CN101690768A

CN101690768A - Vein and artery relieving pills for impediment of sinew

Info

Publication number: CN101690768A
Application number: CN200910191115A
Authority: CN
Inventors: 向国强
Original assignee: Individual
Current assignee: Individual
Priority date: 2009-10-13
Filing date: 2009-10-13
Publication date: 2010-04-07
Anticipated expiration: 2029-10-13
Also published as: CN101690768B

Abstract

The invention relates to vein and artery relieving pills for sinew impediment, which belong to Chinese medicament product. The pills are prepared from the following raw materials in part by weight: 1 to 2 parts of processed common monkshood mother root, 1 to 2 parts of processed kusnezoff monkshood root, 1 to 2 parts of processed pedate pinallia jackinthepulpit rhizome, 1 to 2 parts of earthworm, 0.3 to 1 part of processed frankincense , 0.3 to 1 part of processed myrrh, 0.3 to 1 part of scorpion, 0.3 to 1 part of entipede withtout head and feet, 0.5 to 1.5 parts of ground beetle, 0.3 to 1 part of Sanchi, 0.5 to 1.5 parts of dragon's blood, 0.3 to 1 part of Chinese angelica, 1 to 2 parts of white paeony root, 1 to 2 parts of szechuan lovage rhizome, 1 to 2 parts of common floweringquince fruit, 1 to 2 parts of medicinal cyathula root, 1 to 2 parts of clematis root, 1 to 2 parts of Chinese atractylodes rhizome, 1 to 2 parts of east Asian tree fern rhizome without hair, 0.3 to 1 part of liquoric root, 1 to 2 parts of garter snake, 0.3 to 1 part of sanguisuga and 0.3 to 1 part of stiff silkworm. A part of raw materials are ground into fine powder; the rest raw materials are decocted to make a medicine juice; then the medicine juice is evenly mixed with the fine powder to granulate; and granules are dried to obtain a product. The pills have the effects of dissipating cold and eliminating dampness, transforming phlegm, tracking wind and freeing network vessels, quickening blood and transforming stasis, dissipating binds and relieving pain, supplementing liver and kidney, strengthening sinew and bone, and harmonizing construction and defense, has good curative effects on various kinds of sinew impediment, is convenient to use and has no toxic or side effect.

Description

Vein and artery relieving pills for impediment of sinew

Technical field

The invention belongs to the Chinese medicine preparation, be specifically related to treatment, expectorant, void, the caused limbs pain of the stasis of blood, numbness, a kind of vein and artery relieving pills for impediment of sinew of illness such as acid is expanded, and movable function is not good enough by wind, cold, wet.

Background technology

" muscle " refers to the soft tissues such as deep fascia, muscle, tendon, ligament, stndon sheath, joint capsule, synovial membrane capsule, intervertebral disc, articular cartilage dish, peripheral nerve and blood vessel of subcutis." numbness " person close also, i.e. the obstructed meaning of impatency.Because human body battalion defends imbalance, space between skin and muscles is empty, wind-cold damp pathogen is invaded and damage back qi depression to blood stasis etc. causes that QI-blood circulation is not smooth, thereby makes muscle numbness, pain, swelling, joint stuffiness, even the joint stiffness distortion, a class disease of muscle atrophia etc." muscular rheumatism " be disease at muscle, the clonic spasm of the muscle arthralgia cannot be gone (activity).The cause of disease is made of void, heresy, the stasis of blood, expectorant etc.Pathogenesis is: human body battalion defends imbalance, and space between skin and muscles is empty, and wind-cold damp pathogen stagnates, damage, strain, old injury and cause qi depression to blood stasis, and Tianjin is coagulated and is expectorant, and numbness hinders in muscle, causes that QI-blood circulation is not smooth, and passages through which vital energy circulates loses supports, and sends out to be muscular rheumatism.With the passing of time muscular rheumatism does not heal, pathogenic factor from the superficial to the deep, it is obstinate and dangerous to aggravate disease.The state of an illness is shown effect repeatedly and is brought difficulty to treatment.According to the etiology and pathogenesis of muscular rheumatism, its Therapeutic Principle is: dispelling cold by warming the meridian, reduce phlegm blood circulation promoting and blood stasis dispelling, expel wind to dredge collateral, removing obstruction for relieving pain, invigorating the liver and kidney, bone and muscle strengthening, harmonizing yingfen and weifen.

