CN104825563B - A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof - Google Patents
A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof Download PDFInfo
- Publication number
- CN104825563B CN104825563B CN201510233285.8A CN201510233285A CN104825563B CN 104825563 B CN104825563 B CN 104825563B CN 201510233285 A CN201510233285 A CN 201510233285A CN 104825563 B CN104825563 B CN 104825563B
- Authority
- CN
- China
- Prior art keywords
- radix
- chinese medicine
- rhizoma
- raw material
- cervical spondylosis
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Landscapes
- Medicines Containing Plant Substances (AREA)
Abstract
Description
技术领域 technical field
本发明涉及中药技术领域,特别是涉及一种治疗颈椎病的中药制剂及其制备方法。 The invention relates to the technical field of traditional Chinese medicines, in particular to a traditional Chinese medicine preparation for treating cervical spondylosis and a preparation method thereof.
背景技术 Background technique
颈椎间盘组织退行性改变及其继发病理改变累及其周围组织结构(神经根、脊髓、椎动脉、交感神经等),并出现相应的临床表现者称为颈椎病。颈椎病是骨科临床常见病、多发病。患者轻者颈肩臂痛、眩晕头痛,重者疼痛难忍或四肢无力,甚者猝然昏倒,严重影响了人们的健康生活。西医诊断病理分型:1、局部型:枕颈部疼痛,颈活动受限,颈肌僵硬,头颈限制在一定位置,颈部两侧压痛显著性。x光片示颈椎生理弧度改变。2、神经根型:颈肩疼痛,枕部及后颈部酸痛,向上肢放射,疼痛轻者为胀痛,重者如针刺刀割,受累神经支配区皮肤感觉减退,颈肌紧张,有显著性压痛点,牵臂及压头实验阳性。x线片示病变椎间隙狭窄或增生,椎间孔变小。MRI可见椎体后有赘生物及神经根管变窄。3、脊髓型:多发于40~60岁,颈肩不一定疼痛,可稍感不适,手部细小动作失灵,步态不稳,可出现病理反射,重者可出现行走困难,二便失禁或尿潴留。x线片示病变椎间盘狭窄,椎体增生。MRI示椎管变窄,椎体后缘增生较严重并突人椎管。4、椎动脉型:头痛头晕,耳鸣眼花,记忆力减退,偶有面部和眼部症状,头颅旋转引起眩晕甚或可出现猝倒。x线斜位片可见钩椎关节横向突出,椎动脉造影显示扭曲或狭窄。5、交感神经型:有交感神经兴奋或抑制症状,X线片示钩椎增生,椎间孔变窄,颈椎生理弧度改变,椎动脉造影有受压现象。6、混合型:两种以上压迫症状存在者。 The degenerative changes of cervical intervertebral disc tissue and its secondary pathological changes involve the surrounding tissue structures (nerve root, spinal cord, vertebral artery, sympathetic nerve, etc.), and those with corresponding clinical manifestations are called cervical spondylosis. Cervical spondylosis is a common and frequently-occurring disease in orthopedic clinics. Patients with mild neck and shoulder pain, dizziness and headache, severe pain or limb weakness, and even sudden fainting, have seriously affected people's healthy life. Western medicine diagnosis and pathological classification: 1. Local type: occipital neck pain, limited neck movement, stiff neck muscles, limited head and neck at a certain position, and significant tenderness on both sides of the neck. X-ray films showed changes in the physiological curvature of the cervical spine. 2. Nerve root type: neck and shoulder pain, soreness in the occipital and back of the neck, radiating to the upper extremities, mild pain is distending pain, severe pain is like acupuncture and knife cutting, skin sensation in the innervated area of the affected nerve is decreased, neck muscles are tense, there is Significant tenderness points, positive arm and pressure head test. X-ray films showed stenosis or hyperplasia of the diseased intervertebral space, and the intervertebral foramen became smaller. MRI showed vegetation and nerve root canal narrowing behind the vertebral body. 3. Spinal cord type: mainly occurs in 40 to 60 years old, neck and shoulder pain may not be necessary, may feel a little discomfort, small hand movements malfunction, gait instability, pathological reflexes may appear, severe cases may have difficulty walking, urinary incontinence or urinary retention. X-ray films showed stenosis of diseased intervertebral disc and hyperplasia of vertebral body. MRI showed narrowing of the spinal canal, severe hyperplasia of the posterior border of the vertebral body and protruding into the spinal canal. 4. Vertebral artery type: headache, dizziness, tinnitus, dizziness, memory loss, occasional facial and eye symptoms, dizziness caused by head rotation, or even cataplexy. Oblique x-ray film shows the lateral protrusion of the uncinate joint, and vertebral arteriography shows distortion or stenosis. 5. Sympathetic nerve type: symptoms of sympathetic nerve excitation or inhibition, X-ray films show hyperplasia of uncinate vertebrae, narrowing of intervertebral foramina, changes in the physiological curvature of the cervical spine, and compression of the vertebral arteriography. 6. Mixed type: There are more than two kinds of oppressive symptoms.
针对颈椎病,目前有多种疗法。物理疗法有利用各种机械的牵引疗法、按摩疗法、热疗、磁疗等,只是局部治疗,而不能从整体上进行调整,效果不够理想;而治疗骨质增生的药品多为外用药,一般只能缓解症状;虽然也有内服药,但毒性大,不宜久服。手术疗法,创伤大,危险性高,患者不易接受;西药疗法,主要是非甾体类抗炎止痛药,因副作用大,患者亦不易接受。所以,迫切需要疗效确切,毒副作用小,宜于长期服用的药物。 For cervical spondylosis, there are many treatments. Physiotherapy includes traction therapy, massage therapy, hyperthermia, magnetic therapy, etc. using various machines, which are only local treatments, but cannot be adjusted as a whole, and the effect is not ideal; It can only relieve symptoms; although there are also oral medicines, they are highly toxic and should not be taken for a long time. Surgical therapy, traumatic, high risk, patients are not easy to accept; Western medicine therapy, mainly non-steroidal anti-inflammatory painkillers, due to side effects, patients are not easy to accept. Therefore, there is an urgent need for a drug with definite curative effect, low toxicity and side effects, and suitable for long-term use.
发明内容 Contents of the invention
针对现有技术的不足,本发明提供一种见效快、治愈率高、无毒副作用的治疗颈椎病的中药制剂及其制备方法。 Aiming at the deficiencies of the prior art, the invention provides a traditional Chinese medicine preparation for treating cervical spondylosis with quick effect, high cure rate and no side effects and a preparation method thereof.
本发明提供一种治疗颈椎病的中药制剂,包括以下中药原料且各原料的重量配比分别为:黄芪10-40g、葛根10-40g、延胡索10-40g、羌活10-40g、防风10-40g、细辛3-6g、白芷10-40g、蕲蛇10-40g、穿山甲10-40g、全蝎10-40g、蜈蚣10-40g、当归10-40g、白芍10-40g、川芎10-40g、三七10-40g、红花10-40g、丹参10-40g、炒杜仲10-40g、骨碎补10-40g、鹿茸10-40g、龟板10-40g、肉桂10-40g、甘草10-40g。 The invention provides a Chinese medicine preparation for treating cervical spondylosis, which comprises the following Chinese medicine raw materials and the weight ratio of each raw material is respectively: 10-40g of Astragalus, 10-40g of Pueraria Radix, 10-40g of Corydalis Corydalis, 10-40g of Notopterygium, and 10-40g of Fangfeng , Asarum 3-6g, Angelica dahurica 10-40g, Viper 10-40g, Pangolin 10-40g, Scorpion 10-40g, Centipede 10-40g, Angelica 10-40g, Baishao 10-40g, Chuanxiong 10-40g, Panax notoginseng 10-40g, safflower 10-40g, salvia miltiorrhiza 10-40g, fried Eucommia 10-40g, drynaria drynaria 10-40g, antler 10-40g, tortoise shell 10-40g, cinnamon 10-40g, licorice 10-40g.
进一步地,包括以下中药原料且各原料的重量配比分别为:黄芪20-40g、葛根20-40g、延胡索20-40g、羌活20-40g、防风20-40g、细辛3-5g、白芷20-40g、蕲蛇20-40g、穿山甲20-40g、全蝎20-40g、蜈蚣20-40g、当归20-40g、白芍20-40g、川芎20-40g、三七20-40g、红花20-40g、丹参20-40g、炒杜仲20-40g、骨碎补20-40g、鹿茸20-40g、龟板20-40g、肉桂20-40g、甘草20-40g。 Further, the following traditional Chinese medicine raw materials are included and the weight proportions of each raw material are respectively: Astragalus 20-40g, Pueraria 20-40g, Corydalis Corydalis 20-40g, Notopterygium 20-40g, Fangfeng 20-40g, Asarum 3-5g, Angelica dahurica 20g -40g, Viper 20-40g, Pangolin 20-40g, Scorpion 20-40g, Centipede 20-40g, Angelica 20-40g, Paeoniae Alba 20-40g, Rhizoma Chuanxiong 20-40g, Panax notoginseng 20-40g, Safflower 20g -40g, Danshen 20-40g, Fried Eucommia 20-40g, Rhizoma Drynariae 20-40g, Antler 20-40g, Tortoise shell 20-40g, Cinnamon 20-40g, Licorice 20-40g.
进一步地,包括以下中药原料且各原料的重量配比分别为:黄芪20-30g、葛根20-30g、延胡索20-30g、羌活20-30g、防风20-30g、细辛3-4g、白芷20-30g、蕲蛇20-30g、穿山甲20-30g、全蝎20-30g、蜈蚣20-30g、当归20-30g、白芍20-30g、川芎20-30g、三七20-30g、红花20-30g、丹参20-30g、炒杜仲20-30g、骨碎补20-30g、鹿茸20-30g、龟板20-30g、肉桂20-30g、甘草20-30g。 Further, the following traditional Chinese medicine raw materials are included and the weight proportions of each raw material are respectively: Astragalus 20-30g, Pueraria 20-30g, Corydalis Corydalis 20-30g, Notopterygium 20-30g, Fangfeng 20-30g, Asarum 3-4g, Angelica dahurica 20g -30g, Viper 20-30g, Pangolin 20-30g, Scorpion 20-30g, Centipede 20-30g, Angelica 20-30g, Paeoniae Alba 20-30g, Rhizoma Chuanxiong 20-30g, Panax notoginseng 20-30g, Safflower 20g -30g, Salvia miltiorrhiza 20-30g, fried Eucommia 20-30g, Drynaria rhizome 20-30g, antler 20-30g, turtle shell 20-30g, cinnamon 20-30g, licorice 20-30g.
