CN104173543A - Traditional Chinese medicine composition for treating incontinent dermatitis - Google Patents

Abstract

The invention belongs to application of the traditional Chinese medicine in the field of modern nursing and in particular relates to application in treatment of the complication incontinent dermatitis of bedridden patients. The clinical features of the incontinent dermatitis include erythema, edema, maceration, breakage, papule and blister. The technical problem to be solved is as follows: the side effect caused by treating the incontinent dermatitis by use of western medicine is eliminated while better treatment effect is achieved. The adopted technical scheme is as follows: a traditional Chinese medicine composition for treating incontinent dermatitis is adopted; the composition is prepared from the following raw materials in parts by weight: 3000 parts of calcined gypsum powder, 2500 parts of cortex phellodendri, 1000 parts of raw liquorice, 1500 parts of indigo naturalis powder, 500 parts of lithospermum, 500 parts of borneol and 1000 parts of pine pollen. All the raw materials are ground into fine powder by use of a grinder, an appropriate amount of albolene and glycerinum are added to the fine powder, and the raw material powder is stirred continuously, and finally, the traditional Chinese medicine composition in the form of cream is obtained. Observed according to clinical curative effect, the traditional Chinese medicine composition really has the effect of treating the incontinent dermatitis, and is high in total effective rate.

Description

A kind of Chinese medicine composition for the treatment of incontinence dermatitis

Technical field

The invention belongs to Chinese Traditional Medicine in the application in Modern Nursing field, especially the application in treatment patient bedridden in long term complication.

Background technology

Incontinence dermatitis (Incontinence-associated dermatitis, IAD) refers to skin for a long time or is repeatedly exposed to the inflammation causing in urine and feces, companion or without vesicle and skin injury.This disease is the common a kind of complication of incontinent patients, also can cause the generation of some other disease, as pain, infection and pressure ulcer simultaneously.The clinical manifestation of incontinence dermatitis is: erythema (erythema), edema (edema), dipping (maceration), strip off, the formation of damaged, pimple and vesicle.The border of wound is conventionally unintelligible, is disperse shape, with pruritus or pain and insecondary fungal infection.The clinical manifestation of incontinence dermatitis sometimes with, the second stage of pressure ulcer is more similar, but the region that incontinence dermatitis occurs is or not apophysis position, is conventionally disperse shape and at some skinfold places.Incontinence dermatitis is the common complication of long-term bedridden patients, inpatient sickness rate 20-27%, the sickness rate 3.4-7.6% of long-term care mechanism.At present, the sickness rate of incontinence dermatitis has the trend rising year by year, though there is multiple therapy methods, there is no so far specific medicament.Doctor trained in Western medicine is the ointment such as antibiotic, antiallergic, corticosteroids that use when treatment incontinence dermatitis more, how because of the application of high amount of drug and apply irrational phenomenon, the dysbacteriosis causing, the appearance of hormone side effect.

Summary of the invention

The technical problem that the present invention solves:

When thering is better healing effect, solved the side effect that western medicine incontinence dermatitis brings.

Technical scheme of the present invention:

Treat a Chinese medicine composition for incontinence dermatitis, said composition is comprised of the crude drug of following weight ratio: 3000 parts of Gypsum Fibrosum powder (calcined), 2500 parts of Cortex Phellodendris, 1000 parts of Radix Glycyrrhizae, 1500 parts, Indigo Naturalis powder, 500 parts of Radix Arnebiae (Radix Lithospermi)s, 500 parts of Borneolum Syntheticums, 1000 parts of Pollen Pinis.

By pulverizer porphyrize powder for each crude drug, then add appropriate white vaseline, glycerol, constantly stir raw material medicated powder, make Chinese medicine composition cream.

Chinese medicine composition object space solution of the present invention:

Gypsum Fibrosum fire is forged external for monarch, expelling pus and promoting granulation, removing dampness; Cortex Phellodendri heat clearing and damp drying, eliminating fire and detoxication is minister.Assistant, with Indigo Naturalis, Radix Arnebiae (Radix Lithospermi), Borneolum Syntheticum, the Pollen Pini cooling blood and removing stasis rash that disappears, makes the effect with Radix Glycyrrhizae coordinating the actions of various ingredients in a prescription.Reach clearing heat and expelling damp, cooling blood and removing stasis is received the merit of rash.The effect of various raw material of Chinese medicine medicines in the present invention:

One, Gypsum Fibrosum Preparatum

[nature and flavor] are sweet, pungent, puckery, cold, and odorless is lightly seasoned.

