CN102764383B - Nipple care solution for treating postpartum cracked nipple - Google Patents
Nipple care solution for treating postpartum cracked nipple Download PDFInfo
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- CN102764383B CN102764383B CN2012102416050A CN201210241605A CN102764383B CN 102764383 B CN102764383 B CN 102764383B CN 2012102416050 A CN2012102416050 A CN 2012102416050A CN 201210241605 A CN201210241605 A CN 201210241605A CN 102764383 B CN102764383 B CN 102764383B
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Abstract
The invention discloses a nipple care solution for treating a postpartum cracked nipple, and aims to solve the problem of treatment for the postpartum cracked nipple. The nipple care solution is characterized by consisting of the following Chinese herbal medicines: parslane herb, phellodendron, pinellia tuber, bamboo shavings, immature bitter orange, astragalus, Chinese atractylodes, tuckahoe, snail, earthworm, pink herb and plant soot. Clinical trials prove that the nipple care solution for treating the postpartum cracked nipple has the characteristics of good curative effect and high safety, and is worthy of clinical application and popularization.
Description
Technical field
The present invention relates to the field of Chinese medicines, be specifically related to treat the nipple conditioning liquid of cracked nipple in puerperal.
Background technology
Cracked nipple (cracked nipple) is the shallow table ulcer that age of sucking, nipple took place, and is one of FAQs in the breast feeding in puerperal.Clinical manifestation is that nipple and areola of breast skin strip off, and forms breach not of uniform size, can be shallow can be dark, severe patient is along nipple basilar part generation ring-type breach.Ooze out fat water in the breach, dry and hard yellowly crust.Companion's drying property pain, unbearably painful when children's sucks, just like lancinate.Because of being afraid of to refuse bitterly to feed, milk smoulders and can produce breast caking, secondary acute mastitis.Or nipple festers and can't bear, or skin of areola fat water is dripping, and the pain of itching is handed over and done.Some patients are because pain is obvious, thereby lose the confidence of breast-feeding, even request resolutely the galactopoiesis treatment, reduced breastfeeding rate indirectly, in addition, nipple is damaged or when chapping, antibacterial is invaded through lymphatic vessel, and galactostasis can not in time be discharged in breast, helping invading the growth and breeding of antibacterial, all is the main causes that cause the acute mastitis morbidity.
Summary of the invention
Technical assignment of the present invention is at above the deficiencies in the prior art, provides a kind of curative effect certainly and the nipple conditioning liquid of the little treatment cracked nipple in puerperal of side effect.
The technical scheme that the present invention solves its technical problem is: a kind of nipple conditioning liquid for the treatment of the cracked nipple in puerperal is characterized in that being made up of following materials of weight proportions medicine: 10 ~ 30 parts of Herba Portulacaes, 6 ~ 12 parts of Cortex Phellodendris, 3 ~ 10 parts of the Rhizoma Pinelliaes, 6 ~ 12 parts of Caulis Bambusae In Taenia, 3 ~ 10 parts of Fructus Aurantii Immaturuss, 6 ~ 12 parts of the Radixs Astragali, 6 ~ 12 parts of Rhizoma Atractylodis, 9 ~ 15 parts in Poria, 3 ~ 10 parts of Limaxs, 6 ~ 15 parts of Pheretimas, 3 ~ 9 parts of Herba Dianthis, 1 ~ 2 part of Pulvis Fumi Carbonisatus.
Chinese medicine of the present invention is prepared from by following optimum weight part proportion raw material: 20 parts of Herba Portulacaes, 10 parts of Cortex Phellodendris, 6 parts of the Rhizoma Pinelliaes, 10 parts of Caulis Bambusae In Taenia, 6 parts of Fructus Aurantii Immaturuss, 10 parts of the Radixs Astragali, 10 parts of Rhizoma Atractylodis, 12 parts in Poria, 6 parts of Limaxs, 12 parts of Pheretimas, 6 parts of Herba Dianthis, 2 parts of Pulvis Fumi Carbonisatuss.
Wherein said: Herba Portulacae is the herb of portulacaceous plant Herba Portulacae Portulaca oleracea L..Nature and flavor acid, cold.Go into the heart, large intestine channel.But the merit heat-clearing and toxic substances removing, removing heat from blood is controlled dysentery.
Cortex Phellodendri is removed the bark of crust for cloud savoury herb wampee Phellodendron chinense Schneid. or Cortex Phellodendri Phellodendron amurense Rupr..The nature and flavor hardship, cold.Go into kidney, bladder, large intestine channel.But the merit heat clearing and damp drying, eliminating fire and detoxication, clearind deficient heat.
The Rhizoma Pinelliae is the tuber of aroid Rhizoma Pinelliae Pinellia ternata (Thunb.) Breit., nature and flavor suffering, temperature.Return spleen, stomach, lung meridian.But the merit drying dampness to eliminate phlegm, stopping nausea and vomiting by lowering the adverse flow of QI, dissolving lump and resolving mass.
