CN102205029B

CN102205029B - Chinese medicinal decoction for treating acute purulent mammitis

Info

Publication number: CN102205029B
Application number: CN2011101227023A
Authority: CN
Inventors: 杨华; 刘文慧
Original assignee: Individual
Current assignee: Individual
Priority date: 2011-05-04
Filing date: 2011-05-04
Publication date: 2012-08-22
Anticipated expiration: 2031-05-04
Also published as: CN102205029A

Abstract

The invention aims to disclose Chinese medicinal decoction which is used for treating acute purulent mammitis and has a good effect. Pus blocks are formed by obstruction in main and collateral channels, qi stagnation and blood stasis and stagnation of pathogenic heat due to the pathogenesis of the acute purulent mammitis, namely galactostasis and stagnation of stomach heat, and pus formation due to heat hyperactivity and muscle rottenness is the pathogeny of the acute purulent mammitis. Mongolian dandelion herb, kelp, seaweed, ricepaperplant pith, angelica dahurica, Chinese angelica, Szechuan lovage rhizome, red paeony root, common selfheal fruit-spike, honeycomb, great burdock achene, cinnamomvine, bupleurum, gardenia, costustoot, weeping forsythia, medlar and raw liquoric root serving as Chinese medicinal herbs which have the effect of clearing the heat and detoxicating, diminishing swelling and relieving congestion, regulating vital energy and invigorating blood circulation, and invigorating the spleen and nourishing the liver are selected and meticulously prepared into the decoction with the effects of clearing heat and stimulating lactation and relieving swelling and eliminating carbuncle. Clinical experiments prove that the Chinese medicinal decoction has the total effective rate of 98.3 percent, quick response and low treatment cost, and is worthy of clinical popularization and application.

Description

A kind of Chinese medicine decoction of treating the acute festering type mastitis

Technical field

The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of Chinese medicine decoction of treating the acute festering type mastitis.

Background technology

Acute mastitis is by the acute mastitis disease due to the bacterial infection, and being everlasting forms abscess in a short time, how by staphylococcus aureus or streptococcus due to the lymphatic vessel invasion.Be more common in puerperal 2～6 all nursing womens, especially primipara.Pathogenic bacteria is generally from the nipple cut or the intrusion of chapping, and also can directly invade to cause infection, though primary disease has specific treatment, the morbidity back is painful, and mammary gland tissue destroys and causes breast deformation, and influence is breast-feeded.At present, the method for treatment acute mastitis is more, and physiotherapy, antibiotherapy, operative therapy, treatment by Chinese herbs etc. are arranged.Physiotherapy early treatment's effect is better, in case the stadium suppurations of developing into, therapeutic effect is relatively poor; The antibiotic therapy side effect is big, and particularly the women of age of sucking generally seldom uses; The operative treatment wound is big, and the patient is difficult to be accepted, and from seeing now, treatment by Chinese herbs is reasonable a kind of method, and side effect is little, and the treatment cost is low, and the patient is acceptant, but it is undesirable to exist therapeutic effect, and slow problem takes effect.

Summary of the invention

The purpose of this invention is to provide a kind of treatment acute festering type mastitis effect Chinese medicine decoction preferably, this decoction is to acute festering type mastitis pathogenesis, i.e. galactostasis, and gastric heat is accumulate stagnant; So that meridians block, and qi depression to blood stasis, pathogenic heat are pented up and formed the pus piece, and the rotten one-tenth of intenseness of heat meat pus is the reason that forms primary disease; Selected heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, vital energy regualting and blood circulation-promoting, the Chinese herbal medicine of spleen invigorating nourishing the liver; The elaborate decoction, logical to reach the clear breast of heat, the effect that swollen eliminating carbuncle looses.

