CN112451570A

CN112451570A - Postpartum vulva nursing traditional Chinese medicine composition, preparation method and application

Info

Publication number: CN112451570A
Application number: CN202011500663.1A
Authority: CN
Inventors: 高冰; 梁燕; 李艺; 王庆; 黄常友
Original assignee: Zigong Maternal and Child Health Hospital
Current assignee: Zigong Maternal and Child Health Hospital
Priority date: 2020-12-17
Filing date: 2020-12-17
Publication date: 2021-03-09
Anticipated expiration: 2040-12-17
Also published as: CN112451570B

Abstract

The invention provides a traditional Chinese medicine composition for postpartum vulva care, which comprises the following components in parts by weight: 20-40 parts of raw astragalus membranaceus, 20-40 parts of angelica sinensis, 10-20 parts of ligusticum wallichii, 10-20 parts of safflower, 10-20 parts of cassia twig, 10-20 parts of notopterygium root, 10-20 parts of radix angelicae pubescentis, 10-20 parts of rhizoma corydalis, 10-20 parts of erythrina bark, 10-20 parts of fructus cnidii, 5-15 parts of coptis chinensis, 10-20 parts of ligusticum sinensis, 5-15 parts of lithospermum and 0.5-3 parts of borneol, and can quickly solve the problems of swelling, pain, bleeding, pruritus, fear of urination, pruritus, eczema, peculiar smell, relapse of infection of an original birth channel and the like of a postpartum pudendum; the invention also provides a traditional Chinese medicine immersion agent prepared from the traditional Chinese medicine composition and a preparation method thereof, which can exert the drug effect to the maximum extent and improve the positive effect of the curative effect of postpartum vulva care; and the application of the traditional Chinese medicine composition in preparing the medicine for nursing postpartum vulva.

Description

Postpartum vulva nursing traditional Chinese medicine composition, preparation method and application

Technical Field

The invention relates to the technical field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine composition and a preparation for postpartum vulva care, and a preparation method and application thereof.

Background

Natural production causes more or less damage to the cervical os, vaginal walls and vulvar tissues, sometimes to avoid perineal lacerations of a parturient, which are relatively extensive and difficult to handle, obstetricians or midwives usually make the fetus deliver smoothly by means of perineotomy, and the vulva including the perineal area inevitably has local redness, swelling, pain, bleeding, even infection, purulent secretion, pruritus vulvae, etc. Since the wound of the vulva is often affected by postpartum lochia, defecate and urine, postpartum perineum care must be done to promote recovery, otherwise, postpartum genital tract infection and poor healing of perineum wound can be caused, which will affect future life.

Postpartum perineum washing is the routine nursing of the postpartum perineum in the current obstetrical department, and the traditional method basically adopts 0.05 percent povidone iodine washing liquid to wash, so that the aims of cleaning and preventing infection are achieved, but the problems of pruritus vulvae, swelling, pain, bleeding and the like are difficult to solve, and the requirement of a puerpera on the comfort level cannot be improved day by day.

Traditional Chinese medicine has more understanding on postpartum vulva diseases, such as: ming, Von mega tension (essential essences of women, department of miscellaneous diseases after delivery): "Taiquan Dabu Tang" for the reason of the failure of blood and qi to be absorbed and retained due to weak primordial qi and malnutrition of the fetus after delivery. Although the symptoms of severe swelling and heat, cold and cold are contraindicated, the postpartum syndromes are mainly due to the deficiency of qi and blood, and the symptoms of prolapse of yin and prolapse of jade gate are limited by qi deficiency and blood collapse! ' Qing, Chen Hou (lying secreta of child): for the chronic labor excess injury, which leads to swelling and pain at both sides of the vulva and inability of hands and feet to stretch, the four season onion is added with the milk powder and smashed into a cake, and the swelling and pain part is pasted for a long time to cure. The itching of the vulva refers to the disorder of the spleen and stomach, disharmony of qi and blood, subsidence of pectoral qi, detrusor due to damp-heat and insect growth in yin. Itching is caused by eating yin by worms. For treatment, Buzhong Yiqi Tang is added or subtracted with chai Hu. External application for fumigation and washing. The yin gate sores and sinking of damp-heat. "Qing, Fu shan" Fu Qing Master Ladies: for those who are too early to get a birth and feel wind and get pain in the midwifery, the decoction for dispelling wind and relieving pain should be used. "Yin Zhong Chuang recorded hidden sores, or pain or itching, such as worm-shaped, thick and dribbling. Qi and blood stagnation is caused by restlessness of heart and kidney, and weak stomach qi. And (3) cloud passing: all sores and itching are attributed to the heart. For tonifying heart and kidney, the external herbs are used in fumigating and washing, so Shiquan yin gan san. Based on the knowledge, the postpartum vulva is also characterized by blood vessel empty deficiency, qi stagnation and blood stasis, easy damage of cold evil and easy recovery of damp-heat, and is the main pathogenesis of the postpartum vulva,

