CN108079143A - 一种外用膏药及其制备方法和应用 - Google Patents
一种外用膏药及其制备方法和应用 Download PDFInfo
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- CN108079143A CN108079143A CN201810046806.2A CN201810046806A CN108079143A CN 108079143 A CN108079143 A CN 108079143A CN 201810046806 A CN201810046806 A CN 201810046806A CN 108079143 A CN108079143 A CN 108079143A
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- radix
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- applied ointment
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Abstract
本发明涉及中药技术领域,尤其涉及一种外用膏药,按照重量份数计包括以下组分:生川乌30‑50份、生草乌30‑50份、生南星30‑50份、洋金花15‑20份、细辛8‑15份、鸡血藤28‑32份、七叶莲28‑35份、桑寄生18‑23份、全虫5‑8条、蜈蚣5‑9条、土元78‑83份、三七22‑28份、乳香98‑103份、没药98‑103份、延胡索28‑35份、当归48‑53份、威灵仙28‑33份、红花98‑103份、栀子48‑52份、蒲公英28‑32份、大黄98‑103份、天花粉48‑55份、马钱子28‑32份。利用本发明中的膏药可以治疗风、寒、湿、热引起的痹症以及跌打损伤骨科类疾病。
Description
技术领域
本发明涉及中药技术领域,尤其涉及一种外用膏药及其制备方法和应用。
背景技术
痹证:是由风、寒、湿、热等引起的以肢体关节及肌肉酸痛、麻木、重着、屈伸不利,甚或关节肿大灼热等为主症的一类病证。《素问·痹论》所说:“风寒湿三气杂至,合而为痹。”根据感受邪气的相对轻重,常分为行痹(风痹)、痛痹(寒痹)、着痹(湿痹)。若素体阳盛或阴虚火旺,复感风寒湿邪,邪从热化,或感受热邪,留注关节,则为热痹。总之,风寒湿热之邪侵入机体,痹阻关节肌肉筋络,导致气血闭阻不通,产生本病。此外西医学的风湿热(风湿性关节炎)、类风湿性关节炎、骨性关节炎等同属痹症范围。
目前,治疗软组织损伤、风湿热、风湿性关节炎、类风湿性关节炎、痛风、坐骨神经痛、骨质增生、骨刺、腰痛、腿痛、肩周炎、颈椎病、膝骨关节炎、半月板损伤等疾病的方法多种多样,中医中药、各种膏药、西医药物治疗、微创手术、高科技仪器理疗等。这些疗法都对其中某一种疾病有所疗效,但疗效单一,疗程长,效果不明显,后期恢复缓慢,费用高,操作复杂,尤其是对复合叠加的疾病治疗存在一定盲区。近几年,随着中医药的快速发展,许多治疗相关疾病的药物相继问世,目前治疗中医传统外治疗法具有“简便廉验”的独特优势,但需要相关专业人士的调配和制作,尤其是传统的黑膏药,市面上所见的传统膏药多以黑膏药为主,黑膏药使用时非常不方便,多存在使用时需加热软化,如非专业人员操作,药效往往会根据软化的程度不同而发生改变,软化不足容易出现药效降低,软化过度会引发烫伤等二次损伤。如果去火毒不彻底,容易引起局部红肿等症状。以及更换清理时不方便,摘下后皮肤残留难以清洗,贴敷时间长,易引起皮肤瘙痒过敏等现象。黑膏药在配料和火候上也相当讲究,真正的质量好的黑膏药由于制作工艺和药物成本的约束,导致价格也相对昂贵,且揭去膏药后的膏药残留难以清理。并且现有的膏药一般用于治疗单一疾病,应用范围相对狭窄;因此针对上述问题,研制一种疗效好,应用范围广,使用方便的外用膏药。
