CN100490835C

CN100490835C - Medication for quick setting a broken bone

Info

Publication number: CN100490835C
Application number: CNB200410060326XA
Authority: CN
Inventors: 朱木林
Original assignee: Individual
Current assignee: Individual
Priority date: 2004-12-14
Filing date: 2004-12-14
Publication date: 2009-05-27
Anticipated expiration: 2024-12-14
Also published as: CN1660192A

Abstract

A Chinese medicine for fastly treating bone fracture is composed of an internally-applied medicine prepared from 6 Chinese-medicinal materials including ground bottle, pyrite, cucumber seed, crab, etc and an externally-applied one prepared from 9 Chinese-medicinal materials including Chinese angelica, Chuan-xiong rhizome, myrrh, etc.

Description

A kind of medicine for the treatment of fracture

One. technical field:

The present invention relates to a kind of medicine for the treatment of sclerotin injury, particularly relate to the treatment fracture medicine that a kind of oral administration and externally combines.

Two. background technology:

Along with the increase of population, the development of the vehicles, people are frequent because contingency generation sclerotin injury in producing and living, cause fracture, patient's pain unbearably, the disability rate height, often leave over various sequela in various degree, people are descended quality of life, endure sufferer to the fullest extent and torment.

Fracture is that the structural continuity in epiphyseal plate or joint separates or interruption, and in repair process, periosteum and perimyelis play a major role, and union of fracture can be divided into organization of hematoma phase, primary callus phase and callus and transform phase three processes.The organization of hematoma phase: after the fracture, the angiorrhexis of bone stump and surrounding soft tissue thereof is hemorrhage, form hematoma, a small amount of cortical bone of bone stump is downright bad because of ischemia, hematoma condensed into the blood clot that contains reticular fiber in 6～8 hours in hindering the back, blood capillary proliferation fibroblast then, phagocyte is invaded from all quarter, make hematoma machine formation fibrous connective tissue gradually, the osteoblast hypertrophy of inside and outside film, form the osteoid tissue parallel during to 3 weeks, fracture site is tentatively connected, be called fibrous callus with the key longitudinal axis.The primary callus phase: in the bone, the osteoblast of adventitia forms osteoid tissue and calcification and form area of new bone gradually inside and outside the broken ends of fractured bone, claim intramembranous ossification, both are close to the inside and outside two sides of cortical bone, the fibrous connective tissue that forms by organization of hematoma between knochenbruch, major part changes cartilage into, chondrocyte is through hyper-proliferative, degeneration, calcification and ossified be bone internalization bone, form the ring-type callus that comprises the callus in the pulp cavity and be sandwiched in interior external callus respectively, external callus, internal callus, the ring-type callus, the intracavity callus " is joined forces " fusion, and it is ossified fully, finish the primary callus phase, that is the clinical healing phase.Callus is transformed the phase: be made up of the bone trabecula of irregular arrangement, owe firm primary callus, heavy burden along with limbs, bone trabecula is grown along the stress axis, and queueing discipline and densification, this process is to remove and the osteoblast evolution by engulfing of osteoclast, forms permanent bone and connects, and treatment of fractures should be primarily aimed at the above-mentioned different pathology stage and play a role.

The method of treatment fracture at present, mainly comprises Chinese traditional treatment and western medical treatment.It is fixing with continuous traction etc. that western medical treatment fracture mainly contains manual reduction and external fixation such as plintlet binder, critically ill patient is generally taked open reduction internal fixation etc., painful big because of performing the operation, the expense height, postoperative may be left over sequela, and makes majority be reluctant to accept.Use the with a long history of this kind of treatment by Chinese herbs disease in China, but a lot of eutherapeutic prescriptions be not lost be exactly to keep secret, and the effect of ready-made Chinese patent medicine is not satisfactory, as the musk bone knitting pill of present clinical widespread usage, produce effects is slow, and administration time is long, healing has only the physiology normal healing phase of wait, be about for 7～10 weeks, both increased patient's financial burden, patient's course of disease and painful phase are prolonged.

