CN101804160B - Medicine line for curing cervical spondylosis and protrusion of lumbar vertebral disc by means of trocar implantation and preparation method thereof - Google Patents
Medicine line for curing cervical spondylosis and protrusion of lumbar vertebral disc by means of trocar implantation and preparation method thereof Download PDFInfo
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Abstract
The invention discloses a medicine line for curing the cervical spondylosis and the protrusion of lumbar vertebral disc by means of trocar implantation and a preparation method thereof. The medicine line is prepared by infusing catgut in traditional Chinese medicine liquid. The preparation method of the medicine line comprises the following steps of: making up a prescription, processing, infusing by means of solution, infusing by means of ferment and bottling to prepare the finished product. The invention adopts an acupuncture point embedding treatment, thereby overcoming the defects of the existing acupuncture such as short acupuncturing time, high acupuncturing frequency, short treatment effect and hard reinforcement after cure, using the medicine line to replace a silver needle to be embed in the acupuncture point, and being capable of achieving the aim for curing the cervical spondylosis and the protrusion of lumbar vertebral disc since the medicine line continually and effectively stimulates the acupuncture point. The selected traditional Chinese medicine has high pertinence and reasonable prescription. The preparation method of the medicine line is easily popularized, can overcome the side effects caused by medicine taking, massaging and acupuncturing, has small risk, low cost, direct cure function, long cure spacing interval and good therapeutic effect, and is applied to the cervical spondylosis and the protrusion of lumbar vertebral disc caused by various reasons.
Description
Technical field:
The present invention relates to a kind of medicine and preparation method for the treatment of cervical spondylosis, prolapse of lumbar intervertebral disc, particularly relate to a kind of medicated line and preparation method that adopts trocar implantation treatment cervical spondylosis, prolapse of lumbar intervertebral disc.
Background technology:
Cervical spondylosis is the part of cervical spondylosis, is that the spinal osteoarthritis bone closes cervical intervertebral disk and deviates to change around disease, the hypertrophy cervical vertebra and organize inflammatory and the edema radicular syndrome due to a series of, is a kind of illness of changing into the basis with degeneration pathology.Mainly due to cervical vertebra strain for a long time, hyperosteogeny, or prolapse of intervertebral disc, ligament thicken, and causes cervical vertebra spinal cord, nerve root or vertebral artery pressurized, a series of handicapped clinical syndromes occur.Show as intervertebral disc degradation itself and insecondary a series of pathological change thereof, as vertebra joint unstability, loosening; Vertebral pulp is given prominence to or is deviate from; Bony spur forms; The spinal canal stenosis of ligament plumpness and secondary etc. stimulate or have oppressed the tissues such as nerve root, spinal cord, vertebral artery and cervical section sympathetic nerve of vicinity, and cause the syndrome of various sings and symptoms.
The reason of prolapse of lumbar intervertebral disc morbidity has endogenous cause of ill and exopathogenic factor two aspects.Endogenous cause of ill is that degeneration of intervertebral disc own or intervertebral disc have the defective in the growth; Exopathogenic factor then has damage, fatigue and catches cold and catch a cold etc.The traditional Chinese medical science thinks that the pathogenic factor of primary disease mainly contains following three aspects:
(1) acute sprain and contusion, qi depression to blood stasis;
(2) affection of exogenous wind-cold damp, the meridians obturation;
(3) prolonged illness strain, renal deficiency type.
