CN102274470B - Chinese medicine for treating obstruction of fallopian tubes and adhesion, hydrops and upthrow of fimbriae of fallopian tubes - Google Patents
Chinese medicine for treating obstruction of fallopian tubes and adhesion, hydrops and upthrow of fimbriae of fallopian tubes Download PDFInfo
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Abstract
The invention discloses a Chinese medicine for treating the obstruction of fallopian tubes and adhesion, hydrops and upthrow of fimbriae of fallopian tubes. The Chinese medicine is prepared from 10 to 30 parts of wine-processed root of red-rooted salvia, 10 to 30 parts of wine-processed motherwort herb, 6 to 15 parts of vinegar pangolin scales, 6 to 20 parts of quadruply-processed nutgrass galingale rhizome, 9 to 20 parts of vinegar-processed white paeony root, 6 to 20 parts of red paeony root, 10 to 25 parts of wine-processed full Chinese angelica, 9 to 15 parts of wine-processed chaff flower root, 3 to 10 parts of raw zedoary, 3 to 10 parts of vinegar-processed common burreed rhizome, 6 to 20 parts of prepared rehmannia root and 6 to 10 parts of raw liquoric root which serve as Chinese herbal medicines. The Chinese medicine is used for internal and external treatment, so that the integral treatment of the Chinese medicine is combined with local treatment to enhance a curative effect. According to clinic statistic data, for primary and secondary infertility due to the obstruction of the fallopian tubes or partial smoothness, the adhesion of the fimbriae of the fallopian tubes, the hydrops and the upthrow of the fallopian tubes, pelvic infection and pelvic infection adhesion, the common treatment effect of oral administration, enteroclysis and hot compress is greatly superior to that of individual oral administration or external application of the Chinese medicine.
Description
Technical field
The present invention relates to treat the Chinese medicine of infertility, especially relate to and a kind ofly treat obstruction of fallopian tube and fimbriated extremity of fallopian adhesion, hydrops, go up the Chinese medicine of lifting.
Background technology
Fallopian tube is the channel that connects ovary and uterus, is ovulation, storage ovum, semen deposition, provides smart ovum bonded place, has cytula to the uterine cavity of conveying so that in time reach the function of inner membrane of uterine cavity, belongs to the vitals that can the women normally become pregnant.Aspect clinical diagnosis and treatment; A lot of doctors all ignored on oviducal cast trend and fallopian tube tube chamber hydrops, the umbrella end lift, these phenomenons of umbrella end hydrops; Thinking simply as long as fallopian tube has led to; Having seen the contrast agent disperse, is exactly normal, and so in fact diagnosis tends to let patient's delay treatment.The clinical experience of decades is told us; Act, umbrella end hydrops on hydrosalpinx, the umbrella end; Logical and not smooth; Stiff, elongated, the narrow function that all directly influences fallopian tube conveying ovum of cast causes ovum and sperm normally not to combine, or can not normally move the serious consequence that causes " ectopic pregnancy " after combining.
Doctor trained in Western medicine thinks that the reason of salpingemphraxis is a lot, is common cause with adenomyosis tubae, tuberculosis of fallopian tube, salpingitis and fallopian tube dysfunction etc.; The factor that influences the fallopian tube function has: repeatedly artificial abortion, induced labor, the pelvic tissue adhesion of going up removal of intrauterine device, abdominal postoperative, pelvic inflammatory disease, adnexitis, vaginitis, the cervicitis that the microorganism repeated infection of virus, antibacterial, pathogenic bacterium causes do not obtain in time, system, treat and cause that chronic inflammatory disease infringement etc. all can cause the fallopian tube pathological changes completely.The modern medicine Therapeutic Method has pertubation, hydrotubation, operation on fallopian tube to rescue, use heavy dose of antibiotic etc., and these methods have certain curative effect, but certain limitation and drawback are also arranged.Usually adopt the method for palace peritoneoscope combined surgery to treat like doctor trained in Western medicine to obstruction of fallopian tube, last act, far-end hydrops, not only wound is big, and the bleeding time is long; Need anesthesia during operation; And postoperative need carry out hydrotubation repeatedly if the adhesion once more of can not becoming pregnant in a short time is obstructed, and this Therapeutic Method has not only increased superinfection and the risk that causes hydrosalpinx; Also can make tubal peristalsis limited, high surgery cost has also brought burden to patient and family simultaneously.
Summary of the invention
The object of the present invention is to provide a kind ofly have no side effect, good effect, treatment obstruction of fallopian tube that successful pregnancy rate at a specified future date is higher and fimbriated extremity of fallopian adhesion, hydrops, go up the Chinese medicine of lifting.
For realizing above-mentioned purpose, the present invention can take following technical proposals:
Treatment obstruction of fallopian tube of the present invention and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is by crude drug Radix Salviae Miltiorrhizae (processed with wine) 10-30 part; Processed with wine Herba Leonuri 10-30 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 9-20 part; Radix Paeoniae Rubra 6-20 part; Wine is processed Radix Angelicae Sinensis 10-25 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 6-20 part; Herba Patriniae 10-30 part; Caulis Spatholobi 10-60 part; Fructus Liquidambaris 10-20 part; Radix Rehmanniae Preparata 10-20 part; Radix Glycyrrhizae 3-10 part is prepared from.
