CN100484538C - Upper, middle and lower part soup, and method for making same - Google Patents
Upper, middle and lower part soup, and method for making same Download PDFInfo
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Abstract
本发明涉及一种以植物中草药为原料制成的治疗各种骨折的药物及其制备方法。它是由下述重量配比的原料制成的药剂:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=20-30∶20-30∶2-3∶20-30∶20-30∶15-25∶25-35∶25-35∶15-25。本发明为纯中药制剂,无毒副作用与不良反应,病人无需手术,治疗成本低廉,无痛苦,愈合期短、药力大、见效快、治愈率高,药力大,对于各部位骨折及软组织损伤效果极佳、促进骨痂生长、补血养血、通经、活血散瘀、消肿止痛,对股骨头坏死、骨质疏松或其它部位骨坏死也有很好的疗效。The invention relates to a medicine for treating various fractures made from plant Chinese herbal medicine and a preparation method thereof. It is a medicament made from the raw materials in the following weight ratio: frankincense: myrrh: dipsacus: chuanxiong: safflower: calcined keel: psoralen: eucommia: oyster = 20-30: 20-30: 2 -3: 20-30: 20-30: 15-25: 25-35: 25-35: 15-25. The invention is a pure traditional Chinese medicine preparation, without toxic side effects and adverse reactions, without surgery for patients, with low cost of treatment, no pain, short healing period, high potency, quick effect, high cure rate, strong potency, and good effect on fractures in various parts and soft tissue damage. Excellent, promotes callus growth, nourishes blood, stimulates menstrual flow, promotes blood circulation and dissipates blood stasis, reduces swelling and relieves pain, and also has a good curative effect on femoral head necrosis, osteoporosis or other parts of osteonecrosis.
Description
技术领域 technical field
本发明涉及一种治疗各种骨折的药物组合物,特别是涉及一种以植物中草药为原料制成的治疗各种骨折的药物及其制备方法。The invention relates to a pharmaceutical composition for treating various fractures, in particular to a medicine for treating various fractures made from plant Chinese herbal medicine and a preparation method thereof.
背景技术 Background technique
现有骨伤病的治疗方法一般采用人工接骨、手术接骨等方法。采用借助X光机或其它手段,将骨折部复位后,利用夹板、石膏绷带或手术钢板固定,服消炎药或治疗跌打损伤药,静养三个月左右,但实施正骨复位后,由于利用外敷用药的渗透作用,使其疗效慢,以及患者自身因素多方面的原因,易使骨折部位出现不同程度的重叠移位,致使部位肿胀疼痛,造成伸屈功能减弱或丧失,给患者带来极大痛苦。如果采用手术钢板固定,在骨折愈合后,还需进行二次手术,取出钢板和固定钢钉,给患者造成的痛苦就可想而知了,并且在骨骼上又留下人为造成的螺钉孔,造成骨折的骨头再次修复,同时这又有感染骨髓炎的可能。目前治疗骨折的药物虽然很多,但软坚和止痛效果不好,接骨愈合时间长,病人痛苦大。The treatment method of existing bone injury generally adopts methods such as artificial bone setting, operation bone setting. With the help of X-ray machine or other means, after the fracture is reduced, it is fixed with a splint, plaster bandage or surgical plate, and it takes anti-inflammatory drugs or drugs for the treatment of bruises, and it rests for about three months. The infiltration effect of the drug makes the curative effect slow, and the patient's own factors may cause different degrees of overlapping and displacement of the fracture site, resulting in swelling and pain at the site, resulting in weakened or lost flexion and extension functions, which bring great harm to the patient. pain. If the surgical plate is used for fixation, after the fracture heals, a second operation is required to remove the plate and fixation nails. The pain caused to the patient can be imagined, and artificial screw holes are left on the bone. The bone that caused the fracture repairs again, and at the same time there is the possibility of infection with osteomyelitis. Although there are many medicines for the treatment of fractures at present, the softening and pain-relieving effects are not good, the bone healing time is long, and the patient suffers a lot.
发明内容 Contents of the invention
本发明的目是针对上述问题而提供的一种治疗各种骨折的上、中、下部汤及其制备方法,本发明费用低廉、无痛苦、愈合期短、见效快、无毒副作用与不良反应、治疗效果显著、成本低、补血养血、通经、活血散瘀、消肿止痛,对各种骨折有很好的疗效,同时对股骨头坏死、骨质疏松或其它部位骨坏死也有很好的疗效。The object of the present invention is to provide a kind of upper, middle and lower part soup for treating various fractures and its preparation method in view of the above problems. , Remarkable treatment effect, low cost, enriching blood and nourishing blood, promoting menstruation, promoting blood circulation and dissipating blood stasis, reducing swelling and relieving pain. Efficacy.
