AU2021100899A4 - TCM Cataplasm for Dampness heat Acne and Its Preparation Method - Google Patents

TCM Cataplasm for Dampness heat Acne and Its Preparation Method Download PDF

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AU2021100899A4
AU2021100899A4 AU2021100899A AU2021100899A AU2021100899A4 AU 2021100899 A4 AU2021100899 A4 AU 2021100899A4 AU 2021100899 A AU2021100899 A AU 2021100899A AU 2021100899 A AU2021100899 A AU 2021100899A AU 2021100899 A4 AU2021100899 A4 AU 2021100899A4
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pbw
dampness
cataplasm
tcm
heat
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Xiaohui Chen
Yulong Chen
Yajun Jiang
Kunshan LI
Pengwei LI
Cuitian Lyu
Guoli Yan
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Henan University of Traditional Chinese Medicine HUTCM
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Henan University of Traditional Chinese Medicine HUTCM
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/60Moraceae (Mulberry family), e.g. breadfruit or fig
    • A61K36/605Morus (mulberry)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/23Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/23Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
    • A61K36/232Angelica
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/282Artemisia, e.g. wormwood or sagebrush
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/288Taraxacum (dandelion)
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    • A61K36/39Convolvulaceae (Morning-glory family), e.g. bindweed
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    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/484Glycyrrhiza (licorice)
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • A61K36/539Scutellaria (skullcap)
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    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
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    • A61K36/18Magnoliophyta (angiosperms)
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    • A61K36/75Rutaceae (Rue family)
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    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/899Poaceae or Gramineae (Grass family), e.g. bamboo, corn or sugar cane
    • A61K36/8994Coix (Job's tears)
    • AHUMAN NECESSITIES
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    • A61P17/00Drugs for dermatological disorders
    • A61P17/10Anti-acne agents
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    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/333Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using mixed solvents, e.g. 70% EtOH
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    • A61K2236/50Methods involving additional extraction steps
    • A61K2236/51Concentration or drying of the extract, e.g. Lyophilisation, freeze-drying or spray-drying
    • AHUMAN NECESSITIES
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Abstract

This invention discloses a Traditional Chinese Medicine (TCM) cataplasm for dampness-heat acne, which comprises white mulberry root-bark, cortex dictamni, scutellaria baicalensis, herb of indian lettuce, dandelion, angelica sinensis, stem of obtuseleaf erycibe, peony bark, coix seed, spina gleditsiae, photinia leaf, saposhnikovia divaricata (trucz.) schischk., herbaartemisiae scopariae, licorice and polyvinyl alcohol. A TCM cataplasm for dampness-heat acne as described in this invention, where multiple medicines are reasonably compatible, applies to the treatment requirements of complicated diseases to reduce adverse reactions, having stable curative effects, tackling symptoms and root causes without side effects, effective to clear heat and dampness, relieve exterior syndrome and remove stasis, and detoxify and eliminate sores in treating dampness-heat acne. In addition, this mask (cataplasm) is easy to use without the need to wash, and it is valuable to be widely promoted and applied.

Description

TCM Cataplasm for Dampness-heat Acne and Its Preparation Method
Technical Field
This invention relates to the medical technology field, and involves a TCM
cataplasm for dampness-heat acne and its preparation method.
Background
Acne is a chronic inflammatory skin disease relating to hair follicles and
sebaceous glands, which mainly happens in the youth and generally alleviates or cures
until the adulthood or middle age. Some patients with more serious diseases, however,
would have scars even after they are healed. Also named "comedones" or "lung-wind
acne" in TCM, acne would typically bring a higher incidence rate, repeated attacks
and complicated causes, and relates to endocrine dysfunction, genetics, diet, hair
follicle blockage, microbial infection and others.
