和软肝等作用,对治疗病毒性肝炎,如乙型肝炎,肝硬化,肝腹水等具有良好的治疗作用,效果显著,无毒副作用。The astragalus in the pharmaceutical composition of the present invention has the scientific name of Leguminosae in Latin, and has the functions of invigorating qi and consolidating the surface, diuresis and detumescence, supporting toxin and expulsion of pus, promoting granulation and the like. Codonopsis pilosula, Root of Pilose Asiabell, has the functions of invigorating the middle and replenishing qi, invigorating the spleen and lungs. Atractylodes macrocephala is the dried rhizome of Atractylodes macrocephala Koidz., a plant of the Compositae family. It has the effects of invigorating the spleen and replenishing qi, drying dampness and promoting diuresis, antiperspirant, and preventing miscarriage. The Latin scientific name of Poria cocos is Wolfiporia cocos. Poria cocos tastes sweet, light, and flat in nature. It has the functions of diuresis and dampness, benefiting the spleen and stomach, calming the mind and calming the nerves. Polygonatum sibiricum, the Latin scientific name Polygonatum sibiricum, has the effects of invigorating qi and nourishing yin, invigorating the spleen, moistening the lungs and benefiting the kidneys. The Latin scientific name of Ganoderma lucidum is Ganoderma lucidum. As a traditional Chinese medicinal material with thousands of years of medicinal history, Ganoderma lucidum has high medicinal value. After decades of modern pharmacological research by scientific research institutions, Ganoderma lucidum can enhance human immunity, regulate Blood sugar, blood pressure control, auxiliary tumor radiotherapy and chemotherapy, liver protection and liver protection, sleep promotion and other aspects have significant curative effects. Artemisia capillaris Thunb, the Latin name used at school, has the effect of clearing away heat and promoting dampness; reducing jaundice. Dandelion is a perennial herb of Compositae, which has diuretic, laxative, jaundice-reducing, choleretic and other effects. Qingyedan is the dry whole herb of Gentianaceae plant Swertiamilensis T.N.Ho et W.L.Shih, which has the functions of clearing away heat and detoxification; promoting dampness and reducing jaundice. Mainly damp-heat jaundice; hot stranguria and astringent pain; damp-heat diarrhea; red and white vaginal discharge; influenza; malaria fever; acute gastritis; acute pharyngitis; acute tonsillitis. The dried root of the cruciferous plant Isatis indigotica Fort. has the effects of clearing heat and detoxifying, cooling blood and reducing swelling, and relieving throat. The dry roots and rhizomes of Rheum palmatum L., Rheum tanguticum Maxim.ex Balf., or medicinal Rheum officinale Baill. have the functions of attacking stagnation, clearing dampness and heat, purging fire, cooling blood, dispelling Blood stasis, detoxification and other effects. Hedyotis diffusa is the whole herb of Hedyotis diffusa Willd. [Oldenlandia diffusa (Willd.) Roxb.], a Rubiaceae plant. Polygonum multiflorum is the dried root of Polygonum multiflorum Thunb., a Polygonum multiflorum Thunb. It has the effects of nourishing essence and blood, black beard and hair, strengthening muscles and bones, and nourishing liver and kidney. Ziheche is the dry placenta of healthy people, which can promote the development of mammary gland, uterus, vagina and testis, and also promote the thyroid gland. It also has good effects on tuberculosis, bronchial asthma, anemia, etc. Schisandra chinensis (Schisandrachinensis (Turcz.) Baill.) is the dried and mature fruit of Magnolia plant Schisandrachinensis (Turcz.) Baill. Treatment of asthma and cough due to lung deficiency, dry mouth and thirst, spontaneous sweating, night sweats, fatigue and emaciation, nocturnal nocturnal emission, chronic diarrhea and