发明内容
本发明所要解决的技术问题是:针对现有技术的不足,提供一种疗效好、应用范围广、使用方便的外用膏药。
为解决上述技术问题,本发明的技术方案是:
一种外用膏药,所述外用膏药按照重量份数计包括以下组分:生川乌30-50份、生草乌30-50份、生南星30-50份、洋金花15-20份、细辛8-15份、鸡血藤28-32份、七叶莲28-35份、桑寄生18-23份、全虫5-8条、蜈蚣5-9条、土元78-83份、三七22-28份、乳香98-103份、没药98-103份、延胡索28-35份、当归48-53份、威灵仙28-33份、红花98-103份、栀子48-52份、蒲公英28-32份、大黄98-103份、天花粉48-55份、马钱子28-32份。
作为一种改进的技术方案,所述外用膏药按照重量份数计还包括以下组分:桑枝13-18份、羌活18-23份、独活8-12份、皂刺28-33份、桂枝18-22份、苍术8-12份、秦艽8-12份、木瓜8-15份、牛膝18-23份、香附48-53份、川芎28-32份、丝瓜络13-18份、骨碎补28-33份、伸筋草12-18份、海风藤23-28份、穿山龙28-32份、宽筋藤28-33份、丹参28-35份。
作为一种优选的技术方案,所述外用膏药按照重量份数计包括以下组分:生川乌40-50份、生草乌40-50份、生南星40-50份、洋金花18-20份、细辛10-12份、鸡血藤30-32份、七叶莲30-35份、桑寄生20-23份、全虫6-8条、蜈蚣6-9条、土元80-83份、三七25-28份、乳香100-103份、没药100-103份、延胡索30-35份、当归50-53份、威灵仙30-33份、红花100-103份、栀子50-52份、蒲公英30-32份、大黄100-103份、天花粉50-55份、马钱子30-32份、桑枝15-18份、羌活20-23份、独活10-12份、皂刺30-33份、桂枝20-22份、苍术10-12份、秦艽10-12份、木瓜10-15份、牛膝20-23份、香附50-53份、川芎30-32份、丝瓜络15-18份、骨碎补30-33份、伸筋草15-18份、海风藤25-28份、穿山龙30-32份、宽筋藤30-33份、丹参30-35份。
作为一种进一步优选的技术方案,所述外用膏药按照重量份数计包括以下组分:生川乌45份、生草乌42份、生南星45份、洋金花18份、细辛10份、鸡血藤30份、七叶莲30份、桑寄生20份、全虫6条、蜈蚣6条、土元80份、三七25份、乳香100份、没药100份、延胡索30份、当归50份、威灵仙30份、红花100份、栀子50份、蒲公英30份、大黄100份、天花粉50份、马钱子30份、桑枝15份、羌活20份、独活10份、皂刺30份、桂枝20份、苍术10份、秦艽10份、木瓜10份、牛膝20份、香附50份、川芎30份、丝瓜络15份、骨碎补30份、伸筋草15份、海风藤25份、穿山龙30份、宽筋藤30份、丹参30份。
本发明所要解决的另一个技术问题是:针对现有技术的不足,提供一种疗效好、应用范围广、使用方便的外用膏药的制备方法。
为解决上述技术问题,本发明的技术方案是:
一种外用膏药的制备方法,所述制备方法包括以下步骤:
(1)按照重量份数计将依次称量的生川乌、生草乌、生南星、洋金花、细辛、鸡血藤、七叶莲、桑寄生、当归、威灵仙、红花、天花粉、马钱子粉碎,加入白酒,每5-7天搅拌一次,密封浸泡49天以上得到药酒;
(2)按照重量份数计依次称量土元、三七、乳香、没药、延胡索、蒲公英、栀子、大黄,再取蜈蚣5-9条以及焙干的全虫5-8条,将上述组分混合后粉碎,过筛,得到药粉;
