Background technology
Joint dislocation is that nodal section loses normal relation, and also known as dislocation, what caused by wound is called traumatic dislocation, and what caused by pathological changes destruction is called luxatio pathologica.Period of embryo's joint development is complete and cause be called congenital dislocation.Articular surface is called complete dislocation when losing relationship in a mutual action completely, and what part was involutory is called subluxation.Traumatic dislocation is more common in shoulder, hip, elbow, mandibular joint.
Joint dislocation only have when the soft tissues such as joint capsule, ligament and tendon tear or with fracture time can dislocate.There is the symptom of general damage and the particularity performance of dislocation.After injured, joint dislocation, pain, movable difficulty or stiff.
1, general symptom
(1) pain is obvious, increases the weight of during activity suffering limb.
(2) swelling.Because hemorrhage, edema make joint obvious tumefaction.
(3) dysfunction.After joint dislocation, structure is not normal, and joint loses normal activity function.
2, Special Manifestations
(1) deformity.After joint dislocation limbs occur rotating, adduction or abduction and outward appearance is elongated or the deformity such as shortening, asymmetric with strong side.The normal bone mark in joint changes.
(2) flexible fastening.After joint dislocation, the limbs of dislocation can be remained on special position by the muscle do not torn and ligament, have a kind of opposing and elastic sensation during passive activity.
(3) glenoid cavity is hollow.
Joint dislocation affects the joint of activity usually, as ankle, knee joint, hip, wrist, elbow, but modal be shoulder and finger-joint, as cured not in time, have a strong impact on life and the work of patient.If if the dislocation infringement of vertebra is neural or spinal cord will threat to life, harm should not be underestimated.
Current joint dislocation is mainly based on manual reduction, and the time, more early reset easier, effect was better, but this method is not only complicated loaded down with trivial details, and inefficiency, easily occurs sequela, and general medicine, easy to use, but drug effect is not good.And Chinese materia medica is as the traditional medicine of China, there is the advantages such as effect is strong, instant effect, lasting medicine, and there is no dependency, drug resistance and toxic and side effects, therefore select a kind of Chinese medicine preparation to be used for the treatment of joint dislocation, for treatment joint dislocation, there is very important clinical meaning.
Summary of the invention
The invention provides a kind of Chinese medicine preparation and the preparation method that are used for the treatment of joint dislocation; Selected by Chinese medicine preparation of the present invention, medical material compatibility is suitable, meet Chinese medicine and modern medicine and pharmacology research theory, there is effect of strengthening the tendons and bones, promoting blood circulation and stopping pain, heat-clearing and toxic substances removing, detumescence dissipating blood stasis, easy to use, good absorbing effect, without bad and toxic and side effects, through clinical verification, there are fabulous prevention and therapeutic effect to joint dislocation, are suitable for prevention and the treatment of joint dislocation.
For achieving the above object, technical scheme of the present invention is implemented as follows:
Be used for the treatment of a Chinese medicine preparation for joint dislocation, raw material composition and the parts by weight of making described Chinese medicine preparation effective ingredient are:
Raw material composition and the parts by weight of making described Chinese medicine preparation effective ingredient are:
Raw material composition and the parts by weight of making described Chinese medicine preparation effective ingredient are:
Raw material composition and the parts by weight of making described Chinese medicine preparation effective ingredient are:
Be used for the treatment of a preparation method for the Chinese medicine preparation of joint dislocation, comprise following processing step:
(1) Radix seu herba Heteropogonis Contorti, Caulis seu folium hoyaecarnosae, Folium Dolichoris and Herba Scutellariae indicae are removed impurity, clean, put into container strand juice, filter, obtain filtrate, being condensed into relative density at 60 DEG C is the thick paste of 1.10 ~ 1.13, for subsequent use;
(2) Ramulus et Folium Spiraeae Salicifoliae, Lindera angustifolia Cheng, Rhizoma valerianae latifoliae, Fructus Thladianthae Dubiae, husky seven are removed impurity with Herba Buddlejae Lindleyanae, clean, put into container, add 5 times amount distilled water, decoct 2 hours, extract decoction liquor; Add 3 ~ 4 times amount distilled water again, decoct 1.5 hours, extract decoction liquor, finally merge the decoction liquor extracted for 2 times, filter, obtain filtrate, being condensed into relative density at 60 DEG C is the thick paste of 1.10 ~ 1.13, for subsequent use;
(3) Herba mesonae chinensis, Herba Sambuci Chiensis, Herba Cissi Javanae and Herba Ainsliaea Albotomentosae are removed impurity, clean, sun dehydration, puts into container and grinds into powder, must be 140 object fine powders, for subsequent use;
(4) Rhizoma Chuanxiong and Radix anthrisci are removed impurity, clean, section, put into container, with water-soaked, moistening 4 hours, dries, grinds into powder, must be 160 object fine powders, for subsequent use;
(5) fine powder of the thick paste of step (1), step (2) gained and step (3), step (4) gained is made ointment, be the Chinese medicine preparation being used for the treatment of joint dislocation.