dysentery. Ligustrum lucidum is the dry and mature fruit of Ligustrum lucidum Ait., a plant of the Oleaceae family. It has the effects of nourishing the liver and kidney; clearing deficiency and heat; and improving eyesight. Polyporus umbellatus is the dried sclerotium of Polyporus umbellatus (Pers.) Fries, a fungus of the Polyporaceae family. It has the effect of diuresis and dampness, and is used for dysuria, edema, diarrhea, turbidity, and leukorrhea. The scientific name of white peony is Paeoniasterniana Fletcher in Journ., also known as white peony, which is a plant of the genus Paeoniae in the Ranunculaceae family. Salvia miltiorrhiza is also known as red ginseng, purple salvia miltiorrhiza, red root and so on. For dicotyledons Lamiaceae, dry roots and rhizomes. It has the effects of promoting blood circulation and regulating menstruation, dispelling blood stasis and relieving pain, cooling blood and eliminating carbuncle, clearing away heart-fire and relieving restlessness, nourishing blood and tranquilizing the nerves. Radix Paeoniae Rubra is the dried root of Paeonia lactiflora Pall. or Paeonia veitchii Lynch, a plant of the Ranunculaceae family. It has the effects of removing blood stasis, relieving pain, cooling blood, and reducing swelling. Panax notoginseng is the dry root of Panax notoginseng (Burk.) F.H.Chen. Hemostasis; Scattering of blood; Efficacy of relieving pain. Turmeric is the dry tuber root of Curcumawenyujin Y.H.Chen et C.Ling, Curcuma longa L., Curcumakwangsiensis S.G.Lee et C.F.Liang or Curcuma phaeocaulis Val. It has the effects of promoting qi and removing blood stasis, clearing the heart and relieving depression, promoting the gallbladder and reducing jaundice, promoting blood circulation and relieving pain, promoting qi and relieving depression, clearing the heart and cooling blood. The Latin scientific name of Bupleurum root of Chinese Thorowax has the effects of soothing the liver and gallbladder, dispersing qi and relieving depression, and dispersing fire. Fructus Amomi is the fruit or seed of tropical and subtropical Zingiberaceae plants, and is an aromatic medicinal material commonly used in traditional Chinese medicine. It has the effects of promoting qi and seasoning, harmonizing the stomach and refreshing the spleen. Pangolin dace carps pangolin Manis pentadactylaLinnaeus scales. It has the effect of promoting blood circulation and dispelling stagnation; dredging menstrual flow and lowering milk; eliminating carbuncle and ulcer. Cure mainly blood stasis amenorrhea; Lump in the abdomen; Rheumatism arthralgia; Milk retention; Carbuncle; Scrofula. The turtle shell is the carapace of the soft-shelled turtle Trionyx sinensis Wiegmann. It has the effects of nourishing kidney and suppressing yang, softening and resolving hard masses. [Indications] Guzheng labor fever, malaria, sideways hard, lumbago, amenorrhea embolism. The tortoise shell is the plastron and carapace of the turtle family chinemys reevesii. It has the functions of nourishing yin, subduing yang, tonifying kidney and strengthening bones. Licorice is the dry root and rhizome of Glycyrrhiza uralensis Fisch., Glycyrrhiza inflata Bat. or Glycyrrhiza glabra L. of the leguminous plant Glycyrrhiza uralensis Fisch. It has the effects of clearing away heat and detoxification, eliminating phlegm and relieving cough, and abdominal distension. The pharmaceutical composition of the present invention has the effects of soothing the liver, protecting the liver, protecting the liver, clearing heat and promoting dampness, reducing jaundice and softening the liver, and has good therapeutic effects on the treatment of viral hepatitis, such as hepatitis B, liver cirrhosis, liver ascites, etc. Remarkable effect, no toxic side effects.