(3)取步骤(1)中的药酒,过滤、除渣,收集的上清液,备用;
(4)取步骤(2)中的药粉,再加入步骤(3)中上清液,搅拌过程中加入生姜汁,混匀,密封浸泡49天以上,即得。
作为一种改进的技术方案,步骤(4)中药粉和上清液按照料液比1:1.5-2的比例加入。
作为一种改进的技术方案,步骤(4)中生姜汁和上清液按照体积比1:5-8的比例加入。
古称“跌打损伤”为诸伤之总论,多因外力作用,或自身姿势不正确的情况下用力过猛而造成的。中医把凡因外力作用于人体而引起的筋骨伤损、瘀血肿痛、气血不和、经络不通以至脏器受损等,统称为跌打损伤。跌打损伤一般造成的软组织损伤、外伤肿胀疼痛、皮肉破损出血,其主要病理为淤血壅滞,血闭气阻,故以疼痛、肿胀为主要表现。不论是“痹症”还是“跌打损伤”其中主要的临床表现还是以局部疼痛、肿胀、关节活动不利等为主,如迁延日久还会出现其他相关并发症。因此本发明研制的膏药可用于风、寒、湿或热引起的痹症以及跌打损伤骨科疾病。
采用了上述技术方案后,本发明的有益效果是:
(1)本发明中生川乌、生草乌、洋金花、生南星、乳香、没药、红花、土元、具有活血、解痉止痛、消肿散结之功效,共为君药;蜈蚣、全虫、三七、蒲公英、栀子、天花粉具有清热解毒,解痉通络,共为臣药;湿性缠绵重浊,迁延日久,加入桑枝,羌活,独活,苍术,秦艽,木瓜,配伍祛湿通痹,加速陈旧性,慢性疾病的恢复,细辛,马钱子,皂刺,穿山龙,宽筋藤,伸筋草,防风,川穹,延胡索,大黄,七叶莲,鸡血藤,丝瓜络,海风藤,威灵仙具有舒筋通络,温经散寒、祛风除湿之功效,针对陈旧性顽固痹阻,具有较好的清除和疏通作用,使堵塞的经络疏通,气血得以运行,使祛风除湿,活血止痛的效果大大增强为佐。桂枝,牛膝,桑寄生,当归,骨碎补,香附,丹参具有益精补血,补肝肾强筋骨之功效,在祛邪的同时调补正气,使祛邪不伤正,加快受损组织的快速修复共为使药。方中君臣佐使相互配合,活血止疼,消肿散结,温经散寒,祛风除湿,调补筋骨,可治疗风、寒、湿、热以及外伤引起的多种相关类疾病;
(2)本发明的膏药应用范围广,可用于颈椎病或由颈椎病引起的其他症状,腰腿疼痛,肩周炎,关节增生,腿伸不利,半月板损伤,局部水肿,疼痛等一系列骨关节的疼痛,水肿,怕冷怕凉,跌打损伤等病症;
(3)本发明在制备过程中,首先将一部分中药组分粉碎,再用白酒浸泡,得到的药酒上清液与另一部分中药粉碎后的药粉混合,再加入姜汁混匀密封保存;姜汁具有温经散寒、调和诸药的作用,采用上述方法可使每一味中药充分发挥其作用;
(4)本制品制作完成后可置于容器内,随用随取,且不需要加热软化,药效稳定,极大的方便了患者的使用,贴敷时间短,见效快,取下后易清理。在实际应用中,用压舌板取出,平摊在医用胶布或者普通的壮骨膏药上(主要是代替胶布),或先将药物涂抹在患处,之后用纱布缠绕固定。在所敷贴的部位上施以艾灸或用TDP神灯照射,用于辅助局部消炎,促进血液循环,增加疗效。
具体实施方式
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。
实施例1
一种外用膏药,按照重量份数计包括下列组分:生川乌30份、生草乌30份、生南星30份、洋金花15份、细辛8份、鸡血藤28份、七叶莲28份、桑寄生18份、全虫5条、蜈蚣5条、土元78份、三七22份、乳香98份、没药98份、延胡索28份、当归48份、威灵仙28份、红花98份、栀子48份、蒲公英28份、大黄98份、天花粉48份、马钱子28份。
实施例2
一种外用膏药,按照重量份数计包括下列组分:生川乌50份、生草乌50份、生南星50、洋金花18份、细辛15份、鸡血藤32份、七叶莲35份、桑寄生23份、全虫8条、蜈蚣9条、土元83份、三七28份、乳香103份、没药103份、延胡索35份、当归53份、威灵仙33份、红花103份、栀子52份、蒲公英32份、大黄103份、天花粉48-55份、马钱子32份。