为了实现本发明的目的,本发明采用的技术方案是:In order to realize the purpose of the present invention, the technical scheme adopted in the present invention is:
上、中、下部汤,它是由下述重量配比的原料制成的药剂:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=20-30∶20-30∶2-3∶20-30∶20-30∶15-25∶25-35∶25-35∶15-25。Upper, middle and lower part soups, which are medicaments made from raw materials with the following weight ratio: frankincense: myrrh: Dipsacus: Rhizoma Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=20- 30: 20-30: 2-3: 20-30: 20-30: 15-25: 25-35: 25-35: 15-25.
其中各原料的重量配比是制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=22-28∶22-28∶2.2-2.8∶22-28∶22-28∶17-23∶27-32∶27-32∶17-23。Wherein the weight ratio of each raw material is frankincense: making myrrh: Dipsacus: Rhizoma Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=22-28: 22-28: 2.2-2.8: 22-28: 22-28: 17-23: 27-32: 27-32: 17-23.
其中各原料的重量配比是制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=25∶25∶2.5∶25∶25∶20∶30∶30∶20。Wherein the weight ratio of each raw material is frankincense: making myrrh: Dipsacus: Rhizoma chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=25: 25: 2.5: 25: 25: 20: 30: 30: 20.
上、中、下部汤的制备方法,它是由下述重量配比的原料制成的制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=20-30∶20-30∶2-3∶20-30∶20-30∶15-25∶25-35∶25-35∶15-25;The preparation method of the upper, middle and lower part of the soup, which is made of frankincense made of the following raw materials in weight ratio: making myrrh: Dipsacus: Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=20 -30: 20-30: 2-3: 20-30: 20-30: 15-25: 25-35: 25-35: 15-25;
其制备方法包括以下步骤:Its preparation method comprises the following steps:
1、将上述各单味药用粉碎机粉碎,过100目筛;1. Pulverize each of the above-mentioned single-flavor medicinal pulverizers and pass through a 100-mesh sieve;
2、按上述比例取粉碎后的各单味药充分混匀;2. Take the pulverized single herbs according to the above ratio and mix them thoroughly;
3、将上述混匀后的药物与水按1∶10的比例用中火煮至水量为原来的一半时即可。3. Boil the mixed medicine and water at a ratio of 1:10 over medium heat until the water volume is half of the original.
本发明所具有的优点与效果是:Advantage and effect that the present invention has are:
1、本发明为纯中药制剂,无毒副作用与不良反应,不需要上夹板、打石膏、捆扎等任何人工固定方式,减轻了病人的痛苦,同时也减轻了病人的经济负担。1. The present invention is a pure traditional Chinese medicine preparation, without toxic side effects and adverse reactions, and does not need any artificial fixation methods such as splinting, plastering, and binding, which reduces the pain of the patient and also reduces the economic burden of the patient.
2、本发明愈合期短、见效快。服本药20分钟即可明显止痛,临床实践证明与传统治疗方法相比可缩短疗程二分之一。2. The present invention has short healing period and quick effect. Taking this medicine for 20 minutes can obviously relieve pain, and clinical practice proves that compared with traditional treatment methods, the course of treatment can be shortened by one-half.
3、本发明是在家传秘方的基础上,又经临床应用四十余年,患者一致反映疗效甚好,药效迅速,总有效率99%,显效率96%。3. The present invention is based on the family secret recipe, and has been clinically used for more than 40 years. Patients consistently report that the curative effect is very good, the drug effect is rapid, the total effective rate is 99%, and the marked rate is 96%.
4、本发明对各种骨折、跌打损伤有很好的疗效。同时对股骨头坏死、骨质疏松及其它部位骨坏死均有较好的疗效。4. The present invention has good curative effect on various fractures and bruises. At the same time, it has a good curative effect on femoral head necrosis, osteoporosis and osteonecrosis in other parts.
