CN112755117A - 一种治疗小儿黄疸的中药组合物 - Google Patents

一种治疗小儿黄疸的中药组合物 Download PDF

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CN112755117A
CN112755117A CN202110233564.XA CN202110233564A CN112755117A CN 112755117 A CN112755117 A CN 112755117A CN 202110233564 A CN202110233564 A CN 202110233564A CN 112755117 A CN112755117 A CN 112755117A
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陈生书
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Abstract

本发明公开了一种治疗小儿黄疸的中药组合物，由如下重量份的中药饮片经水提制备而成：野山参6份，生怀山药24份，生石膏120份，生滑石30份，蝉蜕6份，青连翘9份，薄荷叶6份，鸡瓜黄连9份，生杭芍24份，甘草9份，知母12份。本发明按照中医理论合理配比10余种中药饮片，多种中药饮品的混合水提物可有效缓解或消除新生儿黄疸症，也可用于治疗湿热引起的小儿夜间啼哭或发热。

Description

一种治疗小儿黄疸的中药组合物
技术领域
本发明涉及中药组方领域，特别涉及一种治疗小儿黄疸的中药组合物。
背景技术
新生儿黄疸者，古书均有记载，无非实火湿热相助为虐，致肝胆疏泄失常，而其湿与热(湿热现土黄色)溢于血而又现于肌肤粘膜也。特别是近数十年来吾国之民众均以西医疗效快且省事，故均忽略了“治病必求于本”这一祖训，致使热而益热，寒而益寒，虚而益虚这一恶性循环之中，而不可自拔，然治果对证，又焉有不愈病者乎？
综上所述，固不难拟对证之方，而愈其小儿黄疸之证也。
发明内容
本发明所要解决的技术问题：合理组方用于治疗湿热引起的新生儿黄疸及夜间啼哭和发热。
为解决上述技术问题，本发明提供以下的技术方案：
一种治疗小儿黄疸的中药组合物，由如下重量份的中药饮片经水提制备而成：野山参6份，生怀山药24份，生石膏120份，生滑石30份，蝉蜕6份，青连翘9份，薄荷叶6份，鸡瓜黄连9份，生杭芍24份，甘草9份，知母12份。
优选地，一种治疗小儿黄疸的中药组合物制备方法如下：
(1)将按照组方称取中药饮片，并将除薄荷叶外的其余中药饮片粉碎；
(2)加水2500毫升，先浸泡5～8小时后，以砂锅或不锈钢盆在电磁炉或燃气灶上先大火煮开，药水未开前不停地用筷子搅拌；
(3)水开后转至文火再煮14分钟，期间可每隔2～3分钟用筷子搅拌一次；
(4)加入薄荷叶搅拌再煮一分钟，其汤即成，然后将药汁倒出，装入保温瓶内；
(5)药渣仍放在一起复加水1500毫升；大火煮开，仍是水煮开前不断用筷子搅拌，待水开后改文火再煮15分钟，其汤即成，再倒出药汁同第一遍放在保温瓶内；
(6)药渣再加水1000毫升，煮法同第二遍，即得中药组合物。
本发明获得的有益效果：
本发明按照中医理论合理配比10余种中药饮片，多种中药饮品的混合水提物可有效缓解或消除新生儿黄疸症，也可用于治疗湿热引起的小儿夜间啼哭或发热。
具体实施方式
下面通过对实施例的描述，对本发明的具体实施方式作进一步详细的说明，以帮助本领域的技术人员对本发明的发明构思、技术方案有更完整、准确和深入的理解。
实施例1：野山参6g,生怀山药24g,生石膏120g,生滑石30g,蝉蜕6g,青连翘9g,薄荷叶6g(单包，后下)，鸡瓜黄连9g，生杭芍24g,甘草9g，知母12g。
上药11味，除薄荷叶6g单包后放外，其余之药均混合而为细末。
方解：此方中以生石膏、生滑石、黄连三味药为君，祛湿退热(生石膏善清伏气化热，而外加生滑石者，乃祛湿热至膀胱之腑随小便出也)，用黄连者，是黄连大苦，性寒而燥，苦能燥湿，寒能泻热，此常理也。然黄连至苦而反至寒，则得火之味与水之性，故能除水火相乱之病也，水火相乱者湿热是也。是故热气目痛、眦伤、泪出、目不明乃湿热在上者；肠澼、腹痛、下利乃湿热在中者；妇人阴中痛，乃湿热在下者，悉能除之矣。凡药能祛湿者必增热，能除热者必不能祛湿，惟黄连能以苦燥湿，以寒除热，一举而两得焉。有生石膏、生滑石甘寒之药以辅之，必能热去而邪不留矣。自古凡善用黄连者皆大医也，方中以野山参、知母为臣者，因小儿均正气不足，得人参可补助正气，即扶正以祛邪也，另野山参与生石膏、生滑石为伍亦可于邪热炽盛之时立复真阴，亦可堪称绝配，知母者亦协同生石膏、生滑石入足阳明胃经而退热。用生怀山药、青连翘、蝉蜕、薄荷叶、生杭芍者，均为佐药。生怀山药不但补肺阴、填肾精，亦能调和生石膏、生滑石金石之药而与胃脾相宜也。用青连翘、蝉蜕、薄荷叶诸药均能引内蕴之热息息自皮毛而出焉，用生杭芍者，辅甘草以滋阴而止腹痛也为佐。甘草者，调和诸药不使药性过于猛峻为使。诸药相和，共凑退黄疸，止腹痛，解热祛湿之效。