At present the Therapeutic Method of prolapse of lumbar intervertebral disc comprises: 1, lie up 2, Drug therapy 3, traction treatment 4, naturopathy 5, massage treatment 6, acupuncture and moxibustion therapy 7, block therapy 8, small needle knife therapy 9, operative treatment.Wherein Drug therapy comprises curative drug and relief of symptoms class medicine, because a lot of general medicine difficulties of the special construction of lumbar intervertebral disc decision have therapeutical effect, therefore general Chinese and western drugs also has only pain-relieving functions, and it is main alleviating clinical symptoms, does not reach the purpose of radical cure intervertebral disc prolapse; Traction treatment only is suitable for simple protrusion of lumbar intervertebral disc patient, and must adopt when symptom is not heavy, is purpose to alleviate clinical symptoms, forbids in prolapse of lumbar intervertebral disc, deviates from, and follows the patient of spinal canal stenosis and the patient of the prominent disease of waist acute stage; Naturopathy comprises that methods such as electrotherapy, infrared ray radiation, thermotherapy and therapeutic purposes such as massage, acupuncture are basic identical.Exactly alleviating patient's clinical symptoms, but not the radical cure means.Because patient's majority of the prominent disease of waist is followed chronic lumbar muscle strain, piriformis meat anxiety, the position muscle spasm that the nerve of prolapse of lumbar intervertebral disc thing compressing is passed by with nerve causes lumbago and skelalgia, and general hospital uses anxiety and the spasm that treatment meanss such as physical therapy, massage, acupuncture are alleviated muscle.All knew so be the patient of physical therapy, can be more comfortable when doing physical therapy, again can be as before after not doing.Thus, Therapeutic Method such as physical therapy, massage, acupuncture only are used for the partner treatment that waist is dashed forward disease; Closed treating divides two kinds of application processes, and a kind of is intraspinal block, and a kind of is the nerve root sealing.As its name suggests, intraspinal block is that the direct drug injection thing is expelled in the canalis spinalis, and nerve root sealing is that medicine is injected at around the nerve root.The medicine of injection adds local anesthesia based on adrenal gland's glucocorticoid.Under functions of hormones, can alleviate and eliminate the aseptic inflammation and the edema of nerve root; Anaesthetic then is pain relieving, and the anesthesia nerve reduces its sensitivity.We know, why the prominent disease of waist can cause lumbago and skelalgia, mainly is to cause nerve root generation edema and aseptic inflammation owing to behind the lumbar nucleus pulposus pressuring nerve, so the effect of sealing is exactly pain relieving, the outthrust compressing can't solve, when sealing drug effect lumbago and skelalgia symptom is later recovered again at once; Needle knife therapy is exactly a kind of improvement of block therapy in fact, and its therapeutic effect is equal to sealing.Owing in therapeutic process, apply to adrenal gland's glucocorticoid, therefore can not use more.The side effect meeting of hormone causes as osteoporosis, gastrointestinal reaction, acne hirsutism, central obesity etc., and follow patient's forbiddings such as diabetes, hypertension simultaneously; Operative treatment comprises the excision of full vertebrae plate resection, semi-vertebral plate, through abdomen intervertebral disc operation, interbody fusion etc., the purpose of operation is directly to excise the pathological changes lumbar nucleus pulposus, removes nerve root compression and reaches therapeutic purposes.Because the restriction of the special physiological position of lumbar vertebra, therefore operation has destroyed normal lumbar vertebra physiological structure, cause surgical injury big, easily cause lumbar vertebra postoperative unstability, the postoperative scar tissue adhesion accidentally injures a series of untoward reaction such as nerve root, so most patient fears operation in the art, surgery cost height in addition also can cause economically burden to the patient.
A kind of acupoint embedding therapy had appearred in recent years, this therapy is the product that combines according to science of acupuncture and moxibustion theory, Chinese materia medica and modern physics, it changes by biophysics effect and the biochemistry that needle set and medicated line produce in the acupuncture point, its stimulus information and energy and Chinese medicine are imported in the body by meridians, and reach the purpose of treatment disease.In fact catgut embedding therapy is a kind of multiple therapy of melting, and multiple effect is in the plyability Therapeutic Method of one.Medicated line is as a kind of foreign protein, imbed the acupuncture point and be equivalent to heteroplasm's transplanting later on, can make human body produce allergy, make lymphocyte sensitization, its cell cooperates the antibody in the body fluid, macrophage etc. again, destroy the medicated line that decomposes, liquefies conversely, make it to become polypeptide, aminoacid etc., engulfed absorption at last, produce multiple lymphokine simultaneously.The acupuncture point is produced physiology physics to these antigenic stimulus things and biochemistry stimulates, make local organization produce allergy and aseptic inflammation, and to general reaction occurring, thereby improve the stress ability of human body when producing stimulation to the acupuncture point