CN103127290A - Chinese herbal composition for washout treating hand and foot numbness after stroke - Google Patents
Chinese herbal composition for washout treating hand and foot numbness after stroke Download PDFInfo
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Abstract
The invention relates to a Chinese herbal composition for washout treating hand and foot numbness after stroke, belonging to the field of traditional Chinese medicines. The Chinese herbal composition is prepared from the following raw materials by weight: 30-60 grams of leguminosae, 10-30 grams of radix angelicae sinensis, 10-30 grams of white paeony root, 10-20 grams of geosaurus, 15-30 grams of ramulus mori, 10-15 grams of aconitum carmichaeli debx, 15-30 grams of chaenomeles speciosa, 10-15 grams of flos carthami, 15-30 grams of radix achyranthis bidentatae, 15-30 grams of herba lycopodii, 15-30 grams of pericarpium zanthoxyli and 10-20 grams of ramulus cinnamomi. The composition is used in a washout treating method, can act on an organism through penetrating through a skin mucous membrane under the dual action of drug efficacy and heat, has the effects of promoting striae, dredging, regulating meridians and smoothing qi and blood, thus a purpose of treating hand and foot numbness after stroke is realized.
Description
Technical field
The present invention relates to the Chinese medicine composition of numb hand and foot after a kind of washout treatment apoplexy, belong to the field of Chinese medicines.
Background technology
Apoplexy (having another name called acute cerebrovascular disease, apoplexy) is one of common disease of serious harm human health and life, has the characteristics of high incidence, high disability rate, high mortality.Hurried because falling ill, disease is seen multiterminal, and change of illness state is rapid, and is similar to the benefaction number change characteristics of wind, therefore named apoplexy, apoplexy.Age of onset also tends to rejuvenation, therefore, is to threaten human life and the great illness of quality of life.The acute cerebrovascular disease of western medicine belongs to the primary disease category as cerebral infarction, cerebral hemorrhage, cerebral embolism, subarachnoid hemorrhage etc.The various complexity of the cause of disease of apoplexy, generally speaking all with Lipid increase, the diseases such as blood viscosity increases have indivisible relation, summed up following some: 1. atherosclerosis is the topmost reason of apoplexy, 70% paralytic suffers from arteriosclerosis, and hyperlipemia is to cause arteriosclerotic one of the main reasons.2. hypertension is that the main modal disease of apoplexy is answered, and patients with cerebral hemorrhage 93% has hypertension history.3. cerebrovascular birth defect is the common cause of subarachnoid hemorrhage and cerebral hemorrhage.4. heart disease, as: endocarditis might produce multiple wall thrombosis; Bradycardia may cause cerebral blood supply insufficiency.5. in metabolic disease, diabetes and apoplexy relation are the closest, have the 30-40% paralytic to suffer from diabetes.
Primary disease usually leaves sequela.After treatment after a while, often have sequela in various degree, mainly contain hemiplegia (hemiplegia), half side physical handicaps, numb limbs and tense tendons, hemianopsia, aphasia etc.The dysemias such as the basic reason that above symptom occurs is that cerebrovascular inside occurs that blood viscosity is high, blood fat is high, hypertension, blood glucose are high, platelet aggregation, with vascular lesions such as atheromatous plaque formation, the thrombosis that is formed by two kinds of pathological changes combined effect results stops up due to cerebral arteries, causes the blood flow of brain part to interrupt and the necrosis of cerebral tissue hypoxic-ischemic.If have influence on the kinetic system of being controlled by cranial nerve, the corresponding sequela such as hemiplegia, physical handicaps will appear; If it is neural to have influence on the speech center that cranial nerve controls, will cause the even corresponding neurological symptom such as aphasia of aphasis.