Select the weight portion proportioning of crude drug to be: Radix Salviae Miltiorrhizae (processed with wine) 10-20 part; Processed with wine Herba Leonuri 10-20 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 9-15 part; Radix Paeoniae Rubra 6-15 part; Wine is processed Radix Angelicae Sinensis 10-20 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 6-10 part; Herba Patriniae 10-30 part; Caulis Spatholobi 10-30 part; Fructus Liquidambaris 10-15 part; Radix Rehmanniae Preparata 10-20 part; When Radix Glycyrrhizae 3-6 part prepares, as the case may be, can the dosage form of Chinese medicine be prepared into decoction, powder or pill.
During the preparation decoction, can crude drug be added decocting 2 times, be condensed into morning and evening decoction being taken warmly about 300ml after twice decocting liquid merges then.
During preparation powder, with mix homogeneously behind each crude drug pulverize.Manufacture method is simple, absorbs soon, saves medical material, is easy to carry and takes.
Preparation is during pill, after crude drug is ground into fine powder or extracts concentrated solution with extraction element, adds suitable binding agent and processes the spherical solid honeyed pill and get final product.
When above-mentioned endo-medicine specifically prepared, the weight portion proportioning of crude drug can be: 10 parts of Radix Salviae Miltiorrhizae (processed with wine); 10 parts of processed with wine Herba Leonuris; 6 parts of vinegar Squama Maniss; 6 parts of four Rhizoma Cyperi (processed); 9 parts of Radix Paeoniae Alba (processed with vinegar); 6 parts of Radix Paeoniae Rubra; Wine is processed 10 parts of Radix Angelicae Sinensis; 9 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 3 parts of Rhizoma Curcumae; Triangular 3 parts of processed with vinegar; 6 parts of Sargassums; 10 parts of Herba Patriniae; 10 parts of Caulis Spatholobis; 10 parts of Fructus Liquidambaris; 10 parts of Radix Rehmanniae Preparata; 3 parts of Radix Glycyrrhizae.
The weight portion proportioning of crude drug also can be: 15 parts of Radix Salviae Miltiorrhizae (processed with wine); 15 parts of processed with wine Herba Leonuris; 10 parts of vinegar Squama Maniss; 15 parts of four Rhizoma Cyperi (processed); 10 parts of Radix Paeoniae Alba (processed with vinegar); 10 parts of Radix Paeoniae Rubra; Wine is processed 15 parts of Radix Angelicae Sinensis; 10 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 5 parts of Rhizoma Curcumae; Triangular 5 parts of processed with vinegar; 9 parts of Sargassums; 20 parts of Herba Patriniae; 20 parts of Caulis Spatholobis; 15 parts of Fructus Liquidambaris; 15 parts of Radix Rehmanniae Preparata; 5 parts of Radix Glycyrrhizae.
The weight portion proportioning of crude drug can also be 20 parts of Radix Salviae Miltiorrhizae (processed with wine); 20 parts of processed with wine Herba Leonuris; 15 parts of vinegar Squama Maniss; 20 parts of four Rhizoma Cyperi (processed); 15 parts of Radix Paeoniae Alba (processed with vinegar); 15 parts of Radix Paeoniae Rubra; Wine is processed 20 parts of Radix Angelicae Sinensis; 15 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 10 parts of Rhizoma Curcumae; Triangular 10 parts of processed with vinegar; 10 parts of Sargassums; 30 parts of Herba Patriniae; 30 parts of Caulis Spatholobis; 15 parts of Fructus Liquidambaris; 20 parts of Radix Rehmanniae Preparata; 6 parts of Radix Glycyrrhizae.
When the weight portion proportioning of crude drug is chosen as: Radix Salviae Miltiorrhizae (processed with wine) 21-30 part; Processed with wine Herba Leonuri 21-30 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 16-20 part; Radix Paeoniae Rubra 16-20 part; Wine is processed Radix Angelicae Sinensis 21-25 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 11-20 part; Herba Patriniae 10-30 part; Caulis Spatholobi 31-60 part; Fructus Liquidambaris 16-20 part; Radix Rehmanniae Preparata 10-20 part; When Radix Glycyrrhizae 7-10 part prepares, need Chinese medicine be prepared into decoction, this decoction can not take orally, can only use as enema medicament.
During concrete preparation, the weight portion proportioning of crude drug can be 21 parts of Radix Salviae Miltiorrhizae (processed with wine); 21 parts of processed with wine Herba Leonuris; 6 parts of vinegar Squama Maniss; 6 parts of four Rhizoma Cyperi (processed); 16 parts of Radix Paeoniae Alba (processed with vinegar); 16 parts of Radix Paeoniae Rubra; Wine is processed 21 parts of Radix Angelicae Sinensis; 9 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 3 parts of Rhizoma Curcumae; Triangular 3 parts of processed with vinegar; 11 parts of Sargassums; 10 parts of Herba Patriniae; 31 parts of Caulis Spatholobis; 16 parts of Fructus Liquidambaris; 10 parts of Radix Rehmanniae Preparata; 7 parts of Radix Glycyrrhizae.
The weight portion proportioning of crude drug also can be 30 parts of Radix Salviae Miltiorrhizae (processed with wine); 30 parts of processed with wine Herba Leonuris; 15 parts of vinegar Squama Maniss; 20 parts of four Rhizoma Cyperi (processed); 20 parts of Radix Paeoniae Alba (processed with vinegar); 20 parts of Radix Paeoniae Rubra; Wine is processed 25 parts of Radix Angelicae Sinensis; 15 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 10 parts of Rhizoma Curcumae; Triangular 10 parts of processed with vinegar; 20 parts of Sargassums; 30 parts of Herba Patriniae; 60 parts of Caulis Spatholobis; 20 parts of Fructus Liquidambaris; 20 parts of Radix Rehmanniae Preparata; 10 parts of Radix Glycyrrhizae.