In the prior art, there is a denomination of invention open on June 25th, 2003 for the CN1425394A of " bolus for eliminating arthralgia and activating energy flow in channels and collaterals and compound method ".It is by the treatment rheumatism of vegetable drug preparation or a kind of Chinese patent medicine preparation of rheumatoid disease, by Cortex Phellodendri, Rhizoma Atractylodis, Semen Coicis, Radix Cyathulae, Fructus Chaenomelis, Flos Carthami, Carapax Trionycis (processed with vinegar), Radix Salviae Miltiorrhizae, Caulis Spatholobi, Radix Angelicae Sinensis, Flos Lonicerae, Herba Taraxaci, the Rhizoma Anemarrhenae, Rhizoma Chuanxiong, Cortex Moutan, Radix Paeoniae Rubra, the Radix Paeoniae Alba, Radix Gentianae Macrophyllae, system breast do not have, 30 flavor medicines such as Pheretima, Radix Stephaniae Tetrandrae, Radix Scrophulariae, Ramulus Cinnamomi, the Radix Rehmanniae, Radix Sophorae Flavescentis, Rhizoma Dioscoreae Septemlobae, Ramulus Mori, Caulis Lonicerae and Semen Strychni (processed) form.These vegetable drug treatment rheumatism or rheumatoid disease, light disease produces effect, but treatment rheumatism or rheumatoid disease are of a specified duration, the severe symptom heterodyne; Wherein Flos Lonicerae, Cortex Phellodendri, Herba Taraxaci, Radix Sophorae Flavescentis belong to heat and toxic materials clearing away medicine, and Radix Scrophulariae, Radix Rehmanniae cooling blood for hemostasis belong to cold medicine, and be theoretical opposite with treatment rheumatism or rheumatoid " dispelling cold by warming the meridian ", is only applicable to the patient that rheumatism, rheumatoid have thermal image; Fang Zhongwei sees expel wind to dredge collateral, expectorant medicine, so treatment rheumatism or rheumatoid disease are of a specified duration, the severe symptom weak curative effect.The CN1115240A that to also have a denomination of invention be " pill for stimulating circulation of blood and causing muscles and joints to relax " disclosed on January 24th, 1996.It is a kind of treatment of arthritis, rheumatismal medicine, by Semen Strychni, Rhizoma Et Radix Notopterygii, Rhizoma Homalomenae, Radix Gentianae Macrophyllae, Scorpio, Scolopendra, Radix Aconiti, Radix Aconiti Kusnezoffii, Radix Achyranthis Bidentatae, Radix Saposhnikoviae, Rhizoma Cibotii, the Cortex Eucommiae, Agkistrodon, Zaocys, Radix Angelicae Pubescentis, the Radix Angelicae Dahuricae, Fructus Chaenomelis, Radix Dipsaci, Rhizoma Chuanxiong, the Radix Aucklandiae, Radix Clematidis, Flos Carthami, Cortex Phellodendri, Herba Ephedrae, Cortex Lycii, Radix Glycyrrhizae, Olibanum, Myrrha totally 28 the flavor medicines form.Full side is based on Semen Strychni, and Medicine for the treatment of rheumatism and arthritis is many, and the compatibility structure is not rigorous, does not nurse one's health the medicine of defensive-qi-nutrient-blood, lacks and controls the road that wind is controlled the traditional Chinese medical science of blood earlier.

Summary of the invention

The technical problem to be solved in the present invention is the defective that exists at prior art, provides a kind of vein and artery relieving pills for impediment of sinew according to the etiology and pathogenesis design of muscular rheumatism, makes it the compatibility science, primary and secondary is clear, is used for the treatment of various muscular rheumatism, can dispelling cold and removing dampness, reduce phlegm, expel wind to dredge collateral, blood circulation promoting and blood stasis dispelling, removing obstruction for relieving pain, invigorating the liver and kidney, bone and muscle strengthening, harmonizing yingfen and weifen has easy to use, instant effect, good effect has no side effect, the characteristics that cure rate is high.

Take following technical scheme to realize purpose of the present invention.

