CN103933456B - A kind of Chinese medicine preparation for the treatment of flaccidity - Google Patents
A kind of Chinese medicine preparation for the treatment of flaccidity Download PDFInfo
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Abstract
本发明公开了一种治疗痿症的中药制剂,由重量计:乌蛇8-12g、全蝎10-15g、蜈蚣8-12g、地龙12-18g、制马钱子0.1-0.3g、土鳖虫8-12g、砂仁10-15g、三七3-7g及琥珀1-3g制成;具体方法为:将上述乌蛇、全蝎、蜈蚣、地龙、制马钱子、土鳖虫、三七及琥珀粉碎成粉末,备用;将砂仁加水煎煮2次,同时收集挥发油;合并两次收集的挥发油,采用环糊精进行包合,然后干燥得到包合物粉末;合并两次煎液,过滤,收集滤液并将滤液浓缩至60℃相对密度为1.20-1.25的浸膏,然后将制备的中药粉末加入浸膏中混匀,用30-50目筛网制粒,40-60℃条件下干燥,40-80目筛网整粒,加入包合物粉末,混匀,压片即得。本发明组方配伍科学,用量合理,易服用,成本低,效果好,能有效起到起萎伸筋、通经活络的作用。The invention discloses a traditional Chinese medicine preparation for treating flaccidity, which comprises 8-12g of black snake, 10-15g of scorpion, 8-12g of centipede, 12-18g of earthworm, 0.1-0.3g of strychnium chinensis, and 0.1-0.3g of ground turtle by weight. Worm 8-12g, amomum 10-15g, panax notoginseng 3-7g and amber 1-3g; the specific method is: the above-mentioned black snake, scorpion, centipede, earthworm, zhi nux, wood beetle, three Qi and amber are crushed into powder and set aside; decoct the amomum seed twice with water, and collect the volatile oil at the same time; combine the volatile oil collected twice, use cyclodextrin for inclusion, and then dry to obtain the inclusion complex powder; combine the two decoctions , filter, collect the filtrate and concentrate the filtrate to an extract with a relative density of 1.20-1.25 at 60°C, then add the prepared Chinese medicine powder to the extract and mix well, granulate with a 30-50 mesh screen, and use a 40-60°C condition Dry it under the hood, granulate with a 40-80 mesh sieve, add clathrate powder, mix evenly, and tablet it. The composition of the invention is scientifically compatible, reasonable in dosage, easy to take, low in cost and good in effect, and can effectively play the roles of wilting and stretching tendons, dredging meridians and activating collaterals.
Description
技术领域 technical field
本发明涉及医药,特别是一种治疗痿症的中药制剂。 The invention relates to medicine, in particular to a traditional Chinese medicine preparation for treating flaccidity.
背景技术 Background technique
痿证是指筋骨痿软,肌肉瘦削,皮肤麻木,手足不用的一类疾患。临床上以两足痿软、不能随意运动者较多见,故也有"痿辟"之称。导致痿病的原因非常复杂,感受外邪,情志内伤,饮食不节,劳倦久病等均可致病。基本病机是肺胃肝肾等脏腑精气受损,肢体筋脉失养,如肺热津伤,津液不布;湿热浸淫,气血不运;脾胃亏虚,精微不输;肝肾亏损,髓枯筋痿。目前,治疗痿症的药物有很多,但是治疗效果并不理想,因此开发一种治疗效果良好的药物成为亟待解决的问题。 Atrophy Syndrome refers to a class of diseases in which the muscles and bones are weak, the muscles are thin, the skin is numb, and the hands and feet are not used. Clinically, it is more common to have flaccidity and softness of the feet and inability to move freely, so it is also called "flareness". The causes of flaccidity are very complicated, such as exogenous pathogenic factors, internal emotional damage, improper diet, fatigue and prolonged illness. The basic pathogenesis is that the lungs, stomach, liver and kidneys and other viscera are damaged, and the tendons and arteries of the limbs lose their nourishment, such as lung heat and fluid injury, and the body fluid is not distributed; damp heat is soaked, and the blood is not transported; the spleen and stomach are deficient, and the essence is not lost; Loss, dry marrow and muscle flaccidity. At present, there are many drugs for the treatment of flaccidity, but the curative effect is not ideal, so developing a drug with good therapeutic effect has become an urgent problem to be solved.
发明内容 Contents of the invention
针对上述情况,为克服现有技术之缺陷,本发明之目的就是提供一种治疗痿症的中药制剂,可有效解决痿症问题。 In view of the above situation, in order to overcome the defects of the prior art, the object of the present invention is to provide a Chinese medicine preparation for treating flaccidity, which can effectively solve the flaccidity problem.
