CN106421471A - Traditional Chinese medicine preparation for treating kidney calculi - Google Patents
Traditional Chinese medicine preparation for treating kidney calculi Download PDFInfo
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Abstract
本发明属于中药药物研发技术领域,具体的是一种治疗肾结石的中药制剂。一种治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草15‑30份、海金沙10‑20份、白术9‑16份、黄芪15‑30份、白茅根12‑17份、猪苓11‑19份、茯苓9‑18份、冬葵子10‑14份、忍冬藤13‑17份、胜红蓟25‑35份、假菠萝15‑25份、鸡肫草15‑30份、杜仲10‑20份、牛膝15‑22份和甘草6‑9份。本发明的治疗肾结石的中药制剂毒副作用小、疗效显著、标本兼治、治愈后复发率低;本发明的治疗肾结石的中药制剂制备方法简单、成本低,易操作,易于推广和应用。The invention belongs to the technical field of research and development of traditional Chinese medicines, in particular to a traditional Chinese medicine preparation for treating kidney stones. A traditional Chinese medicine preparation for treating kidney stones, which is prepared from the following raw materials in parts by weight: 15-30 parts of Desmodium, 10-20 parts of Haijinsha, 9-16 parts of Atractylodes Rhizome, 15-30 parts of Radix Astragali, and 12 parts of Rhizoma Imperatae ‑17 parts, Polyporus 11‑19 parts, Poria cocos 9‑18 parts, mallow seeds 10‑14 parts, honeysuckle vine 13‑17 parts, red thistle 25‑35 parts, false pineapple 15‑25 parts, chicken gizzard 15‑30 parts, Eucommia 10‑20 parts, Achyranthes bidentata 15‑22 parts and licorice 6‑9 parts. The traditional Chinese medicine preparation for treating kidney stones of the invention has less toxic and side effects, significant curative effect, treats both symptoms and root causes, and has a low recurrence rate after cure; the Chinese medicine preparation for treating kidney stones of the invention has a simple preparation method, low cost, easy operation, and easy popularization and application.
Description
技术领域technical field
本发明属于中药药物研发技术领域,具体的是一种治疗肾结石的中药制剂及其制备方法。The invention belongs to the technical field of research and development of traditional Chinese medicines, in particular to a traditional Chinese medicine preparation for treating kidney stones and a preparation method thereof.
背景技术Background technique
肾结石是泌尿系统最为常见的疾病之一。祖国医学文献中在两千年前就有关于结石病的病因、症状和治疗的记载。随着人们物质生活水平的提高,营养状况的改善,加重了饮食调配的不合理,高蛋白、高糖饮食成分的提高,使肾结石的发病率不断上升。近30年来,肾结石的形成原因和特异性分子缺陷已得到了澄清,大多数肾石病可获得特异性诊断,多种药物已证实可有效治疗结石。Kidney stones are one of the most common diseases of the urinary system. There are records about the cause of disease, symptoms and treatment of stone disease in the medical literature of the motherland before two thousand years. Along with the raising of people's material living standard, the improvement of nutritional status has aggravated the irrationality of diet allocation, and the raising of high-protein, high-sugar diet composition makes the sickness rate of kidney stone constantly rise. In the past 30 years, the causes of kidney stone formation and specific molecular defects have been clarified, most nephrolithiasis can be specifically diagnosed, and a variety of drugs have been proven to be effective in the treatment of kidney stones.
目前,认为结石的发生是多种因素综合作用使尿中晶体物质浓度升高或溶解度降低,呈过饱和的状态析出结晶并在局部生长、聚集,最终形成结石。肾结石形成的个体差异较大,临床上通常把结石分为四大类:含钙结石、感染性结石、尿酸结石和胱氨酸结石。肾结石的治疗近几年来有很大的进展,许多过去需手术的现在可经体外震波破碎或非开放性手术取石。At present, it is believed that the occurrence of stones is due to the combined action of various factors that increase the concentration of crystal substances in urine or reduce the solubility, and crystals are precipitated in a supersaturated state, grow and accumulate locally, and finally form stones. The individual differences in the formation of kidney stones are relatively large. Clinically, stones are usually divided into four categories: calcium stones, infection stones, uric acid stones, and cystine stones. The treatment of kidney stones has made great progress in recent years. Many patients who needed surgery in the past can now undergo extracorporeal shock wave fragmentation or non-open surgery to remove stones.
