CN101584787B - 一种治疗骨折及筋伤的外敷药 - Google Patents
一种治疗骨折及筋伤的外敷药 Download PDFInfo
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Abstract
本发明提供了一种治疗骨折及筋伤的外敷药，配方为：大黄10-20份、乳香5-20份、没药5-20份、全蝎4-6份、白芷5-10份、土鳖虫5-10份、川芎5-15份、法夏5-15份、血竭4-6份、冰片0.3-0.5份。其主要功效活血化瘀、行气、消肿止痛、活筋愈骨。用于跌打损伤，瘀血肿痛，软组织损伤，闭合性骨折经手法复位后的辅助治疗。本发明药力强，治疗周期短，制法简单，每隔3-5天更换一次，7天为一疗程，有效率为100％。
Description
技术领域
本发明涉及一种治疗人体伤痛的外用药物，特别是一种治疗闭合性骨折及筋伤的外敷药。
背景技术
骨折和筋伤是由各种外来暴力或慢性劳损等原因所造成的损伤。骨折和筋伤后，可引起局部疼痛、肿胀、功能障碍等症状。远古以来，我们的祖先就在长期临证的基础上，对骨折及筋伤的治疗从“整体观念”出发，运用辩证的观点，提出了“筋骨并重”、“动静结合”、“病证结合”、“内外兼顾”、的治疗原则。如《医学金鉴.正骨心法要旨.内治杂证法》所述：“今之正骨科，即古跌打损伤之证也，专从血论……但出血不多，亦无瘀血者，以外治之法治之……”外敷药物应运而生，外敷药物有着原材料广泛、制作简便、作用部位直接，对机体无副作用，用药方便及价廉等特点。
然而以往的外敷药一般疗效慢或效果不显著，特别是对于陈旧性骨折及筋伤，不仅延长了治疗时间，还加重了患者的精神及经济负担，且部分药品还产生了一系列不良反应：如正骨水等不仅消肿止痛慢，用药后有骨节增大弯曲受限等，不利于患者的康复。
发明内容
本发明的目的在于提供一种药物渗透力强，药效相辅相成、相需相使，疗效显著且全是中草药制备，副反应少，能够全方位地缓解消除因新旧骨折及筋伤引起的各种症状，用于治疗骨折及筋伤的外敷药。其主要功效活血化瘀、行气、消肿止痛、活筋愈骨。用于跌打损伤，瘀血肿痛，闭合性骨折经手法复位后的辅助治疗。
本发明的目的是通过以下方式实现的。
一种治疗骨折及筋伤的外敷药由以下重量的药材组成：大黄10-20份、乳香5-20份、没药5-20份、全蝎4-6份、白芷5-10份、土鳖虫5-10份、川芎5-15份、法夏5-15份、血竭4-6份、冰片0.3-0.5份。
所述的外敷药由以下优选重量的药材组成：大黄10-20份，乳香8-10份，没药8-10份，全蝎4-6份，白芷8-10份，土鳖虫8-10份，川芎8-10份，法夏8-10份，血蝎4-6份，冰片0.3-0.5份。
所述的外敷药由以下最优选重量的药材组成：大黄15份，乳香8份，没药8份，全蝎5份，白芷8份，土鳖虫8份，川芎8份，法夏8份，血蝎5份，冰片0.4份。
所述的药材粉碎混合后还调加有蜂蜜。
本发明的制备方法：选取地道中药药材，并将所有的药材按规炮制，将各种中草药研磨成粉，过120目筛，制成粉剂，与蜂蜜调拌成糊状即可。敷药时用工具将之摊平于纱布上紧贴患处皮肤包紧3至4日即可自行拆除。孕妇及有皮肤破损者及过敏体质者慎用或禁用。
本发明的有益效果：能明显加快骨折筋伤的愈合，骨折整复用药后血肿机化加快，炎症反应明显缓解，7-20天骨痂明显增多，骨折部骨密度增高，新骨大量形成，骨小梁分布均匀，排列规则，总有效率为100％，治愈率99％，且治疗周期短，制法简单。
本发明的药物组成：大黄：苦寒，具有泻下攻积、、止血、解毒、活血化瘀的功效。乳香、没药：辛、苦、温平，具有活血、行气、止痛、消肿生肌的功效。全蝎：辛、平，具有攻毒散结、通络止痛的功效。白芷：辛、温，具有通窍、止痛、消肿排脓的功效。土鳖虫：咸、寒，破血逐瘀、续筋接骨的功效。川芎：辛、温，具有活血行气、祛风止痛的功效。法夏：辛、温，具有燥湿化痰、消痞散结、外用消肿止痛的功效。血竭：甘、咸、平，具有活血疗伤、消肿生肌的功效。冰片：辛、苦、微寒，具有开窍醒神、清热止痛的功效。配方中君为大黄、乳香、没药，以活血止血，荡涤留瘀败血，引瘀血下行。土鳖虫、血竭、全蝎为臣，加强君药之活血消肿生血疗伤之功效。白芷消肿排脓止痛，法夏消肿止痛共为佐药。川芎、冰片均味辛，辛以发散，引药归经，共为使药。上方为末以蜂蜜调和，蜂蜜性凉，能缓急解毒润燥，即能调和百药缓解诸药之烈，也能止心腹肌肉疮疡之痛；诸药合用，使瘀去新生，气行络通。
