CN102293901B - Traditional Chinese medicine for treating qi and blood deficiency type postpartum galactorrhea of maternity patient - Google Patents
Traditional Chinese medicine for treating qi and blood deficiency type postpartum galactorrhea of maternity patient Download PDFInfo
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- CN102293901B CN102293901B CN 201110287484 CN201110287484A CN102293901B CN 102293901 B CN102293901 B CN 102293901B CN 201110287484 CN201110287484 CN 201110287484 CN 201110287484 A CN201110287484 A CN 201110287484A CN 102293901 B CN102293901 B CN 102293901B
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Abstract
The invention discloses a traditional Chinese medicine for treating qi and blood deficiency type postpartum galactorrhea of a maternity patient. The traditional Chinese medicine is characterized by comprising the following Chinese medicinal bulk pharmaceuticals in percentage by weight: 10-13 percent of astragalus, 7-11 percent of dangshen, 6-9 percent of prepared rehmannia, 7-11 percent of fried largehead atractylodes rhizome, 7-11 percent of dried longan pulp, 16-19 percent of prepared multiflower knotweed tuber, 4-7 percent of Chinese yam, 10-13 percent of Chinese dates, 2-5 percent of liquoric root, 4-8 percent of fried cortex eucommiae, 4-6 percent of dogwood and 4-7 percent of Chinese magnoliavine fruit. The traditional Chinese medicine for treating qi and blood deficiency type postpartum galactorrhea of the maternity patient has the advantages of combination of the traditional Chinese medicine theory, scientific compatibility of medicines, diagnosis and treatment based on an overall analysis of the illness and the patient's condition, the effects of replenishing qi, and nourishing blood, strengthening the spleen, tonifying the kidney, astringing for arresting lactation, harmonizing, calming the nerves and nourishing maintenance, good curative effect, remarkable increase in the curative ratio of qi and blood deficiency type postpartum galactorrhea and remarkably shortened treatment course.
Description
Technical field
The present invention relates to treat the Chinese medicine of postpartum galactorrhea, specifically treat the Chinese medicine of puerpera's weak type of qi and blood postpartum galactorrhea.
Background technology
Puerpera's postpartum galactorrhea is the name of disease of Chinese medicine, also claims " galactozemia " or " spontaneous lactation ", divide again clinically weak type of qi and blood and Liver Channel stagnated heat type, and weak type of qi and blood is the most common.The pathogensis of weak type of qi and blood be commonly referred to be because of lose blood puerperal consumption gas or improper diet and overtiredness impairing the spleen and stomach cause deficient qi and blood, deficiency of QI in middle-JIAO, take the photograph receive have no right, catharsis is not normal, compel that breast is excessive, milk with change with go out, the milk gravity flow is more than.Clinical manifestation is: postpartum galactorrhea, the amount less, rare clearly, the soft breast of milk; Lusterless complexion, breathe hard; Light red tongue, thin fur, thready and weak pulse.This old complaint is according to the symptom diagnosis of being not difficult, diagnostic point be exactly in age of sucking milk suck without the baby or extruding and naturally overflowing.At present, a lot of for the Therapeutic Method of postpartum galactorrhea, among the people common with massotherapy, acupuncture method, food therapy.In the clinical treatment, western medicine therapy is then by the injection western medicine in hospital; Chinese traditional treatment mainly be with invigorating qi and benefiting blood, assistant take the Chinese medicine of astringency inducing as main, main with " " plus-minus, the side intends Radix Codonopsis, the Radix Astragali, the Rhizoma Atractylodis Macrocephalae, Poria, Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Paeoniae, Fructus Schisandrae Chinensis, Semen Euryales, Radix Glycyrrhizae to BAZHEN TANG.Wherein Radix Angelicae Sinensis, Radix Rehmanniae Preparata, Radix Codonopsis, the Rhizoma Atractylodis Macrocephalae, Poria, Radix Glycyrrhizae master promoting flow of QI and blood add Radix Astragali strongly invigorating QI and blood, and QI and blood is vigorous, and gastric qi must be consolidated, and milk is from ought not going out.Full side plays invigorating qi and benefiting blood altogether, and astringency inducing is held back the effect of breast.Similar these prescriptions all have certain therapeutic effect, but do not stress tonifying speen and tonifying kidney, affect therapeutic effect.
Summary of the invention
The object of the present invention is to provide a kind ofly take enrich blood yang invigorating and tonifying speen and tonifying kidney as main, be aided with controlling nocturnal emission with astringent drugs and hold back breast, be in harmonious proportion the Chinese medicine for the treatment of puerpera weak type of qi and blood postpartum galactorrhea of dietetic therapy of calming the nerves.