Caulis Bambusae In Taenia is the dry intermediate layer of the stem stalk of grass bambusa breviflora Munro Bambusa tuldoides Munro, major part allusion quotation bamboo Sinocalamus beecheyanus (Munro) Mc-Clure var. pubescens P.F.Li or phyllostachys nigra (lodd.ex lindl.) munro var.henonis (miff.) spapf et rendle Phyllostachys nigra (Lodd.) Munro var. henonis (Mitf.) Stapf ex Rendle.Nature and flavor are sweet, are slightly cold.Attach to the lung and stomach meridians.But the merit removing heat-phlegm relieves restlessness and prevents vomiting.
Fructus Aurantii Immaturus is the dry young fruit of rutaceae Citrus aurantium Linn. Citrus aurantium L. and variety or Fructus Citri sinensis Citrus sinensis Osbeck.But merit dispelling the stagnated QI intestinal stasis relieving.Nature and flavor hardship, suffering, acid, temperature.Return spleen, stomach warp.But merit dispelling the stagnated QI removing food stagnancy, the diffusing painful abdominal mass of reducing phlegm.
The Radix Astragali is the dry root of leguminous plant Radix Astagali Astragalus membranaceus (Fisch.) Bge. var. mongholicus (Bge.) Hsiao or Radix Astragali Astragalus membranaceus (Fisch.) Bge..Nature and flavor are sweet, temperature.Return lung, spleen channel.But the merit invigorating QI to consolidate the body surface resistance, diuresis poison holding, evacuation of pus, expelling pus and promoting granulation.
Rhizoma Atractylodis are the dry rhizome of feverfew Atractylodes lancea (Thunb.) DC. Atractylodes lancea (Thunb.) DC. or Atractylis chinensis Atractylodes chinensis (DC.) Koidz..Nature and flavor suffering, hardship, temperature.Return spleen, stomach, Liver Channel.Merit can be drying damp and strengthening spleen, and expelling wind and cold makes eye bright.
Poria is the white part of Polyporaceae fungus Poria Poriacocos (Schw.) Wolf sclerotium.Nature and flavor are sweet, light, and are flat.GUIXIN, lung, spleen, kidney channel.But the merit promoting diuresis to eliminate damp pathogen, spleen invigorating is reduced phlegm, mind tranquilizing and the heart calming.
Limax, for the Helicidae animal returns type Limax Eulota similaris Ferussac, individuality all or alive is used as medicine with drying.Nature and flavor are salty, and are cold.But the merit heat-clearing and toxic substances removing, diuresis.
Pheretima, dry body for the huge earthworm animal Pheretima aspergillum Pheretima aspergillum of section (E. Perrier), popular Pheretimatschiliensis Pheretima vulgaris Chen, William Pheretimatschiliensis Pheretima guillelmi (Michaelsen) or the blind Pheretimatschiliensis Pheretima of comb pectinifera Michaelsen, but merit heat clearing away, suppressing the hyperactive liver, Zhichuan, collateral dredging.
Herba Dianthi is the ground part of Caryophyllaceae herbaceous plant Herba Dianthi DianthussuperbusL. or Dianthus chinensis D.ChinensisL..The nature and flavor hardship, cold.GUIXIN, small intestine meridian.But merit relieving stranguria by diuresis.
Pulvis Fumi Carbonisatus is for weeds invest the cigarette China ink of being deposited in the bottom of a pan or the chimney after burning.The nature and flavor suffering, temperature.Merit can be stopped blooding, antidiarrheal.
