CN103768448A - Traditional Chinese medicinal granules for fumigation hip bath for relieving swelling and pain after anorectal surgery - Google Patents

Traditional Chinese medicinal granules for fumigation hip bath for relieving swelling and pain after anorectal surgery Download PDF

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CN103768448A
CN103768448A CN201410053545.9A CN201410053545A CN103768448A CN 103768448 A CN103768448 A CN 103768448A CN 201410053545 A CN201410053545 A CN 201410053545A CN 103768448 A CN103768448 A CN 103768448A
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pain
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chinese medicinal
fumigation
blood
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CN103768448B (en
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王立凤
马洪新
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Abstract

The invention relates to traditional Chinese medicinal granules for fumigation hip bath for relieving swelling and pain after anorectal surgery, which are prepared by grinding the following raw materials by weight: 20 g of Angelica sinensis 20, 15 g of Carthamus tinctorius flower 15, 50 g of fresh Portulaca oleracea 50, 20 g of Flos Lonicerae, 30g of Coix lacryma-jobi seed 30, 20g of Forsythia suspense, 12 g of Cortex Phellodendri (Phellodendron chinense and/or Phellodendron amurense) 12, 15 g of Sophora japonica flower charcoal 15, 20g of Corydalis yanhusuo, 12 g of Olibanum, 12g of myrrh, 20 g of Pulsatilla chinensis, 20 g of Pericarpium Zanthoxyli (Zanthoxylum schinifolium and/or Zanthoxylum bungeanum), 10 g of borneol, 12 g of Radix Et Rhizoma Rhei, 10 g of Herba Asari (Asarum heterotropoides and/or Asarum sieboldii), and 20 g of Ligusticum chuanxiong. The traditional Chinese medicinal granules are infused with boiling water and used for fumigation wash of patients after anorectal surgery to relieve postoperative pain, achieving remarkable repercussive and analgesic effects. Clinical trails prove that the clinical effect is distinct. The traditional Chinese medicinal granules have the advantages of scientific and reasonable formulation, simple preparation process, low cost, reliable therapeutic effect, and good safety in application.