For reaching above purpose, the technical solution adopted in the present invention is: the Chinese medicine of this treatment puerpera weak type of qi and blood postpartum galactorrhea is characterized in that: it comprises that the raw material of Chinese medicine of following percentage by weight makes:
Radix Astragali 10-13%, Radix Codonopsis 7-11%, Radix Rehmanniae Preparata 6-9%, Rhizoma Atractylodis Macrocephalae (parched) 7-11%, Arillus Longan 7-11%, Radix Polygoni Multiflori Preparata 16-19%, Rhizoma Dioscoreae 4-7%, Fructus Jujubae 10-13%, Radix Glycyrrhizae 2-5%, Cortex Eucommiae (parched) 4-8%, Fructus Corni 4-6%, Fructus Schisandrae Chinensis 4-7%.
Optimum ratio of the present invention is:
The Radix Astragali 12%, Radix Codonopsis 9%, Radix Rehmanniae Preparata 7%, Rhizoma Atractylodis Macrocephalae (parched) 9%,
Arillus Longan 9%, Radix Polygoni Multiflori Preparata 17%, Rhizoma Dioscoreae 5%, Fructus Jujubae 12%,
Radix Glycyrrhizae 4%, Cortex Eucommiae (parched) 6%, Fructus Corni 5%, Fructus Schisandrae Chinensis 5%.
The present invention's collection clinical experience for many years, and combine traditional theory of Chinese medical science, the science compatibility, determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs, take benefiting qi and nourishing blood and tonifying speen and tonifying kidney as main, astringency inducing is held back breast, is in harmonious proportion and calms the nerves dietetic therapy in a side, has obtained preferably effect, cure rate to treatment puerpera weak type of qi and blood postpartum galactorrhea is significantly improved, and obvious shortening has also been arranged the course for the treatment of.
Clinical trial analysis:
One, source of data
From year April in April, 2009 to 2011, at Hospital of Traditional Chinese Medicine's department of obstetrics and gynecology, the 60 routine weak type of qi and blood postpartum galactorrhea patients that see and treat patients altogether wherein have 45 examples to belong to the puerpera who is in hospital at Hospital of Traditional Chinese Medicine's department of obstetrics and gynecology.Its clinical symptoms is: postpartum galactorrhea, and amount is few, and milk is rare clearly, soft breast, lusterless complexion is breathed hard, light red tongue, thin fur, thready and weak pulse.
Two, the diagnostic criteria of weak type of qi and blood postpartum galactorrhea
Symptom: postpartum galactorrhea, flow out repeatedly every day, and it is each that the amount of each stream is few until stream is clean, soft breast when the baby sucks particularly, the milk amount is few, can not satisfy baby's needs, and milk is rare clearly, and lusterless complexion is breathed hard, pale tongue, white and thin fur, thready and weak pulse.Have with lumbago.During diagnosis and by CT examination.
Three, instructions of taking
Instructions of taking of the present invention: be decocted in water for oral dose, potion on the one, early, two mouthfuls of evenings are time oral, take 7 days courses for the treatment of.
Four, criterion of therapeutical effect
Cure: after taking 2 days, the galactorrhea number of times reduces, every day 3-4 time, but milk is still thin, take 7 days after, the disappearance of galactorrhea symptom, the milk stiff satisfies child's needs fully.
Effectively: after taking 7 days, though the galactorrhea number of times reduces, still have 4-5 outflow every day, milk is still thin, continues to take the present invention, and the galactorrhea symptom disappears in 10 days, and the milk stiff satisfies child's needs fully.
Invalid: as to take after 2 days unchanged.Need to change Therapeutic Method.
Five, efficacy analysis
To above 60 routine patients, all adopt the present invention to treat.After treating 1 course for the treatment of, have 54 examples to cure, cure rate is 90%; 5 examples are arranged effectively, total effective rate is 98.3%; Have 1 example invalid, inefficiency is 1.7%.
