CN104547916A - 一种治疗冠心病的中药汤剂 - Google Patents

一种治疗冠心病的中药汤剂 Download PDF

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CN104547916A
CN104547916A CN201410849936.1A CN201410849936A CN104547916A CN 104547916 A CN104547916 A CN 104547916A CN 201410849936 A CN201410849936 A CN 201410849936A CN 104547916 A CN104547916 A CN 104547916A
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heart disease
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赵明叶
逄瑞莲
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Abstract

本发明涉及中药的技术领域，一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药物制成的：当归15-25克，白芍10-15克，丹参15-25克，太子参10-15克，黄芪20-35克，沙参10-15克，麦冬10-15克，茯苓10-20克，何首乌10-15克，灵芝10-20克，杜仲10-15克，陈皮10-15克，甘草6-9克，五味子10-15克，郁金5-10克，葛根10-15克，法半夏5-10克，瓜蒌10-15克，白附子8-10克。本发明其药源广、配制简便、无毒副作用，具有升阳舒肝、宽胸散结、行气导滞、活血祛瘀、通顺血脉的功效，治疗冠心病疗效显著。

Description

一种治疗冠心病的中药汤剂
技术领域
本发明涉及中药的技术领域，具体地说是一种治疗冠心病的中药汤剂。
背景技术
冠心病是冠状动脉性心脏病的简称，是指由于脂质代谢不正常，血液中的脂质沉着在原本光滑的动脉内膜上，在动脉内膜一些类似粥样的脂类物质堆积而成白色斑块，这些斑块渐渐增多造成动脉腔狭窄，使血流受阻，导致心脏缺血，产生心绞痛。冠心病是严重威胁健康和生命的重大疾病，其发病率、死亡率在逐年提高，被称作是“人类的第一杀手”。
目前，现代医学在冠心病的药物治疗、手术治疗和介入治疗取得了明显进展。在药物治疗中主要是采用硝酸酯类、他汀类降血脂药、抗血小板制剂、β-受体阻滞剂和钙通道阻滞剂。其治疗途径多以采用扩冠和减慢心率的药物，提高心肌供氧和降低心肌耗氧，从而减轻病情症状。实践证明，这类药物在一定程度上虽能缓解病症，停药后易反复。
发明内容
本发明针对现有技术的不足，根据中医理论，通过数年的药物筛选和反复临床验证，提供一种治疗冠心病的中药汤剂，能有效的治疗冠心病。
本发明所采取的技术方案是：一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药物制成的：当归15-25克，白芍10-15克，丹参15-25克，太子参10-15克，黄芪20-35克，沙参10-15克，麦冬10-15克，茯苓10-20克，何首乌10-15克，灵芝10-20克，杜仲10-15克，陈皮10-15克，甘草6-9克，五味子10-15克，郁金5-10克，葛根10-15克，法半夏5-10克，瓜蒌10-15克，白附子8-10克。
取本发明原料药物，先加水没过药面2厘米为宜，浸泡60分钟，头煎每付药物煎至100ml。二煎再加水300ml，煎至100ml，将两煎各得100ml混均服用。每日一付，每日二次，早、晚服用，每次100ml，10天为一个疗程。
本发明中的当归：性温，味甘、辛；归肝、心、脾经；具有补血活血、调经止痛，润肠通便的功效。白芍：味苦、酸，性凉；归肝、脾经；具有通顺血脉、养血柔肝、缓中止痛、敛阴收汗的功效；主治胸腹胁肋疼痛，泻痢腹痛，自汗盗汗，阴虚发热，***，崩漏，带下。丹参：味苦，性微温；入心、肝经；具有活血调经，祛瘀止痛，凉血消痈，清心除烦，养血安神的功效；主治***，经闭痛经，症瘕积聚，胸腹刺痛，热痹疼痛，疮疡肿痛，心烦不眠，肝脾肿大，心绞痛。太子参：味甘、微苦，性平；归脾、肺经；具有补益脾肺；益气生津的功效；主治脾胃虚弱，食欲不振，倦怠无力，气阴两伤，干咳痰少，自汗气短，以及温病后期气虚津伤，内热口渴，神经衰弱，心悸失眠，头昏健忘，小儿夏季热。黄芪：味甘，性微温；归肺、脾、肝、肾经；具有益气固表、补肺健脾、敛汗固脱、驱风运毒的功效；具有补气固表，利尿托毒，排脓，敛疮生肌、利水消肿之功效。沙参：味甘、微苦，性微寒；归肺、胃经；具有清热养阴，润肺止咳的功效；主治气管炎，百日咳，肺热咳嗽，咯痰黄稠。麦冬：具有养阴生津、润肺清心的功效。茯苓：味甘、淡，性平；归心经、肺经、脾经、肾经；具有利水渗湿、益脾和胃、宁心安神之功效。何首乌：味苦、甘、涩，性微温；归肝，肾经；具有养血滋阴、润肠通便、截疟、祛风、解毒的功效；主治血虚头昏目眩、心悸、失眠、肝肾阴虚之腰膝酸软、须发早白、耳鸣、遗精、肠燥便秘、久疟体虚、风疹瘙痒、疮痈、瘰疬、痔疮。