更进一步地,所述各原料的重量份数优选为:黄芪20g、葛根20g、延胡索20g、羌活20g、防风20g、细辛3g、白芷20g、蕲蛇20g、穿山甲20g、全蝎20g、蜈蚣20g、当归20g、白芍20g、川芎20g、三七20g、红花20g、丹参20g、炒杜仲20g、骨碎补20g、鹿茸20g、龟板20、肉桂20g、甘草20g。 Further, the parts by weight of each raw material are preferably: 20g of Radix Astragali, 20g of Pueraria Radix, 20g of Corydalis Corydalis, 20g of Notopterygium, 20g of Fangfeng, 3g of Asarum, 20g of Angelica dahurica, 20g of Viper, 20g of Pangolin, 20g of Scorpion, and 20g of Centipede , Angelica 20g, white peony root 20g, Chuanxiong 20g, notoginseng 20g, safflower 20g, salvia miltiorrhiza 20g, fried Eucommia 20g, Drynaria fortunei 20g, antler 20g, turtle shell 20g, cinnamon 20g, licorice 20g.
本发明的中药剂型按常规方法制成任何一种临床上可接受的制剂,比如可为散剂、丸剂、片剂、胶囊剂、颗粒剂、贴剂或软膏剂。可根据不同制剂的需要,选取添加相应的常规辅料。 The traditional Chinese medicine formulation of the present invention is made into any clinically acceptable preparation according to conventional methods, such as powder, pill, tablet, capsule, granule, patch or ointment. According to the needs of different preparations, you can choose to add corresponding conventional excipients.
本发明还提供一种治疗颈椎病的中药制剂的制备方法,采用本发明提供的重量配比的原料,制备步骤为: The present invention also provides a preparation method of a traditional Chinese medicine preparation for treating cervical spondylosis, using the raw materials of the weight ratio provided by the present invention, the preparation steps are:
步骤1、将上述原料分别低温烘干; Step 1, drying the above-mentioned raw materials at low temperature respectively;
步骤2、把步骤1烘干后的原料,用粉碎机分别粉碎至能过300目筛,将全部粉碎后的原料混合均匀; Step 2, the dried raw materials in step 1 are pulverized with a pulverizer until they can pass through a 300-mesh sieve, and all the pulverized raw materials are mixed evenly;
步骤3、将步骤2中混合的原料灭菌消毒,之后平均分装成袋。分装的袋数根据具体采用的药量而有所不同,一般在40-120袋之间。 Step 3. Sterilize and sterilize the mixed raw materials in step 2, and then evenly distribute them into bags. The number of divided bags varies according to the amount of medicine used, generally between 40-120 bags.
本发明所提供的中药制剂的用药方法,在每日早晚饭后各服1包,用黄酒冲服,1个月为1个疗程,每个疗程之间停服7天,用药期间忌辣、凉。 The method of administering the traditional Chinese medicine preparation provided by the present invention is to take 1 bag each morning and evening after meals, and take it with rice wine. One month is a course of treatment, and the medicine is stopped for 7 days between each course of treatment. During the period of medication, avoid hot and cold .
颈椎病一般服用1-2个疗程即可痊愈,对特别严重的颈椎病一般服用3个疗程即可痊愈。 Cervical spondylosis generally can be cured after taking 1-2 courses of treatment, and can be cured after taking 3 courses of treatment for particularly serious cervical spondylosis.
本发明的药剂组成根据中医理论:肾主骨,肝主筋,同时结合长期的临床实践配制。医理认为肝肾亏虚、气血不足,同时感受风寒湿邪,导致经络阻滞是颈椎病发生发展的根本病机。本发明的药物组成是在对颈椎病病因病机深刻认识的基础上完成的: The medicament composition of the present invention is formulated according to the theory of traditional Chinese medicine: kidney governs bones, liver governs tendons, and is prepared in combination with long-term clinical practice. Medical theory believes that deficiency of liver and kidney, deficiency of Qi and blood, and feeling of wind, cold and dampness at the same time, leading to meridian block are the fundamental pathogenesis of cervical spondylosis. The composition of the medicine of the present invention is completed on the basis of a profound understanding of the etiology and pathogenesis of cervical spondylosis:
方中蕲蛇祛风、通络、止痉; In the prescription, Qi snake dispels wind, dredges collaterals, and relieves convulsions;
穿山甲活血消癥、通经、下乳、消肿排脓; Pangolin promotes blood circulation and eliminates syndrome, promotes menstruation, breast milk, reduces swelling and discharges pus;
全蝎、蜈蚣息风镇痉、攻毒散结、通络止痛; Scorpion and centipede relieve wind and relieve convulsions, attack poison and dissipate stagnation, dredge collaterals and relieve pain;
以上四药合用,共奏活血化瘀、通络止痛之功,符合叶天士所讲:久病入络,须用虫类药通络活血止痛之理,共为方中君药。 The combination of the above four medicines has the functions of promoting blood circulation, removing blood stasis, dredging collaterals and relieving pain, which is in line with what Ye Tianshi said: when a chronic disease enters the collaterals, insect medicine must be used to dredge collaterals, activate blood circulation and relieve pain.
三七活血化瘀而消肿定痛,为治瘀血诸证之佳品,为伤科之要药,药学家李时珍称三七为“金不换”; Panax notoginseng promotes blood circulation and removes blood stasis to reduce swelling and relieve pain. It is a good product for treating various syndromes of blood stasis.
红花、丹参活血通经、祛瘀止痛; Safflower, Danshen promotes blood circulation, stimulates menstrual flow, dispels blood stasis and relieves pain;
当归补血调经,活血止痛; Angelica tonifies blood and regulates menstruation, promotes blood circulation and relieves pain;
白芍养血敛阴、柔肝止痛、平抑肝阳; Paeoniae Alba nourishes blood and restrains yin, softens liver and relieves pain, and calms liver yang;
川芎活血行气、祛风止痛; Ligusticum chuanxiong promotes blood circulation and promotes qi, dispels wind and relieves pain;
延胡索活血行气止痛, Corydalis activating blood, promoting qi and relieving pain,
以上七药共用以加强君药的活血通络止痛之功,共为臣药。 The above seven medicines share the merit of promoting blood circulation, dredging collaterals and relieving pain of the monarch medicine, and are ministerial medicines altogether.
黄芪健脾益气补中、益卫固表; Astragalus invigorates the spleen, replenishes qi, invigorates the middle, and strengthens the body;
葛根解肌发表、生津止渴,善于治疗颈项强痛; Pueraria lobata releases muscles, promotes body fluids and quenches thirst, and is good at treating stiff neck pain;
羌活解表散寒、祛风胜湿、止痛,防风祛风解表、胜湿止痛、止痉; Notopterygium relieves exterior and cold, dispels wind and dampness, and relieves pain;
细辛解表散寒、祛风止痛; Herba Asarum relieves exterior and dispels cold, dispels wind and relieves pain;
白芷解表散寒、祛风止痛; Angelica dahurica relieves exterior and dispels cold, dispels wind and relieves pain;
以上六药合用,共奏祛风解表散寒而不伤表之功,为方中佐药。 The combination of the above six medicines has the effect of expelling wind, relieving exterior and dispelling cold without injuring exterior, and is an adjuvant medicine in the prescription.
炒杜仲补肝肾、强筋骨; Stir-fried Eucommia nourishes liver and kidney, strengthens bones and muscles;
骨碎补活血续伤、补肾强骨; Rhizoma drynaria invigorates blood circulation, invigorates kidneys and strengthens bones;
鹿茸补肾阳、益精血、强筋骨; Antler nourishes kidney yang, nourishes essence and blood, and strengthens muscles and bones;
龟板滋阴潜阳、益肾健骨; Tortoise shell nourishes yin and suppresses yang, nourishes kidney and strengthens bones;
肉桂补火助阳、散寒止痛、温经通脉; Cinnamon tonifies fire and supports yang, dispels cold and relieves pain, warms meridian and opens channels;
以上五味药相伍,共奏补肝肾、强筋骨、温经散寒之效,为方中佐药。 The above five herbs work together to invigorate the liver and kidney, strengthen the muscles and bones, warm the meridians and dispel cold, and are adjuvant drugs in the prescription.
甘草缓急止痛、益气健脾,在方中为佐使药。 Licorice relieves spasms, relieves pain, replenishes qi and invigorates the spleen, and is an adjuvant drug in prescriptions.
现代药理研究表明: Modern pharmacological research shows that:
黄芪能促进机体代谢、抗疲劳、促进血清和肝脏蛋白质的更新;能改善贫血动物现象;能升高低血糖,降低高血糖;能兴奋呼吸;能增强和调节机体免疫功能,对干扰素系统有促进作用,可提高机体的抗病力;对流感病毒等多种病毒所致细胞病变有轻度抑制作用,对流感病毒感染小鼠有保护作用;有较广泛的抗菌作用;黄芪在细胞培养中,可使细胞明显增多,细胞生长旺盛,寿命延长;能增强心肌收缩力,保护心血管系统,抗心律失常,扩张冠状动脉和外周血管,降低血压,能降低血小板粘附力,减少血栓形成;还有降血脂、抗衰老、抗缺氧、抗辐射、保肝等作用。 Astragalus can promote body metabolism, anti-fatigue, and promote the renewal of serum and liver proteins; it can improve the phenomenon of anemia animals; it can raise hypoglycemia and reduce hyperglycemia; it can excite breathing; it can enhance and regulate the immune function of the body and promote the interferon system It can improve the body's disease resistance; it has a slight inhibitory effect on cell lesions caused by influenza virus and other viruses, and has a protective effect on mice infected with influenza virus; it has a wide range of antibacterial effects; Astragalus in cell culture, It can significantly increase the number of cells, vigorous cell growth, and prolong life; it can enhance myocardial contractility, protect the cardiovascular system, resist arrhythmia, expand coronary arteries and peripheral blood vessels, lower blood pressure, reduce platelet adhesion, and reduce thrombosis; It has the effects of lowering blood fat, anti-aging, anti-hypoxia, anti-radiation, and protecting the liver.
葛根煎剂、醇浸剂、总黄酮、大豆苷、葛根素均能对抗垂体后叶素引起的急性心肌缺血;葛根总黄酮能扩张冠脉血管和脑血管,增加冠脉血流量和脑血流量,降低心肌耗氧量,增加氧供应;葛根能直接扩张血管,使外周阻力下降,而有明显降压作用,能较好缓解高血压病人的“项紧”症状;葛根素能改善微循环,提高局部微血流量,抑制血小板凝集。 Pueraria decoction, alcohol infusion, total flavonoids, daidzin, and puerarin can all resist acute myocardial ischemia caused by vasopressin; Pueraria total flavonoids can expand coronary vessels and cerebral blood vessels, increase coronary blood flow and cerebral blood flow. flow, reduce myocardial oxygen consumption, and increase oxygen supply; puerarin can directly dilate blood vessels, reduce peripheral resistance, and have a significant antihypertensive effect, which can better relieve the "neck tightness" symptoms of hypertensive patients; puerarin can improve microcirculation , Improve local micro blood flow, inhibit platelet aggregation.