The property of medicine of the present invention's Chinese medicine used is as follows:
Radix seu herba Heteropogonis Contorti: sweet in the mouth, cold in nature.Relieve heat and thirst, expelling wind and removing dampness.Disappear for calentura excessive, cough is vomited and diarrhoea, arthralgia." not Lu " carries: " main QI invigorating, quenches the thirst, heat extraction at abdomen umbilicus, sharp muscle.”
Ramulus et Folium Spiraeae Salicifoliae: bitter in the mouth, property is put down; Return lung, Liver Channel.Promoting blood flow to regulate menstruation, diuretic relieving constipation, preventing phlegm from forming and stopping coughing.For traumatic injury, joint aches, amenorrhea dysmenorrhea, dysuria, constipation, cough with copious phlegm." Chinese herbal medicine handbook is commonly used in Heilungkiang " carries: " control traumatic injury, arthralgia, malasia, cough with copious phlegm, knife injury.”
Herba mesonae chinensis: sweet in the mouth, light, cool in nature.Clearing away heat-damp and promoting diuresis, removing heat from blood expelling summer-heat.For acute rheumatic arthritis, hypertension, heat stroke cold, jaundice, acute nephritis, diabetes." conventional Chinese herbal medicine handbook " carries: " clearing away summer-heat.Control heatstroke, flu, hypertension, muscle, arthralgia.”
Caulis seu folium hoyaecarnosae: bitter in the mouth, property is put down.Removing heat-phlegm, reducing swelling and alleviating pain.For cough due to lung-heat, carbuncle, scrofula, newborn woman's milk is few, arthralgia, orchitis." Nanning City's medicine will " carries: " preventing phlegm from forming and stopping coughing for oral administration, helps digestion and amass.Externally used detumescence pain relieving, traumatic injury synthetism, scrofula (stewing salt).”
Lindera angustifolia Cheng: acrid in the mouth, micro-puckery, warm in nature.Expelling wind and removing dampness, relaxing muscles and tendons and activating QI and blood in the collateral, removing toxic substances and promoting subsidence of swelling.For flu, headache, dyspepsia, gastroenteritis, dysentery, rheumatic arthritis, numb, traumatic injury, carbuncle sore tumefacting virus, urticaria, lymphoid tuberculosis.
Herba Sambuci Chiensis: sweet in the mouth, light, micro-hardship, property is put down; Return Liver Channel.Soothing liver and strengthening spleen, blood circulation promoting and blood stasis dispelling, inducing diuresis to remove edema.For acute viral hepatitis, oedema due to nephritis, rheumatalgia, dislocation, oedema due to nephritis, beriberi edema, urticaria, injury from falling down, fracture." herbal classic " carries: " all numbness between main bone, spasm of the limbs soreness, the cold pain of knee joint, impotence, deficiency of losing heart, swelling of the feet.”
Rhizoma valerianae latifoliae: acrid in the mouth, hardship, slightly warm in nature; Return spleen, stomach warp.Promoting digestion and invigorating the stomach, regulating QI to relieve pain, removing toxic substances of dispeling the wind.For abdominal distention of having a stomachache, dyspepsia, infantile malnutrition, gastroenteritis, dysentery, rheumatalgia, soreness of the waist and knees." Shaanxi Chinese herbal medicine " carries: " invigorate blood circulation, regulating menstruation.Control headache, arthralgia, menoxenia, traumatic injury, furuncle.”
Fructus Thladianthae Dubiae: bitter in the mouth, acid, property is put down; Return spleen, stomach warp.Vital energy regualting and blood circulation-promoting, eliminate the phlegm dampness removing.For regurgitation acid regurgitation, pulmonary tuberculosis hemoptysis, jaundice dysentery, pain in chest and hypochondrium, osteopatia sprain, bones and muscles pain." Heilungkiang Chinese medicine " carries: " controlling sways one's hips feels a pain in the chest when breathing, pain in chest and hypochondrium.”
