CN101810824B - Chinese medicament for curing post-stroke hand-shoulder syndrome - Google Patents
Chinese medicament for curing post-stroke hand-shoulder syndrome Download PDFInfo
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- CN101810824B CN101810824B CN201010124560XA CN201010124560A CN101810824B CN 101810824 B CN101810824 B CN 101810824B CN 201010124560X A CN201010124560X A CN 201010124560XA CN 201010124560 A CN201010124560 A CN 201010124560A CN 101810824 B CN101810824 B CN 101810824B
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Abstract
The invention belongs to the field of the Chinese medicament and particularly discloses a Chinese medicament for curing post-stroke hand-shoulder syndrome with fuming, steaming and wash-out. The Chinese medicament is prepared from astragalus, Chinese angelica, szechuan lovage rhizome, medicinal cyathula root, garden balsam stem, hiraute shiny bugleweed herb, clematis root, curcuma longa and cassia twig serving as the raw materialsin a certain weight ratio. The Chinese medicament regulates yin and yang and blood of the organism by replenishing qi, activating blood and using diuretic hydragogue to alleviate water retention to improve constitutional symptoms to achieve the healing effect, has obvious curative effect, obviously alleviates sequelae, improves the quality of life of the patient and also has no toxic or side effect, thus, the patient can feel at ease to use the Chinese medicament.
Description
(1) technical field
The invention belongs to the field of Chinese medicines, the Chinese medicine of shoulder-hand syndrome after particularly a kind of stifling washout treatment apoplexy.
(2) background technology
It is the characteristics that sickness rate is high, disability rate is high, mortality rate is high, cure rate is low that apoplexy has " three-hypers one is low ".The invention rate of primary disease is in rising trend, and on the one hand, the aging of population increases crowd's radix of suffering from primary disease; On the other hand; The change of Along with people's life style; The life of fast pace, high pressure and higher fatty acid, high caloric diet; Make the crowd of diseases such as suffering from hyperlipidemia, hypertension more and more, this type of disease causes the age of onset of primary disease to be rejuvenation trend to the infringement of blood vessel, and the broadening of age of onset span makes the crowd of the disease that suffers stroke be obvious ascendant trend.
Along with the development of Medical Technology and the raising of the level of rescue; In recent years the salvage success rate of stroke patient is progressively trend of rising; And the critically ill patient of successful rescue is generally left over comparatively serious sequela, thereby makes disability rate high; Therefore, reduce the disability rate of primary disease, present urgent problem when improving patient's self care ability.
Though tradition traditional Chinese medical science rehabilitation and modern rehabilitation training can partly improve the paralyzed limbs function; But the situation for pain and edema is felt simply helpless; In addition, generally many to the treatment of apoplexy is main with endo-medicine, whole conditioning, and less to suffering from the concern of limb swelling pain and shoulder-hand syndrome situation.
(3) summary of the invention
The present invention is in order to remedy the deficiency of prior art, and a kind of Chinese medicine of preparing shoulder-hand syndrome after the stifling washout treatment apoplexy simple, evident in efficacy is provided.
The present invention realizes through following technical scheme:
The Chinese medicine of shoulder-hand syndrome after a kind of stifling washout treatment apoplexy, form by the raw material of following parts by weight:
4～5 parts of the Radixs Astragali, 1～2 part of Radix Angelicae Sinensis, 3～4 parts of Rhizoma Chuanxiongs, 1～2 part of Radix Cyathulae, 2～3 parts of Herba speranskiae tuberculataes, 1～2 part of Herba Lycopi, 2～3 parts of Radix Clematidis, 1～2 part in Rhizoma Curcumae Longae, 3～4 parts of Ramulus Cinnamomi.
Its preferred each proportioning raw materials is:
4.5 parts of the Radixs Astragali, 1.5 parts of Radix Angelicae Sinensis, 3 parts of Rhizoma Chuanxiongs, 1.5 parts of Radix Cyathulaes, 3 parts of Herba speranskiae tuberculataes, 1.5 parts of Herba Lycopi, 3 parts of Radix Clematidis, 1.2 parts in Rhizoma Curcumae Longae, 3 parts of Ramulus Cinnamomi.