延胡索乙素有显著的镇痛、催眠、镇静与安定作用,甲素和丑素的镇痛作用也较为明显,并有一定的催眠、镇静与安定作用;醇提物能扩张冠脉、降低冠脉阻力、增加冠脉血流量,提高耐缺氧能力;总碱能对抗心律失常,抗心肌缺血,扩张外周血管,降低血压、减慢心率,全碱有抗溃疡、抑制胃分泌的作用;乙素和丑素有松弛肌肉的作用。 Tetrahydropalmatine has significant analgesic, hypnotic, sedative and stable effects, and the analgesic effects of A and Uglysin are also more obvious, and have certain hypnotic, sedative and stable effects; alcohol extract can expand coronary arteries and reduce coronary artery disease. Arterial resistance, increase coronary blood flow, improve hypoxia resistance; total alkali can resist arrhythmia, anti-myocardial ischemia, expand peripheral blood vessels, lower blood pressure, slow down heart rate, and total alkali has the effect of anti-ulcer and inhibition of gastric secretion; B and ugine have the effect of relaxing muscles.
羌活注射液有镇痛及解热作用,并对皮肤真菌、布氏杆菌有抑制作用;羌活水溶部分有抗实验性心律失常作用;挥发油亦有抗炎、镇痛、解热作用,并能对抗脑垂体后叶素引起的心肌缺血和增加心肌营养性血流量;对小鼠迟发性过敏反应有抑制作用。 Notopterygium injection has analgesic and antipyretic effects, and has inhibitory effect on skin fungi and Brucella; the water-soluble part of notopterygium has anti-arrhythmia effect; volatile oil also has anti-inflammatory, analgesic and antipyretic effects, and can fight against Myocardial ischemia induced by vasopressin and increased myocardial trophic blood flow; inhibitory effect on delayed hypersensitivity in mice.
防风有解热、抗炎、镇静、镇痛、抗惊厥、抗过敏作用。防风煎剂对痢疾杆菌、溶血性链球菌等有不同程度的抑制作用;并有增强小鼠腹腔巨噬细胞吞噬功能的作用。 Fangfeng has antipyretic, anti-inflammatory, sedative, analgesic, anticonvulsant, and antiallergic effects. Fangfeng decoction has different degrees of inhibitory effects on Shigella, hemolytic streptococcus, etc.; and has the effect of enhancing the phagocytic function of mouse peritoneal macrophages.
细辛挥发油、水及醇提取物分别具有解热、抗炎、镇静、抗惊厥及局麻作用;大剂量挥发油可使中枢神经系统先兴奋后抑制,显示一定毒副作用;华细辛醇浸剂可对抗吗啡所致的呼吸抑制;所含消旋去甲乌药碱有强心、扩张血管、松弛平滑肌、增强脂代谢及升高血糖等作用;所含黄樟醚毒性较强,系致癌物质,高温易破坏。 Asarum volatile oil, water and alcohol extracts have antipyretic, anti-inflammatory, sedative, anticonvulsant and local anesthetic effects respectively; large doses of volatile oil can excite and then inhibit the central nervous system, showing certain toxic and side effects; It can resist respiratory depression caused by morphine; the racemic higenamine contained in it can strengthen the heart, dilate blood vessels, relax smooth muscle, enhance lipid metabolism and increase blood sugar; the contained safrole is highly toxic and is a carcinogen. easy to break.
小量白芷毒素有兴奋中枢神经、升高血压作用,并能引起流涎呕吐;大量能引起强直性痉挛,继以全身麻痹;白芷能对抗蛇毒所致的中枢神经系统抑制;有解热、抗炎、镇痛、解痉、抗癌作用。 A small amount of Angelica toxin can excite the central nervous system, increase blood pressure, and cause salivation and vomiting; a large amount can cause tonic convulsions, followed by general paralysis; Angelica can resist the inhibition of the central nervous system caused by snake venom; it has antipyretic and anti-inflammatory effects. , Analgesic, antispasmodic, anticancer effects.
蕲蛇有镇静、催眠及镇痛作用;注射液有显著降压作用;水提物能激活纤溶系统;醇提物可增强巨噬细胞吞噬能力,显著增加炭粒廓清率。 Viper has sedative, hypnotic and analgesic effects; the injection has a significant antihypertensive effect; the water extract can activate the fibrinolytic system; the alcohol extract can enhance the phagocytosis of macrophages and significantly increase the clearance rate of charcoal particles.
穿山甲水煎液能明显延长小鼠和大鼠凝血时间,降低血液粘度;水提醇沉剂有直接扩张血管壁降低外周阻力,显著增加股动脉血流量的作用;水提液和醇提液有抗炎作用,水提液尚有抗心肌缺氧、升高白细胞的作用。 Pangolin water decoction can significantly prolong the coagulation time of mice and rats and reduce blood viscosity; water extraction and alcohol precipitation agent can directly expand the blood vessel wall to reduce peripheral resistance and significantly increase the blood flow of femoral artery; water extract and alcohol extract have Anti-inflammatory effect, the water extract still has the effect of anti-myocardial hypoxia and increasing white blood cells.
全蝎含蝎毒,是一种类似蛇毒神经毒的蛋白质。东亚钳蝎毒和从粗毒中纯化得到的抗癫痫肽(AEP)有明显的抗癫痫作用;全蝎对士的宁、烟碱、戊四氮等引起的惊厥有对抗作用;全蝎提取液有抑制动物血栓形成和抗凝作用;蝎身及蝎尾制剂对动物躯体痛或内脏痛均有明显镇痛作用;蝎尾镇痛作用比蝎身强约5倍。 Scorpio contains scorpion venom, which is a protein similar to snake venom neurotoxin. East Asian scorpion venom and the antiepileptic peptide (AEP) purified from crude venom have obvious antiepileptic effect; scorpion has antagonism to convulsions caused by strychnine, nicotine, pentylenetetrazol, etc.; scorpion extract It has the effect of inhibiting thrombosis and anticoagulation in animals; the scorpion body and scorpion tail preparations have obvious analgesic effects on animal body pain or visceral pain; the analgesic effect of scorpion tail is about 5 times stronger than that of scorpion body.
蜈蚣水提液对士的宁引起的惊厥有明显的对抗作用;蜈蚣煎剂能改善小鼠的微循环,延长凝血时间,降低血粘度,并有明显的镇痛、抗炎作用。 Centipede water extract has obvious anticonvulsion effect on strychnine-induced convulsions; centipede decoction can improve the microcirculation of mice, prolong coagulation time, reduce blood viscosity, and have obvious analgesic and anti-inflammatory effects.
当归挥发油能对抗肾上腺素—脑垂体后叶素或组织胺对子宫的兴奋作用;当归水或醇溶性非挥发性物质对离体子宫有兴奋作用,使子宫收缩增强,大量或多次给药时,甚至可出现强直性收缩,醇溶性物质作用比水溶性物质作用强。离体蟾酥心脏灌流实验,本品煎剂含挥发油可明显抑制收缩幅度及收缩频率;当归浸膏有显著扩张离体豚鼠冠脉作用,增加冠脉血流量;麻醉犬静注本品,心率无明显改变,冠脉阻力和总外周阻力下降,冠脉血流量显著增加,心肌氧耗量显著下降,心排出量和心搏指数有增加趋势;当归中性油对实验性心肌缺血亦有明显保护作用;当归及其阿魏酸钠有明显的抗血栓作用;给小鼠口服当归水浸液,能显著促进血红蛋白及红细胞的生成。 Angelica volatile oil can resist the excitatory effect of adrenaline-pituitary hormone or histamine on the uterus; angelica water or alcohol-soluble non-volatile substances have an excitatory effect on the isolated uterus and strengthen the uterine contraction. When administered in large quantities or repeatedly , Even tetanic contraction may occur, and the effect of alcohol-soluble substances is stronger than that of water-soluble substances. In the perfusion experiment of the isolated toads’ heart, the decoction of this product containing volatile oil can significantly inhibit the contraction amplitude and contraction frequency; the extract of Angelica sinensis can significantly expand the coronary artery of the isolated guinea pig and increase the coronary blood flow; the anesthetized dog intravenously injects this product, the heart rate has no Significantly changed, coronary resistance and total peripheral resistance decreased, coronary blood flow increased significantly, myocardial oxygen consumption decreased significantly, cardiac output and cardiac index tended to increase; angelica neutral oil also had a significant effect on experimental myocardial ischemia Protective effect; angelica and its sodium ferulate have obvious antithrombotic effect; oral administration of angelica water extract to mice can significantly promote the production of hemoglobin and red blood cells.
白芍水煎剂给小鼠喂饲腹腔巨噬百分率和吞噬指数均较对照组有明显提高;白芍能促进小鼠腹腔巨噬细胞的吞噬功能;白芍水煎剂可拮抗环磷酰胺对小鼠外周T淋巴细胞的抑制作用,使之恢复正常水平,表明白芍可使处于低下状态的细胞免疫功能恢复正常;白芍提取物对大鼠蛋清性急性炎症水肿有明显抑制作用,对棉球肉芽肿有抑制增生作用;白芍对醋酸引起的扭体反应有明显的镇痛效果,与甘草的甲醇复合物合用,二者对醋酸扭体反应有协同镇痛作用;芍药中的主要成分芍药苷具有较好的解痉作用。 The percentage of peritoneal macrophages and phagocytosis index of mice fed with Baishao water decoction were significantly higher than those of the control group; Baishao can promote the phagocytosis of mouse peritoneal macrophages; Baishao water decoction can antagonize the effect of cyclophosphamide on Inhibition of peripheral T lymphocytes in mice, making it return to normal levels, shows that Radix Paeoniae Alba can restore the cellular immune function in a low state; Radix Paeoniae Alba extract has obvious inhibitory effect on egg white acute inflammatory edema in rats, and has a significant effect on cotton Globulous granuloma has antiproliferative effect; Radix Paeoniae Alba has obvious analgesic effect to the writhing reaction that acetic acid causes, and the methanol compound of licorice is combined, and both have synergistic analgesic effect to acetic acid writhing reaction; The main component in Radix Paeoniae Alba Paeoniflorin has a good antispasmodic effect.