实验例二:典型病例Experimental example 2: typical case

病例1:患者,男,56岁,汉族,安徽籍,因乙型肝炎10年,主诉,极度乏力,厌食腹胀便黄,于2012年来诊收入院。西医诊断标准:就诊时患者面色黧黑,消瘦,乏力,口干,心烦,时有低热,腹大坚满,青筋暴露,有时齿鼻扭血,尿短赤,舌质红降,暗红有紫斑,脉弦数。入院体格检查:36.2C,脉搏80次/分,呼吸20次/分,血压110/20毫米汞柱,面色晦暗,消瘦貌,神志清,查体合作定向力和计算力正常,全身皮肤黄染,肝掌及蜘蛛痣阳性,浅表淋巴结无肿大,结膜无充血水肿,巩膜轻度黄染,双侧瞳孔等大等圆,对光反射灵敏,耳鼻无异常,颈部无抵抗,甲状腺无肿大,心肺听诊为闻及异常,腹部膨隆,肝区有叩击疼,移动性浊音阳性,肠鸣音5次/分,脊柱无畸形各关节无异常,神经反射无异常,根据病史体格检查诊断为乙型肝炎肝硬化腹水。化验室检查:谷丙转氨酶ALT300U/L;总胆红素TBR96UM01/L;白蛋白ALB32g/L;乙肝表明抗原<HBSAS>阳性;乙肝E抗体阳性;乙肝核心抗体阳性;肝纤四项均已超过正常值;HBV-DNA阳性腹部B超肝内光点回升增粗增强,脾大6.8mm,门脉13mm。中医辨证标准:臌胀,积聚;服用本发明胶囊剂(按照实施例1方法制备),每日三次,每次2粒。注意事项:忌烟酒,少吃生,冷,腻,油炸食物。服用3个疗程(每个疗程30天)后,面容黧黑减退,体重增加,肝脾粗小以改善,腹部膨隆青筋消失,肝功能恢复正常,HBV-DNA阴转,基本达到临床治愈。Case 1: The patient, male, 56 years old, Han nationality, Anhui nationality, suffered from hepatitis B for 10 years, complained of extreme fatigue, anorexia, abdominal distension and yellow stool, and was admitted to the hospital in 2012. Diagnostic criteria of western medicine: When seeing a doctor, the patient has dark complexion, weight loss, fatigue, dry mouth, upset, sometimes low-grade fever, large and firm abdomen, exposed blue veins, sometimes bloody teeth and nose, short red urine, red tongue, dark red with purple spots , pulse string number. Admission physical examination: 36.2C, pulse 80 beats/min, respiration 20 beats/min, blood pressure 110/20 mmHg, dull complexion, emaciated appearance, clear mind, normal orientation and calculation ability in physical examination cooperation, yellow skin all over the body , positive liver palms and spider nevus, no superficial lymph node enlargement, no conjunctival congestion and edema, mild yellow staining of the sclera, bilateral pupils equal in size and roundness, sensitive to light reflex, no abnormalities in the ears and nose, no resistance in the neck, and no thyroid gland Swelling, cardiopulmonary auscultation showed abnormal smell, abdominal distention, percussion pain in the liver area, positive shifting dullness, bowel sounds 5 times/min, no abnormalities in the spine, no abnormalities in the joints, and no abnormalities in nerve reflexes. Physical examination according to the medical history Diagnosed as hepatitis B cirrhosis ascites. Laboratory tests: alanine aminotransferase ALT300U/L; total bilirubin TBR96UM01/L; albumin ALB32g/L; hepatitis B antigen <HBSAS> positive; hepatitis B E antibody positive; hepatitis B core antibody positive; Normal value; HBV-DNA-positive abdominal B-ultrasound intrahepatic light spot picked up thickened and enhanced, splenomegaly 6.8mm, portal vein 13mm. TCM syndrome differentiation standard: swelling, accumulation; take capsules of the present invention (prepared according to the method of Example 1), three times a day, each 2 capsules. Note: Avoid smoking and alcohol, eat less raw, cold, greasy, fried food. After taking 3 courses of treatment (30 days for each course of treatment), the dark complexion disappeared, the weight increased, the size of the liver and spleen was improved, the abdominal distension and blue veins disappeared, the liver function returned to normal, the HBV-DNA turned negative, and the clinical cure was basically achieved.