Chinese medicine according to the invention is powder.Above-mentioned raw material of Chinese medicine is merged, be made as thick loosing, be loaded in the special filter paper bag, place boiling water to soak,, treat about medicine juice cold to 40 ℃, put again and suffer from limb and in medicine juice, steep and wash just with the stifling limb of suffering from of steam.Can heat after the medicine juice cold and continue to use, each bubble was washed 30 minutes, and treat 2-3 every day.
The disease that the present invention is directed to is dialectical from integral body, belongs to the apoplexy category, and distinguishes from the part and to control that can belong to " arthromyodynia " category, it mainly shows as: affected limb swelling, flaccidity is soft or cold, movable unfavorable is sent out in contracture, pain, skin.We think that primary disease is many because of the tremble with fear stasis of blood or expectorant coagulate, joint local in meridians, due to QI-blood circulation is unfavorable.Wherein, " the water stasis of blood is tied mutually " is its core pathogenesis.
Modern medicine study thinks, Ipsilateral brothers swelling possibly be that cortex and infracortical structure or the conductive beam of premotor area is impaired after the apoplexy, makes the nervus motorius paralysis of blood vessel, due to blood flow of the tip increases, does not still have specific short at present.
Theory of Chinese medical science is thought: blood and body fluid homology alternate: blood and body fluid all are the liquids in whole body of circulating, and not only with coming from essence of water and grain, and in the defeated cloth process of operation, complement each other; Intersection mutually, blood can be gone in Tianjin, but blood Cheng Jin; " blood is arranged in the water; water is arranged in the blood ", " water and blood former parallel and be not contrary to " (" treatise on blood trouble water fire of moxibustion blood opinion ") brought into play its nourishing, the effect of making moist jointly.Blood and body fluid influence each other again on pathology, " Sun Luoshui (the present changes outer) overflows, then through stagnant blood is arranged " (" element is asked the regulating menstruation opinion ")." through being blood, menstruation disorder then is a water, name day blood system " (" Medical Treasures of the Golden Chamber aqueous vapor abnormal pulse card is also controlled ").Blood ability suffering from edema, water can sick blood.Edema can cause blood stasis, and blood stasis also can cause edema, and it is of common occurrence that this faces card.The pathological product of blood stasis after also edema forms, edema then often has the blood stasis witness.
The generation of primary disease is lost emptyly eventually by inclined to one side side yang-energy, promote unable and the hyperamization row is unable, the capable not smooth stasis of blood that then becomes of blood, and body fluid is excessive and cause swollen.Yang-energy loses in warm, and then affected limb is sent out cold, and is very then numb.QI-blood circulation is not smooth, and precise and tiny not all right, Ying Qi does not reach, so limbs wither soft or contracture.Passages through which vital energy circulates is obstructed, and stagnation of QI and blood may bring about pain is so affected limb pain is uncomfortable.So it is empty that it is that at all inclined to one side side yang-energy loses, it is not smooth to cause passages through which vital energy circulates, and channels is obstructed, and blood stops into the stasis of blood, overflows and cause swollenly in Tianjin, and the water stasis of blood is knot and be disease mutually.Control when the QI invigorating warming YANG and help it, activating blood and promoting diuresis Zhi Qigen.Can Xingqi blood, its swollen and multiple its usefulness disappears.
