CN102641426B

CN102641426B - Chinese medicine enema for treating pelvic inflammatory mass

Info

Publication number: CN102641426B
Application number: CN 201210046479
Authority: CN
Inventors: 王传梅
Original assignee: Individual
Current assignee: Individual
Priority date: 2012-02-17
Filing date: 2012-02-17
Publication date: 2013-07-31
Anticipated expiration: 2032-02-17
Also published as: CN102641426A

Abstract

The invention discloses a Chinese medicine enema for treating pelvic inflammatory mass. The doctor of traditional Chinese medicine considers blood stasis as the pathogenesis of pelvic inflammatory mass, wet-hot stasis knot, qi depression and blood stasis or deficiency-excess complication caused by enduring illness are common seen in the pelvic inflammatory mass. According to the Chinese medicine enema, the traditional Chinese medicines, namely cortex dictamni, houttuynia cordata, edible tulip, radix clematidis, caulis piperis futokadsurae, semen litchi, ligusticum wallichii, rhizoma atractylodis macrocephalae, liquorice, ginseng, trichosanthes kirilowii maxim, nux vomica, which clears heat and dehumidifies, benefits qi and removes stasis, and eliminates solid swelling, are selected to be decocted into juice with water, and the enema is reserved. Through the clinical test of the hospital, the total curative ratio of the two courses of treatment achieves 92.0%, the curative effect is obviously superior to that of the matched group of western group, and the curative cost is low.

Description

A kind of herbal enema agent for the treatment of inflammatory masses of pelvic cavity

Technical field

The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of herbal enema agent for the treatment of inflammatory masses of pelvic cavity.

Background technology

Inflammatory masses of pelvic cavity is due to the chronic pelvic inflammatory disease mostly, and main performance: hypogastric region weighs down pain, waist sacrum distending pain, leucorrhoea grow in quantity, symptoms such as the heat that occurs together that has when chronic inflammatory disease is shown effect.Acute pelvic inflammatory disease also often forms inflammatory mass, and as acute salpinitis, weight person's fallopian tube obviously increases thick, crooked, and fiber disposition purulent exudate increases, and causes and the surrounding tissue adhesion; Accumulate in the gap of adhesion when acute pelvioperitonitis has a large amount of purulences to ooze out hydrops, can form and be dispersed in microabscess.To the treatment of inflammatory masses of pelvic cavity, mainly contain the antibiotic medicine treatment at present, the course of treatment is long, is difficult for curing.Be that medicine is difficult for penetrating because the inflammatory masses of pelvic cavity peripheral organs is inter-adhesive.Adopt herbal drug enema in treatment, the drug level height, pharmaceutically active ingredient infiltration rectal wall enters pelvic cavity in the utilization, directly acts on focus, and curative effect is relatively good.

Summary of the invention

The purpose of this invention is to provide a kind of herbal enema agent for the treatment of inflammatory masses of pelvic cavity.The traditional Chinese medical science is thought the pathogenesis of inflammatory masses of pelvic cavity for " blood stasis ", and it is common that damp and hot stasis of blood knot, qi depression to blood stasis or prolonged illness cause the card of simulataneous insufficiency and excessive.The traditional Chinese medical science is with removing damp-heat, and benefiting qi and removing blood stasis, hard the swelling of elimination are the rule of treatment.

The objective of the invention is to be achieved through the following technical solutions, the herbal enema agent of this treatment inflammatory masses of pelvic cavity is made by following parts by weight of Chinese traditional medicine: Cortex Dictamni 7-9 part, Herba Houttuyniae 5-7 part, Pseudobulbus cremastrae seu pleiones 9-11 part, Radix Clematidis 8-10 part, Caulis Piperis Kadsurae 3-5 part, Semen Litchi 7-9 part, Rhizoma Chuanxiong 9-11 part, Rhizoma Atractylodis Macrocephalae 8-10 part, Radix Glycyrrhizae 10-12 part, Radix Ginseng 6-8 part, Fructus Trichosanthis 7-9 part, Semen Strychni 6-8 part.

Preferably, the herbal enema agent of this treatment inflammatory masses of pelvic cavity is made by following parts by weight of Chinese traditional medicine: 8 parts of Cortex Dictamni, 6 parts of Herba Houttuyniae, 10 parts of Pseudobulbus cremastrae seu pleiones, 9 parts of Radix Clematidis, 4 parts of Caulis Piperis Kadsuraes, 8 parts of Semen Litchis, 10 parts of Rhizoma Chuanxiongs, 9 parts of the Rhizoma Atractylodis Macrocephalaes, 11 parts in Radix Glycyrrhizae, 7 parts of Radix Ginsengs, 8 parts of Fructus Trichosanthis, 7 parts of Semen Strychni.