The invention has the advantages that depressed liver-energy dispersing and QI regulating, blood circulation promoting and blood stasis dispelling, hard masses softening and resolving, heat-clearing and toxic substances removing, detumescencing diuresis, the evacuation of pus pain relieving is held back blood and is nourished blood.
Mostly obstruction of fallopian tube is the fallopian tube active chronic inflammation, and tuberculosis of fallopian tube, urgent chronic pelvic inflammatory disease, operation on pelvis posterior synechiae, ectopic pregnancy, endometriosis etc. cause.Chinese medicine is thought the stagnation of QI, blood stasis, turbid, the damp and hot retardance meridians of expectorant makes obstructed, the smart ovum in tunnel to meet, so that infertile.Treatment is with the kidney invigorating dredge the meridian passage, blood circulation promoting and blood stasis dispelling, and human body immunity improving power and endocrine function are main, improves blood circulation, loosen adhesion tissue, and adjustment pelvic cavity connective tissue metabolism promotes tube wall epithelial tissue reparative regeneration, thereby tube chamber is defeated logical.According to above-mentioned mechanism, Chinese medicine internal-external therapy of the present invention, integral body combine with topical therapeutic, have strengthened curative effect, have improved cure rate.
Side of the present invention separates as follows:
The Radix Salviae Miltiorrhizae (processed with wine) benefiting QI and nourishing blood, broken stagnated blood, tissue regeneration promoting blood, evacuation of pus pain relieving, cold and cool property mitigation; Vinegar Squama Manis detumescence and apocenosis, expel wind to dredge collateral, the two is a monarch drug.The evacuation of pus of Herba Patriniae eliminating carbuncle, heat-clearing and toxic substances removing, blood stasis dispelling stimulates the menstrual flow, anti-inflammatory analgesic; The Fructus Liquidambaris dispelling, collateral-activating, diuretic stimulates the menstrual flow; The cold mitigation of processed with wine Herba Leonuri, blood circulation promoting and blood stasis dispelling, menstruction regulating and pain relieving, the diuretic antiinflammation strengthens, and is ministerial drug.The five tastes share in the side, promoting tissue regeneration by removing blood stasis, and dispelling, collateral-activating, inducing diuresis to remove edema, removing pus and relieving carbuncle makes fallopian tube be able to soften, and hydrops dissipates, and improves blood circulation, and the pelvic adhesion tissue of loosening makes tube chamber defeated logical, and the fallopian tube function is able to recover.
The Radix Rehmanniae Preparata yin nourishing of enriching blood, life essence-filling, marrow-benefitting; Wine is processed the Radix Angelicae Sinensis promoting blood circulation to restore menstrual flow, enriches blood stasis-dispelling and pain-killing; The Radix Paeoniae Rubra clearing away heat and cooling blood, eliminating stasis to stop pain, the Radix Paeoniae Alba has yin fluid astringing benefit battalion, and Bai Zeneng rushes down wood in soil; Red then can in blood, living stagnates, and the two share in the side, and calmness, antiinflammatory, analgesic effect are arranged, and the Radix Paeoniae Alba (processed with vinegar) priming is gone into liver; Hold back blood and nourish blood, the dispersing the stagnated live-QI to relieve the stagnation of QI effect strengthens, and is more effective in cure to cureless patient.Caulis Spatholobi blood stasis removing blood, tissue regeneration promoting blood, menstruction regulating and pain relieving; Character is gentle, and the blood tonification effect of holding concurrently is again used together with Radix Angelicae Sinensis, Radix Rehmanniae Preparata, the red Radix Paeoniae Alba in the side; The tissue regeneration promoting of not only enriching blood, and improved the function of body immunity and endocrine regulation, five medicines principal drug assistance blood circulation promoting and blood stasis dispelling and only in the side; Dredge the meridian passage, anti-inflammatory analgesic are ministerial drug.
Four Rhizoma Cyperi (processed) are become the master with promoting QI circulation for relieving depression, menstruation regulating powder, give birth to the Rhizoma Curcumae promoting the circulation of QI to relieve pain, and removing blood stasis power is strong, is blood medicine in the gas; Processed with vinegar is triangular goes into drastically removing blood stasis and resolving static blood behind the blood, and analgesic effect strengthens, and is adjuvant drug.Sargassum is salty-cold, and it is weak hard to disappear, inducing diuresis to remove edema, and salty ability relaxing the bowels with lubricant drugs, the cold diversion of purging heat, single firmly thin, all medicines of Fang Zhongyu share, and the enhancing drug effect also is an adjuvant drug.
The invigorating the liver and kidney of wine Radix Achyranthis Bidentatae (processed), bone and muscle strengthening, the effect of blood stasis dispelling anti-inflammatory analgesic strengthen, and also can drawing blood stasis, descending conducting blood to flow downwards is with the adopted son palace to stimulate the menstrual flow, and it is descending to reach focus to draw all medicines, has the merit of messenger drug concurrently.The Radix Glycyrrhizae sweet in the mouth is cooler, is longer than eliminating fire and detoxication, alimentary toxicosis and drug intoxication, and the modern pharmacology report, Radix Glycyrrhizae includes glycyrrhizin and calcium salt thereof, and bacteriotoxin, drug toxicity are all had certain Detoxication, also has antiinflammatory action; So Radix Glycyrrhizae is a messenger drug, detoxify and coordinating the actions of various ingredients in a prescription.