Husky seven: bitter in the mouth, cool in nature.Heat clearing and inflammation relieving, hemostasia and promoting granulation.For cough due to lung-heat, have sore throat, stool hematochezia, traumatic hemorrhage, fracture, osteopatia sprain, rheumatic arthralgia etc.
Herba Cissi Javanae: acrid in the mouth, warm in nature; Return lung, liver,spleen,kidney warp.Dispelling wind detoxifies, detumescence dissipating blood stasis, reunion of bone.For urticaria, eczema, allergic dermatitis, the fracture injury of tendon and muscle, osteopatia sprain, rheumatic numbness.
Folium Dolichoris: acrid in the mouth, sweet, sweet, property is put down; Return spleen, stomach, heart channel, poisonous.For convulsion of vomiting and diarrhoea, sore, traumatic injuries." the SHENGCAO property of medicine standby will " carries: " reason traumatic injury, disappear skin ulcer.”
Rhizoma Chuanxiong: acrid in the mouth, warm in nature.Blood-activating and qi-promoting, wind-expelling pain-stopping.For menoxenia, amenorrhea dysmenorrhea, lump in the abdomen is suffered from abdominal pain, the twinge of the breast side of body, tumbling and swelling, headache, rheumatic arthralgia." Japan hanako materia medica " carries: " control a wind cutting, all gas, all strains, all blood, mend five kinds of over strain, strengthening bone and muscle, adjusts many arteries and veins, and broken Disorder ties stagnated blood, supports fresh blood, puts on flesh, serious epistaxis, spits blood and hematuria, hemorrhoid complicated by anal fistula, brain carbuncle carbuncle on the back, and scrofula wart is gone to live in the household of one's in-laws on getting married, skin ulcer scabies, and evacuation of pus repercussive blood.”
Herba Scutellariae indicae: bitter in the mouth, pungent, property is put down; GUIXIN, liver, lung meridian.Heat-clearing and toxic substances removing, promoting blood circulation and stopping pain, hemostasia and detumescence.For carbuncle furunculosis, venom, bones and muscles pain, spitting of blood of spitting blood, has blood in stool, traumatic injury, wound hemorrhage, skin pruritus." the SHENGCAO property of medicine standby will " carries: " control traumatic injury, snakebite, dispel the wind loose blood, strengthening bone and muscle, and detumescence, infusing drugs in wine is wonderful.”
Radix anthrisci: sweet in the mouth, pungent, micro-hardship, warm in nature; Return stomach, lung meridian.Replenishing QI to invigorate the spleen, promoting blood circulation and stopping pain.For splenasthenic abdominal distention, the empty spontaneous perspiration of body, old man's nocturia frequency, deficiency of vital energy edema, impairment caused by overstrain lumbago, traumatic injury congestive edema." Traditional Chinese Medicine in Sichuan will " carries: " invigorating the spleen and replenishing QI.Control insufficiency of the spleen flatulence due to improper diet, limbs fatigue, cough and asthma due to lung deficiency, old man's nocturia, and consumer edema.”
Herba Ainsliaea Albotomentosae: acrid in the mouth is bitter, warm in nature, slightly poisonous.Removing damp and stopping pain, promoting flow of QI and blood.For rheumatic arthritis, traumatic injury, lymphadenitis, fracture, traumatic hemorrhage." Yunnan Chinese herbal medicine " carries: " promoting flow of QI and blood, removing damp and stopping pain connect muscles and bones.Dispelling the wind and dampness pathogens arthralgia, traumatic injury, fracture, amenorrhea, allergic dermatitis.”
Herba Buddlejae Lindleyanae: acrid in the mouth, hardship, warm in nature, poisonous.Expelling wind and removing dampness, relieving cough and resolving phlegm, dissipating blood stasis, parasite killing.For bronchitis, cough, asthma, rheumatic arthritis, traumatic injury, wound hemorrhage, burn and scald, and be used as to kill maggot and go out wriggler.
The present invention compared with prior art, has following beneficial effect:
Selected by Chinese medicine preparation of the present invention, medical material compatibility is suitable, meet Chinese medicine and modern medicine and pharmacology research theory, there is effect of strengthening the tendons and bones, promoting blood circulation and stopping pain, heat-clearing and toxic substances removing, detumescence dissipating blood stasis, easy to use, good absorbing effect, without bad and toxic and side effects, through clinical verification, there are fabulous prevention and therapeutic effect to joint dislocation, are suitable for prevention and the treatment of joint dislocation.