Medicinal boiling machine in above-mentioned is decocted, every dose of dense frying in shallow oil to 150ml, fresh-keeping packaging is standby after the automatic fitration.Retention enema is 1 time every night, 1 dose of every day.

Cortex Dictamni, Herba Houttuyniae, Pseudobulbus cremastrae seu pleiones heat-clearing and toxic substances removing in the side, the eliminating carbuncle eliminating stagnation; Radix Clematidis, Caulis Piperis Kadsurae expelling wind and removing dampness, dredge the meridian passage; Semen Litchi, Rhizoma Chuanxiong promoting QI to circulate and dispersing the agglomeration of the pathogens, dispersing cold for relieving pain; The Rhizoma Atractylodis Macrocephalae, ginseng qi-tonifying spleen invigorating, dampness diuretic, promoting the production of body fluid and inducing sedation of the mind; Fructus Trichosanthis, the detumescence of Semen Strychni eliminating stagnation, removing obstruction in the collateral to relieve pain.The invigorating middle warmer of Radix Glycyrrhizae QI invigorating, heat-clearing and toxic substances removing, expelling phlegm for arresting cough is alleviated pain relieving, the mediation property of medicine.

Clinical data

1, physical data is selected from inflammatory masses of pelvic cavity 126 examples that make a definite diagnosis year October in January, 2006 to 2007 the court in hospital, is divided into two groups at random, and every group 63 example is the married woman.Minimum 24 years old of treatment group age, maximum 46 years old, average 34 years old; The course of disease is the shortest 1 month, and is the longest 3 years, average 1.9 years.B ultrasonic prompting enclosed mass is 68cm * 48cm * 42cm to the maximum, and minimum is 28cm * 14cm * 12cm.Minimum 24.5 years old of matched group age, maximum 45 years old, average 33.5 years old; The shortest 1 first quarter moon of the course of disease, the longest 3 years, average 2 years.B ultrasonic prompting enclosed mass is 67cm * 49cm * 40cm to the maximum, and minimum is 29cm * 13cm * 11cm.Two groups all have comparability on age, the course of disease.

2, diagnostic criteria is a foundation with " new Chinese medicine clinical research guideline ".The patient has 1 time or acute pelvic inflammatory disease medical history for several times more, and hypogastric region weighs down expand pain or lumbosacral region aches, and leukorrhagia increases, and menoxenia has heating in various degree (body temperature 〉=37 ℃).Gynecologial examination: palace body limitation of activity, local tenderness is obvious, or can touch streak thing in the one or both sides, uterus, and back arched roof or both sides attachment area have inflammatory mass.

3, Therapeutic Method treatment group is taken herbal enema agent of the present invention: Cortex Dictamni 8g, Herba Houttuyniae 6g, Pseudobulbus cremastrae seu pleiones 10g, Radix Clematidis 9g, Caulis Piperis Kadsurae 4g, Semen Litchi 8g, Rhizoma Chuanxiong 10g, Rhizoma Atractylodis Macrocephalae 9g, Radix Glycyrrhizae 11g, Radix Ginseng 7g, Fructus Trichosanthis 8g, Semen Strychni 7g.Above-mentioned side's liquid medicine is taken juice 150ml, retention enema.Method: about 38 ℃ medicinal liquid is packed in the medicinal liquid reservoir bag of disposable enemator, reversal of the natural order of things is on intravenous transfusion (IVT) pole, emptying stool before patient's coloclysis, get lateral position, anal canal is slowly inserted anus to the about 15～20cm of internal rectum place, medicinal liquid drips off in 20mi n, drips off the back and keeps clinostatism more than 40 minutes, and suspend menstrual period.Matched group is with the conventional antibiotic therapy of doctor trained in Western medicine, levofloxacin injection 0.2, woods mycin injection 0.6 dead point.

Two groups were all treated for 2 weeks is a course of treatment, adds up curative effect after treating a course of treatment.

4, curative effect determinate standard is cured: stomachache disappears, and leucorrhea is normal, and body temperature is normal, and woman's inspection and ultrasound diagnosis pelvic lump disappear.Effectively: stomachache disappears or alleviates, and leucorrhea is normal or near normal, woman's inspection and ultrasound diagnosis pelvic lump obviously dwindle.Invalid: symptom and sign no change before and after the treatment.

5, therapeutic outcome is added up curative effect after a course of treatment, and the treatment group is cured 43 examples 1 course of treatment, and cure rate is 68.3%, and what wherein the course of treatment was the shortest is 7 days; Cure 58 examples 2 courses of treatment, total cure rate is 92.0%.Matched group does not have healing person 1 course of treatment, cures 26 examples 2 courses of treatment, and cure rate is 41.2%, and wherein be 16 days the course of treatment the shortest, cures 47 examples 2 courses of treatment, and total cure rate is 74.6%.Two groups curative effect is learned processing by statistics, and difference has significance.

