CN103977128A - Traditional Chinese medicine composition for treating postoperative lumbar spinal stenosis - Google Patents
Traditional Chinese medicine composition for treating postoperative lumbar spinal stenosis Download PDFInfo
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- CN103977128A CN103977128A CN201410219590.7A CN201410219590A CN103977128A CN 103977128 A CN103977128 A CN 103977128A CN 201410219590 A CN201410219590 A CN 201410219590A CN 103977128 A CN103977128 A CN 103977128A
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Abstract
The invention discloses a traditional Chinese medicine composition for treating postoperative lumbar spinal stenosis. Main internal cause of the disease is congenital kidney qi deficiency, acquired kidney qi deficiency and decline, kidney deficiency, stasis of channels and collaterals, qi stagnation and blood stasis, disharmony between ying and wei in traditional Chinese medicine, pain generated by waist-leg tendon and vessel impatency is basic pathogensis, and the traditional Chinese medicine composition has the effects of nourishing liver and kiney, replenishing qi and blood, expelling wind-damp and relieving pain or numbness. The traditional Chinese medicine composition disclosed by the invention is decocted with water into decoction by selecting traditional Chinese medicines: rhizoma cibotii, glossy privet fruit, holly leaf, lousewort root, ventilago leiocarpa benth, blumea laciniata, chervil larkspur herb, michelia champaca root and astilbe chinensis root. According to a clinical test in the hospital, the total effective rate reaches 94.4% which is obviously superior to that of a control group; moreover, the traditional Chinese medicine composition is low in treatment cost and worthy of clinical popularization and application.
Description
Technical field
The present invention relates to a kind of Chinese medicine composition, relate in particular to the Chinese medicine composition of lumbar spinal stenosis after a kind of iatrotechnics.
Background technology
Lumbar spinal stenosis is the compression syndrome of horse hair and nerve root due to Lumbar Vertebral Canal, nerve root canal or intervertebral foramina stenosis.Because of bone canalis spinalis or dural sac is narrow causes, but do not comprise narrow that Intraspinal Lesions causes due to simple intervertebral disk hernia, infection or neoplasm.As the narrow of intervertebral disk hernia and other types exists simultaneously, be also regarded as the ingredient of primary disease pathological changes.The clinical manifestation of primary disease is lumbago and backache, lumbosacral pain or leg pain, and some exists simultaneously.Lumbago comes across erect position more or walks to pass by for a long time, the position and by bike time of lying down or squat, and pain is died away more, seldom has lower limb radiating pain, and lumbago is without fixing pressure pain point.Onset is slow, and Most patients has the history of pain of long-term lower back, waist, buttocks and back of thighs.Operative treatment is advocated more by Chinese and overseas scholars, and western medicine is taking nonsteroidal antiinflammatory drug as main, and clinical conventional diclofenac is treated, but it can only alleviating pain, can not improve the state of an illness, and untoward reaction is larger.Inventor is through clinical practice for many years, utilizes traditional Chinese medical herbal treatment lumbar spinal stenosis successful, side effect little.
Summary of the invention
The object of this invention is to provide the Chinese medicine composition of lumbar spinal stenosis after a kind of iatrotechnics.Primary disease belongs to the category of Chinese medicine lumbago and skelalgia, the traditional Chinese medical science thinks that this pathogenetic main endogenous cause of ill is congenital deficiency of kidney-QI, day after tomorrow asthenia of renal qi and forced labour is impairment of the kidney etc., in addition the invasion and attack of wound, chronic strain and wind-cold damp pathogen and causing repeatedly, suffer from a deficiency of the kidney not solid, evil resistance meridians, qi depression to blood stasis, disharmony of nutrient QI with defensive QI, so that waist hamstring arteries and veins impatency and to produce pain be basic pathogenesis.Control suitable invigorating the liver and kidney, replenishing QI and blood, wind-damp dispelling, stopping numbness pain.
A Chinese medicine composition for lumbar spinal stenosis after iatrotechnics, after this iatrotechnics, the Chinese medicine composition of lumbar spinal stenosis is to be made up of the Chinese medicine of following weight portion: Rhizoma Cibotii 5-9 part, Fructus Ligustri Lucidi 4-9 part, Folium Ilicis Cornutae 9-15 part, Radix Pedicularis Henryi 15-30 part, Radix seu Caulis Verntilaginis Leiocarpae 12-30 part, Herba Blumeae Laciniatae 50-60 part, Herba Delphinii Anthriscifolii 3-6 part, Radix fici lacoris 35-40 part, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 9-12 part.