TCM regards this disease as resulting from dysfunctional organs by exogenous
pathogenic factors, emotions or dietary factors, presenting internal implications and
pathogenic heats and reflected on the skin. The patients usually have red papules or
pustules on the forehead, cheek, malar and lower mandible either in red color or dark
red, accompanied with white-head or black-head acne, oily skin around and local
sense of pains, forming local nodules or cysts over time. In addition to local skin
symptoms, the patients are generally suffered from bitter taste, dysphoria,
constipation or loose stools and other manifestations.
Now acne is treated following the principle of syndrome differentiation and
treatment in TCM. Acne is typically divided into lung through the wind heat, hot and humid coagulation, phlegm wet condensation and treated with traditional Chinese medicines that are effective to clear lung heat, dispel wind and relieve surface, promote blood circulation, remove stasis and resolve phlegm, or by topical applications including external washing and dressing. However, since the young people have a fast pace of life and less acceptance to take traditional Chinese medicines and external washing and dressing from the aspect of clinical practices, it is necessary to develop and research an effective, convenient and easy-to-use therapeutic method for young patients.
Summary
This invention is aimed to provide a TCM cataplasm for dampness-heat acne
having stable curative effects, tackling symptoms and root causes and convenient use
to make up for the shortcomings of the existing technology.
This invention also provides the preparation method for this TCM cataplasm.
To achieve the above purpose, the technical scheme is as follows:
A TCM cataplasm for dampness-heat acne which consists of the following raw
materials at the dosage below: white mulberry root-bark 40-50 PBW, cortex dictamni
-50 PBW, scutellaria baicalensis 20-40 PBW, herb of indian lettuce 15-25 PBW,
dandelion 40-50 PBW, angelica sinensis 25-35 PBW, stem of obtuseleaf erycibe
-10 PBW, peony bark 20-40 PBW, coix seed 30-40 PBW, spina gleditsiae 20-30
PBW, photinia leaf 4-8 PBW, saposhnikovia divaricata (trucz.) schischk. 10-30 PBW,
herbaartemisiae scopariae 20-30 PBW, licorice 20-30 PBW, polyvinyl alcohol
200-400 PBW.
A preferred TCM cataplasm for dampness-heat acne which consists of the following raw materials at the dosage below: white mulberry root-bark 45 PBW, cortex dictamni 45 PBW, scutellaria baicalensis 30 PBW, herb of indian lettuce 20
PBW, dandelion 45 PBW, angelica sinensis 30 PBW, stem of obtuseleaf erycibe 7
PBW, peony bark 30 PBW, coix seed 36 PBW, spina gleditsiae 25 PBW, photinia leaf
6 PBW, saposhnikovia divaricata (trucz.) schischk. 20 PBW, herbaartemisiae
scopariae 25 PBW, licorice 25 PBW, polyvinyl alcohol 300 PBW.
For the preparation method, a TCM cataplasm for dampness-heat acne which is
prepared by the following steps:
1) All raw materials are weighed by PBW, and then soaked in cold water for 0.5h,
boiled by high fire, and then decocted by slow fire for 0.5h. They are filtered to get
the filter liquor;
2) The filter liquor is vacuum concentrated to the extractum with a relative
density of 1.3-1.4 that is added with 50-60% by volume of ethanol precipitation after
cooling, then kept for 12h. They are filtered to get the liquid supernatant and collect
ethanol and concentrated to the extractum with a relative density of 1.05-1.1 at 60°C;
3) Polyvinyl alcohol is added into pure water, heated and dissolved at 80-90°C
and then cooled to the room temperature, finally getting the colloidal liquid;
4) The extractum is well mixed with the colloidal liquid to get the above
aforesaid TCM cataplasm for dampness-heat acne.
The weight ratio of the aforesaid polyvinyl alcohol and pure water is 1:1-2.
Method of application: The TCM cataplasm for dampness-heat acne referred to
in this invention is even applied in the acne site away from the periocular location,
once a day and with 10 days as a course of treatment.
The pharmacology of all raw materials is described as follows:
White mulberry root-bark: Purge lungs to relieve asthma, and reduce swelling
through water. Treat lung heat and asthma cough, vomiting blood, edema, beriberi,
difficult urination.