chinese patent with application number CN201010287150.7 discloses a traditional Chinese medicine composition for treating vulva lichen sclerosus, which is prepared from Ligusticum wallichii, angelica, zedoary, raw Astragalus membranaceus, radix angelicae, gentiana scabra Bunge, radix sophorae flavescentis, pricklyash peel, fructus cnidii, fructus forsythiae, honeysuckle, cape jasmine, wild chrysanthemum flower, houttuynia cordata, raw licorice and alum according to a certain weight ratio, and has the effects of promoting blood circulation, removing blood stasis, diminishing inflammation, promoting granulation, clearing away heat and toxic materials, removing dampness and relieving itching; however, the sophora flavescens and the raw liquorice in the scheme are toxic, and after long-term administration, the five flavors enter the viscera, which is bound to prevail the qi increase, and the traditional Chinese medicine is not suitable for the puerpera with deficiency-cold spleen and stomach; in addition, compendium records that it is not suitable for those who have a deficiency of fire and essence, a deficiency of true origin, and a high age. Therefore, the prescription has many applicable contraindications and the applicable scope is limited. In addition, the technical scheme mainly takes the effects of promoting blood circulation to remove blood stasis, diminishing inflammation and promoting tissue regeneration as starting points, but the effects on swelling, pain, bleeding, pruritus and the like of postpartum vulva are not achieved, and the psychological pressure and the feeling degree of the puerpera caused by the symptoms are not concerned.

Therefore, how to achieve the effects of relieving swelling and pain, stopping bleeding, relieving itching and removing peculiar smell on the premise of daily cleaning and infection prevention is a key problem to be solved urgently.

Disclosure of Invention

The invention aims to provide a traditional Chinese medicine composition for nursing postpartum vulva, which can remarkably relieve various postpartum vulva injuries of patients, and has the advantages of short treatment period, quick response, no toxic or side effect and no irritation.

The second purpose of the invention is to provide a preparation method of the traditional Chinese medicine preparation for nursing postpartum vulva, which can exert the drug effect to the maximum extent and improve the positive effect of treating various postpartum vulva injuries.

The third purpose of the invention is to provide an application of the postpartum vulva nursing traditional Chinese medicine composition in preparing a postpartum vulva nursing medicine.

The embodiment of the invention is realized by the following technical scheme:

a traditional Chinese medicine composition for nursing postpartum vulva comprises the following components in parts by weight: 20-40 parts of raw astragalus membranaceus, 20-40 parts of angelica sinensis, 10-20 parts of ligusticum wallichii, 10-20 parts of safflower, 10-20 parts of cassia twig, 10-20 parts of notopterygium root, 10-20 parts of radix angelicae pubescentis, 10-20 parts of rhizoma corydalis, 10-20 parts of erythrina bark, 10-20 parts of fructus cnidii, 5-15 parts of coptis chinensis, 10-20 parts of ligusticum sinensis, 5-15 parts of lithospermum and 0.5-3 parts of borneol.

An application of a traditional Chinese medicine composition for postpartum vulva care in preparing a medicine for postpartum vulva care. The method specifically comprises the following steps: the vulva has lacerated wound, redness, swelling, pain, bleeding, itching, purulent secretion and other conditions.

A traditional Chinese medicine preparation for postpartum vulva care comprises the traditional Chinese medicine composition and pharmaceutically acceptable auxiliary materials.

Further, the preparation is in the dosage form of a lotion, powder, pill, tablet or the like; preferably an immersion cleaning agent, and the preparation method of the immersion cleaning agent comprises the following steps: weighing the components according to the proportion, cleaning, and then adding the components into water to soak for 0.5-1 h; decocting the soaked materials, filtering, and cooling to obtain the final product.

A method for using a traditional Chinese medicine immersion agent comprises the following steps: fumigating the wound with the decocted high-temperature medicinal liquid until the temperature of the medicinal liquid is reduced to about 40 deg.C, washing perineum with the medicinal liquid 1 time each day in the morning and afternoon, and continuously washing for 4 days.