然而此方中之药味，必须保证药材地道与质量，另外加工炮制与熬制过程亦相当讲究；如此，方能收到预期之效。
熬制方法：将上药为末(除薄荷叶外)，加水2500毫升，先浸泡5～8小时后，以砂锅或不锈钢盆在电磁炉或燃气灶上先大火煮开(药水未开前要不停地用筷子搅拌，以防药末沉锅底而糊，药末糊了即弃之不用)，水开后关火至文火再煮14分钟(期间可每隔2～3分钟用筷子搅拌一次)，加入薄荷叶搅拌一下，再煮一分钟，其汤即成，然后将药汁倒出，装入保温瓶内，药渣仍放在一起复加水1500毫升；大火煮开(仍是水煮开前不断用筷子搅拌，以防药渣沉底而糊锅)待水开后改文火再煮15分钟，其汤即成，再倒出药汁同第一遍放在保温瓶内，药渣再加水1000毫升，煮法同第二遍。如此，这一副药就算是彻底熬好了。
药如此煮法，可使药效均匀，在保温瓶内24小时不易变质且简便，省事，可令患儿随意饮之，病愈勿服。
此处方，不但治小儿黄疸甚效，小儿吵夜啼哭及发热等疾亦可一并治之，诚妙方也。
小儿夜啼者，究其原因大凡亦是湿与热为恙，致夜晚小儿腹疼而啼哭也，(另有因大人不经意间致使小儿寒从腹入而致腹疼者，患儿不论白天晚上均哭闹不休，当另商治法，在此不再赘述)。小儿发热者，当系因小儿病入足阳明胃经或入腑，亦可治疗以此方，所可异者，当可同时斟酌少许服西药恬倩等退热药辅之，奏效当更捷也。
此处方之药量较大，对于治疗小儿黄疸或小儿夜啼者，当可愈十数小儿或更多，小儿发热者，视情况依病愈为度，而均无毒副作用。
另小儿初生后可预防性些许服之，亦可起预防小儿黄疸及夜啼之效，此遵古训：“先苦后甜”之语也。
禁忌：凡小儿有实寒及阳虚体质者禁服；
附：小儿湿热及实寒阳虚体质辩证法：
小儿湿热辩证：小儿之身体状况来源于母亲，大凡小儿***干红，面赤，大便酸臭，小便赤短，眼眵增多，结膜黄染，甚则周身肌肤亦现土黄色且夜晚哭啼不休而白天不哭闹，同时大人也具备湿热证的各种证候(因大人体质稍好故不发病)。
小儿实寒及阳虚体质辩证：小儿***、舌质淡白且润，畏寒肢冷，大便溏薄而小便清长。如寒侵腹中而致腹疼者，虽白天夜晚皆不停哭闹，无黄疸，四肢凉而不温。同时，大人也具备实寒阳虚的各种证候。
现详列数则医案以证之：
案例一：患儿为不足月顺产儿，刚出生时，全身及结膜均黄染，医院方遂告知其家属，小儿黄疸指数较高，须住保温箱及蓝光照射处理，于是患儿听从院方安排住保温箱及照蓝光，几天后其母出院回家，患儿仍在医院接受治疗，后十数天，院方称患儿黄疸指数太高急需转院作进一步治疗，患儿情况十分糟糕，黄疸确是较为严重，浑身及眼结膜均黄染，由于患儿未足月出生，外加黄疸在医院治疗十多天，患儿没有吃上母乳，故身体状况益差。遂开退黄止啼解热汤一剂，由于患儿为一人，故药量均稍小，煎药后服用七天当可痊愈，病愈勿服。
患儿随意饮药后，果然数天黄疸慢慢消退，七日病愈。
案例二：患儿足月剖宫产出生，才出生时，院方医生告知其黄疸指数较高，并同时建议让患儿住保温箱及照蓝光处理，但患儿家属并未听从上述建议，没有进行上述处理，取用一副退黄止啼解热汤，熬药后令患儿慢慢服用，数天后黄疸已无，遂停药。
时隔月许，患儿总是白天吃玩睡均好，每至晚上则彻夜啼哭，遂又开一副退黄止啼解热汤(药量稍小)，令小儿随意多服数日，即彻夜安枕不啼。
案例三：患儿5岁，因总是发热37.8～39.5℃之间，而屡次用西药肌肉注射和静脉注射，均需一个星期左右才稍愈，但每次总病不脱体，过几日又反复发烧。
采用本发明治疗前，患儿体温38.6℃，咳嗽尤甚，视其舌苔稍黄腻且厚，遂开一副退黄止啼解热汤，按上述方法煎药后随意令其服下，待其先饮药汁后1小时喝5毫升西药退热药，数日后体温正常，一副药喝完后病遂愈，咳嗽亦愈。
后过十多天，又发烧39.5℃，仍开退黄止啼解热汤一副，另服下5毫升西药退热药一次，病遂愈，以后便很少感冒发烧了。
案例四：患儿为足月顺产儿，出生后被告知小儿血中胆黄素较高(即新生儿黄疸症)，并建议让患儿住保温箱和配以蓝光照射治疗，另口服茵栀黄颗粒。
患儿改为随意饮用本发明后，七天黄疸皆尽消除，后每有体温升高之症状，均开服退黄止啼解热汤，另加服西药恬倩口服液，均痊愈。
类似案例多者不胜数，这些小儿均在出生后喝过退黄止啼解热汤且有夜啼及发热时亦均喝过此汤药痊愈。其治疗过程及服药方法，发病经过相似且至今均健康。
如果在不影响治疗效果的前提下，制成冲剂亦或糖浆类中成药剂，当更加便利现代人也，此诚古今中外有机之结合。
以上实施例仅为说明本发明的技术思想，不能以此限定本发明的保护范围，凡是按照本发明提出的技术思想，在技术方案基础上所做的任何改动，均落入本发明保护范围之内；本发明未涉及的技术均可通过现有技术加以实现。

