CN103751330B - Cataplasm of tcm for the treatment of chloasma and preparation method thereof - Google Patents
Cataplasm of tcm for the treatment of chloasma and preparation method thereof Download PDFInfo
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Abstract
Description
技术领域 technical field
本发明属于中医中药技术领域,具体涉及一种治疗黧黑斑的中药糊剂及其制备方法。 The invention belongs to the technical field of traditional Chinese medicine, and in particular relates to a traditional Chinese medicine paste for treating pruriens and a preparation method thereof.
背景技术 Background technique
黧黑斑是一种色素沉着斑,西医俗称黄褐斑。该病是中青年女性,尤其孕妇较常见的皮肤疾病,好发于额前和面部。中医认为该病的发生与肝、肾、脾三脏功能失调有关,其中与肝的关系最密切。情志失调为黧黑斑的主要发病原因。叶天士曰“女子以肝为先天”,《普济方》曰“面尘脱色,是主肝”,《外科心法要诀》曰“多因忧思抑郁,血弱不华,火燥结滞而生于面上,妇女多有之。” 如肝气郁结,郁久化火,或暴怒伤肝,肝火旺盛,则火灼头面,血脉瘀滞,面发黑斑;或忧思伤脾,脾失健运,湿火上蒸,气血不运,面发黑斑;或惊恐伤肾,气机逆乱,肾色外露,面发黑斑。近年研究发现,劣质化妆品、日晒过度,使邪毒外侵,毒聚皮肤,气血失和,可面发黑斑。故“火、毒、瘀”是黧黑斑的主要病机、“无瘀不成斑”,血瘀则为其根本,治疗应以清火解毒、活血祛瘀、化斑美白为主。 Melasma is a kind of hyperpigmentation spot, commonly known as chloasma in Western medicine. The disease is a skin disease more common in young and middle-aged women, especially pregnant women, and is prone to occur on the forehead and face. Traditional Chinese medicine believes that the occurrence of the disease is related to the dysfunction of the liver, kidney, and spleen, among which the liver is most closely related. Emotional disorders are the main cause of pruriens. Ye Tianshi said that "women take the liver as their innate nature", "Puji Fang" said that "the face is decolorized, and it is the main liver", "Surgical Heart Method" said "mostly due to depression, depression, weak blood, fire dryness and stagnation. Born on the face, women often have it." If liver qi stagnates, stagnation turns into fire for a long time, or violent anger hurts the liver, and the liver fire is strong, then the fire burns the head and face, blood stagnates, and black spots appear on the face; or worry hurts the spleen, and the spleen is unhealthy Luck, steaming on damp fire, qi and blood are not transported, and black spots appear on the face; or panic damages the kidneys, the qi mechanism is reversed, the kidney color is exposed, and dark spots appear on the face. In recent years, studies have found that poor-quality cosmetics and excessive sun exposure can cause evil toxins to invade outside, accumulate toxins on the skin, lose harmony in Qi and blood, and cause dark spots on the face. Therefore, "fire, poison, and stasis" are the main pathogenesis of dark spots, "no spots without stasis", and blood stasis is its root. Treatment should be based on clearing fire and detoxification, promoting blood circulation to remove blood stasis, and whitening spots.
目前,西医对黄褐斑的发病原因无统一认识,既往有研究认为:内分泌失调、紫外线照射、遗传是黧黑斑发病的主要因素。最新研究表明:体内氧化与抗氧化平衡失调、血液流变学的改变、局部皮损区微生态失衡、微量元素含量的异常等多种因素综合作用,导致局部皮肤黑素细胞内黑素合成增多是黧黑斑的发病原因,但对该病的治疗仍无理想的方法。 At present, Western medicine does not have a unified understanding of the pathogenesis of chloasma. Previous studies have believed that endocrine disorders, ultraviolet radiation, and heredity are the main factors for the onset of chloasma. The latest research shows that the combination of various factors such as the imbalance of oxidation and anti-oxidation in the body, the change of blood rheology, the imbalance of microecology in the local skin lesion area, and the abnormal content of trace elements lead to the increase of melanin synthesis in local skin melanocytes. It is the pathogenesis of pruriens, but there is still no ideal method for the treatment of the disease.