A kind of vein and artery relieving pills for impediment of sinew, raw materials used and their weight portion proportioning is:

Radix Aconiti Preparata 1～2 Radix Aconiti Kusnezoffii Preparata 1～2 Rhizoma Arisaematis (processed) 1～2 Pheretima 1～2

Olibanum (processed) 0.3～1 Myrrha (processed) 0.3～1 Scorpio 0.3～1 sufficient Scolopendra 0.3～1 that decaptitates

Ground beetle 0.5～1.5 Radix Notoginseng 0.3～1 Sanguis Draxonis 0.5～1.5 Radix Angelicae Sinensis 0.3～1

The Radix Paeoniae Alba 1～2 Rhizoma Chuanxiong 1～2 MUZHUA 1～2 Radix Cyathulae 1～2

Radix Clematidis 1～2 Rhizoma Atractylodis 1～2 unhairing Rhizoma Cibotii 1～2 Radix Glycyrrhizae 0.3～1

Zaocys 1～2 Hirudo 0.3～1 Bombyx Batryticatus 0.3～1

The raw materials used optimum weight part proportioning of vein and artery relieving pills for impediment of sinew of the present invention is:

Radix Aconiti Preparata 1.5 Radix Aconiti Kusnezoffii Preparatas 1.5 Rhizoma Arisaematis (processed) 1.5 Pheretimas 1.5

The Olibanum (processed) 0.5 Myrrha (processed) 0.5 Scorpio 0.5 sufficient Scolopendra 0.5 that decaptitates

Ground beetle 1 Radix Notoginseng 0.5 Sanguis Draxonis 1 Radix Angelicae Sinensis 0.5

The Radix Paeoniae Alba 1.5 Rhizoma Chuanxiongs 1.5 MUZHUA 1.5 Radix Cyathulaes 1.5

Radix Clematidis 1.5 Rhizoma Atractylodis 1.5 unhairing Rhizoma Cibotii 1.5 Radix Glycyrrhizaes 0.5

Zaocys 1 Hirudo 0.5 Bombyx Batryticatus 0.5

The preparation method that above-mentioned each material component is made vein and artery relieving pills for impediment of sinew of the present invention is:

By the weight portion proportional quantity of raw materials used component, earlier Pheretima, Scorpio, Scolopendra, Eupolyphaga Seu Steleophaga, Radix Notoginseng, Resina Draconis, Zaocys, Hirudo, Bombyx Batryticatus, Olibanum (processed) and Myrrha (processed) are ground to form fine powder; Again with Radix Aconiti Preparata and Radix Aconiti Kusnezoffii Preparata, the boiled water prescribe medicine was decocted first 30 minutes, and removing the toxicity of Radix Aconiti Preparata, Radix Aconiti Kusnezoffii Preparata, and then all the other medical material blend decoct into medicine juice down, and with medicine juice and the fine powder mix homogeneously that is ground to form, by every ball 3g granulating, oven dry promptly gets product.

Instructions of taking: sooner or later respectively obey 1 ball every day, swallows with yellow wine or eliminating cold for resuscitation water.

The compatibility meaning of vein and artery relieving pills for impediment of sinew of the present invention: Radix Aconiti Preparata and Radix Aconiti Kusnezoffii Preparata, Xin Wen, wind-damp dispelling, dispersing cold for relieving pain meet the Therapeutic Principle of dispelling cold by warming the meridian; Rhizoma Arisaematis (processed), eleminating phlegm and freeing channels; Rhizoma Arisaematis (processed) is joined Bombyx Batryticatus, the eleminating phlegm and freeing channels eliminating stagnation, and curative effect is strong; Rhizoma Atractylodis and Fructus Chaenomelis, dampness stomach function regulating, Shujin; Olibanum (processed), Myrrha (processed), Sanguis Draxonis, Radix Notoginseng and Hirudo, promoting blood circulation, removing blood stasis and relieving pain meets the Therapeutic Principle that qi depression to blood stasis or prolonged illness must the stasis of bloods; Radix Angelicae Sinensis, the Radix Paeoniae Alba and Rhizoma Chuanxiong, blood-supplementing blood-nourishing, promoting the circulation of QI to relieve pain meet and control the road that wind is controlled the traditional Chinese medical science of blood (meaning that harmonizing yingfen and weifen, strengthening vital QI to eliminate pathogenic factors are promptly arranged) earlier; Radix Cyathulae and Rhizoma Cibotii, invigorating the liver and kidney, bone and muscle strengthening; Pheretima, Scorpio, Scolopendra and Zaocys, the expel wind to dredge collateral effect is strong; Radix Clematidis, collateral dredging ends numbness; The Radix Glycyrrhizae coordinating the actions of various ingredients in a prescription, and separate the poison of Radix Aconiti Preparata, Radix Aconiti Kusnezoffii Preparata; Radix Glycyrrhizae is joined the Radix Paeoniae Alba, relieving spasm to stop pain.Full side is monarch with the medicine of blood circulation promoting and blood stasis dispelling, removing obstruction for relieving pain, expel wind to dredge collateral; With wind-damp dispelling, dispersing cold for relieving pain, the medicine that reduces phlegm is minister, enriches blood to nourish blood, the medicine of promoting the circulation of QI to relieve pain, invigorating the liver and kidney, bone and muscle strengthening, dampness stomach function regulating, Shujin serves as that assistant makes.

