CN102441138B - Traditional Chinese medicinal inflammation-removing decoction for treating acute mastitis - Google Patents
Traditional Chinese medicinal inflammation-removing decoction for treating acute mastitis Download PDFInfo
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- CN102441138B CN102441138B CN 201110384136 CN201110384136A CN102441138B CN 102441138 B CN102441138 B CN 102441138B CN 201110384136 CN201110384136 CN 201110384136 CN 201110384136 A CN201110384136 A CN 201110384136A CN 102441138 B CN102441138 B CN 102441138B
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- 208000004396 mastitis Diseases 0.000 title claims abstract description 17
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- 239000003814 drug Substances 0.000 claims description 7
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- 210000004369 blood Anatomy 0.000 abstract description 9
- 230000017531 blood circulation Effects 0.000 abstract description 7
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- 210000000481 breast Anatomy 0.000 abstract description 3
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- 210000004080 milk Anatomy 0.000 abstract description 2
- 235000013336 milk Nutrition 0.000 abstract description 2
- 239000000463 material Substances 0.000 abstract 2
- 240000000031 Achyranthes bidentata Species 0.000 abstract 1
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- 235000014489 Cinnamomum aromaticum Nutrition 0.000 abstract 1
- 241000675108 Citrus tangerina Species 0.000 abstract 1
- 244000164480 Curcuma aromatica Species 0.000 abstract 1
- 235000003398 Curcuma aromatica Nutrition 0.000 abstract 1
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- URDOHUPGIOGTKV-JTBFTWTJSA-M Cefuroxime sodium Chemical compound [Na+].N([C@@H]1C(N2C(=C(COC(N)=O)CS[C@@H]21)C([O-])=O)=O)C(=O)\C(=N/OC)C1=CC=CO1 URDOHUPGIOGTKV-JTBFTWTJSA-M 0.000 description 1
- 235000014375 Curcuma Nutrition 0.000 description 1
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- Medicines Containing Plant Substances (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
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
Technical field
The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of Traditional Chinese medicinal inflammation-removing health decoction for the treatment of acute mastitis.
Background technology
Acute mastitis is that the acute festering type of mammary gland infects, and is ICT in lactiferous ducts and on every side, and being everlasting forms abscess in a short time, how by staphylococcus aureus or streptococcus due to the lymphatic vessel invasion.The multiple women who is born in the postpartum breastfeeding phase, especially the primipara is more common.Pathogenic bacteria is generally from nipple cut or the intrusion of chapping, and also can directly invade to cause infection.Have that bibliographical information acute mastitis primipara is ill accounts for 50%, the primipara is 2.4: 1 with multipara's ratio.Any time of age of sucking all can occur, but the most common with 3～4 weeks of puerperal, therefore claim again puerperal mastitis.Its clinical symptoms is: a local distending pain of side breast appears in women breast-feeding their children, and skin is red, swollen, heat or lump, tenderness are arranged, and shiver with cold, high heat, general fatigue even occur unable, and fluctuation is arranged during local formation abscess.
At present, mostly the treatment of acute mastitis is to utilize antibiotic therapy mainly take western medicine as main, 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 Traditional Chinese medicinal inflammation-removing health decoction for the treatment of acute mastitis, the anxious lactogenesis adenitis traditional Chinese medical science is called acute mastitis, how by milk smoulder, temperament and interest is smooth, irritability stasis, make 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 for the treatment of.
The objective of the invention is to be achieved through the following technical solutions, the Traditional Chinese medicinal inflammation-removing health decoction of this treatment acute mastitis is made by the Chinese medicine of following weight portion: 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.
Preferably, the Traditional Chinese medicinal inflammation-removing health decoction of this treatment acute mastitis is made by the Chinese medicine of following weight portion: 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, Pericarpium Citri Reticulatae Viride.
Above Chinese medicine is made 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 are stagnant; 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 at random treatment group and matched group.Treatment group 60 examples wherein, 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, the bilateral Lesions of 17 Cases.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 are learned the processing there was no significant difference by statistics, have comparability.
2, diagnostic criteria
Be foundation with reference to " practical obstetrics and gynecology " diagnostic criteria, all cases 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 obvious tenderness, the local redness that occurs; (2) fear of cold, heating companion leukocyte obviously increase.
3, Therapeutic Method
Treatment group adopts Traditional Chinese medicinal inflammation-removing health decoction of the present invention, 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 for the treatment of.Matched group adopts Cefuroxime Sodium 115g to add normal saline 20mL intravenous injection, every day 2 times.5 days is a course for the treatment of.
4, efficacy assessment standard
" disease of tcm Standardization of diagnosis and curative 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 disappears without taking a turn for the better, and needs the surgical sectioning evacuation of pus.
5, therapeutic outcome
Two groups of treatments are added up therapeutic outcome and are shown after 5 days, in treatment group 60 examples, and recovery from illness 35 examples (58.3%), 23 examples (38.3%) that take a turn for the better, invalid 2 examples (3.3%), total effective rate is 96.7%;
In matched group 60 examples, recovery from illness 28 examples (46.7%), 21 examples (35.0%) that take a turn for the better, 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, over nearly 2 days, top, right nipple place has the large lump of Ovum Anas domestica to have a pain, 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 down to normally, continues to take 3 doses and consolidate curative effect.
The specific embodiment
Embodiment one: take 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 is taken for the patient.
Embodiment two: take 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 is taken for the patient.
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 is taken for the patient.
Claims (1)
1. Traditional Chinese medicinal inflammation-removing health decoction for the treatment of acute mastitis is characterized in that this Traditional Chinese medicinal inflammation-removing health decoction made by the Chinese medicine of following weight portion: 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.
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| CN103099989A (en) * | 2013-02-09 | 2013-05-15 | 邢霞 | Preparation method of traditional Chinese medicine lotion for treating acute mastitis caused by milk stasis |
| CN106237133A (en) * | 2016-08-12 | 2016-12-21 | 福建万亿店中店电子商务有限责任公司 | A kind of Chinese medicine treating mastitis |
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| CN1966045A (en) * | 2006-11-09 | 2007-05-23 | 李延山 | Chinese medicine for treating acute mastitis |
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| CN1966045A (en) * | 2006-11-09 | 2007-05-23 | 李延山 | Chinese medicine for treating acute mastitis |
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| Title |
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| 姚青等编著.妇科常见病验方精编.《妇科常见病验方精编》.2003, * |
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