Sargassum, Radix Glycyrrhizae really can strengthen its dissipation softening the hard mass effect with using some pathologic lumps.Worship Zhong Jing system side characteristics, opposite medicine such as Sargassum, Radix Glycyrrhizae is used among the side, with the effect of receipts " anti-person and usefulness, its merit benefit is strong ", so can handle very skillfully, curative effect is outstanding.
In sum, compatibility characteristics of the present invention are: one, blood stasis dispelling and blood-nourishing blood-generating are then invigorated blood circulation and the not worry of hematozemia with executing, and circulation of qi promoting does not have the fraud of impairment of YIN again.Two, invigorate blood circulation with circulation of qi promoting mutually 5 both the promoting the circulation of blood branch stasis of blood stagnate, can separate edema caused by disorder of QI pent-up again, more effective to cureless infertility patient.Three, promptly invigorate blood circulation and hemopoietic, not only regulated the flow of vital energy but also collateral dredging, diuretic, evacuation of pus, detoxifcation can be kept Kidney-Yinly, rise and reach sun clearly, can fall again to rush down descendingly, and QI and blood is in harmonious proportion, and the disease of the part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels is able to recovery from illness, and infertile being able to cured.Owing to the obstructed and far-end adhesion of salpingemphraxis, hydrops, go up and lift categories such as belonging to the traditional Chinese medical science " lump in the abdomen ", " leukorrhagia ", " infertile ", to control and work as giving treatment in accordance with the tendency of pathological change, removing blood stasis purges heat, to dispel the blood-retention of the part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels.All medicines share, total removing blood stasis, down the stasis of blood purge heat, the merit of passage, nourishing blood, detumescencing diuresis, depressed liver-energy dispersing and QI regulating, dredge the meridian passage, make that blood-retention removes, lump in the abdomen, mass in the abdomen, hydrops dissipate, adhesion is lax, then all disease self-balancing.Because of qi being the governor of blood, the capable then blood of gas is logical, thus suitable compatibility QI regulating medicine in the side, to strengthen the blood circulation promoting and blood stasis dispelling effect; Blood stasis is cold partially, with the article of dispelling cold by warming the meridian, is to get Wen Zehang with blood; The blood stasis heat-transformation, sick position infra person, compatibility is cleansed the medicine of stagnant heat, makes blood stasis descending, and heresy has outlet, when using blood circulation promoting and blood stasis dispelling diuretic prescription, is aided with the benefiting QI and nourishing blood medicine and share, and then gets rid of evils and does not just hinder.
It is following that Chinese medicine according to the invention is used for clinical situation:
1, physical data:
Clinical statistics 169 examples, age 22-45 year, infertile time 2-21, fertility 61 examples (teratoma postoperative 4 examples, ovarian cyst postoperative 16 examples, rupture of corpus luteum postoperative 4 examples, appendicitis postoperative 8 examples, other reasons 39 examples); Secondary infertility 108 examples (comprising ectopic pregnancy postoperative 4 examples more than 2 times, adhesion 12 examples once more behind the therapeutic laparoscopy of palace, 1 ectopic pregnancy medical history 11 example).More than 169 routine patients all diagnose through Salpingography; And eliminating tuberculosis of fallopian tube: wherein bilateral obstruction of fallopian tube companion hydrops, on lift 111 examples; Obstructed 20 examples of bilateral near-end are lifted 17 examples on the obstructed companion's hydrops of one-sided far-end, obstructed 10 examples of one-sided near-end (ectopic pregnancy history 8 examples once; Unicornuate uterus 2 examples), one-sided logical and freely the companion go up and lift hydrops 11 examples.
2, diagnostic criteria:
Cure: clinical symptom disappearance, the bilateral fallopian tube unobstructed and 1 year in gestation; Effectively: clinical symptom disappearance, the bilateral fallopian tube is unobstructed, but not pregnant yet; Invalid: the bilateral Salpingography is obstructed or logical and not smooth.
3, Therapeutic Method:
(1) Chinese medicine for oral administration:
Decoction: crude drug is by the gram metering, and decocting 2 times is concentrated to 300ml behind the collecting decoction, each decoction being taken warmly 150ml of morning and evening, 20 days courses of treatment;
Powder (comprising capsule): each 6 grams, one day three times, warm boiled water, 20 days courses of treatment.
Pill: each 6 grams, one day three times, warm boiled water, 20 days courses of treatment.
(2) coloclysis Chinese medicine:
Crude drug is by the gram metering, and decocting 2 times is concentrated to 150ml behind the collecting decoction; The preceding retention enema of sleeping every night (is adopted disposable enteral irrigation bag, it is hung to certain altitude, anus catheter is inserted patient's anus 5-8cm gently; Medicinal liquid is relaxed to be injected; Back patient prostrate half an hour finishes), the clean back of menstruation began in 3-5 days, and 20 days is a course of treatment; Medicine of a warm nature slag pack hot compress hypogastric region is main with the both sides attachment area, and every night once, each 40-60 minute, 20 days was a course of treatment, and stop using menstrual period.Because the uterus is adjacent with rectum, the efficacy of a drug acts directly on few abdominal part position, makes the softening adhesion of the through focus of medicine through osmosis, makes the passages through which vital energy circulates mediation, and QI and blood is smooth, and the gas of chong channel is assigned smoothly.