实施例3
一种外用膏药,按照重量份数计包括下列组分:生川乌43份、生草乌42份、生南星48份、洋金花20份、细辛10份、鸡血藤30份、七叶莲28份、桑寄生18份、全虫6条、蜈蚣6条、土元80份、三七25份、乳香100份、没药100份、延胡索30份、当归48份、威灵仙28份、红花100份、栀子48份、蒲公英28份、大黄98份、天花粉48份、马钱子28份。
其制备方法包括以下步骤:
(1)按照重量份数计将依次称量的生川乌、生草乌、生南星、洋金花、细辛、鸡血藤、七叶莲、桑寄生、当归、威灵仙、红花、天花粉、马钱子粉碎,加入60度的白酒,每5-7天搅拌一次,密封浸泡49天得到药酒;
(2)按照重量份数计依次称量土元、三七、乳香、没药、延胡索、蒲公英、栀子、大黄,再取蜈蚣6条以及焙干的全虫6条,将上述组分混合后粉碎,过100目筛,得到药粉;
(3)取步骤(1)中的药酒,过滤、除渣,收集的上清液,备用;
(4)取步骤(2)中的药粉,按照料液比1:1.5的比例再加入步骤(3)中上清液,搅拌,按照生姜汁与上清液1:6的比例加入,混匀,密封浸泡49天,即得。
实施例4
一种外用膏药,按照重量份数计包括以下组分:生川乌45份、生草乌42份、生南星45份、洋金花18份、细辛10份、鸡血藤30份、七叶莲30份、桑寄生20份、全虫6条、蜈蚣6条、土元80份、三七25份、乳香100份、没药100份、延胡索30份、当归50份、威灵仙30份、红花100份、栀子50份、蒲公英30份、大黄100份、天花粉50份、马钱子30份、桑枝15份、羌活20份、独活10份、皂刺30份、桂枝20份、苍术10份、秦艽10份、木瓜10份、牛膝20份、香附50份、川芎30份、丝瓜络15份、骨碎补30份、伸筋草15份、海风藤25份、穿山龙30份、宽筋藤30份、丹参30份。
其制备方法包括以下步骤:
(1)按照重量份数计将依次称量的生川乌、生草乌、生南星、洋金花、细辛、鸡血藤、七叶莲、桑寄生、当归、威灵仙、红花、栀子、天花粉、马钱子、桑枝、羌活20份、独活、皂刺、桂枝、苍术、秦艽、木瓜、牛膝、香附、川芎、丝瓜络、骨碎补、伸筋草、海风藤、穿山龙、宽筋藤、丹参粉碎,加入65度白酒,每5-7天搅拌一次,密封浸泡49天得到药酒;
(2)按照重量份数计依次称量土元、三七、乳香、没药、延胡索、蒲公英、栀子、大黄,再取蜈蚣6条以及焙干的全虫6条,将上述组分混合后粉碎,过100目筛,得到药粉;
(3)取步骤(1)中的药酒,过滤、除渣,收集的上清液,备用;
(4)取步骤(2)中的药粉,按照料液比1:2的比例再加入步骤(3)中上清液,搅拌,按照生姜汁与上清液1:8的比例加入,混匀,密封浸泡49天,即得。
为了更好的证明本发明具有较好的治疗效果,将实施例4中的配方用于治疗风、湿、寒、热引起的痹症或者跌打损伤骨科类疾病。
病历1
宋**,男21岁,2008年因外伤导致腰椎间盘突出,2013年因工作过程中不慎腰部肌肉拉伤,腰部无力,抬腿、弯腰困难,疼痛,自述因之前腰椎间盘突出时贴过不少膏药,自觉效果不佳。将本发明敷贴于腰部疼痛处,另做艾灸于敷贴处15分钟,治疗结束后,患者自述翻身坐立时症状有所缓解,信心大增。嘱咐其回家后多平卧,次日换药时自述病情好转1/3,疼痛明显减轻,可自行活动,弯腰时幅度有所增加,又贴敷三次后痊愈疼痛感全无,可弯腰90度以上,活动自如,嘱其日后多注意,至今五年未有复发。
病历2