但是,无论是手术取石,还是物理破碎排石,均不能对肾结石进行根治。权威数据显示,泌尿结石的复发率高达96.5%以上。87.6%的患者要长期忍受腰痛或腹部疼痛的痛苦。69%的患者由于脏器的损伤经常会伴随血尿或者脓尿。泌尿结石打了一个又来一个,结石疾病常反反复复,致使患者痛苦不堪。西医药物治疗主要是采用无机或/和有机酸性药物进行溶石排石,但其治疗效果甚微,且副作用较大,因而多用作辅助治疗。因此,需要中医药科研工作人员需研制一种组方精妙、且治疗效果好的中药配方,以达到高效、彻底治疗肾结石病患的目的。However, no matter whether it is surgery to remove stones or physical crushing and removal of stones, it is impossible to radically cure kidney stones. Authoritative data show that the recurrence rate of urinary stones is as high as 96.5%. 87.6% of patients suffer from low back pain or abdominal pain for a long time. 69% of patients are often accompanied by hematuria or pyuria due to organ damage. Urinary stones come one after another, and the stone disease is often repeated, causing the patient to suffer unbearably. Western medicine treatment mainly uses inorganic or/and organic acidic drugs to dissolve stones and expel stones, but its therapeutic effect is very small, and its side effects are relatively large, so it is mostly used as adjuvant therapy. Therefore, need Chinese medicine scientific research personnel to need to develop a kind of prescription exquisite, and the Chinese medicine formula with good therapeutic effect, to reach the purpose of efficient, thorough treatment kidney calculus patient.
公开于该背景技术部分的信息仅仅旨在增加对本发明的总体背景的理解,而不应当被视为承认或以任何形式暗示该信息构成已为本领域一般技术人员所公知的现有技术。The information disclosed in this Background section is only for enhancing the understanding of the general background of the present invention and should not be taken as an acknowledgment or any form of suggestion that the information constitutes the prior art that is already known to those skilled in the art.
发明内容Contents of the invention
为了解决上述问题,本发明的目的在于提供一种治疗肾结石的中药制剂及其制备方法。In order to solve the above problems, the object of the present invention is to provide a Chinese medicine preparation for treating kidney stones and a preparation method thereof.
本发明所提供的技术方案是:The technical scheme provided by the present invention is:
一种治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草15-30份、海金沙10-20份、白术9-16份、黄芪15-30份、白茅根12-17份、猪苓11-19份、茯苓9-18份、冬葵子10-14份、忍冬藤13-17份、胜红蓟25-35份、假菠萝15-25份、鸡肫草15-30份、杜仲10-20份、牛膝15-22份和甘草6-9份。A traditional Chinese medicine preparation for treating kidney stones, which is prepared from the following raw materials in parts by weight: 15-30 parts of Desmodium chinensis, 10-20 parts of Haijinsha, 9-16 parts of Atractylodes Rhizome, 15-30 parts of Radix Astragali, and 12 parts of Rhizoma Imperatae -17 parts, Polyporus 11-19 parts, Poria cocos 9-18 parts, mallow seeds 10-14 parts, honeysuckle vine 13-17 parts, red thistle 25-35 parts, fake pineapple 15-25 parts, chicken gizzard 15-30 parts, Eucommia 10-20 parts, Achyranthes bidentata 15-22 parts and licorice 6-9 parts.