Chinese medicine of the present invention adopts internal-external therapy to make integral body combine with topical therapeutic, has strengthened curative effect.Clinical statistics has fallopian tube logical and owe smooth, hydrosalpinx, go up act, pelvic inflammatory disease, pelvic inflammatory disease adhesion to secondary infertility, the effect that the three therapeutic methods of traditional Chinese medicine is ruled together is superior to for oral administration separately or external greatly.
4, therapeutic outcome: 24 example treatments were become pregnant after 2 courses of treatment; Become pregnant after 3 drug withdrawals course of treatment of 41 example treatments; Became pregnant in 1-2 month after 3 drug withdrawals course of treatment of 48 example treatments; Treat 32 examples of becoming pregnant after 4-6 the course of treatment; 1 example treatment was not done any treatment again and is checked 1 year 3 months and become pregnant that a healthy boy baby gives a birth after 4 courses of treatment; Became pregnant in 8 months after the 16 routine patient; 5 examples are lost and are visited; 2 months unpregnancies of 2 example treatments lose after the abandoning cure and visit.
The result: do not do the unobstructed situation inspection program of fallopian tube behind the 147 routine patient treatments and become pregnant successfully, cure rate reaches 86.98%, and effective percentage reaches 91.1%.
Points for attention when 5, Chinese medicine of the present invention uses: for oral administration, external all needs under physician guidance, to carry out.Simultaneously to said medicine allergy sufferers forbidding, the careful usefulness of allergic constitution person; Menstrual period careful usefulness; Trimester of pregnancy forbids; Malignant tumor internal hemorrhage person forbidding.Period in a medicine is avoided eating anything raw or cold, and few oil-feed is greasy.
6, model case:
Case 1
The patient woman, 37 years old, people from Zhengzhou City, first visit in May, 2003, pregnant 11 produce 0,6 year capable excision of preceding right side rupture of tubal pregnancy; , calendar year 2001 left side tubal pregnancy in 2000 each once, man and wife's unpregnancy of living together behind the expectant treatment.
Menstrual cycle rule usually, hypomenorrhea, color is dim, often weak, the profuse leukorrhea of lower abdominal distention pain, the soreness of waist, yellow skin, abnormal flavour, dimly red tongue yellow fur, thin, the dysmenorrhea of rapid pulse.
Gynecologial examination left side attachment area is streak to be increased slightly, and tenderness is positive, and the right side adnexa does not touch, tenderness is obvious, and the palace body is touched a tender spot, and mobility is not good enough, the hypogastric region tenderness.B ultrasonic shows the about 1.1cm of left side fallopian tube broadening, and the right side does not show that pelvic cavity can reach opaque dark area of fluid 4.2 * 3.1cm, and the uterus size and form is normal.
Diagnosis: chronic pelvic inflammatory disease, adnexitis.The visualization prompting: left side fallopian tube far-end is obstructed, and the right side fallopian tube does not show (excision), the slight adhesion of uterine cavity.
Treatment: the patient is because of the inconvenience that decocts Chinese medicine by boiling and simmering, and it is for oral administration that it is made the Semen phaseoli radiati size watered pill, one day three times one time 6 gram.Radiography shows after 2 courses of treatment: the left side fallopian tube logical and not freely, on lift hydrops, it was conceived to continue to adopt the Chinese medicine decoction coloclysis to add after external application, pill for oral administration 4 courses of treatment, in cesarean one healthy boy baby in 2004.
Case 2
The patient woman, 26 years old, people from Xinmi City, Henan, first visit in January, 2009 pregnant 7 produces 0.Man and wife's unpregnancy so far of living together behind readme in October, 2006 artificial abortion.The prompting of fallopian tube hysterography: the bilateral salpingemphraxis is obstructed.
The ultrasound diagnosis prompting: the uterus size and form is normal, and wheel is cleaned up, and peplos is smooth, and palace wall echo is even, and in utero film echo is uneven, the interior opaque dark area of fluid that reaches, and interior thickness 1.3cm, a large amount of hydrops of pelvic cavity (5.3cm * 2.1cm), the angle broadening of bilateral palace.
Examine inspection in the gynecological: cervix uteri is smooth, and the secretions amount is many, yellow skin, and the palace body is touched a tender spot obviously, and mobility is not good enough, and the double accessory district increases thick tenderness, has bar rope appearance to increase thick sense, and lower abdomen has mild tenderness.
Treatment: adopt Chinese medicine decoction coloclysis, hot compress simultaneously, add oral medicinal herb, after 2 courses of treatment, the B ultrasonic prompting: the uterus size and form is normal; Inner membrance echo is even, and double accessory increases thick companion's hydrops, pelvic hydrops 1.6cm * 0.7cm; The patient requires logical fluid inspection; Heavier because of considering patient's hydrosalpinx, refusal patient's requirement advises it to continue to treat 2 courses of treatment by former scheme.After 2 courses of treatment, the ultrasound diagnosis prompting: double accessory district Non Apparent Abnormality, in utero the film line is placed in the middle, does not see pelvic hydrops.Advise its plan to become pregnant.Further consultation on August 29, menolipsis 39 days, ultrasound diagnosis prompting: in utero pregnant as 40 days sizes.Cesarean one healthy boy baby in 2010.