制乳香性味辛、苦、温。归心、肝、脾经;具有活血止痛、消肿生肌的作用。制没药性味苦、平,归于心肝脾经;具有活血止痛的功效。续断苦辛,微温。入肝、肾经;具有补肝肾、续筋骨、调血脉的功效。川芎性味辛温,归肝、胆、心包经;具有活血行气、祛风止痛的功效。红花性味辛温,入心、肝经;具有活血通经、去瘀止痛的功效。煅龙骨性味甘、涩、平;归心,肝,肾经;具有重镇安神、平肝潜阳、收敛固涩的功效。补骨脂性味辛苦温,入肝脾经;能补肾暖脾。杜仲性味甘、微辛、温;归肝,肾经;具有补肝肾,强筋骨的作用。牡蛎性味甘咸平,有滋阴养血、宁心除烦的作用。The frankincense nature and flavor are pungent, bitter, warm. Guixin, liver, spleen meridians; have the effects of promoting blood circulation and relieving pain, reducing swelling and promoting granulation. Myrrha nature and flavor are bitter, flat, belong to the heart, liver and spleen meridian; have the effect of promoting blood circulation and relieving pain. Continuously bitter, slightly warm. Go into liver, kidney channel; Have the effect of invigorating liver and kidney, renewing muscles and bones, regulating blood vessels. Rhizoma Chuanxiong is pungent and warm in nature and flavor, and returns to the Liver, Gallbladder, and Pericardium Meridians; it has the effects of promoting blood circulation and promoting Qi, dispelling wind and relieving pain. Safflower is pungent and warm in nature and flavor, enters the heart and liver meridians; it has the effects of promoting blood circulation, promoting menstruation, removing blood stasis and relieving pain. Calcined keel is sweet, astringent and flat in nature and flavor; Guixin, liver and kidney meridians; it has the effects of calming the nerves, calming the liver and suppressing yang, astringent and astringent. Psoraleae nature and flavor are pungent and warm, enter the Liver and Spleen Meridian; can invigorate the kidney and warm the spleen. Eucommia ulmoides is sweet in nature and flavor, slightly pungent, warm; returns to liver, kidney meridian; has the effect of nourishing liver and kidney, strengthening muscles and bones. Oysters are sweet and flat in taste, nourishing yin and nourishing blood, calming the heart and relieving restlessness.
下面结合临床资料,来说明本发明的药效:Below in conjunction with clinical data, describe the drug effect of the present invention:
1、临床资料1. Clinical data
1.1 病例来源:所有病例均为沈阳市张贵中医骨伤科诊所于2000年1月一2003年12月收治的骨病患者。随机分为治疗组(上、中、下部汤组)和对照组(麝香接骨胶组)。治疗组100例,对照组100例,年龄在6—70岁之间,1.1 Source of cases: All cases were bone disease patients admitted to Shenyang Zhanggui Traditional Chinese Medicine Orthopedics and Traumatology Clinic from January 2000 to December 2003. They were randomly divided into treatment group (upper, middle and lower soup group) and control group (musk bone glue group). 100 cases in the treatment group and 100 cases in the control group, aged between 6 and 70 years old,
表1 性别与年龄分布情况Table 1 Gender and age distribution
表2 骨折部位分布情况Table 2 Distribution of fracture sites
1.2 病例选择标准1.2 Case selection criteria
1.2.1 诊断标准(1)有明确的外伤史。(2)一般症状:局部疼痛、肿胀与瘀斑、功能障碍。(3)特殊体征:畸形、骨擦音或骨擦感、异常活动。(4)X线表现:确诊骨的完整性及连续性遭到破坏。1.2.1 Diagnostic criteria (1) There is a clear history of trauma. (2) General symptoms: local pain, swelling and ecchymosis, dysfunction. (3) Special signs: deformity, bone friction sound or bone friction feeling, abnormal activity. (4) X-ray findings: The integrity and continuity of the confirmed bone have been destroyed.
1.2.2 病例选择标准符合诊断标准,以四肢骨新鲜骨折,小夹板和(或)石膏外固定,切开内固定或支架外固定,年龄6~70岁,为主要实验对象。1.2.2 The selection criteria of the cases met the diagnostic criteria. The main experimental subjects were fresh fractures of the extremities, external fixation with small splints and (or) plaster, incision internal fixation or external fixation with brackets, aged 6 to 70 years.
