Background technology
Treatment low form ecthyma, generally adopt antibiotics and sulfonamides at present.
1, piperacillin: local pain is occasionally arranged after intramuscular injection, fast intravenous injection can cause temporary nauseating, uncomfortable in chest, cough, heating, halitosis, conjunctival congestion, allergy (erythra, gargalesthesia, dizziness, numbness, heating etc.), must be noted that before medication that penicillin has or not allergies, and do penicillin skin test.
2, adopt penicillin: with before must do skin test, positive is forbidden.Because allergy, particularly anaphylactic shock easily occur penicillin, (the most dangerous anaphylactic shock, can occur in and do tuerculoderma at that time, only a few can occur in the process of continuous use, the latter claims the Delayed Hypersensitivity shock), as rescued not in time, but threat to life.
3, ampicillin: a large amount of oral gastrointestinal upset that often occur.There is pain the intramuscular injection part.No matter oral or injection all can cause allergy, take erythra as common.Must first do skin test before medication.
4, application kanamycin: all toxic to acoustic nerve and kidney, the former shows as tinnitus, auditory dysesthesia, permanent deafness even, and the latter shows as albuminuria, cylinderuria etc.
5, cefoperazone: can there be pain the intramuscular injection part; The allergy such as accidental erythra, drug fever; Indivedual patients can occur that pancytopenia, crosses property transaminase rising, prolonged prothrombin or hemorrhage etc.
6, adopt the sulfamethoxazole patient sometimes to cause gastrointestinal reaction, crystalluria, hematuria, erythra, medicine heat and leukopenia.
7, carbenicillin: various types of allergy can occur.Can cause neural poison reaction, pulmonary edema after heavy dose of administration; Can occur during medication that transience ammonia enzyme raises and granulocytopenia.
8, amoxicillin: accidental erythra, oral can have nauseating, epigastric discomfort, diarrhoea etc. after a large amount of; Pseudomembranous colitis.
summary of the invention
For overcoming above shortcoming, the objective of the invention is to invent a kind of Chinese medicine lotion preparation method for the treatment of the low form ecthyma.Ecthyma is to betide the chronic ulcer between 1/3rd tibia ridge both sides skin under shank." surgery opens profound " is referred to as leg opening skin ulcer (Hakama aphtha), leg opening poison, ecthyma.Do not hold back all the year round after ill because of it again, often easily recur because damaging again after more, therefore be commonly called as " old rotten foot ", i.e. " Chronic leg ulcer " of western medicine.Characteristics: ulcer open sore part depression, edge is as the cylinder mouth, and pus is dripping, and disunion is for a long time often easily recurred because of broken wound.In Historic Evolution " the complete works of ecthyma door of surgeon ", say: " all literary graces are said, and husband ecthyma person, all by the kidney deficiency and coldness; ailment said due to cold or exposure poison is attacked three li sides outward; fill with the side in Yinchiao (abdomen, Ren 7), the pathogenic wind-heat multiple abscess, and bipod is given birth to skin ulcer; swollen rotten pain; smelly dirty, walks with difficulty, and this skin ulcer is born in the shank bone and is attached most importance to; thin with the few skin of meat on its bone, therefore rare, heals also." " Yizong Jinjian surgery heart method knack volume 71 ecthymas " middle saying: " and ecthyma is inside and outside honest and clean when dividing, and outer Lian Yizhinei difficulty is fullyed recover from an illness, the positive damp and hot knot of outer genus three, and interior genus three deficiency of YIN heat twine, and method should be searched wind except damp and hot, the fragrant holding paper candied fruit of external application three.”
Etiology and pathogenesis: due to temperature is too low or wind speed is excessive or in snowstorm travel time long, affect QI-blood circulation, and send out primary disease.
Clinical manifestation: in temperature, under too low environment, the working time is long.Meet again storm or snow.Numb limbs and tense tendons, creeping chill.Ulcer open sore part depression between the skin of 1/3rd tibia both sides (shank section) under shank, edge is as the cylinder mouth, and pus is dripping, disunion for a long time, dimly pale tongue, tongue is white, deep-slow pulse.