The pharmacology analysis of vein and artery relieving pills for impediment of sinew of the present invention: Radix Aconiti Preparata and Radix Aconiti Kusnezoffii Preparata contain multiple alkaloid, and the merit of warming YANG, dispersing wind and cold damp is arranged, and blood vessel, nerve are had effects such as analgesia, calmness, antiinflammatory, raise immunity; Rhizoma Arisaematis (processed) eliminates the phlegm, spasmolytic, analgesia, eliminating stagnation, antineoplastic action; Pheretima contains pharmaceutical components such as lumbricin, Lumbricus kinases, and arresting convulsion, promoting blood circulation to remove obstruction in the collateral, antithrombotic and the pharmacological action of nervus centralis convulsions are arranged; Olibanum (processed) and Myrrha (processed) have promoting blood circulation and stopping pain, the merit of detumescence and promoting granulation, and Olibanum is invigorated blood circulation, Myrrha looses blood, biphase mutual reinforcement between is the merit in order to the enhancing promoting blood circulation and stopping pain, and it is that the stasis of blood (microcirculation disturbance) has the good curing effect that disease is gone into network for a long time; Scorpio contains the neural analog with Serpentis and poisonous insect, have relieving convulsion, relieve dizziness, high fever, infantile convulsions, epilepsy, etc., the effect of counteracting toxic substances, collateral dredging; Scolopendra contains the two kind noxious substances similar to Venenum apis (being H-subst and dissolved blood protein matter), has that spasmolytic relieves dizziness, high fever, infantile convulsions, epilepsy, etc., the dispelling toxins and dredging collaterals effect; It is better that Scorpio is joined then the relieve dizziness, high fever, infantile convulsions, epilepsy, etc. effect of spasmolytic, detoxicating and resolving stagnation of pathogens, removing obstruction in the collateral to relieve pain of Scolopendra; Eupolyphaga Seu Steleophaga has the merit of promoting blood circulation to remove blood stasis, inducing menstruation to relieve menalgia; Radix Notoginseng contains arasaponin, and the merit of blood circulation promoting and blood stasis dispelling, hemostasis and pain-relieving is arranged, and blood stasis dispelling is arranged and does not stay the characteristics of the stasis of blood; The pain relieving of Sanguis Draxonis promoting blood circulation to remove blood stasis; Rhizoma Chuanxiong has blood-activating and qi-promoting, and the effect of wind-expelling pain-stopping for " the gas medicine in the blood ", has blood vessel dilating, antithrombotic, the pharmacological action of spasmolytic; Radix Angelicae Sinensis has the effect of antithrombotic, anti-anemia, blood vessel dilating, anti-hypoxia, promotion immunologic function, and having enriches blood invigorates blood circulation, the effect of menstruction regulating and pain relieving, loosening bowel to relieve constipation, is the key medicine of enriching blood; Fructus Chaenomelis contains compositions such as Saponin, and relaxing muscles and tendons and activating QI and blood in the collateral, stomach function regulating removing dampness effect are arranged; Radix Cyathulae contains steroid, and the reaction of apparent alkaloid, blood circulation promoting and blood stasis dispelling is arranged, the effect of invigorating the liver and kidney, bone and muscle strengthening, diuresis, conducting blood to flow downwards; The Radix Paeoniae Alba contains compositions such as paeoniflorin, and the effect of the yin fluid astringing that nourishes blood, easing the affected liver to relieve pain is arranged; Radix Glycyrrhizae contains compositions such as glycyrrhizin, has detoxifcation, the effect of coordinating the actions of various ingredients in a prescription, and the Radix Paeoniae Alba is joined Radix Glycyrrhizae, and analgesic activity strengthens, and the effect of spasmolytic, relieving spasm to stop pain is arranged; Rhizoma Atractylodis contain compositions such as atractylol, have the spleen strengthening and damp drying, dispel the wind and ward off dirty effect; Rhizoma Cibotii contains compositions such as 4-butyryl-2-methylphloroglucinol 1-methyl ether, starch, has the effect of invigorating the liver and kidney, bone and muscle strengthening, strong waist knee joint, wind-damp dispelling; Radix Clematidis has the effect of wind-damp dispelling, removing obstruction in the collateral to relieve pain; Zaocys have dispel the wind, active, arresting convulsion, can Zhiduo County plant rheumatism, deeply search wind, the dispelling wind and removing obstruction in the collateral effect is strong; Hirudo has the effect of removing blood stasis, control gather, lump has specially good effect, during Hirudo is broken benefit arranged, even cause the stasis of blood or the blood stasis weakling all can use because of void; Bombyx Batryticatus has dispelling pathogenic wind and eliminating phlegm, the effect that eliminating stagnation is passed through, and Bombyx Batryticatus preparation Rhizoma Arisaematis is the clearing away phlegm medicine, is to pick the expectorant long-pending product of dispelling, and pertinacious phlegm, latent phlegm are had specially good effect, also can control the wind-phlegm meridians of being detained.