病例2:患者,男,32岁,河南籍,于2个月前无明显的诱因出现尿黄如茶汁,继之巩膜黄染不明显,在当地服用西药不见好转,于2012年6月3号来诊,就诊时四肢乏力,胃脘不适,口苦变黄,大便干燥,苔黄腻,脉弦数。西医诊断标准:入院体格检查:36.2C,脉搏80次/分,呼吸20次/分,血压120/20毫米汞柱,面色晦暗,消瘦貌,神志清,查体合作定向力和计算力正常,全身皮肤黄染,肝掌及蜘蛛痣阳性,浅表淋巴结无肿大,结膜无充血水肿,巩膜轻度黄染,双侧瞳孔等大等圆,对光反射灵敏,耳鼻无异常,颈部无抵抗,甲状腺无肿大,心肺听诊为闻及异常,腹部膨隆,肝区有叩击疼,肠鸣音3次/分,脊柱无畸形各关节无异常,神经反射无异常,根据病史体格检查诊断为慢性乙型肝炎肝硬化{代偿期}。化验室检查:谷丙转氨酶ALT350U/L,总胆红素TBR30UM01/L,白蛋白ALB34g/L,乙肝表明抗原<HBSAS>阳性,乙肝e抗原阳性,乙肝核心抗体阳性,肝纤四项均已超过正常值,HBV-DNA阳性,腹部B超肝内光点回升增粗增强,脾大5.4mm,门脉12mm。中医诊断标准:无黄疸型慢性乙型性肝炎,肝胆湿热,木郁克土。中医辨证施治:肝胆湿热,木郁克土,治以清热解毒,利湿。服用本发明片剂(按照实施例2方法制备),每日三次,每次2片。患者服用一周后,巩膜变黄明显减轻,继服一个月后,胃脘不适,口苦变黄,大便干燥,苔黄腻,脉弦数,四肢乏力明显消除。继续服用两个月巩固,主要症状消失,患者主要体征恢复正常,肝功能恢复正常,乙肝两对半转为15阳性{小二阳}HBV-DNA阴转。Case 2: The patient, male, 32 years old, native of Henan, had yellow urine like tea juice without obvious inducement 2 months ago, followed by yellow staining of sclera, and did not improve after taking western medicine locally. He came here on June 3, 2012. Extremity weakness, epigastric discomfort, bitter and yellowish mouth, dry stool, yellow and greasy fur, stringy pulse. Western medicine diagnostic criteria: admission physical examination: 36.2C, pulse 80 beats/min, respiration 20 beats/min, blood pressure 120/20 mmHg, dull complexion, emaciated appearance, clear mind, normal orientation and calculation ability in physical examination cooperation, Yellow skin all over the body, positive liver palms and spider nevus, no superficial lymph node swelling, no conjunctival congestion and edema, mild yellow sclera, bilateral pupils equal in size and round, sensitive to light reflex, no abnormalities in the ears and nose, and no abnormalities in the neck. Resistance, no enlargement of the thyroid gland, abnormal smell and abnormalities on cardiopulmonary auscultation, abdominal distension, percussion pain in the liver area, bowel sounds 3 times/min, no abnormalities in the spine, no abnormalities in the joints, and no abnormalities in nerve reflexes, the diagnosis was made according to the medical history and physical examination For chronic hepatitis B cirrhosis {compensation period}. Laboratory examination: alanine aminotransferase ALT350U/L, total bilirubin TBR30UM01/L, albumin ALB34g/L, hepatitis B indicated antigen <HBSAS> positive, hepatitis B e antigen positive, hepatitis B core antibody positive, and the four items of liver fiber all exceeded Normal value, HBV-DNA positive, abdominal B-ultrasound intrahepatic light spots increased thickened and enhanced, splenomegaly 5.4mm, portal vein 12mm. TCM diagnostic criteria: anicteric chronic hepatitis B, liver and gallbladder damp-heat, woody and earthy. TCM syndrome differentiation and treatment: liver and gallbladder dampness and heat, woody wood suppressing soil, clearing away heat and detoxification, promoting dampness. Take the tablet of the present invention (prepared according to the method of Example 2), three times every day, 2 tablets each time. After the patient took it for a week, the yellowing of the sclera was significantly alleviated. After taking it for a month, the discomfort in the epigastric cavity, bitter taste turned yellow, dry stool, yellow and greasy fur, stringy and rapid pulse, and limb fatigue were obviously eliminated. Continue to take it for two months to consolidate, the main symptoms disappeared, the main signs of the patient returned to normal, the liver function returned to normal, and the two pairs of hepatitis B turned into 15 positive {small two positive} HBV-DNA negative.