发明内容 Contents of the invention
经文献检索,未发现有公开治疗黧黑斑的中药糊剂。为此,本发明人发明了一种通过中药局部外敷有效治疗黧黑斑的糊剂,因此,本发明的目的是提供一种治疗黧黑斑的中药糊剂及其制备方法。 After literature search, no traditional Chinese medicine paste for the public treatment of prurigo is found. For this reason, the present inventor has invented a kind of paste that effectively treats prurigo by local external application of Chinese medicine, therefore, the purpose of this invention is to provide a kind of Chinese medicine paste for the treatment of prurigo and preparation method thereof.
为达到上述目的,本发明采取的技术方案是所述治疗黧黑斑的中药糊剂是由下列重量份的原药制成的:白菊花10~20份,芙蓉叶10~20份,绿豆10~20份,红山楂2~6份,桃仁2~6份,银杏仁2~6份,腊梅花2~6份,月季花2~6份,香白芷2~6份。 In order to achieve the above-mentioned purpose, the technical solution adopted by the present invention is that the traditional Chinese medicine paste for the treatment of prurigo is made of the following original medicines in parts by weight: 10-20 parts of white chrysanthemum, 10-20 parts of hibiscus leaf, 10-20 parts of mung bean 20 parts, 2-6 parts of red hawthorn, 2-6 parts of peach kernel, 2-6 parts of ginkgo kernel, 2-6 parts of wintersweet flower, 2-6 parts of rose flower, and 2-6 parts of fragrant angelica.
本发明药物选择白菊花、芙蓉叶、绿豆、红山楂、桃仁、银杏仁、腊梅花、月季花、香白芷进行组合,将这些药物组合使得各药物功效产生协同作用,从而有效地共奏清火解毒、活血祛瘀、化斑美白之效。 The medicine of the present invention is combined with white chrysanthemum, hibiscus leaf, mung bean, red hawthorn, peach kernel, ginkgo kernel, wintersweet flower, rose flower, and Angelica dahurica, and the combination of these medicines makes the effects of each medicine produce a synergistic effect, thereby effectively clearing the fire together Detoxification, promoting blood circulation and removing blood stasis, removing freckles and whitening.
在本发明配方中,白菊花为君,其性辛、甘、苦,微寒。春暖可去湿、夏暑可解渴、秋日可解燥、冬季可清火,更能美容养颜、补血提神、延缓衰老。《神农本草经》记载“主诸风头眩、肿痛、目欲脱、皮肤死肌、恶风湿痹,久服利气,轻身耐劳延 。”芙蓉叶性平味辛,外敷有清热、凉血、解毒、消肿、排毒之功;绿豆有“食中佳品,济世长谷”之称,药用价值也极高。《本草纲目》云:“绿豆,消肿治痘之功虽同于赤豆,而压热解毒之力过之。”并可“解金石、砒霜、草木一切诸毒”;二药相合为臣,以辅助君药清热、解毒、养颜之力。红山楂酸甘微温,为活血散瘀的良药;桃仁味苦甘而性平,活血祛瘀作用甚广,可用治瘀血阻滞各种病症;银杏仁性平,味甘苦涩,《本经逢源》载其有降痰、清毒、杀虫之功能;腊梅花,味微甘、辛,性凉,可清热解毒,理气活瘀,芳香辟秽;月季花味甘,性温,可活血调经,解毒消肿;诸药为佐增强君臣之药活血化瘀、美颜化斑之效;香白芷性温,味辛,《本草纲目》谓白芷“长肌肤,润泽颜色,可作面脂”;橄榄油是最理想的食物油,被西方人誉为“液体黄金”,“植物油皇后”,“地中海甘露”;槐花蜜即具槐花的清热、解毒、凉血之功,又具蜂蜜的解毒、润燥之效,为蜂蜜中的上等之品,三者合用开腠理,润肌肤,引药力直达病所。 In the formula of the present invention, white chrysanthemum is king, and its nature is pungent, sweet, bitter, slightly cold. In spring, it can dehumidify, in summer, it can quench thirst, in autumn, it can relieve dryness, and in winter, it can clear fire. "Shen Nong's Materia Medica" records that "mainly control all dizziness, swelling and pain, loss of eyesight, dead skin muscles, aversion to rheumatism, long-term use of Qi, light body and endurance." Hibiscus leaves are flat and pungent in nature. Detoxification, detumescence, and detoxification; mung beans are known as "the best food in the world, and the long grain for the world", and their medicinal value is also extremely high. "Compendium of Materia Medica" says: "Mung bean has the same effect on reducing swelling and treating acne as red bean, but the power of pressing heat and detoxifying is superior to it." It can also "relieve all poisons of gold, stone, arsenic, and vegetation"; the combination of the two medicines is a minister , to assist the power of monarch medicine to clear away heat, detoxify, and beautify the skin. Red hawthorn is sour, sweet and slightly warm, and is a good medicine for promoting blood circulation and dispelling blood stasis; peach kernels are bitter and sweet in taste, and have a wide range of effects in promoting blood circulation and removing blood stasis, and can be used to treat