Its technical scheme is: get Radix Aconiti 6 weight portions, Radix Aconiti 12 weight portions, Radix Aconiti Lateralis Preparata 15 weight portions, Herba Asari 6 weight portions, Fructus Piperis 12 weight portions, Fructus Piperis Longi 12 weight portions, Fructus Litseae 9 weight portions, Fructus Foeniculi 12 weight portions, Folium Allii tuberosi 12 weight portions, Rhizoma Alpiniae Officinarum 6 weight portions, Fructus Cnidii 9 weight portions, Fructus Capsici 6 weight portions, Fructus cari carvi 9 weight portions, Rhizoma Kaempferiae 3 weight portions, Caulis Sinomenii 6 weight portions, Caulis Piperis Kadsurae 12 weight portions, Caulis Trachelospermi 6 weight portions, Herba Aristolochiae 9 weight portions, Herba Erodii 6 weight portions, Semen Persicae 12 weight portions, Flos Carthami 6 weight portions, Radix Salviae Miltiorrhizae 12 weight portions, Cortex Moutan 12 weight portions, Fructus Evodiae 12 weight portions and Radix Glycyrrhizae 9 weight portions, above 25 flavor medicines are put into to 1800 ml waters, soak 35 minutes, then slow fire is fried 30 minutes, filter and remove residue is total to 390 milliliters of fried medicinal liquids, fried medicinal liquid is the Chinese medicine lotion for the treatment of low form ecthyma.
The advantage of this invention is: this Chinese medicine is made simple, and the herbal toxic effect of making is little, short treating period, and cure rate is high.Can also avoid applying the untoward reaction that Western medicine produces.The above 14 flavor medical instruments of Radix Aconiti, Radix Aconiti, Radix Aconiti Lateralis Preparata, Herba Asari, Fructus Piperis, Fructus Piperis Longi, Fructus Litseae, Fructus Foeniculi, Folium Allii tuberosi, Rhizoma Alpiniae Officinarum, Fructus Cnidii, Fructus Capsici, Fructus cari carvi, Rhizoma Kaempferiae have that warming spleen and stomach for dispelling cold, promoting the circulation of blood are promoted blood circulation, depressed liver-energy dispersing and QI regulating, warming the spleen dampness removing, dispel the wind, adjust blood repercussive, preventing or arresting vomiting, promoting the circulation of QI to relieve pain, the kidney warming reducing urination, loose blood to enrich blood, the effect of subduing swelling and detoxicating, treatment chilblain.In the process for the treatment of low form ecthyma, play the primary treatment effect, therefore be monarch drug.Caulis Sinomenii, Caulis Piperis Kadsurae, Caulis Trachelospermi, Herba Aristolochiae, Herba Erodii, Semen Persicae, Flos Carthami, Radix Salviae Miltiorrhizae, Cortex Moutan, above 9 flavor medical instruments have the effect of the wind prevailing over dampness of searching, arthralgia relieving by relaxing muscles and tendons, wind-damp dispelling, the meridian dredging, removing blood stasis with potent drugs promoting the circulation of blood, stasis-dispelling and pain-killing.In the process for the treatment of low form ecthyma, can assist principal agent performance therapeutical effect, therefore be ministerial drug.Fructus Evodiae: hot, bitter, temperature, poisonous.Enter liver, stomach warp.Dispersing cold for relieving pain, depressed liver-energy dispersing and QI regulating, warming the spleen dampness removing.Because it can lead the through focus performance of all medicines therapeutical effect, therefore be adjuvant drug.Radix Glycyrrhizae: sweet, flat.Enter 12 warps.The spleen reinforcing lung moistening, Yiqi and vein recovery, relieving spasm to stop pain, heat-clearing and toxic substances removing, the mediation property of medicine.Can entangle the bias of all medicines, can alleviate again the toxicity of all medicines, therefore for making medicine.Radix Aconiti, Radix Aconiti, Radix Aconiti Lateralis Preparata, Herba Asari, Fructus Piperis, Fructus Piperis Longi, Fructus Litseae, Fructus Foeniculi, Folium Allii tuberosi, Rhizoma Alpiniae Officinarum, Fructus Cnidii, Fructus Capsici, Fructus cari carvi, Rhizoma