作为优选,所述的治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草20份、海金沙18份、白术15份、黄芪16份、白茅根13份、猪苓15份、茯苓15份、冬葵子13份、忍冬藤15份、胜红蓟27份、假菠萝21份、鸡肫草22份、杜仲16份、牛膝19份和甘草7份。As a preference, the traditional Chinese medicine preparation for treating kidney stones is made of the following raw materials in parts by weight: 20 parts of Desmodium, 18 parts of Haijinsha, 15 parts of Atractylodes Rhizome, 16 parts of Radix Astragali, 13 parts of Rhizoma Imperatae, Polyporus 15 parts, Poria cocos 15 parts, mallow seed 13 parts, honeysuckle vine 15 parts, red thistle 27 parts, false pineapple 21 parts, chicken gizzard 22 parts, eucommia ulmoides 16 parts, achyranthes bidentata 19 parts and licorice 7 parts.
本发明还提供了所述的治疗肾结石的中药制剂的制备方法,包括以下步骤:The present invention also provides the preparation method of the Chinese medicine preparation for the treatment of kidney stones, comprising the following steps:
(1)按重量份数取金钱草,海金沙,白术,黄芪,白茅根,猪苓,茯苓,冬葵子,忍冬藤,胜红蓟,假菠萝,鸡肫草,杜仲,牛膝和甘草;(1) Desmodium, seaweed, Atractylodes macrocephala, Astragalus root, Imperatae rhizome, Poria cocos, Poria cocos, mallow seed, honeysuckle vine, red thistle, false pineapple, chicken gizzard, ulmoides, achyranthes bidentata and licorice in parts by weight ;
(2)再将按上述各中药原料,混合洗净,置入煎药砂锅、或瓦罐内,加入洁净水,加水量以浸过药面3-4cm为止,煎熬前先浸泡30-40min,然后,用武火煮沸,再改用文火煎熬,每剂煎至180-200mL药汁时关火,滤去药渣,取药汁,即得治疗肾结石的中药制剂。(2) Mix and wash the raw materials of the above-mentioned Chinese medicines, put them into a decoction casserole or earthen pot, add clean water, add water until the medicine surface is soaked by 3-4cm, soak for 30-40min before decocting, Then, boil it with strong fire, then switch to slow fire decoction, turn off the fire when each dose is decocted to 180-200mL of medicine juice, filter out the medicine residue, take medicine juice, and obtain the traditional Chinese medicine preparation for treating kidney stones.
与现有技术相比,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
(1)本发明治疗肾结石的中药制剂配方简单、易于服用、费用低、患者痛苦小,不仅具有排石、化石的组分,且具有补肾益肾的组分,在对肾结石病人进行治疗的同时,对病人的肾脏进行有效的保健,使得病人的受损肾脏早日恢复健康,且治疗见效快、治愈率高。(1) The traditional Chinese medicine preparation for treating kidney stones of the present invention is simple in formula, easy to take, low in cost, and less in pain for patients. At the same time, effective health care for the patient's kidneys will make the patient's damaged kidneys recover as soon as possible, and the treatment will take effect quickly and the cure rate will be high.
(2)本发明的治疗肾结石的中药制剂制备方法简单、成本低,易操作,易于推广和应用。(2) The preparation method of the traditional Chinese medicine preparation for treating kidney stones of the present invention is simple, low in cost, easy to operate, and easy to popularize and apply.
具体实施方式detailed description
下面结合具体例对本发明作进一步详细的说明。实施例中所提到的中草药按药典规定药用部位The present invention will be described in further detail below in conjunction with specific examples. The Chinese herbal medicine mentioned in the embodiment is prescribed medicinal parts according to the Pharmacopoeia
实施例1: Embodiment 1 :
一种治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草15g、海金沙10g、白术9g、黄芪15g、白茅根12g、猪苓11g、茯苓9g、冬葵子10g、忍冬藤13g、胜红蓟25g、假菠萝15g、鸡肫草15g、杜仲10g、牛膝15g和甘草6g。A traditional Chinese medicine preparation for treating kidney stones, which is made of the following raw materials in parts by weight: 15g of Desmodium syringae, 10g of Haijinsha, 9g of Atractylodes Rhizoma Atractylodes Rhizome, 15g of Radix Astragali, 12g of Rhizoma Imperatae, 11g of Poria cocos, 9g of Poria cocos, and 10g of mallow seeds , honeysuckle vine 13g, red thistle 25g, fake pineapple 15g, chicken gizzard 15g, Eucommia 10g, achyranthes bidentata 15g and licorice 6g.