Reuse Radix Astragali warming YANG and invigorating QI in the side, to strengthen the warm and promotion ability of yang-energy, unable originally to control its inclined to one side side yang deficiency promotion.Chinese angelica blood supplementing is invigorated blood circulation, and dispersing cold for relieving pain all has a good effect for yang deficiency or cold coagulation and blood stasis are pain caused.The capable then blood of gas is capable, and Rhizoma Chuanxiong is the gas medicine in the blood, can invigorate blood circulation with blood stasis dispelling, again can circulation of qi promoting with pain relieving.The Herba Lycopi can blood circulation promoting and blood stasis dispelling, benefaction water detumescence again.Radix Clematidis property is apt to away, is longer than wind-damp dispelling, the meridian dredging, stopping numbness pain.For numb limbs and tense tendons, the contracture of muscle arteries and veins, joint joint stuffiness person is imitated excellent good.Rhizoma Curcumae Longae, Ramulus Cinnamomi, Radix Cyathulae three medicines share: the outer dispersing wind and cold of Rhizoma Curcumae Longae, and interior qi and blood circulation promotion, and these article are longer than capable limb arm and the sharp numbness pain relieving of invigorating blood circulation.The Ramulus Cinnamomi promoting the flow of QI in the collateral by warming the meridian, the also kind shoulder back of the body arthrodynia of extremities of controlling.Radix Cyathulae property is kind to be walked down, promoting blood circulation and sharp joint, and using and controling the inferior half body pain is its speciality, treats lower limbs edema pain with it.
All medicines share, and warming YANG is with QI invigorating, and then warm cold expelling is evil, and blood is capable strong.Invigorate blood circulation with blood stasis dispelling, circulation of qi promoting is with collateral dredging, and then channels is logical and blood stasis looses, and row fluent and edema in Tianjin is from disappearing.Modern medicine study proves that drug for invigorating blood circulation and eliminating stasis such as Rhizoma Curcumae Longae have the blood viscosity of improvement, with blood flow increasing with improve disturbance of blood circulation, the effect of promptly " invigorating blood circulation ".Also have good blood vessel dilating effect simultaneously, the permeability of histiocyte and blood vessel wall is increased, strengthen elasticity of blood vessels and blood supply, microcirculation improvement is accelerated blood flow, to promote the recovery of blood vessel, function of nervous system.Under these effects, blood plasma is leached reduce and tissue fluid heavily absorbs increase, thereby eliminate edema.
The method of medicine juice fomentation can organically combine the efficacy of a drug and heating power; Promote the absorption of skin and affected part to medicine; Promote blood and lymph circulation, strengthen the drainage of refuse in sugar, fat and protein metabolism and the body, the backflow that helps interstitial fluid absorbs; Regulate neuro humor, thereby alleviating pain, eliminate edema.
Clinical observation:
(1) physical data:
Case comes from Shandong Traditional Chinese Medicine University's second Affiliated Hospital's Neurology Department inpatient in year March in JIUYUE, 2006 to 2009.Include standard in: meet doctor trained in Western medicine diagnosis of cerebral infarction standard; Meet the diagnostic criteria of traditional Chinese medical science apoplexy; The course of disease is in morbidity 3 months; Clinical diagnosis is a shoulder-hand syndrome, mainly refers to patients with cerebrovascular disease at the unexpected edema of convalescent period trouble hands, pain and Ipsilateral shoulder pain, and makes the motor function of hands limited.Exclusion standard: before the pain person due to the thalamus pathological changes, the disease shoulder joint disease is arranged obviously and cause pain or dyskinesia person, and the full person of clinical data.Standard compliant totally 65 examples, wherein male 47 examples, women 18 examples.Shoulder pain and upper limb numbness, swelling and the person's of depositing 34 examples; Shoulder pain and upper limb swelling and the person's of depositing 18 examples; Upper limb swelling and numb and the person's of depositing 15 examples.
(2) Therapeutic Method:
Inpatient (cerebral infarction) stable disease is accepted modern hemiplegic limb combined rehabilitation (PT, OT) after three days, add with the stifling washout of shoulder hands medicinal powder when the arbitrary symptom of shoulder pain, swelling occurring, every day secondary, each 30 minutes.Treated 21 days.
(3) efficacy assessment standard:
The present invention is mainly used in shoulder-hand syndrome after the treatment apoplexy, thus the improvement situation of shoulder-hand syndrome and each item detection index as curative effect judging standard,
1. with VAS method evaluation shoulder pain: on a blank sheet of paper, draw the straight line of a long 10cm, 10 five equilibriums are from 0-10, and each is divided into 1.0 for normal, and the big more pain Shaoxing opera of score value is strong.Evaluation is not on same straight line before and after the treatment.