本发明解决的技术方案是,一种治疗痿症的中药制剂,由重量计:乌蛇8-12g、全蝎10-15g、蜈蚣8-12g、地龙12-18g、制马钱子0.1-0.3g、土鳖虫8-12g、砂仁10-15g、三七3-7g及琥珀1-3g制成;具体方法为:将上述乌蛇、全蝎、蜈蚣、地龙、制马钱子、土鳖虫、三七及琥珀粉碎成粉末,备用;将砂仁加入砂仁重量8-10倍的水煎煮2次,煎煮同时收集挥发油,待收集加水总重量8-10%重量的挥发油时,再煎煮1-2h;合并两次收集的挥发油,采用环糊精进行包合,然后干燥得到包合物粉末;合并两次煎液,过滤,收集滤液并将滤液浓缩至60℃相对密度为1.20-1.25的浸膏,然后将制备的中药粉末加入浸膏中混匀,用30-50目筛网制粒,40-60℃条件下干燥,40-80目筛网整粒,加入包合物粉末,混匀,压片即得。 The technical scheme solved by the present invention is, a kind of traditional Chinese medicine preparation for the treatment of flaccidity, by weight: black snake 8-12g, whole scorpion 10-15g, centipede 8-12g, earthworm 12-18g, strychnium 0.1- 0.3g, 8-12g of ground beetle, 10-15g of amomum, 3-7g of notoginseng and 1-3g of amber; Ground beetle, Panax notoginseng and amber are crushed into powder and set aside; Add amomum to water 8-10 times the weight of amomum and decoct twice, and collect volatile oil while decocting, until the volatile oil with a total weight of 8-10% of the total weight of water is collected , and then decocted for 1-2h; the volatile oil collected twice was combined, clathrated with cyclodextrin, and then dried to obtain inclusion complex powder; the decoction was combined twice, filtered, the filtrate was collected and the filtrate was concentrated to a relative density of 60°C The extract is 1.20-1.25, and then the prepared Chinese medicine powder is added to the extract and mixed evenly, granulated with a 30-50 mesh screen, dried at 40-60°C, granulated with a 40-80 mesh screen, added to the package Compound powder, mix well, and tablet.
乌蛇,性味甘、平,无毒。归肝经。有祛风,活络,定惊的功效。用于风湿顽痹,麻木拘挛,中风口眼喁斜,半身不遂,抽搐痉挛,破伤风,麻风疥癣,瘰疬恶疮。 Black snake, sweet in nature and flavor, flat, non-toxic. Return liver channel. It has the effects of expelling wind, activating collaterals, and calming convulsions. For rheumatism obstinate numbness, numbness and spasm, apoplexy, hemiplegia, convulsions and convulsions, tetanus, leprosy and scabies, scrofula and malignant sores.
全蝎,性味辛,平。归肝经。具有息风镇痉,攻毒散结,通络止痛的功效。 Scorpio, pungent in nature and flavor, flat. Return liver channel. It has the effects of calming wind and relieving spasm, attacking poison and dispelling stagnation, dredging collaterals and relieving pain.
蜈蚣,性味辛、温。具有祛风镇惊、解毒散结、通络止痛的功效。 Centipede, nature and flavor are pungent, warm. It has the effects of expelling wind, relieving convulsions, detoxifying and dissipating stagnation, dredging collaterals and relieving pain.
地龙,性寒,味微咸。具有清热定惊,通络、平喘,利尿的功效,用于脑血栓、脑梗塞、冠心病、中风,关节麻痹,肢体麻木,半身不遂,高血压症等病症。 Earthworm, cold in nature, slightly salty in taste. It has the effects of clearing away heat and calming convulsions, dredging collaterals, relieving asthma, and diuresis. It is used for cerebral thrombosis, cerebral infarction, coronary heart disease, stroke, joint paralysis, numbness of limbs, hemiplegia, hypertension and other diseases.
制马钱子,具有活血通络、消炎抗菌、止痛、去瘀生肌的功效。 Nuxe chinensis has the effects of promoting blood circulation and dredging collaterals, anti-inflammatory and antibacterial, pain relief, removing blood stasis and promoting granulation.
土鳖虫,性寒,味咸。具有破瘀血、续筋骨的功效。 Wood beetle, cold in nature, salty in taste. It has the effect of breaking blood stasis and renewing muscles and bones.