所述的治疗肾结石的中药制剂的制备方法,包括以下步骤:The preparation method of the Chinese medicinal preparation for the treatment of kidney stones, comprises the following steps:
(1)按重量份数取金钱草,海金沙,白术,黄芪,白茅根,猪苓,茯苓,冬葵子,忍冬藤,胜红蓟,假菠萝,鸡肫草,杜仲,牛膝和甘草;(1) Desmodium, seaweed, Atractylodes macrocephala, Astragalus, Imperatae, Polyporus cocos, Poria cocos, mallow seed, honeysuckle vine, red thistle, false pineapple, chicken gizzard, eucommia, achyranthes bidentata and licorice in parts by weight ;
(2)再将按上述各中药原料,混合洗净,置入煎药砂锅、或瓦罐内,加入洁净水,加水量以浸过药面3cm为止,煎熬前先浸泡30min,然后,用武火煮沸,再改用文火煎熬,每剂煎至180mL药汁时关火,滤去药渣,取药汁,即得治疗肾结石的中药制剂。(2) Then mix and wash the raw materials of the above-mentioned Chinese medicines, put them into a decoction casserole or earthen pot, add clean water, add water until the medicine surface is soaked by 3cm, soak for 30 minutes before decocting, and then use strong fire Boil, then switch to slow fire decoction, turn off the heat when each dose is decocted to 180mL of medicine juice, filter off the medicine residue, take the medicine juice, and obtain the traditional Chinese medicine preparation for treating kidney stones.
实施例2: Embodiment 2 :
一种治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草30g、海金沙20g、白术16g、黄芪30g、白茅根17g、猪苓19g、茯苓18g、冬葵子14g、忍冬藤17g、胜红蓟35g、假菠萝25g、鸡肫草30g、杜仲20g、牛膝22g和甘草9g。A traditional Chinese medicine preparation for treating kidney stones, which is made from the following raw materials in parts by weight: 30g of Desmodium chinensis, 20g of Rhizoma Atractylodes Rhizome, 16g of Atractylodes Rhizoma Atractylodes Rhizome, 30g of Radix Astragali, 17g of Rhizoma Imperatae, 19g of Poria cocos, 18g of Poria cocos, and 14g of mallow seeds , honeysuckle vine 17g, red thistle 35g, fake pineapple 25g, chicken gizzard 30g, eucommia 20g, achyranthes bidentata 22g and licorice 9g.
所述的治疗肾结石的中药制剂的制备方法,包括以下步骤:The preparation method of the Chinese medicinal preparation for the treatment of kidney stones, comprises the following steps:
(1)按重量份数取金钱草,海金沙,白术,黄芪,白茅根,猪苓,茯苓,冬葵子,忍冬藤,胜红蓟,假菠萝,鸡肫草,杜仲,牛膝和甘草;(1) Desmodium, seaweed, Atractylodes macrocephala, Astragalus root, Imperatae rhizome, Poria cocos, Poria cocos, mallow seed, honeysuckle vine, red thistle, false pineapple, chicken gizzard, ulmoides, achyranthes bidentata and licorice in parts by weight ;
(2)再将按上述各中药原料,混合洗净,置入煎药砂锅、或瓦罐内,加入洁净水,加水量以浸过药面4cm为止,煎熬前先浸泡40min,然后,用武火煮沸,再改用文火煎熬,每剂煎至200mL药汁时关火,滤去药渣,取药汁,即得治疗肾结石的中药制剂。(2) Mix and wash the raw materials of the above-mentioned traditional Chinese medicines, put them into a decoction casserole or earthen pot, add clean water, add water until the surface of the medicine is soaked by 4cm, soak for 40 minutes before decocting, and then use strong fire Boil, then use slow fire to decoct, turn off the heat when each dose is decocted to 200mL of medicinal juice, filter off the medicinal residue, take the medicinal juice, and obtain the traditional Chinese medicine preparation for treating kidney stones.