2、方法2. Method
2.1 临床实验方法所有病例均为沈阳市张贵中医骨伤科诊所于2000年1月一2003年12月收治的骨病患者。随机分为治疗组(上、中、下部汤组)和对照组(麝香接骨胶囊组)。治疗组100例,口服本发药物上、中、下部汤,成人每日1付,分早、午、晚三次温服。儿童减半。用药期间忌服生葱、生姜、生蒜、大萝卜,孕妇慎服。对照组100例,服用麝香接骨胶囊,成人每服5粒,儿童每服2粒,每日3次。连续用药12周,治疗期间停止服用其它接骨药物。2.1 Clinical Experimental Methods All cases were bone disease patients admitted to Shenyang Zhanggui Traditional Chinese Medicine Orthopedics and Traumatology Clinic from January 2000 to December 2003. They were randomly divided into treatment group (upper, middle and lower decoction group) and control group (Shexiang Jiegu Capsule group). The 100 patients in the treatment group took the upper, middle and lower decoctions of the drug orally, one dose per day for adults, and took it warmly three times in the morning, afternoon and evening. Half for children. Avoid taking raw onion, ginger, raw garlic, and radish during the medication, and pregnant women should take it with caution. 100 cases in the control group took Shexiang Jiegu Capsules, 5 capsules for adults and 2 capsules for children, 3 times a day. Continuous medication for 12 weeks, stop taking other bone medicines during treatment.
3、结果3. Results
3.1 疗效评定标准(1)局部无压痛与纵向叩击痛;(2)局部无异常活动;(3)X线片显示骨折线模糊,有连续性骨痂通过骨折线;(4)功能测定:解除固定后,上肢能平举1kg重物达1min,下肢能连续步行3min,并能步行不少于30步;(5)连续观察2周,骨折不变形,观察第1天为临床愈合日期。3.1 Efficacy evaluation criteria (1) No local tenderness and longitudinal percussion pain; (2) No local abnormal activity; (3) X-ray film shows that the fracture line is blurred, with continuous callus passing through the fracture line; (4) Functional test: After lifting the immobilization, the upper limbs can lift 1 kg of weight for 1 minute, and the lower limbs can walk continuously for 3 minutes, and can walk no less than 30 steps; (5) After 2 weeks of continuous observation, the fracture does not deform, and the first day of observation is the date of clinical healing.
3.2 常见骨折愈合时间:锁骨骨折5~7周;肱骨外科颈骨折4~6周;肱骨干骨折5~8周;肱骨髁上骨折3~4周;尺桡骨干骨折8~12周;桡骨远端骨折3~4周;掌骨骨折4~8周;股骨粗隆骨折6~10周;股骨干骨折8~14周;胫腓骨骨折8~12周;跖骨骨折6~8周。3.2 Common fracture healing time: 5-7 weeks for clavicle fractures; 4-6 weeks for humeral surgical neck fractures; 5-8 weeks for humeral shaft fractures; 3-4 weeks for humeral supracondylar fractures; 3-4 weeks for distal fractures; 4-8 weeks for metacarpal fractures; 6-10 weeks for trochanteric fractures; 8-14 weeks for femoral shaft fractures; 8-12 weeks for tibial and fibula fractures; 6-8 weeks for metatarsal fractures.
3.3 疗效判断标准(参考《中药新药治疗外伤性骨折的临床研究指导原则》)(1)临床治愈:临床上用药时间比同类骨折愈合时间提前1/3以上达到临床愈合标准者。(2)显效:临床用药时间比同类骨折愈合时间提前1/3~1/4,达到临床愈合标准者。(3)有效:临床上用药时间比同类骨折愈合时间提前1/4~1/5,达到临床愈合标准者。(4)无效:临床上用药时间与同类骨折正常愈合时间相同。3.3 Efficacy Judgment Criteria (Refer to "Guiding Principles for Clinical Research of New Chinese Medicines for Traumatic Fractures") (1) Clinical cure: the clinical healing time of the drug is more than 1/3 earlier than that of similar fractures and reaches the clinical healing standard. (2) Significantly effective: the clinical application time is 1/3-1/4 earlier than the similar fracture healing time, and those who have reached the clinical healing standard. (3) Effective: The time of clinical application of the drug is 1/4 to 1/5 earlier than the healing time of similar fractures, and those who have reached the clinical healing standard. (4) Ineffective: The clinical medication time is the same as the normal healing time of similar fractures.
3.4 疗效判定与分析两组200例经12周治疗后,按4级疗效判定标准分析,经X2检验,上、中、下部汤治疗组疗效显著优于对照组(P<0.01),差异具有非常显著性。见表3。3.4 Judgment and analysis of curative effect After 12 weeks of treatment, 200 cases of the two groups were analyzed according to the 4-level curative effect judgment standard. After the X 2 test, the curative effect of the upper, middle and lower decoction treatment groups was significantly better than that of the control group (P<0.01), and the difference was significant. very significant. See Table 3.