The objective of the invention is to realize that through following technical scheme the Chinese medicine decoction of these treatment acute festering type mastitis is processed by following parts by weight of Chinese traditional medicine: Herba Taraxaci 9-15 part, Thallus Laminariae (Thallus Eckloniae) 5-9 part, Sargassum 5-9 part, Medulla Tetrapanacis 7-11 part, Radix Angelicae Dahuricae 7-11 part, Radix Angelicae Sinensis 9-15 part, Rhizoma Chuanxiong 5-9 part, Radix Paeoniae Rubra 5-9 part, Spica Prunellae 5-9 part, Nidus Vespae 7-11 part, Fructus Arctii 9-15 part, Rhizoma Dioscoreae 9-15 part, Radix Bupleuri 7-11 part, Fructus Gardeniae 3-7 part, Radix Aucklandiae 5-7 part, Fructus Forsythiae 7-9 part, Fructus Lycii 7-9 part, Radix Glycyrrhizae 9-15 part.

Preferably, the Chinese medicine decoction of these treatment acute festering type mastitis is processed by following parts by weight of Chinese traditional medicine: 11 parts of Herba Taraxacis, 7 parts of Thallus Laminariae (Thallus Eckloniae)s, 7 parts of Sargassums, 9 parts of Medulla Tetrapanaciss, 9 parts of the Radixs Angelicae Dahuricae, 12 parts of Radix Angelicae Sinensis, 7 parts of Rhizoma Chuanxiongs, 7 parts of Radix Paeoniae Rubra, 7 parts of Spica Prunellaes, 9 parts in Nidus Vespae, 12 parts of Fructus Arctiis, 11 parts of Rhizoma Dioscoreaes, 9 parts of Radix Bupleuri, 5 parts of Fructus Gardeniaes, 6 parts of the Radix Aucklandiae, 8 parts of Fructus Forsythiaes, 8 parts of Fructus Lycii, 12 parts of Radix Glycyrrhizae.

Medicine is added 8-12 cold water soak doubly 30 minutes, boil 15 minutes after, take concoction about 200 milliliters, the 2nd, 3 time decoction is the same, takes concoction altogether about 600 milliliters, divides obey 1 dose of every day 32 hours ante cibum.

In the side: Herba Taraxaci, Fructus Forsythiae, Fructus Gardeniae, Spica Prunellae heat-clearing and toxic substances removing, eliminating carbuncle eliminating stagnation, ability detoxicating and resolving stagnation of pathogens lactogenesis; Thallus Laminariae (Thallus Eckloniae), Sargassum, Medulla Tetrapanacis hard masses softening and resolving, expectorant diuretic, ventilation stimulating milk secretion; The Radix Angelicae Dahuricae, Nidus Vespae expelling pathogenic wind from the body surface, it is sensible to dehumidify, detumescence and apocenosis; Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Rubra are enriched blood and are invigorated blood circulation, eliminating stasis to stop pain; Fructus Arctii, Rhizoma Dioscoreae, Fructus Lycii lung qi dispersing gas, clearing away lung-heat, strengthening the spleen and stomach, the power of expelling phlegm for arresting cough strengthens, and is unstrong with controlling taste, gives birth in the insufficiency of lung-QI, phlegm-damp, stops the choke road; Radix Bupleuri, the Radix Aucklandiae are evacuated and are brought down a fever promoting the circulation of QI to relieve pain, intestinal stasis relieving in the accent; The Radix Glycyrrhizae invigorating the spleen and replenishing QI, heat-clearing and toxic substances removing, expelling phlegm for arresting cough, relieving spasm to stop pain, coordinating the actions of various ingredients in a prescription.