川芎嗪能扩张冠状动脉,增加冠状动脉血流量,改善心肌的血氧供应,并降低心肌的耗氧量;川芎嗪可扩张脑血管,降低血管阻力,显著增加脑及肢体血流量,改善微循环;能降低血小板表面活性,抑制血小板凝集,预防血栓的形成;水煎剂对动物中枢神经系统有镇静作用,并有明显而持久的降压作用;可加速骨折局部血肿的吸收,促进骨痂形成;有抗维生素E缺乏作用;能抑制多种杆菌;有抗组织胺和利胆作用。 Ligustrazine can dilate coronary arteries, increase coronary blood flow, improve myocardial blood oxygen supply, and reduce myocardial oxygen consumption; Ligustrazine can dilate cerebral blood vessels, reduce vascular resistance, significantly increase brain and limb blood flow, and improve microcirculation ; It can reduce the surface activity of platelets, inhibit platelet aggregation, and prevent the formation of thrombus; the water decoction has a sedative effect on the central nervous system of animals, and has an obvious and long-lasting antihypertensive effect; it can accelerate the absorption of local hematoma in fractures and promote the formation of callus ; Anti-vitamin E deficiency; can inhibit a variety of bacillus; anti-histamine and choleretic effect.
三七能够缩短出血和凝血时间,具有抗血小板聚集及溶栓作用;能够提高体液免疫功能,具有镇痛、抗炎、抗衰老等作用。 Panax notoginseng can shorten bleeding and coagulation time, has anti-platelet aggregation and thrombolytic effects; can improve humoral immune function, and has analgesic, anti-inflammatory, anti-aging effects.
红花煎剂、水提液、红花黄色素等能扩张周围血管、降低血压;能抑制血小扳聚集,增强纤维蛋白溶解,降低全血粘度;注射液、醇提物、红花苷能显著提高耐缺氧能力,对缺血乏氧性脑病有保护作用;煎剂对子宫和肠道平滑肌有兴奋作用;红花黄色素对中枢神经系统有镇痛、镇静和抗惊厥作用;此外,红花醇提物和水提物有抗炎作用;红花黄色素有免疫抑制作用。 Safflower decoction, water extract, safflower yellow pigment, etc. can expand peripheral blood vessels and lower blood pressure; can inhibit platelet aggregation, enhance fibrinolysis, and reduce whole blood viscosity; injection, alcohol extract, safflower glycosides can Significantly improve hypoxia resistance and have protective effect on ischemic hypoxic encephalopathy; decoction has exciting effect on uterus and intestinal smooth muscle; safflower yellow has analgesic, sedative and anticonvulsant effects on central nervous system; in addition, Safflower alcohol extract and water extract have anti-inflammatory effect; safflower yellow pigment has immunosuppressive effect.
丹参能扩张冠脉,增加冠脉血流量,改善心肌缺血,促进心肌缺血或损伤的恢复,缩小心肌梗死范围;能提高耐缺氧能力,对缺氧心肌有保护作用;能改善微循环,促进血液流速;能扩张血管,降低血压;能改善血液流变性,降低血液粘度,抑制血小板和凝血功能,激活纤溶,对抗血栓形成;能保护红细胞膜;能调节血脂,抑制动脉粥样硬化斑块的形成;能保护肝细胞损伤,促进肝细胞再生,有抗肝纤维化作用;能促进骨折和皮肤切口的愈合;能保护胃黏膜、抗胃溃疡;对中枢神经有镇静和镇痛作用;具有改善肾功能、保护缺血性肾损伤的作用;具有抗炎、抗过敏的作用。 Danshen can dilate coronary arteries, increase coronary blood flow, improve myocardial ischemia, promote the recovery of myocardial ischemia or injury, and reduce the scope of myocardial infarction; it can improve hypoxia tolerance and protect hypoxic myocardium; it can improve microcirculation , promote blood flow; can expand blood vessels, lower blood pressure; can improve blood rheology, reduce blood viscosity, inhibit platelet and coagulation function, activate fibrinolysis, and resist thrombosis; can protect red blood cell membrane; can regulate blood lipids and inhibit atherosclerosis Plaque formation; can protect liver cell damage, promote liver cell regeneration, and have anti-hepatic fibrosis; can promote the healing of fractures and skin incisions; can protect gastric mucosa and resist gastric ulcer; have sedative and analgesic effects on the central nervous system ; It has the effect of improving renal function and protecting ischemic kidney injury; it has the effect of anti-inflammation and anti-allergy.
杜仲皮能抑制DNCB所致小鼠迟发型超敏反应;能对抗氧化可的松的免疫抑制作用,具有调节细胞免疫平衡的功能。生杜仲、炒杜仲和砂烫杜仲的水煎剂对家兔和狗都有明显的降压作用,但生杜仲降压作用较弱,炒杜仲和砂烫杜仲的作用几乎完全相同,其降压的绝对值相当于生杜仲的两倍。 Eucommia bark can inhibit DNCB-induced delayed-type hypersensitivity in mice; it can resist the immunosuppressive effect of oxidative cortisone, and has the function of regulating cellular immune balance. The water decoctions of raw eucommia, fried eucommia and sand scalded eucommia have obvious antihypertensive effect on rabbits and dogs, but the antihypertensive effect of raw eucommia is weaker. The absolute value is equivalent to twice that of raw Eucommia.
骨碎补水煎醇沉液有预防血清胆固醇、甘油三酯升高,并防止主动脉粥样硬化斑块形成的作用;骨碎补多糖和骨碎补双氢黄酮苷有降血脂和抗动脉硬化的作用;骨碎补能促进骨对钙的吸收,提高血钙和血磷水平,有利于骨折的愈合;改善软骨细胞,推迟骨细胞的退行性病变;此外,骨碎补双氢黄酮苷有明显的镇静、镇痛作用。 Drynaria decoction and alcohol-precipitated liquid can prevent the increase of serum cholesterol and triglyceride, and prevent the formation of aortic atherosclerotic plaque; drynaria polysaccharides and drynaria flavone glycosides can lower blood fat and resist arteriosclerosis Rhizoma drynariae can promote bone to absorb calcium, increase blood calcium and blood phosphorus levels, and help fracture healing; improve chondrocytes and delay bone cell degeneration; in addition, drynaria flavone glycosides have Obvious sedative and analgesic effect.
大剂量鹿茸精使心缩幅度缩小,心率减慢,并使外周血管扩张,血压降低。中等剂量鹿茸精引起离体心脏活动明显增强,心缩幅度增大,心率加快,结果使心脉搏输出量和百分输出量都增加。鹿茸具有明显的抗脂质过氧化作用及抗应激作用。 Large doses of deer antler essence can reduce the range of contraction, slow down the heart rate, dilate peripheral blood vessels, and lower blood pressure. Moderate dose of deer antler essence can significantly enhance the activity of the isolated heart, increase the range of systole, and increase the heart rate, resulting in an increase in cardiac pulse output and percent output. Deer antler has obvious anti-lipid peroxidation and anti-stress effects.
龟板能改善动物“阴虚”证病理动物机能状态,使之恢复正常;能增强免疫功能;具有双向调节DNA合成率的效应;对离体和在体子宫均有兴奋作用;有解热、补血、镇静作用;尚有抗凝血、增加冠脉流量和提高耐缺氧能力等作用;龟板胶有一定提升白细胞数的作用。 Tortoise shell can improve the animal's "Yin Deficiency" syndrome pathological animal functional state, and make it return to normal; it can enhance immune function; it has the effect of bidirectionally regulating DNA synthesis rate; it has excitatory effect on both in vitro and in vivo uterus; it has antipyretic and blood enriching effects , sedative effect; there are anticoagulant, increase coronary flow and improve hypoxia resistance; tortoise shell glue has a certain role in increasing the number of white blood cells.
肉桂有扩张血管、促进血液循环、增强冠脉及脑血流量、使血管阻力下降等作用;在体外,其甲醇提取物及桂皮醛有抗血小板凝集、抗凝血酶作用;桂皮油、桂皮醛、肉桂酸钠具有镇静、镇痛、解热、抗惊厥等作用;桂皮油能促进肠运动,使消化道分泌增加,增强消化机能,排除消化道积气、缓解胃肠痉挛性疼痛,并可引起子宫充血;肉桂水提物、醚提物对动物实验性胃溃疡的形成有抑制作用。 Cinnamon has the effects of dilating blood vessels, promoting blood circulation, enhancing coronary artery and cerebral blood flow, and reducing vascular resistance; in vitro, its methanol extract and cinnamon aldehyde have anti-platelet aggregation and anti-thrombin effects; cinnamon oil, cinnamon aldehyde 1. Sodium cinnamate has sedative, analgesic, antipyretic, anticonvulsant and other effects; cinnamon oil can promote intestinal motility, increase the secretion of digestive tract, enhance digestive function, eliminate gas accumulation in the digestive tract, relieve gastrointestinal spasmodic pain, and Cause uterine congestion; cinnamon water extract, ether extract can inhibit the formation of animal experimental gastric ulcer.
甘草有抗菌、抗病毒、抗炎、抗过敏作用;对某些毒物有类似葡萄糖醛酸的解毒作用;有类似肾上腺皮质激素样作用;还有抗利尿、降脂、保肝等作用。 Licorice has antibacterial, antiviral, anti-inflammatory, anti-allergic effects; it has a detoxification effect similar to glucuronic acid on certain poisons; it has a similar effect to adrenal cortex hormone;
本发明与现有技术相比有益之处在于: Compared with the prior art, the present invention is beneficial in that:
1、活血通络止痛,兼有补益肝肾之功。 1. Promoting blood circulation, dredging collaterals and relieving pain, and has the function of nourishing liver and kidney.
2、本发明所用的药物分为四组,一组为虫类药:蕲蛇、穿山甲、全蝎、蜈蚣,符合叶天士所讲:久病入络,须用虫类药通络活血止痛之理;一组为活血化淤药:三七、红花、丹参、当归、白芍、川芎、延胡索,可以加强虫类药的通络活血止痛作用;一组为祛风散寒解表药:葛根、羌活、防风、细辛、白芷,配伍黄芪可以达到祛风散寒解表而不伤表之效;一组为补肾强筋健骨药:炒杜仲、骨碎补、鹿茸、龟板、肉桂,可以补肾强筋健骨,从根本上治疗颈椎病和预防颈椎病的复发。前三组药物为治标之药,第四组药物为治本之药,诸药合用,达到标本兼治的目的。 2. The medicines used in the present invention are divided into four groups, one group is insect medicines: viper, pangolin, scorpion, and centipede, which conforms to what Ye Tianshi said: chronic diseases enter the collaterals, and insect medicines must be used to dredge collaterals, activate blood circulation and relieve pain. ; One group is medicine for promoting blood circulation and removing stasis: Panax notoginseng, safflower, salvia miltiorrhiza, angelica, white peony root, chuanxiong, and corydalis, which can strengthen the effect of insect medicines for dredging collaterals, promoting blood circulation and relieving pain; , Notopterygium, Fangfeng, Asarum, Angelica dahurica, combined with Astragalus can achieve the effect of expelling wind and cold, relieving the exterior without hurting the exterior; one group is medicine for nourishing the kidney, strengthening tendons and strengthening bones: fried Eucommia, drynaria, velvet antler, tortoise shell, cinnamon, It can invigorate the kidneys, strengthen the tendons and bones, fundamentally treat cervical spondylosis and prevent the recurrence of cervical spondylosis. The first three groups of medicines are medicines for treating the symptoms, and the fourth group of medicines are medicines for treating the root causes. All medicines are used in combination to achieve the purpose of treating both symptoms and root causes.