And after apoplexy, numb hand and foot is more common, the end of the limbs of patient's Ipsilateral, especially limbs, has ant to climb sensation as the buccal section skin of finger or toe or hemiplegia side, or prickling sensation is arranged, or it is blunt to show as irritant reaction.Numb normal relevant with Changes in weather, weather drastic shift, humid, or before and after raining, in the situations such as cold weather, it is especially obvious that numbness is felt.Doctor trained in Western medicine refers to the half side pain sensation of patient, thermo aesthesia and proprioceptive sensation obstacle.The nerve fiber of the conduction pain sense of heat to importing posterior horn of spinal cord into, is crossed to the offside funiculus lateralis up from the skin receptor to the teleneuron, prop up cerebral cortex postcentral gyrus sensory centre after capsula interna.It is heat, cold that sensory centre carries out to the stimulation of importing into that analysis-by-synthesis makes, or the judgement that stimulates of pain.As impaired in the capsula interna position, interrupted the conduction of the lateral deviation general pain sense of heat, therefore pain sense of heat obstacle.Import funiculus posterior medullae spinalis into after the sensor irriate of conductive body sensation and go upward to cuneate fasciculus of medulla oblongata core and nucleus gracilis, then be crossed to offside from the nerve fiber that this dinuclear sends and pass through capsula interna to postcentral gyrus.If capsula interna is impaired, interrupt the conduction to the somesthetic sensibility of lateral deviation body, the body self-feeling impediments such as atopognosis appear.
For apoplexy sequela, the treatment active treatment of must making the best use of time.Doctor trained in Western medicine there is no special Therapeutic Method at present.Take the method for Chinese medicine, rehabilitation: the rehabilitation training of limb function, the rehabilitation training of language function, acupuncture, cup, physical therapy, massage, massage, Chinese medicine etc. more.Though the Therapeutic Method for apoplexy sequela is many, for the treatment of numb hand and foot after apoplexy, specific aim is not strong, and curative effect is difficult to estimate.
Summary of the invention
A kind of method that the object of the present invention is to provide washout for apoplexy after the Chinese medicine composition of numb hand and foot.All select natural Chinese medicinal herb, can more efficiently treatment apoplexy after numb hand and foot.
Technical scheme of the present invention is: the Chinese medicine composition of numb hand and foot after a kind of washout treatment apoplexy, it is characterized in that, made by the raw material of following weight: the Radix Astragali 30～60g, Radix Angelicae Sinensis 10～30g, the Radix Paeoniae Alba 10～30g, Pheretima 10～20g, Ramulus Mori 15～30g, Radix Aconiti 10～15g, Fructus Chaenomelis 15～30g, Flos Carthami 10～15g, Radix Achyranthis Bidentatae 15～30g, Herba Lycopodii 15～30g, Pericarpium Zanthoxyli 15～30g, Ramulus Cinnamomi 10～20g.
Further technical scheme of the present invention is: the Chinese medicine composition of numb hand and foot after a kind of washout treatment apoplexy, it is characterized in that, made by the raw material of following weight: Radix Astragali 30g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 10g, Pheretima 10g, Ramulus Mori 30g, Radix Aconiti 10g, Fructus Chaenomelis 30g, Flos Carthami 10g, Radix Achyranthis Bidentatae 30g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 20g, Ramulus Cinnamomi 10g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.Chinese medicine composition is decocted 30min, use foot washing basin to soak, the beginning water temperature is higher, the Ipsilateral brothers is put on basin fumigate through steam, and when 40 ℃ of left and right of water temperature, the Ipsilateral brothers put into hot water and soak 30min.Every day, potion, treated twice every day.
The traditional Chinese medical science thinks, after apoplexy, internal organs are deficient, functional disorder, and with the passing of time pathogenic factor is delaied, and healthy energy must be consumed surely, clinically deficiency in origin and excess in superficiality.Certainly more obvious with this deficient syndrome, wherein especially give prominence to the deficiency of vital energy, the hepatic and renal YIN deficiency, heart deficiency of spleen-YANG.Blood stagnancy due to deficiency of QI, congestion resistance network, venation are unsuccessful, blood operation smooth due to.In side of the present invention, all medicines are played the effect of benefiting QI for activating blood circulation, resolving blood stasis and dredging collateral altogether, can blood vessel dilating, impel the permeability of histiocyte and blood vessel wall, and strengthen elasticity and the blood supply of blood vessel, improve microcirculation, accelerate blood flow, to promote the recovery of function of nervous system.Such as: Pheretima, Ramulus Mori, Ramulus Cinnamomi, Flos Carthami have the effects such as dredge the meridian passage, blood circulation promoting and blood stasis dispelling, promoting the flow of QI-blood by warming the meridian, and Radix Angelicae Sinensis has the effect such as enrich blood, invigorate blood circulation, and the Radix Paeoniae Alba, Radix Aconiti have the effects such as dispersing cold for relieving pain, the Pericarpium Zanthoxyli washout, washout has the effects such as the numbness of the skin of dispelling.In addition, the washout therapy can be by the dual function of the efficacy of a drug and heating power, sees through the mucocutaneous body that acts on, and promotes that space between skin and muscles dredging, venation are in harmonious proportion, QI and blood is unobstructed, thereby reaches the purpose of numb hand and foot after the treatment apoplexy.