Description

A kind of postoperative stifling demibain Chinese medicine granules swelling and ache of anorectal for the treatment of
Technical field
The present invention relates to a kind ofly fumigate demibain by steam and clean the treatment anorectal postoperative Chinese medicine granules swelling and ache.
Background technology
Anorectal operation wound-surface edema, pain are anorectal patient common complications, trace it to its cause is that anal canal and anus edge skin are because of local blood and disturbances of lymph circulation, blood vessel osmotic pressure increases, moisture stays in interstice middle reaches and too much causes edema, hyperemia, thrombosis, swelling or pain etc., postoperative local inflammation reaction can form again anus edge inflammatory edema in addition.Chinese medicine thinks, postoperative the swelling and ache of hemorrhoid is that venation is impaired because of anus contamination, and local QI and blood is jammed, due to blockage of meridian.Treatment is with heat-clearing and toxic substances removing, blood circulation promoting and blood stasis dispelling, inducing diuresis and reducing edema, removing obstruction in the collateral to relieve pain.
The patent No. is CN201210093885.5, the applying date to be that 2012.04.01, application publication number are the patent that CN102631473A, denomination of invention are " a kind of for the postoperative wound care composition of anorectal ", disclose a kind ofly for the postoperative wound care composition of anorectal, it is characterized in that being made by the crude drug of following weight proportion: 8~12 parts of Folium Et Cacumen Murrayae, 8~12 parts of Radix Anisodi Acutangulis, 8~12 parts of Spina Gleditsiae, 8~12 parts of Radix Caulophyllis, 8~12 parts of Colophonium powder, 4~6 parts of Herba Portulacaes, 1 part of Kaolin, 14~20 parts of Oleum Camelliae.
The patent No. is CN201110430460.4, the applying date to be that 2011.12.11, application publication number are the patent that CN102671153A, denomination of invention are " a kind of external application Chinese medicine for the treatment of anorectal postoperative urine retention ", disclose a kind of external application Chinese medicine for the treatment of anorectal postoperative urine retention, the compositions of this medicine is to be prepared from by 1~3 part of 15~45 parts of weighing scale Herba Lophatheri, 10~30 parts of Folium Perillae, 10~30 parts of Rhizoma Zingiberiss, 10~30 parts of Medulla Juncies, Borneolum Syntheticum.Above 5 taste medicines are mixed and broken into after powdery, and with a little furnishing pasty state of rice vinegar, the white adhesive plaster central authorities that are placed in 10cmx10cm size spread on umbilical part, and thereon, temperature is slightly to feel boiling hot (40 ℃~50 ℃) for spending for reusable heat water bag lid.This medicine for external use is the Chinese medicine for the treatment of anorectal postoperative urine retention.
Application number is CN201310208670.8, the applying date to be that 2013.05.30, application publication number are the patent that CN103272149A, denomination of invention are " planting the pharmaceutical composition of control anorectal disease postoperative complication ", disclose a kind of pharmaceutical composition of preventing and treating anorectal disease postoperative complication, its Chinese crude drug by following weight portion is prepared from: 12~20 parts of Rhizoma Smilacis Glabraes, 12~20 parts of Herba Portulacaes, 10~16 parts of Radix Sanguisorbaes, 10~16 parts of Herba Schizonepetae, 10~16 parts of Radix Et Rhizoma Rhei, 10~16 parts of Herba Taraxacis, 10~16 parts of Rhizoma Acori Graminei, 40~60 parts of Semen Coiciss.The postoperative employing of anorectal pharmaceutical composition of the present invention carries out fumigation in treating, to alleviate podex pain symptom after operation in patients.
Do not find the Chinese medicinal components close with the present patent application through retrieval.
Summary of the invention
The object of this invention is to provide and a kind ofly fumigate demibain by steam and clean the treatment anorectal postoperative Chinese medicine granules swelling and ache.
For achieving the above object, the technical solution used in the present invention is:
A kind of postoperative stifling demibain Chinese medicine granules swelling and ache of anorectal for the treatment of, it is characterized in that, raw material of Chinese medicine by following weight portion grinds granulation agent: Radix Angelicae Sinensis 20, Flos Carthami 15, fresh Herba Portulacae 50, Flos Lonicerae 20, Semen Coicis 30, Fructus Forsythiae 20, Cortex Phellodendri 12, charred Flos Sophorae 15, Rhizoma Corydalis 20, Olibanum 12g, Myrrha 12, the Radix Pulsatillae 20, Pericarpium Zanthoxyli 20, Borneolum Syntheticum 10, Radix Et Rhizoma Rhei 12, Herba Asari 10, Rhizoma Chuanxiong 20.