具体实施方式 detailed description
以下结合具体实施例对本发明作进一步地详细说明, Below in conjunction with specific embodiment the present invention is described in further detail,
实施例1: Example 1:
本实施例的中药组分按以下重量比配制:黄芪20g、葛根20g、延胡索20g、羌活20g、防风20g、细辛3g、白芷20g、蕲蛇20g、穿山甲20g、全蝎20g、蜈蚣20g、当归20g、白芍20g、川芎20g、三七20g、红花20g、丹参20g、炒杜仲20g、骨碎补20g、鹿茸20g、龟板20、肉桂20g、甘草20g。 The traditional Chinese medicine components in this example are prepared according to the following weight ratios: Astragalus 20g, Pueraria 20g, Corydalis 20g, Notopterygium 20g, Fangfeng 20g, Asarum 3g, Angelica dahurica 20g, Viper 20g, pangolin 20g, scorpion 20g, centipede 20g, angelica 20g, white peony root 20g, chuanxiong 20g, panax notoginseng 20g, safflower 20g, salvia miltiorrhiza 20g, fried Eucommia 20g, drynaria drynaria 20g, antler 20g, tortoise shell 20g, cinnamon 20g, licorice 20g.
本实施例中对该重量配比的药物的制作方法为:先将上述药物低温烘干,然后把以上十三味药材,用粉碎机粉碎至能过300目筛,混合均匀,灭菌消毒后把药面平均分成60袋。 In this embodiment, the preparation method of the medicine with the weight ratio is: first dry the above-mentioned medicine at low temperature, then pulverize the above thirteen herbs with a pulverizer until they can pass through a 300-mesh sieve, mix them evenly, and sterilize them. Divide the medicated noodles into 60 bags evenly.
本实施例中药剂型按常规方法制成任何一种临床上可接受的制剂,比如可为散剂、丸剂、片剂、胶囊剂、颗粒剂、贴剂或软膏剂。可根据不同制剂的需要,选取添加相应的常规辅料。 The dosage form in this embodiment is made into any clinically acceptable preparation according to conventional methods, such as powder, pill, tablet, capsule, granule, patch or ointment. According to the needs of different preparations, you can choose to add corresponding conventional excipients.
本实施例所提供的中药制剂的用药方法,在每日早晚饭后各服1袋,用黄酒冲服,1个月为1个疗程,每个疗程之间停服7天,用药期间忌辣、凉。颈椎病一般服用1-2个疗程即可痊愈,对特别严重的颈椎病一般服用3个疗程即可痊愈。 The medication method of the traditional Chinese medicine preparation provided by the present embodiment is to take 1 bag each day after meals in the morning and evening, and take it with rice wine. One month is a course of treatment, and the medicine is stopped for 7 days between each course of treatment. cold. Cervical spondylosis generally can be cured after taking 1-2 courses of treatment, and can be cured after taking 3 courses of treatment for particularly serious cervical spondylosis.
实施例2: Example 2:
本实施例的中药组分按以下重量比配制:黄芪40g、葛根40g、延胡索40g、羌活40g、防风40g、细辛6g、白芷40g、蕲蛇40g、穿山甲40g、全蝎40g、蜈蚣40g、当归40g、白芍40g、川芎40g、三七40g、红花40g、丹参40g、炒杜仲40g、骨碎补40g、鹿茸40g、龟板40、肉桂40g、甘草40g。 The traditional Chinese medicine components in this example are prepared according to the following weight ratio: Astragalus 40g, Pueraria 40g, Corydalis 40g, Notopterygium 40g, Fangfeng 40g, Asarum 6g, Angelica dahurica 40g, Viper 40g, pangolin 40g, scorpion 40g, centipede 40g, angelica 40g, white peony 40g, chuanxiong 40g, notoginseng 40g, safflower 40g, salvia miltiorrhiza 40g, fried Eucommia 40g, drynaria drynaria 40g, antler 40g, turtle shell 40g, cinnamon 40g, licorice 40g.
本实施例中对该重量配比的药物的制作方法为:先将上述药物低温烘干,然后把以上十三味药材,用粉碎机粉碎至能过300目筛,混合均匀,灭菌消毒后把药面平均分成120袋。 In this embodiment, the preparation method of the medicine with the weight ratio is: first dry the above-mentioned medicine at low temperature, then pulverize the above thirteen herbs with a pulverizer until they can pass through a 300-mesh sieve, mix them evenly, and sterilize them. Divide the medicated noodles into 120 bags evenly.
实施例3: Example 3:
本实施例的中药组分按以下重量比配制:黄芪10g、葛根10g、延胡索10g、羌活10g、防风10g、细辛3g、白芷10g、蕲蛇10g、穿山甲10g、全蝎10g、蜈蚣10g、当归10g、白芍10g、川芎10g、三七10g、红花10g、丹参10g、炒杜仲10g、骨碎补10g、鹿茸10g、龟板10、肉桂10g、甘草10g。 The traditional Chinese medicine components in this example are prepared according to the following weight ratio: Astragalus 10g, Pueraria 10g, Corydalis 10g, Notopterygium 10g, Fangfeng 10g, Asarum 3g, Angelica dahurica 10g, Viper 10g, pangolin 10g, scorpion 10g, centipede 10g, angelica 10g, white peony root 10g, Chuanxiong 10g, notoginseng 10g, safflower 10g, salvia miltiorrhiza 10g, fried Eucommia 10g, Drynaria fortunei 10g, antler 10g, turtle shell 10g, cinnamon 10g, licorice 10g.
本实施例中对该重量配比的药物的制作方法为:先将上述药物低温烘干,然后把以上十三味药材,用粉碎机粉碎至能过300目筛,混合均匀,灭菌消毒后把药面平均分成40袋。 In this embodiment, the preparation method of the medicine with the weight ratio is: first dry the above-mentioned medicine at low temperature, then pulverize the above thirteen herbs with a pulverizer until they can pass through a 300-mesh sieve, mix them evenly, and sterilize them. Divide the medicated noodles into 40 bags evenly.
实施例4: Example 4:
本实施例的中药组分按以下重量比配制:黄芪23g、葛根26g、延胡索27g、羌活25g、防风23g、细辛4g、白芷22g、蕲蛇26g、穿山甲25g、全蝎26g、蜈蚣24g、当归28g、白芍25g、川芎22g、三七30g、红花24g、丹参23g、炒杜仲25g、骨碎补22g、鹿茸30g、龟板24、肉桂30g、甘草25g。 The traditional Chinese medicine components of this example are prepared according to the following weight ratio: Astragalus 23g, Pueraria 26g, Corydalis 27g, Notopterygium 25g, Fangfeng 23g, Asarum 4g, Angelica dahurica 22g, Viper 26g, pangolin 25g, scorpion 26g, centipede 24g, angelica 28g, white peony 25g, chuanxiong 22g, notoginseng 30g, safflower 24g, salvia miltiorrhiza 23g, fried eucommia 25g, drynaria 22g, antler 30g, turtle shell 24, cinnamon 30g, licorice 25g.
本实施例中对该重量配比的药物的制作方法为:先将上述药物低温烘干,然后把以上十三味药材,用粉碎机粉碎至能过300目筛,混合均匀,灭菌消毒后把药面平均分成80袋。 In this embodiment, the preparation method of the medicine with the weight ratio is: first dry the above-mentioned medicine at low temperature, then pulverize the above thirteen herbs with a pulverizer until they can pass through a 300-mesh sieve, mix them evenly, and sterilize them. Divide the medicated noodles into 80 bags evenly.
实施例5: Example 5:
本实施例的中药组分按以下重量比配制:黄芪37g、葛根36g、延胡索33g、羌活35g、防风30g、细辛5g、白芷32g、蕲蛇36g、穿山甲35g、全蝎35g、蜈蚣36g、当归36g、白芍35g、川芎32g、三七38g、红花36g、丹参32g、炒杜仲30g、骨碎补32g、鹿茸38g、龟板33、肉桂37g、甘草36g。 The traditional Chinese medicine components in this example are prepared according to the following weight ratio: Astragalus 37g, Pueraria 36g, Corydalis 33g, Notopterygium 35g, Fangfeng 30g, Asarum 5g, Angelica dahurica 32g, Viper 36g, pangolin 35g, scorpion 35g, centipede 36g, angelica 36g, white peony root 35g, chuanxiong 32g, notoginseng 38g, safflower 36g, salvia miltiorrhiza 32g, fried Eucommia 30g, drynaria drynaria 32g, antler 38g, turtle shell 33g, cinnamon 37g, licorice 36g.
本实施例中对该重量配比的药物的制作方法为:先将上述药物低温烘干,然后把以上十三味药材,用粉碎机粉碎至能过300目筛,混合均匀,灭菌消毒后把药面平均分成100袋。 In this embodiment, the preparation method of the medicine with the weight ratio is: first dry the above-mentioned medicine at low temperature, then pulverize the above thirteen herbs with a pulverizer until they can pass through a 300-mesh sieve, mix them evenly, and sterilize them. Divide the medicated noodles into 100 bags evenly.
实施例2-5的中药剂型及辅料的添加均和实施例1相同。 The Chinese medicine form of embodiment 2-5 and the addition of adjuvant are all identical with embodiment 1.
实施例2-5所提供的中药制剂的用药方法均和实施例1相同。 The medication methods of the traditional Chinese medicine preparations provided in Examples 2-5 are all the same as in Example 1.
以上实施例中,本发明配方中细辛、蕲蛇、全蝎、蜈蚣皆为有毒之品。但由于中药配伍的协同和拮抗作用,可使其毒性降低。 In the above examples, Herba Asarum, Viper, Scorpion, and Centipede are all poisonous products in the formula of the present invention. However, due to the synergistic and antagonistic effects of Chinese medicine compatibility, the toxicity can be reduced.