The technical scheme of the embodiment of the invention at least has the following advantages and beneficial effects:

1. the traditional Chinese medicine composition disclosed by the invention has the advantages that the medicines are combined, the monarch and minister medicines cooperate with each other, the assistant and guide medicines cooperate with each other, the effects of tonifying qi and enriching blood, promoting qi circulation and removing blood stasis, relieving exterior syndrome and dispelling wind, and clearing away damp-heat are achieved, the problems of swelling, pain, bleeding, pruritus, fear of urination, pruritus, eczema, peculiar smell, original birth canal infection recurrence and the like of the postpartum pudendum can be quickly solved, the application range is wide, and the traditional Chinese medicine composition has positive effects of promoting postpartum vulva recovery, improving the psychological pressure of a lying-in woman and improving.

2. The invention is refined by pure traditional Chinese medicines, has short treatment course, quick response, no toxic or side effect, no irritation and more mild and reliable use.

3. Compared with the traditional Chinese medicine composition, the traditional Chinese medicine composition greatly reduces the number of medicines, and clinical curative effect test data prove that the medicine has better effect of treating various postpartum vulva injuries compared with the medicine in the prior art.

Detailed Description

In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below. The examples, in which specific conditions are not specified, were conducted under conventional conditions or conditions recommended by the manufacturer. The reagents or instruments used are not indicated by the manufacturer, and are all conventional products available commercially.

The following specifically describes a traditional Chinese medicine composition, a preparation and an application for postpartum vulva care provided by the embodiment of the invention.

Further, the coating comprises the following components in parts by weight: 20-30 parts of raw astragalus membranaceus, 20-30 parts of angelica sinensis, 15-20 parts of ligusticum wallichii, 15-20 parts of safflower, 15-20 parts of cassia twig, 15-20 parts of notopterygium root, 15-20 parts of radix angelicae pubescentis, 15-20 parts of rhizoma corydalis, 15-20 parts of erythrina bark, 15-20 parts of fructus cnidii, 5-10 parts of coptis chinensis, 15-20 parts of ligusticum sinensis, 5-10 parts of lithospermum and 0.5-2 parts of borneol.

Further, the coating comprises the following components in parts by weight: 20 parts of raw astragalus membranaceus, 20 parts of angelica sinensis, 15 parts of ligusticum wallichii, 15 parts of safflower carthamus, 15 parts of cassia twig, 15 parts of notopterygium root, 15 parts of radix angelicae pubescentis, 15 parts of rhizoma corydalis, 15 parts of erythrina bark, 15 parts of fructus cnidii, 10 parts of coptis chinensis, 15 parts of ligusticum sinensis, 10 parts of lithospermum and 0.5 part of borneol.

Further, the method comprises the following steps of: 25 parts of raw astragalus membranaceus, 25 parts of angelica sinensis, 10 parts of ligusticum wallichii, 10 parts of safflower carthamus, 15 parts of cassia twig, 15 parts of notopterygium root, 10 parts of radix angelicae pubescentis, 10 parts of rhizoma corydalis, 10 parts of erythrina bark, 10 parts of fructus cnidii, 5 parts of coptis chinensis, 10 parts of ligusticum sinensis, 10 parts of lithospermum and 0.5 part of borneol.

1. Pharmacological action of the ingredients

Raw astragalus root: sweet in nature and taste, slightly warm, entering spleen and lung channels, invigorating qi, consolidating superficial resistance, inducing diuresis to alleviate edema, removing toxicity, expelling pus, healing sore and promoting granulation. It is commonly used to treat qi deficiency and hypodynamia, collapse of middle-jiao energy, hematochezia and metrorrhagia, exterior deficiency and spontaneous perspiration, edema due to qi deficiency, chronic ulceration and no convergence, blood deficiency and yellow complexion, internal heat and diabetes.

Chinese angelica: sweet and pungent in flavor and warm in nature. It enters liver, heart and spleen meridians. Tonify blood, activate blood, regulate menstruation, alleviate pain, moisten intestines to relieve constipation. Can be used for treating blood deficiency, sallow complexion, giddiness, palpitation, menoxenia, amenorrhea, dysmenorrhea, asthenia cold, abdominal pain, rheumatalgia, traumatic injury, superficial infection, pyocutaneous disease, intestinal dryness, and constipation.

Ligusticum wallichii: pungent and warm in nature and flavor. It enters liver, gallbladder and pericardium meridians. Promote blood circulation and move qi, dispel wind and alleviate pain. Can be used for treating menoxenia, amenorrhea, dysmenorrhea, abdominal pain, pricking pain in chest and hypochondrium, traumatic injury, swelling and pain, headache, and rheumatalgia.

Safflower: pungent flavor and warm nature. It enters heart and liver meridians. Promoting blood circulation, dredging channels, removing blood stasis and relieving pain. Can be used for treating amenorrhea, dysmenorrhea, lochiorrhea, abdominal mass, thoracic obstruction, cardialgia, abdominal pain due to blood stasis, pricking pain in chest and hypochondrium, traumatic injury, and pyocutaneous disease with swelling and pain.