Cortex dictamni: It tastes bitter and salty loaded with cold Yin energy. It acts on
the spleen, lung, small intestine, stomach and bladder meridian. Clear heat and
dryness, dispel wind and stop itching, and detoxify. Treat rubella, eczema, scabies,
jaundice, dampness and heat syndromes caused by wind, heat, dampness and toxicity.
Scutellaria baicalensis: It tastes bitter loaded with cold Yin energy. It acts on the
lung, gallbladder, spleen, large intestine and small intestine. Clear heat and dampness,
reduce fire and detoxify, effect hemostasis, prevent miscarriage, and lower blood
pressure. It is used for damp-warm syndrome, warm disease in summer, chest distress,
nausea, dampness-heat syndrome, distention and fullness, dysentery, jaundice, lung
heat, cough, hyperpyrexia, polydipsia, blood heat, vomiting, carbuncle and swelling,
sore poison and threatened abortion.
Herb of indian lettuce: It tastes bitter loaded with cold Yin energy. It functions to
clear heat and detoxify, promote blood circulation and remove blood stasis, and
strengthen stomach. This medicine can treat appendicitis, tonsillitis, sore furuncle and
pyogenic infections, indigestion, postpartum blood stasis.
Dandelion: It tastes sweet and slightly bitter loaded with cold Yin energy. Clear
heat and detoxify, relieve swelling and remove stasis. It effects the upper respiratory
tract infection, conjunctivitis, mumps, hyperglycemia, milk carbuncle sore, gastritis,
diarrhea, hepatitis, bile duct inflammation, acute appendicitis, urinary tract infection, pelvic inflammatory disease, carbuncle furuncle and deep-rooted boil, pharyngitis.
Dandelion also acts on acute mastitis, lymphadenitis, scrofula, furunculosis and sore
swelling, acute conjunctivitis, cold fever, acute tonsillitis, acute bronchitis and urinary
tract infection.
Angelica sinensis: It tastes sweet, pungent and bitter loaded with warm energy. It
acts on liver, heart and spleen. Tonify blood, activate blood, regulate menstruation and
relieve pain, moisten dryness and smoothen intestines. It can treat symptoms of blood
deficiency, irregular menstruation, amenorrhea, dysmenorrhea, abdominal mass and
accumulation, metrorrhagia and metrostaxis, deficiency and abdominal pain, fistula
paralysis, skin numbness, bowel dryness and difficulty, diarrhea after severe, ulcer
and lesions, injury and pain.
Stem of obtuseleaf erycibe : It tastes pungent loaded with warm energy. It acts on
liver, spleen and stomach. It can dispel rheumatic pains and dehumidify, relieve
swelling and relieve pain, and it is used for rheumatoid arthritis, chronic infectious
arthritis, sciatica, hemiplegia and swelling pain.
Peony bark: It tastes bitter and pungent loaded with slightly cold Yin energy. It
acts on heart, liver and spleen. Clear heat and cool blood, promote blood circulation
and dissipate blood stasis. It acts on warm heat diseases, fever into the blood system,
blotches, vomiting and epistaxis, fever and Yin heat in the late stage of pyreticosis,
hectic fever due to Yin deficiency, blood stagnation amenorrhea, dysmenorrhea,
carbuncle swelling sore, pain and injury and rheumatic fever.
Coix seed: It tastes sweet and light loaded with cool Yin energy. It acts on spleen,
stomach and lung. Invigorate the spleen and excrete dampness, eliminate pain and
diarrhea, clear heat and discharge swelling. This medicine is used for edema, barbiers, difficult urination, alleviating arthritis with fixed pain caused by dampness, spleen deficiency and diarrhea, pulmonary abscess, intestinal carbuncle and flat warts.
Spina gleditsiae: It tastes pungent loaded with warm energy. It acts on liver and
lung. Sterilize and penetrate into pus, relieve deep rheumatism and kill insects. This
mainly acts on carbuncle-abscess and pyogenic infections, scrofula, shingles and
stubborn dermatitis, postpartum milk deficiency, retained fetal membranes and
rheumatism.