对本发明提供的实施例分别进行动物毒性试验及临床应用,发现在动物毒性试验中药物无毒性,在临床上各实施例配比均起到良好的治疗效果,以下仅对利用实施例1配比的治疗进行详细说明: Carry out animal toxicity test and clinical application respectively to the embodiment provided by the present invention, find that medicine is nontoxic in animal toxicity test, all play good therapeutic effect clinically in each embodiment proportioning, below only utilize embodiment 1 proportioning The treatment is described in detail:
(一)动物毒性试验 (1) Animal toxicity test
1、急性毒性试验,采用口服给药法 1. Acute toxicity test, using oral administration method
(1)取本发明药品12g加水研磨使全量成40ml的混悬液(浓度为300mg/ml)备用。 (1) Get 12g of medicine of the present invention and add water and grind to make the suspension (concentration is 300mg/ml) of full amount into 40ml for subsequent use.
(2)取昆明种小鼠20只(雌雄各10只),体重(20±2)g,每只小鼠给予样品混悬液40ml/kg灌胃(相当于人用量的60倍),每日一次,观察10天,小鼠均健康生存,无任何毒副反应,经解剖观察血象、肝功能,各脏器组织形态学所见与对照组比较无差异。本发明药品对小鼠口服的耐受量在12g/kg以上。 (2) Get 20 Kunming mice (10 males and 10 males) with a body weight of (20 ± 2) g, and each mouse is given a sample suspension 40ml/kg orally (equivalent to 60 times the human dosage), and each Once a day, observed for 10 days, the mice survived healthily, without any toxic and side effects. After dissection, the blood picture, liver function, and the histomorphological findings of various organs were not different from those in the control group. The medicine of the present invention has a tolerance dose of more than 12 g/kg for oral administration to mice.
(3)取昆明种小鼠20只(雌雄各10只),体重(20±2)g,每只小鼠分别分组(每组10只)给予样品混悬液60ml/kg和80ml/kg灌胃(分别相当于人用量的90倍、120倍),每日一次,观察10天,结果两组小鼠均健康生存,无毒副反应,经解剖观察血象、肝功能,各脏器组织形态学所见与对照组比较无差异。可见本发明药品对小鼠的最大耐受量是在24g/kg以上。 (3) Get 20 Kunming mice (10 males and 10 males) with a body weight of (20 ± 2) g, and each mouse is divided into groups (10 mice in each group) and administered with sample suspension 60ml/kg and 80ml/kg. Stomach (respectively equivalent to 90 times and 120 times the human dosage), once a day, observed for 10 days, the results showed that the two groups of mice survived healthily, without toxic and side effects, and observed the blood picture, liver function, and the morphology of various organs after dissection There was no difference in the findings compared with the control group. It can be seen that the maximum tolerated dose of the medicine of the present invention to mice is above 24g/kg.
2、蓄积性毒性试验,采用口服给药法 2. Cumulative toxicity test, using oral administration method
(1)取本发明药品6g加水研磨使全量成40ml的混悬液(浓度为150mg/ml)备用。 (1) Get 6g of medicine of the present invention and add water and grind to make the suspension (concentration is 150mg/ml) of full amount into 40ml for subsequent use.
(2)取昆明种小鼠40只(雌雄各20只),体重(20±2)g,每只小鼠给予样品混悬液40ml/kg灌胃(相当于人用量的30倍),每日一次,观察三个月,小鼠均健康生存,无任何毒副反应,经解剖观察血象、肝功能,各脏器组织形态学所见与对照组比较无差异。体内基本无蓄积。 (2) Get 40 Kunming mice (20 females and 20 males) with a body weight of (20 ± 2) g, and each mouse is given a sample suspension 40ml/kg orally (equivalent to 30 times the human dosage), and each Once a day, observed for three months, the mice were healthy and survived without any side effects. The blood picture and liver function were observed after dissection. There is basically no accumulation in the body.
经过急性毒性试验表明:本药品对小鼠的最大耐受量是在24g/kg以上;对小鼠的蓄积性毒性试验表明:4g/kg的口服药量无蓄积,高于临床成人计划用量为0.20g/kg。本药品对患者是安全的。 The acute toxicity test shows that the maximum tolerated dose of this drug to mice is above 24g/kg; the cumulative toxicity test on mice shows that the oral dose of 4g/kg has no accumulation, which is higher than the planned dosage of clinical adults by 24g/kg. 0.20g/kg. This drug is safe for patients.
(二)临床应用 (2) Clinical application
1、临床诊断标准 1. Clinical diagnostic criteria
所有的患者均经过X光照片或CT检查确诊,并结合患者症状分析确诊。 All patients were confirmed by X-ray photos or CT examination, combined with the analysis of patients' symptoms.
2、临床资料 2. Clinical data
600例均为门诊患者,所有病例均符合《实用中西医结合诊断治疗学》中颈椎病的判断标准(陈贵延,杨思澎.实用中西医结合诊断治疗学)。患者随机分为2组,治疗组300例,男180例,女120例;年龄最小25岁,最大65岁,病程3个月~10年。对照组300例,男190例,女110例;年龄最小24岁,最大66岁,病程4个月~10年;两组患者在性别、年龄、病程等方面差异均无统计学意义(P>0.05),具有可比性。 The 600 cases were all outpatients, and all cases met the criteria for judging cervical spondylosis in "Practical Diagnosis and Therapeutics of Integrative Traditional Chinese and Western Medicine" (Chen Guiyan, Yang Sipeng. Practical Diagnosis and Therapeutics of Integrative Traditional Chinese and Western Medicine). The patients were randomly divided into two groups. The treatment group consisted of 300 cases, 180 males and 120 females; the youngest was 25 years old, and the oldest was 65 years old. The course of disease ranged from 3 months to 10 years. There were 300 cases in the control group, including 190 males and 110 females; the youngest was 24 years old, the oldest was 66 years old, and the course of disease was 4 months to 10 years; there was no significant difference in gender, age, and course of disease between the two groups (P> 0.05), which are comparable.
3、治疗方法 3. Treatment method
治疗组给予本发明药物口服,每日早晚饭后各服一包,用黄酒冲服。对照组给予颈复康颗粒口服,一次2袋,一日2次,早晚饭后温开水送服。2组均1个月为1个疗程,2个疗程后观察疗效。 The treatment group is given the medicine of the present invention orally, and takes one pack respectively after meals in the morning and evening every day, and takes it with rice wine. The control group was given Jingfukang Granules orally, 2 bags at a time, twice a day, with warm water after meals in the morning and evening. One month as one course of treatment in both groups, and the curative effect was observed after 2 courses of treatment.
4、疗效评定标准 4. Evaluating Criteria for Efficacy
参考中华人民共和国中医行业标准《中医病症诊断疗效标准》。 Refer to the Chinese Medicine Industry Standard of the People's Republic of China "Standards for Diagnosis and Curative Effect of Diseases of Traditional Chinese Medicine".
治愈:原有各型病症消失,肌力正常,颈、肢体功能恢复正常,能参加正常劳动和工作; Cured: the original symptoms disappear, muscle strength is normal, neck and limb functions return to normal, and can participate in normal labor and work;
好转:原有各型病症减轻,肌力正常,颈、肩背疼痛减轻,颈、肢功能改善; Improvement: the original symptoms are relieved, muscle strength is normal, neck, shoulder and back pain are relieved, and neck and limb functions are improved;
未愈:症状未改善。 Unhealed: Symptoms have not improved.
5、治疗结果 5. Treatment results
表中,*表示经χ2检验治疗组与对照组相比P<0.01。 In the table, * means P<0.01 between the treatment group and the control group by χ 2 test.
从上表可以看出,本发明药物的疗效明显优于颈复康颗粒。 As can be seen from the above table, the curative effect of the medicine of the present invention is obviously better than Jingfukang Granules.
6、从对以上技术方案的讨论可以看出,本发明药物功能为活血通络止痛,兼有补益肝肾之功。本发明所用的药物分为四组,一组为虫类药:蕲蛇、穿山甲、全蝎、蜈蚣,符合叶天士所讲:久病入络,须用虫类药通络活血止痛之理;一组为活血化淤药:三七、红花、丹参、当归、白芍、川芎、延胡索,可以加强虫类药的通络活血止痛作用;一组为祛风散寒解表药:葛根、羌活、防风、细辛、白芷,配伍黄芪可以达到祛风散寒解表而不伤表之效;一组为补肾强筋健骨药:炒杜仲、骨碎补、鹿茸、龟板、肉桂,可以补肾强筋健骨,从根本上治疗颈椎病和预防颈椎病的复发。前三组药物为治标之药,第四组药物为治本之药,诸药合用,达到标本兼治的目的,具有显著的疗效。而且具有治疗成本低、疗效快、患者痛苦小等特点,具有很好的推广应用前景。 6. As can be seen from the discussion of the above technical solutions, the drug function of the present invention is to activate blood circulation, dredge collaterals and relieve pain, and has the function of nourishing the liver and kidney. The medicines used in the present invention are divided into four groups, one group is insect medicines: viper, pangolin, scorpion and centipede, which is in line with what Ye Tianshi said: chronic illness enters the collaterals, and insect medicine must be used to dredge collaterals, activate blood circulation and relieve pain; One group is blood-activating and stasis-removing drugs: Panax notoginseng, safflower, salvia, angelica, white peony root, chuanxiong, and corydalis, which can strengthen the effect of insect medicines on dredging collaterals, promoting blood circulation and relieving pain; one group is expelling wind and cold-relieving drugs: kudzu root, notopterygium , Fangfeng, Asarum, Angelica dahurica, combined with Astragalus can achieve the effect of expelling wind and cold, relieving the exterior without hurting the exterior; one group is kidney-tonifying, tendon-building and bone-building medicine: fried Eucommia, drynaria, antler, tortoise shell, and cinnamon, which can nourish the kidney Strengthen tendons and bones, fundamentally treat cervical spondylosis and prevent recurrence of cervical spondylosis. The first three groups of medicines are medicines for treating the symptoms, and the fourth group of medicines are medicines for treating the root cause. All medicines are used in combination to achieve the purpose of treating both symptoms and root causes, and have significant curative effects. Moreover, it has the characteristics of low treatment cost, fast curative effect, less pain for patients, etc., and has a good prospect of popularization and application.