[return through] lung, stomach warp.

[function cures mainly] removing dampness, granulation promoting, sore, hemostasis.External treatment ulcer being unable to heal, eczema pruritus, burn due to hot liquid or fire, traumatic hemorrhage.Gypsum Fibrosum is ground external into powder after forging, and the above all surgery diseases for the treatment of, have the effect of heat clearing away, convergence, granulation promoting, often closes hydrargrum oxydatum crudum, Cortex Phellodendri, Indigo Naturalis and is equal to use.

Two, Pollen Pini

[nature and flavor] are sweet, and temperature is nontoxic

[return through] enters liver channel of foot-Jueyin, spleen meridian.

[function cures mainly] QI invigorating of dispeling the wind, removing dampness, hemostasis.Control all skin ulcers wet rotten, wound hemorrhage.

< < herbal classic is met former > >: except rheumatism, treatment of smallpox skin ulcer is wet rotten.

< < plants in Jiangsu medicine will > >: prevention miliaria.Outer as wound hemostasis agent.

< < Traditional Chinese Medicine in Sichuan will > >: astringing to arrest bleeding.Control skin eczema, impetigo is wet rottenly not to form a scab.

Three, Indigo Naturalis

[nature and flavor] are salty, cold.

[return through] returns Liver Channel.

[function cures mainly] heat-clearing and toxic substances removing, removing heat from blood, arresting convulsion.

Isatin in Indigo Naturalis is beautiful, and indirubin has effect to paraplasm granulocyte and oxyphil cell.Can resisting pathogenic microbes, for example anthrax bacillus, streptococcus pneumoniae, shigella, vibrio cholera, staphylococcus aureus and Staphylococcus albus etc.Indigo Naturalis can also be treated epidemic febrile disease intenseness of heat, and macule is spitted blood, spat blood, pediatric epilepsy scared, and skin ulcer is swollen, erysipelas, snake bite and insect sting etc.

< < key medicine is divided agent > >: " except thermal detoxification, holding concurrently can removing heat from blood."

Four, Cortex Phellodendri

[nature and flavor] hardship, cold

[return through] kidney, bladder, large intestine channel

[function cures mainly]: heat clearing and damp drying, eliminating fire and detoxication, reducing the asthenic fever

Clinical practice: 1, damp-heat vaginal discharge, pyretic stranguria, sufficient swelling and pain in knee, dysentery, jaundice.2, sore swollen toxin, eczema eczema.Feature: kind clear damp-heat in lower-JIAO among heat clearing and damp drying, and kind eliminating fire and detoxication, control carbuncle sore, eczema, eczema, Shang Shanqing is fire, reducing the asthenic fever mutually, hectic fever due to YIN-deficiency consumptive fever, sore swollen toxin, eczema pruritus nourishing YIN to lower pathogenic fire, hyperactivity of fire caused by deficiency of YIN

Five, Borneolum Syntheticum

[nature and flavor] gas delicate fragrance, taste is refrigerant arduous, cool.

[return through] returns through entering the heart, lung meridian.

[function cures mainly] this product bitter cold, has the merit of clearing away heat to alleviate pain, detumescence.For skin infection, swell and ache, after bursting, do not hold back.This product also has heat-clearing and toxic substances removing, erosion prevention and muscle growing effect.

Six, Radix Arnebiae (Radix Lithospermi)

[nature and flavor] hardship, cold

[return through] enters percardium, Liver Channel

[function cures mainly] removing heat from blood, invigorates blood circulation, removing toxic substances rash.For heat in blood poison contain, macule purple is black, measles without adequate eruption, skin infection, eczema, burn due to hot liquid or fire.Clearing away heat and cooling blood, for measles, calentura skin eruption, eczema, hematuria, stranguria with blood, dysentery, skin infection, erysipelas, burn, constipation with heat retention.Function cures mainly: removing heat from blood, invigorate blood circulation, and heat clearing away, removing toxic substances.Control warm macule, jaundice due to damp-heat, purpura, tells, nosebleed, hematuria, stranguria with turbid discharge, constipation with heat retention, burn, eczema, erysipelas, carbuncle and ulcer

Seven, Radix Glycyrrhizae

[nature and flavor] property is flat, sweet in the mouth

[return through] returns 12 warps.

