CN111544470A - 一种治疗心力衰竭的中药组合物 - Google Patents
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Abstract
本发明公开了一种治疗心力衰竭中药组合物,是由下列重量份的原料药组成:白薇、淫羊藿4.5~9份;菟丝子、虎杖、马齿苋、南沙参9~18份;土牛膝15~30份。本发明具有治疗效果显著、治疗周期短、无毒副作用等特点。
Description
技术领域
本发明属于中药技术领域,尤其是涉及一种治疗心力衰竭 的中药组合物。
背景技术
心力衰竭是各种心脏疾病导致心功能不全的一种复杂临床综合症,是一种心室泵血能力下降,心排血量降低,不能满足机体代谢需要的疾病。
心衰患者容易复发,西药治疗效果差,某些服用地高辛容易中毒、服用ACEI容易出现咳嗽、使用利尿剂容易出现低钾低钠等副反应严重的患者,或具有禁忌、慎用西药的患者,如心率缓慢等。
发明内容
本发明的目的在于改进已有技术的不足而提供一种心力衰竭的中药组合物,具有治疗效果显著、治疗周期短、无毒副作用等特点。
“心衰”一词,却最早出现于宋代《圣济总录・心脏门》:“心衰则健忘,不足则胸腹胁下与腰背引痛,惊悸,恍惚,少颜色,舌本强”。与“心衰”有关的描述,则最早见于《内经》:“心胀者,烦心短气,卧不安”,“心痹者,脉不通,烦则心下鼓,上气而喘”。心力衰竭在临床上多见于“心悸”“怔忡”“喘证”“水肿”“痰饮”“心水”等病证中。
中医认为,病之初期,痰、淤、水阴邪内盛,阳气未虚;病之中期,阳虚与痰浊水淤并见;病之晚期,阳损及阴,阴阳双虚。
治疗心力衰竭,应温补心肺肾阴,振奋阳气,同时补肺脾之气,滋养营阴以助阳,达到机体整体阴阳气血的平衡。
基于上述理论,本发明的技术方案是:一种内服用于治心力衰竭的中药,由下列重量份的原料药组成:白薇、淫羊藿4.5~9份;菟丝子、虎杖、马齿苋、南沙参9~18份;土牛膝15~30份;
在一个优选的实施方案中,所述治疗心力衰竭的中药组合物由下列重量份的原料药组成:白薇、淫羊藿9份;菟丝子、虎杖、马齿苋、南沙参18份;土牛膝30份;
其中, 虎杖:微苦,微寒。归肝、胆、肺经。活血散瘀;祛风通络;清热利湿;解毒定痛,止咳化痰。
虎杖有明显降压和减慢心率作用。虎杖明显抑制血小板聚集作用,能改善微循环和兴奋肌心细胞,对心脏有明显的正性肌力作用,对抗心力衰竭。所含白藜芦醇葡萄糖甙(PD)对缺糖、缺氧及损伤的心肌细胞有保护作用。
白薇:苦、咸,寒。归胃、肝、肾经。清热益阴,利尿通淋,解毒疗疮。白薇能直接加强心肌收缩,心率变慢,可治疗充血性心力衰竭。
淫羊藿:辛、甘,温。归肝、肾经。补肾阳,强筋骨,祛风湿。淫羊藿显著增加心的冠脉流量均可使其冠脉流量平均增加126.6%, 并能显著减少冠脉阻力,明显增加心肌张力,明显增强心肌收缩力,可使心力衰竭患者心肌张力恢复。淫羊藿有明显降血压,对急性心肌缺血有保护作用,减慢心率。
土牛膝:性味微苦,凉。活血祛瘀;泻火解毒;利尿通淋。土牛膝能使心的收缩力明显加强。当心脏处于衰竭状态时,可使其张力增强。
菟丝子:甘,温。归肝、肾、脾经。补肾益精;养肝明目;固精缩尿,安胎,明目,止泻。菟丝子提取物能产生明显的强心作用。
南沙参:甘,微寒。归肺、胃经。养阴清肺,化痰,益气。
南沙参有明显强心作用,使心的振幅比原来增大50%以上。
马齿苋:味酸,寒。清热利湿,活血消肿,凉血解毒。马齿苋含有丰富的L-去甲肾上腺素可以激发血管B—受体,使冠脉流量增加,使心肌收缩力和心脏的自动节律增强。马齿苋含丰富的ω-3脂肪酸,能抑制胆固醇和甘油三酸酯的生成,对降低心血管病的发生有很好的作用。
本发明是由中国传统的中草药制成,根据中医辨证论治及现代医学的若干原则,以某些成分确定、功效明晰的天然提取物的有序配伍,组合成了治疗心力衰竭的中药组合物。
本发明具有心力衰竭的功效,能够增强机体免疫功能,有效治疗 等,安全可靠无明显毒副反应,不伤脾胃,便于患者长期坚持服用,标本兼治,不易复发。
本发明的中药组合物药味数目少,原料易得,工艺简单,成本低,效率高,有利于制药企业进行药品生产、质量控制;产品价格低,易于被患者接受。
本发明的中药组合物治心力衰竭效果显著,临床实验结果显示,用本药方施治,每日一剂,水煎100-150ml,分成两份,早晚各一份服用,一个月为一个疗程,5-6个疗程治愈率为56%,近控及显效率94%,总有效率为100%,治疗组治疗后患者的 等症状均有显著改善。
本发明治疗费用相对低廉,远远低于西医的治疗费用。
本发明还提供了一种由上述治疗心力衰竭 的中药组合物制成的口服制剂,所述口服制 剂包括口服液、片剂、胶囊剂、丸剂等,优选剂型为片剂和胶囊剂,一日一剂,分早晚两次服用。
本发明的中药组合物可以制备成多种剂型。例如,将煎煮后的药液杀菌消毒后装袋,制成口服液;或者将煎煮后的药液进行浓缩,烘干后,加入医学上可接收的辅料,然后制成片剂、胶囊剂、丸剂等。
所述医学上可接收的辅料包括淀粉、糊精、羧甲基纤维素钠、聚乙二醇、磷酸氢钙、海藻酸钠、山梨酸钾等。
以上所述,仅是本发明的较佳实施例而已,并非对本发明作任何形式上的限制,本领域技术人员利用上述揭示的技术内容做出些许简单修改、等同变化或修饰,均落在本发明的保护范围内。
Claims (4)
1.一种治疗心力衰竭的中药组合物,其特征在于,该中药组合物包括:白薇、淫羊藿4.5~9份;菟丝子、虎杖、马齿苋、南沙参9~18份;土牛膝15~30份。
2.根据权利要求1所述的一种治疗心力衰竭的中药,其特征是由下列重量份的原料药组成:白薇、淫羊藿9份;菟丝子、虎杖、马齿苋、南沙参18份;土牛膝30份。
3.一种治疗心力衰竭的的口服制剂,其特征是由权利要求1或2中任一项所述的中药组合物制成。
4.根据权利要求3所述的一种治疗心力衰竭的口服制剂,其特征是包括口服液、片剂、胶囊剂、丸剂,优选胶囊剂和片剂。
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