various diseases caused by blood stasis; ginkgo kernels are flat in nature, sweet and bitter in taste. "Fengyuan" records that it has the functions of lowering phlegm, detoxifying, and killing insects; wintersweet flower, slightly sweet, pungent, cool in nature, can clear away heat and detoxify, regulate qi and activate blood stasis, and ward off dirty fragrance; rose flower is sweet, warm in nature, and can Promote blood circulation, regulate menstruation, detoxify and reduce swelling; various medicines are used to enhance the effect of promoting blood circulation, removing blood stasis, and beautifying spots for monarchs and ministers; Fragrant Angelica dahurica is warm in nature and pungent in taste. Olive oil is the most ideal food oil, known by Westerners as "liquid gold", "vegetable oil queen", "Mediterranean nectar"; Sophora japonica honey has the functions of clearing away heat, detoxification and cooling blood of Sophora japonica, and has The effect of detoxification and moistening dryness of honey is the first-class product in honey. The three are used together to open the skin, moisten the skin, and lead the medicine directly to the sick place.
现代药理研究表明:菊花中含丰富的香精油和菊色素,能够有效抑制皮肤黑色素的产生,能柔化表皮细胞,去除皮肤的皱纹,使皮肤白嫩;绿豆提取物中的牡砺碱和异牡砺碱,具卓越的洁净、保湿效果,去除皮脂机能显著,可有效清除皮肤内的不净物,彻底清除皮肤深层废物,使皮肤健康、充满活力、焕发生机;芙蓉叶具有抗炎、抑菌作用,可提高肝细胞抗氧化能力;桃仁中的脂肪油可使皮肤角质层软化,润泽皮肤,也可抑制细菌。桃仁中的氢氰酸可消除色素沉着、雀斑、黑斑;银杏可养颜抗衰老,扩张微血管,促进血液循环,使肌肤红润,精神焕发;月季花具有抗炎、抗氧化、抗病毒、抗肿瘤等多种作用;白芷除了具有解热抗炎等作用,还可改善局部血液循环,消除色素在组织中的堆积,促进皮肤细胞的新陈代谢,达到美容的作用;橄榄油,其富含丰富的单不饱和脂肪酸,还有维生素A、维生素B、维生素D、维生素E、维生素K及抗氧化物等,具极佳的天然保健功效和美容功效;蜂蜜也富含有多种营养成分,其中有维生素A、维生素B1、维生素B2、维生素B6、维生素C、维生素D、维生素K、果糖、葡萄糖、蛋白质、氧化酶以及微量元素等,能够刺激皮肤的血液循环,改善皮肤营养状况,提高皮肤新陈代谢水平,促进细胞生长,延缓衰老;使皮肤更有弹性和韧性,表面更加光滑润泽。 Modern pharmacological studies have shown that: chrysanthemum is rich in essential oils and chrysanthemum pigments, which can effectively inhibit the production of skin melanin, soften epidermal cells, remove skin wrinkles, and make skin white and tender; Alkali has excellent cleansing and moisturizing effects, and has a remarkable function of removing sebum. It can effectively remove impurities in the skin, thoroughly remove waste in the deep layer of the skin, and make the skin healthy, full of vitality, and rejuvenate; hibiscus leaves have anti-inflammatory and antibacterial properties. It can improve the antioxidant capacity of liver cells; the fatty oil in peach kernels can soften the cuticle of the skin, moisturize the skin, and inhibit bacteria. Hydrocyanic acid in peach kernels can eliminate pigmentation, freckles, and dark spots; ginkgo can nourish the skin and resist aging, dilate capillaries, promote blood circulation, make the skin rosy and refreshed; rose has anti-inflammatory, anti-oxidation, anti-virus, anti-tumor Angelica dahurica not only has antipyretic and anti-inflammatory effects, but also improves local blood circulation, eliminates the accumulation of pigment in the tissue, promotes the metabolism of skin cells, and achieves the effect of beauty; olive oil, which is rich in mono Unsaturated fatty acids, as well as vitamin A, vitamin B, vitamin D, vitamin E, vitamin K and antioxidants, etc., have excellent natural health care and beauty effects; honey is also rich in various nutrients, including vitamin A. Vitamin B1, vitamin B2, vitamin B6, vitamin C, vitamin D, vitamin K, fructose, glucose, protein, oxidase and trace elements can stimulate the blood circulation of the skin, improve the nutritional status of the skin, and improve the metabolism of the skin. Promote cell growth and delay aging; make the skin more elastic and tough, and the surface smoother and more moist.