Case 3
Patient woman, 24 years old, people from Zhoukou City, Henan, first visit on August 16 in 2009,3 years unmarried pregnant 2 wheat harvesting period pedestrian worker abortions of cause of readme, 2 years 03 months men and wives that the marry unpregnancy of living together; Menstrual cycle is normal, measures mediumly, and color is scarlet, lumbago in menstrual period, and inferior belly gas pain, leucorrhea is many, abnormal flavour.Once hydrotubation inspection is for unobstructed.Bridegroom's or husband's side semen efamination is normal.
Examine inspection in the gynecological: cervix uteri is smooth, the many purulences of secretions amount, and take back in the uterus, and size is normal, and mobility is good, and palace body and double accessory district do not have obvious tenderness.
The ultrasound diagnosis prompting: the uterus size is normal, and in utero echo is even, and double accessory is not seen obviously unusual.The hysterosalpingography prompting: take back in the uterus, the shape of a saddle, and right side fimbriated extremity of fallopian hydrops is obstructed, and the act distortion is logical and not smooth on the fallopian tube of left side.
Treatment: adopt decoction coloclysis, hot compress simultaneously, add 3 courses of treatment of oral medicinal herb.After treatment finished, menstruation ultrasound diagnosis in the tenth day prompting: double accessory was not seen obviously unusual, and bilateral ovaries is not seen follicular development.Examine inspection in the gynecological: cervix uteri is smooth, the few free from extraneous odour of secretions amount.Intend the Chinese medicine regulating menstruation and assisting pregnancy, advise its plan to become pregnant periodic review.Further consultation in February, 2010, ultrasound diagnosis prompting: very early pregnancy in utero.Regularly the follow-up investigations fetal development is normal always for pregnancy duration, mature spontaneous labor one healthy boy baby.
The specific embodiment
Embodiment 1:
Treatment obstruction of fallopian tube of the present invention and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting are by crude drug Radix Salviae Miltiorrhizae (processed with wine) 10g; Processed with wine Herba Leonuri 10g; Vinegar Squama Manis 6g; Four Rhizoma Cyperi (processed) 6g; Radix Paeoniae Alba (processed with vinegar) 9g; Radix Paeoniae Rubra 6g; Wine is processed Radix Angelicae Sinensis 10g; Wine Radix Achyranthis Bidentatae (processed) 9g; Give birth to Rhizoma Curcumae 3g; The triangular 3g of processed with vinegar; Sargassum 6g; Herba Patriniae 10g; Caulis Spatholobi 10g; Fructus Liquidambaris 10g; Radix Rehmanniae Preparata 10g, Radix Glycyrrhizae 3g are formulated;
The above-mentioned raw materials medicine is added the decocting secondary, be concentrated into 300ml after decocting liquid is merged, early, about evening each decoction being taken warmly 150ml, 20 days is a course of treatment.
For increasing curative effect, can be with crude drug Radix Salviae Miltiorrhizae (processed with wine) 21g; Processed with wine Herba Leonuri 21g; Vinegar Squama Manis 6g; Four Rhizoma Cyperi (processed) 6g; Radix Paeoniae Alba (processed with vinegar) 16g; Radix Paeoniae Rubra 16g; Wine is processed Radix Angelicae Sinensis 21g; Wine Radix Achyranthis Bidentatae (processed) 9g; Give birth to Rhizoma Curcumae 3g; The triangular 3g of processed with vinegar; Sargassum 11g; Herba Patriniae 10g; Caulis Spatholobi 31g; Fructus Liquidambaris 16g; Radix Rehmanniae Preparata 10g, Radix Glycyrrhizae 10g decocting secondary, decocting liquid is concentrated into 150 ml after merging, and the preceding retention enema of sleeping every night (is adopted disposable enteral irrigation bag; It is hung to certain altitude; Anus catheter is inserted patient's anus 6-10cm gently, medicinal liquid relax to be injected, back patient prostrate half an hour finishes); The clean back of menstruation began in 3-5 days, and 20 days is a course of treatment; With medicine of a warm nature slag pack hot compress hypogastric region, be main with the both sides attachment area simultaneously, every night once, each 40-60 minute, 20 days was a course of treatment, and stop using menstrual period.
Above-mentioned Therapeutic Method is not only obstructed to treatment obstruction of fallopian tube, fimbriated extremity of fallopian, hydrops, go up to lift better curative effect is arranged, and anti after adnexitis, pelvic inflammatory disease, chronic cervicitis, endometritis, pelvic abscess, adnexitis, salpingitis, inflammatory dysmenorrhea, pelvic adhesion, pelvic lump, the operation etc. is all had good therapeutic effect.Also can be used for the treatment of andropathy.
Embodiment 2:
Treatment obstruction of fallopian tube of the present invention and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting are by crude drug Radix Salviae Miltiorrhizae (processed with wine) 15g; Processed with wine Herba Leonuri 15g; Vinegar Squama Manis 10g; Four Rhizoma Cyperi (processed) 15g; Radix Paeoniae Alba (processed with vinegar) 10g; Radix Paeoniae Rubra 10g; Wine is processed Radix Angelicae Sinensis 15g; Wine Radix Achyranthis Bidentatae (processed) 10g; Give birth to Rhizoma Curcumae 5g; The triangular 5g of processed with vinegar; Sargassum 9g; Herba Patriniae 20g; Caulis Spatholobi 20g; Fructus Liquidambaris 15g; Radix Rehmanniae Preparata 15g, Radix Glycyrrhizae 5g are formulated; The above-mentioned raw materials medicine can be prepared into decoction according to embodiment 1 and use; It is for oral administration also can according to circumstances to be prepared into powder: with the powdered back of above-mentioned raw materials medicine pulverize separately mix homogeneously, and according to one day three times, the dose of each 6 grams.Powder is simple for production, saves medical material, is convenient to take and carry.If in incapsulating according to quantity, carry and take convenient.If in for oral administration, cooperate decoction coloclysis, medicinal residues hot compress, then curative effect is more outstanding.