7、典型病例: 7. Typical cases:
例1蔡某,男,28岁,山东省烟台市莱山区人。症状为:四肢痿软无力,生活不能自理一年余,经医院CT检查确诊为C4~C7节增生,压迫神经所至。2006年8月26日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 1 Cai, male, 28 years old, from Laishan District, Yantai City, Shandong Province. Symptoms are: flaccidity and weakness of limbs, unable to take care of oneself for more than a year, diagnosed as C4-C7 node hyperplasia by hospital CT examination, oppressing nerves. Examined on August 26th, 2006, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例2钟某,男,42岁,山东省济南市人。患颈椎病2年,颈部酸痛,右手麻木无力,头晕头痛。扭动脖子时咯咯作响。2002年4月6日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 2 Zhong Mou, male, 42 years old, from Jinan City, Shandong Province. Suffering from cervical spondylosis for 2 years, neck pain, right hand numbness, dizziness and headache. Crackling when twisting the neck. Examine on April 6th, 2002, through drug treatment of the present invention, fully recover after 2 courses for the treatment of. Follow up a case by regular visits to so far without recurrence.
例3孙某,女,40岁,山东省烟台市莱山区人。颈部酸痛,头晕头痛,视力模糊。经医院CT检查确诊为C3~C7节增生,椎管狭窄,脑供血不足。2004年3月5日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 3 Sun, female, 40 years old, from Laishan District, Yantai City, Shandong Province. Neck pain, dizziness, headache, blurred vision. It was diagnosed as C3~C7 node hyperplasia, spinal canal stenosis, and cerebral blood supply insufficiency through hospital CT examination. Examine on March 5th, 2004, through drug treatment of the present invention, fully recover after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例4赵某,女,38岁,山东省烟台市芝罘区人。颈、肩、背痛,双手麻木酸胀7个多月,曾服大量西药无效。近段时间疼痛加剧,入夜尤甚,坐卧不安,颈部活动受限。左侧颈部僵硬,颈部活动时疼痛加重,第4-7颈椎压痛明显,压颈试验(+),臂丛神经牵拉试验(+)。X线片示:C4、C7椎体骨质增生,双侧钩椎关节间隙不等宽。2001年8月9日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 4 Zhao, female, 38 years old, is from Zhifu District, Yantai City, Shandong Province. Neck, shoulder, and back pain, numbness and soreness in both hands for more than 7 months, and a large amount of western medicine was ineffective. Recently, the pain has increased, especially at night, restlessness, and limited neck movement. The left side of the neck was stiff, and the pain was aggravated when the neck was moved. The tenderness of the 4th to 7th cervical vertebra was obvious. The neck pressure test (+), the brachial plexus stretch test (+). X-ray films showed: C4, C7 vertebral body hyperosteogeny, bilateral uncinate joint space unequal width. Examined on August 9th, 2001, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例5曹某,男,56岁,山东省曲阜市董庄乡人。患者颈、肩、枕部疼痛3年多,头疼头晕1年。近段时间病情加重,颈项强硬,转侧不灵,视物不清,经常发生位置性眩晕,经中西药治疗效果不佳。2002年9月12日来诊,检查诊断:3~7颈椎棘突压痛明显,压颈试验(+),臂丛神经牵拉试验(+)。X光片示颈椎生理曲度变直,C4、C5、C6椎体前缘呈唇齿样增生,C5~C6椎间隙狭窄。经本发明药物治疗,2个疗程后所有症状均消除,颈及肢体功能活动全部恢复正常。随访至今未复发。 Example 5 Cao, male, 56 years old, was born in Dongzhuang Township, Qufu City, Shandong Province. Patient's neck, shoulder, occipital pain for more than 3 years, headache and dizziness for 1 year. In the recent period, the condition has worsened, the neck is stiff, the side cannot be turned well, the vision is blurred, and positional vertigo often occurs. The treatment effect of Chinese and Western medicine is not good. On September 12, 2002, I came to the clinic, and the inspection and diagnosis: the tenderness of the spinous processes of the 3rd to 7th cervical vertebrae was obvious, the neck pressure test (+), and the brachial plexus traction test (+). X-ray films showed that the physiological curvature of the cervical spine became straight, the anterior edges of C4, C5, and C6 vertebral bodies showed lip-tooth hyperplasia, and the intervertebral space between C5 and C6 was narrowed. After 2 courses of treatment, all symptoms were eliminated after medicament treatment of the present invention, and the functional activities of the neck and limbs all returned to normal. Follow up a case by regular visits to so far without recurrence.
例6袁某,男,48岁,山东省滨州市人。患颈椎病2年,在烟台市中医院治疗3个月,无明显好转。2004年10月9日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 6 Yuan, male, 48 years old, from Binzhou City, Shandong Province. Suffering from cervical spondylosis for 2 years, treated in Yantai Traditional Chinese Medicine Hospital for 3 months, no obvious improvement. Examined on October 9th, 2004, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例7王某,女,43岁,山东省曲阜市董庄乡人。持续性颈背痛伴阵发性加重1年,曾接受多种治疗未见明显效果。2005年7月9日来诊,查体见颈部僵直,颈部活动时疼痛加重而且活动明显受限,C4~C7的棘突部位均有不同程度的按压痛。经本发明药物治疗,2个疗程后痊愈。又摄颈段X线片对照影像学的变化,治疗前颈段生理弧度轻度后凸变形,治疗后生理弧度恢复正常。随访至今未复发。 Example 7 Wang, female, 43 years old, from Dongzhuang Township, Qufu City, Shandong Province. She had persistent neck and back pain with paroxysmal aggravation for 1 year, and had received various treatments with no obvious effect. On July 9, 2005, I came to the clinic. The physical examination showed that the neck was stiff, and the pain aggravated when the neck was moved and the movement was obviously limited. Through drug treatment of the present invention, recovery from illness after 2 courses of treatment. The X-ray films of the cervical region were taken to compare the changes of the imaging studies. The physiological curvature of the cervical region was slightly kyphosis before the treatment, and the physiological curvature returned to normal after the treatment. Follow up a case by regular visits to so far without recurrence.
例8孔某,男,40岁,山东省曲阜市董庄乡人。患颈椎病两年余,肩酸痛、头晕,脖子僵硬疼痛,双上肢麻木疼痛。曾做颈托牵引、按摩等治疗,但症状未见明显减轻。2008年6月7日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 8 Kong X, male, 40 years old, from Dongzhuang Township, Qufu City, Shandong Province. Suffering from cervical spondylosis for more than two years, shoulder pain, dizziness, neck stiffness and pain, numbness and pain in both upper limbs. Once done neck collar traction, massage and other treatments, but the symptoms were not significantly relieved. Examine on June 7th, 2008, through drug treatment of the present invention, fully recover after 2 courses for the treatment of. Follow up a case by regular visits to so far without recurrence.
例9江某,男,58岁,山东省烟台市芝罘区人。患者颈、肩背疼痛,头痛、头晕,颈部板硬,上肢麻木,严重影响了工作和生活。医院X线摄片,确诊为:颈椎病。曾服用了各类药物,仍不见好转,病情不断加重。2010年4月7日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 9 Jiang, male, 58 years old, from Zhifu District, Yantai City, Shandong Province. The patient suffered from neck, shoulder and back pain, headache, dizziness, stiff neck, and numb upper limbs, which seriously affected work and life. Hospital X-ray film, diagnosed as: cervical spondylosis. Once took various medicines, still do not take a turn for the better, the state of an illness constantly increases the weight of. Examine on April 7th, 2010, through drug treatment of the present invention, fully recover after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例10张某,男,29岁,山东省烟台市莱山区人。患者CT诊断为颈椎管狭窄,脖子胀痛难忍,上肢麻木疼痛,头晕,头不能扭动,不能参加工作,患病已2年,经颈托牵引、推拿、服药等治疗效果不明显。2011年6月9日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 10 Zhang, male, 29 years old, was born in Laishan District, Yantai City, Shandong Province. The patient was diagnosed with cervical spinal canal stenosis by CT, with unbearable neck pain, numbness and pain in the upper limbs, dizziness, unable to twist the head, and unable to participate in work. He has been ill for 2 years, and the treatment effects of cervical traction, massage, and medication are not obvious. Examine on June 9th, 2011, through drug treatment of the present invention, fully recover after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例11沈某,男,49岁,山东省烟台市莱山区人。患者颈肩疼痛2日,后加重至头部不可转向或歪向一侧,颈部肌肉紧张,有明显压痛,X线片上可见颈椎曲线消失而变直。2012年9月11日来诊,经本发明药物治疗,1个疗程后痊愈。随访至今未复发。 Example 11 Shen, male, 49 years old, was born in Laishan District, Yantai City, Shandong Province. The patient had neck and shoulder pain for 2 days, and then aggravated to the point that the head could not turn or turned to one side, the neck muscles were tense, and there was obvious tenderness. On the X-ray film, the curve of the cervical spine disappeared and became straight. Examine on September 11th, 2012, through drug treatment of the present invention, fully recover after 1 course of treatment. Follow up a case by regular visits to so far without recurrence.
