CN104758480A - Traditional Chinese medicine lotion for treating lung and spleen damp-heat-type hand-foot-mouth disease and nursing method using the same - Google Patents

Traditional Chinese medicine lotion for treating lung and spleen damp-heat-type hand-foot-mouth disease and nursing method using the same Download PDF

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CN104758480A
CN104758480A CN201510008943.3A CN201510008943A CN104758480A CN 104758480 A CN104758480 A CN 104758480A CN 201510008943 A CN201510008943 A CN 201510008943A CN 104758480 A CN104758480 A CN 104758480A
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traditional chinese
chinese medicine
foot
parts
heat
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邓贞兰
杜振华
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Abstract

The invention discloses a traditional Chinese medicine lotion for treating lung and spleen damp-heat-type hand-foot-mouth disease and a nursing method using the same. The theory of traditional Chinese medicine considers that pathogenesis of the hand-foot-mouth disease comprises of epidemic pathogenic factor invasion, defensive yang being obstructed, and lung qi impairment, the hand-foot-mouth disease has symptoms of fever, cough, rhinorrhoea, nausea and emesis, and because of retention of damp-heat in the interior, exuberance of the heart-fire and interior and exterior collision, heart fire steams oral cavity and tongue and damp heat in the spleen and the stomach fumigates arms and legs so that rash is produced. Traditional Chinese medicine Plumeria rubra, longleaf campanumoea root, Korean pine seed, all-grass of Climbing Violet, hydrocotyle nepalensis, alfalfa, five-finger fig root, trollflower, north china iris root and Chinese lizardtail rhizome are decocted in water so that the traditional Chinese medicine lotion is obtained. A clinical test proves that the traditional Chinese medicine lotion has a total effective rate of 95.6%, has effects obviously better than that of the control group and is worthy of clinical popularization application.