Coloclysis uses the proportioning of Chinese medicine to be: Radix Salviae Miltiorrhizae (processed with wine) 30g; Processed with wine Herba Leonuri 30g; Vinegar Squama Manis 15g; Four Rhizoma Cyperi (processed) 20g; Radix Paeoniae Alba (processed with vinegar) 20g; Radix Paeoniae Rubra 20g; Wine is processed Radix Angelicae Sinensis 25g; Wine Radix Achyranthis Bidentatae (processed) 15g; Give birth to Rhizoma Curcumae 10g; The triangular 10g of processed with vinegar; Sargassum 20g; Herba Patriniae 30g; Caulis Spatholobi 60g; Fructus Liquidambaris 20g; Radix Rehmanniae Preparata 20g, Radix Glycyrrhizae 7g; Preparation and method for using are with embodiment 1.
Embodiment 3:
Treatment obstruction of fallopian tube of the present invention and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting are by crude drug Radix Salviae Miltiorrhizae (processed with wine) 20g; Processed with wine Herba Leonuri 20g; Vinegar Squama Manis 15g; Four Rhizoma Cyperi (processed) 20g; Radix Paeoniae Alba (processed with vinegar) 15g; Radix Paeoniae Rubra 15g; Wine is processed Radix Angelicae Sinensis 20g; Wine Radix Achyranthis Bidentatae (processed) 15g; Give birth to Rhizoma Curcumae 10g; The triangular 10g of processed with vinegar; Sargassum 10g; Herba Patriniae 30g; Caulis Spatholobi 30g; Fructus Liquidambaris 15g; Radix Rehmanniae Preparata 20g, Radix Glycyrrhizae 6g are prepared from.
The above-mentioned raw materials medicine can according to embodiment 1 or embodiment 2 is prepared into decoction or powder is taken, and also can make honeyed pill, the watered pill, paste pill, concentrated pill etc.Use the Chinese medicine extraction device or crude drug is ground into fine powder, add suitable adjuvant and process the spherical solid dosage form and get final product.Compare with decoction, absorb slow but lasting medicine is convenient for carrying and takes.
If in for oral administration, cooperate decoction coloclysis, medicinal residues hot compress, then curative effect is more outstanding.
Coloclysis uses the proportioning of Chinese medicine to be: Radix Salviae Miltiorrhizae (processed with wine) 25g; Processed with wine Herba Leonuri 25g; Vinegar Squama Manis 10g; Four Rhizoma Cyperi (processed) 15g; Radix Paeoniae Alba (processed with vinegar) 20g; Radix Paeoniae Rubra 20g; Wine is processed Radix Angelicae Sinensis 25g; Wine Radix Achyranthis Bidentatae (processed) 10g; Give birth to Rhizoma Curcumae 10g; The triangular 10g of processed with vinegar; Sargassum 20g; Herba Patriniae 30g; Caulis Spatholobi 50g; Fructus Liquidambaris 20g; Radix Rehmanniae Preparata 15g; Radix Glycyrrhizae 10g, preparation and method for using are with embodiment 1.
Claims (1)
1. treat obstruction of fallopian tube and fimbriated extremity of fallopian adhesion, hydrops, go up the Chinese medicine of lifting for one kind, it is characterized in that: it is by crude drug Radix Salviae Miltiorrhizae (processed with wine) 10-30 part; Processed with wine Herba Leonuri 10-30 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 9-20 part; Radix Paeoniae Rubra 6-20 part; Wine is processed Radix Angelicae Sinensis 10-25 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 6-20 part; Herba Patriniae 10-30 part; Caulis Spatholobi 10-60 part; Fructus Liquidambaris 10-20 part; Radix Rehmanniae Preparata 10-20 part; Radix Glycyrrhizae 3-10 part is prepared from.
2, treatment obstruction of fallopian tube according to claim 1 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: Radix Salviae Miltiorrhizae (processed with wine) 10-20 part; Processed with wine Herba Leonuri 10-20 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 9-15 part; Radix Paeoniae Rubra 6-15 part; Wine is processed Radix Angelicae Sinensis 10-20 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 6-10 part; Herba Patriniae 10-30 part; Caulis Spatholobi 10-30 part; Fructus Liquidambaris 10-15 part; Radix Rehmanniae Preparata 10-20 part; Radix Glycyrrhizae 3-6 part.
3, treatment obstruction of fallopian tube according to claim 2 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: 10 parts of Radix Salviae Miltiorrhizae (processed with wine); 10 parts of processed with wine Herba Leonuris; 6 parts of vinegar Squama Maniss; 6 parts of four Rhizoma Cyperi (processed); 9 parts of Radix Paeoniae Alba (processed with vinegar); 6 parts of Radix Paeoniae Rubra; Wine is processed 10 parts of Radix Angelicae Sinensis; 9 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 3 parts of Rhizoma Curcumae; Triangular 3 parts of processed with vinegar; 6 parts of Sargassums; 10 parts of Herba Patriniae; 10 parts of Caulis Spatholobis; 10 parts of Fructus Liquidambaris; 10 parts of Radix Rehmanniae Preparata; 3 parts of Radix Glycyrrhizae.