Cassia twig: pungent and sweet in flavor and warm in nature. It enters lung, heart and bladder meridians. Induce sweating to relieve exterior syndrome, dispel cold to alleviate pain, activate yang to regulate qi. Can be used for treating common cold due to wind-cold, pain due to cold accumulation and blood stagnation, phlegm retention, water retention syndrome, and palpitation.

Notopterygium root: pungent and bitter with warm nature. Enter bladder and kidney meridians. Relieve exterior syndrome, dispel cold, expel wind and remove dampness, and alleviate pain. Wind-cold type common cold, wind-cold-dampness arthralgia, stiff neck, spasm of tendons and tendons, soreness and pain of joints, edema due to wind-damp, superficial infection and sore-toxin.

Radix angelicae pubescentis: pungent and bitter with slightly warm nature. It enters kidney and bladder meridians. Dispel wind and dampness, relieve arthralgia and alleviate pain. Can be used for treating arthralgia due to wind-cold-dampness, lumbago, gonalgia, headache due to wind-cold-yin deficiency, and headache due to wind-cold-dampness.

Rhizoma corydalis: pungent, bitter and warm. It enters liver and spleen meridians. Activate blood, move qi and alleviate pain. Can be used for treating chest and hypochondrium, abdominal pain, thoracic obstruction, cardialgia, amenorrhea, dysmenorrhea, puerperal blood stasis, traumatic injury, and swelling and pain.

Erythrina bark: bitter in property and mild in taste. It enters liver and kidney meridians. Dispel wind-damp, relax muscles and tendons and dredge collaterals. Can be used for treating rheumatism, numbness, lumbago, leg pain, bone and muscle pain, and traumatic injury; it is used externally to treat various kinds of stubborn dermatitis.

Fructus cnidii: pungent and bitter with warm nature. It enters kidney meridian. Dry dampness and dispel wind, kill parasites and relieve itching, warm kidney and strengthen yang. Can be used for treating pruritus vulvae, leukorrhagia, eczema, pruritus, lumbago due to damp arthralgia, sexual impotence due to kidney deficiency, and infertility due to cold womb.

Coptis chinensis: bitter taste and cold nature. It enters heart, spleen, stomach, liver, gallbladder and large intestine meridians. Clear heat and dry dampness, purge fire and remove toxicity. Dampness-heat fullness, vomiting, acid regurgitation, dysentery, jaundice, high fever, coma, hyperactivity of heart-fire, vexation, insomnia, palpitation, hematemesis, epistaxis, conjunctival congestion, toothache, diabetes, carbuncle, swelling and sore; it is used externally to treat eczema, eczema and purulent ear canal.

Ligusticum: pungent flavor and warm nature. It enters bladder meridian. Dispel wind and cold, remove dampness and alleviate pain. Can be used for treating wind-cold exterior syndrome, parietal pain, and rheumatic arthralgia.

Lithospermum: sweet, salty and cold in nature and taste; heart and liver meridian entered; cool blood, activate blood, remove toxicity and promote eruption. Can be used for treating blood heat and toxic materials, macula purple black, measles without adequate eruption, pyocutaneous disease, eczema, and scald due to hot water and fire. Warm macula, damp-heat jaundice, purpura, vomiting, epistaxis, hematuria, stranguria with turbid urine, heat accumulation constipation, burn, eczema, erysipelas, and carbuncle and ulcer.

Borneol: pungent, bitter and slightly cold in nature. It enters heart, spleen and lung meridians. Induce resuscitation and refresh mind, clear heat and alleviate pain. Can be used for treating fever unconsciousness, convulsion syncope, apoplexy with phlegm syncope, qi stagnation and sudden syncope, coma, conjunctival congestion, aphtha, sore throat, and purulence in ear canal.

2. The pharmacological effects of the traditional Chinese medicine composition are as follows:

the inventor finds that the Chinese medicinal theory guides, years of clinical observation and practice summarization: postpartum vulva has the characteristics of blood vessel empty deficiency, qi stagnation and blood stasis, easy damage to cold evil and easy recovery of damp-heat, and is also the pathogenesis of the postpartum vulva, so the treatment principle should be both strengthening body resistance and eliminating evil, and the treatment principle should be to tonify qi and enrich blood, promote qi circulation and remove blood stasis, relieve exterior syndrome and expel wind, and clear away dampness and heat.