李**,女51岁,2013年10月因外出徒步旅游活动后膝关节疼痛前来就诊,自述之前双侧膝关节均有不适,曾采取针灸推拿治疗,但时好时坏,本次想换种治疗方式试试。触诊:双侧膝关节肿大,内有积液,活动不利,站立弯曲时膝关节疼痛严重。采取现在患处贴敷本膏药,外用纱布固定,最外层包保鲜膜,烤TDP神灯20分钟,以促进汗液排放。本次治疗结束后,膝关节局部流出大量汗液,水肿消减2/3,屈膝活动自述好转许多,摘去保鲜膜后包纱布固定,嘱其注意休息,次日前来换药,自述疼痛大减,活动已无大碍,仅下蹲时仍有不适,遂又贴敷2贴加以巩固,随访,膝关节活动自如,疼痛消失。嘱其注意锻炼方式,后随访均未复发。
病历3
程**,女53岁,2015年3月因膝关节疼痛肿大活动不利来电咨询,自述是徒步爱好者,多年前膝关节反复不适,并未在意,于2015年年初疼痛症状加剧,前去当地附属医院,诊断为半月板磨损严重,局部水肿积液,予以膝关节微创手术治疗,因术后保养不当,膝关节疼痛加剧,行动严重受限,只能坐轮椅拄拐。将单侧膝关节敷贴本发明一次后,疼痛大减,随后贴敷用5次后,嘱其今后注意,后随访均为复发。
病历4
郑**,男28岁,2016年8月因打篮球将脚腕扭伤,因处理不当,导致脚踝肿大疼痛,行动受限。给予本发明敷于患处,以纱布包裹固定,次日自述疼痛有缓解1/3,嘱其2日换药一次,继续贴敷2次后行动自如痊愈,后随访多日均无复发。
病历5
郭**,男55岁,2017年7月因坐车出差多日,腰部无力、疼痛,活动受限,迁延双下肢酸胀,经诊断:腰部局部劳损,肿大,痛点明显,取俯卧位腰部患处敷贴本发明,再加以艾灸辅助,增强活血化瘀,温经通络的作用,20分钟后下床站立活动,自述症状好转一半,因次日出差,所以取2份的量的本发明带走,10日后出差回来自述已痊愈,随访多日未复发。
病历6
黄**,女54岁,退休棉纺织职工,因肩部活动受限疼痛前来治疗,自述患有此症状已有多年,之前因工作时好时坏。经诊断为:肩周炎。于患者患处贴敷本发明,2日更换一次,嘱其注意保暖,共贴敷6次,症状痊愈可自行活动。随访半年未有复发。
病历7
高**,男58岁,货车司机,因颈部不适,自感颈部漏风,怕冷,头晕恶心,经诊断:颈椎病,劳损严重,局部肌肉紧张粘连。先用火机烤本发明五秒钟后,将本发明敷于颈椎劳损部位,2日换一次,自感颈椎漏风好转,又贴敷4次后症状痊愈,后嘱其注意休息,随访多日未复发。
病历8
孙**,男19岁,高中在读,因课外活动打篮球不慎扭伤,处理不当导致脚踝部肿大疼痛,行动受限,药店自行购买膏药贴敷,半月余仍有疼感,肿大情况较之前减轻1/3但仍活动受限,贴敷本发明后次日疼痛基本消失,又贴敷3贴后痊愈,后随访无复发。
病历9
师**,女,48岁,农民,因腿部疼痛多年,近日疼痛加剧,前去当地医院就诊,诊断为膝关节半月板撕裂伤,并伴有骨刺,需手术治疗,因惧怕手术及费用,故采取保守治疗,敷用三次,自觉症状缓解,疼痛减轻,嘱其继续贴服,后回访一天比一天见好。
病例10
宋*,男26岁,推拿师,有腰椎间盘突出史(外伤),因工作操作用力不当导致腰部急性扭伤,下肢无力,活动受限,次日来我处交流,嘱其操作方法,局部贴服本发明,再在局部隔药物艾灸15分钟,一日两次。次日,疼痛感大减,可做轻微活动,后继续贴服三日,腰部不适感全无,可自由活动。随访多日未有复发。
Claims (9)
1.一种外用膏药,其特征在于所述外用膏药按照重量份数计包括以下组分:生川乌30-50份、生草乌30-50份、生南星30-50份、洋金花15-20份、细辛8-15份、鸡血藤28-32份、七叶莲28-35份、桑寄生18-23份、全虫5-8条、蜈蚣5-9条、土元78-83份、三七22-28份、乳香98-103份、没药98-103份、延胡索28-35份、当归48-53份、威灵仙28-33份、红花98-103份、栀子48-52份、蒲公英28-32份、大黄98-103份、天花粉48-55份、马钱子28-32份。