is local, the exciting human immunologic function, regulate the relevant internal organs organ dysfunction of health, activity is tended to balance, disease obtains curing.On origin, acupoint thread-embedding therapy is a branch of Chinese medicine acupuncture, by the acupoint embedment therapy improvement that originates from the 1950's.Acupuncture or when attacking a vital point, external force produces the acupuncture point to stimulate, in case pin or finger leave after the acupuncture point, stimulation to the acupuncture point has just disappeared thereupon, for example when gastric ulcer shows effect patient's pain unbearably, traditional Chinese medical science doctor just adopts acupuncture and moxibustion therapy to prick a pin at place, patient's's " tsu san li " acupuncture point, at once will alleviating pain, but behind the withdrawal of needle, pain still can be shown effect.The doctor just was embedded in a pin in " tsu san li " cave of patient afterwards, allowed its long-time stimulus acupuncture point, Here it is initial acupoint embedment therapy.From this angle, acupoint embedment therapy is a kind of long-acting acupuncture and moxibustion treatment, has remedied the defective that original acupuncture treatment time of acupuncture is short, pricking times is many, curative effect is lasting, the back of recovering is difficult for consolidation.Along with the reach of science, with a kind of animal proteinum carrier,, replace acupuncture needle to be embedded in the acupuncture point acupuncture point is produced the stimulation of continuous and effective by catgut such as catgut, reach the purpose of treatment disease.Because carrier can dissolve by nature in a period of time, was absorbed by the body, acupoint thread-embedding therapy is also therefore gained the name.Except that pin and catgut, the carrier that acupoint embedment therapy uses also has steel ring and magnetic piece etc.In the patent No. is in 02132660.6 the document disclosed " a kind of medicated line and application thereof for the treatment of hyperosteogeny disease ", select for use the catgut carrier after the medicine infusion, to form medicated line, mainly be to reach cervical spondylosis and the prolapse of lumbar intervertebral disc that causes by hyperosteogeny at hyperosteogeny disease, the cervical spondylosis and the prolapse of lumbar intervertebral disc that cause for other reasons, its therapeutic effect is not obvious, and the preparation of medicated line is also comparatively complicated.Find that in secular clinical position the cervical spondylosis and the patients with lumbar disc herniation that are caused by other reasons are numerous, and existing acupoint embedding therapy does not also have special medicated line at cervical spondylosis that is caused by other reasons and prolapse of lumbar intervertebral disc, does not have relevant record in disclosed document yet.
Summary of the invention:
The objective of the invention is at the deficiencies in the prior art, a kind of medicated line and preparation method that adopts trocar implantation treatment cervical spondylosis, prolapse of lumbar intervertebral disc is provided, selected medicine is with strong points, prescription rationally, its preparation method is easily popularized, can overcome take medicine, side effect that massage, acupuncture and moxibustion therapy produce, risk is little, expense is low, and therapeutical effect is direct, and treatment is long blanking time, therapeutic effect is good, technical problem to be solved by this invention is choose reasonable pharmaceutical formulation and carrier, determines scientific and reasonable preparation technology, and the technical solution used in the present invention is as follows:
A kind of medicated line that adopts trocar implantation treatment cervical spondylosis, prolapse of lumbar intervertebral disc, this medicated line is to adopt catgut to form by the traditional Chinese medicine liquid infusion, it is characterized in that traditional Chinese medicine liquid is grouped into by following one-tenth:
Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radix Angelicae Dahuricae, Os Canitis, Moschus moschiferous perfume (or spice);
Its preparation method is:
(1) prescription, processing: by weight ratio with Chinese medicines such as Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radixs Angelicae Dahuricae, wherein Radix Clematidis is 3 parts, 3 parts of Herba speranskiae tuberculataes, 2 parts of Semen Strychni, other each 1.5 parts, and be processed into powdery, in the container of after high temperature sterilize is handled, packing into;
(2) molten soaking: be 80% alcoholic solution with cold boiled water water with the dilution of 95% ethanol, in proportion alcoholic solution is injected the container that medicated powder is housed, container is built sealing, rocked once in per 24 hours, after two weeks, the above-mentioned molten medicinal liquid that is dipped into is to a certain degree filtered the back form medicinal tincture, in the intact glass container of the sterilization of packing into;
(3) ferment soaks: catgut is cut into the 1cm-2cm unequal length, packs in the intact container of sterilization, the sodium chloride with 9% soaks washs 12 hours, and ferment soaks in the medicinal tincture of packing into behind the airing, rocks once in per 24 hours, and ferment soaked 30-60 days;
(4) finished product: ferment is soaked good catgut put into the vial of handling through high temperature sterilize, every bottle is injected medicinal tincture 1-2ml, liquid Os Canitis 0.2g, liquid Moschus 0.2g~0.3g.