病例3:患者,女,41岁,汉,主因乏力,腹胀,厌油,尿黄三个月,周身黄染二个月,于2010年9月12收入院。患者于三个月前无诱因,出现乏力,厌油,尿黄,腹泻等不适,在当地医院化验提示肝损伤,在当地医院住院一月之余,起始肝功能有明显好转,但近一个越来,患者前述症状加重,同时周身皮肤黄染,伴有皮肤瘙痒,巩膜重度黄染。西医诊断标准:入院体格检查:37.2C,脉搏82次/分,呼吸21次/分,血压130/80毫米汞柱,面色晦暗,消瘦貌,神志清,查体合作定向力和计算力正常,全身重度皮肤黄染,同时周身皮肤瘙痒,有抓痕,肝掌及蜘蛛痣阳性,浅表淋巴结无肿大,结膜无充血水肿,巩膜轻度黄染,双侧瞳孔等大等圆,对光反射灵敏,耳鼻无异常,颈部无抵抗,甲状腺无肿大,心肺听诊为闻及异常,肝区有叩击疼,肠鸣音3次/分,脊柱无畸形各关节无异常,神经反射无异常,根据病史体格检查诊断为慢性乙肝。化验室检查:谷丙转氨酶ALT1680U/L,总胆红素TBIL/98,蛋白ALB31g/L,肝纤四项均已超过正常值,HBV-DNA阳性,腹部B超肝内光点回升增粗增强,脾大5.2脉13mm,通过服用本发明颗粒剂(按照实施例3方法制备,每日期三次,每次1袋,10克/袋。)三个月后,症状消失,皮肤巩膜黄染及体征消失,肝功能恢复正常,血清胆红素恢复正常,达到临床治愈。Case 3: The patient, female, 41 years old, Han, was admitted to the hospital on September 12, 2010, mainly due to fatigue, abdominal distension, oily, yellow urine for three months, and whole body yellow for two months. The patient had no inducement three months ago, but experienced fatigue, oily urine, yellow urine, diarrhea and other discomforts. The test in the local hospital showed liver damage. More and more, the above-mentioned symptoms of the patient were aggravated, and at the same time, the skin of the whole body was yellowed, accompanied by skin itching, and the sclera was severely yellowed. Western medicine diagnostic criteria: Admission physical examination: 37.2C, pulse 82 beats/min, respiration 21 beats/min, blood pressure 130/80 mmHg, dull complexion, emaciated appearance, clear mind, normal orientation and calculation in physical examination, Severe skin yellowing all over the body, at the same time skin itching and scratches all over the body, positive liver palms and spider nevus, no superficial lymph node swelling, no conjunctival congestion and edema, mild yellowing of the sclera, bilateral pupils are large and round, Sensitive reflexes, no abnormalities in the ears and nose, no resistance in the neck, no enlarged thyroid gland, abnormal hearing and abnormalities on cardiopulmonary auscultation, percussion pain in the liver area, bowel sounds 3 times/min, no abnormalities in the spine, no abnormalities in the joints, and no nerve reflexes Abnormal, according to medical history and physical examination diagnosis of chronic hepatitis B. Laboratory tests: alanine aminotransferase ALT1680U/L, total bilirubin TBIL/98, protein ALB31g/L, liver fibrosis all exceeded normal values, HBV-DNA was positive, abdominal B-ultrasound intrahepatic light spots picked up, thickened and enhanced , splenomegaly 5.2 pulse 13mm, by taking granule of the present invention (prepared according to embodiment 3 method, every day three times, each 1 bag, 10 grams/bag.) after three months, symptom disappears, skin and sclera yellow stain and sign disappear, liver function returns to normal, serum bilirubin returns to normal, and clinical cure is achieved.

下述实施例均能实现上述实验例的效果。The following embodiments can all achieve the effects of the above experimental examples.

实施例1胶囊剂Embodiment 1 capsule

黄  芪30kg 党  参30kg 白  术30kgAstragalus 30kg Codonopsis Ginseng 30kg Atractylodes Rhizome 30kg

茯  苓30kg 黄  精30kg 灵  芝30kgPoria cocos 30kg Polygonatum 30kg Ganoderma lucidum 30kg

茵  陈40kg 蒲公英40kg 青叶胆15kgYin Chen 40kg Dandelion 40kg Green Leaf Gallbladder 15kg

板蓝根20kg 大  黄10kg 白花蛇舌草20kgBanlangen 20kg Rhubarb 10kg Hedyotis diffusa 20kg

何首乌15kg 紫河车6kg  五味子20kgPolygonum multiflorum 15kg Zihe cart 6kg Schisandra 20kg

女贞子20kg 猪  苓10kg 白  芍30kgLigustrum lucidum 20kg, Porcini 10kg, Baishao 30kg

丹  参40kg 赤  芍30kg 三  七10kgDanshen 40kg Radix Paeoniae Alba 30kg Sanqi 10kg

郁  金10kg 柴  胡15kg 砂  仁15kgTurmeric 10kg Bupleurum 15kg Amomum kernel 15kg

穿山甲6kg  鳖  甲40kg 龟  板30kgPangolin 6kg Turtle Armor 40kg Turtle Board 30kg

甘  草10kg。Licorice 10kg.