Description

A kind of external washout with traditional Chinese herbs agent and care method for the treatment of lung dampness-heat in the spleen type hand-foot-mouth disease
Technical field
The present invention relates to a kind of Chinese medicine composition, particularly relate to a kind of external washout with traditional Chinese herbs agent for the treatment of lung dampness-heat in the spleen type hand-foot-mouth disease.
Background technology
Hand-foot-mouth disease (Hand-foot-mouth disease, HFMD) be the acute infectious disease caused by enterovirus [common with COxsackie A group 16 type (CoxA16), enterovirns type 71 (EV71)], multiplely be born in preschooler, especially the highest with less than 3 years old age group sickness rate.For the treatment of hand-foot-mouth disease, modern medicine is based on symptomatic treatment, and without specially good effect antiviral drugs, child's compliance is poor, and curative effect is unsatisfactory.
Washout method refers under differentiation of tcm instructs, and Chinese medicine decocting is boiled into decoction, washes particular body portion, play the method for therapeutic effect from outside.The hands of Chinese medicine have the vital organs of the human body through cave, vola has whole body to project.Traditional Chinese medicine decoction washout, soak brothers buttocks treatment plain edition Hand-Food-Mouth Disease, drug effect can not only be made to control its mark in hand-foot-mouth disease local, and medicine in brothers stimulate internal organs in gesture and facial expression through cave, the projected area in vola and Zhi Qiben, reach the object for the treatment of both the principal and secondary aspects of a disease
The feature of washout method: 1. directly administration, absorbs fast directly: washout method decoction is directly acted on local, and percutaneous dosing, can make medicine utilize the most fast, and clinical most of patients reflection, after washing, the very first time can feel that slight illness is eased.2. safety is high, avoids toxicity: clinical in treating some disease, medicine has nocuity to human body to a certain extent, especially for child.3. without sense of discomfort, be easily accepted: washout method is because of similar with bathing method, and method is simple and convenient, be not suitable with the patient of Chinese medicine bitter taste, special child, takes medicine and there is certain difficulty, and use washout method, then sense of discomfort is few, is easy to accept.
Summary of the invention
The object of this invention is to provide a kind of external washout with traditional Chinese herbs agent for the treatment of lung dampness-heat in the spleen type hand-foot-mouth disease.The traditional Chinese medical science thinks that the cause of disease of hand-foot-mouth disease is diseases caused by exogenous pathogenic factor seasonal pathogen epidemic disease poison, internal injury damp-heat accumulation, heart-fire is flourishing: its sick position is dirty at lung, spleen, the heart two: its basic pathogenesis is diseases caused by exogenous pathogenic factor seasonal pathogen epidemic disease poison, defends table and is held back, Lung Qi obstraction, disease sees heating, cough, watery nasal discharge, Nausea and vomiting etc., because ferritic retention of damp-heat in the interior, heart channel fire are contained, interior diplomacy are striven, and the fire of heart channel steam in dispute, damp-heat in the spleen and stomach is fumigated in extremity, then send out as dragging rash.
The object of the invention is to be achieved through the following technical solutions, the external washout with traditional Chinese herbs agent of this treatment lung dampness-heat in the spleen type hand-foot-mouth disease is made up of the Chinese medicine of following weight portion: Flos Plumeriae Acutifoliae 2-6 part, Radix campanumoeae lancifoliae 5-10 part, Semen pini koraiensis 4-8 part, Herba Violae diffusae 5-10 part, Herba Hydrocotylis Nepalensis 5-15 part, Herba Medicaginis 4-6 part, Radix Fici Simplicissimae 10-30 part, Flos Trollii 3-5 part, Radix Iridis Chinensis 3-5 part, Rhizoma Saururi 8-10 part.
Preferably, Flos Plumeriae Acutifoliae 4 parts, Radix campanumoeae lancifoliae 7 parts, Semen pini koraiensis 6 parts, Herba Violae diffusae 7 parts, Herba Hydrocotylis Nepalensis 10 parts, Herba Medicaginis 5 parts, Radix Fici Simplicissimae 20 parts, Flos Trollii 4 parts, Radix Iridis Chinensis 4 parts, Rhizoma Saururi 9 parts.
Above-mentioned side's medicine is added clear water and decocts in right amount by preparation method, treats that medicine temperature 39 ~ 42 DEG C is for subsequent use.
Fang Zhong: Flos Plumeriae Acutifoliae nourishing the lung to arrest cough; Radix campanumoeae lancifoliae lung moistening, cough-relieving, nourishing; Semen pini koraiensis nourishing the lung to arrest cough, benefiting qi and nourishing blood; Herba Violae diffusae expelling wind and clearing away heat, diuresis removing toxic substances; Herba Hydrocotylis Nepalensis clearing away heat and expelling pathogen in the exterior, cough-relieving, hemostasis; Herba Medicaginis relieving stranguria by diuresis, clear taste; Radix Fici Simplicissimae strengthening the spleen and tonifying the lung, circulation of qi promoting, dampness removing; Flos Trollii, Radix Iridis Chinensis heat-clearing and toxic substances removing, sore-throat relieving; Rhizoma Saururi heat-clearing and toxic substances removing, diuretic dehumidify.
Clinical data
1, physical data 43 infants all come self-institute department of pediatrics stay in hospital see patient, be divided into treatment group and matched group (random packet method adopts and throws coin method) at random.Wherein treatment group 23 example, man 18 example, female 5 example; Minimum 1 years old of age, maximum 5 years old, average 215 years old; The shortest 1d of the course of disease, the longest 4d, average 216d.Randomized controlled treatment group 20 example, man 10 example, female 10 example; Minimum 9 months of age, maximum 7 years old, average 214 years old; The shortest 1d of the course of disease, the longest 3d, average 116d.Two groups of infants all meet traditional Chinese medical science lung dampness-heat in the spleen card: primary symptom: maculopapule, herpes appear in heating, hands, foot or buttocks, oral mucosa occurs being dispersed in herpes, swallows red, sialorrhea, look asthenia, light red tongue or red, greasy fur, rapid pulse, fingerprint purple.All infants make routine blood test, myocardial enzymes, rabat, blood glucose, measuring blood pressure, heart rate, through statistical procedures, two groups in age, sex, the course of disease and severity extent etc. difference there are no significant.