本发明的药物直接贴敷体表，经透皮吸收后进入机体深部，在局部形成较高的药物浓度，并随经络及体循环到全身各处，其优点是药物经透皮吸收，不同于经消化道吸收，没有被分解和破坏，并且局部组织器官内浓度较高，“直达病区”，比内服药物更直接起到治疗作用，疗效显著。本发明中即配以大黄、土鳖虫、血竭，乳香、没药、全蝎活血消肿止痛，生血生肌，又配以川芎行气；白芷、冰片的通窍止痛，引瘀血归经，使血行则通，通则不痛，两类药物合用，相得益彰。各成分的功能相辅相成、相需相使，使本发明成为一个有机整体。
具体实施方式
以下实施例及实施方式旨在进一步说明本发明，而不是限制本发明。
本发明敷药制备及使用方法：将各种中草药成份研磨成粉，调加蜂蜜，调拌成糊状即可。敷药时用工具将之摊平于纱布上紧贴患处皮肤包紧3至4日即可自行拆除。
实施例1
用上述制备及使用方法操作，每副敷药成分及用量为：大黄20份、乳香10份、没药10份、全蝎6份、白芷10份、土鳖虫10份、川芎10份、法夏10份、血竭6份、冰片0.5份。
实施例2
用上述制备及使用方法操作，每副敷药成分及用量为：大黄15份、乳香12份、没药12份、全蝎5份、白芷8份、土鳖虫8份、川芎8份、法夏8份、血竭5份、冰片0.4份。
实施例3
用上述制备及使用方法操作，每副敷药成分及用量为：大黄20份、乳香20份、没药20份、全蝎6份、白芷10份、土鳖虫10份、川芎10份、法夏10份、血竭6份、冰片0.5份。
实施例4
用上述制备及使用方法操作，每副敷药成分及用量为：大黄10份、乳香5份、没药5份、全蝎4份、白芷5份、土鳖虫5份、川芎5份、法夏5份、血竭4份、冰片0.3份。
实施例5
用上述制备及使用方法操作，每副敷药成分及用量为：大黄10份、乳香8份、没药8份、全蝎4份、白芷8份、土鳖虫8份、川芎8份、法夏8份、血竭4份、冰片0.3份。
实施例6
用上述制备及使用方法操作，每副敷药成分及用量为：大黄15份、乳香9份、没药9份、全蝎5份、白芷9份、土鳖虫9份、川芎9份、法夏9份、血竭5份、冰片0.4份。
实施例7
用上述制备及使用方法操作，每副敷药成分及用量为：大黄15份、乳香8份、没药8份、全蝎5份、白芷8份、土鳖虫8份、川芎8份、法夏8份、血竭5份、冰片0.4份。
为32个病例治疗统计结果，总有效率100％，总治愈率达99％以上，其中男患者17例，女患者15例，20-30岁患者3例，30-45岁患者10例，45-60岁患者12例，60岁以上患者7例。其中骨折18病例。
临床病例
病例1：王XX女40岁现住湖南省岳阳市平江县安定镇，主要病症为右腕部肿胀，刺刀样畸形，压痛明显，不能活动，无明显瘀斑，诊断为右柯雷氏骨折。经手法复位，本发明50克/次外敷，小夹板固定，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症基本消除，功能恢复正常，X线示骨折线已模糊。
病例2：余XX女36岁现住湖南省长沙市长沙县金井镇，主要病症为右踝部肿胀，背伸受限，行走500米后疼痛，内翻征(+)，下胫腓联合处压痛，诊断为右外踝扭伤。经本发明100克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过3个疗程的治疗，上述病症消失，右踝活动恢复正常。
病例3：李XX，男38岁现住湖南省长沙市五一路113号，主要病症为右小腿明显肿胀，压痛，可扪及骨擦感，足背动脉搏动明显，末梢血运可，右小腿活动明显受限，诊断为右胫腓骨骨折。经手法复位，本发明100克/次外敷，小夹板外固定，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症基本消除，右小腿功能恢复正常，X线示骨折线已模糊，线位好。