Vein and artery relieving pills for impediment of sinew of the present invention, full side is the cause of disease (void, heresy, the stasis of blood, expectorant) at muscular rheumatism and pathogenesis (impatency) and design, the compatibility science, primary and secondary is clear, have dispelling cold and removing dampness, reduce phlegm, expel wind to dredge collateral, blood circulation promoting and blood stasis dispelling, removing obstruction for relieving pain, invigorating the liver and kidney, bone and muscle strengthening, the effect of harmonizing yingfen and weifen; Through clinically 1300 routine various muscular rheumatism patients being implemented the treatment of examination clothes for many years, the patient who all accepts the treatment of examination clothes has significant curative effect, and wherein 1209 routine patients cure rehabilitation fully, and it treats effective percentage 100%, cure rate 93%; And its used raw material is easy to get, and preparation technology is simple, and is easy to use, have no side effect, and instant effect, indication is wide, and cost is low.

Specific embodiments

Concrete manufacturing example and a plurality of model case of lifting a prescription below further specify vein and artery relieving pills for impediment of sinew of the present invention and other therapeutic effect.It is pointed out that vein and artery relieving pills for impediment of sinew of the present invention never is confined to institute and gives an actual example and model case.

One, makes example

Get 1.5 kilograms of Pheretimas, 0.5 kilogram of Scorpio, 0.5 kilogram of Scolopendra (foot of decaptitating), 1 kilogram of Eupolyphaga Seu Steleophaga, 0.5 kilogram of Radix Notoginseng, 1 kilogram of Resina Draconis, 1 kilogram of Zaocys, 0.5 kilogram of Hirudo, 0.5 kilogram of Bombyx Batryticatus, 0.5 kilogram of Olibanum (processed) and Myrrha (processed) and grind to form the fine powder mixing for 0.5 kilogram; Get 1.5 kilograms of boiled water prescribe medicines of 1.5 kilograms of Radix Aconiti Preparatas and Radix Aconiti Kusnezoffii Preparata again, be decocted first 30 minutes, to remove the toxicity of Radix Aconiti Preparata, Radix Aconiti Kusnezoffii Preparata, and then get 1.5 kilograms of Rhizoma Arisaematis (processed), 0.5 kilogram of Radix Angelicae Sinensis, 1.5 kilograms of the Radix Paeoniae Albas, 1.5 kilograms of Rhizoma Chuanxiongs, 1.5 kilograms of MUZHUA, 1.5 kilograms of Radix Cyathulaes, 1.5 kilograms of Radix Clematidis, 1.5 kilograms of Rhizoma Atractylodis, 1.5 kilograms of unhairing Rhizoma Cibotii and 0.5 kilogram of prescribe medicine of Radix Glycyrrhizae, blend decocts into medicine juice, again with medicine juice and the fine powder mix homogeneously that ground to form, by every ball 3g granulating, oven dry promptly gets product.