2, treatment and care method
(1) matched group: give conventional therapy, carries out bedside isolation, avoids cross infection; Suitable rest, light diet, carries out oral cavity and skin nursing; The symptoms such as heating, vomiting, diarrhoea give respective handling; The person that is combined bacteriological infection takes the circumstances into consideration to add and uses antibiotic.
(2) treatment group: on the basis of conventional therapy, add and use external washout with traditional Chinese herbs agent, take Flos Plumeriae Acutifoliae 4g, Radix campanumoeae lancifoliae 7g, Semen pini koraiensis 6g, Herba Violae diffusae 7g, Herba Hydrocotylis Nepalensis 10g, Herba Medicaginis 5g, Radix Fici Simplicissimae 20g, Flos Trollii 4g, Radix Iridis Chinensis 4g, Rhizoma Saururi 9g.Every day 1 dose, top clear water 2000ml decocts to 1000ml, medicine temperature 39 ~ 42 DEG C, and by infant both hands foot respectively soaking medicated liquid, medicinal liquid was to steep the back of the hand, ankle for degree, or medicinal liquid wipes bath hands, foot, buttocks erythra position: 15 ~ 20min/ time, every day 2 times.Two groups was all 1 course for the treatment of with 3 days, controlled furuncle and observed to leaving hospital.
Care method: two groups of infants give positive antiviral and Supporting Therapy of suiting the medicine to the illness after being admitted to hospital.In order to prevent skin infection, noting keeping bed, home cleaning, keeping infant skin clean, every night with not conforming to the warm water shower of soap lye or having a bath, select soft cotton underwear.Sheet, quilt cover and infant diaper are changed and washed regularly, sterilization of being preferably exposed to the sun in the sun, and prevent herpes from being scratched the pollution of virus in rear secondary infection and bleb liquid, infant wears long sleeves clothing, helps infant to cut short fingernail, if desired to cotton gloves on infant band.Buttocks has the infant of erythra, clears up the defecation of infant at any time, keeps buttocks clean dry, notes regulating water temperature moderate, because the too high scabies of aggravating of water temperature is overworked when having a bath.
3, criterion of therapeutical effect observes infant hands, foot, buttocks erythra, herpes of mouth quantity, size, observes erythra incrustation, disappears, and area reduces and quantity reduces the time; Fever patient observes body temperature and body temperature regression time; All patients observe hospital stays, the change of tongue fur pulse condition fingerprint.Curative effect determinate standard is effective: in 48h, body temperature is normal, and general state takes a turn for the better, and not sialorrhea in 72h, can take food, normally play; Effective: in 72h, body temperature is normal, general state takes a turn for the better, and not sialorrhea in 5d, can take food, normally play; Invalid: treatment 4d still generates heat, and sialorrhea, takes food limited, and oral mucosa is congested, fester obviously, merge bacteriological infection.
4, therapeutic outcome treatment group obvious effective rate, total effective rate are all obviously better than matched group, and inefficiency is obviously less than matched group (P < 0.01), in table 1.Two groups of patients compared in heating, hand-foot-mouth disease erythra and herpes of mouth regression time, hospital stays, the heating for the treatment of group disease, hand-foot-mouth disease erythra and herpes of mouth regression time, hospital stays are all significantly shorter than matched group (P < 0.01), in table 2.Matched group has 2 routine patient's complicated with pulmonary infection, and take a turn for the better after antibiotic application and leave hospital, two groups of patients transfer serious symptom and critical illness to without 1 example, dead without 1 example.
Comparitive study [example (%)] after table 1 liang group treatment
Group n Effective Effectively Invalid Total effective rate (%)
Treatment group 23 15(65.2) 7(30.4) 1(4.3) 95.6 *
Matched group 20 3(15) 10(50) 7(35) 65.0
Compare with matched group, *p < 0.01
Main clinic symptoms regression time and hospital stays (d) after table 2 liang group treatment
Group n The resolution of fever time The deflorescence time Length of stay
Treatment group 23 2.1±0.7 4.1±0.9 4.1±1.1
Matched group 20 3.8±1.4 * 6.2±1.6 * 6.1±1.5 *
Compare with matched group, *p < 0.01
Detailed description of the invention
Embodiment one: take Flos Plumeriae Acutifoliae 4g, Radix campanumoeae lancifoliae 7g, Semen pini koraiensis 6g, Herba Violae diffusae 7g, Herba Hydrocotylis Nepalensis 10g, Herba Medicaginis 5g, Radix Fici Simplicissimae 20g, Flos Trollii 4g, Radix Iridis Chinensis 4g, Rhizoma Saururi 9g, top clear water 2000ml decocts to 1000ml, and medicine temperature 39 ~ 42 DEG C is for subsequent use.
Embodiment two: take Flos Plumeriae Acutifoliae 6g, Radix campanumoeae lancifoliae 5g, Semen pini koraiensis 8g, Herba Violae diffusae 5g, Herba Hydrocotylis Nepalensis 15g, Herba Medicaginis 4g, Radix Fici Simplicissimae 30g, Flos Trollii 3-g, Radix Iridis Chinensis 5g, Rhizoma Saururi 8g, preparation method is with embodiment one.
Embodiment three: take Flos Plumeriae Acutifoliae 2g, Radix campanumoeae lancifoliae 10g, Semen pini koraiensis 4g, Herba Violae diffusae 10g, Herba Hydrocotylis Nepalensis 5g, Herba Medicaginis 6g, Radix Fici Simplicissimae 10g, Flos Trollii 5g, Radix Iridis Chinensis 3g, Rhizoma Saururi 10g, preparation method is with embodiment one.

