CN102988900B - Traditional Chinese medicine enema used for treating senile functional constipation - Google Patents

Traditional Chinese medicine enema used for treating senile functional constipation Download PDF

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CN102988900B
CN102988900B CN 201210547892 CN201210547892A CN102988900B CN 102988900 B CN102988900 B CN 102988900B CN 201210547892 CN201210547892 CN 201210547892 CN 201210547892 A CN201210547892 A CN 201210547892A CN 102988900 B CN102988900 B CN 102988900B
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刘瑞霞
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Rudong Wenyuan investment and Development Co., Ltd
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Abstract

The invention discloses traditional Chinese medicine enema used for treating senile functional constipation. The traditional Chinese medicine shows that the function of the whole body of senior citizen is reduced day by day, qi and blood are deficient gradually, qi-blood deficiency is caused, no saliva or body fluid is secreted, an intestinal canal is dry, and constipation is caused. Aiming at solving the problems, traditional Chinese medicines comprising persian veronica, bicolour limonium, fragrant solomonseal rhizome, potentill anserine, arillus longan, rust-coloured crotalaria herb with root, rubiaceae randia depauperata, fiveleaf akebia fruit, white atractylodes rhizome, radix curcumae, platycladi seed, haloragis micrantha and figwort root are selected in the invention and are prepared into enema; and the clinical test of the hospital (described in the specification) shows that the total effective rate reaches up to 97.5%, which is obviously better than that of a control group, especially the defecation frequency of a treatment group after treatment is close to the normal level, namely once every day, and the recurrence rate of the treatment group is obviously lower than that of the control group.