砂仁,味辛,性温。归脾经、胃经、肾经。具有化湿开胃,温脾止泻,理气安胎的功效。 Amomi, spicy in taste, warm in nature. Return spleen channel, stomach channel, kidney channel. It has the effects of dispelling dampness and appetizing, warming the spleen and stopping diarrhea, regulating qi and preventing miscarriage.
三七,具有散瘀止血,消肿定痛之功效。能治咯血,吐血,衄血,便血,崩漏,外伤出血,胸腹刺痛,跌仆肿痛。 Radix Notoginseng has the effects of dispelling blood stasis and stopping bleeding, reducing swelling and relieving pain. Can control hemoptysis, hematemesis, epistaxis, hematochezia, metrorrhagia, traumatic bleeding, chest and abdomen tingling pain, tumbling pain.
琥珀,性味甘,平。归心;肝;小肠经;膀胱;肺;脾经。具有镇惊安神;散瘀止血;利水通淋;去翳明目的功效。 Amber, sweet in nature and flavor, flat. Guixin; Liver; Small Intestine Channel; Bladder; Lung; Spleen Channel. It has the effects of calming the nerves, dispelling blood stasis and stopping bleeding, diuresis and dredging stranguria, removing nebula and improving eyesight.
本发明中药制剂中乌蛇、制马钱子、土鳖虫、地龙有通经活络之功,对内侵筋脉关节之浊毒,或外致皮肤之顽痹均可应用,为君药;全蝎、蜈蚣为熄风散结之要药,走窜之力最速,内达脏腑,外行经络,凡气血凝聚之处皆能开之,共为臣药;砂仁功效化湿、行气、温中、有调和五脏之气,消减君臣之戾毒,三七、琥珀散瘀活,可引诸药归宿丹田,共为佐使药。诸药合用,共成起萎伸筋、通经活络之功,特别适用于各种原因引起的肌肉驰缓,肢体痿软,运动障碍而无热象及风寒湿滞经络致肢体筋骨酸楚疼痛等症。本发明采用天然中药材为原料,原料来源广泛,制备方法简单,易于工业化推广,具有良好的社会效益和经济效益。 In the traditional Chinese medicine preparation of the present invention, black snake, strychnium chinensis, ground beetle, and earthworm have the merit of dredging the meridian and activating collaterals, and can be applied to the turbidity and poison of invading tendons and joints, or the stubborn numbness caused by the external skin, and are monarch drugs; Scorpion and centipede are the key medicines for Xifeng Sanjie, with the fastest running power, reaching viscera internally, and externally traveling meridians, they can be opened wherever qi and blood are condensed, and they are ministerial medicines; , Warm the middle, have the qi of reconciling the five internal organs, reduce the poison of the monarch and ministers, Sanqi, amber dispel blood stasis and activate, can lead all medicines to return to the dantian, and serve as adjuvant medicines. Combination of various medicines can achieve the functions of atrophy, stretching tendons, clearing meridians and activating collaterals. It is especially suitable for muscle laxity, limb flaccidity and weakness caused by various reasons, movement disorders without heat symptoms, and limb muscles and bones ache caused by wind-cold damp stagnation in meridians and collaterals, etc. disease. The invention adopts natural Chinese medicinal materials as raw materials, has wide sources of raw materials, simple preparation method, easy industrial promotion, and good social and economic benefits.
具体实施方式 detailed description
以下结合实施例对本发明的具体实施方式作详细说明。 The specific implementation of the present invention will be described in detail below in conjunction with the examples.
实施例1Example 1
本实施例治疗痿症的中药制剂,由重量计:乌蛇10g、全蝎12g、蜈蚣10g、地龙15g、制马钱子0.2g、土鳖虫10g、砂仁12g、三七5g及琥珀2g制成;具体方法为:将上述乌蛇、全蝎、蜈蚣、地龙、制马钱子、土鳖虫、三七及琥珀粉碎成粉末,备用;将砂仁加入砂仁重量8倍的水煎煮2次,煎煮同时收集挥发油,待收集加水总重量8%重量的挥发油时,再煎煮1h;合并两次收集的挥发油,采用环糊精进行包合,然后干燥得到包合物粉末;合并两次煎液,过滤,收集滤液并将滤液浓缩至60℃相对密度为1.20的浸膏,然后将制备的中药粉末加入浸膏中混匀,用40目筛网制粒,50℃条件下干燥,40目筛网整粒,加入包合物粉末,混匀,压片即得。 The traditional Chinese medicine preparation for the treatment of flaccidity according to the present embodiment, by weight: 10g of black snake, 12g of scorpion, 10g of centipede, 15g of earthworm, 0.2g of Strychnis chinensis, 10g of ground beetle, 12g of amomum, 5g of Panax notoginseng and 2g of amber Made; the specific method is: pulverize the above-mentioned black snake, scorpion, centipede, earthworm, chrysanthemum, wood beetle, notoginseng and amber into powder, and set aside; add amomum to 8 times the weight of amomum and fry Boiling twice, collecting volatile oil while decocting, and decocting for 1 hour after collecting the volatile oil with a total weight of 8% of the total weight of water added; combining the volatile oil collected twice, using cyclodextrin for clathrate, and then drying to obtain clathrate powder; Combine the two decoctions, filter, collect the filtrate and concentrate the filtrate to an extract with a relative density of 1.20 at 60°C, then add the prepared Chinese medicine powder to the extract and mix well, granulate with a 40-mesh screen, and granulate at 50°C Dry, granulate with a 40-mesh sieve, add clathrate powder, mix well, and tablet.