A kind of postoperative stifling demibain Chinese medicine granules swelling and ache of anorectal for the treatment of of the present invention, boiled water brews rear fumigation and wash method anorectal postoperative patient, can alleviate postoperative pain, reaches reducing swelling and alleviating pain effect significantly.Through clinical trial certificate, clinical effectiveness is remarkable.Prescription is scientific and reasonable, and processing technology is easy, and expense is cheap.Curative effect is reliable and use safety.
The specific embodiment
Below in conjunction with specific embodiment, the invention will be further described.
Embodiment
Raw material of Chinese medicine prescription of the present invention is: Radix Angelicae Sinensis 20g, Flos Carthami 15g, fresh Herba Portulacae 50g, Flos Lonicerae 20g, Semen Coicis 30g, Fructus Forsythiae 20g, Cortex Phellodendri 12g, charred Flos Sophorae 15g, Rhizoma Corydalis 20g, Olibanum 12g, Myrrha 12g, Radix Pulsatillae 20g, Pericarpium Zanthoxyli 20g, Borneolum Syntheticum 10g, Radix Et Rhizoma Rhei 12g, Herba Asari 10g, Rhizoma Chuanxiong 20g.
preparation method of the present invention and usage:
All medicines according to dosage grind to form granule above.One pair of every day, boiled water 500ml, after brewing, stifling 10 minutes of steam; In the time that water temperature reaches 42 ℃~50 ℃, demibain is cleaned 10 minutes, and each fumigation and wash method once sooner or later.
prescription pharmacology analysis:
Flos Lonicerae, Fructus Forsythiae in prescription, heat-clearing and toxic substances removing; Semen Coicis, inducing diuresis to remove edema; Radix Angelicae Sinensis, sweet benefit is pungent loose, and having enriches blood invigorates blood circulation, clots absorbing detumescence, effect; Flos Carthami, acrid in the mouth is capable loose, energy promoting blood circulation to restore menstrual flow, stasis-dispelling and pain-killing; Fresh Herba Portulacae, sour in the mouth is cold in nature, has heat-clearing and toxic substances removing, dampness removing, removing heat from blood detumescence effect; Cortex Phellodendri, bitter in the mouth cold in nature, the effects such as tool heat clearing and damp drying, eliminating fire and detoxication; Charred Flos Sophorae, a little less than clearing away heat and cooling blood effect, the property of astringent therapy strengthens, for having blood in stool, hemorrhoidal bleeding etc. multiple go out blood disorder; Rhizoma Corydalis, the gas in can promoting the circulation of blood, the blood in again can circulation of qi promoting, the smooth blood of gas; Olibanum, the micro-poison of acrid in the mouth heat, cures mainly regulating qi and activating blood, and analgesic therapy chases after poison, coagulation of QI-blood, carbuncle pyogenic infections from tumour or sore; Myrrha, property toil, be a kind ofly invigorate blood circulation, the Chinese medicine of blood stasis dispelling, pain relieving, stomach invigorating; The Radix Pulsatillae, bitter in the mouth is cold in nature; Have heat-clearing and toxic substances removing, removing heat from blood, improving eyesight, superfluous effect disappears; Pericarpium Zanthoxyli, its acrid in the mouth and fiber crops, have warming spleen and stomach for dispelling cold dehumidifying, analgesic effect; Borneolum Syntheticum, acrid in the mouth hardship is slightly cold, and delicate fragrance a surname is loose, has the refreshment of having one's ideas straightened out, the heat clearing away malicious effect of fall apart, sore throat deafness, aphtha tooth swells, carbuncle sore infantile malnutrition hemorrhoid; Radix Et Rhizoma Rhei, bitter in the mouth is cold, has effects such as attacking stagnant, clearing away damp-heat, pathogenic fire purging, removing heat from blood, blood stasis dispelling, removing toxic substances; Herba Asari, warm in nature, there is expelling wind and cold, the capable water of warming the lung, the effect of having one's ideas straightened out; Rhizoma Chuanxiong, property and flavor of peppery and warm, energy blood-activating and qi-promoting, wind-expelling pain-stopping.
1, Flos Lonicerae: heat-clearing and toxic substances removing, cures mainly epidemic febrile disease heating, toxic-heat and blood stasis, carbuncle furunculosis etc.Modern study proves, Flos Lonicerae contains the pharmacological component such as chlorogenic acid, luteolin glycosides, the various pathogens such as Hemolytic streptococcus, staphylococcus aureus and upper respiratory tract infection Causative virus etc. are had to stronger restraint, in addition can enhancing immunity, antiinflammatory, antipyretic, hemostasis (blood coagulation) etc.It is reported that Flos Lonicerae has obvious exudation and antiproliferative effect and can promote leukocytic phagocytic function.Also there is the effect of obvious promotion inflammatory cell phagocytic function.