Description

A kind of Chinese medicinal enema for the treatment of Senile Functional Constipation
Technical field
The present invention relates to a kind of Chinese medicine composition, relate in particular to a kind of Chinese medicinal enema for the treatment of Senile Functional Constipation.
Background technology
Senile Functional Constipation is also referred to as senility habitual constipation, belongs to the traditional Chinese medical science " constipation due to insufficiency ".Lesion locations is at large intestine, due to due to large intestine conduction, moist malfunction, main manifestations is that times of defecation reduces clinically, difficult defecation, without awareness of defecation or there is defecation to feel not to the utmost, along with social aging, the change of modern life rhythm and dietary habit, the sickness rate of Senile Functional Constipation increases year by year, constipation has become one of key factor that affects modern quality of life, and close with the colorectal cancer onset relation.Prove through my institute's clinical trial for many years, utilize the treatment by Chinese herbs Senile Functional Constipation, have a therapeutic effect good, curative effect is lasting, and relapse rate is low, the advantage that toxic and side effects is little.
Summary of the invention
The purpose of this invention is to provide a kind of Chinese medicinal enema for the treatment of Senile Functional Constipation.Motherland's medical science thinks, with advancing age, old people's whole body function day by day goes down, and QI and blood is gradually empty, and QI and blood deficiency, be difficult to promote the production of body fluid, and intestinal is dry and astringent, causes constipation.
The objective of the invention is to be achieved through the following technical solutions, the Chinese medicinal enema of this treatment Senile Functional Constipation is made by the Chinese medicine of following weight portion: Herba Hemipiliae Flabellatae 25-30 part, Herba Limoii Bicoloris 20-25 part, Rhizoma Polygonati Odorati 12-15 part, Radix potentillae anserinae 22-24 part, Arillus Longan 5-7 part, Herba Crotalariae Ferrugineae 22-24 part, Cortex berberidis dasystachyae 26-28 part, Fructus Akebiae 20-25 part, Rhizoma Atractylodis Macrocephalae 15-18 part, Radix Curcumae 18-20 part, Semen Platycladi 24-26 part, Herba Haloragidis Micranthae 20-25 part, Radix Scrophulariae 14-16 part.
Preferably, 28 parts of Herba Hemipiliae Flabellataes, 22 parts of Herba Limoii Bicoloriss, 14 parts of Rhizoma Polygonati Odorati, 23 parts of Radix potentillae anserinae, 6 parts of Arillus Longans, 23 parts of Herba Crotalariae Ferrugineaes, 27 parts of Cortex berberidis dasystachyaes, 24 parts of Fructus Akebiaes, 17 parts of the Rhizoma Atractylodis Macrocephalaes, 19 parts of Radix Curcumaes, 25 parts of Semen Platycladi, 22 parts of Herba Haloragidis Micranthae, 15 parts of Radix Scrophulariaes.
Preparation method: above-mentioned Chinese medicine is pressed to the traditional method decocting 2 times, extracting juice 200ml.
In side: the Herba Hemipiliae Flabellatae nourishing YIN and moistening the lung, tonification is deficient; The Rhizoma Polygonati Odorati nourishing YIN to relieve dryness, promoting the production of body fluid to quench thirst; The Herba Limoii Bicoloris tonifying blood and arresting bleeding, the spleen reinforcing stomach invigorating; The Radix potentillae anserinae invigorating spleen and reinforcing stomach, promoting the production of body fluid to quench thirst, vigorate qi and replenish the blood; The Arillus Longan invigorating the heart and spleen, nourishing blood to tranquillize the mind; Herba Crotalariae Ferrugineae tonifying the lung gas, reinforcing spleen and kidney, diuresis, detumescence poison; The Cortex berberidis dasystachyae heat clearing and damp drying, eliminating fire and detoxication; The Fructus Akebiae depressed liver-energy dispersing and QI regulating, promoting blood circulation and stopping pain; Rhizoma Atractylodis Macrocephalae air making-up and spleen enlivening, the dampness diuretic; The pain relieving of Radix Curcumae blood-activating and qi-promoting, the resolving depression mood; The Semen Platycladi tranquilizing by nourishing the heart, moisten just unimpeded; The Herba Haloragidis Micranthae clearing away heat and loosing the bowels, promoting blood circulation and detoxication; The Radix Scrophulariae clearing away heat and cooling blood, the YIN nourishing removing toxic substances.
Clinical data
1, the 160 routine Senile Functional Constipation patients' that the selected the court of physical data in August, 2008~2009 year JIUYUE is accepted for medical treatment clinical data, be divided at random treatment group 80 example and matched group 80 examples, treatment group patient male 34 examples, women's 46 examples, age is between 60~86 years old, on average (65.8 ± 3.5) year old, the course of disease 4~16 years, average (8.5 ± 3.6) year; Matched group patient male 38 examples, women's 42 examples, the age between 58~85 years old, average (68.5 ± 3.5) year, the course of disease between 3~15 years, average (7.5 ± 2.36) year.Two groups of patients are at aspect comparing difference not statistically significants (P>0.05) such as age, sex, coincident with severity degree of conditions.
2, the diagnostic criteria defecation time extends more than 3 days defecation once, the feces dry, hard.The severe one difficulty in defecation, dry as chestnut, can accompany the swollen urgency of lower abdomen, god is tired weak, the disease such as tie up that poor appetite moves back.Get rid of the intestinal organic disease.
3, the Therapeutic Method treatment group gives above-described Chinese medicinal enema 200ml/ coloclysis, 1 times/day; Matched group is taken MARENJIAONANG (the Yueyang pharmaceutical factory of traditional Chinese medicine produces, happy nation board), each 2,2 times/d.Two groups equal ten days is a course for the treatment of.
4, criterion of therapeutical effect is with reference to the criterion of therapeutical effect of relevant constipation in " the disease of tcm Standardization of diagnosis and curative effect " of State Administration of Traditional Chinese Medicine's issue.Produce effects: cardinal symptom disappears, and in 2d, defecation is 1 time, and just matter turns profit, and solution is unobstructed just the time, in a short time without recurring.Take a turn for the better: the patient is defecation in 3d, and just matter turns profit, and defecation is smooth and easy.Invalid: patient's symptom is without improvement.Total effective rate=(produce effects number of cases+effective number of cases)/total number of persons * 100%.
5, the therapeutic outcome treatment is added up curative effect after two courses for the treatment of.
(1) baseline values is in Table 1.
Table 1 liang group patient baseline values relatively
Figure GSB0000116943360000031
Treat front two groups of patient's mean aves, the course of disease, stool interval natural law, through the t check, P all is less than between 0.05, two group does not have significant difference, illustrates that the front two groups of baselines for the treatment of are basically identical, has comparability.
After (2) two groups of treatments two courses for the treatment of, curative effect is relatively in Table 2.
After table 2 a liang group is treated two courses for the treatment of, curative effect relatively
Figure GSB0000116943360000032
The treatment group obvious effective rate, total effective rate is apparently higher than matched group, and two groups of comparing differences have statistical significance (P<0.05).
(3) the rear treatment group infrequent defecation natural law of infrequent defecation natural law treatment is 1.28 ± 0.12 days, matched group 2.28 ± 1.22, compare P<0.05 for two groups, illustrate that two groups relatively have significant difference, after treatment, treatment group and matched group phase specific energy reduce the infrequent defecation natural law, be better than matched group, closer to the normal level of 1 times/day.
(4) recurrence is followed up a case by regular visits to 3 months, and except 2 people repeatedly appear in the matched group state of an illness, matched group 13 people, compare for two groups, aspect relapse rate, statistical significance arranged, P<0.05, and the treatment group relapse rate is starkly lower than matched group.
The specific embodiment
Embodiment mono-: take Herba Hemipiliae Flabellatae 28g, Herba Limoii Bicoloris 22g, Rhizoma Polygonati Odorati 14g, Radix potentillae anserinae 23g, Arillus Longan 6g, Herba Crotalariae Ferrugineae 23g, Cortex berberidis dasystachyae 27g, Fructus Akebiae 24g, Rhizoma Atractylodis Macrocephalae 17g, Radix Curcumae 19g, Semen Platycladi 25g, Herba Haloragidis Micranthae 22g, Radix Scrophulariae 15g, press the traditional method decocting 2 times, extracting juice 200ml, during coloclysis, the use sterile gauze filters, and after precipitation, fluid temperature is down to 38 ℃ of left and right, at the high retension enema that moves ahead of sleeping every night, every day 1 time.Advise the front emptying defecation of operation in patients, loosen anal sphincter, select suitable position, breech presentation is raised 10-20cm, and the anal canal that will be coated with paraffin oil inserts rectum 10-15cm, connect the enema bag of containing medicinal liquid, and medicine is splashed into, dripping speed is 100/min, in 15min, drip off, after extract anal canal, make the patient flat sleeping, the medicinal liquid indwelling time is more than 2h.
Embodiment bis-: take Herba Hemipiliae Flabellatae 25g, Herba Limoii Bicoloris 20g, Rhizoma Polygonati Odorati 12g, Radix potentillae anserinae 22g, Arillus Longan 5g, Herba Crotalariae Ferrugineae 22g, Cortex berberidis dasystachyae 26g, Fructus Akebiae 20g, Rhizoma Atractylodis Macrocephalae 15g, Radix Curcumae 18g, Semen Platycladi 24g, Herba Haloragidis Micranthae 20g, Radix Scrophulariae 14g, press the traditional method decocting 2 times, extracting juice 200ml, enema method is with embodiment mono-.
Embodiment tri-: take Herba Hemipiliae Flabellatae 30g, Herba Limoii Bicoloris 25g, Rhizoma Polygonati Odorati 15g, Radix potentillae anserinae 24g, Arillus Longan 7g, Herba Crotalariae Ferrugineae 24g, Cortex berberidis dasystachyae 28g, Fructus Akebiae 25g, Rhizoma Atractylodis Macrocephalae 18g, Radix Curcumae 20g, Semen Platycladi 26g, Herba Haloragidis Micranthae 25g, Radix Scrophulariae 16g, press the traditional method decocting 2 times, extracting juice 200ml, enema method is with embodiment mono-.