Pharmacology analysis:
The Radix Astragali: sweet, tepor.Return lung, spleen channel.Has the effect that benefiting qi and raising yang, strengthening superficial resistance to stop perspiration, arresting sweating take off, hold in the palm skin ulcer granulation promoting, inducing diuresis to remove edema admittedly.It is weak to cure mainly the deficiency of vital energy, sinking of QI of middle-JIAO, and uterine prolapse, the chronic diarrhea proctoptosis, the metrorrhagia of having blood in stool, the exterior deficiency spontaneous perspiration, carbuncle is difficult bursts, and burst for a long time and do not hold back, blood deficiency and yellow complexion, interior-heat is quenched one's thirst, chronic nephritis, albuminuria, diabetes etc.In addition on the books: Radix Astragali master tonifying Qi and lifting yang, because of its large spleen reinforcing lung vigour, as a means of the source of hemopoietic; Be improved Abwehrkraft des Koepers and heart tonifying, blood pressure lowering, diuresis, the effect such as antibacterial, and serum albumin and hemoglobin are raise.
Radix Codonopsis: sweet, flat.Return spleen, lung meridian.Has supplementing QI for promoting the production of body fluid, the effect of strengthening the spleen and tonifying the lung.Cure mainly weakness of the spleen and stomach, anorexia and loose stool, limbs fatigue, the deficiency of the lung is breathed with cough, the spontaneous perspiration of breathing hard, all diseases of deficiency of both QI and blood.
Radix Rehmanniae Preparata: sweet, temperature.Return liver, kidney channel.Has the effect that moist, the beneficial essence of enriching blood is filled out marrow.Cure mainly blood deficiency and yellow complexion, dizzy cardiopalmus, menoxenia, collapse more than, hepatic and renal YIN deficiency, hectic fever night sweat, seminal emission sexual impotence, infertility, menoxenia, metrostaxis, soreness of the waist and knees, Hiccough and deaf, the head are dim-sighted, early whitening of beard and hair, quench one's thirst, constipation, the dyspnea with rapid and short breath of suffering from a deficiency of the kidney.On the books in addition: the Radix Rehmanniae Preparata quality is soft, body moistens many liquid, so ancient Chinese medicine doctor is used it for nourishing the blood and yin more, and vital essence replenishing and marrow benifiting, Compendium of Material Medica is called it and " is filled out bone marrow, longue meat, promoting generation of vital essence and blood, tonifying five ZANG-organs internal injury deficiency, promoting blood circulation, sharp knowledge, black beard and hair "; Radix Rehmanniae Preparata also has positive effect to haematogenous mechanism, both invigoration spleen qis, again can tonifying YIN and in, arrogate to oneself diseases such as controlling taste deficient qi and blood or weakness due to chronic disease, its property is gentle, mends and not dry, grow and oiliness, thus to puerperal taste asthenia of qi and blood weak person very suitable.
Rhizoma Atractylodis Macrocephalae (parched): bitter, sweet, temperature.Return spleen, stomach warp.Has invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis, antiabortive effect.Cure mainly the weak of deficiency-weakness of spleen-QI, lack of appetite abdominal distention, the constipation of having loose bowels, phlegm retention vertigo and palpitation, edema, spontaneous perspiration, frequent fetal movement.With middle QI invigorating, warming middle-JIAO, go to wet in the taste, except gastric heat, strong taste advance diet.
Arillus Longan: sweet, temperature, it is sweet to distinguish the flavor of.GUIXIN, spleen channel.Has reinforcing the heart god, replenishing QI and blood, the effect of calming the nerves.Cure mainly asthenia, palpitation with fear, insufficiency of vital energy and blood, palpitation with a distress feeling, forgetful insomnia, blood deficiency and yellow complexion.
Radix Polygoni Multiflori Preparata: bitter, sweet, puckery, tepor.Return liver, the heart, kidney channel.Have nourishing the blood and yin, nourishing the liver is calmed the nerves, bone and muscle strengthening, the detoxifcation of dispeling the wind, the effect of the crow palpus that reinforces the kidney.Cure mainly blood deficiency and see Light-headedness, palpitation and insomnia is forgetful, and is sallow weak, the vertigo and tinnitus of Liver and kidney blood and essence asthenia, soreness of the waist and knees, seminal emission metrorrhagia and leukorrhagia, the diseases such as early whitening of beard and hair.
Rhizoma Dioscoreae: sweet, flat.Return spleen, lung, kidney channel.The effect of have spleen reinforcing, support lung, reinforce the kidney, benefit is smart.Cure mainly diarrhea due to hypofunction of the spleen, the lack of appetite edema, cough and asthma due to lung deficiency is quenched one's thirst, and benefit is smart, leukorrhagia, the frequent micturition of suffering from a deficiency of the kidney.