例12李某,女,50岁,山东省烟台市莱山区人。长期颈部酸痛,伴有头痛、头晕、失眠、恶心、呕吐等症状,两年前诊为椎动脉型颈椎病。多方治疗无效。2010年11月9日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 12 Lee, female, 50 years old, from Laishan District, Yantai City, Shandong Province. Long-term neck pain, accompanied by symptoms such as headache, dizziness, insomnia, nausea, and vomiting, was diagnosed as vertebral artery type cervical spondylosis two years ago. Multiple treatments are ineffective. Examined on November 9th, 2010, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例13赵某,男,62岁,山东省烟台市芝罘区人。因突患眩晕、颈项僵痛、心前区闷痛入院治疗,拍片检查诊断为颈椎狭窄,关节、软骨、韧带、肌肉受损。主要原因为长期伏案工作及头部、颈项曾受重击所致。2011年3月11日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 13 Zhao, male, 62 years old, from Zhifu District, Yantai City, Shandong Province. He was admitted to the hospital for sudden dizziness, neck stiffness, and precordial pain, and was diagnosed with cervical stenosis, joints, cartilage, ligaments, and muscles were damaged by film examination. The main reasons are long-term desk work and heavy blows to the head and neck. Examine on March 11th, 2011, through drug treatment of the present invention, fully recover after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例14王某,女,57岁,山东省曲阜市王庄乡人。患者颈、肩背疼痛,颈部活动受限,患肢有感觉障碍、肌力减弱、肌肉萎缩,臂丛牵拉试验(+),压颈试验(+),诊断为神经根型颈椎病,病程3年,经颈托牵引、推拿、服药等治疗效果不明显。2012年9月8日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 14 Wang, female, 57 years old, from Wangzhuang Township, Qufu City, Shandong Province. The patient had neck, shoulder and back pain, limited neck movement, sensory disturbance, muscle weakness, and muscle atrophy in the affected limbs, brachial plexus stretch test (+), neck compression test (+), and was diagnosed as cervical spondylotic radiculopathy. The course of the disease was 3 years, and the treatment effects such as cervical traction, massage, and medication were not obvious. Examined on September 8th, 2012, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例15赵某,女,36岁,山东省曲阜市董庄乡人。双侧下肢无力、发麻,逐渐步态不稳、行走困难,肢肌张力增高、腱反射亢进,同时还有头痛、眩晕的症状,诊断为脊髓型和交感型的混合型颈椎病,病程2年。2010年2月28日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 15 Zhao, female, 36 years old, is from Dongzhuang Township, Qufu City, Shandong Province. Weakness and numbness of both lower limbs, gradually unsteady gait, difficulty walking, increased limb muscle tension, hyperreflexia of tendons, headache and dizziness at the same time, diagnosed as mixed cervical spondylosis of spinal cord type and sympathetic type, course of disease 2 year. Examine on February 28th, 2010, through drug treatment of the present invention, fully recover after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例16韩某,男,44岁,山东省烟台市莱山区人。发病2月,颈项疼痛,偶有眩晕感,动则加剧,双上肢麻木不适,压颈试验(+)。查X光片示:C4-5、C5-6、C6-7椎间盘突出。诊断为“颈椎病”。2009年10月6日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 16 Han, male, 44 years old, from Laishan District, Yantai City, Shandong Province. February of onset, neck pain, occasional dizziness, aggravated by movement, numbness and discomfort in both upper limbs, neck compression test (+). Check the X-ray film and show: C4-5, C5-6, C6-7 intervertebral disc herniation. Diagnosed as "cervical spondylosis". Examine on October 6th, 2009, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例17李某,女,46岁,山东省滨州市人。发病10年,颈及左肩部疼痛,劳累后加重,休息可缓解,左上肢疼痛,伴左手中指关节及远指关节麻木,霍夫曼征双侧阳性。查MRI示:C5-6椎间盘左后突。查X光片示:颈椎生理曲度变浅,双侧部分椎间孔有骨赘轻度凸入。诊断为“颈椎病”。2008年6月7日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 17 Li, female, 46 years old, from Binzhou City, Shandong Province. Ten years after the onset, the pain in the neck and left shoulder was aggravated by exertion and relieved by rest. The pain in the left upper limb was accompanied by numbness of the left middle finger joint and distal finger joint, and Hoffmann's sign was bilaterally positive. Check MRI shows: C5-6 intervertebral disc left kyphosis. The X-ray films showed that the physiological curvature of the cervical spine became shallower, and some intervertebral foramina on both sides had slightly protruding osteophytes. Diagnosed as "cervical spondylosis". Examined on June 7th, 2008, through drug treatment of the present invention, recovery from illness after 2 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例18董某,男,42岁,河北省石家庄市人。发病13年,颈项僵痛,偶有眩晕,四肢麻木无力,劳累加剧,休息后缓解,压颈试验(+),颈椎棘突压痛。查X光片示:颈椎生理曲度变直,左侧部分椎间孔有骨赘轻度突出。诊断为“颈椎病”。2009年9月16日来诊,经本发明药物治疗,3个疗程后痊愈。随访至今未复发。 Example 18 Dong Mou, male, 42 years old, from Shijiazhuang City, Hebei Province. The onset of 13 years, neck stiffness, occasional dizziness, numbness and weakness of limbs, increased fatigue, relief after rest, neck pressure test (+), cervical spinous process tenderness. The X-ray film showed that the physiological curvature of the cervical spine became straight, and there was a slight protruding osteophyte in the left part of the intervertebral foramen. Diagnosed as "cervical spondylosis". Examined on September 16th, 2009, through drug treatment of the present invention, recovery from illness after 3 courses of treatment. Follow up a case by regular visits to so far without recurrence.
例19郑某,男,61岁,浙江省杭州市人。患神经根型颈椎病2年,C3~C7的棘突部位均有不同程度的按压痛,后伸时颈痛加重,颈部转动时有颈响声,左右肩关节活动时有疼痛感,有时指尖发麻,压颈试验(+),臂丛神经牵拉试验(+)。2009年7月18日来诊,经本发明药物治疗,1个疗程后痊愈。随访至今未复发。 Example 19 Zheng, male, 61 years old, from Hangzhou City, Zhejiang Province. Suffering from cervical spondylotic radiculopathy for 2 years, the spinous processes of C3-C7 all have different degrees of pressure pain, the neck pain is aggravated when stretching back, there is neck noise when the neck is turned, pain is felt when the left and right shoulder joints are moved, and sometimes finger Tip numbness, neck compression test (+), brachial plexus traction test (+). Examine on July 18th, 2009, through drug treatment of the present invention, fully recover after 1 course of treatment. Follow up a case by regular visits to so far without recurrence.
例20张某,男,45岁,山东省曲阜市人。患颈型颈椎病,颈痛放射至肩部,上肢麻木、无力,活动后加重,中西医治疗二年余无明显效果。2006年3月18日来诊,经本发明药物治疗,2个疗程后痊愈。随访至今未复发。 Example 20 Zhang, male, 45 years old, from Qufu City, Shandong Province. Suffering from neck-type cervical spondylosis, neck pain radiating to the shoulders, numbness and weakness of upper limbs, aggravated after activities, Chinese and Western medicine treatment has no obvious effect for more than two years. Examine on March 18th, 2006, through drug treatment of the present invention, fully recover after 2 courses for the treatment of. Follow up a case by regular visits to so far without recurrence.
对于本领域技术人员而言,显然本发明不限于上述示范性实施例的细节,而且在不背离本发明的精神或基本特征的情况下,能够以其他的具体形式实现本发明。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本发明的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在本发明内。 It will be apparent to those skilled in the art that the invention is not limited to the details of the above-described exemplary embodiments, but that the invention can be embodied in other specific forms without departing from the spirit or essential characteristics of the invention. Accordingly, the embodiments should be regarded in all points of view as exemplary and not restrictive, the scope of the invention being defined by the appended claims rather than the foregoing description, and it is therefore intended that the scope of the invention be defined by the appended claims rather than by the foregoing description. All changes within the meaning and range of equivalents of the elements are embraced in the present invention.
此外,应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施例中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。 In addition, it should be understood that although this specification is described according to implementation modes, not each implementation mode includes an independent technical solution, and this description in the specification is only for clarity, and those skilled in the art should take the specification as a whole, The technical solutions in the various embodiments can also be properly combined to form other implementations that can be understood by those skilled in the art.
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201510233285.8A CN104825563B (en) | 2015-05-08 | 2015-05-08 | A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201510233285.8A CN104825563B (en) | 2015-05-08 | 2015-05-08 | A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof |
Publications (2)
Publication Number | Publication Date |
---|---|
CN104825563A CN104825563A (en) | 2015-08-12 |
CN104825563B true CN104825563B (en) | 2016-07-06 |
Family
ID=53804014
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201510233285.8A Expired - Fee Related CN104825563B (en) | 2015-05-08 | 2015-05-08 | A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN104825563B (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105193936A (en) * | 2015-11-12 | 2015-12-30 | 朱由兵 | Traditional Chinese medicine preparation for treating liver and kidney deficiency type cervical spondylosis |
CN106038996A (en) * | 2016-07-26 | 2016-10-26 | 杨桂森 | Traditional Chinese medicine for treating cervical spondylosis and lumbar disc herination |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1160096C (en) * | 2001-08-23 | 2004-08-04 | 邢良国 | Numbness- and pain-eliminating capsule and preparing method thereof |
CN1189194C (en) * | 2002-01-06 | 2005-02-16 | 侯平年 | Medicine for curing cervical spondylopathy and vertebrae lumbales diseases |
-
2015
- 2015-05-08 CN CN201510233285.8A patent/CN104825563B/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
CN104825563A (en) | 2015-08-12 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN103156972B (en) | Traditional Chinese medicine combination for treating fracture, hairline fracture and traumatic injury | |
CN100506274C (en) | Traditional Chinese medicine for treating cervical vertebra disease | |
CN104173509A (en) | Moxa stick for treating dysmenorrhea | |
CN103191382B (en) | Medicine for treating Bi syndrome and preparation method thereof | |
CN108175795A (en) | A kind of plaster | |
CN1931277B (en) | Osteoarthrosis treating Chinese medicine composition and its preparation process | |
CN104825563B (en) | A kind of Chinese medicine preparation treating cervical spondylosis and preparation method thereof | |
CN103027978A (en) | Medicine composition for treating traumatic injury and preparation method of medicine composition | |
CN104825956A (en) | Medicine for preventing and treating stroke and recovering muscles, bones and joints | |
CN103908600A (en) | Externally-applied medicine for treating rheumatoid arthritis damp-heat blockage symptom as well as preparation method and administration method thereof | |
CN103301215B (en) | Pharmaceutical composition for treating bone disease as well as preparation method and use thereof | |
CN105106634A (en) | Traditional Chinese medicine preparation for treating acute appendicitis and application thereof | |
CN105770847A (en) | Traditional Chinese medicine composition for relieving or treating joint swelling and pain and preparation method and application of traditional Chinese medicine composition | |
CN105169279A (en) | Traditional Chinese medicine composition for treating knee joint bone hyperplasia | |
CN112755134B (en) | Plaster for treating hyperosteogeny and preparation method thereof | |
CN100353995C (en) | Pharmaceutical composition with functions of dispersing pathogenic wind, activating collaterals ,and clearing away toxin | |
CN106177785A (en) | A kind of medicine treating cervical spondylosis | |
CN106924673A (en) | A kind of Chinese medicine composition for treating osteoproliferation and its medicament preparation method | |
CN104758830A (en) | Traditional Chinese medicine composition for treating bone disease and skin injury and preparation method of traditional Chinese medicine composition | |
CN104857111B (en) | Medicament of the pain in waist and lower extremities that the treatment protrasion of the lumbar intervertebral disci causes and preparation method thereof | |
CN104800706A (en) | Medicine for treating fracture of femoral shaft and preparation method thereof | |
CN105983020A (en) | Pharmaceutical composition for treating inflammatory external hemorrhoids and application of pharmaceutical composition | |
CN103463260B (en) | Gut purging drug used before gynecological laparoscopic operation | |
CN104436043A (en) | Analgesic anti-inflammatory ointment for treating sore and ulcer yang syndrome and preparation method thereof | |
CN114306497A (en) | A traditional Chinese medicine composition, preparation and application for treating osteoporosis of kidney deficiency and blood stasis type |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
EXSB | Decision made by sipo to initiate substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20160706 Termination date: 20180508 |