Claims (2)

1. a Chinese medicinal enema for the treatment of Senile Functional Constipation, is characterized in that this Chinese medicinal enema made by the Chinese medicine of following weight portion: Herba Hemipiliae Flabellatae 25-30 part, Herba Limoii Bicoloris 20-25 part, Rhizoma Polygonati Odorati 12-15 part, Radix potentillae anserinae 22-24 part, Arillus Longan 5-7 part, Herba Crotalariae Ferrugineae 22-24 part, Cortex berberidis dasystachyae 26-28 part, Fructus Akebiae 20-25 part, Rhizoma Atractylodis Macrocephalae 15-18 part, Radix Curcumae 18-20 part, Semen Platycladi 24-26 part, Herba Haloragidis Micranthae 20-25 part, Radix Scrophulariae 14-16 part.
2. a kind of Chinese medicinal enema for the treatment of Senile Functional Constipation according to claim 1, is characterized in that this Chinese medicinal enema made by the Chinese medicine of following weight portion: 28 parts of Herba Hemipiliae Flabellataes, 22 parts of Herba Limoii Bicoloriss, 14 parts of Rhizoma Polygonati Odorati, 23 parts of Radix potentillae anserinae, 6 parts of Arillus Longans, 23 parts of Herba Crotalariae Ferrugineaes, 27 parts of Cortex berberidis dasystachyaes, 24 parts of Fructus Akebiaes, 17 parts of the Rhizoma Atractylodis Macrocephalaes, 19 parts of Radix Curcumaes, 25 parts of Semen Platycladi, 22 parts of Herba Haloragidis Micranthae, 15 parts of Radix Scrophulariaes.
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CN103494867A (en) * 2013-09-29 2014-01-08 重庆医科大学附属儿童医院 Method for treating diarrhea based on rust-brown crotalaria
CN104547587A (en) * 2015-01-18 2015-04-29 高庆云 Traditional Chinese medicine umbilicus applying preparation and nursing method for treating constipation after apoplexy
CN104547586A (en) * 2015-01-18 2015-04-29 孔祥颜 Traditional Chinese medicine enema for treating constipation after stroke and nursing method

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