Compared with prior art, it is with strong points to the present invention is directed to the selected medicine of cervical spondylosis and prolapse of lumbar intervertebral disc, prescription rationally, its preparation method is easily popularized, can overcome take medicine, side effect that massage, acupuncture and moxibustion therapy produce, risk is little, expense is low, therapeutical effect is direct, and treatment is long blanking time, and therapeutic effect is good.
The specific embodiment:
A kind of medicated line that adopts trocar implantation treatment cervical spondylosis, prolapse of lumbar intervertebral disc, this medicated line is to adopt catgut to form by the traditional Chinese medicine liquid infusion, its traditional Chinese medicine liquid is grouped into by following one-tenth:
Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radix Angelicae Dahuricae, Os Canitis, Moschus moschiferous perfume (or spice);
Its preparation method is:
(1) prescription, processing: by weight ratio with Chinese medicines such as Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radixs Angelicae Dahuricae, wherein Radix Clematidis is 3 parts, 3 parts of Herba speranskiae tuberculataes, 2 parts of Semen Strychni, other each 1.5 parts, and be processed into powdery, in the container of after high temperature sterilize is handled, packing into;
(2) molten soaking: be 80% alcoholic solution with cold boiled water water with the dilution of 95% ethanol, in proportion alcoholic solution is injected the container that medicated powder is housed, container is built sealing, rocked once in per 24 hours, after two weeks, the above-mentioned molten medicinal liquid that is dipped into is to a certain degree filtered the back form medicinal tincture, in the intact glass container of the sterilization of packing into;
(3) ferment soaks: catgut is cut into the 1cm-2cm unequal length, packs in the intact container of sterilization, the sodium chloride with 9% soaks washs 12 hours, and ferment soaks in the medicinal tincture of packing into behind the airing, rocks once in per 24 hours, and ferment soaked 30-60 days;
(4) finished product: ferment is soaked good catgut put into the vial of handling through high temperature sterilize, every bottle is injected medicinal tincture 1-2ml, liquid Os Canitis 0.2g, liquid Moschus 0.2g~0.3g.Os Canitis, Moschus can grind 2-3 hour with breast is rich respectively, made it become liquid.
The clinical experiment report:
1.1, physical data
The patient is divided into focus medicated line implantation group (treatment group) at random and the acupuncture point is imbedded the acupuncture of catgut group, massages, taken medicine, medicine for external use etc. (matched group), 1000 examples are organized in treatment, male 646 examples, women 354 examples.31-40 year 145 examples, 41-50 year 364 examples, 51-60 year 323 examples, 61-83 year 168 examples.The shortest person of the course of disease 3 months, the longest 41 years.Site of pathological change: treatment group: cervical spondylosis 436 examples, prolapse of lumbar intervertebral disc 564 examples.
1.2, diagnostic criteria: all cases all have typical clinical symptoms and X line and CT, magnetic resonance to take the photograph sheet report and be consistent, and examine to be above-mentioned disease.
1.3, clinical manifestation: hyperosteogeny many with affected part local pain, upper limb numbness, acid is bloated, stiff, limitation of activity etc.Dizzy headache, shoulder arm numbness are ached, even involve chest pain, symptom such as uncomfortable in chest.
Prolapse of lumbar intervertebral disc is many with the lumbago discomfort, even influences piriformis, buttocks, or emit to the one or both sides numbness of lower limbs, a little symptoms such as pain.
2, Therapeutic Method
2.1, the treatment group
2.1.1, the preparation of medicated line: adopt from intending promoting the flow of QI in the collateral by warming the meridian liquid (Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radix Angelicae Dahuricae, Moschus) with catgut 1-01 number 40, sodium chloride is handled and is put into after 24 hours from the promoting the flow of QI in the collateral by warming the meridian medicinal liquid of intending, carrying out ferment soaked 30 days, put into again afterwards and contained 75% ethanol (having formed promoting the flow of QI in the collateral by warming the meridian medicine ethanol) the molten 30-60 of soaking days, take out again, after drying in the shade, put into to contain and certain densityly soaked 60 days from intending promoting the flow of QI in the collateral by warming the meridian medicine ethanol container ferment, the catgut ferment soaks and is the reddish violet degree, takes out and to put into aseptic peace bottle low temperature dry in the shade stand-by (low temperature-10 °-15 ° be advisable).
2.1.2, acupoint selection: the focus part all the position and the meridional point position
2.1.3, the medicated line implant procedure: the difference according to site of pathological change adopts implantation respectively.
