CN1278727C - 一种结肠炎灌肠剂 - Google Patents
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Abstract
本发明是一种结肠炎灌肠剂,它是由下列原料组成或者由下列原料的水和/或醇提取物作活性成份组成:仙鹤草11-13重量份、白头翁14-16重量份、黄柏14-16重量份、紫草根11-13重量份、苦参8-10重量份、甘草根9-11重量份、罂粟壳2-4重量份、白芨14-16重量份、诃子5-7重量份、丁香2-4重量份。以上组方结合后具有杀菌解毒、去腐生肌、止血止泻镇痛的作用,主治慢性结肠炎、慢性溃疡性结肠炎、慢性菌痢及阿米巴痢疾。
Description
技术领域
本发明属于一种外用中草药方剂,特别是一种结肠炎灌肠剂。
背景技术
慢性结肠炎是常见病,目前内科尚无特效药治疗。中国专利申请公告中关于慢性结肠炎的治疗方剂有几种,但大多数属于口服制剂,其中“灌肠治疗慢性结肠炎中药制剂”(CN1176805)公开了一种以石榴皮、百部、五倍子、白头翁、白芨、大黄、赤石腊、明矾等药物粉剂加上适量的水和藕粉进行灌肠治疗的药剂,中国专利“治疗慢性结肠炎临床综合症的中成药制剂及制备方法”(CN1165008)公开了一种以苦参、大叶桉、青黛、珍珠层粉等制成的灌肠剂,以上两项专利申请的配方中均有无机盐类物质,特别是青黛煎后仍有许多沉淀物,某些成分治疗效果不明显,且加工和使用上均有不便之处。
发明内容
本发明的目的是提供一种疗效显著、使用方法简单、以纯草药或其提取物为主要成份的结肠炎灌肠剂。
本发明的目的按下述方案实现:
一种结肠炎灌肠剂,它是由下列原料组成或者由下列原料的水和/或醇提取物作活性成份组成:仙鹤草11-13重量份、白头翁14-16重量份、黄柏14-16重量份、紫草根11-13重量份、苦参8-10重量份、茜草根9-11重量份、罂粟壳2-4重量份、白芨14-16重量份、诃子5-7重量份、丁香2-4重量份。
本发明各成份的作用如下:
仙鹤草:含仙鹤草素,维生素K等,它能使凝血时间缩短,血小板增加,治疗出血症。对大肠杆菌,绿脓杆菌,痢疾杆菌,伤寒杆菌有抑制作用。
白头翁:含白头翁素,有镇痛、镇静作用,对肠粘膜有收敛,止泻止血作用,对阿米巴性痢疾,细菌性痢疾及滴虫均有效。
黄柏:含黄蘗硷,抗菌作用与黄连大致相同。对阿米巴原虫、真菌有抗菌作用,有降低血糖、血压和保护血小板作用。
紫草根:有解热、降压作用,可抗皮肤真菌。有明显抗垂体促性腺激素及抗绒毛膜促性腺激素作用。对绒毛膜上皮癌,妇女经绝期综合症也有作用。
苦参:含苦参碱,有抗菌抑菌,抗癌,增强人体免疫力等作用。
茜草根:有缩短凝血时间作用,对过敏性紫殿有效。对金葡菌、肺炎双球菌有抑制作用,有退黄清热作用。
罂粟壳:含吗啡、那可汀、可待因和罂粟碱等,有涩肠止泻、止痛作用。
白芨:含白芨胶质,对格兰氏染色阴性菌、结核杆菌有抑制作用,本品可使血细胞凝集,形成人工血栓,止血效果迅速确定。对某些杆菌的内毒素有抑制作用。
诃子:含诃黎酸、鞣质、脂肪油、氧化没食子酸等。体外实验对白喉杆菌、痢疾杆菌、肺炎双球菌、绿脓杆菌有较强的抑菌作用;对金葡菌、变形杆菌、伤寒、副伤寒杆菌也有抑制作用,并有收敛作用。
丁香:含丁香素,挥发油等。对金黄色葡萄球菌、白喉杆菌、伤寒杆菌、痢疾杆菌、炭疽杆菌等有抑制作用,能刺激胃肠蠕动,促使胃液分泌。药理实验:它有抗组织胺、降低毛细血管通透性,改善微循环作用,同时有收敛,消肿的作用。
以上组方结合后具有杀菌解毒、去腐生肌、止血止泻镇痛的作用,主治慢性结肠炎、慢性溃疡性结肠炎、慢性菌痢及阿米巴痢疾。
本发明在治疗时,按配方量用水煎二次,各取汁200ml混匀,分早晚各一半温后保留灌肠,取臀部抬高体位,使药液全部吸收不排出,15天为一疗程,一般治疗2-3个疗程,每疗程间隔3-5天。
治疗效果:
1.病例选择:分治疗组和对照组,治疗组以本发明按上述方法治疗,对照组给口服黄连素片、氟哌酸或柳氮磺胺嘧啶片。