上述药物按照常规工艺加入常规辅料制成临床接受的胶囊剂。每日三次,每次2粒。The above-mentioned medicines are prepared into clinically acceptable capsules by adding conventional auxiliary materials according to conventional techniques. Three times a day, 2 capsules each time.

实施例2片剂Example 2 tablet

黄  芪17kg 党  参43kg 白  术17kgAstragalus 17kg Codonopsis ginseng 43kg Atractylodes macrocephala 17kg

茯  苓43kg 黄  精17kg 灵  芝43kgPoria cocos 43kg Polygonatum 17kg Ganoderma lucidum 43kg

茵  陈25kg 蒲公英55kg 青叶胆9kgYin Chen 25kg Dandelion 55kg Green Leaf Gallbladder 9kg

板蓝根28kg 大  黄7kg  白花蛇舌草28kgBanlangen 28kg Rhubarb 7kg Hedyotis diffusa 28kg

何首乌9kg  紫河车7kg  五味子12kgPolygonum multiflorum 9kg Ziheche 7kg Schisandra 12kg

女贞子28kg 猪  苓7kg  白  芍43kgLigustrum lucidum 28kg, Porcini 7kg, Baishao 43kg

丹  参25kg 赤  芍43kg 三  七7kgDanshen 25kg Radix Paeoniae Alba 43kg Sanqi 7kg

郁  金13kg 柴  胡9kg  砂  仁21kgTurmeric 13kg Bupleurum 9kg Amomum 21kg

穿山甲4kg  鳖  甲55kg 龟  板17kgPangolin 4kg Turtle Armor 55kg Turtle Board 17kg

甘  草13kg。Licorice 13kg.

上述药物按照常规工艺加入常规辅料制成临床接受的胶囊剂。每日三次,每次2片。The above-mentioned medicines are prepared into clinically acceptable capsules by adding conventional auxiliary materials according to conventional techniques. Three times a day, 2 tablets each time.

实施例3颗粒剂Embodiment 3 granules

黄  芪43kg 党  参17kg 白  术43kgAstragalus 43kg Codonopsis ginseng 17kg Atractylodes macrocephala 43kg

茯  苓17kg 黄  精43kg 灵  芝17kgPoria cocos 17kg Polygonatum 43kg Ganoderma lucidum 17kg

茵  陈55kg 蒲公英25kg 青叶胆21kgYin Chen 55kg Dandelion 25kg Green Leaf Gallbladder 21kg

板蓝根12kg 大  黄13kg 白花蛇舌草12kgBanlangen 12kg Rhubarb 13kg Hedyotis diffusa 12kg

何首乌21kg 紫河车5kg  五味子28kgPolygonum multiflorum 21kg Ziheche 5kg Schisandra 28kg

女贞子12kg 猪  苓13kg 白  芍17kgLigustrum lucidum 12kg, Porcini 13kg, Baishao 17kg

丹  参55kg 赤  芍17kg 三  七13kgDanshen 55kg Chishen 17kg Sanqi 13kg

郁  金7kg  柴  胡21kg 砂  仁9kgTurmeric 7kg Bupleurum 21kg Amomum 9kg

穿山甲7kg  鳖  甲25kg 龟  板43kgPangolin 7kg Turtle Armor 25kg Turtle Board 43kg

甘  草7kg。Licorice 7kg.

上述药物按照常规工艺加入常规辅料制成临床接受的颗粒剂。每日三次,每次1袋,10克/袋。The above-mentioned drugs are prepared into clinically acceptable granules by adding conventional auxiliary materials according to conventional processes. Three times a day, 1 bag each time, 10g/bag.

