CN101129727B - 一种内服治疗肋间神经痛的中药组合物 - Google Patents
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Abstract
本发明公开了一种内服治疗肋间神经痛的中药组合物，属中药领域。该种内服治疗肋间神经痛的中药组合物，制成其有效成分的原料药按下述重量为：柴胡8克，白芍10克，当归10克，川楝子10克，炒玄胡10克，枳壳9克，制乳香10克，制没药10克，佛手10克，路路通10克，薤白6克和炙甘草6克。水煎服。每日1剂，每剂煎2次，早晚分服。该种内服治疗肋间神经痛的中药组合物配方合理，制备方便，疗效确切，见效快，无毒副作用，具有疏肝理气，通络止痛之功效。
Description
技术领域
本发明涉及一种内服治疗肋间神经痛的中药组合物，属中药领域。
背景技术
所谓肋间神经，是沿着胸部肋骨，由背后经过侧腹，一直到胸前的神经。肋间神经痛就是沿着这条神经，经胸部、腹部呈半环状的强烈疼痛。肋间神经痛是一组症状，指胸神经根(即肋间神经)由于不同原因的损害，如：胸椎退变、胸椎结核、胸椎损伤、胸椎硬脊膜炎、肿瘤、强直性脊柱炎等疾病或肋骨、纵膈、胸膜病变，肋间神经受到上述疾病产生的压迫、刺激，出现炎性反应，而出现以胸部肋间或腹部呈带状疼痛的综合征。
肋间神经痛分继发性和原发性两种，由胸椎退变、胸椎结核、胸椎损伤、胸椎硬脊膜炎、肿瘤、强直性脊柱炎等疾病可继发根性的肋间神经痛；肋骨、纵膈或胸膜病变会继发干性的肋间神经痛。原发性的肋间神经痛少见。肋间神经痛发病时，可见疼痛由后向前，沿相应的肋间隙放射呈半环形；疼痛呈刺痛或烧灼样痛。咳嗽、深呼吸或打喷嚏时疼痛加重。疼痛多发于一侧的一支神经。体检发现，胸椎棘突旁和肋间隙有明显压痛；典型的根性肋间神经痛患者，屈颈试验阳性；受累神经的分布区常有感觉过敏或感觉减退等神经功能损害表现。
肋间神经痛治疗应明确原发病灶，采用适当的治疗方法。可以用药物、理疗、针灸、推拿等。但是效果都不是十分理想。
发明内容
本发明的目的在于克服现有治疗的不足，而提供一种内服治疗肋间神经痛的中药组合物，全部选用天然中草药，能够有效治疗肋间神经痛。
本发明的技术方案是：该种内服治疗肋间神经痛的中药组合物，其特征在于，制成有效成分的原料药按下述重量为：柴胡8克，白芍10克，当归10克，川楝子10克，炒玄胡10克，枳壳9克，制乳香10克，制没药10克，佛手10克，路路通10克，薤白6克和炙甘草6克。
水煎服。每日1剂，每剂煎2次，早晚分服。
药理作用：
柴胡：苦，微寒。归肝、胆经。疏散退热，舒肝，升阳。用于感冒发热，寒热往来，疟疾，胸胁胀痛，月经不调，子宫脱垂，脱肛。
白芍：养血柔肝，缓中止痛，敛阴收汗。治胸腹胁肋疼痛，泻痢腹痛，自汗盗汗，阴虚发热，月经不调，崩漏，带下。
当归：补血活血，调经止痛，润肠通便。用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，虚寒腹痛，肠燥便秘，风湿痹痛，跌扑损伤，痈疽疮疡。
川楝子：舒肝行气止痛，驱虫。用于胸胁、脘腹胀痛，疝痛，虫积腹痛。