治疗组164例,男85例、女76例,年龄18-72岁,平均48.2岁,病龄1年到28.4年,平均5.5年,症状均有反复下腹疼、腹胀、粘液便或稀便与便秘交替,经常服用各种中西药治疗疗效不满意而来就诊,全部病例治疗前用纤维结肠镜检查,确诊为慢性结肠炎,其中慢性溃疡性结肠炎54例、慢性非溃疡性结肠炎110例。
对照组按与治疗组按1∶2的随机法设82例,全部病例治疗前均经纤维结肠镜检查,确诊为慢性结肠炎,其中溃疡性结肠炎28例,非溃疡性结肠炎54例。
2.治疗效果:
疗效判定标准:a.治愈:临床症状消失,每日成型软便1-2次,内窥镜检查肠粘膜正常。
b.显效:症状明显好转,内窥镜检查病变范围比原来缩小50%以上(包括50%)。
c.好转:症状改善,内窥镜检查病变缩小50%以下。
d.无效:症状无改善,内窥镜检查无好转。
经治疗后,治疗组164例,治愈68例(41.46%),其中溃疡性结肠炎治愈率达64.8%,显效42例(25.60%),好转48例(29.26%),无效6例(3.65%);总有效率达96.35%。
对照组82例,治愈11例(13.4%),其中溃疡性结肠炎治愈率28.57%,显效14例(17.07%),好转37例(45.12%),无效20例(24.39%),总有效率75.60%,对治疗组和对照组治愈率、总有效率进行统计及处理,有极显著差异。
截止目前为止已临床治愈慢性结肠炎患者1000余例。
具体实施方式
按下例组方配制本发明的灌肠剂:仙鹤草12g,白头翁15g,黄柏15g,紫草根12g,苦参9g,甘草根10g,罂粟壳3g,白芨15g,诃子6g,丁香3g,装袋后为一副药,用法:每次一袋,溶入温开水200毫升中,取臀部抬高位保留灌肠,每15天为一个疗程。
也可按上述配比扩大后制成速溶无糖颗粒剂,配备小灌肠器供家庭使用,也可用普通输液器在家庭内灌肠。
Claims (2)
1、一种结肠炎灌肠剂,其特征在于它的活性成分是由下列原料制成:仙鹤草11-13重量份、白头翁14-16重量份、黄柏14-16重量份、紫草根11-13重量份、苦参8-10重量份、茜草根9-11重量份、罂粟壳2-4重量份、白芨14-16重量份、诃子5-7重量份、丁香2-4重量份。
2、如权利要求1所述的结肠炎灌肠剂,其特征在于各原料的配比是:仙鹤草12重量份、白头翁15重量份、黄柏15重量份、紫草根12重量份、苦参9重量份、甘草根10重量份、罂粟壳3重量份、白芨15重量份、诃子6重量份、丁香3重量份。
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| CN102579825A (zh) * | 2012-02-24 | 2012-07-18 | 北京市肛肠医院 | 一种复方白及灌肠剂 |
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| KR101393825B1 (ko) * | 2012-07-03 | 2014-05-12 | 경희대학교 산학협력단 | 백부근 추출물을 포함하는 염증성 장질환의 예방 또는 치료효과를 갖는 약학 조성물 |
| CN105168399A (zh) * | 2015-09-21 | 2015-12-23 | 青岛金智高新技术有限公司 | 一种治疗慢性非特异性溃疡性结肠炎的灌肠液 |
| CN105535893A (zh) * | 2015-12-31 | 2016-05-04 | 刘婵琳 | 一种治疗结肠炎的中药灌肠剂 |
| CN116966188A (zh) * | 2023-07-14 | 2023-10-31 | 天津医科大学总医院 | 丁香素在制备治疗和/或预防炎症性肠病药物中的应用 |
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