实施例3: Embodiment 3 :
一种治疗肾结石的中药制剂,由按重量份数计由以下原料制成:金钱草20g、海金沙15g、白术12g、黄芪25g、白茅根15g、猪苓15g、茯苓13g、冬葵子12g、忍冬藤15g、胜红蓟30g、假菠萝20g、鸡肫草20g、杜仲15g、牛膝18g和甘草8g。A traditional Chinese medicine preparation for treating kidney stones, which is made of the following raw materials in parts by weight: 20g of Desmodium, 15g of Rhizoma Atractylodes Rhizome, 12g of Atractylodes Rhizome, 25g of Radix Astragali, 15g of Rhizome Imperatae, 15g of Poria cocos, 13g of Poria cocos, and 12g of mallow seed , honeysuckle vine 15g, red thistle 30g, fake pineapple 20g, chicken gizzard 20g, eucommia 15g, achyranthes bidentata 18g and licorice 8g.
所述的治疗肾结石的中药制剂的制备方法,包括以下步骤:The preparation method of the Chinese medicinal preparation for the treatment of kidney stones, comprises the following steps:
(1)按重量份数取金钱草,海金沙,白术,黄芪,白茅根,猪苓,茯苓,冬葵子,忍冬藤,胜红蓟,假菠萝,鸡肫草,杜仲,牛膝和甘草;(1) Desmodium, seaweed, Atractylodes macrocephala, Astragalus root, Imperatae rhizome, Poria cocos, Poria cocos, mallow seed, honeysuckle vine, red thistle, false pineapple, chicken gizzard, ulmoides, achyranthes bidentata and licorice in parts by weight ;
(2)再将按上述各中药原料,混合洗净,置入煎药砂锅、或瓦罐内,加入洁净水,加水量以浸过药面3.5cm为止,煎熬前先浸泡35min,然后,用武火煮沸,再改用文火煎熬,每剂煎至190mL药汁时关火,滤去药渣,取药汁,即得治疗肾结石的中药制剂。(2) Then mix and wash the above-mentioned Chinese medicine raw materials, put them into a decocting casserole or earthen pot, add clean water, add water until the medicine surface is soaked by 3.5cm, soak for 35 minutes before decocting, and then use force Bring to a boil over high heat, then decoct with slow fire, turn off the heat when each dose is decocted to 190mL of medicine juice, filter out the medicine residue, take the medicine juice, and then obtain the traditional Chinese medicine preparation for treating kidney stones.
实施例4:本发明的中药制剂的效果试验 Embodiment 4 : the effect test of Chinese medicine preparation of the present invention
(1)一般资料(1) General information
纳入标准:腰部及肾区或下腹部疼痛不适,尿频、尿急、尿痛,经肾脏B超、X线或造影确诊为肾结石;结石直径小于10mm;肾功能正常;结石以下无尿路梗阻。共入选400例,治疗组300例(随机分为3组,即治疗组1、治疗组2和治疗组3),其中男性150例,女性150例,年龄46-75岁,平均年龄60.5岁,病程1-5年;对照组100例,其中男性48例,女性52例,年龄45-74岁,平均年龄59.5岁,病程1-4年。Inclusion criteria: Pain and discomfort in the waist and kidney area or lower abdomen, frequent urination, urgency, dysuria, kidney stones diagnosed by renal B-ultrasound, X-ray or contrast imaging; stone diameter less than 10mm; normal renal function; no urinary tract obstruction below the stone . Selected 400 examples altogether, treatment group 300 examples (divided into 3 groups at random, namely treatment group 1, treatment group 2 and treatment group 3), wherein male 150 examples, female 150 examples, age 46-75 years old, average age 60.5 years old, The disease course was 1-5 years; the control group consisted of 100 cases, including 48 males and 52 females, aged 45-74 years, with an average age of 59.5 years, and the disease course was 1-4 years.