Therefore, the raw astragalus root, which tonifies qi and the angelica, which enriches blood, are mainly used as monarch drugs in the traditional Chinese medicine composition. The rhizoma ligustici wallichii and the safflower are used as ministers to promote qi and blood circulation so as to relieve swelling; gui Zhi warms and unblocks blood vessels to circulate blood. Notopterygii rhizoma and radix Angelicae Pubescentis can relieve exterior syndrome and expel pathogenic wind; corydalis tuber and erythrina bark can relieve pain; fructus Cnidii and Coptidis rhizoma have effects of clearing dampness and heat, and can be used for treating pain in yin of housewife; rhizoma Ligustici for treating hernia and cold swelling and pain of yin of women; zi Cao has the actions of cooling blood, promoting blood circulation, clearing heat and removing toxicity. Borneol is used as a guiding drug for dispersing stagnated fire, promoting bone heat, promoting tissue regeneration and alleviating pain.

The medicines are combined, the monarch and minister medicines cooperate with each other, and the assistant and guide medicines cooperate with each other to play the roles of tonifying qi and enriching blood, promoting qi circulation and removing blood stasis, relieving exterior syndrome and dispelling wind, and clearing away damp-heat, and the traditional Chinese medicine aims to solve the problems of postpartum pudendum swelling, pain, bleeding, pruritus, fear and urination, pruritus, primary birth canal infection recurrence and the like.

The preparation is in the form of a lotion, powder, pill or tablet; preferably an immersion cleaning agent, and the preparation method of the immersion cleaning agent comprises the following steps: weighing the components according to the proportion, cleaning, and then adding the components into water to soak for 0.5-1 h; decocting the soaked medicines twice, wherein the first decoction is as follows: boiling with strong fire, and decocting for 20-30 minutes; during the second decoction: decocting with slow fire for 15-20 min; mixing the two decoctions, and filtering to obtain the final product. Through two times of decoction and control of different temperatures, the medicine effect can be exerted to the maximum extent, and the positive effect of the medicine treatment is improved.

The using method of the immersion cleaning agent comprises the following steps: fumigating the wound with the decocted high-temperature medicinal liquid until the temperature of the medicinal liquid is reduced to about 40 deg.C, washing perineum with the medicinal liquid 1 time each day in the morning and afternoon, and continuously washing for 4 days.

The invention relates to application of a traditional Chinese medicine composition in preparation of a postpartum vulva care medicine. Specifically, the method comprises the following steps: the vulva has lacerated wound, redness, swelling, pain, bleeding, itching, purulent secretion and other conditions.

Example 1

A traditional Chinese medicine composition for postpartum vulva care comprises: 20g of raw astragalus membranaceus, 20g of angelica sinensis, 10g of ligusticum wallichii, 10g of safflower, 10g of cassia twig, 10g of notopterygium root, 10g of radix angelicae pubescentis, 10-20g of rhizoma corydalis, 10g of erythrina bark, 10g of fructus cnidii, 5g of coptis chinensis, 10g of ligusticum sinensis, 5g of lithospermum and 0.5g of borneol.

Example 2

A traditional Chinese medicine composition for postpartum vulva care comprises: 40g of raw astragalus, 40g of angelica, 20g of ligusticum wallichii, 20g of safflower, 20g of cassia twig, 20g of notopterygium root, 20g of radix angelicae pubescentis, 20g of rhizoma corydalis, 20g of erythrina bark, 20g of fructus cnidii, 15g of coptis chinensis, 20g of ligusticum, 15g of lithospermum and 3g of borneol.

Example 3

A traditional Chinese medicine composition for postpartum vulva care comprises: 20g of raw astragalus membranaceus, 20g of angelica sinensis, 15g of ligusticum wallichii, 15g of safflower, 15g of cassia twig, 15g of notopterygium root, 15g of radix angelicae pubescentis, 15g of rhizoma corydalis, 15g of erythrina bark, 15g of fructus cnidii, 10g of coptis chinensis, 15g of ligusticum sinensis, 10g of lithospermum and 0.5g of borneol.

Example 4

A traditional Chinese medicine composition for postpartum vulva care comprises: 25g of astragalus mongholicus, 25g of angelica sinensis, 10g of ligusticum wallichii, 10g of safflower carthamus, 15g of cassia twig, 15g of notopterygium root, 10g of radix angelicae pubescentis, 10g of rhizoma corydalis, 10g of erythrina bark, 10g of fructus cnidii, 5g of coptis chinensis, 10g of ligusticum sinensis, 10g of lithospermum and 0.5g of borneol.