Clinical data

1, physical data

Select 120 examples in the acute mastitis of making a definite diagnosis the inpatient that my institute goes to a doctor from year March in May, 2008 to 2010, be divided into treatment group and matched group at random.Wherein 60 examples are organized in treatment, 22～34 years old age, average 27 years old.Send out patient's 37 examples in 1 month puerperal, 1 month sequela person 23 example, average disease time is 23 days puerperal.One-sided pathological changes 40 examples, bilateral pathological changes 20 examples.The minimum 2cm of lump diameter, maximum 8cm.The course of disease 3 days is with interior person's 25 examples, 3～7 days person's 28 examples, person's 7 examples more than 7 days.Matched group 60 examples, 23～35 years old age, average 28 years old.Send out patient's 36 examples in 1 month puerperal, 1 month sequela person 24 example, average disease time is 22 days puerperal.One-sided pathological changes 39 examples, bilateral pathological changes 21 examples.Lump minimum diameter 215cm, maximum gauge 7cm.The course of disease 3 days is with interior person's 30 examples, 3～7 days person's 25 examples, person's 5 examples more than 7 days.Two groups of physical data have comparability through the statistical procedures there was no significant difference.Diagnostic point: puerperal women breast-feeding their children, breast caking, milk is not smooth, local red, swollen, hot, bitterly, from the beginning of the heat that occurs together, routine blood test shows leukocyte and neutrophilic leukocytosis more.

2, Therapeutic Method

The treatment group adds an amount of cold water soak 30 minutes with medicine, boil 15 minutes after, take concoction about 200 milliliters, 2.3 decoctions take concoction about 600 milliliters with frying in shallow oil altogether, divide 3 drinks to obey 1 dose of every day in preceding 2 hours.5～9 days courses of treatment.Matched group Cefuroxime Sodium 115g adds normal saline 20mL intravenous injection, every day 2 times.5～9 days courses of treatment.

3, efficacy assessment standard

With reference to " the disease of tcm diagnosis criterion of therapeutical effect " that State Administration of Traditional Chinese Medicine formulates, recovery from illness: General Symptoms disappears, and lump dissipates, and it is normal that blood routine examination recovers; Take a turn for the better; General Symptoms disappears, and local lump alleviates; Invalid: the whole body local symptom does not have the disappearance of improvement, needs the surgical sectioning evacuation of pus.

4, therapeutic outcome

Treatment group 45 examples of fully recovering, 14 examples that take a turn for the better, invalid 1 example, total effective rate 98.3%, matched group 31 examples of fully recovering, 15 examples that take a turn for the better, invalid 14 examples, total effective rate 76.7%.There is significance through two groups of differences of X 2 test.

Treatment group person's 40 examples 3～5 days courses of treatment, 6～7 days person's 18 examples, person's 2 examples more than 7 days, matched group person's 35 examples 3～5 days courses of treatment, 6～7 days person's 10 examples, there is significance in person's 15 examples more than 7 days through two groups of differences of X 2 test.

Stop suckling person's 6 examples during the treatment of treatment group, account for 10%; Stop suckling person's 19 examples during the treatment of control group, account for 31.7%.There is significance through two groups of differences of X 2 test.

The specific embodiment

Embodiment one: get 11 parts of Herba Taraxacis, 7 parts of Thallus Laminariae (Thallus Eckloniae)s, 7 parts of Sargassums, 9 parts of Medulla Tetrapanaciss, 9 parts of the Radixs Angelicae Dahuricae, 12 parts of Radix Angelicae Sinensis, 7 parts of Rhizoma Chuanxiongs, 7 parts of Radix Paeoniae Rubra, 7 parts of Spica Prunellaes, 9 parts in Nidus Vespae, 12 parts of Fructus Arctiis, 11 parts of Rhizoma Dioscoreaes, 9 parts of Radix Bupleuri, 5 parts of Fructus Gardeniaes, 6 parts of the Radix Aucklandiae, 8 parts of Fructus Forsythiaes, 8 parts of Fructus Lycii, 12 parts of Radix Glycyrrhizae.Medicine is added an amount of cold water soak 30 minutes, boil 15 minutes after, take concoction about 200 milliliters, the 2nd, 3 time decoction is the same, takes concoction altogether about 600 milliliters, divide 32 hours ante cibum clothes, 1 dose of every day.