The pharmacological action of each Chinese medicine:
The Radix Astragali: sweet, tepor.The function that tonifying Qi and lifting yang, strengthening superficial resistance to stop perspiration are arranged.Cure mainly the empty all diseases of body.
Radix Angelicae Sinensis: sweet in the mouth, suffering, hardship, warm in nature; Return liver, the heart, spleen channel.Has the effect of enriching blood, invigorating blood circulation.Cure mainly all cards of blood deficiency.
The Radix Paeoniae Alba: bitter in the mouth acid, cool in nature; Enter liver, spleen channel.Have nourishing blood to suppress the hyperactive liver, the effect of slow middle pain relieving is used for the anxious pain of extremity contraction.
Pheretima: salty in the mouth, cold in nature; Return liver, spleen, urinary bladder channel.Effect with dredge the meridian passage, blood circulation promoting and blood stasis dispelling.Cure mainly apoplectic hemiplegia; The all cards of rheumatic arthralgia.
Ramulus Mori: hardship, flat; Return Liver Channel.Function with dispelling wind and removing obstruction in the collateral.Be good at dispeling the wind, easing joint movement is used for rheumatic arthralgia.
Radix Aconiti: acrid, bitter, warm; GUIXIN, spleen, liver, kidney channel.Effect with expelling wind and removing dampness, dispersing cold for relieving pain.
Fructus Chaenomelis: acid, temperature; Return liver, spleen channel.Merit with eliminating dampness and dredging channels is rheumatic arthralgia, muscle arteries and veins contracture common medicine.
Flos Carthami: hot, warm; Return liver, heart channel.Have blood circulation promoting and blood stasis dispelling, the logical power of hot loose temperature, few with invigorating blood circulation, multiplex blood stasis dispelling is for controlling the key medicine of stagnation of blood stasis.
Radix Achyranthis Bidentatae: bitter, sour, flat; Return liver, kidney channel.Have that blood stasis dispelling stimulates the menstrual flow, invigorating the liver and kidney, bone and muscle strengthening, the function of conducting blood to flow downwards.The property kind descending, enter Liver and kidney two warps, can invigorating the liver and kidney, bone and muscle strengthening, again can promoting blood circulation, sharp joint, for controlling waist acropathy disease common medicine at one's knees.
Herba Lycopodii: little hardship, suffering, temperature; Return the liver,spleen,kidney warp.Has expelling wind and removing dampness, the effect of relaxing muscles and tendons and activating QI and blood in the collateral.Be used for joint aches, joint stuffiness.
Pericarpium Zanthoxyli: hot, warm; Return spleen, stomach, kidney channel.Have warming middle-JIAO to relieve pain, dehumidifying antidiarrheal, the effect of killing parasites for relieving itching, washout is used the numbness of the skin of can dispelling.
Ramulus Cinnamomi: hot, sweet, temperature; GUIXIN, lung, urinary bladder channel.Has the diaphoresis expelling pathogenic factors from muscles, the effect of promoting the flow of QI-blood by warming the meridian.Be used for anemofrigid cold, cold in blood amenorrhea, all diseases of arthralgia.