Kaempferiae, Caulis Sinomenii, Caulis Piperis Kadsurae, Caulis Trachelospermi, Herba Aristolochiae, Herba Erodii, Semen Persicae, Flos Carthami, Radix Salviae Miltiorrhizae, Cortex Moutan, Fructus Evodiae, Radix Glycyrrhizae, above 25 flavor medical instruments have the wind prevailing over dampness of searching, arthralgia relieving by relaxing muscles and tendons, wind-damp dispelling, the meridian dredging, removing blood stasis with potent drugs promoting the circulation of blood, stasis-dispelling and pain-killing, it is sensible by numbness, subduing swelling and detoxicating, dispersing cold for relieving pain, Xin Xiang to dispel the wind, the effect of promoting the flow of QI-blood by warming the meridian, promoting the circulation of QI to relieve pain, strengthening the spleen to promote digestion.It is the optimum formula for the treatment of low form ecthyma.Radix Aconiti: hot, hot, poisonous.Enter the heart, liver,kidney,spleen warp.Expelling wind and removing dampness, antalgic.Radix Aconiti: suffering, heat, poisonous.Enter spleen, kidney channel.Expelling wind and cold.Benefiting the fire of the gate of life to invigorate YANG, adjust the blood repercussive, kidney-tonifying health-care.Radix Aconiti Lateralis Preparata: hot, sweet, heat, poisonous.Enter the heart, spleen, kidney channel.Recuperating depleted YANG and rescuing the patient from collapse, mend fire supporing yang, and warming YANG to expel cold, dispel the wind by numbness , Po Disorder removing food stagnancy, subduing swelling and detoxicating.Herba Asari: suffering, temperature.Enter liver, kidney, urinary bladder channel.Relieving the exterior syndrome with drugs of pungent in flavor and warm in nature, cold expelling relieves the pain, and Xin Xiang is sensible, warming the lung to resolve fluid-retention, the capable water of lung qi dispersing, expelling cold to relieve vomiting, the loose superficial heat of a surname, promoting the flow of QI-blood by warming the meridian, the erosion for the treatment of aphtha.Fructus Piperis: suffering, heat.Enter stomach, large intestine channel.Warming the middle warmer and descending qi, the treatment puerperal abdonimal pain, the toothache for the treatment of superficial heat, the treatment tumbling down swells and ache, and separates bromatotoxin.Fructus Piperis Longi: suffering, heat.Enter spleen, stomach, large intestine channel.Warming spleen and stomach for dispelling cold, promoting the circulation of QI to relieve pain.Fructus Litseae: hot, bitter, temperature.Enter spleen, stomach, kidney, urinary bladder channel.Warming spleen and stomach for dispelling cold, promoting the circulation of QI to relieve pain, strengthening the spleen to promote digestion, warming the kidney to activate YANG.Fructus Foeniculi: hot, bitter, temperature.Enter liver,kidney,spleen, stomach warp.Dispersing cold for relieving pain, the kidney warming reducing urination, regulating qi-flowing for harmonizing stomach, the damp eliminating profit is turbid.Folium Allii tuberosi: suffering, temperature.Enter liver, stomach, kidney channel.Warming middle-JIAO to promote flow of QI, loose blood is enriched blood, subduing swelling and detoxicating.Rhizoma Alpiniae Officinarum: suffering, temperature.Enter spleen, stomach warp.Warming spleen and stomach for dispelling cold, the logical pain relieving of temperature, stomach function regulating is flat contrary, the circulation of qi promoting intestinal stasis relieving.Fructus Cnidii: hot, bitter, temperature, nontoxic.Enter kidney, spleen channel.Warming the kidney to invigorate YANG, expelling cold and dampness.Fructus Capsici: suffering, heat.Enter the heart, spleen channel.Warming spleen and stomach for dispelling cold, treatment chilblain, digesting and appetizing.Fructus cari carvi: sweet, micro-suffering, temperature.Enter kidney, spleen, stomach warp.Warming middle-JIAO and strengthening the spleen, the wind dispelling cold relieving.Rhizoma Kaempferiae: suffering, temperature.Spleen, stomach.Warming middle-JIAO helps digestion, wind-expelling pain-stopping, and removing blood stasis to reduce swelling, ward off immoral conduct gas.Caulis Sinomenii: hot, bitter, temperature.Enter liver, spleen channel.Search wind prevailing over dampness, arthralgia relieving by relaxing muscles and tendons.Caulis Piperis Kadsurae: hot, bitter, tepor.Enter liver, spleen channel.Wind-damp dispelling, the meridian dredging.Caulis Trachelospermi: hardship is slightly cold.Enter the heart, Liver Channel.Dispelling wind and removing obstruction in the collateral, the removing heat from blood detumescence.Herba Aristolochiae: suffering, temperature.Enter the heart, lung, spleen, kidney channel.The removing dampness of dispeling the wind, the capable water of promoting the circulation of QI and blood.Herba Erodii: hardship, micro-suffering, flat.Enter liver, kidney channel.Expelling wind and removing dampness, dredge the meridian passage.Semen Persicae: bitter, sweet, flat.Enter the heart, liver, large intestine channel.The removing blood stasis with potent drugs promoting the circulation of blood, moisturize laxation.Flos Carthami: suffering, temperature.Enter the heart, Liver Channel.Promoting blood circulation to restore menstrual flow, stasis-dispelling and pain-killing.Radix Salviae Miltiorrhizae: hardship is slightly cold.Enter the heart, Liver Channel.Blood circulation promoting and blood stasis dispelling, reducing swelling and alleviating pain, relieving restlessness is calmed the nerves.Cortex Moutan: bitter, hot, be slightly cold.Enter the heart, liver, kidney channel.Clearing away heat and cooling blood, removing heat from the liver to lower the high blood pressure, activating blood circulation and dissipating blood stasis.Fructus Evodiae: hot, bitter, temperature, poisonous.Enter liver, stomach warp.Dispersing cold for relieving pain, depressed liver-energy dispersing and QI regulating, warming the spleen dampness removing.Radix Glycyrrhizae: sweet, flat.Enter 12 warps.The spleen reinforcing lung moistening, Yiqi and vein recovery, relieving spasm to stop pain, heat-clearing and toxic substances removing, the mediation property of medicine.
The specific embodiment
Get Radix Aconiti 6g, Radix Aconiti 12g, Radix Aconiti Lateralis Preparata 15g, Herba Asari 6g, Fructus Piperis 12g, Fructus Piperis Longi 12g, Fructus Litseae 9g, Fructus Foeniculi 12g, Folium Allii tuberosi 12g, Rhizoma Alpiniae Officinarum 6g, Fructus Cnidii 9g, Fructus Capsici 6g, Fructus cari carvi 9g, Rhizoma Kaempferiae 3g, Caulis Sinomenii 6 g, Caulis Piperis Kadsurae 12 g, Caulis Trachelospermi 6 g, Herba Aristolochiae 9 g, Herba Erodii 6 g, Semen Persicae 12 g, Flos Carthami 6 g, Radix Salviae Miltiorrhizae 12 g, Cortex Moutan 12 g, Fructus Evodiae 12g and Radix Glycyrrhizae 9 g, above 25 flavor medicines are put into to 1800 ml waters, soak 35 minutes, then slow fire is fried 30 minutes, filter and remove residue, fried medicinal liquid is the Chinese medicine lotion for the treatment of low form ecthyma.Altogether fried medicinal liquid is 390 milliliters, and when the client need treatment of low form ecthyma, making fluid temperature is 35 ℃, and each 130 milliliters, washout, three times on the one 2nd is a course for the treatment of, if symptom is still deposited, then washes for second course for the treatment of, so that recovery from illness.
In 381 routine low form ecthymas, male's 275 examples, account for 72.18%, and women's 106 examples, account for 27.82%.
The range of age of table one, 381 routine low form ecthyma patients
Table two, 381 routine low form ecthyma patients' curative effect table
Table three, 381 routine low form ecthyma patients show the course for the treatment of
The treatment natural law |
3~5 |
6~10 |
11~14 |
15~25 |
Number of cases |
3 |
276 |
95 |
7 |
Percentage ratio |
0.79% |
72.44% |
24.93% |
1.84% |
Information slip before and after table four, 381 routine low form ecthyma patient