Composition principle: puerperal, cracked nipple was equivalent to " cracked nipple " of the traditional Chinese medical science, referred to women breast-feeding their children's pars papillaris breach person.In " Yangke Xinde Ji, Experience Gained in Treating External Diseases " volume: " cracked nipple, nipple drying and splitting pain such as lancination, or wipe hemorrhage, or the sticking water of stream, or knot yellow fat, this is by the rage depression, the Liver Channel pathogenic fire can not execute let out due to.All have it puerperal before the tire." demonstrate,prove and see nipple, areola of breast breach, pain, the sticking water of wiping of hemorrhage or stream, or knot yellow crusts.Easily secondary infection and suppurative mastitis carbuncle.The normal delay of this card constantly can be healed after age of sucking.Clinical treatment is many at present starts with from purging liver-fire, how to treat with oral JIAWEI XIAOYAO SAN or Decoction of Gentiana for Purging the Liver-fire.But the most cold and cool evacuation of liver heat removing suppressing the hyperactive liver medicine, it is hollow that the puerpera defends sun puerperal, and insufficiency of vital energy and blood is wantonly hindered healthy energy easily with the hot product that loose bitter cold, and gently then spontaneous perspiration is serious, and is heavy then have the cold and cool property of medicine in the milk and cause infantile diarrhea to be suffered from abdominal pain.The inventor thinks that by clinical groping for many years treatment cracked nipple in puerperal answers strengthening vital QI to eliminate pathogenic factors to go forward side by side, and damp has also played very important effect in the course of disease.So writing out a prescription, the present invention adopts Herba Portulacae, Caulis Bambusae In Taenia, Limax heat-clearing and toxic substances removing, all right removing heat from blood of Herba Portulacae, Pheretima heat clearing away collateral dredging; The Cortex Phellodendri heat clearing and damp drying, Rhizoma Pinelliae dampness eliminating stagnation, Rhizoma Atractylodis dampness is dispeled the wind, and Poria spleen invigorating eliminating dampness by diuresis is with the damp eliminating heresy; The Herba Dianthi diuretic draws hot descending; The Fructus Aurantii Immaturus dispelling the stagnated QI reduces phlegm, and is stagnant to disappear; Radix Astragali QI invigorating poison holding, expelling pus and promoting granulation; The Pulvis Fumi Carbonisatus hemostasis.
Compared with prior art, characteristics of the present invention are:
1, is not important business, but pays attention to heat-clearing and toxic substances removing, and cooperate damp eliminating with the liver heat removing;
2, adopt exterior-applied formulation, in treatment, nursing, avoided bitter cold to injure one's stomach;
3, on medicament selection, keep away except the medicine of untoward reaction may be arranged the baby, even have residually on the nipple, can not produce big side effect yet and occur;
4, except that treating the cracked nipple in puerperal, the conventional nipple conditioning liquid that also can be used as the nursing of primiparity puerpera nipple in puerperal uses.
The specific embodiment
Below in conjunction with practical situation, the specific embodiment of the present invention is elaborated.
Embodiment 1, the crude drug weight proportion: 10 parts of Herba Portulacaes, 6 parts of Cortex Phellodendris, 3 parts of the Rhizoma Pinelliaes, 6 parts of Caulis Bambusae In Taenia, 3 parts of Fructus Aurantii Immaturuss, 6 parts of the Radixs Astragali, 6 parts of Rhizoma Atractylodis, 9 parts in Poria, 3 parts of Limaxs, 6 parts of Pheretimas, 3 parts of Herba Dianthis, 1 part of Pulvis Fumi Carbonisatus.
Embodiment 2, the crude drug weight proportion: 30 parts of Herba Portulacaes, 12 parts of Cortex Phellodendris, 10 parts of the Rhizoma Pinelliaes, 12 parts of Caulis Bambusae In Taenia, 10 parts of Fructus Aurantii Immaturuss, 12 parts of the Radixs Astragali, 12 parts of Rhizoma Atractylodis, 15 parts in Poria, 10 parts of Limaxs, 15 parts of Pheretimas, 9 parts of Herba Dianthis, 2 parts of Pulvis Fumi Carbonisatuss.
Embodiment 3, the crude drug weight proportion: 20 parts of Herba Portulacaes, 10 parts of Cortex Phellodendris, 6 parts of the Rhizoma Pinelliaes, 10 parts of Caulis Bambusae In Taenia, 6 parts of Fructus Aurantii Immaturuss, 10 parts of the Radixs Astragali, 10 parts of Rhizoma Atractylodis, 12 parts in Poria, 6 parts of Limaxs, 12 parts of Pheretimas, 6 parts of Herba Dianthis, 2 parts of Pulvis Fumi Carbonisatuss.
Chinese medicine of the present invention can be prepared from by following method: Herba Portulacae, Cortex Phellodendri, the Rhizoma Pinelliae, Caulis Bambusae In Taenia, Fructus Aurantii Immaturus, the Radix Astragali, Rhizoma Atractylodis, Poria, Limax, Herba Dianthi, Pheretima are mixed, add 3 times of water yields, decoct with water twice, filtration, merging filtrate is called in Pulvis Fumi Carbonisatus in the filtrate.Put into microwave oven internal heating sterilization before the use, then on hot-wet compress Ipsilateral nipple, the mammary areola, every day three times, each 20min.
Effective combination of said medicine is coordinated mutually, effectively reach the purpose of treatment cracked nipple in puerperal, and side effect is less.The above results is that clinical data proves that fully interrelated data is as follows, wherein studies drug use and is the crude drug weight proportion among the embodiment 3.
1 object and method.
1.1 object: in January, 2010 ~ 2011 example puerpera's age of sucking in year April 60,21 ~ 40 years old age, primipara's 46 examples, multipara's 14 examples, the shortest 2d of the course of disease, the longest 6d is divided into matched group and each 30 example of treatment group at random with 60 examples, two groups of patients are at the age, schooling, the course of disease, the clinical data aspects such as area and position of chapping are compared, the result shows the difference not statistically significant, and two groups have comparability (p〉0. 05).