Photinia leaf: It tastes pungent and bitter loaded with neutral energy. It can dispel
rheumatism, dredge collaterals and tonify the kidney. It is used for wind-warm
syndrome and arthralgia, back pain, foot and knee weakness and migraine.
Saposhnikovia divaricata (trucz.) schischk.: It tastes pungent and sweet loaded
with slightly warm energy. It acts on bladder, liver and spleen. It can dispel wind-evil
syndrome and solve exterior syndromes, relieve dampness and relieve pain, stop
spasm and eliminate convulsion. It treats exogenous symptoms, rubella and pruritus,
rheumatism pain and tetanus.
herbaartemisiae scopariae: It tastes bitter and pungent loaded with slightly cold
Yin energy. It acts on spleen, stomach, liver and bladder. Clear dampness and heat,
eliminate jaundice. It is also used for jaundice and oliguria, eczema and pruritus, and
infectious icteric hepatitis.
Licorice: It tastes sweet loaded with neutral energy. It acts on heart, lung, spleen
and stomach. It can nourish spleen and invigorate Qi, clear heat and detoxify, expel
phlegm to arrest coughing, relieve spasm and pain, coordinate drug actions. It is used
for spleen and stomach weakness, tiredness and lacking in strength, shortness of breath, palpitation, cough, phlegm, acute pain in abdomen, spasm and pain in limbs, carbuncle swelling and sore poison, alleviate drug toxicity and virulence.
In this invention, cortex dictamni is used as the monarch drug where cold nature
can clear heat and bitter nature can eliminate dampness to clear heat and eliminate
dampness, which can internally remove gastrointestinal dampness and heat and
externally detoxify and eliminate sore; Scutellaria baicalensis, dandelion and herb of
indian lettuce are used as the ministerial drugs to clear heat and dampness, detoxify
and eliminate swelling, remove blood stasis and keep Ying blood smooth and not
stagnant and eliminate acne; white mulberry root-bark, angelica sinensis, coix seed,
photinia leaf and herbaartemisiae scopariae are used as adjuvant drugs to clear heat
and dampness, relieve swelling, moisten dryness and smoothen intestines, and
mediate dampness and heat evil to be removed with urination and excrement. It also
has the function of replenishing and nourishing blood. Stem of obtuseleaf erycibe
, peony bark, spina gleditsiae, saposhnikovia divaricata (trucz.) schischk. and licorice
are used as conductant drugs to clear heat and cool blood, dispel wind evil and
dehumidify, sterilize and relieve pain, mediate drugs to the face where the disease is
located to eliminate swelling and sores. The combination of the aforesaid drugs can
clear heat and dehumidify, relieve exterior syndrome and eliminate stasis and reach
the face and head to detoxify and eliminate sores.
The TCM cataplasm for dampness-heat acne as described in this invention,
where multiple medicines are reasonably compatible, applies to the treatment
requirements of complicated diseases to reduce adverse reactions, having stable
curative effects, tackling symptoms and root causes and no side effects, which effects
to clear heat and dampness, relieve exterior syndrome and remove stasis, and detoxify and eliminate sores in treating dampness-heat acne. In addition, this mask (cataplasm) is easy to use without the need to wash, and it is valuable to be widely promoted and applied.
Description of the Invention
Combined with examples, the technical scheme of this invention is further
described below.
The saponification rate of polyvinyl alcohol as used in this invention is 90-99%
and the mean degree of polymerization is 200-3000.
Example 1
A TCM cataplasm for dampness-heat acne which consists of the following raw
materials at the dosage below: white mulberry root-bark 50 PBW, cortex dictamni 40
PBW, scutellaria baicalensis 20 PBW, herb of indian lettuce 25 PBW, dandelion 40
PBW, angelica sinensis 35 PBW, stem of obtuseleaf erycibe 5 PBW, peony bark 40
PBW, coix seed 40 PBW, spina gleditsiae 20 PBW, photinia leaf 4 PBW,
saposhnikovia divaricata (trucz.) schischk. 30 PBW, herbaartemisiae scopariae 20
PBW, licorice 30 PBW, polyvinyl alcohol 200 PBW.