Fructus Jujubae: sweet, temperature.GUIXIN, spleen, stomach warp.Have tonifying the spleen and stomach, replenishing QI and blood, tranquilizing mind transfers battalion to defend, and the effect of the property of medicine.Cure mainly weakness of the spleen and stomach, insufficiency of vital energy and blood, anorexia and loose stool, fatigue and weakness, woman hysteria, disharmony of nutrient QI with defensive QI.
Radix Glycyrrhizae: sweet, flat.GUIXIN, spleen, stomach warp.Have and middle emergency lung moistening, invigorating the spleen and replenishing QI, heat-clearing and toxic substances removing, expelling phlegm for arresting cough, relieving spasm to stop pain, the effect of coordinating the actions of various ingredients in a prescription.Cure mainly weakness of the spleen and stomach, fatigue and weakness, shortness of breath and palpitation.
Cortex Eucommiae (parched): sweet, little suffering, temperature.Return liver, kidney channel.Has invigorating the liver and kidney, bone and muscle strengthening, the effect of antiabortive gas.Cure mainly soreness of waist and knee joint, sexual impotence, frequent micturition, dribbling urination, rheumatic arthralgia, frequent fetal movement, habitual abortion.
Fructus Corni: acid, tepor.Return liver, kidney channel.Has liver and kidney tonifying, the effect of essence astringing and desertion stemming.Cure mainly and have a dizzy spell, tinnitus, soreness of the waist and knees, emission and spermatorrhea, frequent micturition, woman uterine bleeding.
Fructus Schisandrae Chinensis: acid, temperature.Return lung, the heart, kidney channel.It is astringent or styptic treatment for spontaneous sweating to have convergence, supplementing QI for promoting the production of body fluid, the effect of kidney calming.Cure mainly the chronic cough dyspnea due to deficiency, emission, incessant chronic diarrhea, Tianjin wound is thirsty, palpitation and insomnia.
More than all medicines share, play altogether take benefiting qi and nourishing blood and tonifying speen and tonifying kidney as main, be aided with astringency inducing and hold back breast, be in harmonious proportion the dietetic therapy of calming the nerves, treatment weak type of qi and blood postpartum galactorrhea has obvious curative effects, and obvious shortening has also been arranged the course for the treatment of.
Beneficial effect of the present invention is: the present invention combines traditional theory of Chinese medical science, the science compatibility, determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs, take benefiting qi and nourishing blood and tonifying speen and tonifying kidney as main, be aided with astringency inducing and hold back breast, be in harmonious proportion and calm the nerves dietetic therapy in a side, obtained preferably curative effect, cure rate to treatment weak type of qi and blood postpartum galactorrhea is significantly improved, and obvious shortening has also been arranged the course for the treatment of.
The specific embodiment
Embodiment 1
The Chinese medicine for the treatment of puerpera weak type of qi and blood postpartum galactorrhea, press following each raw material of Chinese medicine of percentage by weight weighing:
The Radix Astragali 12%, Radix Codonopsis 9%, Radix Rehmanniae Preparata 7%, Rhizoma Atractylodis Macrocephalae (parched) 9%, Arillus Longan 9%, Radix Polygoni Multiflori Preparata 17%, Rhizoma Dioscoreae 5%, Fructus Jujubae 12%, Radix Glycyrrhizae 4%, Cortex Eucommiae (parched) 6%, Fructus Corni 5%, Fructus Schisandrae Chinensis 5%.
Once produce what of medicament, by the several amounts preparations of taking in 3 days of clinical case.Again preparation after being finished.
Adopt present embodiment, treat altogether 20 cases, that wherein cured in 3 days has 16 examples, and cure rate has 4 examples in 7 days, all cures in 7 days.
Model case: Lv Hao, woman, 27 years old, teacher.On March 15th, 2010 came Hospital of Traditional Chinese Medicine's department of obstetrics and gynecology to wait to produce in hospital, in natural labor on March 18 one girl baby in 2010,7 days puerperal, the milk amount can, milk is thin, milk flows out every day 6-7 time voluntarily when breast has swollen sense.When the baby sucks, soft breast, the milk amount is few, can not satisfy baby's needs.Routine examination, thready and weak pulse, pale tongue, white and thin fur.Belong to " weak type of qi and blood postpartum galactorrhea " disease.
Adopt this prescription treatment, oral behind the decocting, after oral 2 days, the galactorrhea number of times reduces, every day 3-4 time, but milk is still thin, and the baby does not still have enough to eat.After continuing oral 5 days, idol has galactorrhea in one day, but the milk retrogradation is thick, substantially can satisfy child's needs.Continue oral the consolidation 2 days, the galactorrhea symptom disappears again, and the milk stiff satisfies child's needs fully.