2. numbness evaluation: 0=is not numb, the accidental slight numbness of 2=, and 4: the numb work frequently but slighter or accidental heavier, the 6=numbness is heavier, frequency is done, but can stand, and obvious sensory disturbance is arranged.
3. swelling evaluation: 0=does not have swelling, and 2=is slight, 4=moderate, the serious upper limb swelling of 6=.
4. measurement of range of motion: with the self-control protractor, in same plane survey.
5. the comprehensive motor function evaluation of upper limb is with improvement Fugl-Meyer method.
6. ADL uses the Baxthel index method.
(4) therapeutic effect:
Clinical cure 65 examples, produce effects 15 examples, effective 16 examples, invalid 2 examples, all cases all have no adverse reaction.
(5) sum up:
Clinical time: 8-9, curative effect: 7 days are effectively, the course of treatment: general patient 7-49 days, the shoulder hands recovered normal, and patient with severe symptoms: 1-6 month transference cure recovered normal in 8 months.Effective percentage 95%, cure rate 80%.
The present invention is through benefiting QI for activating blood circulation, diuretic, and adjustment body yang blood and qi improves General Symptoms, reaches curative effect, and is evident in efficacy, obviously alleviates sequela, improved patient's quality of life; And its no toxic side effect, patient can feel at ease to use.
(4) specific embodiment
Embodiment 1:
Radix Astragali 40g, Radix Angelicae Sinensis 10g, Rhizoma Chuanxiong 30g, Radix Cyathulae 10g, Herba speranskiae tuberculatae 20g, Herba Lycopi 10g, Radix Clematidis 20g, Rhizoma Curcumae Longae 10g, Ramulus Cinnamomi 30g merge, and are divided into 4 and attach, and attach every day 1, merge to be made as thick loosing, and are loaded in the special filter paper bag.Boiling water soaks or decocted 30-40 minute, and extracting juice is just stifling with steam, and towel dips in medicine juice hot compress trouble limb then.Treat about medicine juice cold to 40 ℃, put and suffer from limb and in medicine juice, steep and wash.Every day 2 times, each 30 minutes, the upper and lower noon respectively once.
Embodiment 2:
Radix Astragali 50g, Radix Angelicae Sinensis 20g, Rhizoma Chuanxiong 40g, Radix Cyathulae 20g, Herba speranskiae tuberculatae 30g, Herba Lycopi 20g, Radix Clematidis 30g, Rhizoma Curcumae Longae 20g, Ramulus Cinnamomi 40g merge, and are divided into 4 and attach, and clothes merged to be made as slightly and loose every day 1, were loaded in the special filter paper bag.Boiling water soaks or decocted 30-40 minute, and extracting juice is just stifling with steam, and towel dips in medicine juice hot compress trouble limb then.Treat about medicine juice cold to 40 ℃, put and suffer from limb and in medicine juice, steep and wash.Every day 2 times, each 30 minutes, the upper and lower noon respectively once.
Embodiment 3:
Radix Astragali 40g, Radix Angelicae Sinensis 20g, Rhizoma Chuanxiong 30g, Radix Cyathulae 20g, Herba speranskiae tuberculatae 20g, Herba Lycopi 20g, Radix Clematidis 20g, Rhizoma Curcumae Longae 20g, Ramulus Cinnamomi 30g merge, and are divided into 4 and attach, and clothes merging every day 1 is made as thick loosing, and is loaded in the special filter paper bag.Boiling water soaks or decocted 30-40 minute, and extracting juice is just stifling with steam, and towel dips in medicine juice hot compress trouble limb then.Treat about medicine juice cold to 40 ℃, put and suffer from limb and in medicine juice, steep and wash.Every day 2 times, each 30 minutes, the upper and lower noon respectively once.