Preferred: 7 parts of Rhizoma Cibotii, 6 parts of Fructus Ligustri Lucidi, 12 parts of Folium Ilicis Cornutaes, 22 parts of Radix Pedicularis Henryis, 21 parts of Radix seu Caulis Verntilaginis Leiocarpae, 55 parts of the Herba Blumeae Laciniataes, 4 parts of Herba Delphinii Anthriscifoliis, 37 parts of Radix fici lacoriss, 10 parts of Radix astilbes chinensis (Rhizoma Astilbes Chinensis)s.
Preparation method: above-mentioned Chinese medicine is made to decoction by traditional method.
Fang Zhong: Rhizoma Cibotii invigorating the liver and kidney, strong waist foot, wind-damp dispelling, sharp joint; Fructus Ligustri Lucidi invigorating the liver and kidney, strong waist knee joint; Folium Ilicis Cornutae invigorating the liver and kidney, qi and blood invigorating, wind-damp dispelling; Radix Pedicularis Henryi fills blood, active; Radix seu Caulis Verntilaginis Leiocarpae benefiting vital QI and blood, dispelling, collateral-activating; Herba Blumeae Laciniatae wind-damp dispelling, the meridian dredging; Herba Delphinii Anthriscifolii wind dispelling reason is wet, removing obstruction in the collateral to relieve pain; Radix fici lacoris expelling wind and removing dampness, dredging collateral detumescence; Radix astilbes chinensis (Rhizoma Astilbes Chinensis) blood circulation promoting and blood stasis dispelling, analgesic antidotal.
Clinical data
1, physical data case derives from the patient of outpatient clinic in year February the court in March, 2007 to 2012.Collect and meet above-mentioned standard patient's 90 examples, male 58 examples, female's 32 examples altogether; Minimum 54 years old of age, maximum 83 years old, average 68 years old; The course of disease is the longest 10 years, the shortest 1 month, average 3.9 years.Be divided at random two groups: treatment group 45 examples, wherein male 24 examples, female's 21 examples, 67 years old mean age, average course of disease 3.8 years; Matched group 45 examples, wherein male 34 examples, female's 11 examples, 68 years old mean age, average course of disease 3.9 years.Two groups are compared without significant difference at aspects such as sex ratio, age, the courses of disease.
2, diagnostic criteria is with reference to " traditional Chinese medical science disease Standardization of diagnosis and curative effect ".1. have chronic back pain history, some patients were has trauma history; 2. the multiple physical labourer of being born in more than 40 years old; 3. prolonged and repeated lumbago and skelalgia and intermittent claudication, lumbago alleviates when anteflexion, after increase the weight of while stretching, skelalgia mostly is bilateral, can alternately occur, occurs lumbago and skelalgia or numb unable when standing and walking, pain and walk lamely and increase the weight of gradually takes a turn for the better after having a rest; 4. lower limb amyotrophy, tendon reflex weakens, and the test of waist hyperextension is positive; 5. waist x-ray take the photograph sheet inspection contribute to diagnosis, myelography, CT and nuclear magnetic resonance check are of great importance to clarifying a diagnosis.
3, Therapeutic Method 90 examples are all advised strict bed rest.Treatment group: take Chinese medicine composition of the present invention, take Rhizoma Cibotii 7g, Fructus Ligustri Lucidi 6g, Folium Ilicis Cornutae 12g, Radix Pedicularis Henryi 22g, Radix seu Caulis Verntilaginis Leiocarpae 21g, Herba Blumeae Laciniatae 55g, Herba Delphinii Anthriscifolii 4g, Radix fici lacoris 37g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 10g.1 dose of every day, take at every bu 2 places time, within 10 days, is a course for the treatment of.Matched group: diclofenac slow releasing tablet is oral, 75mg/d, 2 weeks is 1 course for the treatment of.Two groups of treatments are carried out Comparison of therapeutic after two courses for the treatment of.
4, efficacy assessment standard is drafted with reference to the efficacy evaluation of " straitness of lumbar vertebrae " in People's Republic of China's Chinese medicine industry standard " traditional Chinese medical science disease Standardization of diagnosis and curative effect ".Cure: lumbago and skelalgia transference cure, it is normal that function is recovered substantially; Take a turn for the better: lumbago and skelalgia alleviates, and still has pain after fatigue; Do not heal: symptom and sign is without improvement.