为得到上述药物,将上述重量份的白菊花、芙蓉叶、绿豆、红山楂、桃仁、银杏仁、腊梅花、月季花、香白芷分别进行清洗,烘干、粉碎,过120目的筛孔,然后混合得药粉,密封包装即可;使用时,上述药粉兑入橄榄油和槐花蜜,兑入橄榄油和槐花蜜的量以药粉制成糊状为准,其中橄榄油和槐花蜜的体积比为1:3。 In order to obtain the above-mentioned medicine, the white chrysanthemum flower, hibiscus leaf, mung bean, red hawthorn, peach kernel, ginkgo kernel, wintersweet flower, rose flower and fragrant Angelica dahurica were respectively cleaned, dried, crushed, passed through a 120-mesh sieve, and then Mix to get the medicinal powder and seal the package; when in use, the above medicinal powder is blended with olive oil and Sophora japonica nectar, and the amount of blending olive oil and Sophora japonica nectar is based on the paste made from the medicinal powder, wherein the volume ratio of olive oil and Sophora japonica nectar is 1:3.
本发明的中药糊剂配方药物,无论采集和购买都较容易,药物价格也低廉,配制方法简便,使用方便安全。临床观察,使用本发明药物配方治疗2个疗程后,其总有效率为97.22%。 The traditional Chinese medicine paste formula medicine of the present invention is easy to collect and purchase, the medicine price is also low, the preparation method is simple and convenient, and the use is convenient and safe. According to clinical observation, after 2 courses of treatment with the pharmaceutical formulation of the present invention, the total effective rate is 97.22%.
具体实施方式 Detailed ways
本发明所述治疗黧黑斑的中药糊剂是由下列重量份的原药制成的:白菊花10~20份,芙蓉叶10~20份,绿豆10~20份,红山楂2~6份,桃仁2~6份,银杏仁2~6份,腊梅花2~6份,月季花2~6份,香白芷2~6份。 The traditional Chinese medicine paste for treating pruritis according to the present invention is made of the following original medicines in parts by weight: 10-20 parts of white chrysanthemum, 10-20 parts of hibiscus leaf, 10-20 parts of mung bean, 2-6 parts of red hawthorn, 2 to 6 parts of peach kernels, 2 to 6 parts of ginkgo kernels, 2 to 6 parts of wintersweet flowers, 2 to 6 parts of rose flowers, and 2 to 6 parts of Angelica dahurica.
为得到上述药物,将上述重量份的白菊花、芙蓉叶、绿豆、红山楂、桃仁、银杏仁、腊梅花、月季花、香白芷分别进行清洗,烘干、粉碎,过120目的筛孔,然后混合得药粉,密封包装即可;使用时,上述药粉兑入橄榄油和槐花蜜,兑入橄榄油和槐花蜜的量以药粉制成糊状为准,其中橄榄油和槐花蜜的体积比为1:3。 In order to obtain the above-mentioned medicine, the white chrysanthemum flower, hibiscus leaf, mung bean, red hawthorn, peach kernel, ginkgo kernel, wintersweet flower, rose flower and fragrant Angelica dahurica were respectively cleaned, dried, crushed, passed through a 120-mesh sieve, and then Mix to get the medicinal powder and seal the package; when in use, the above medicinal powder is blended with olive oil and Sophora japonica nectar, and the amount of blending olive oil and Sophora japonica nectar is based on the paste made from the medicinal powder, wherein the volume ratio of olive oil and Sophora japonica nectar is 1:3.
使用时,将上述药粉倒入药碗中,兑入橄榄油和槐花蜜,用调药板调制均匀成糊状,平摊外敷于面部,外敷30分钟后清除,温水洗脸,每天1次,4周为一疗程;兑入橄榄油和槐花蜜的量以药粉制成糊状为准,其中橄榄油和槐花蜜的体积比为1:3。 When in use, pour the above medicinal powder into a medicine bowl, add olive oil and Sophora japonica nectar, make a paste evenly with a medicine mixing board, spread it on the face, remove it after 30 minutes of external application, wash your face with warm water, once a day, 4 One week is a course of treatment; the amount of adding olive oil and nectar is based on the powder made into a paste, and the volume ratio of olive oil and nectar is 1:3.