2, fresh Herba Portulacae: have removing toxic substances, inhibiting bacteria and diminishing inflammation, diuresis dysentery relieving, the intestine moistening drug effect such as stagnant that disappears.Research shows that Herba Portulacae contains a large amount of potassium salt, has good inducing diuresis to remove edema effect; Can eliminate toxic dust, prevent phagocyte degeneration and necrosis, can also prevent lymphatic vessel inflammation and stop fibroid to change; Herba Portulacae also contains more carotene, can promote the healing of Peptic Ulcers.Herba Portulacae has stronger inhibitory action to dysentery bacterium, Bacillus typhi and escherichia coli, can be used for the auxiliary treatment of various inflammation, have the title of " natural antibiotics ".
3, charred Flos Sophorae: bitter in the mouth, cold nature, have effect of cooling blood for hemostasis; Cure mainly discharging fresh blood stool, hemorrhoidal bleeding, dysentery, ulcer sores.From the angle of doctor trained in Western medicine, Flos Sophorae, containing materials such as rutin, Quercetin, tannins, can strengthen capillary resistance, reduce vascular permeability, make fragility blood vessel recover elasticity, prevent sclerosis of blood vessels, can improve the function of blood capillary, keep the normal resistance of blood capillary.The many common medicines of having blood in stool as treatment of Flos Sophorae, the hemorrhoid hemorrhage causing for damp-heat in the large intestine, have blood in stool, dysentery.
4, Semen Coicis: cool in nature, sweet in the mouth, light, cures mainly spleen invigorating eliminating dampness by diuresis, eliminating impediment antidiarrheal.For edema, arthralgia chiefly caused by damp pathogen contracture, diarrhea due to hypofunction of the spleen.Modern study shows: containing coixenolide, fatty oil, myristic acid, campesterol, Palmic acid, 8-octadecenic acid, stigmasterol etc., still containing aminoacid, protein, saccharide.
5, Cortex Phellodendri: heat clearing and damp drying, eliminating fire and detoxication.Control hematodiarrhoea, have loose bowels, hemorrhoid, have blood in stool, sore swollen toxin.Modern study shows, Cortex Phellodendri is containing main components such as berberine, obacunone, has the effect of antibacterial, convergence, antiinflammatory.
6, Fructus Forsythiae: bitter in the mouth, is slightly cold.Heat-clearing and toxic substances removing, dispersing swelling and dissipating binds.Multiple Grain-positive and negative bacteria are all had to inhibitory action.Its concentrated decotion can suppress Bacillus typhi, Salmonella paratyphi, escherichia coli, dysentery bacterium, diphtheria corynebacterium and vibrio cholera, staphylococcus, streptococcus etc. in vitro. and Fructus Forsythiae can promote the formation of inflammatory barrier.Fructus Forsythiae is main component antibacterial in Lonicerae and Forsythiae Powder.Therefore it has anastalsis to hemorrhage, the subcutaneous hemorrhage of capillary rupture.
7, Radix Angelicae Sinensis: main component has: butylidenephthalide, 1-Phenylethanone., 17 seed amino acids and sodium etc. more than 20 are planted inorganic elements.By reducing capillary permeability, suppress the synthetic of PGE2 or discharge to play antiinflammatory action.External can make contrafluxion, leukocyte and fiber infiltrate, and newborn epithelium regeneration accelerates wound healing.
8, Rhizoma Corydalis: find through research, in Rhizoma Corydalis, contained corydalis is effective ingredient, is exactly a kind of analgesic, has had the application of purification product now.
9, Olibanum: " Records of Tradition Chinese and Western Medicine in Combination ": " whole body is numb for the power that its ventilation of Olibanum is invigorated blood circulation, the kind anemofrigid-damp arthralgia of controlling again, and extremity are unsuccessful and all skin infection are swollen aches, or its skin ulcer is not ached firmly.External be powder to apply skin infection, can detoxify, detumescence, granulation promoting, relieve the pain.
10, Flos Carthami: have blood circulation promoting and blood stasis dispelling, wet dissipation goes to swell, effect of blood stasis removing pain relieving.Research shows: the platelet that Carthamus yellow has been assembled to ADP has depolymerisation, has analgesia, calmness, antiinflammatory action.Flos Carthami polysaccharide can promote to drench cell transformation, the immunosuppressive action of antagonism meticortelone etc.
11, the Radix Pulsatillae: containing anemoside, anemoside, Saponin, Anemonin etc.There is antibacterial, antivirus action, it is reported that Radix Pulsatillae ethanol extraction has calmness, analgesia and spasmolytic effect.
12, Pericarpium Zanthoxyli: Compendium of Material Medica: dispelling cold and removing dampness, stagnation resolving, the dyspepsia that disappears, logical three warmers, warming the spleen stomach.The contained bergapton of this product has the certain anticoagulation to antiheparin, hemostasis, analgesia, bacteriostasis.