Three. summary of the invention:

The object of the invention provides a kind ofly need not perform the operation, and has reducing swelling and alleviating pain, blood circulation and removing stasis, and reunion of fractured tendons and bones promotes union of fracture, the reparation of soft tissue is applicable to the treatment of miscellaneous fracture, and a kind of medicine for the treatment of fracture of combining of the high oral administration and externally of cure rate.

Technical scheme of the present invention is:

A kind of medicine for the treatment of fracture, it is made up of oral medicine and Dressed plaster, wherein oral medicine is made by following weight parts proportion raw material medicine: 5～30 parts of Eupolyphaga Seu Steleophagas, 30～120 parts of hog face inferior maxilla dusts, 25～50 parts of Pyritums, 120～500 parts of Semen Cucumidis sativi, 5～30 parts of GUTONGQIAN, 100～200 parts of Eriocheir sinensiss;

Dressed plaster is made by following weight parts proportion raw material medicine: 20～60 parts of Radix Angelicae Sinensis, 10～30 parts of Rhizoma Chuanxiongs, 10～30 parts of Olibanum, 20～50 parts of Myrrha, 10～30 parts of Radix Aconiti, 10～20 parts of the Radix Aucklandiae, 15～30 parts of Rhizoma Drynariae, 15～40 parts of Plumbum preparatiums, 5～30 parts of GUTONGQIAN.

The medicine of described treatment fracture, 15～20 parts of preferred Eupolyphaga Seu Steleophagas, 80～100 parts of hog face inferior maxilla dusts, 35～40 parts of Pyritums, 200～350 parts of Semen Cucumidis sativi, 15～25 parts of GUTONGQIAN, 140～180 parts of Eriocheir sinensiss.

Described Pyritum and GUTONGQIAN vinegar are forged, are pulverized, and Eupolyphaga Seu Steleophaga and Eriocheir sinensis are dried, and the pig's head mandibular bone is sintered into ash, and the Semen Cucumidis sativi parching to brown is pulverized mixing together with the raw material after these processing, makes required dosage form behind 120 mesh sieves excessively.Described dosage form is a powder, or is capsule, or is pill.

The medicine of described treatment fracture, 35～45 parts of preferred Radix Angelicae Sinensis, 15～25 parts of Rhizoma Chuanxiongs, 15～25 parts of Olibanum, 35～45 parts of Myrrha, 15～25 parts of Radix Aconiti, 15～18 parts of the Radix Aucklandiae, 20～25 parts of Rhizoma Drynariae, 25～35 parts of Plumbum preparatiums, 15～25 parts of GUTONGQIAN.

Described Radix Angelicae Sinensis wine is washed, cuts into slices, is dried in the shade and GUTONGQIAN vinegar forge after and other seven kinds of medicines be ground into fine powder together, cross 120 mesh sieves after, 40～60% the Oleum sesami that adds nine kinds of medicine total amounts is mixed well, and evenly is applied on the medical cloth, makes required Dressed plaster.

Ointment consumption on the described Dressed plaster is 50～500 grams, and Dressed plaster is fixed with bamboo clappers or plank after being attached to fracture.

Positive beneficial effect of the present invention is:

1. medicine of the present invention is based on pathogenetic understanding and the Therapeutic Principle of motherland's medical science to bone injury diseases such as fracture, achieve with reference to modern pharmacological research, on the basis of secret recipe handed down in the family, again through the clinical trial of more than two decades, in conjunction with refining the forming of modern medicine science and technology elite, it is the medicine of comprehensive treatment bone injury disease, each prescription compatibility of oral medicine and Dressed plaster is reasonable, rapid-action, effect is strong, lasting medicine, and is nontoxic to human body, harmless, be fit to all kinds of patients.

2. use medicine of the present invention, do not need again oral any in, western drug, have anti-the infection, reducing swelling and alleviating pain shortens functions such as union of fracture and soft tissue repair time.