5, curative effect comparison after two courses for the treatment of of two groups of therapeutic outcomes treatment: treatment group 45 examples, wherein cure 20 examples (44.4%), 18 examples that take a turn for the better (40.0%), 7 examples (15.6%) total effective rate 84.4% more; Matched group 45 examples, wherein cure 13 examples (28.9%), 21 examples that take a turn for the better (46.7%), 11 examples (24.4%) total effective rate 75.6% of not healing; Two groups of comparisons, treatment group obvious effective rate, total effective rate are obviously better than matched group, have comparability.P＜0.05。
Detailed description of the invention
Embodiment mono-: take Rhizoma Cibotii 7g, Fructus Ligustri Lucidi 6g, Folium Ilicis Cornutae 12g, Radix Pedicularis Henryi 22g, Radix seu Caulis Verntilaginis Leiocarpae 21g, Herba Blumeae Laciniatae 55g, Herba Delphinii Anthriscifolii 4g, Radix fici lacoris 37g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 10g, above-mentioned Chinese medicine is made to decoction by traditional method decocting.
Embodiment bis-: take Rhizoma Cibotii 7g, Fructus Ligustri Lucidi 6g, Folium Ilicis Cornutae 12g, Radix Pedicularis Henryi 22g, Radix seu Caulis Verntilaginis Leiocarpae 21g, Herba Blumeae Laciniatae 50g, Herba Delphinii Anthriscifolii 4g, Radix fici lacoris 35g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 10g, above-mentioned Chinese medicine is made to decoction by traditional method decocting.
Embodiment tri-: take Rhizoma Cibotii 7g, Fructus Ligustri Lucidi 6g, Folium Ilicis Cornutae 12g, Radix Pedicularis Henryi 22g, Radix seu Caulis Verntilaginis Leiocarpae 21g, Herba Blumeae Laciniatae 60g, Herba Delphinii Anthriscifolii 4g, Radix fici lacoris 40g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 10g, above-mentioned Chinese medicine is made to decoction by traditional method decocting.
Claims (2)
1. a Chinese medicine composition for lumbar spinal stenosis after iatrotechnics, is characterized in that this Chinese medicine Chinese medicine composition is made up of the Chinese medicine of following weight portion: Rhizoma Cibotii 5-9 part, Fructus Ligustri Lucidi 4-9 part, Folium Ilicis Cornutae 9-15 part, Radix Pedicularis Henryi 15-30 part, Radix seu Caulis Verntilaginis Leiocarpae 12-30 part, Herba Blumeae Laciniatae 50-60 part, Herba Delphinii Anthriscifolii 3-6 part, Radix fici lacoris 35-40 part, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 9-12 part.
2. the Chinese medicine composition of lumbar spinal stenosis after a kind of iatrotechnics according to claim 1, is characterized in that this Chinese medicine Chinese medicine composition is made up of the Chinese medicine of following weight portion: 7 parts of Rhizoma Cibotii, 6 parts of Fructus Ligustri Lucidi, 12 parts of Folium Ilicis Cornutaes, 22 parts of Radix Pedicularis Henryis, 21 parts of Radix seu Caulis Verntilaginis Leiocarpae, 55 parts of the Herba Blumeae Laciniataes, 4 parts of Herba Delphinii Anthriscifoliis, 37 parts of Radix fici lacoriss, 10 parts of Radix astilbes chinensis (Rhizoma Astilbes Chinensis)s.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104288391A (en) * | 2014-10-31 | 2015-01-21 | 齐艳秋 | Medicine composition for nursing after meniscectomy and preparation method for medicine composition |
| CN104524129A (en) * | 2015-01-04 | 2015-04-22 | 汤炜 | Traditional Chinese medicine preparation for treating degenerative lumbar spinal stenosis |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104288391A (en) * | 2014-10-31 | 2015-01-21 | 齐艳秋 | Medicine composition for nursing after meniscectomy and preparation method for medicine composition |
| CN104524129A (en) * | 2015-01-04 | 2015-04-22 | 汤炜 | Traditional Chinese medicine preparation for treating degenerative lumbar spinal stenosis |
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| CN103977128B (en) | 2016-05-18 |
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Inventor after: Lv Huaixia Inventor after: Liu Yang Inventor before: Lv Huaixia |
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Effective date of registration: 20170802 Address after: 276300 Yinan County People's Hospital of Yinan, Shandong Province, Lishan Road, No. 50, Linyi Co-patentee after: Liu Yang Patentee after: Lv Huaixia Address before: 276300 Yinan County People's Hospital of Yinan, Shandong Province, Lishan Road, No. 50, Linyi Patentee before: Lv Huaixia |
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Effective date of registration: 20181010 Address after: 226400 No. 64 fan Dian Road, dugong Town, Rudong County, Nantong, Jiangsu Patentee after: Fu Yao Address before: 276300 Yinan County People's Hospital, 50 Lishan Road, Yinan County, Linyi, Shandong Co-patentee before: Liu Yang Patentee before: Lv Huaixia |