Claims (2)

1. treat an external washout with traditional Chinese herbs agent for lung dampness-heat in the spleen type hand-foot-mouth disease, it is characterized in that this external washout with traditional Chinese herbs agent is made up of the Chinese medicine of following weight portion: Flos Plumeriae Acutifoliae 2-6 part, Radix campanumoeae lancifoliae 5-10 part, Semen pini koraiensis 4-8 part, Herba Violae diffusae 5-10 part, Herba Hydrocotylis Nepalensis 5-15 part, Herba Medicaginis 4-6 part, Radix Fici Simplicissimae 10-30 part, Flos Trollii 3-5 part, Radix Iridis Chinensis 3-5 part, Rhizoma Saururi 8-10 part.
2. a kind of external washout with traditional Chinese herbs agent for the treatment of lung dampness-heat in the spleen type hand-foot-mouth disease according to claim 1, is characterized in that this external washout with traditional Chinese herbs agent is made up of the Chinese medicine of following weight portion: Flos Plumeriae Acutifoliae 4 parts, Radix campanumoeae lancifoliae 7 parts, Semen pini koraiensis 6 parts, Herba Violae diffusae 7 parts, Herba Hydrocotylis Nepalensis 10 parts, Herba Medicaginis 5 parts, Radix Fici Simplicissimae 20 parts, Flos Trollii 4 parts, Radix Iridis Chinensis 4 parts, Rhizoma Saururi 9 parts.
CN201510008943.3A 2015-01-04 2015-01-04 Traditional Chinese medicine lotion for treating lung and spleen damp-heat-type hand-foot-mouth disease and nursing method using the same Pending CN104758480A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105250531A (en) * 2015-11-03 2016-01-20 郑国栋 Traditional Chinese medicine lotion for treating damp-heat type gonarthromeningitis
CN105641048A (en) * 2016-01-22 2016-06-08 宋亚 Traditional Chinese medicine for treating children hand-foot-mouth disease and preparation method thereof

Citations (1)

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Publication number Priority date Publication date Assignee Title
CN103039627A (en) * 2012-12-28 2013-04-17 祝凤仪 Soybean meal for clearing away heat and toxic materials, as well as preparing method of soybean meal

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103039627A (en) * 2012-12-28 2013-04-17 祝凤仪 Soybean meal for clearing away heat and toxic materials, as well as preparing method of soybean meal

Non-Patent Citations (2)

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曹淑渶: ""中药外洗治疗肺脾湿热型手足口病的疗效观察"", 《中国优秀硕士学位论文全文数据库医药卫生科技辑》 *
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105250531A (en) * 2015-11-03 2016-01-20 郑国栋 Traditional Chinese medicine lotion for treating damp-heat type gonarthromeningitis
CN105641048A (en) * 2016-01-22 2016-06-08 宋亚 Traditional Chinese medicine for treating children hand-foot-mouth disease and preparation method thereof

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Application publication date: 20150708