3. medicine of the present invention, oral administration and externally combines, can blood circulation and removing stasis, reunion of fractured tendons and bones, the pain relieving of curing the wound, hemostasia and promoting granulation, row stagnate that detumescence, QI invigorating are enriched blood, nourishing blood to tranquillize the mind, eliminating stagnation analgesic therapy, the patient is easy to use, safe, and is painful few, takes like a shot, and is easy to promote.

Eupolyphaga Seu Steleophaga in the medicine of the present invention is a blood circulation and removing stasis, and the medicine of reunion of fractured tendons and bones has the stagnate effect of detumescence of the pain relieving of curing the wound, hemostasia and promoting granulation, row, cures mainly traumatic injury, lumbar sprain and QI divergeny, lumbago shape; But Pyritum and GUTONGQIAN eliminating stasis to stop pain, synthetism is cured the wound, the many and same usefulness of Eupolyphaga Seu Steleophaga, play invigorate blood circulation, detumescence, sedation-analgesia effect; The pig's head mandibular bone benefit bone marrow that can dehumidify, anti-inflammatory and antalgic, skin ulcer is treated in detoxifcation, promotes union of fracture; Semen Cucumidis sativi has lung heat clearing, intestine moistening, quenches the thirst, middle gas, the effect of poly-, the dense blood of ulceration of knot in the main skin; Radix Angelicae Sinensis, Rhizoma Chuanxiong have enrich blood invigorate blood circulation, the effect of wind-expelling pain-stopping; Olibanum, Myrrha can the loose detumescence of blood analgesic therapy, blood stasis removing, pain relieving granulation promoting; But Radix Aucklandiae regulating QI is regulated the flow of vital energy, promoting the circulation of QI to relieve pain, but Rhizoma Drynariae curing rheumatism, strengthening bone and muscle, and can draw out pus by applying a plaster to the affected part, detoxify in the Plumbum preparatium, row stagnates detumescence.Each prescription compatibility of oral medicine of the present invention and Dressed plaster is reasonable, is the medicine of comprehensive treatment bone injury disease.

Medicine of the present invention is added up totally 85 cases through clinical observation, wherein male 46 examples, and women 39 examples the oldest 72 years old, minimum 6 years old, all suffer from sclerotin injury in various degree.Treatment: oral medicine, one time 10 gram of being grown up, the child is according to one time 3～6 gram of age bracket, every day three times, 10 days is a course of treatment, observes therapeutic outcome and affected part swelling regression time at any time, take the photograph sheet once in per 20 days, and checked growth of spur situation and affected part functional rehabilitation situation.

Cure: what cure in 20 days is to cure.

Produce effects: what cured in one month～two months is produce effects.

Effectively: cure after two months, but symptom be clearly better for effectively.

The result cures 12 examples in 85 routine patients, produce effects 67 examples, and effective 6 examples, total effective rate reaches 100%.

Model case:

1. Zhu, man, 10 years old, people from Yuzhou City, arm is disconnected hinders, and affected part swelling is obvious, through 3 tame provincial hospital treatments, fracture does not heal, upon somebody's introduction, come my institute to receive treatment, oral medicine every day three times, each 5 grams, Dressed plaster was changed once in 4～5 days, fix with bamboo clappers simultaneously, swelling disappears after 7 days, a recovery from illness in month.

2. Zhang, the woman, 60 years old, people from Changge City, the wrist bone is disconnected, oral multiple medicine, half a year is not good, comes my institute to receive treatment, and oral medicine every day three times, each 10 grams, Dressed plaster are only with two subsides, after 10 days, observe synthetism success, then after treatment, recovery from illness in 1 month through taking the photograph sheet.