Example 5

A traditional Chinese medicine composition for postpartum vulva care comprises: 30g of raw astragalus, 30g of angelica, 20g of ligusticum wallichii, 20g of safflower, 20g of cassia twig, 20g of notopterygium root, 20g of radix angelicae pubescentis, 20g of rhizoma corydalis, 20g of erythrina bark, 20g of fructus cnidii, 10g of coptis chinensis, 20g of ligusticum, 10g of lithospermum and 2g of borneol.

Example 6

A traditional Chinese medicine composition for postpartum vulva care comprises: 25g of raw astragalus membranaceus, 25g of angelica sinensis, 18g of ligusticum wallichii, 18g of safflower, 16g of cassia twig, 16g of notopterygium root, 16g of radix angelicae pubescentis, 16g of rhizoma corydalis, 16g of erythrina bark, 16g of fructus cnidii, 8g of coptis chinensis, 16g of ligusticum sinensis, 8g of lithospermum and 1g of borneol.

Example 7

A traditional Chinese medicine composition for postpartum vulva care comprises: 35g of raw astragalus, 35g of angelica, 13g of ligusticum wallichii, 13g of safflower, 13g of cassia twig, 13g of notopterygium root, 13g of radix angelicae pubescentis, 13g of rhizoma corydalis, 13g of erythrina bark, 13g of fructus cnidii, 10g of coptis chinensis, 16g of ligusticum, 12g of lithospermum and 2g of borneol.

Example 8

A traditional Chinese medicine composition for postpartum vulva care comprises: 20g of raw astragalus membranaceus, 30g of angelica sinensis, 15g of ligusticum wallichii, 15g of safflower, 15g of cassia twig, 15g of notopterygium root, 15g of radix angelicae pubescentis, 15g of rhizoma corydalis, 15g of erythrina bark, 15g of fructus cnidii, 7g of coptis chinensis, 18g of ligusticum sinensis, 11g of lithospermum and 0.5g of borneol.

Example 9

Based on example 2, the following method was used to prepare a traditional Chinese medicine lotion: weighing the components according to the proportion in the embodiment 2, cleaning, and then adding the components into water to soak for 0.5 h; decocting the soaked medicines twice, wherein the first decoction is as follows: boiling with strong fire and then decocting for 20 minutes; during the second decoction: decocting with slow fire for 15 min; mixing the two decoctions, and filtering to obtain the final product.

Example 10

Based on example 4, a traditional Chinese medicine lotion was prepared by the following method: weighing the components according to the proportion in the embodiment 4, cleaning, and then adding the components into water to soak for 1 h; decocting the soaked medicines twice, wherein the first decoction is as follows: boiling with strong fire and then decocting for 30 minutes; during the second decoction: decocting with slow fire for 20 min; mixing the two decoctions, and filtering to obtain the final product.

Example 11

Based on example 6, a traditional Chinese medicine lotion was prepared by the following method: weighing the components according to the proportion in the embodiment 6, cleaning, and then adding the components into water to soak for 0.5 h; decocting the soaked medicines twice, wherein the first decoction is as follows: boiling with strong fire and then decocting for 30 minutes; during the second decoction: decocting with slow fire for 20 min; mixing the two decoctions, and filtering to obtain the final product.

Example 12

Based on example 8, a traditional Chinese medicine lotion was prepared by the following method: weighing the components according to the proportion in the embodiment 8, cleaning, and then adding the components into water to soak for 0.5 h; decocting the soaked medicines twice, wherein the first decoction is as follows: boiling with strong fire and then decocting for 25 minutes; during the second decoction: decocting with slow fire for 20 min; mixing the two decoctions, and filtering to obtain the final product.

Examples of the experiments

(1) Subject: 350 lying-in women are selected from the lying-in women who are delivered via the vagina from 10/1/2020 to 11/30/2020 and have perineal lateral incisions and II-degree perineal lacerations. Among them, 85 cases of perineal lateral incision and 265 cases of perineal II degree laceration. It is divided into 2 groups according to the random number table method:

control group: 178 cases, 44 cases of perineal lateral excision, 130 cases of perineal II degree laceration, age 22-33 years, and average age 25.48 years.

Observation group: 172 cases, wherein 41 cases of perineal lateral excision, 135 cases of perineal II degree laceration, the age is 22-34 years, and the average age is 26.07 years.

The demographic data and perineal status of 2 groups of lying-in women were analyzed and were not statistically significant (P > 0.05).

(2) Inclusion criteria were: firstly, no infection exists before birth; ② the postpartum hemorrhage amount is less than 500 ml; ③ no special medicine is used after delivery; fourthly, the age of the lying-in woman is 22 to 34 years old.

