CN102441138A

CN102441138A - Traditional Chinese medicinal inflammation-removing decoction for treating acute mastitis

Info

Publication number: CN102441138A
Application number: CN2011103841363A
Authority: CN
Inventors: 葛夫军
Original assignee: Individual
Current assignee: Individual
Priority date: 2011-11-18
Filing date: 2011-11-18
Publication date: 2012-05-09
Anticipated expiration: 2031-11-18
Also published as: CN102441138B

Abstract

The invention discloses a traditional Chinese medicinal inflammation-removing decoction for treating acute mastitis. The acute mastitis is called as breast nodule by herbalist doctors and is caused by blocked and unsmooth breast channels, qi stagnation and blood stasis, which are caused by milk stasis, unsmooth temperament and interest and liver-qi stasis. The principle is relieving liver for smoothing Qi, detoxifying and dissipating stagnation, and promoting blood circulation and removing stasis. Therefore, the following materials: achyranthes bidentata, leonurus japonicus, ligusticum wallichi, rhizoma corydalis, curcuma aromatica, hematoxylon, red paeony root, fructus forsythiae, cassia twig and immature tangerine, are selected. The materials are scientifically prepared into the decoction in a preparation room of our hospital. Clinical tests show that the effect rate of the decoction is up to 96.7 percent, the side effect is low, and the treatment cost is low.

Description

A kind of Chinese medicine of treating acute mastitis scorching health decoction of dispelling

Technical field

The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of Chinese medicine of treating acute mastitis scorching health decoction of dispelling.

Background technology

Acute mastitis is that the acute festering type of mammary gland infects, be in the lactiferous ducts with ICT on every side, being everlasting forms abscess in a short time, how by staphylococcus aureus or streptococcus due to the lymphatic vessel invasion.The women that pilosity is born in age of sucking in puerperal, especially primipara more more to be seen.Pathogenic bacteria is generally from the nipple cut or the intrusion of chapping, and also can directly invade to cause infection.Have that bibliographical information acute mastitis primipara is ill to account for 50%, the primipara is 2.4: 1 with multipara's ratio.Any time of age of sucking all can take place, but the most common with 3～4 weeks of puerperal, so claim puerperal mastitis again.Its clinical symptoms is: the local distending pain of a side breast appears in women breast-feeding their children, and skin is red, swollen, heat or lump, tenderness are arranged, even it is unable shiver with cold, hyperpyrexia, general fatigue to occur, and fluctuation is arranged during local formation abscess.

At present, the treatment of acute mastitis is main with western medicine mainly, is mostly to utilize antibiotic therapy, and treatment time one is long, often has side effects.

Summary of the invention

The purpose of this invention is to provide a kind of Chinese medicine of treating acute mastitis scorching health decoction of dispelling; The anxious lactogenesis adenitis traditional Chinese medical science is called acute mastitis, how by milk smoulder, temperament and interest is smooth, irritability stasis, makes that newborn network impatency is smooth, qi depression to blood stasis forms; Therefore; Treatment by Chinese herbs is with depressed liver-energy dispersing and QI regulating, and detoxicating and resolving stagnation of pathogens, blood circulation promoting and blood stasis dispelling are the rule of treatment.

The objective of the invention is to realize that the Chinese medicine of this treatment acute mastitis scorching health decoction of dispelling is processed by following parts by weight of Chinese traditional medicine: Radix Achyranthis Bidentatae 15-25 part, Herba Leonuri 15-25 part, Rhizoma Chuanxiong 10-15 part, Rhizoma Corydalis 10-15 part, Radix Curcumae 7-13 part, Lignum Sappan 9-13 part, Radix Paeoniae Rubra 9-13 part, Fructus Forsythiae 10-15 part, Ramulus Cinnamomi 15-25 part, Pericarpium Citri Reticulatae Viride 15-25 part through following technical scheme.