Embodiment 2
The Chinese medicine for the treatment of puerpera weak type of qi and blood postpartum galactorrhea, press following each raw material of Chinese medicine of percentage by weight weighing:
The Radix Astragali 10%, Radix Codonopsis 11%, Radix Rehmanniae Preparata 6%, Rhizoma Atractylodis Macrocephalae (parched) 11%, Arillus Longan 7%, Radix Polygoni Multiflori Preparata 18%, Rhizoma Dioscoreae 4%, Fructus Jujubae 13%, Radix Glycyrrhizae 2%, Cortex Eucommiae (parched) 7%, Fructus Corni 4%, Fructus Schisandrae Chinensis 7%.
Once produce what of medicament, by the several amounts preparations of taking in 3 days of clinical case.Again preparation after being finished.
Adopt present embodiment, treat altogether 30 cases, that wherein cured in 3 days has 25 examples, and cure rate is that 4 examples, effective percentage were effectively arranged in 83.3%, 7 day is to cure altogether 29 examples in 13.3%, 10 day, and total effective rate is 96.7%.Wherein 1 the example invalid, after transfer western medical treatment to.
Model case
Zhang Junhua, woman, 34 years old, Laiwu City Zhai Li town peasant.In on April 28th, 2011 in town 4 days puerperal of commune hospital, come Hospital of Traditional Chinese Medicine's department of obstetrics and gynecology treatment, readme milk amount is many, but milk is rare clearly.Every day, galactorrhea was 5-6 time.When mammary swelling, just flow out voluntarily, until stream is clean.Pale tongue, white and thin fur, thready and weak pulse.With the lumbago symptom.
Adopt the treatment of this prescription, oral method is with embodiment 1.After oral 3 days, the galactorrhea number of times reduces, and every day 2-3 time, milk is slightly thick before.After 5 days, the galactorrhea symptom disappears, and milk is thick, and child can have enough, the lumbago sx↓.Consolidated 2 days, symptom disappears entirely again.
Embodiment 3
The Chinese medicine for the treatment of puerpera weak type of qi and blood postpartum galactorrhea, press following each raw material of Chinese medicine of percentage by weight weighing:
The Radix Astragali 13%, Radix Codonopsis 7%, Radix Rehmanniae Preparata 9%, Rhizoma Atractylodis Macrocephalae (parched) 7%, Arillus Longan 11%, Radix Polygoni Multiflori Preparata 16%, Rhizoma Dioscoreae 7%, Fructus Jujubae 10%, Radix Glycyrrhizae 5%, Cortex Eucommiae (parched) 4%, Fructus Corni 6%, Fructus Schisandrae Chinensis 5%.
Once produce what of medicament, by the several amounts preparations of taking in 3 days of clinical case.Again preparation after being finished.
Adopt present embodiment, treat altogether 10 cases, that wherein cured in 3 days has 7 examples, and cure rate is that 3 examples, effective percentage were effectively arranged in 70%, 7 day is all to cure in 30%, 10 day.
Model case
Cai Lei, woman, 26 years old, Laiwu City Xin Zhuan town peasant.Because having difficult labour Hospital of Traditional Chinese Medicine's department of obstetrics and gynecology cesarean of being in hospital, in 4 days puerperal, find galactorrhea 4-5 time every day in JIUYUE in 2010 16 days.When mammary swelling, just flow out voluntarily, until stream is clean.On inspection, pale tongue, white and thin fur, thready and weak pulse.
Adopt the treatment of this prescription, oral method is with embodiment 1.After oral 2 days, the galactorrhea number of times reduces, and every day 2-3 time, milk is slightly thick before.After 4 days, the galactorrhea symptom disappears, and milk is thick, and child can have enough.
Claims (1)
1. treat the Chinese medicine of puerpera's weak type of qi and blood postpartum galactorrhea, it is characterized in that: it is made by the raw material of Chinese medicine of following percentage by weight: Radix Astragali 10-13%, Radix Codonopsis 7-11%, Radix Rehmanniae Preparata 6-9%, Rhizoma Atractylodis Macrocephalae (parched) 7-11%, Arillus Longan 7-11%, Radix Polygoni Multiflori Preparata 16-19%, Rhizoma Dioscoreae 4-7%, Fructus Jujubae 10-13%, Radix Glycyrrhizae 2-5%, Cortex Eucommiae (parched) 4-8%, Fructus Corni 4-6%, Fructus Schisandrae Chinensis 4-7%.
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