For the preparation method, a TCM cataplasm for dampness-heat acne is
prepared by the following steps:
1) All raw materials are weighed by PBW, and then soaked in cold water for 0.5h,
boiled by high fire and then decocted by slow fire for 0.5h. They are filtered to get the
filter liquor;
2) The filter liquor is vacuum concentrated to the extractum with a relative
density of 1.3 that is added with 60% by volume of ethanol precipitation after cooling, then kept for 12h. They are filtered to get the liquid supernatant and collect ethanol and concentrated to the extractum with a relative density of 1.05 at 60°C;
3) Polyvinyl alcohol is added into pure water, heated and dissolved at 90°C and
then cooled to the room temperature, finally getting the colloidal liquid;
4) The extractum is well mixed with the colloidal liquid to get the aforesaid
TCM cataplasm) for dampness-heat acne.
The weight ratio of the aforesaid polyvinyl alcohol and pure water is 1:1.
Method of application: The TCM cataplasm for dampness-heat acne referred to
in this invention is even applied in the acne site away from the periocular location,
once a day and with 10 days as a course of treatment.
Example 2
A TCM cataplasm for dampness-heat acne consists of the following raw
materials at the dosage below: white mulberry root-bark 45 PBW, cortex dictamni 45
PBW, scutellaria baicalensis 30 PBW, herb of indian lettuce 20 PBW, dandelion 45
PBW, angelica sinensis 30 PBW, stem of obtuseleaf erycibe 7 PBW, peony bark 30
PBW, coix seed 36 PBW, spina gleditsiae 25 PBW, photinia leaf 6 PBW,
saposhnikovia divaricata (trucz.) schischk. 20 PBW, herbaartemisiae scopariae 25
PBW, licorice 25 PBW, polyvinyl alcohol 300 PBW.
For the preparation method, a TCM cataplasm for dampness-heat acne which is
prepared by the following steps:
1) All raw materials are weighed by PBW, and then soaked in cold water for 0.5h,
boiled by high fire and then decocted by slow fire for 0.5h. They are filtered to get the filter liquor;
2) The filter liquor is vacuum concentrated to the extractum with a relative
density of 1.3 that is added with 60% by volume of ethanol precipitation after cooling,
then kept for 12h. They are filtered to get the liquid supernatant and collect ethanol
and concentrated to the extractum with a relative density of 1.1 at 60°C;
3) Polyvinyl alcohol is added into pure water, heated and dissolved at 85C and
then cooled to the room temperature, finally getting the colloidal liquid;
4) The extractum is well mixed with the colloidal liquid to get the above
aforesaid TCM cataplasm for dampness-heat acne.
The weight ratio of the aforesaid polyvinyl alcohol and pure water is 1:1.5.
Others are the same as Example 1.
Clinical Data
In this invention, 124 patients with dampness-heat stasis type acne from 2006 to
2012 were clinically observed, who were administrated with traditional Chinese
medicine composition. Clinical reports are described as follows:
General data: Clinically 100 patients with dampness-heat acne were observed,
who were divided into two groups: treatment group including 50 patients (male:
female=26:24, aged 14-25 years old, average age at 19+5.4 years old); control group
consisting of 50 patients (male: female=27:23, aged 13-26 years old, average age at
196.2 years old). General data were compared between both groups, which indicated
that the difference was not statistically significant (P>0.05) and can be comparable.
Diagnosis criteria:
For the diagnosis criteria, please refer to Criteria of Diagnosis and Therapeutic
Effect of Diseases and Syndromes in Traditional Chinese Medicine (National
Administration of Traditional Chinese Medicine. Criteria of Diagnosis and
Therapeutic Effect of Diseases and Syndromes in Traditional Chinese Medicine [M].