3. Liu, the man, 50 years old, people from Xinzheng City, the disconnected wound of foot bone had a surplus in 2 years, brought many troubles for life, work, successively sought medical advice in how tame hospital, and effect is all undesirable.Chance opportunity hears that my institute can fast fracture-setting, and curative effect is reliable, just has the mood of trying in arms and comes my institute to receive treatment, oral medicine every day three times, each 10 grams, Dressed plaster only pastes with three, after 15 days, observes through taking the photograph sheet, the synthetism success, then after treatment, recovery from illness in 1 month.

4. Zhang, man, 72 years old, people from Changge City, the waist hipbone is disconnected hinders, and is attended by the spinal column cold type of pain, aversion to cold and cold limbs, spontaneous perspiration, complexion waits disease all of a sudden in vain, and spirit is not good enough, and my institute receives treatment under sons and daughters' persuasion, oral medicine every day three times, each 10 grams, Dressed plaster only pastes with three, after 15 days, pain disappears, and after two months, observes through taking the photograph sheet, the synthetism success, then after treatment, recovery from illness in 4 months.

Rice certain, woman, 12 years old, people from Changge City, left side arm is disconnected hinders, and song is stretched unfavorable, and pulse condition is late heavy, father and mother are burning with anxiety, are with its diagnosis and treatment in many ways, have little effect, my institute received treatment the most afterwards, oral medicine every day three times, each 6 grams, Dressed plaster only pastes with two, and after 10 days, pain disappears, after one month, observe the synthetism success through taking the photograph sheet.

Four. the specific embodiment:

Embodiment one: a kind of medicine for the treatment of fracture, and it is made up of oral medicine and Dressed plaster, and oral medicine is made by following medicine: Eupolyphaga Seu Steleophaga 5 grams, pig's head mandibular bone 30 grams, Pyritum 25 grams, Semen Cucumidis sativi 120 grams, GUTONGQIAN 5 grams, Eriocheir sinensis 100 grams.With Pyritum and GUTONGQIAN vinegar forge, fragmentation, Eupolyphaga Seu Steleophaga and Eriocheir sinensis are dried, the pig's head mandibular bone is sintered into ash, the Semen Cucumidis sativi parching to brown is pulverized mixing together with these raw materials after through processing, makes required medicine after crossing 120 mesh sieves.One time 10 gram of oral medicine adult, the child is according to one time 3～6 gram of age bracket, and every day three times, 10 days is a course of treatment.If fracture site at upper body part, is taken about half an hour ante cibum, if fracture site at lower body part, is taken about half an hour after meal.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 20 grams, Rhizoma Chuanxiong 10 grams, Olibanum 10 grams, Myrrha 20 grams, Radix Aconiti 10 grams, Radix Aucklandiae (Radix Vladimiriae) 10 grams, Rhizoma Drynariae 15 grams, Plumbum preparatium 15 grams, GUTONGQIAN 5 grams by following medicine.After described Radix Angelicae Sinensis wine is washed, cuts into slices, is dried in the shade and GUTONGQIAN vinegar forges, be ground into fine powder together with other seven kinds of medicines, after crossing 120 mesh sieves, 40～60% the Oleum sesami that adds nine kinds of medicine total amounts is mixed well, evenly be applied on the medical cloth, make required Dressed plaster, the ointment consumption on the Dressed plaster is 50～500 grams according to the size of fracture site, and Dressed plaster is fixed with bamboo clappers or plank after being attached to fracture.

Embodiment two: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, the oral medicine of making by following medicine: Eupolyphaga Seu Steleophaga 30 grams, pig's head mandibular bone 120 grams, Pyritum 50 grams, Semen Cucumidis sativi 500 grams, GUTONGQIAN 30 grams, Eriocheir sinensis 200 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 20 grams, Rhizoma Chuanxiong 10 grams, Olibanum 10 grams, Myrrha 20 grams, Radix Aconiti 10 grams, Radix Aucklandiae (Radix Vladimiriae) 10 grams, Rhizoma Drynariae 15 grams, Plumbum preparatium 15 grams, GUTONGQIAN 5 grams by following medicine.