实施例2Example 2
本实施例治疗痿症的中药制剂,由重量计:乌蛇8g、全蝎10g、蜈蚣8g、地龙12g、制马钱子0.1g、土鳖虫8g、砂仁10g、三七3g及琥珀1g制成;具体方法为:将上述乌蛇、全蝎、蜈蚣、地龙、制马钱子、土鳖虫、三七及琥珀粉碎成粉末,备用;将砂仁加入砂仁重量9倍的水煎煮2次,煎煮同时收集挥发油,待收集加水总重量9%重量的挥发油时,再煎煮1.5h;合并两次收集的挥发油,采用环糊精进行包合,然后干燥得到包合物粉末;合并两次煎液,过滤,收集滤液并将滤液浓缩至60℃相对密度为1.25的浸膏,然后将制备的中药粉末加入浸膏中混匀,用30目筛网制粒,40℃条件下干燥,60目筛网整粒,加入包合物粉末,混匀,压片即得。 The traditional Chinese medicine preparation for the treatment of flaccidity in this example, by weight: 8g of black snake, 10g of scorpion, 8g of centipede, 12g of earthworm, 0.1g of Strychnis chinensis, 8g of ground beetle, 10g of amomum, 3g of Panax notoginseng and 1g of amber Made; the specific method is: pulverize the above-mentioned black snake, scorpion, centipede, earthworm, chrysanthemum, wood beetle, Panax notoginseng and amber into powder, and set aside; add Amomum 9 times the weight of Amomum to decoct Boil twice, collect volatile oil while decocting, and decoct for 1.5 hours after collecting volatile oil with a total weight of 9% of the total weight of water added; combine the volatile oil collected twice, use cyclodextrin for clathrate, and then dry to obtain clathrate powder Combine two decoctions, filter, collect the filtrate and concentrate the filtrate to an extract with a relative density of 1.25 at 60°C, then add the prepared Chinese medicine powder to the extract and mix well, granulate with a 30-mesh screen, and granulate at 40°C Dry it under the hood, granulate with a 60-mesh sieve, add clathrate powder, mix well, and tablet it.
实施例3Example 3
本实施例治疗痿症的中药制剂,由重量计:乌蛇12g、全蝎15g、蜈蚣12g、地龙18g、制马钱子0.3g、土鳖虫12g、砂仁15g、三七7g及琥珀3g制成;具体方法为:将上述乌蛇、全蝎、蜈蚣、地龙、制马钱子、土鳖虫、三七及琥珀粉碎成粉末,备用;将砂仁加入砂仁重量10倍的水煎煮2次,煎煮同时收集挥发油,待收集加水总重量10%重量的挥发油时,再煎煮2h;合并两次收集的挥发油,采用环糊精进行包合,然后干燥得到包合物粉末;合并两次煎液,过滤,收集滤液并将滤液浓缩至60℃相对密度为1.23的浸膏,然后将制备的中药粉末加入浸膏中混匀,用50目筛网制粒,60℃条件下干燥,80目筛网整粒,加入包合物粉末,混匀,压片即得。 The traditional Chinese medicine preparation for the treatment of flaccidity in this example, by weight: 12g of black snake, 15g of scorpion, 12g of centipede, 18g of earthworm, 0.3g of Strychnis chinensis, 12g of ground beetle, 15g of amomum, 7g of notoginseng and 3g of amber Made; the specific method is: pulverize the above-mentioned black snake, scorpion, centipede, earthworm, chrysanthemum, wood beetle, Panax notoginseng and amber into powder, and set aside; Boiling twice, collecting volatile oil while decocting, and decocting for 2 hours after collecting volatile oil with a total weight of 10% of the total weight of water added; combining the volatile oil collected twice, using cyclodextrin for clathrate, and then drying to obtain clathrate powder; Combine the two decoctions, filter, collect the filtrate and concentrate the filtrate to an extract with a relative density of 1.23 at 60°C, then add the prepared Chinese medicine powder to the extract and mix well, granulate with a 50-mesh screen, and granulate at 60°C Dry, granulate with 80-mesh sieve, add clathrate powder, mix well, and tablet.