Nanjing: Nanjing University Press, 1994:78.) published by National Administration
of Traditional Chinese Medicine: J The hair follicle presents early with red papules
in the size of rice grains, and may be progressed into pustules, followed by
scleroma-like whitehead or blackhead acne, or even scleroma cysts in severe cases;
@ This usually happens among young men and women in the youth and spreads over
the face, chest and back accompanied by seborrhea; @ This is often induced by
improper diet, fat and sweet and greasy diet and pathogenic factors; @ Female
patients are often accompanied by irregular menstruation.
Clinical manifestation: This usually happens among young people in the youth
and presents with papules, pustules and cysts on the facies frontalis and forehead.
These patients had bright and greasy faces, accompanied by dry mouth and preference
to cold drink, halitosis, more diets, yellow urine, constipation, red tongue, yellow or
yellow greasy moss, smooth and slip pulses.
Inclusion criteria: ( At the age of 11-30 years old; @ Who conform to the
diagnosis criteria of common dampness-heat acne; @ No TCM and western drugs
relating to this disease were used within 4 weeks; @ Who signed the informed
consent and coordinated with clinical observations.
Exclusion criteria: ( Who are expressly allergic to viaminate; @ Who used
corticosteroid hormone, antibiotics and other anti-dampness-heat type acne medication for external applications 2 weeks before the trial; @ Who used corticosteroid hormone, sex hormone and antibiotics for oral administration 4 weeks before the trial; @ Pregnant women or women in the lactation period; @
Occupational dampness-heat acne caused by chemicals and dampness-heat acne
resulting from drugs.
Treatment method: After face cleaning, the TCM cataplasm for dampness-heat
acne is even applied in the acne site away from the periocular location for two courses,
once a day and with 10 days as a course of treatment, for the treatment group.
For the control group, Kracie-Medical Green Tea Mask for Removing Acnes and
Marks were applied on the face for 5-15 minutes, once a day with 10 days as a course
of treatment, for two courses.
Criteria for outcome diagnosis: set out by reference to Guidance Principle of
Clinical Study on New Drugs of Traditional Chinese Medicine (National Medical
Products Administration. Guidance Principle of Clinical Study on New Drugs of
Traditional Chinese Medicine [M]. Beijing: China Medical Science Press, 2002:5);
Cure: regression rate of skin loss >95%, or only few pigmentations left and
symptoms disappearing;
Positive effect: skill loss mostly alleviated, regression rate of 70-95 %, and
symptoms reduced significantly;
Effective: Part of skin loss alleviated, regression rate of 50-70 %, and symptoms
improved;
No effect: skin loss mildly alleviated or aggravated, regression rate of <50%, symptoms not changed.
Cure rate=(cured patients/total patients) x100%.
Total effective rate=[(cure+ positive effect+ effective)/total patients] x 100%.
Statistical method: SPSS17.0 software is used for statistical analysis.
Measurement data are expressed as mean standard deviation (x°s). T test is used
and the rate of measurement data is compared byx test.
Therapeutic outcome: Therapeutic outcomes of the treatment group and control
group are seen in Table 1.
Table 1 Therapeutic Outcomes after the Applications of TCM Cataplasm in this
Invention
ur/csePositive Grop Cure/case No Cure effetive Group ffect/case Effective/case effect/case rate% effective rate%
Treatment 29 10 9 2 58 96 group Control 12 10 11 17 24 66 group
Compared with the control group, P<0.05.
As shown in Table 1, the treatment group sees cure in 29 patients, positive effect
in 10 patients, effective in 9, no effect in 2 patients, cure rate of 58% and total
effective rate of 96%; the control group indicates cure in 12 patients, positive effect in
patients, effective in 11, no effect in 17 patients, cure rate of 24% and total
effective rate of 66%. The cure rate and total effective rate were compared between
these two groups, indicating the difference is statistically significant (P < 0.05). The therapeutic effect of the treatment group is superior to the control group.