2.根据权利要求1所述的一种外用膏药,其特征在于所述外用膏药按照重量份数计还包括以下组分:桑枝13-18份、羌活18-23份、独活8-12份、皂刺28-33份、桂枝18-22份、苍术8-12份、秦艽8-12份、木瓜8-15份、牛膝18-23份、香附48-53份、川芎28-32份、丝瓜络13-18份、骨碎补28-33份、伸筋草12-18份、海风藤23-28份、穿山龙28-32份、宽筋藤28-33份、丹参28-35份。
3.根据权利要求2所述的一种外用膏药,其特征在于所述外用膏药按照重量份数计包括以下组分:生川乌40-50份、生草乌40-50份、生南星42-50份、洋金花18-20份、细辛10-12份、鸡血藤30-32份、七叶莲30-35份、桑寄生20-23份、全虫6-8条、蜈蚣6-9条、土元80-83份、三七25-28份、乳香100-103份、没药100-103份、延胡索30-35份、当归50-53份、威灵仙30-33份、红花100-103份、栀子50-52份、蒲公英30-32份、大黄100-103份、天花粉50-55份、马钱子30-32份、桑枝15-18份、羌活20-23份、独活10-12份、皂刺30-33份、桂枝20-22份、苍术10-12份、秦艽10-12份、木瓜10-15份、牛膝20-23份、香附50-53份、川芎30-32份、丝瓜络15-18份、骨碎补30-33份、伸筋草15-18份、海风藤25-28份、穿山龙30-32份、宽筋藤30-33份、丹参30-35份。
4.根据权利要求3所述的一种外用膏药,其特征在于所述外用膏药按照重量份数计包括以下组分:生川乌45份、生草乌42份、生南星45份、洋金花18份、细辛10份、鸡血藤30份、七叶莲30份、桑寄生20份、全虫6条、蜈蚣6条、土元80份、三七25份、乳香100份、没药100份、延胡索30份、当归50份、威灵仙30份、红花100份、栀子50份、蒲公英30份、大黄100份、天花粉50份、马钱子30份、桑枝15份、羌活20份、独活10份、皂刺30份、桂枝20份、苍术10份、秦艽10份、木瓜10份、牛膝20份、香附50份、川芎30份、丝瓜络15份、骨碎补30份、伸筋草15份、海风藤25份、穿山龙30份、宽筋藤30份、丹参30份。
5.一种如权利要求1所述的一种外用膏药的制备方法,其特征在于所述制备方法包括以下步骤:
(1)按照重量份数计将依次称量的生川乌、生草乌、生南星、洋金花、细辛、鸡血藤、七叶莲、桑寄生、当归、威灵仙、红花、天花粉、马钱子粉碎,加入白酒,每5-7天搅拌一次,密封浸泡49天以上得到药酒;
(2)按照重量份数计依次称量土元、三七、乳香、没药、延胡索、蒲公英、栀子、大黄,再取蜈蚣5-9条以及焙干的全虫5-8条,将上述组分混合后粉碎,过筛,得到药粉;
(3)取步骤(1)中的药酒,过滤、除渣,收集的上清液,备用;
(4)取步骤(2)中的药粉,再加入步骤(3)中上清液,搅拌过程中加入生姜汁,混匀,密封浸泡49天以上,即得。
6.根据权利要求5所述的一种外用膏药的制备方法,其特征在于:步骤(4)中药粉和上清液按照料液比1:1.5-2的比例加入。
7.根据权利要求5所述的一种外用膏药的制备方法,其特征在于:步骤(4)中生姜汁和上清液按照体积比1:5-8的比例加入。
8.如权利要求1-4任一项所述的一种外用膏药在治疗痹症中的应用。
9.如权利要求1-4任一项所述的一种外用膏药在治疗骨科疾病的应用。
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CN112451568A (zh) * | 2021-01-11 | 2021-03-09 | 李清珠 | 一种活络通痹的外用膏药 |
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