病例4：钟XX女44岁现住湖南省岳阳市平江县大州镇，主要病症为被动体位，腰部无明显畸形，坐时腰部感胀痛，腰部活动明显受限，双下肢无明显疼痛，诊断为胸12椎体陈旧性骨折。经本发明150克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症明显消失，腰部活动恢复正常。
病例5：沈XX女30岁现住湖南省浏阳市沙市镇，主要病症为左腕部桡骨茎突处条线状肿大，压痛，握拳时疼痛加剧，诊断为左桡骨茎突狭窄性腱鞘炎。经本发明50克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过2个疗程的治疗，上述病症消除，左腕部恢复正常。
病例6：廖XX女50岁现住湖南省浏阳市社港镇大源村，主要病症为右侧腰部明显压痛，活动受限，局部无明显瘀斑，诊断为右侧腰扭伤。经本发明100克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过2个疗程的治疗，上述病症完全消除，腰部活动恢复正常。
病例7：朱XX男45岁现住湖南省浏阳市龙伏镇，主要病症为痛苦表情，强迫体位，左侧胸部明显压痛，胸廓挤压征(+)，无明显瘀斑，咳嗽呼吸时疼痛加剧，诊断为左侧第7、8腋肋骨骨折。经本发明100克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症基本消除。
病例8：朱XX男57岁现住湖南省浏阳市北盛镇，主要病症为腰背部轻度后内畸形，叩击痛(+)，腰部活动受限，双下肢活动好，诊断为腰1椎体压缩性骨折。经本发明150克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症基本消除。
病例9：李XX男71岁现住湖南省岳阳市平江县官塘镇，主要病症为右侧胸部明显压痛，可扪及骨擦感，胸廓挤压征(+)，诊断为右侧第6、7肋骨骨折。经本发明150克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过4个疗程的治疗，上述病症基本消除。
病例10：周X男60岁现住湖南省长沙市马王堆56号，主要病症为右肩部疼痛，不能抬举，活动受限，诊断为右肩周炎。经本发明100克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过3个疗程的治疗，上述病症基本消失，功能活动恢复正常。
病例11：王XX男21岁现住湖南省浏阳市永安镇，主要病症为背部右肩胛区明显压痛，因天气变化而加剧，活动稍受限，诊断为筋膜炎。经本发明100克/次外敷，每隔3-5天更换一次，7天为一疗程。患者经过2个疗程的治疗，上述症状消失，彻底治愈。
上述实例充分证明，本发明疗效高，见效快，使用简单，适用范围广，毒副作用少，能有效地治疗骨折，筋伤及慢性疼痛，适于推广。
Claims (4)
1.一种治疗骨折及筋伤的外敷药，其特征在于，所述的外敷药由以下重量份的药材制成：大黄10-20份、乳香5-20份、没药5-20份、全蝎4-6份、白芷5-10份、土鳖虫5-10份、川芎5-15份、法夏5-15份、血竭4-6份、冰片0.3-0.5份。
2.根据权利要求1所述的外敷药，其特征在于，所述的外敷药由以下重量的药材制成：大黄10-20份，乳香8-10份，没药8-10份，全蝎4-6份，白芷8-10份，土鳖虫8-10份，川芎8-10份，法夏8-10份，血蝎4-6份，冰片0.3-0.5份。
3.根据权利要求1所述的外敷药，其特征在于，所述的外敷药由以下重量的药材制成：大黄15份，乳香8份，没药8份，全蝎5份，白芷8份，土鳖虫8份，川芎8份，法夏8份，血蝎5份，冰片0.4份。
4.根据权利要求1-3任一项所述的外敷药，其特征在于，所述的药材粉碎混合后还调加有蜂蜜。
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