CN103446499A - Traditional Chinese medicinal enema for treating senile constipation - Google Patents

Abstract

The invention discloses a traditional Chinese medicinal enema for treating senile constipation. The senile constipation belongs to the deficient constipation range of traditional Chinese medicines, and common reasons are gastrointestinal heat-brimming, stasis of qi activity, deficiency of Qi and blood, and stagnation of yin-cold. The aged is weak due to chronic disease, the organism viscera yin and yang are deficient of Qi and blood so that the gastrointestinal delivery is bad to form the constipation. And therefore, the traditional Chinese medicines with functions of dispelling sthenia and tonifying deficiency, relaxing bowel, reinforcing qi and nourishing blood, warming yang and regulating vital energy, moistening dryness and tonifying spleen such as malt, white flax, ventilago leiocarpa benth, stem of common perilla, rhizome tupistrae chinensis, adhesive rehmannia dried root, quercus fabri hance, micromeria and liquorice are used for preparing the enema. According to clinical test, the total effective rate reaches 90.6%, and the treatment effect is good.

Description

A kind of Chinese medicinal enema for the treatment of senile constipation

Technical field

The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of Chinese medicinal enema for the treatment of senile constipation.

Background technology

Constipation is that constipation is obstructed, and defecation time extends, and feces overstays and surpasses more than 48 hours at enteral, causes feces moisture content hyperabsorption, and feces is dry and hard, consequently wants just and involved and abstruse not smooth a kind of disease.The old people is because digestive gland function is degenerated, and the gastro-intestinal Fluid secretion reduces, and the gastrointestinal peristalsis function slows down, and defecation reflex is slow, to such an extent as to stool overlong time in vivo, excess moisture absorbs, and causes stool more stiff, and more difficult eliminating is external.Old people's quantity of motion is less in addition, absence of tooth, and coarse-fibred food meal is very few, and part merges Nervous and Mental Factors, and the probability that has caused the old people to suffer from senile constipation obviously increases.Mostly 95% senile constipation is functional according to statistics, and the current curative effect of western medicine is not obvious.And the Chinese medicine long-term effect is good, safe, and Chinese medicine can determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs, and specific aim is stronger, and constipation is had to higher cure rate, after drug withdrawal, still can keep free movement of the bowels.

Summary of the invention

The purpose of this invention is to provide a kind of Chinese medicinal enema for the treatment of senile constipation.Primary disease belongs to the constipation due to insufficiency category of the traditional Chinese medical science, and common cause has accumulated heat in gastrointestinal tract, depression and stagnation of QI, deficiency of qi and blood, phlegm stagnancy.Old people's weakness due to chronic disease, its body viscera YIN sun deficiency of qi and blood, cause gastrointestinal to transmit unfavorable and form constipation.The traditional Chinese medical science thinks that the Therapeutic Principle is for the real tonify deficiency of dispelling, loosening bowel to relieve constipation, and benefiting QI and nourishing blood, warming YANG is regulated the flow of vital energy, and moisturizes spleen invigorating.

The objective of the invention is to be achieved through the following technical solutions, the Chinese medicinal enema of this treatment senile constipation is made by the Chinese medicine of following weight portion: Fructus Hordei Germinatus 15-25 part, Semen Sesami Indici 15-30 part, Radix seu Caulis Verntilaginis Leiocarpae 15-25 part, Caulis Perillae Frutescentis 8-15 part, Rhizoma Tupistrae Chinensis 12-16 part, Radix Rehmanniae 12-20 part, Involucrum Querci fabri 35-40 part, Herba Micromeriae Biflorae 5-10 part, Radix Glycyrrhizae 4-6 part.

Preferably, 20 parts, Fructus Hordei Germinatus, 18 parts of Semen Sesami Indicis, 20 parts of Radix seu Caulis Verntilaginis Leiocarpae, 11 parts of Caulis Perillae Frutescentiss, 15 parts of Rhizoma Tupistrae Chinensis, 16 parts of Radix Rehmanniaes, 38 parts of Involucrum Querci fabris, 8 parts of Herba Micromeriae Bifloraes, 5 parts, Radix Glycyrrhizae.

Preparation method is above-mentioned Chinese medicine decocting, then decocting liquid is condensed into to the 400ml retention enema.

In side: Semen Sesami Indici is moisturized laxation; Radix seu Caulis Verntilaginis Leiocarpae, Caulis Perillae Frutescentis benefiting vital QI and blood, invigorating the spleen and replenishing QI; Rhizoma Tupistrae Chinensis, Radix Rehmanniae nourishing yin and purging fire, tonify deficiency QI invigorating, nourishing YIN and benefiting blood; The Fructus Hordei Germinatus spleen invigorating mend stomach and in regulate the flow of vital energy; Involucrum Querci fabri, Herba Micromeriae Biflorae spleen invigorating removing food stagnancy, warming middle-JIAO is regulated the flow of vital energy, warming the stomach; Radix Glycyrrhizae has the merit of invigorating the spleen and replenishing QI, can relax the property of medicine, coordinating the actions of various ingredients in a prescription.

Clinical data

1, this group of physical data patient 62 examples, be the out-patient, by table of random number, case is divided into to treatment group 32 example and matched group 30 examples at random.Treatment group man 17 examples, female's 15 examples; 55～79 years old age, average 62.5 years old, the course of disease 5 months～3 years.Matched group man 16 examples, female's 14 examples; Age is 56～80 years old, average 63 years old, and the course of disease 6 months～3.5 years.Two groups of patients compare aspect sex, age, the course of disease, and no significant difference (P > 0.05), there is comparability.