13, Borneolum Syntheticum: Borneolum Syntheticum through mucous membrane, subcutaneous tissue all easily absorb.External energy clearing heat for detumescence, antipruritic pain relieving; Lose bacterium, streptococcus, Diplococcus pneumoniae, escherichia coli and pathogenic dermatophytess of part etc. of Portugal have inhibitory action." medical center bun want ": " the Borneolum Syntheticum master stagnated fire of fall apart, the deep heat of energy, controls infantile convulsion, hemorrhoid, expedites the emergence of, and property is walked and is not kept, also can granulation promoting pain relieving.
14, Radix Et Rhizoma Rhei: Radix Et Rhizoma Rhei root stock is containing chrysophanic acid, emodin, chrysophanol, glucoside tannin etc.There are the effects such as clearing away heat and purging, removing mass blood stasis removing, anti-inflammation.Energy purging heat and dredging bowels, removing pathogenic heat from blood and toxic substance from the body, eliminating blood stasis and inducing menstruation.For excess-heat constipation, stagnant stomachache, dysentery is not well, burn due to hot liquid or fire.
15, Rhizoma Chuanxiong: Rhizoma Chuanxiong is containing ligustrazine, and ligustrazine significantly increases LBF amount, improves microcirculation; Can reduce surface activity of blood platelet, suppress platelet aggregation, the formation of pre-preventing thrombosis, the absorption of the local hematoma of can accelerating to fracture, promotes callus formation; Can suppress multiple bacillus; There are antihistaminic and choleretic effect.
16, Herba Asari: there is calmness, analgesia. antipyretic. antiinflammatory, immunosuppressant and antiallergic action. antibacterial, antivirus action.
17, Myrrha, research shows to contain myrrholic acid, commiphorinic acid, the compositions such as acetate Rhizoma Curcumae furanodiene.There are convergence, excited enterokinesia, antiinflammatory, analgesia and antipyretic effect.Clinical soft tissue injury, treatment painful and swollen testis, the thrombosed external hemorrhoid etc. of being used for the treatment of.Myrrha compatibility Flos Carthami share, and has the silt of invigorating blood circulation, dispel, stimulates the menstrual flow, effect of pain relieving.
statistical procedures:
All data all adopt SPSS 15.0 softwares to analyze, enumeration data is adopted to X 2 test (X2), measurement data is pressed to mean scholar standard deviation (X+S) to be represented, Bian carries out variation analysis with in groups/check, take P<0.05 as difference, have significance statistical significance, P <0.001 is that difference has very significant statistical significance.
technical specification:
2011,01~2013,01 select 916 postoperative patients, be divided at random three groups, be respectively: matched group (postoperative clear water flushing), matched group (postoperative 1:5000 potassium permanganate liquid rinses), treatment group (Chinese medicine granules flushing), grouping no significant difference (P > 0.05).Observe edema degree, the technical specifications such as edema extinction time, pain degree, durante dolors.
1, three groups of patients are in edema degree, the time-related comparison of edema extinction (in table 1)
Table 1: three groups of patient's edema degree, comparisons of edema extinction time after surgery
Figure 20141005354591000021
2, three groups of patients comparison aspect pain degree and durante dolors.On pain degree, according to World Health Organization (WHO) (WHO), pain grade is divided into: O degree: not bitterly; I degree: mild pain is intermittent pain, can not medication; II degree: moderate pain is lasting pain, impact is had a rest, need analgesic; III degree: severe pain is lasting pain, not medication can not alleviating pain; IV degree: serious pain, for continuing the variations such as severe pain companion blood pressure, pulse.There were significant differences (P<0.05), (in table 2)
Table 2: three groups of patient's pain, durante dolors comparisons after surgery
Figure 2
conclusion:above 17 taste herbal prescriptions, are made into granule, and boiled water brews rear fumigation and wash method anorectal postoperative patient, reaches reducing swelling and alleviating pain effect significantly.Through application, clinical effectiveness is remarkable.Prescription is scientific and reasonable, and processing technology is easy, and expense is cheap.
Embodiment recited above is described the preferred embodiment of the present invention; not design of the present invention and protection domain are limited; do not departing under the prerequisite of design concept of the present invention; various modification and improvement that in this area, common engineers and technicians make technical scheme of the present invention, all should fall into protection scope of the present invention.