2.1.3.1, the threading implantation: behind the skin routine disinfection, clamp the sleeve pipe puncture needle of band medicated line with aseptic needle forceps with 2% lignocaine local anaesthesia (the 2.0-2.5 centimeters is made local anaesthesia in the focus both sides), implant from the local anaesthesia position, pass the subcutaneous tissue or the muscle layer tissue of focus below, it is the center with the vertebra gap that the patient of cervical spondylosis implants 2.0cm-3.0cm, about the other 2.0-2.5cm that opens, symmetrical medicated line is implanted, vertical 90 °, in the degree of depth 3.0cm.The patient of prolapse of lumbar intervertebral disc is other about with the vertebra gap to open 2.0cm-2.5cm, medicated line implantation depth 4.5-5.5cm, and vertical 90 °, (left-right symmetric implantations) medicated line is implanted cervical vertebra and is implanted medicated line 2.0cm, prolapse of lumbar intervertebral disc implantation medicated line 3.0cm.After implantation finished, the pin hole with aseptic cotton balls gland is implanted well fixed with adhesive plaster or adhesive bandage, tore after three days, and treatment in 30 days once.
Points for attention: (1) strict sterile working that grasps, protect from infection, when implanting with medical No. 12 puncture needles operation should be surely, accurate, gently, soon, prevent that implantation position is inaccurate.Plant medicated line at trunk, prevent to puncture the abdomen inner membrance, the damage internal organs.(2) medicine should be implanted in the intervertebral foramina collar extension place of subcutaneous tissue and lumbar vertebra, and cervical spondylosis is implanted in the position of fleshiness or implants vertebral plate joint gap place.The medicated line head can not be exposed to the skin outside, and postoperative is protected from infection.As part suppuration flowing water or expose the end of a thread, can extract medicated line out, emit pus, enclosing cover dressing is also made infection and is handled.(3) grasp the degree of depth of sunkening cord according to different parts, do not injure internal organs, trunk and nerve trunk, more directly implantable neural is done and trunk, in order to avoid cause adverse consequences, (medicated line is implanted at the governor vessel position, not implant spinal cord dura mater degree of being).The position that should depart from previous treatment when (4) repeatedly treating at a position.(5) local skin has and infects or medicine should not be planted by the ulcer place, and fever, flu, tumor, tuberculosis active stage, hematopathy, bone tuberculosis, diabetes, acute cardio-cerebrovascular disorder, unconsciousness, health extremely feeble, woman gestationperiod, menstrual phase patient should use.(6) by implanting medicated line, behind the postoperative patient sx, spend 30 days and implant once, to consolidate curative effect, curative effect was not obvious for the first time after the patient who has implanted medicated line, implanted ineffective patient and should stop this method treatment for the 2nd time.
2.2, matched group
2.2.1, to implant medicated line be the common surgical procedures catgut
2.2.2, the location gets acupuncture points on the human body, select for use respectively according to the concrete patient's condition of patient by present medical anatomy location and differentiation of tcm and follow through getting acupuncture points on the human body.
2.2.3, the medicated line implant procedure is identical with the treatment group.
3, observation of curative effect
3.1, criterion of therapeutical effect:
(1) clinical cure: symptom and sign all disappears after treating, and recovers orthobiosis and work.
(2) effective: symptom and sign obviously alleviates, and function is obviously improved, and activity has limited slightly, can only participate in labor in general and life.
(3) invalid secondary treatment: symptom and sign does not have improvement.
3.2, therapeutic outcome:
Two groups the treatment after curative effect comparative example %
Two groups the treatment after clinical curative effect analysis, diversity has the significance meaning, shows that the curative effect of treatment group is better than matched group.
Model case 1: prolapse of lumbar intervertebral disc
Patient Liu Yufen, the women, 40 years old, Han nationality, married, Tianjin Baodi county cattle road village people.Main cause right lower extremity radiated pain 2 years is surplus, be admitted to hospital in 30th in December in 2004, the right lower extremity radiated pain appearred in no obvious inducement before the patient came from 2 years, difficulty in walking, the back sx of suffering from cold, once went to a doctor to nearby hospitals, massage, symptom takes a turn for the better after the acupuncture, because of being engaged in physical work, occurs above-mentioned symptom again, once to nearby hospitals' diagnosis and treatment commentaries on classics of not getting better, came my institute and adopted medicated line (stype) implanted treatment.Since the morbidity, it is relatively poor to sleep, no lumbago, and diet is normal, and defecation is normal.Previously stop and be good for, be born in the ancestral home, be not a distant place, a man and a woman is arranged, natural labor, the menstruation rule, painless through history.T:36.5 ℃, BP:15/9KPa (110/70mmHg) have a medical check-up, spinal column does not have deformity, the other no tenderness of vertebra, waist back of the body degree of stretching is curved little, right lower extremity is raised 60 °, and is of flaccid muscles, bilateral biceps brachii m. tendon reflection normal presence, bilateral knee tendon reflex normal presence, right lower extremity are strengthened experiment (+) case feature ().