(3) The application and observation method comprises the following steps:

control group: 178 cases, povidone iodine rinsing, which is to rinse perineum with 0.05% povidone iodine solution twice a day and continuously for 4 days on the day after delivery of the parturient;

observation group: 172 cases, the application method of the lotion provided in this embodiment 12 is used on the day after parturition of the parturient, the wound is fumigated until the temperature of the lotion is reduced to about 40 ℃, and then the wound is washed for 4 days, 1 time each in the morning and afternoon each day;

(4) standard of care

(4.1) perineal incision healing criteria:

and (3) grade A healing: the perineum wound is well healed;

healing grade B: red swelling, induration and thritis at the perineal wound;

healing grade C: purulent infection and dehiscence appear in perineal wound.

The first grade healing is good for wound healing, and the second grade healing and the third grade healing are poor for wound healing.

(4.2) grading criteria for pain intensity (WHO grading criteria for pain):

no pain: no pain or slight heaving discomfort;

mild pain: can be tolerated without affecting sleep;

moderate pain: slightly severe, slightly affecting sleep;

severe pain: violence cannot be tolerated and sleep is severely affected.

(4.3) diagnostic criteria for eczema: severe skin damage, pruritus, erosion, incrustation and other symptoms.

(5) The experimental results are as follows:

(5.1) two groups of parturients were compared for wound healing and the results are shown in Table 1.

TABLE 1 comparison of wound healing in two groups of women

Group of	Number of examples	Grade a healing/rate of healing	Grade B healing/rate of healing	Grade C healing/rate of healing
					Control group	178	176/(98.9％)	2/(1.1％)	0/(0％)
Observation group	172	169/(98.3％)	3/(1.7％)	0/(0％)

As can be seen from Table 1: the grade A healing rate of the observation group is 98.3 percent, the grade A healing rate of the control group is 98.9 percent, and the difference has no statistical significance (P is more than 0.05).

(5.2) the degree of wound pain was compared between the two groups of women and the results are shown in Table 2.

TABLE 2 statistical table of the treatment results of various skin diseases

Group of	Number of examples	Mild pain/pain rate	Moderate pain/pain rate	Severe pain/pain rate
					Control group	178	156/(87.6％)	22/(12.4％)	0/(0％)
Observation group	172	166/(96.5％)	6/(3.5％)	0/(0％)

As can be seen from the data in Table 2: the observed group had a mild pain rate of 96.5% and a moderate pain rate of 3.5%, and the control group had a mild pain rate of 87.6% and a moderate pain rate of 12.4%; the difference was statistically significant (P <0.05),

(5.3) the eczema occurrence of the two groups of puerpera are compared, and the results are shown in the table 3.

TABLE 3 comparison of eczema occurrence in two groups of women

As can be seen from the data in Table 3: the observed group had perineal pruritus of 6 cases accounting for 3.5%, perineal eczema of 2 cases accounting for 1.2%, the control group had perineal pruritus of 11 cases accounting for 6.2%, and perineal eczema of 6 cases accounting for 3.4%, and the differences had statistical significance (P < 0.05).

From the above data, it can be seen that: the lotion prepared by the traditional Chinese medicine composition provided by the invention has the effects of activating blood circulation, relieving pain, clearing heat, drying dampness, detoxifying, dispelling cold, killing parasites, relieving itching and the like, can effectively solve the problems of perineum wound infection, pain, pruritus, eczema, peculiar smell and the like after delivery, and particularly has a remarkable curative effect on relieving local pain and swelling; and the feedback of the patient has no irritation, the use is convenient, the curative effect is quick, and no side effect exists.

Typical case data:

1. zhou Yi Li, woman, hospitalization number: 324799, the patient can live baby in the same delivery process because of 40+2 weeks pregnancy and 5+ hours vaginal flow. The perineum is obviously edematous and painful after delivery. The Chinese medicinal lotion for treating puerperal perineum is applied to perineum twice a day. After continuous treatment for 4 days, perineum pain is obviously relieved, and edema is obviously relieved.

2. Day autumn, woman, hospitalization: 324372, the patient can live her baby in good birth in 40+2 weeks. Hemorrhoids can be seen in the postpartum anus, and postpartum perineum edema and pain are obvious. The Chinese medicinal lotion for treating puerperal perineum is applied to perineum twice a day. After continuous treatment for 4 days, perineum pain is obviously relieved, and edema is obviously relieved.

3. Zhangchang, woman, hospitalization number: 325057, the patient was born for 39+1 weeks and was born with a live baby. Hemorrhoids can be seen in the postpartum anus, and postpartum perineum edema and pain are obvious. The Chinese medicinal lotion for treating puerperal perineum is applied to perineum twice a day. After continuous treatment for 4 days, perineum pain is obviously relieved, and edema is obviously relieved.