4, treatment obstruction of fallopian tube according to claim 2 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: 15 parts of Radix Salviae Miltiorrhizae (processed with wine); 15 parts of processed with wine Herba Leonuris; 10 parts of vinegar Squama Maniss; 15 parts of four Rhizoma Cyperi (processed); 10 parts of Radix Paeoniae Alba (processed with vinegar); 10 parts of Radix Paeoniae Rubra; Wine is processed 15 parts of Radix Angelicae Sinensis; 10 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 5 parts of Rhizoma Curcumae; Triangular 5 parts of processed with vinegar; 9 parts of Sargassums; 20 parts of Herba Patriniae; 20 parts of Caulis Spatholobis; 15 parts of Fructus Liquidambaris; 15 parts of Radix Rehmanniae Preparata; 5 parts of Radix Glycyrrhizae.
5, treatment obstruction of fallopian tube according to claim 2 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: 20 parts of Radix Salviae Miltiorrhizae (processed with wine); 20 parts of processed with wine Herba Leonuris; 15 parts of vinegar Squama Maniss; 20 parts of four Rhizoma Cyperi (processed); 15 parts of Radix Paeoniae Alba (processed with vinegar); 15 parts of Radix Paeoniae Rubra; Wine is processed 20 parts of Radix Angelicae Sinensis; 15 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 10 parts of Rhizoma Curcumae; Triangular 10 parts of processed with vinegar; 10 parts of Sargassums; 30 parts of Herba Patriniae; 30 parts of Caulis Spatholobis; 15 parts of Fructus Liquidambaris; 20 parts of Radix Rehmanniae Preparata; 6 parts of Radix Glycyrrhizae.
6, according to each described treatment obstruction of fallopian tube and fimbriated extremity of fallopian adhesion among the claim 2-5, hydrops, the last Chinese medicine of lifting, it is characterized in that: the dosage form of said Chinese medicine is decoction, powder or pill.
7, treatment obstruction of fallopian tube according to claim 1 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: Radix Salviae Miltiorrhizae (processed with wine) 21-30 part; Processed with wine Herba Leonuri 21-30 part; Vinegar Squama Manis 6-15 part; Four Rhizoma Cyperi (processed) 6-20 parts; Radix Paeoniae Alba (processed with vinegar) 16-20 part; Radix Paeoniae Rubra 16-20 part; Wine is processed Radix Angelicae Sinensis 21-25 part; Wine Radix Achyranthis Bidentatae (processed) 9-15 part; Give birth to Rhizoma Curcumae 3-10 part; The triangular 3-10 part of processed with vinegar; Sargassum 11-20 part; Herba Patriniae 10-30 part; Caulis Spatholobi 31-60 part; Fructus Liquidambaris 16-20 part; Radix Rehmanniae Preparata 10-20 part; Radix Glycyrrhizae 7-10 part; Said crude drug uses as enema medicament after being prepared into decoction.
8, treatment obstruction of fallopian tube according to claim 7 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: 21 parts of Radix Salviae Miltiorrhizae (processed with wine); 21 parts of processed with wine Herba Leonuris; 6 parts of vinegar Squama Maniss; 6 parts of four Rhizoma Cyperi (processed); 16 parts of Radix Paeoniae Alba (processed with vinegar); 16 parts of Radix Paeoniae Rubra; Wine is processed 21 parts of Radix Angelicae Sinensis; 9 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 3 parts of Rhizoma Curcumae; Triangular 3 parts of processed with vinegar; 11 parts of Sargassums; 10 parts of Herba Patriniae; 31 parts of Caulis Spatholobis; 16 parts of Fructus Liquidambaris; 10 parts of Radix Rehmanniae Preparata; 7 parts of Radix Glycyrrhizae; Said crude drug uses as enema medicament after being prepared into decoction.
9, treatment obstruction of fallopian tube according to claim 7 and fimbriated extremity of fallopian adhesion, hydrops, the last Chinese medicine of lifting, it is characterized in that: the weight portion proportioning of said crude drug is: 30 parts of Radix Salviae Miltiorrhizae (processed with wine); 30 parts of processed with wine Herba Leonuris; 15 parts of vinegar Squama Maniss; 20 parts of four Rhizoma Cyperi (processed); 20 parts of Radix Paeoniae Alba (processed with vinegar); 20 parts of Radix Paeoniae Rubra; Wine is processed 25 parts of Radix Angelicae Sinensis; 15 parts of wine Radix Achyranthis Bidentatae (processed); Give birth to 10 parts of Rhizoma Curcumae; Triangular 10 parts of processed with vinegar; 20 parts of Sargassums; 30 parts of Herba Patriniae; 60 parts of Caulis Spatholobis; 20 parts of Fructus Liquidambaris; 20 parts of Radix Rehmanniae Preparata; 10 parts of Radix Glycyrrhizae; Said crude drug uses as enema medicament after being prepared into decoction.
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| 刘欢 等.中医药在输卵管因素不孕治疗中的应用.《中日友好医院学报》.2010,第24卷(第5期),311-314. |
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