Embodiment three: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, the oral medicine of making by following medicine: Eupolyphaga Seu Steleophaga 30 grams, pig's head mandibular bone 120 grams, Pyritum 50 grams, Semen Cucumidis sativi 500 grams, GUTONGQIAN 30 grams, Eriocheir sinensis 200 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 60 grams, Rhizoma Chuanxiong 30 grams, Olibanum 30 grams, Myrrha 50 grams, Radix Aconiti 30 grams, Radix Aucklandiae (Radix Vladimiriae) 20 grams, Rhizoma Drynariae 30 grams, Plumbum preparatium 40 grams, GUTONGQIAN 30 grams by following medicine.

Embodiment four: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, the oral medicine of making by following medicine: Eupolyphaga Seu Steleophaga 5 grams, pig's head mandibular bone 30 grams, Pyritum 25 grams, Semen Cucumidis sativi 120 grams, GUTONGQIAN 5 grams, Eriocheir sinensis 100 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 60 grams, Rhizoma Chuanxiong 30 grams, Olibanum 30 grams, Myrrha 50 grams, Radix Aconiti 30 grams, Radix Aucklandiae (Radix Vladimiriae) 20 grams, Rhizoma Drynariae 30 grams, Plumbum preparatium 40 grams, GUTONGQIAN 30 grams by following medicine.

Embodiment five: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 15 grams, pig's head mandibular bone 80 grams, Pyritum 35 grams, Semen Cucumidis sativi 200 grams, GUTONGQIAN 15 grams, Eriocheir sinensis 140 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 35 grams, Rhizoma Chuanxiong 15 grams, Olibanum 15 grams, Myrrha 35 grams, Radix Aconiti 15 grams, Radix Aucklandiae (Radix Vladimiriae) 15 grams, Rhizoma Drynariae 20 grams, Plumbum preparatium 25 grams, GUTONGQIAN 15 grams by following medicine.

Embodiment six: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 20 grams, pig's head mandibular bone 100 grams, Pyritum 40 grams, Semen Cucumidis sativi 350 grams, GUTONGQIAN 25 grams, Eriocheir sinensis 180 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 45 grams, Rhizoma Chuanxiong 25 grams, Olibanum 25 grams, Myrrha 45 grams, Radix Aconiti 25 grams, Radix Aucklandiae (Radix Vladimiriae) 18 grams, Rhizoma Drynariae 25 grams, Plumbum preparatium 35 grams, GUTONGQIAN 25 grams by following medicine.

Embodiment seven: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 15 grams, pig's head mandibular bone 80 grams, Pyritum 35 grams, Semen Cucumidis sativi 200 grams, GUTONGQIAN 15 grams, Eriocheir sinensis 140 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 45 grams, Rhizoma Chuanxiong 25 grams, Olibanum 25 grams, Myrrha 45 grams, Radix Aconiti 25 grams, Radix Aucklandiae (Radix Vladimiriae) 18 grams, Rhizoma Drynariae 25 grams, Plumbum preparatium 35 grams, GUTONGQIAN 25 grams by following medicine.

Embodiment eight: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 20 grams, pig's head mandibular bone 100 grams, Pyritum 40 grams, Semen Cucumidis sativi 350 grams, GUTONGQIAN 25 grams, Eriocheir sinensis 180 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 35 grams, Rhizoma Chuanxiong 15 grams, Olibanum 15 grams, Myrrha 35 grams, Radix Aconiti 15 grams, Radix Aucklandiae (Radix Vladimiriae) 15 grams, Rhizoma Drynariae 20 grams, Plumbum preparatium 25 grams, GUTONGQIAN 15 grams by following medicine.

Embodiment nine: prepare and the method for taking with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 18 grams, pig's head mandibular bone 90 grams, Pyritum 38 grams, Semen Cucumidis sativi 300 grams, GUTONGQIAN 20 grams, Eriocheir sinensis 160 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 40 grams, Rhizoma Chuanxiong 20 grams, Olibanum 20 grams, Myrrha 40 grams, Radix Aconiti 20 grams, Radix Aucklandiae (Radix Vladimiriae) 17 grams, Rhizoma Drynariae 22 grams, Plumbum preparatium 30 grams, GUTONGQIAN 20 grams by following medicine.