(2)研究方法(2) Research methods
治疗组:治疗组1-3分别服用本发明实施例1-3中方法制备的中药制剂,每天1剂,分3次服用,早上、中午和晚上各服用1次,饭后服用,温开水送服,每天饮水1500mL以上。一个疗程为30天,连续服用3个疗程。Treatment group: Treatment groups 1-3 respectively took the traditional Chinese medicine preparation prepared by the method in Example 1-3 of the present invention, 1 dose per day, divided into 3 doses, 1 dose each in the morning, noon and evening, after meals, and delivered with warm boiled water. Take it, drink more than 1500mL of water every day. A course of treatment is 30 days, taking 3 courses of treatment continuously.
对照组:口服尿石通(吉林万通药业集团),一日三次,每次4克,每天饮水1500mL以上。两组患者在治疗期间多饮水并多做跳跃运动,疼痛者予以山莨菪碱5-10mg肌注或口服,合并泌尿系感染者加用抗生素,一个疗程为30天,连续服用3个疗程。Control group: Oral Urostone (Jilin Wantong Pharmaceutical Group), three times a day, 4 grams each time, drinking more than 1500mL of water every day. During the treatment period, the patients in the two groups drank more water and did more jumping exercises. Patients with pain were given anisodamine 5-10 mg intramuscularly or orally, and those with urinary tract infection were given antibiotics. One course of treatment was 30 days, and three courses of treatment were taken continuously.
(3)疗效判定标准(3) Judgment criteria for curative effect
痊愈:症状体征消失,肉眼见排出砂石,B超及腹平片检查肾、输尿管、膀胱正常。Healed: Symptoms and signs disappeared, sand and stones were discharged with the naked eye, B-ultrasound and abdominal plain film examination of kidneys, ureters, and bladder were normal.
好转:症状体征消失,B超及腹平片检查见结石下移或变小。Improvement: Symptoms and signs disappeared, and B-ultrasound and abdominal plain film examination showed that the stones moved down or became smaller.
无效:症状体征及检查无明显改善。Ineffective: Symptoms, signs and examinations did not improve significantly.
(4)研究结果(4) Research results
治疗30天后,两组疗效比较见表1。After 30 days of treatment, the curative effects of the two groups are compared in Table 1.
表1本发明的中药制剂的效果试验The effect test of the Chinese medicine preparation of the present invention of table 1
由表1可知,实施例1-3中的有效率均在90%以上;而对照组中治愈25例,好转33例,无效42例,有效率58%。总之,本发明实施例1-3中方法制备的中药制剂对肾结石的治愈率和总有效率明显高于对照组。As can be seen from Table 1, the effective rates in Examples 1-3 are all above 90%; while in the control group, 25 cases were cured, 33 cases improved, 42 cases were ineffective, and the effective rate was 58%. In a word, the cure rate and total effective rate of kidney stones prepared by the traditional Chinese medicine preparation prepared by the method in Examples 1-3 of the present invention are significantly higher than those of the control group.
前述对本发明的具体示例性实施方案的描述是为了说明和例证的目的。这些描述并非想将本发明限定为所公开的精确形式,并且很显然,根据上述教导,可以进行很多改变和变化。对示例性实施例进行选择和描述的目的在于解释本发明的特定原理及其实际应用,从而使得本领域的技术人员能够实现并利用本发明的各种不同的示例性实施方案以及各种不同的选择和改变。本发明的范围意在由权利要求书及其等同形式所限定。The foregoing descriptions of specific exemplary embodiments of the present invention have been presented for purposes of illustration and description. These descriptions are not intended to limit the invention to the precise form disclosed, and obviously many modifications and variations are possible in light of the above teaching. The exemplary embodiments were chosen and described in order to explain the specific principles of the invention and its practical application, thereby enabling others skilled in the art to make and use various exemplary embodiments of the invention, as well as various Choose and change. It is intended that the scope of the invention be defined by the claims and their equivalents.
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