[function cures mainly] has removing toxic substances, eliminates the phlegm, pain relieving, spasmolytic be so that the pharmacological action such as anticancer cures mainly laryngopharynx swelling and pain, and the agent of cellulitis skin infection Radix Glycyrrhizae has the function of antiinflammatory and the reflection of resistance state.

Beneficial effect of the present invention:

The present invention is pure Chinese medicine ingredients, can improve autoimmune function, its can cover mucocutaneous on, the various virulence factors of skin surface are had to very strong fixing, inhibitory action, and by mutually combining and strengthen mucosal barrier defence capability with mucosa glycoprotein, thereby prevent increasing the weight of of disease damage, reduce the relapse rate of incontinence dermatitis.

And cream is relatively good to the permeability of skin, permeability is good, has refrigerant sensation; Fat content is low, and relatively easy cleaning, can not pollute clothes.

Pharmaceutical composition of the present invention does not enter blood circulation, does not therefore affect liver, kidney, nervus centralis and cardiovascular function, has no side effect, and simple and easy to do, clinical expansion is easy.

The specific embodiment

Observe clinical patient 30 examples, male 12 examples wherein, female's 18 examples, all adopt Chinese medicine composition cream treatment of the present invention.

Using method:

First with warm water, clean local skin, then give Chinese medicine composition cream of the present invention and be coated with incontinence dermatitis place outward, every day 2-3 time, consumption is advisable to smoothen dermatitis happening part at every turn, keeps local desiccation ventilative.Use altogether three courses for the treatment of, be 10 days a course for the treatment of.

Curative effect determinate standard:

According to adopting push marking scales in wound healing process, by score value and final therapeutic effect, be divided into following four kinds:

1, recovery from illness: 0 minute dermatitis erythema of push scoring, edema, hemorrhage disappearance, erosion are formed a scab, without sense of discomfort.

2, significant effective: push scoring 1-7 divide dermatitis erythema, edema, hemorrhage large portion transference cure, and pain obviously alleviates, and rotten to the corn face obviously dwindles, and sepage reduces (in 3 days).

3, effective: 8-14 minute dermatitis partial symptoms of push scoring alleviates or disappear, pain relief (in 6 days).

4, invalid: push scoring 17 minutes 6 days is not unchanged with epithelitis, healing.

In this 30 routine patient, push score value is respectively as table 1, and wherein ID is case number:

Table 1 push scoring

ID	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
																Push	9	0	13	10	11	9	1	13	12	9	8	14	3	10	11
ID	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30
																Push	14	8	6	14	4	13	0	8	11	5	9	4	12	8	14

There is 2 routine push scoring 0 minute, reach recovery from illness standard, be respectively case 2 and case 22.

There are 6 routine push scoring 1-7 to divide, reach significant effective standard, be respectively case 7, case 13, case 18, case 20, case 25, case 27.

There are 22 routine push scoring 8-14 to divide, reach effective standard, be respectively case 1, case 3, case 4, case 5, case 6, case 8, case 9, case 10, case 11, case 12, case 14, case 15, case 16, case 17, case 19, case 21, case 23, case 24, case 26, case 28, case 29, case 30.

All there are not fungal infection, thinning of skin, osteoporosis, acne etc. in all cases.

30 routine patients' therapeutic outcome is as table 2, and total effective rate reaches 100%:

Table 2 therapeutic outcome

?	Recovery from illness	Significant effective	Effectively	Invalid	Total effective rate
						Number of cases (n)	2	6	22	0	100％

Wherein (total effective rate=cure rate+significant effective rate+effective percentage)

Sum up

From clinical efficacy, observe, Chinese medicine composition of the present invention has the effect for the treatment of incontinence dermatitis really, and total effective rate is high, the side effect bringing without Western medicine.

Claims (2)

1. treat a Chinese medicine composition for incontinence dermatitis, it is characterized by said composition and formed by the crude drug of following weight ratio: 3000 parts of Gypsum Fibrosum powder (calcined), 2500 parts of Cortex Phellodendris, 1000 parts of Radix Glycyrrhizae, 1500 parts, Indigo Naturalis powder, 500 parts of Radix Arnebiae (Radix Lithospermi)s, 500 parts of Borneolum Syntheticums, 1000 parts of Pollen Pinis.

2. Chinese medicine composition as claimed in claim 1, by pulverizer porphyrize powder for each crude drug, then adds appropriate white vaseline, glycerol, constantly stirs raw material medicated powder, makes Chinese medicine composition cream.