本发明组方配伍科学,用量合理,易服用,成本低,效果好,能够有效起到起萎伸筋、通经活络的作用,并经临床试用,取得了良好的效果,有关试验情况如下: The prescription of the present invention is scientific in compatibility, reasonable in dosage, easy to take, low in cost and good in effect, and can effectively play the role of wilting and stretching tendons, dredging meridian and activating collaterals, and achieved good results through clinical trials. The relevant test conditions are as follows:
1、诊断标准 1. Diagnostic criteria
痿症的诊断要点,参照《中医内科学》: For the key points of diagnosis of flaccidity, refer to "Internal Medicine of Traditional Chinese Medicine":
(1)肢体筋脉弛缓不收,软弱无力,甚则瘫痪,部分病人伴有肌肉萎缩。 (1) Muscle atrophy, weakness, and even paralysis in limbs. Some patients are accompanied by muscle atrophy.
(2)由于肌肉痿软无力,可有睑废、歧视,声嘶低喑,抬头无力等症状,甚则影响呼吸、吞咽。 (2) Due to muscle flaccidity and weakness, there may be symptoms such as eyelid drooping, discrimination, hoarseness and low voice, and weakness in raising the head, and even affect breathing and swallowing.
(3)部分病人发病前有感冒、腹泻病史,有的病人有神经毒性药物接触史或家族遗传史。 (3) Some patients had a history of colds and diarrhea before the onset of the disease, and some patients had a history of exposure to neurotoxic drugs or family genetic history.
2、疗效评定 2. Efficacy evaluation
参照《中药新药治疗中风病临床研究指导原则》中所采用的尼莫地平法:(治疗前积分一治疗后积分)/治疗前积分×100%,以百分数表示。完全缓解:85%;显效50%-85%;有效20%-50%;无效<20%。 With reference to the nimodipine method adopted in the "Guiding Principles for Clinical Research of New Chinese Medicines for the Treatment of Stroke": (score before treatment-score after treatment)/score before treatment×100%, expressed as a percentage. Complete remission: 85%; markedly effective 50%-85%; effective 20%-50%; invalid <20%.
3、结果: 3. Results:
随机选择确诊痿症患者520名,采用本发明的中药制剂治疗12周,每日3片(0.5g/片),早中晚各1次,每次1片,其中,520例患者中,显效190;有效250;无效80例,有效率84.62%。 Randomly select 520 patients with diagnosed flaccidity, and use the traditional Chinese medicine preparation of the present invention to treat for 12 weeks, 3 tablets (0.5g/tablet) per day, 1 tablet each time in the morning, noon and evening, among them, among 520 patients, the effect is markedly 190; effective 250; invalid 80 cases, the effective rate was 84.62%.
上述试验结果表明,本发明中药制剂能够有效起到起萎伸筋、通经活络的作用,是中药领域的一大创新。 The above test results show that the traditional Chinese medicine preparation of the present invention can effectively play the role of shrinking and stretching tendons, dredging meridians and activating collaterals, which is a great innovation in the field of traditional Chinese medicine.
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CN1526440A (en) * | 2003-09-24 | 2004-09-08 | 夏玉卿 | Compound Chinese medicine prepn for treating muscular atrophy and amyasthenia and its prepn process |
CN102526502A (en) * | 2010-12-13 | 2012-07-04 | 陈冠卿 | Chinese medicine preparation for treating myasthenia gravis |
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CN1526440A (en) * | 2003-09-24 | 2004-09-08 | 夏玉卿 | Compound Chinese medicine prepn for treating muscular atrophy and amyasthenia and its prepn process |
CN102526502A (en) * | 2010-12-13 | 2012-07-04 | 陈冠卿 | Chinese medicine preparation for treating myasthenia gravis |
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Title |
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介绍家传验方—马钱五虫丸;张华;《陕西中医》;19831231(第4期);19 * |
从益气活血入手治疗痿症的体会;何谦;《四川中医》;20021231;第20卷(第3期);47 * |
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