The X line shows: the physiology curvature disappears, and the L4-L5 intervertebral space is beloid, and lumbar vertebra L3-L5 leading edge has hyperosteogeny.Lung abdomen no abnormality seen.Tentative diagnosis: 1. prolapse of lumbar intervertebral disc; 2. the hyperosteogeny osteoarthropathy adopts medicated line (stype) implant therapy, adopt 2 times the treatment after, patient's right lower extremity does not have pain, walking freely, when cloudy day be conscious slight numbness, adopts main position that the L3-L4 bilateral is arranged, the L4-L5 bilateral, join acupuncture points on the human body, middle wine with dregs bilateral, Chihpien bilateral, right Huantiao side, right positive rib spring side is now fully recovered.
Model case 2: cervical spondylosis
Loyalty person Yao Cui ring, the women, 28 years old, Han nationality, married, Pingquan Xiao Sigou people from town, Chengde, last because of cervical pain 1 year, in: 2007 noon Decembers were admitted to hospital on the 9th.Wake up and cervical pain occurs because of being stranded sleep before 1 year, dare not be movable, to local hospital
Take a turn for the better after the massage treatment,, Wry Neck occurs later on because of a posture longer duration, headache, do not have to feel sick, vomiting, cervical pain right shoulder arm occurs to the ancon radiated pain when severe, can not fall asleep a little analgesics of informal dress, in light during pain, time, weigh, arrive examination in hospital again, the X line shows: the physiology curvature disappears, cervical vertebra C4-C7 joint hypertrophy, narrowing of intervertebral space, not getting better after the treatment transfers my institute then, medicated line (stype) implanted treatment.Since the morbidity, it is relatively poor to sleep, normal painful at night waking up, and diet is general, and defecation is normal.Previously body is strong.Have a medical check-up: BP13/9KPa (100mmHg).Grow normally, nutrition is medium, conscious mind, the cooperation of having a medical check-up.So mucocutaneous no xanthochromia is the petechia.Enlargement is touched at the shallow lymph of whole body table end.Head does not have deformity, and the bilateral isocoria is just round, light reflex sensitivity, otorhinolaryngology no abnormality seen.Neck is soft, no distension of jugular vein, and trachea is placed in the middle, and thyroid is little.Thorax does not have deformity, and two lungs are kowtowed sore throat relieving, and abdomen is smooth, soft, and the liver spleen does not touch, intestinal toot sound normal presence.Anus external genitalia normal presence.The spinal column extremity do not have the orthopaedics of opinion situation.Spinal column does not have deformity, and there is tenderness at the other 1cm of cervical vertebra 4-7 joint vertebra place, and the reflection of biceps brachii m. key is normal.Tentative diagnosis: the mixed type cervical spondylosis, adopt medicated line (stype) implantation therapy for treating, after a course of therapy, patient's no headache, dizziness, no cervical pain, no upper limb pain, but cervical region is also conscious stiff, and cervical vertebra 4~7 joint vertebral bodys have light tenderness, biceps brachii m. tendon reflex normal presence, the main employing: medicated line (stype) therapy for treating C4-C5, C5-C6, C6-C7, DAZHUI acupoint, symptom obviously alleviates after 20 days, and sign disappears, now do not see recurrence substantially.
4, clinical summary:
Focus medicated line (stype) implantation belongs to a kind of comprehensive channel therapy in the acupoint embedment therapy, has many good qualities, and it can play the special effect of getting instant result, and the late result of through sick institute, treating both the principal and the secondary aspects of a disease at the same time is arranged again.This therapy is carried out the stimulation of permanent machinery, physics, chemical at the local medicated line (stype) of implanting of focus, has in superiority for other method treatment, more shows the effect of its uniqueness.By the curative effect comparison sheet as can be seen, treatment group cure rate reaches 92%, and improvement rate reaches 4.4%, and total effective rate 73%, matched group cure 42.8%, and improvement rate 48% is invalid 9%, total effective rate 36%.Clinical practice has proved has reliable curative effect to treatment neck, lumbar spondylosis.