After the present invention mixed said medicine, all medicines were played the effect of benefiting QI for activating blood circulation, resolving blood stasis and dredging collateral altogether, the energy blood vessel dilating, impel the permeability of histiocyte and blood vessel wall, strengthen elasticity and the blood supply of blood vessel, improve microcirculation, accelerate blood flow, to promote the recovery of function of nervous system.Adopt the external washout with traditional Chinese herbs treatment to the stimulation of human vas, nerve and meridians, positive effect to be arranged, can be by the dual function of the efficacy of a drug and heating power, see through the mucocutaneous body that acts on, promote that space between skin and muscles dredging, venation are in harmonious proportion, QI and blood is unobstructed, thereby reach the purpose of numb hand and foot after the treatment apoplexy.Its drug effect synergism, after apoplexy in the therapeutic process of numb hand and foot, determined curative effect, and have no side effect; Alleviate total effective rate as 99% take traditional Chinese medicine composition for treating of the present invention.
Further illustrate its beneficial effect below in conjunction with clinical data and model case.
One, clinical observation
1, diagnosis data: patient's 100 examples of numb hand and foot after apoplexy, male's 69 examples, age 40-70 year; Women's 31 examples, age 43-68 year.
2, diagnostic criteria: the diagnostic criteria with reference to apoplexy sequela in national higher institutions of Chinese medicine teaching material " Chinese Internal Medicine " is formulated.After curing apoplexy, buccal has feeling of numbness, numb limbs and tense tendons discomfort, brothers' swelling, and sour swollen discomfort, limbs are conscious weak.
3, Therapeutic Method: treatment group gives Chinese medicine composition side's fumigation in treating: Radix Astragali 30g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 10g, Pheretima 10g, Ramulus Mori 30g, Radix Aconiti 10g, Fructus Chaenomelis 30g, Flos Carthami 10g, Radix Achyranthis Bidentatae 30g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 20g, Ramulus Cinnamomi 10g.Method: drug decocting 30min, use foot washing basin to soak, the beginning water temperature is higher, the Ipsilateral brothers is put on basin fumigate through steam, and when 40 ℃ of left and right of water temperature, the Ipsilateral brothers put into hot water and soak 30min.Every day potion, treating twice, 15 day every day was 1 course for the treatment of, estimated after treating 2 courses for the treatment of.
4, efficacy assessment standard: the criterion of therapeutical effect with reference to apoplexy sequela in national higher institutions of Chinese medicine teaching material " Chinese Internal Medicine " is formulated.Clinical recovery: suffer from the apoplexy sequela transference cures such as acroanesthesia.Produce effects: the apoplexy sequela symptoms such as trouble acroanesthesia are obviously improved.Effectively: the apoplexy sequela symptoms such as trouble acroanesthesia make moderate progress.Invalid: the apoplexy sequela symptoms such as trouble acroanesthesia are without improvement.
5, result: 100 routine patient clinical recovery from illness 31 examples, produce effects 42 examples, effective 26 examples, invalid 1 example, total effective rate 99%.Have no side effect.
Two, model case:
Example one: bright certain, the man, 53 years old, suffer from after Cerebral Infarction Treatment 2 months, the left limb activity is ineffective, numbness and uncomfortableness, every symptom because of overcast and rainy numb limbs and tense tendons is even more serious, with the limb swelling sense.The treatment of the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, after 10 days, the limbs pain and numbness is obviously improved, and coordinates limb functional exercise in 2 months, and the movable function of limbs is clearly better, limbs pain and numbness recovery from illness after 3 months.
Example two: Lee, the female, 60 years old, rear 1 month of main cause thalamic hemorrhage treatment, stable disease takes a turn for the better, but after apoplexy, brothers' pain and numbness does not improve always, and is conscious weak with the swollen sense of discomfort of acid, limbs, affected patient's sleep and emotion.Adopt the treatment 1 month of the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the numb hand and foot symptom is obviously improved, continual cure after 2 months brothers' pain and numbness disappear.
Example three: Wang, the man, 56 years old, because of rear 20 days of brain stem infarction treatment, limb function was clearly better, the nonfunctional obstacle, but buccal feeling of numbness, numb hand and foot symptom are obvious, very painful, adopt the treatment of the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy after 15 days, buccal and numb hand and foot symptom take a turn for the better, buccal and numb hand and foot transference cure after 1 month.