Embodiment ten: prepare, take with using method with embodiment one, something in common does not repeat, difference is: the medicine of treatment fracture, it is the oral medicine of being made by following medicine: Eupolyphaga Seu Steleophaga 25 grams, pig's head mandibular bone 110 grams, Pyritum 40 grams, Semen Cucumidis sativi 325 grams, GUTONGQIAN 18 grams, Eriocheir sinensis 130 grams.With the matching used Dressed plaster of above-mentioned oral medicine, be to make: Radix Angelicae Sinensis 30 grams, Rhizoma Chuanxiong 16 grams, Olibanum 18 grams, Myrrha 32 grams, Radix Aconiti 26 grams, Radix Aucklandiae (Radix Vladimiriae) 12 grams, Rhizoma Drynariae 22 grams, Plumbum preparatium 20 grams, GUTONGQIAN 10 grams by following medicine.

Claims

1. medicine for the treatment of fracture, it is made up of oral medicine and Dressed plaster, it is characterized in that: wherein oral medicine is made by following weight parts proportion raw material medicine: 5～30 parts of Eupolyphaga Seu Steleophagas, 30～120 parts of hog face inferior maxilla dusts, 25～50 parts of Pyritums, 120～500 parts of Semen Cucumidis sativi, 5～30 parts of GUTONGQIAN, 100～200 parts of Eriocheir sinensiss; Dressed plaster is made by following weight parts proportion raw material medicine: 20～60 parts of Radix Angelicae Sinensis, 10～30 parts of Rhizoma Chuanxiongs, 10～30 parts of Olibanum, 20～50 parts of Myrrha, 10～30 parts of Radix Aconiti, 10～20 parts of the Radix Aucklandiae, 15～30 parts of Rhizoma Drynariae, 15～40 parts of Plumbum preparatiums, 5～30 parts of GUTONGQIAN.

2. the medicine of treatment fracture according to claim 1 is characterized in that: 15～20 parts of Eupolyphaga Seu Steleophagas, 80～100 parts of hog face inferior maxilla dusts, 35～40 parts of Pyritums, 200～350 parts of Semen Cucumidis sativi, 15～25 parts of GUTONGQIAN, 140～180 parts of Eriocheir sinensiss.

3. the medicine of treatment fracture according to claim 1 and 2, it is characterized in that: described Pyritum and GUTONGQIAN vinegar are forged, are pulverized, Eupolyphaga Seu Steleophaga and Eriocheir sinensis are dried, the pig's head mandibular bone is sintered into ash, the Semen Cucumidis sativi parching to brown, raw material after these processing is pulverized mixing together, make required dosage form behind 120 mesh sieves excessively.

4. the medicine of treatment fracture according to claim 3, it is characterized in that: described dosage form is a powder, or is capsule, or is pill.

5. the medicine of treatment fracture according to claim 1, it is characterized in that: wherein Radix Angelicae Sinensis is 35～45 parts, 15～25 parts of Rhizoma Chuanxiongs, 15～25 parts of Olibanum, 35～45 parts of Myrrha, 15～25 parts of Radix Aconiti, 15～18 parts of the Radix Aucklandiae, 20～25 parts of Rhizoma Drynariae, 25～35 parts of Plumbum preparatiums, 15～25 parts of GUTONGQIAN.

6. the medicine of treatment fracture according to claim 1, it is characterized in that: after described Radix Angelicae Sinensis wine is washed, cuts into slices, dried in the shade and GUTONGQIAN vinegar forges, be ground into fine powder together with other seven kinds of medicines, after crossing 120 mesh sieves, 40～60% the Oleum sesami that adds nine kinds of medicine total amounts is mixed well, evenly be applied on the medical cloth, make required Dressed plaster.