2, the diagnostic criteria patient age is more than 56 years old, in 12 months, has 25% time defecation weekly<3 times at least, defecation effort, dry stool knot; Or just amount is few, or companion's swollen sense of rectum or for a long time without awareness of defecation, and get rid of the colon organic disease through barium enema examination, colonoscopy.

3, Therapeutic Method treatment group patient uses Chinese medicinal enema of the present invention, takes Fructus Hordei Germinatus 20g, Semen Sesami Indici 18g, Radix seu Caulis Verntilaginis Leiocarpae 20g, Caulis Perillae Frutescentis 11g, Rhizoma Tupistrae Chinensis 15g, Radix Rehmanniae 16g, Involucrum Querci fabri 38g, Herba Micromeriae Biflorae 8g, Radix Glycyrrhizae 5g.By above-mentioned Chinese medicine decocting, again decocting liquid is condensed into to the 400ml retention enema, 1 time every night, during coloclysis, the medicine temperature is advisable with 37-39 ℃, inject disposable transfusion device, disposable anal canal is inserted in the transfusion device lower end, before coloclysis, will lubricate anus and anal canal with paraffin oil, anal canal is slowly inserted to 15～20cm, the dense decocting liquid of Chinese medicine is slowly poured into, notice that anal canal wants thin, intubate wants dark, injection rate is slightly slow, in order to enema is better absorbed; Matched group gives mosapride each 5mg, oral, every day 3 times.Two groups equal 10 days be a course for the treatment of, be used in conjunction 2 courses for the treatment of, midfeather 2 days.

4, criterion of therapeutical effect produce effects: defecate 1～2 time/1～2 day, the syndrome of difficult defecation and merging all disappears; Effectively: times of defecation has increase before treating, and the syndrome of difficult defecation and merging partly disappears or is clearly better; Invalid: treatment is rear and treat front above symptom without significant change.

5, therapeutic outcome treatment group 32 examples, produce effects 13 examples (40.6%) wherein, effective 16 examples (50%), invalid 3 examples (9.4%), total effective rate 90.6%; Matched group 30 examples, produce effects 7 examples (23.3%) wherein, effective 12 examples (40%), invalid 11 examples (36.7%), total effective rate 63.3%.Two groups relatively, and treatment group cure rate, total effective rate obviously are better than matched group, have comparability.P<0.05。，

The specific embodiment

Embodiment mono-: take Fructus Hordei Germinatus 20g, Semen Sesami Indici 18g, Radix seu Caulis Verntilaginis Leiocarpae 20g, Caulis Perillae Frutescentis 11g, Rhizoma Tupistrae Chinensis 15g, Radix Rehmanniae 16g, Involucrum Querci fabri 38g, Herba Micromeriae Biflorae 8g, Radix Glycyrrhizae 5g.By above-mentioned Chinese medicine decocting, then decocting liquid is condensed into to the 400ml retention enema.

Embodiment bis-: claim Fructus Hordei Germinatus 15g, Semen Sesami Indici 15g, Radix seu Caulis Verntilaginis Leiocarpae 25g, Caulis Perillae Frutescentis 8g, Rhizoma Tupistrae Chinensis 12g, Radix Rehmanniae 20g, Involucrum Querci fabri 35g, Herba Micromeriae Biflorae 5g, Radix Glycyrrhizae 6g is above-mentioned Chinese medicine decocting, then decocting liquid is condensed into to the 400ml retention enema.

Embodiment tri-: take Fructus Hordei Germinatus 25g, Semen Sesami Indici 30g, Radix seu Caulis Verntilaginis Leiocarpae 15g, Caulis Perillae Frutescentis 15g, Rhizoma Tupistrae Chinensis 16g, Radix Rehmanniae 12g, Involucrum Querci fabri 40g, Herba Micromeriae Biflorae 10g, Radix Glycyrrhizae 4g.By above-mentioned Chinese medicine decocting, then decocting liquid is condensed into to the 400ml retention enema.

Claims (2)

1. a Chinese medicinal enema for the treatment of senile constipation, is characterized in that this Chinese medicinal enema made by the Chinese medicine of following weight portion: Fructus Hordei Germinatus 15-25 part, Semen Sesami Indici 15-30 part, Radix seu Caulis Verntilaginis Leiocarpae 15-25 part, Caulis Perillae Frutescentis 8-15 part, Rhizoma Tupistrae Chinensis 12-16 part, Radix Rehmanniae 12-20 part, Involucrum Querci fabri 35-40 part, Herba Micromeriae Biflorae 5-10 part, Radix Glycyrrhizae 4-6 part.

2. a kind of Chinese medicinal enema for the treatment of senile constipation according to claim 1, it is characterized in that this Chinese medicinal enema made by the Chinese medicine of following weight portion: 20 parts, Fructus Hordei Germinatus, 18 parts of Semen Sesami Indicis, 20 parts of Radix seu Caulis Verntilaginis Leiocarpae, 11 parts of Caulis Perillae Frutescentiss, 15 parts of Rhizoma Tupistrae Chinensis, 16 parts of Radix Rehmanniaes, 38 parts of Involucrum Querci fabris, 8 parts of Herba Micromeriae Bifloraes, 5 parts, Radix Glycyrrhizae.