实施例1:本发明所述治疗黧黑斑的中药糊剂是由下列重量份的原药制成的:白菊花10份,芙蓉叶10份,绿豆10份,红山楂2份,桃仁2份,银杏仁2份,腊梅花2份,月季花2份,香白芷2份。 Embodiment 1: the traditional Chinese medicine paste for the treatment of Pruriosis according to the present invention is made from the former medicine of following parts by weight: 10 parts of white chrysanthemum, 10 parts of lotus leaf, 10 parts of mung bean, 2 parts of red hawthorn, 2 parts of peach kernel, 2 parts of ginkgo kernels, 2 parts of wintersweet flowers, 2 parts of rose flowers, and 2 parts of fragrant angelica.
实施例2:本发明所述治疗黧黑斑的中药糊剂是由下列重量份的原药制成的:白菊花15份,芙蓉叶15份,绿豆15份,红山楂4份,桃仁4份,银杏仁4份,腊梅花4份,月季花4份,香白芷4份。 Embodiment 2: the traditional Chinese medicine paste for the treatment of Pruriosis according to the present invention is made from the former medicine of following parts by weight: 15 parts of white chrysanthemums, 15 parts of hibiscus leaves, 15 parts of mung beans, 4 parts of red hawthorn, 4 parts of peach kernels, 4 parts of ginkgo kernels, 4 parts of wintersweet flowers, 4 parts of rose flowers, and 4 parts of fragrant angelica.
实施例3:本发明所述治疗黧黑斑的中药糊剂是由下列重量份的原药制成的:白菊花15份,芙蓉叶20份,绿豆20份,红山楂6份,桃仁6份,银杏仁6份,腊梅花6份,月季花6份,香白芷6份。 Embodiment 3: the traditional Chinese medicine paste for the treatment of Pruriosis according to the present invention is made from the former medicine of following parts by weight: 15 parts of white chrysanthemums, 20 parts of lotus leaves, 20 parts of mung beans, 6 parts of red hawthorn, 6 parts of peach kernels, 6 parts of ginkgo kernels, 6 parts of wintersweet flowers, 6 parts of rose flowers, and 6 parts of fragrant angelica.
临床观察资料Clinical Observation Data
(一)发明药物主要功能与治疗范围 (1) The main function and therapeutic scope of the invented drug
1、主要功能:清火解毒、活血祛瘀、化斑美白 1. Main functions: clear fire and detoxify, promote blood circulation and remove blood stasis, remove freckles and whiten skin
2、治疗范围:适用于面部黧黑斑。 2. The scope of treatment: suitable for dark spots on the face.
(二)本发明药物的临床观察 (2) Clinical observation of the medicine of the present invention
1.疗效标准:治愈为肉眼视色斑面积消退>90%,颜色基本消失;显效为肉眼视色斑面积消退>60%,颜色明显变淡;有效为肉眼视色斑面积消退>30%,颜色变淡;无效为肉眼视色斑面积消退<30%,颜色变化不明显。 1. Efficacy standard: cured means that the area of pigmented spots disappears > 90% with the naked eye, and the color basically disappears; markedly effective means that the area of pigmented spots fades with the naked eye > 60%, and the color becomes significantly lighter; effective means that the area of pigmented spots fades > 30% with the naked eye. The color becomes lighter; ineffective means that the area of the color spot disappears <30% according to the naked eye, and the color change is not obvious.
2.治疗结果:治疗组用本发明药物治疗,对照组用氢醌乳膏治疗。结果:本发明治疗黧黑斑的总有效率97.22%,对照组总有效率77.77%,两组比较差异有显著性〔p<0.05〕。 2. Treatment result: treatment group is treated with medicine of the present invention, and matched group is treated with hydroquinone cream. Results: The total effective rate of the present invention in treating Prurigo is 97.22%, and that of the control group is 77.77%. There is a significant difference between the two groups [p<0.05].
表1 两组有效率比较Table 1 Comparison of effective rates between the two groups
注:△与对照组比较, P<0.05,两组比较,差异有显著性意义。 Note: △ Compared with the control group, P <0.05, the difference between the two groups is significant.
从表1中可以看出治疗组疗效明显优于对照组(p<0.05)。 It can be seen from Table 1 that the curative effect of the treatment group was significantly better than that of the control group (p<0.05).
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