Embodiment two: get 9 parts of Herba Taraxacis, 9 parts of Thallus Laminariae (Thallus Eckloniae)s, 5 parts of Sargassums, 7 parts of Medulla Tetrapanaciss, 11 parts of the Radixs Angelicae Dahuricae, 9 parts of Radix Angelicae Sinensis, 5 parts of Rhizoma Chuanxiongs, 9 parts of Radix Paeoniae Rubra, 5 parts of Spica Prunellaes, 7 parts in Nidus Vespae, 15 parts of Fructus Arctiis, 9 parts of Rhizoma Dioscoreaes, 7 parts of Radix Bupleuri, 7 parts of Fructus Gardeniaes, 5 parts of the Radix Aucklandiae, 9 parts of Fructus Forsythiaes, 7 parts of Fructus Lycii, 9 parts of Radix Glycyrrhizae.Medicine is added an amount of cold water soak 30 minutes, boil 15 minutes after, take concoction about 200 milliliters, the 2nd, 3 time decoction is the same, takes concoction altogether about 600 milliliters, divide 32 hours ante cibum clothes, 1 dose of every day.

Embodiment three: 15 parts of Herba Taraxacis, 5 parts of Thallus Laminariae (Thallus Eckloniae)s, 9 parts of Sargassums, 11 parts of Medulla Tetrapanaciss, 7 parts of the Radixs Angelicae Dahuricae, 15 parts of Radix Angelicae Sinensis, 9 parts of Rhizoma Chuanxiongs, 5 parts of Radix Paeoniae Rubra, 9 parts of Spica Prunellaes, 11 parts in Nidus Vespae, 9 parts of Fructus Arctiis, 15 parts of Rhizoma Dioscoreaes, 11 parts of Radix Bupleuri, 3 parts of Fructus Gardeniaes, 7 parts of the Radix Aucklandiae, 7 parts of Fructus Forsythiaes, 9 parts of Fructus Lycii, 15 parts of Radix Glycyrrhizae.Medicine is added an amount of cold water soak 30 minutes, boil 15 minutes after, take concoction about 200 milliliters, the 2nd, 3 time decoction is the same, takes concoction altogether about 600 milliliters, divide 32 hours ante cibum clothes, 1 dose of every day.

Claims

1. a Chinese medicine decoction of treating the acute festering type mastitis is characterized in that the Chinese medicine decoction of these treatment acute festering type mastitis is processed by following parts by weight of Chinese traditional medicine: Herba Taraxaci 9-15 part, Thallus Laminariae (Thallus Eckloniae) 5-9 part, Sargassum 5-9 part, Medulla Tetrapanacis 7-11 part, Radix Angelicae Dahuricae 7-11 part, Radix Angelicae Sinensis 9-15 part, Rhizoma Chuanxiong 5-9 part, Radix Paeoniae Rubra 5-9 part, Spica Prunellae 5-9 part, Nidus Vespae 7-11 part, Fructus Arctii 9-15 part, Rhizoma Dioscoreae 9-15 part, Radix Bupleuri 7-11 part, Fructus Gardeniae 3-7 part, Radix Aucklandiae 5-7 part, Fructus Forsythiae 7-9 part, Fructus Lycii 7-9 part, Radix Glycyrrhizae 9-15 part.

2. a kind of Chinese medicine decoction of treating the acute festering type mastitis according to claim 1 is characterized in that the Chinese medicine decoction of these treatment acute festering type mastitis is processed by following parts by weight of Chinese traditional medicine: 11 parts of Herba Taraxacis, 7 parts of Thallus Laminariae (Thallus Eckloniae)s, 7 parts of Sargassums, 9 parts of Medulla Tetrapanaciss, 9 parts of the Radixs Angelicae Dahuricae, 12 parts of Radix Angelicae Sinensis, 7 parts of Rhizoma Chuanxiongs, 7 parts of Radix Paeoniae Rubra, 7 parts of Spica Prunellaes, 9 parts in Nidus Vespae, 12 parts of Fructus Arctiis, 11 parts of Rhizoma Dioscoreaes, 9 parts of Radix Bupleuri, 5 parts of Fructus Gardeniaes, 6 parts of the Radix Aucklandiae, 8 parts of Fructus Forsythiaes, 8 parts of Fructus Lycii, 12 parts of Radix Glycyrrhizae.