表3两组间疗效比较Table 3 Comparison of therapeutic effects between the two groups
结论:in conclusion:
经过临床实验观察,上、中、下部汤能明显促进骨痂的生长,而且愈合期短、能够加快肢体功能的恢复,在临床试验过程中,无毒副反应发生,具有活血化瘀、消肿止痛、续筋接骨、舒筋活络之功效,能促进骨折愈合的作用。对各种骨折、跌打损伤有很好的疗效。同时对股骨头坏死、骨质疏松及其它部位骨坏死也有较好的疗效。According to clinical experiments, the upper, middle and lower decoctions can significantly promote the growth of calluses, and the healing period is short, which can speed up the recovery of limb functions. During the clinical trials, no toxic and side effects occurred, and have the functions of promoting blood circulation, removing blood stasis, reducing swelling It has the effects of relieving pain, reconnecting tendons and bones, relaxing tendons and activating collaterals, and can promote fracture healing. It has a good curative effect on various fractures and bruises. At the same time, it also has a good curative effect on femoral head necrosis, osteoporosis and other parts of osteonecrosis.
实施例1:Example 1:
上、中、下部汤,按下述重量配比取下述原料:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=20∶30∶3∶30∶30∶25∶35∶35∶25。For the upper, middle and lower parts of the soup, take the following raw materials according to the following weight ratio: frankincense: myrrh: Dipsacus: Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster = 20:30:3: 30:30:25:35:35:25.
其制备方法包括以下步骤:Its preparation method comprises the following steps:
1、先将上述各单味药经挑选、清洗、干燥后用粉碎机粉碎,过100目筛;1. First, the above-mentioned single herbs are selected, cleaned and dried, then pulverized with a pulverizer, and passed through a 100-mesh sieve;
2、按上述比例取粉碎后的各单味药充分混匀;2. Take the pulverized single herbs according to the above ratio and mix them thoroughly;
3、将上述混匀后的药物与水按1∶10的比例用中火煮至水量为原来的一半时即可。3. Boil the mixed medicine and water at a ratio of 1:10 over medium heat until the water volume is half of the original.
实施例2:Example 2:
上、中、下部汤,按下述重量配比取下述原料:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=30∶20∶2∶20∶20∶15∶25∶25∶15。For the upper, middle and lower parts of the soup, take the following raw materials according to the following weight ratio: frankincense: myrrh: Dipsacus: Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=30:20:2: 20:20:15:25:25:15.
其制备方法同实施例1。Its preparation method is with embodiment 1.
实施例3:Example 3:
上、中、下部汤,按下述重量配比取下述原料:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=22∶28∶2.8∶28∶28∶23∶32∶32∶23。For the upper, middle and lower parts of the soup, take the following raw materials according to the following weight ratio: making frankincense: making myrrh: Dipsacus: Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=22:28:2.8: 28:28:23:32:32:23.
其制备方法同实施例1。Its preparation method is with embodiment 1.
实施例4:Example 4:
上、中、下部汤,按下述重量配比取下述原料:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=28∶22∶2.2∶22∶22∶17∶27∶27∶17。For the upper, middle and lower parts of the soup, take the following raw materials according to the following weight ratio: frankincense: myrrh: Dipsacus: Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=28:22:2.2: 22:22:17:27:27:17.
实施例5:Example 5:
上、中、下部汤,按下述重量配比取下述原料:制乳香∶制没药∶续断∶川芎∶红花∶煅龙骨∶补骨脂∶杜仲∶牡蛎=25∶25∶2.5∶25∶25∶20∶30∶30∶20。For the upper, middle and lower parts of soup, take the following raw materials according to the following weight ratio: frankincense: myrrh: Dipsacus: Rhizoma Chuanxiong: safflower: calcined keel: psoralen: Eucommia: oyster=25:25:2.5: 25:25:20:30:30:20.
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| CN103555532A (en) * | 2013-10-30 | 2014-02-05 | 武汉凌科达科技有限公司 | Bone-strengthening health-care wine |
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| CN103540505B (en) * | 2013-10-30 | 2015-07-22 | 武汉凌科达科技有限公司 | Preparation method of bone strengthening health care wine |
| CN112546131A (en) * | 2020-12-21 | 2021-03-26 | 邱好云 | Preparation and application methods of external-use human black plaster |
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