Embodiment 4:
Radix Astragali 45g, Radix Angelicae Sinensis 15g, Rhizoma Chuanxiong 30g, Radix Cyathulae 15g, Herba speranskiae tuberculatae 30g, Herba Lycopi 15g, Radix Clematidis 30g, Rhizoma Curcumae Longae 12g, Ramulus Cinnamomi 30g, merging are divided into 4 and attach, and clothes merged to be made as slightly and loose every day 1, were loaded in the special filter paper bag.Boiling water soaks or decocted 30-40 minute, and extracting juice is just stifling with steam, and towel dips in medicine juice hot compress trouble limb then.Treat about medicine juice cold to 40 ℃, put and suffer from limb and in medicine juice, steep and wash.Every day 2 times, each 30 minutes, the upper and lower noon respectively once.
Claims (3)
1. the Chinese medicine of shoulder-hand syndrome after the stifling washout treatment apoplexy, it is characterized in that: the raw material by following parts by weight is formed: 4～5 parts of the Radixs Astragali, 1～2 part of Radix Angelicae Sinensis, 3～4 parts of Rhizoma Chuanxiongs, 1～2 part of Radix Cyathulae, 2～3 parts of Herba speranskiae tuberculataes, 1～2 part of Herba Lycopi, 2～3 parts of Radix Clematidis, 1～2 part in Rhizoma Curcumae Longae, 3～4 parts of Ramulus Cinnamomi.
2. the Chinese medicine of shoulder-hand syndrome after the stifling washout treatment apoplexy according to claim 1, it is characterized in that: the raw material by following parts by weight is formed: 4.5 parts of the Radixs Astragali, 1.5 parts of Radix Angelicae Sinensis, 3 parts of Rhizoma Chuanxiongs, 1.5 parts of Radix Cyathulaes, 3 parts of Herba speranskiae tuberculataes, 1.5 parts of Herba Lycopi, 3 parts of Radix Clematidis, 1.2 parts in Rhizoma Curcumae Longae, 3 parts of Ramulus Cinnamomi.
3. the Chinese medicine of shoulder-hand syndrome after the stifling washout treatment apoplexy according to claim 1 and 2, it is characterized in that: said Chinese medicine is powder.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201010124560XA CN101810824B (en) | 2010-03-16 | 2010-03-16 | Chinese medicament for curing post-stroke hand-shoulder syndrome |
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| CN201010124560XA CN101810824B (en) | 2010-03-16 | 2010-03-16 | Chinese medicament for curing post-stroke hand-shoulder syndrome |
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| CN101810824B true CN101810824B (en) | 2012-05-30 |
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| CN103301364B (en) * | 2013-07-05 | 2014-06-18 | 于志强 | Pharmaceutical composition for treating post-stroke shoulder-hand syndrome |
| CN103736046B (en) * | 2013-12-26 | 2016-08-17 | 柳州市中医院 | A kind of medicament rod treating shoulder-hand syndrome after stroke and preparation method thereof |
| CN103800874B (en) * | 2014-01-15 | 2016-01-27 | 青岛大学医学院附属医院 | A kind of pharmaceutical composition of fumigation treatment apoplexy hemiplegia limbs disturbance |
| CN105456398A (en) * | 2015-12-14 | 2016-04-06 | 潘红 | Traditional Chinese medicine composition for treating stage I shoulder-hand syndrome |
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| Title |
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| 张晋，等.《名老中医治疗中风经验评述》.《中医药学报》.2000,(第6期),3-7. * |
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| C53 | Correction of patent for invention or patent application | ||
| CB03 | Change of inventor or designer information |
Inventor after: Zhou Xia Inventor after: Cao Maiyuan Inventor after: Wang Xingchen Inventor after: Li Min Inventor before: Zhou Xia Inventor before: Wang Xingchen Inventor before: Li Min |
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Free format text: CORRECT: INVENTOR; FROM: ZHOU XIA WANG XINGCHEN LI MIN TO: ZHOU XIA CAO MAIYUAN WANG XINGCHEN LI MIN |
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Granted publication date: 20120530 Termination date: 20130316 |