In conclusion, the traditional Chinese medicine composition for nursing the postpartum vulva is externally applied, the medicine is fumigated and is flushed on an affected part, the medicine is diffused and flows away, the medicine enters skin pores through the acupoint, the medicine is absorbed by the position and is enabled to directly reach the focus through the action of channels and collaterals, the treatment purpose is realized, the symptoms are rapidly relieved, the state of an illness is controlled, particularly the problems of perineum wound infection, pain, pruritus, eczema, peculiar smell and the like after delivery are solved, particularly the traditional Chinese medicine composition has a remarkable curative effect on relieving local pain and swelling, is simple to manufacture, low in cost and easy to master, has an obvious perineum nursing effect after delivery, and can objectively promote postpartum recovery, improve the adverse psychological state and improve the feeling of a puerpera.

Claims

1. The traditional Chinese medicine composition for nursing postpartum vulvae is characterized by comprising the following components in parts by weight: 20-40 parts of raw astragalus membranaceus, 20-40 parts of angelica sinensis, 10-20 parts of ligusticum wallichii, 10-20 parts of safflower, 10-20 parts of cassia twig, 10-20 parts of notopterygium root, 10-20 parts of radix angelicae pubescentis, 10-20 parts of rhizoma corydalis, 10-20 parts of erythrina bark, 10-20 parts of fructus cnidii, 5-15 parts of coptis chinensis, 10-20 parts of ligusticum sinensis, 5-15 parts of lithospermum and 0.5-3 parts of borneol.

2. The traditional Chinese medicine composition for postpartum vulva care of claim 1, which comprises, in parts by weight: 20-30 parts of raw astragalus membranaceus, 20-30 parts of angelica sinensis, 15-20 parts of ligusticum wallichii, 15-20 parts of safflower, 15-20 parts of cassia twig, 15-20 parts of notopterygium root, 15-20 parts of radix angelicae pubescentis, 15-20 parts of rhizoma corydalis, 15-20 parts of erythrina bark, 15-20 parts of fructus cnidii, 5-10 parts of coptis chinensis, 15-20 parts of ligusticum sinensis, 5-10 parts of lithospermum and 0.5-2 parts of borneol.

3. The traditional Chinese medicine composition for postpartum vulva care of claim 1, which comprises, in parts by weight: 20 parts of raw astragalus membranaceus, 20 parts of angelica sinensis, 15 parts of ligusticum wallichii, 15 parts of safflower carthamus, 15 parts of cassia twig, 15 parts of notopterygium root, 15 parts of radix angelicae pubescentis, 15 parts of rhizoma corydalis, 15 parts of erythrina bark, 15 parts of fructus cnidii, 10 parts of coptis chinensis, 15 parts of ligusticum sinensis, 10 parts of lithospermum and 0.5 part of borneol.

4. The traditional Chinese medicine composition for postpartum vulva care of claim 1, which comprises, in parts by weight: 25 parts of raw astragalus membranaceus, 25 parts of angelica sinensis, 10 parts of ligusticum wallichii, 10 parts of safflower carthamus, 15 parts of cassia twig, 15 parts of notopterygium root, 10 parts of radix angelicae pubescentis, 10 parts of rhizoma corydalis, 10 parts of erythrina bark, 10 parts of fructus cnidii, 5 parts of coptis chinensis, 10 parts of ligusticum sinensis, 10 parts of lithospermum and 0.5 part of borneol.

5. Use of a Chinese medicinal composition according to any one of claims 1 to 4 in the manufacture of a medicament for postpartum vulvar care.

6. A traditional Chinese medicine preparation for postpartum vulva care, which is characterized by comprising the traditional Chinese medicine composition of any one of claims 1 to 4 and pharmaceutically acceptable auxiliary materials.

7. The postpartum vulva care traditional Chinese medicine preparation according to claim 6, wherein the preparation is in the form of a lotion, powder, pill or tablet.

8. A method of preparing an immersion lotion for postpartum vulva care as claimed in claim 6, comprising the steps of: weighing the components according to the proportion, cleaning, and then adding the components into water to soak for 0.5-1 h; decocting the soaked materials, and filtering to obtain the final product.

9. The method for preparing an immersion lotion for postpartum vulva care as claimed in claim 8, wherein the decoction is performed at least twice, and then the filtered liquid medicine after the decoction is mixed.

10. The method for preparing an immersion lotion for postpartum vulva care as claimed in claim 8, wherein the decoction is carried out twice, the first decoction being: boiling with strong fire, and decocting for 20-30 minutes; during the second decoction: decocting with slow fire for 15-20 min.