Preferably, the Chinese medicine of this treatment acute mastitis scorching health decoction of dispelling is processed by following parts by weight of Chinese traditional medicine: 20 parts of Radix Achyranthis Bidentataes, 20 parts of Herba Leonuris, 13 parts of Rhizoma Chuanxiongs, 13 parts of Rhizoma Corydalis, 10 parts of Radix Curcumaes, 11 parts of Lignum Sappans, 11 parts of Radix Paeoniae Rubra, 13 parts of Fructus Forsythiaes, 20 parts of Ramulus Cinnamomi, 20 parts on Pericarpium Citri Reticulatae Viride.

Above Chinese medicine is processed decoction by traditional method.

Radix Achyranthis Bidentatae invigorating the liver and kidney in the side, bone and muscle strengthening, promoting blood circulation to restore menstrual flow, conducting blood to flow downwards, inducing diuresis for treating stranguria syndrome; The Herba Leonuri promoting blood flow to regulate menstruation, inducing diuresis to remove edema, heat-clearing and toxic substances removing; The Rhizoma Chuanxiong blood circulation promoting and blood stasis dispelling, activating QI to alleviate the depression, wind-expelling pain-stopping; The Radix Paeoniae Rubra clearing away heat and cooling blood, eliminating stasis to stop pain; The Fructus Forsythiae heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, dispelling wind and heat pathogens; Ramulus Cinnamomi diaphoresis expelling pathogenic factors from muscles, promoting the flow of QI-blood by warming the meridian, supporing yang activating QI, the flat gas that spins; The soothing the liver dispelling the stagnated QI of Pericarpium Citri Reticulatae Viride, removing food stagnancyization stagnate; The Rhizoma Corydalis promoting blood circulation to remove blood stasis, promoting the circulation of QI to relieve pain; The Radix Curcumae regulating qi to disperse stagnation, heart fire-clearing upset-relieving, promoting the function of the gallbladder to alleviate jaundice; The Lignum Sappan blood circulation promoting and blood stasis dispelling, subduing swelling and relieving pain.

Clinical data

1, physical data

120 examples are the acute mastitis patient, are divided into treatment group and matched group at random.Wherein 60 examples are organized in treatment, 24～34 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 21 days puerperal.One-sided pathological changes 43 examples, bilateral pathological changes 17 examples.The minimum 2.5cm 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, 24～35 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 41 examples, bilateral pathological changes 19 examples.Lump minimum diameter 2cm, maximum gauge 7cm.The course of disease 3 days is with interior person's 27 examples, 3～7 days person's 28 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.

2, diagnostic criteria

With reference to " practical obstetrics and gynecology " diagnostic criteria is foundation, and all case all meets the diagnostic criteria of acute mastitis.Be diagnosed as the patient of early stage acute mastitis: (1) women breast-feeding their children, the unclear lump of boundary appears in mammary swelling pain, with tangible tenderness, the local redness that occurs; (2) fear of cold, heating companion leukocyte obviously increase.

3, Therapeutic Method

The treatment group adopts the Chinese medicine of the present invention scorching health decoction of dispelling, Radix Achyranthis Bidentatae 20g, Herba Leonuri 20g, Rhizoma Chuanxiong 13g, Rhizoma Corydalis 13g, Radix Curcumae 10g, Lignum Sappan 11g, Radix Paeoniae Rubra 11g, Fructus Forsythiae 13g, Ramulus Cinnamomi 20g, Pericarpium Citri Reticulatae Viride 20g.Usage: 1 dose of every day, decocting 2 times, extracting juice 400mL, sub-service sooner or later.5 days is a course of treatment.Matched group adopts Cefuroxime Sodium 115g to add normal saline 20mL intravenous injection, every day 2 times.5 days is a course of treatment.

4, efficacy assessment standard

" disease of tcm diagnosis criterion of therapeutical effect " with reference to State Administration of Traditional Chinese Medicine's formulation.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.