By clinical practice and observation, it is few, easy and simple to handle that we think that focus medicated line implantation is got acupuncture points on the human body, and long at interval (treatment in 30 days once) saved time, saves trouble, saved money the course of treatment, met the problem of modern's high cost of getting medical treatment.This therapy designs with line and medicine, aboundresources, and reserves are very big in China, and cost is lower, and instant effect, curative effect is safe and reliable, the cure rate height, the side effect of no drug-induced is easily accepted by extensive patients, so can receive obvious social and economic benefit after applying.
Claims (1)
1. medicated line that adopts trocar implantation treatment cervical spondylosis, prolapse of lumbar intervertebral disc, this medicated line is to adopt catgut to form by the traditional Chinese medicine liquid infusion, it is characterized in that traditional Chinese medicine liquid is grouped into by following one-tenth:
Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radix Angelicae Dahuricae, Os Canitis, Moschus moschiferous perfume (or spice);
Its preparation method is:
(1) prescription, processing: by weight ratio with Radix Clematidis, Herba speranskiae tuberculatae, Semen Strychni, Os Canitis, Flos Carthami, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Radix Saposhnikoviae, Radix Stephaniae Tetrandrae, Radix Notoginseng, Radix Angelicae Pubescentis, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, Radix Angelicae Sinensis, Radix Puerariae, the Cortex Eucommiae, Rhizoma Gastrodiae, Caulis Spatholobi, Rhizoma Drynariae, Pheretima, Agkistrodon, Semen Vaccariae, Fructus Chaenomelis, Sanguis Draxonis, Herba Lycopodii, the Radix Angelicae Dahuricae, wherein Radix Clematidis is 3 parts, 3 parts of Herba speranskiae tuberculataes, 2 parts of Semen Strychni, other each 1.5 parts, and be processed into powdery, in the container of after high temperature sterilize is handled, packing into;
(2) molten soaking: be 80% alcoholic solution with cold boiled water water with the dilution of 95% ethanol, in proportion alcoholic solution is injected the container that medicated powder is housed, container is built sealing, rocked once in per 24 hours, after two weeks, the above-mentioned molten medicinal liquid that is dipped into is to a certain degree filtered the back form medicinal tincture, in the intact glass container of the sterilization of packing into;
(3) ferment soaks: catgut is cut into the 1cm-2cm unequal length, packs in the intact container of sterilization, the sodium chloride with 9% soaks washs 12 hours, and ferment soaks in the medicinal tincture of packing into behind the airing, rocks once in per 24 hours, and ferment soaked 30-60 days;
(4) finished product: ferment is soaked good catgut put into the vial of handling through high temperature sterilize, every bottle is injected medicinal tincture 1-2ml, liquid Os Canitis 0.2g, liquid Moschus 0.2g~0.3g.
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CN102641458A (en) * | 2012-04-17 | 2012-08-22 | 肖贵成 | Preparation method for medicated implanted catgut sutures for treating neck, shoulder, waist and leg pain and spinal diseases |
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CN102872232B (en) * | 2012-09-28 | 2014-02-05 | 李媛春 | Traditional Chinese medicine for treating lumbar disc herniation |
CN106176575A (en) * | 2016-08-16 | 2016-12-07 | 袁明省 | A kind of acupoint implanted stype and preparation method thereof |
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CN1151811C (en) * | 2001-01-04 | 2004-06-02 | 黄兆元 | Pain-relieving notoginseng mixture |
CN1476860A (en) * | 2002-08-22 | 2004-02-25 | 高俊鹏 | Xiaotongshu plaster and its preparation method |
CN1686499A (en) * | 2005-03-21 | 2005-10-26 | 朱春营 | Articular pain relieving pill |
CN101461879B (en) * | 2008-05-16 | 2011-05-25 | 胡元广 | Plaster for treating neck, spine, protrusion of lumbar vertebral disc, hyperosteogeny, arthralgia and myalgia |
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CN102641458A (en) * | 2012-04-17 | 2012-08-22 | 肖贵成 | Preparation method for medicated implanted catgut sutures for treating neck, shoulder, waist and leg pain and spinal diseases |
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