6, model case patient Lee, the woman, 30 years old, married, go to a doctor on October 2nd, 2006.The patient moves ahead after the artificial abortion March, postoperative 20d lower abdomen pain, and profuse leukorrhea yellow skin frowziness is with heating.Through doctor trained in Western medicine antibiotic therapy 3d, heating is moved back, expands but still tell the bob of lower abdomen dull pain, and lumbosacral aching pain increases the weight of before and after be everlasting fatigue or the menstruation, and the profuse leukorrhea yellow skin is looked into red tongue, yellow fur, stringy and thready pulse.Gynecologial examination: retroposition of uterus is slightly normal big; The right side adnexa can touch egg size lump, and the soft tenderness of matter is obvious.B ultrasonic is detected demonstration: the right side is visited and the big parcel of 6cm * 49cm * 4cm is determined, the prompting inflammatory masses of pelvic cavity.Take the Clyster of the present invention that the Drug Manufacturing Room of the court produce, all diseases disappear after two courses of treatment, and gynecological and ultrasound diagnosis are all normal.Followed up a case by regular visits to 1 year, and do not have recurrence.

The specific embodiment

Embodiment one: take by weighing Cortex Dictamni 8g, Herba Houttuyniae 6g, Pseudobulbus cremastrae seu pleiones 10g, Radix Clematidis 9g, Caulis Piperis Kadsurae 4g, Semen Litchi 8g, Rhizoma Chuanxiong 10g, Rhizoma Atractylodis Macrocephalae 9g, Radix Glycyrrhizae 11g, Radix Ginseng 7g, Fructus Trichosanthis 8g, Semen Strychni 7g.Above-mentioned side's liquid medicine is taken juice 150ml, retention enema.Method: about 38 ℃ medicinal liquid is packed in the medicinal liquid reservoir bag of disposable enemator, reversal of the natural order of things is on intravenous transfusion (IVT) pole, and the emptying stool is got lateral position before patient's coloclysis, anal canal is slowly inserted anus to the about 15～20cm of internal rectum place, and medicinal liquid drips off in 20min and keeps clinostatism more than 40 minutes.

Embodiment two: take by weighing Cortex Dictamni 7g, Herba Houttuyniae 7g, Pseudobulbus cremastrae seu pleiones 11g, Radix Clematidis 8g, Caulis Piperis Kadsurae 3g, Semen Litchi 9g, Rhizoma Chuanxiong 11g, Rhizoma Atractylodis Macrocephalae 8g, Radix Glycyrrhizae 10g, Radix Ginseng 6g, Fructus Trichosanthis 9g, Semen Strychni 6g.Above-mentioned side's liquid medicine is taken juice 150ml, retention enema.Method is with embodiment one.

Embodiment three: take by weighing Cortex Dictamni 9g, Herba Houttuyniae 5g, Pseudobulbus cremastrae seu pleiones 9g, Radix Clematidis 10g, Caulis Piperis Kadsurae 5g, Semen Litchi 7g, Rhizoma Chuanxiong 9g, Rhizoma Atractylodis Macrocephalae 10g, Radix Glycyrrhizae 12g, Radix Ginseng 8g, Fructus Trichosanthis 7g, Semen Strychni 8g.Above-mentioned side's liquid medicine is taken juice 150ml, retention enema.Method is with embodiment one.

Claims

1. herbal enema agent for the treatment of inflammatory masses of pelvic cavity is characterized in that this herbal enema agent made by following parts by weight of Chinese traditional medicine: Cortex Dictamni 7-9 part, Herba Houttuyniae 5-7 part, Pseudobulbus cremastrae seu pleiones 9-11 part, Radix Clematidis 8-10 part, Caulis Piperis Kadsurae 3-5 part, Semen Litchi 7-9 part, Rhizoma Chuanxiong 9-11 part, Rhizoma Atractylodis Macrocephalae 8-10 part, Radix Glycyrrhizae 10-12 part, Radix Ginseng 6-8 part, Fructus Trichosanthis 7-9 part, Semen Strychni 6-8 part.

2. a kind of herbal enema agent for the treatment of inflammatory masses of pelvic cavity according to claim 1 is characterized in that this herbal enema agent made by following parts by weight of Chinese traditional medicine: 8 parts of Cortex Dictamni, 6 parts of Herba Houttuyniae, 10 parts of Pseudobulbus cremastrae seu pleiones, 9 parts of Radix Clematidis, 4 parts of Caulis Piperis Kadsuraes, 8 parts of Semen Litchis, 10 parts of Rhizoma Chuanxiongs, 9 parts of the Rhizoma Atractylodis Macrocephalaes, 11 parts in Radix Glycyrrhizae, 7 parts of Radix Ginsengs, 8 parts of Fructus Trichosanthis, 7 parts of Semen Strychni.