Embodiment 4
The raw material composition of Chinese medicine preparation effective ingredient of the present invention and weight are:
The Chinese medicine preparation preparation method processing step of the present embodiment and usage and dosage identical with embodiment 1.
Clinical data:
1, case selection:
Select the routine clinical observation of joint dislocation patient 480 that my institute or outer court make a definite diagnosis, patient is divided into two groups at random, treatment group 240 example, wherein male 120 example, women 120 example, 8 ~ 75 years old age, 36 years old mean age, the course of disease 5 days ~ 1 month, average 7 days.Matched group 240 example, wherein male 118 example, women 122 example, 10 ~ 66 years old age, 40 years old mean age, the course of disease 3 days ~ 20 days, average 5 days.The course of disease, the degrees of symptoms of two groups of cases are basically identical, without significant difference, have comparability.
2, medicament selection:
Treatment group patient uses Chinese medicine preparation of the present invention, external, gets 5 ~ 10mg ointment uniform application in the surface at joint dislocation place, within 12 hours, smears once, within 2 days, is a course for the treatment of.
Matched group use Moschus dispel pain aerosol, external.Spraying affected part, massages 5 ~ 10 minutes to affected part heating, 2 ~ 3 times on the one; Soft tissue sprain is serious or have bleeder, and the cotton pad squirted by medicinal liquid spreads on affected part.
3, efficacy determination:
(1) cure: arthralgia, swelling, heating, the transference cures such as active receiving restriction; Joint motion freely, fully recover by health.
(2) effective: above-mentioned symptom is alleviated to some extent, joint motion freely, fully recover by health.
(3) invalid: disease is unchanged.
4, result:
Take in the treatment group of medicine of the present invention, cure 190 examples, effective 40 examples, invalid 10 examples, cure rate 79.2%, total effective rate 95.8%.
100 examples are cured, effective 88 examples, invalid 52 examples, cure rate 41.7%, total effective rate 78.3% in matched group.
Above result display, treatment group cure rate and total effective rate are apparently higher than matched group.
Model case is illustrated:
1, ×× is opened, female, 12 years old, student, people from Binzhou, Shandong.Patient, because once accidentally causing ancon joint dislocation in traumatic injury, may affect work because operating on treatment, therefore have selected Drug therapy, but unsatisfactory curative effect.After using 1 course for the treatment of of Chinese medicine preparation of the present invention after resetting, symptom is obviously alleviated, and continue 2 courses for the treatment of of use, clinical symptoms all disappears.Follow up a case by regular visits to and do not recur so far.
2, dish ××, man, 19 years old, student, people from Xuzhou.Patient's dislocation of the elbow joint, injured posterior joint dislocation, pain, stiff.After using 2 courses for the treatment of of Chinese medicine preparation of the present invention after resetting, rehabilitation gradually, symptom is obviously alleviated, and continues to take 2 courses for the treatment of, above transference cure.Follow up a case by regular visits to and do not recur so far.
3, Soviet Union's ××, female, 25 years old, company clerk, people from Changchun, Jilin.Patient's finger-joint is dislocated, pain and swelling, and active receiving limits.After using 3 courses for the treatment of of Chinese medicine preparation of the present invention after resetting, symptom is clearly better, and after continuing 1 course for the treatment of of use, above transference cure, gets well, not recurrence.
4, burnt ××, man, 32 years old, profession, Dongguan, Guangdong people.Patient sprains because playing basketball and causes changing joint dislocation, and arthralgia, heating, swelling, can not walk.Use 2 courses for the treatment of of Chinese medicine preparation of the present invention after resetting, symptom is obviously alleviated, and after continuing 2 courses for the treatment of of use, transference cure, follows up a case by regular visits to not recurrence.
5, the Meng ××, man, 41 years old, builder, Shenzhen people.Patient is hit by ball, causes dislocation of shoulder.After using 2 courses for the treatment of of Chinese medicine preparation of the present invention after resetting, above symptom takes a turn for the better, and after continuing 2 courses for the treatment of of use, above transference cure, physical recovery is healthy, follows up a case by regular visits to and does not recur so far.
6, ×× is opened, man, 55 years old, peasant, people from Sichuan.Patient causes pubic symphysis place and right sacroiliac joint place to have injured because of traffic accident, and has carried out operative treatment.After operation uses 3 courses for the treatment of of Chinese medicine preparation of the present invention, symptom takes a turn for the better, and after then using 2 courses for the treatment of, physical recovery is normal.Follow up a case by regular visits to and do not recur so far.