炒玄胡；辛，苦，温。心包，肝，脾，肺。活血散瘀，行气止痛。
枳壳：苦、辛、酸，温。归脾、胃经。理气宽中，行滞消胀。用于胸胁气滞，胀满疼痛，食积不化，痰饮内停；胃下垂，脱肛，子宫脱垂。
制没药：苦，辛，平，无毒。肝，脾，心，肾经。活血定痛，消肿生肌，主治跌打损伤，金疮，筋骨，心腹诸痛，症瘕，经闭，痈疽肿痛，疮疡溃后久不收口。
制乳香：调气，活血，止痛，追毒。治气血凝滞、心腹疼痛、痈疮肿毒、跌打损伤、痛经、产后瘀血刺痛。
佛手：性味辛、温。芳香理气，健胃止呕，化痰止咳。用于消化不良，舌苔厚腻，胸闷气胀，呕吐咳嗽以及神经性胃痛等。
路路通：苦，平。归肝、肾经。祛风活络，利水通经。用于关节痹痛，麻木拘挛，水肿胀满，乳少经闭。
炙甘草：味甘，平。归心、肺、脾、胃经。补脾和胃，益气复脉。用于脾胃虚弱，倦怠乏力，心动悸，脉结代。
薤白：理气，宽胸，通阳，散结。 治胸痹心痛彻背，脘痞不舒，干呕，泻痢后重，疮疖。
本发明将以上药物组合后，药效具有协同作用。该种内服治疗肋间神经痛的中药组合物配方合理，制备方便，疗效确切，见效快，无毒副作用，具有疏肝理气，通络止痛之功效。临床验证效果显著，其中典型病例如下：
病例一：王某，男，33岁，患者因3天前精神受刺激后突然自觉右侧胁肋部剧痛难忍，咳嗽及躯体活动时加重，持续疼痛并阵发性加重，入夜尤甚。局部有固定压痛点，苔薄黄，脉沉紧。胸部X线检查未见异常，曾服止痛镇静药物未效。医院检查诊断为肋间神经痛。给与该种内服治疗肋间神经痛的中药组合物治疗，两天后疼痛即缓解，连续治疗七天次痊愈。
病例二：章某，女，20岁，患者于3天前因打篮球被撞，左侧胸胁部剧烈疼痛，呼吸、咳嗽及活动时疼痛难忍。痛苦表情，烦躁不安，局部拒按，舌尖红，苔黄厚，脉弦紧。X线胸部拍片证实左侧肋软骨骨折(已用胶布固定)，大量服用止痛药物痛不缓解。经诊断为肋间神经痛。给与该种内服治疗肋间神经痛的中药组合物治疗一剂后，患者便可大声咳嗽。两剂后活动时痛减，持续治疗五天，疼痛基本消失。连续治疗十天即告痊愈。
病例三：郭某，男，29岁，患者昨日始无明显诱因右侧胸肋掣痛，咳嗽、深呼吸和大声说话均见疼痛加剧，肢体转动活动受限。望其弯腰扪胸，翼翼挪步，闻之啾啾言声，语息轻微，局部亦无红肿等明显异常，压痛不明显。舌边尖红，脉弦细。诊断为肋间神经痛。给与该种内服治疗肋间神经痛的中药组合物治疗，两天后胸胁痛大减，说话已无妨，咳嗽亦无大碍，挺胸自如，六天后疗效基本巩固。
具体实施方式
例一：一种内服治疗肋间神经痛的中药组合物，制成有效成分的原料药按下述重量为：柴胡8克，白芍10克，当归10克，川楝子10克，炒玄胡10克，枳壳9克，制乳香10克，制没药10克，佛手10克，路路通10克，薤白6克和炙甘草6克。
水煎服。每日1剂，每剂煎2次，早晚分服。
Claims (1)
1.一种内服治疗肋间神经痛的中药组合物，其特征在于，制成有效成分的原料药按下述重量为：柴胡8克，白芍10克，当归10克，川楝子10克，炒玄胡10克，枳壳9克，制乳香10克，制没药10克，佛手10克，路路通10克，薤白6克和炙甘草6克。
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