Typical cases
The patient 1, male, aged 16, had vigorous oil secretion on the skin and
presented with multiple papules and pustules on the face and few small nodes on the
forehead and lower mandible, accompanied by constipation, dry mouth and nose and
halitosis, etc. After the patient applied the TCM cataplasm referred to in this invention
for 1 course, the symptoms were significantly reduced and then healed after the
treatment was continued for 1 course. The one-year follow-up survey showed no
recurrence.
The patient 2, female, aged 20, had oil secretion on the face and coarse pores and
presented with red or light red papules containing white pink oily matters, except for
the nose and eyes, and with large nodes having thin purulent and bloody secretions
after pressure, accompanied by red tongue, yellow or yellow greasy moss, smooth and
slip pulses. After the patient applied the TCM cataplasm referred to in this invention
for 1 course, the symptoms were significantly reduced and then healed after the
treatment was continued for 2 courses. The one-year follow-up survey showed no
recurrence.
The above-mentioned examples only represent the optimized examples of this
invention and the protection scope of this invention is not limited to them. The simple
variation of this technical scheme or equivalent alternatives that can be obviously
gained by any technicians who are familiar with this technical field fall into the
protection scope of this invention.

Claims (4)

Claims
1. Feature of a TCM cataplasm for dampness-heat acne: The TCM cataplasm for
dampness-heat acne consists of the following raw materials at the dosage below:
white mulberry root-bark 40-50 PBW, cortex dictamni 40-50 PBW, scutellaria
baicalensis 20-40 PBW, herb of indian lettuce 15-25 PBW, dandelion 40-50 PBW,
angelica sinensis 25-35 PBW, stem of obtuseleaf erycibe 5-10 PBW, peony bark
-40 PBW, coix seed 30-40 PBW, spina gleditsiae 20-30 PBW, photinia leaf 4-8
PBW, saposhnikovia divaricata (trucz.) schischk. 10-30 PBW, herbaartemisiae
scopariae 20-30 PBW, licorice 20-30 PBW, polyvinyl alcohol 200-400 PBW.
2. Feature of the TCM cataplasm as mentioned in Claims 1: The TCM cataplasm
consists of the following raw materials at the dosage below: white mulberry root-bark
PBW, cortex dictamni 45 PBW, scutellaria baicalensis 30 PBW, herb of indian
lettuce 20 PBW, dandelion 45 PBW, angelica sinensis 30 PBW, stem of obtuseleaf
erycibe 7 PBW, peony bark 30 PBW, coix seed 36 PBW, spina gleditsiae 25 PBW,
photinia leaf 6 PBW, saposhnikovia divaricata (trucz.) schischk. 20 PBW,
herbaartemisiae scopariae 25 PBW, licorice 25 PBW, polyvinyl alcohol 300 PBW.
3. Feature of the preparation method of the TCM cataplasm for dampness-heat
acne as mentioned in Claims 1 or 2: The TCM cataplasm for dampness-heat acne is
prepared by the following steps:
1) All raw materials are weighed by PBW, and then soaked in cold water for 0.5h,
boiled by high fire and then decocted by slow fire for 0.5h. They are filtered to get the
filter liquor;
2) The filter liquor is vacuum concentrated to the extractum with a relative density of 1.3-1.4 that is added with 50-60% by volume of ethanol precipitation after cooling, then kept for 12h. They are filtered to get the liquid supernatant and collect ethanol and concentrated to the extractum with a relative density of 1.05-1.1 at 60°C;
3) Polyvinyl alcohol is added into pure water, heated and dissolved at 80-90°C
and then cooled to the room temperature, finally getting the colloidal liquid;
4) The extractum is well mixed with the colloidal liquid to get the above
aforesaid TCM cataplasm for dampness-heat acne.
4. Feature of the preparation method as mentioned in Claims 3: The weight ratio
of the aforesaid polyvinyl alcohol and pure water is 1:1-2.
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