1.2 method.
1.2.1 research method: at first under medical worker's guidance, teach and correct the incorrect method of breast-feeding, improve the baby and suck posture, make it not injure mother's nipple, continue to give baby breastfeeding.The treatment group adopts the embodiment of the invention 3 treatments by Chinese herbs, puts into the sterilization of microwave oven internal heating before the use, uses on dressing hot-wet compress Ipsilateral nipple, the mammary areola every day three times, each 20min then.Matched group adopts oral JIAWEI XIAOYAOWAN to add external Oleum sesami and smears, every day three times.3 is a course of treatment.
1.2.2 evaluation index: cure: skin injury disappears fully, wound healing; Produce effects: hamartoplasia is obvious, and the wound surface area dwindles〉50%; Invalid: the wound surface area dwindles<and 30%.
1.2.3 safety evaluatio: the record local skin has or not anaphylaxis, and baby's situation.
1.2.4 statistical analysis: carry out statistical analysis with SPSS 13.0, P<0.05 expression has the significance meaning.
2 results.
2.1 two groups of curative effect comparisions: through Drug therapy of the present invention 2 days, the place of chapping had exudate to overflow, and patient's sensory papillae is moistening comfortable, and pain obviously alleviates or alleviates.Along with the prolongation of treatment time, the growth of basilar part new granulation tissue is split in religion, and fills and leads up the breach of chapping gradually, and the lighter healed after 3 days.The cure rate of treatment group, obvious effective rate all apparently higher than matched group (p<0. 05), see the following form.
2.2 untoward reaction: two groups irritated case all do not occur.The matched group lactated infant has two examples intestinal complication (6.67%) to occur, shows as diarrhoea, and treatment group lactated infant does not have the intestinal complication takes place, and the two relatively has significant difference (P<0.01).
3. conclusion.
This result of study prompting, the present invention are treated the puerperal cracked nipple and are had good effect and the higher characteristics of safety, are worth clinical practice, popularization.
Claims (2)
1. a nipple conditioning liquid for the treatment of the cracked nipple in puerperal is characterized in that being made by following materials of weight proportions medicine: 10 ~ 30 parts of Herba Portulacaes, 6 ~ 12 parts of Cortex Phellodendris, 3 ~ 10 parts of the Rhizoma Pinelliaes, 6 ~ 12 parts of Caulis Bambusae In Taenia, 3 ~ 10 parts of Fructus Aurantii Immaturuss, 6 ~ 12 parts of the Radixs Astragali, 6 ~ 12 parts of Rhizoma Atractylodis, 9 ~ 15 parts in Poria, 3 ~ 10 parts of Limaxs, 6 ~ 15 parts of Pheretimas, 3 ~ 9 parts of Herba Dianthis, 1 ~ 2 part of Pulvis Fumi Carbonisatus.
2. a kind of nipple conditioning liquid for the treatment of the cracked nipple in puerperal according to claim 1 is characterized in that being made by following materials of weight proportions medicine: 20 parts of Herba Portulacaes, 10 parts of Cortex Phellodendris, 6 parts of the Rhizoma Pinelliaes, 10 parts of Caulis Bambusae In Taenia, 6 parts of Fructus Aurantii Immaturuss, 10 parts of the Radixs Astragali, 10 parts of Rhizoma Atractylodis, 12 parts in Poria, 6 parts of Limaxs, 12 parts of Pheretimas, 6 parts of Herba Dianthis, 2 parts of Pulvis Fumi Carbonisatuss.
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CN1294014A (en) * | 1999-10-26 | 2001-05-09 | 马俊杰 | Medicine for treating mastoplasia |
CN101574455A (en) * | 2009-06-17 | 2009-11-11 | 王珉鑫 | Dandelion and purslane decoction for eliminating acute mastitis |
CN102151325A (en) * | 2011-04-13 | 2011-08-17 | 苑学 | Traditional Chinese medicine for treating breast diseases |
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1294014A (en) * | 1999-10-26 | 2001-05-09 | 马俊杰 | Medicine for treating mastoplasia |
CN101574455A (en) * | 2009-06-17 | 2009-11-11 | 王珉鑫 | Dandelion and purslane decoction for eliminating acute mastitis |
CN102151325A (en) * | 2011-04-13 | 2011-08-17 | 苑学 | Traditional Chinese medicine for treating breast diseases |
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"以通为用"论治乳痈研究探讨;阙华发,王荣初;《中医研究》;20001031;第13卷(第5期);10-11 * |
中西医结合治疗急性乳腺炎的方法探讨;李小英,陶红霖;《河北医学》;20110430;第17卷(第4期);558-561 * |
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