Claims (2)

1.一种治疗小儿黄疸的中药组合物，其特征在于，由如下重量份的中药饮片经水提制备而成：野山参6份，生怀山药24份，生石膏120份，生滑石30份，蝉蜕6份，青连翘9份，薄荷叶6份，鸡瓜黄连9份，生杭芍24份，甘草9份，知母12份。
2.根据权利要求1中所述的一种治疗小儿黄疸的中药组合物，其特征在于，制备方法如下：
(1)将按照组方称取中药饮片，并将除薄荷叶外的其余中药饮片粉碎；
(2)加水2500毫升，先浸泡5～8小时后，以砂锅或不锈钢盆在电磁炉或燃气灶上先大火煮开，药水未煮开前不停地用筷子搅拌；
(3)水开后转至文火再煮14分钟，期间可每隔2～3分钟用筷子搅拌一次；
(4)加入薄荷叶搅拌再煮一分钟，其汤即成，然后将药汁倒出，装入保温瓶内；
(5)药渣仍放在一起复加水1500毫升；大火煮开，仍是水煮开前不断用筷子搅拌，待水开后改文火再煮15分钟，其汤即成，再倒出药汁同第一遍放在保温瓶内；
(6)药渣再加水1000毫升，煮法同第二遍，即得中药组合物。
CN202110233564.XA 2021-03-03 2021-03-03 一种治疗小儿黄疸的中药组合物 Pending CN112755117A (zh)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705860A (zh) * 2014-01-02 2014-04-09 王雪雁 一种治疗婴幼儿黄疸的中药组合物及其制备方法
CN105456799A (zh) * 2016-01-08 2016-04-06 佛山市恒南医药科技有限公司 一种用于治疗小儿黄疸的中药洗液
CN107753581A (zh) * 2017-10-27 2018-03-06 沈瑞金 一种治疗小儿黄疸的中药

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705860A (zh) * 2014-01-02 2014-04-09 王雪雁 一种治疗婴幼儿黄疸的中药组合物及其制备方法
CN105456799A (zh) * 2016-01-08 2016-04-06 佛山市恒南医药科技有限公司 一种用于治疗小儿黄疸的中药洗液
CN107753581A (zh) * 2017-10-27 2018-03-06 沈瑞金 一种治疗小儿黄疸的中药

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