灵芝：性温，味淡；具有补气安神、止咳平喘的功效，用于眩晕不眠、心悸气短、虚劳咳喘。杜仲：味甘，性温；归肝、肾、胃经；具有补益肝肾、强筋壮骨、调理冲任、固经安胎的功效。陈皮：性温，味辛、苦；归脾、胃、肺经；具有理气健脾、调中利水、燥湿化痰的功效。甘草：味甘，性平；归十二经；有解毒、祛痰、止痛、解痉以至抗癌等药理作用；具有补脾益气、清热解毒、滋咳润肺，祛痰止咳、调和诸药的功效。五味子：具有收敛固涩、益气生津、补肾宁心的功效。郁金：味辛、苦，性寒；归肝、心、肺经；具有行气化瘀、清心解郁、利胆退黄的功效。葛根：具有发表解肌、升阳透疹、解热生津的功效。法半夏：具有燥湿化痰、降逆止呕的功效。瓜蒌：味甘、苦，性寒；入肺、胃、大肠经；具有清热涤痰、宽胸散结、润燥滑肠的功效；润肺祛痰、利气宽胸。白附子：具有燥湿化痰、祛风止痉、解毒散结的功效。主治祛风痰、逐寒湿、镇痉，治头痛、口眼歪斜、半身不遂、破伤风、跌打劳伤、肢体麻木、中风不语、***核、蛇虫咬伤等。
本发明的有益效果是成本低，服用方便，具有升阳舒肝、宽胸散结、行气导滞、活血祛瘀、通顺血脉的功效。对治疗冠心病有显著疗效，有效率95％。
具体实施方式：
实施例1：一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药制成的：当归15-25克，白芍10-15克，丹参15-25克，太子参10-15克，黄芪20-35克，沙参10-15克，麦冬10-15克，茯苓10-20克，何首乌10-15克，灵芝10-20克，杜仲10-15克，陈皮10-15克，甘草6-9克，五味子10-15克，郁金5-10克，葛根10-15克，法半夏5-10克，瓜蒌10-15克，白附子8-10克。
实施例2：一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药制成的：当归15克，白芍15克，丹参15克，太子参15克，黄芪20克，沙参15克，麦冬10克，茯苓20克，何首乌10克，灵芝20克，杜仲10克，陈皮15克，甘草6克，五味子15克，郁金5克，葛根15克，法半夏5克，瓜蒌15克，白附子8克。
实施例3：一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药制成的：当归25克，白芍10克，丹参25克，太子参10克，黄芪35克，沙参10克，麦冬15克，茯苓10克，何首乌15克，灵芝10克，杜仲15克，陈皮10克，甘草9克，五味子10克，郁金10克，葛根10克，法半夏10克，瓜蒌10克，白附子10克。
实施例4：一种治疗冠心病的中药汤剂，它是由下列重量配比的原料药制成的：当归20克，白芍10克，丹参20克，太子参15克，黄芪30克，沙参10克，麦冬15克，茯苓15克，何首乌15克，灵芝10克，杜仲10克，陈皮10克，甘草9克，五味子15克，郁金8克，葛根15克，法半夏8克，瓜蒌10克，白附子10克。
一种治疗冠心病的中药汤剂临床疗效总结：
一、临床资料：具有完整门诊资料及住院患者120例，随机分为治疗组60例，对照组60例。治疗组年龄在45～75岁，病程2～13年。对照组年龄在46～74岁，病程1.5～13年。
二、治疗方法：取本发明原料药物，先加水没过药面2厘米为宜，浸泡60分钟，头煎每付药物煎至100ml。二煎再加水300ml，煎至100ml，将两煎各得100ml混均服用。每日一付，每日二次，早、晚服用，每次100ml。
三、疗效评价：
治愈：心电图ST段恢复正常，疼痛、恶心、呕吐等症状消失。
好转：心电图T波由倒置恢复正常或低平，疼痛大为减轻，恶心、呕吐等症状轻微或基本消失。
无效：心电图无明显变化，症状无明显变化
四、治疗效果：使用本发明治疗60例，结果治愈38例，好转19例，无效3例，总有效率为95％。
五、典型病例
1、邱某，女，52岁，胸闷、气短、心前区疼痛，活动后加重，时而伴有恶心呕吐，经常出现心绞痛发作，诊为冠心病。服用本发明中药汤剂一个疗程后，心绞痛得以控制，服用三个疗程后，恢复正常，随诊半年，无复发。
2、谢某，男，48岁，患有反复发作性胸痛8年，伴有失眠多梦，疼痛发作时恶心呕吐。被诊心绞痛，常年服药治疗效果欠佳。后改为服用本发明中药汤剂，一个疗程后症状缓解，三个疗程后症状完全消失，继续服用两个疗程巩固疗效，随诊2年未复发。
3、于某，男，62岁。近来胸闷刺痛连及肩背，心慌，气短，汗多，失眠，伴有头晕、身困无力、腰膝痠软、走路不稳、口干、舌质红苔薄白缺津，脉象细弦无力。服用本发明中药汤剂1个疗程，胸闷刺疼，心慌气短，汗多失眠，明显好转；续服2个疗程，上述诸症消失，恢复正常。

Claims (1)

1.一种治疗冠心病的中药汤剂，其特征在于它是由下列重量配比的原料药物制成的：当归15-25克，白芍10-15克，丹参15-25克，太子参10-15克，黄芪20-35克，沙参10-15克，麦冬10-15克，茯苓10-20克，何首乌10-15克，灵芝10-20克，杜仲10-15克，陈皮10-15克，甘草6-9克，五味子10-15克，郁金5-10克，葛根10-15克，法半夏5-10克，瓜蒌10-15克，白附子8-10克。
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