Two, model case

Case 1: the king so-and-so, man, 53 years old, right sprained ankle, treatment such as channel, cupping jar, massage January, local swelling, movable function is not good enough, and the sole of the foot stoops, and pain increases the weight of when stretching, relevant with climate change, be diagnosed as right ankle joint outmoded injury (muscular rheumatism), vein and artery relieving pills for impediment of sinew for oral administration, every day 2 times, each 1 ball, recovery from illness in 7 days.

Case 2: Lee, the man, 38 years old, waist injury, pain, movable function is not good enough, through certain central hospital's treatment, flank pain companion right lower extremity skelalgia, numbness, sour bloated, unable appear in the commentaries on classics of not getting better simultaneously after 2 weeks, through nuclear magnetic resonance check, be diagnosed as between lumbar disc and give prominence to right lateral side, dural sac pressurized, tcm diagnosis are muscular rheumatism.Vein and artery relieving pills for impediment of sinew for oral administration, back pain relief, numbness commentariess on classics of not getting better of 1 week taken vein and artery relieving pills for impediment of sinew 3 months continuously, and pain disappears, and is numb, acid is bloated, the paraesthesia complete obiteration, fully recovers.

Case 3: Zhang, woman, 41 years old, neck pain, movable not good enough, through massage, traction, commentariess on classics of not getting better in 6 months of symptomatic treatments such as antipyretic analgesic for oral administration, existing cervical pain, movable not good enough, dizzy, feeling of fullness in the head, two upper limb numbness, aching and limp distending pain, through the inspection of X sheet, Western medicine diagnose is a cervical spondylosis, tcm diagnosis is a muscular rheumatism, and vein and artery relieving pills for impediment of sinew for oral administration cervical pain, acid in 1 month are expanded and disappeared, and the cervical region activity freely, the numb disappearance, dizzy, feeling of fullness in the head obviously alleviates, and continuous clothes 1 month are fully recovered.

Case 4: Liu so-and-so, the woman, 63 years old, double knee joint pain, movable function was not good enough, the stair activity difficulty, local mild swelling is diagnosed as the double knee joint degeneration and merges bursitis.Through doctor trained in Western medicine symptomatic treatment 6 months, swelling alleviated but pain exists, the treatment of clothes vein and artery relieving pills for impediment of sinew after 1 month pain obviously alleviate, swelling disappears substantially, continuous clothes vein and artery relieving pills for impediment of sinew 2 months, the swelling pain complete obiteration is fully recovered.

Case 5: Huang, the woman, 57 years old, right elbow joint outside pain, pain increases the weight of in the time of before forearm revolves, and part not show is swollen, and Western medicine diagnose is right external humeral epicondylitis, and the traditional Chinese medical science is muscular rheumatism.Commentariess on classics of not getting better after the channel treatment gives closed treating subsequently, and pain disappears, and pain appears in the right elbow joint outside once more after 6 months, closed treating immediately, and the commentaries on classics of not getting better was obeyed vein and artery relieving pills for impediment of sinew 7 days, and the pain complete obiteration is fully recovered.

Claims

1. vein and artery relieving pills for impediment of sinew is characterized in that:

1) raw materials used and their weight portion proportioning is,

Zaocys 1～2 Hirudo 0.3～1 Bombyx Batryticatus 0.3～1;

2) its preparation method is, by raw materials used weight portion proportional quantity, earlier Pheretima, Scorpio, Scolopendra, Eupolyphaga Seu Steleophaga, Radix Notoginseng, Resina Draconis, Zaocys, Hirudo, Bombyx Batryticatus, Olibanum (processed) and Myrrha (processed) is ground to form fine powder; With Radix Aconiti Preparata and Radix Aconiti Kusnezoffii Preparata, the boiled water prescribe medicine was decocted first 30 minutes again, and then all the other medical material blend decoct into medicine juice down, and with medicine juice and the fine powder mix homogeneously that is ground to form, by every ball 3g granulating, oven dry promptly gets product.

2. according to the described vein and artery relieving pills for impediment of sinew of claim 1, it is characterized in that raw materials used weight portion proportioning is:

Zaocys 1 Hirudo 0.5 Bombyx Batryticatus 0.5