实施例4丸剂Embodiment 4 pills

黄  芪30kg 党  参30kg 白  术30kgAstragalus 30kg Codonopsis Ginseng 30kg Atractylodes Rhizome 30kg

茯  苓30kg 黄  精30kg 灵  芝30kgPoria cocos 30kg Polygonatum 30kg Ganoderma lucidum 30kg

茵  陈40kg 蒲公英40kg 青叶胆15kgYin Chen 40kg Dandelion 40kg Green Leaf Gallbladder 15kg

板蓝根20kg 大  黄10kg 白花蛇舌草20kg Banlangen 20kg Rhubarb 10kg Hedyotis diffusa 20kg

何首乌15kg 紫河车6kg  五味子20kgPolygonum multiflorum 15kg Zihe cart 6kg Schisandra 20kg

女贞子20kg 猪  苓10kg 白  芍30kgLigustrum lucidum 20kg, Porcini 10kg, Baishao 30kg

丹  参40kg 赤  芍30kg 三  七10kgDanshen 40kg Radix Paeoniae Alba 30kg Sanqi 10kg

郁  金10kg 柴  胡15kg 砂  仁15kgTurmeric 10kg Bupleurum 15kg Amomum kernel 15kg

穿山甲6kg  鳖  甲40kg 龟  板30kgPangolin 6kg Turtle Armor 40kg Turtle Board 30kg

甘  草10kg。Licorice 10kg.

上述药物按照常规工艺加入常规辅料制成临床接受的丸剂。The above-mentioned medicines are prepared into clinically acceptable pills by adding conventional auxiliary materials according to conventional processes.

实施例5口服液Embodiment 5 oral liquid

黄  芪17kg 党  参43kg 白  术17kgAstragalus 17kg Codonopsis ginseng 43kg Atractylodes macrocephala 17kg

茯  苓43kg 黄  精17kg 灵  芝43kgPoria cocos 43kg Polygonatum 17kg Ganoderma lucidum 43kg

茵  陈25kg 蒲公英55kg 青叶胆9kgYin Chen 25kg Dandelion 55kg Green Leaf Gallbladder 9kg

板蓝根28kg 大  黄7kg  白花蛇舌草28kgBanlangen 28kg Rhubarb 7kg Hedyotis diffusa 28kg

何首乌9kg  紫河车7kg  五味子12kgPolygonum multiflorum 9kg Ziheche 7kg Schisandra 12kg

女贞子28kg 猪  苓7kg  白  芍43kgLigustrum lucidum 28kg, Porcini 7kg, Baishao 43kg

丹  参25kg 赤  芍43kg 三  七7kgDanshen 25kg Radix Paeoniae Alba 43kg Sanqi 7kg

郁  金13kg 柴  胡9kg  砂  仁21kgTurmeric 13kg Bupleurum 9kg Amomum 21kg

穿山甲4kg  鳖  甲55kg 龟  板17kgPangolin 4kg Turtle Armor 55kg Turtle Board 17kg

甘  草13kg。Licorice 13kg.

上述药物按照常规工艺加入常规辅料制成临床接受的口服液。The above-mentioned medicine is prepared into a clinically acceptable oral liquid by adding conventional auxiliary materials according to a conventional process.

Claims (6)

1.一种治疗病毒性肝炎的药物组合物,其特征在于,该组合物由下述原料药制成:1. a pharmaceutical composition for the treatment of viral hepatitis, characterized in that the composition is made from the following raw materials: 2.如权利要求1所述的药物组合物,其特征在于该药物组合物按照常规工艺加入常规辅料制成临床接受的片剂、颗粒剂、胶囊剂、丸剂、口服液或汤剂。2. The pharmaceutical composition according to claim 1, characterized in that the pharmaceutical composition is made into clinically acceptable tablets, granules, capsules, pills, oral liquids or decoctions by adding conventional adjuvants according to conventional processes. 3.如权利要求1所述的药物组合物在制备治疗病毒性肝炎的药物中的应用。3. The application of the pharmaceutical composition as claimed in claim 1 in the preparation of medicine for the treatment of viral hepatitis. 4.如权利要求1所述的药物组合物在制备治疗乙型肝炎的药物中的应用。4. The application of the pharmaceutical composition as claimed in claim 1 in the preparation of medicines for the treatment of hepatitis B. 5.如权利要求1所述的药物组合物在制备治疗肝硬化的药物中的应用。5. The application of the pharmaceutical composition as claimed in claim 1 in the preparation of medicine for the treatment of liver cirrhosis. 6.如权利要求1所述的药物组合物在制备治疗肝腹水的药物中的应用。6. the application of pharmaceutical composition as claimed in claim 1 in the medicine of preparation treatment liver ascites.
CN201310150210.4A 2013-04-27 2013-04-27 Drug composition for treating viral hepatitis Expired - Fee Related CN103212033B (en)

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