5, therapeutic outcome

Two groups of treatment statistics therapeutic outcome demonstrations after 5 days, treatment is organized in 60 examples, 35 examples of fully recovering (58.3%), 23 examples that take a turn for the better (38.3%), invalid 2 examples (3.3%), total effective rate is 96.7%;

In matched group 60 examples, 28 examples of fully recovering (46.7%), 21 examples that take a turn for the better (35.0%), invalid 11 examples (18.3%), total effective rate is 81.7%; Two groups of curative effects relatively have significant difference.

Model case

Patient Lee, 28 years old, right breast had the lump red and swollen heat pain 2 days, right nipple place top has the big lump of Ovum Anas domestica to have a pain over nearly 2 days, little have a redness, the time fever with aversion to cold (T38 ℃) tongue fur thick in vain, slippery and rapid pulse is strong.Having a blood test resembles WBC1.38 * 10 9/L, and N0.86 is diagnosed as acute mastitis.Take and of the present inventionly dispel scorching health decoction after five days, red and swollen heat disappears, and body temperature is reduced to normally, continues to obey 3 doses and consolidate curative effect.

The specific embodiment

Embodiment one: take by weighing Radix Achyranthis Bidentatae 20g, Herba Leonuri 20g, Rhizoma Chuanxiong 13g, Rhizoma Corydalis 13g, Radix Curcumae 10g, Lignum Sappan 11g, Radix Paeoniae Rubra 11g, Fructus Forsythiae 13g, Ramulus Cinnamomi 20g, Pericarpium Citri Reticulatae Viride 20g.The decocting extracting juice supplies the patient to take.

Embodiment two: take by weighing Radix Achyranthis Bidentatae 25g, Herba Leonuri 15g, Rhizoma Chuanxiong 15g, Rhizoma Corydalis 15g, Radix Curcumae 13g, Lignum Sappan 13g, Radix Paeoniae Rubra 9g, Fructus Forsythiae 10g, Ramulus Cinnamomi 25g, Pericarpium Citri Reticulatae Viride 25g.The decocting extracting juice supplies the patient to take.

Embodiment three: claim, get Radix Achyranthis Bidentatae 15g, Herba Leonuri 25g, Rhizoma Chuanxiong 10g, Rhizoma Corydalis 10g, Radix Curcumae 7g, Lignum Sappan 9g, Radix Paeoniae Rubra 13g, Fructus Forsythiae 15g, Ramulus Cinnamomi 15g, Pericarpium Citri Reticulatae Viride 15g.The decocting extracting juice supplies the patient to take.

Claims

1. a Chinese medicine of treating acute mastitis scorching health decoction of dispelling is characterized in that this Chinese medicine scorching health decoction of dispelling processed by following parts by weight of Chinese traditional medicine: Radix Achyranthis Bidentatae 15-25 part, Herba Leonuri 15-25 part, Rhizoma Chuanxiong 10-15 part, Rhizoma Corydalis 10-15 part, Radix Curcumae 7-13 part, Lignum Sappan 9-13 part, Radix Paeoniae Rubra 9-13 part, Fructus Forsythiae 10-15 part, Ramulus Cinnamomi 15-25 part, Pericarpium Citri Reticulatae Viride 15-25 part.

2. a kind of Chinese medicine of treating acute mastitis according to claim 1 scorching health decoction of dispelling is characterized in that this Chinese medicine scorching health decoction of dispelling processed by following parts by weight of Chinese traditional medicine: 20 parts of Radix Achyranthis Bidentataes, 20 parts of Herba Leonuris, 13 parts of Rhizoma Chuanxiongs, 13 parts of Rhizoma Corydalis, 10 parts of Radix Curcumaes, 11 parts of Lignum Sappans, 11 parts of Radix Paeoniae Rubra, 13 parts of Fructus Forsythiaes, 20 parts of Ramulus Cinnamomi, 20 parts on Pericarpium Citri Reticulatae Viride.