Example four: Zhang, the man, 47 years old, after the main cause Cerebral Infarction Treatment more than January, stable disease, the limb activity function takes a turn for the better through rehabilitation, but still numb limbs and tense tendons is uncomfortable, companion brothers swelling, be not improved, adopt the treatment of the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy after 10 days, the numb limbs and tense tendons symptom begins to take a turn for the better, and after 2 months, the limbs pain and numbness disappears.
The specific embodiment
Embodiment one: the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the raw material of making effective ingredient by following weight is: Radix Astragali 30g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 10g, Pheretima 10g, Ramulus Mori 30g, Radix Aconiti 10g, Fructus Chaenomelis 30g, Flos Carthami 10g, Radix Achyranthis Bidentatae 30g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 20g, Ramulus Cinnamomi 10g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.
Embodiment two: the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the raw material of making effective ingredient by following weight is: Radix Astragali 30g, Radix Angelicae Sinensis 10g, Radix Paeoniae Alba 15g, Pheretima 15g, Ramulus Mori 15g, Radix Aconiti 10g, Fructus Chaenomelis 20g, Flos Carthami 10g, Radix Achyranthis Bidentatae 15g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 15g, Ramulus Cinnamomi 10g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.
Embodiment three: the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the raw material of making effective ingredient by following weight is: Radix Astragali 45g, Radix Angelicae Sinensis 30g, Radix Paeoniae Alba 20g, Pheretima 10g, Ramulus Mori 30g, Radix Aconiti 10g, Fructus Chaenomelis 15g, Flos Carthami 10g, Radix Achyranthis Bidentatae 20g, Herba Lycopodii 20g, Pericarpium Zanthoxyli 15g, Ramulus Cinnamomi 10g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.
Embodiment four: the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the raw material of making effective ingredient by following weight is: Radix Astragali 40g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 15g, Pheretima 20g, Ramulus Mori 25g, Radix Aconiti 15g, Fructus Chaenomelis 30g, Flos Carthami 12g, Radix Achyranthis Bidentatae 15g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 20g, Ramulus Cinnamomi 15g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.
Embodiment five: the Chinese medicine composition of numb hand and foot after this kind washout treatment apoplexy, the raw material of making effective ingredient by following weight is: Radix Astragali 60g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 10g, Pheretima 10g, Ramulus Mori 15g, Radix Aconiti 10g, Fructus Chaenomelis 15g, Flos Carthami 15g, Radix Achyranthis Bidentatae 30g, Herba Lycopodii 15g, Pericarpium Zanthoxyli 30g, Ramulus Cinnamomi 20g.
The preparation and using method: the decocting washout, every day potion, one day twice decocting washout.
Claims (2)
1. the Chinese medicine composition of numb hand and foot after washout treatment apoplexy, it is characterized in that, made by the raw material of following weight: the Radix Astragali 30～60g, Radix Angelicae Sinensis 10～30g, the Radix Paeoniae Alba 10～30g, Pheretima 10～20g, Ramulus Mori 15～30g, Radix Aconiti 10～15g, Fructus Chaenomelis 15～30g, Flos Carthami 10～15g, Radix Achyranthis Bidentatae 15～30g, Herba Lycopodii 15～30g, Pericarpium Zanthoxyli 15～30g, Ramulus Cinnamomi 10～20g.
2. the Chinese medicine composition of numb hand and foot after washout according to claim 1 treatment apoplexy, it is characterized in that, made by the raw material of following weight: Radix Astragali 30g, Radix Angelicae Sinensis 20g, Radix Paeoniae Alba 10g, Pheretima 10g, Ramulus Mori 30g, Radix Aconiti 10g, Fructus Chaenomelis 30g, Flos Carthami 10g, Radix Achyranthis Bidentatae 30g, Herba Lycopodii 30g, Pericarpium Zanthoxyli 20g, Ramulus Cinnamomi 10g.
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| CN105596837A (en) * | 2016-01-22 | 2016-05-25 | 吕立娜 | Traditional Chinese medicine for promoting blood circulation of affected limbs after cerebral apoplexy and preparation method thereof |
| CN109481552A (en) * | 2018-12-03 | 2019-03-19 | 青岛大学附属医院 | The Traditional Chinese medicine tincture preparation and preparation method thereof for treating Post stroke shoulder pain |
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