Claims (1)

1. treat the postoperative stifling demibain Chinese medicine granules swelling and ache of anorectal for one kind, it is characterized in that, raw material of Chinese medicine by following weight portion grinds granulation agent: Radix Angelicae Sinensis 20, Flos Carthami 15, fresh Herba Portulacae 50, Flos Lonicerae 20, Semen Coicis 30, Fructus Forsythiae 20, Cortex Phellodendri 12, charred Flos Sophorae 15, Rhizoma Corydalis 20, Olibanum 12g, Myrrha 12, the Radix Pulsatillae 20, Pericarpium Zanthoxyli 20, Borneolum Syntheticum 10, Radix Et Rhizoma Rhei 12, Herba Asari 10, Rhizoma Chuanxiong 20.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104740196A (en) * 2015-03-09 2015-07-01 杨吉芝 Traditional Chinese medicine fumigation and washing agent for treating postoperative complications of anorectal diseases and nursing method
CN108938831A (en) * 2018-07-31 2018-12-07 阜阳疝病专科医院 A kind of Chinese herbal fumigation and washing hip bath agent for treating swelling and pain

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1270038A (en) * 2000-03-17 2000-10-18 烟台市中医医院 Fumigant lotion for treating anorectal disease and preparing process thereof
CN101496844A (en) * 2009-03-19 2009-08-05 董娜 External preparation for treating leukoderma and method for preparing and using the same
CN102247504A (en) * 2011-08-22 2011-11-23 王金保 Method for preparing wart eliminating powder
CN103536959A (en) * 2013-10-18 2014-01-29 河南中医学院 Preparation method of postoperative pharmaceutical adjuvant paste for anorectal diseases

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1270038A (en) * 2000-03-17 2000-10-18 烟台市中医医院 Fumigant lotion for treating anorectal disease and preparing process thereof
CN101496844A (en) * 2009-03-19 2009-08-05 董娜 External preparation for treating leukoderma and method for preparing and using the same
CN102247504A (en) * 2011-08-22 2011-11-23 王金保 Method for preparing wart eliminating powder
CN103536959A (en) * 2013-10-18 2014-01-29 河南中医学院 Preparation method of postoperative pharmaceutical adjuvant paste for anorectal diseases

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104740196A (en) * 2015-03-09 2015-07-01 杨吉芝 Traditional Chinese medicine fumigation and washing agent for treating postoperative complications of anorectal diseases and nursing method
CN108938831A (en) * 2018-07-31 2018-12-07 阜阳疝病专科医院 A kind of Chinese herbal fumigation and washing hip bath agent for treating swelling and pain

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