A kind of Chinese medicinal herbs decoction of preventing and treating hysterectomy post-operative complication
Technical field
The invention belongs to Chinese medicine technical field, in particular to a kind of Chinese medicine composition of preventing and treating hysterectomy post-operative complication, relate in particular to a kind of Chinese medicinal herbs decoction of preventing and treating hysterectomy post-operative complication.
Background technology
Hysterectomy, most of patient there will be that pelvic cavity deep is chronic, rest pain, lumbosacral aching pain, abdominal distention, the symptom such as constipation even, and delay is difficult.Occurring above symptom, is mainly due to postoperative peritoneal injury, and the factors such as operative region blood supply insufficiency cause pelvic cavity viscera adhesion, complicated by postoperative pelvic infection, the reasons such as pelvic veins blood stasis.Chinese medicine thinks, after operation wound, venation is impaired, blood-stasis internal-depression, and mechanism of qi operation is not smooth, stagnation of QI and blood may bring about pain; Mechanism of qi operation is not normal, the unfavorable abdominal distention constipation of internal organs gas; Post-surgical trauma, easily for evil poison is invaded, the malicious stasis of blood is tied easy strongly fragrant and heat-transformation mutually.
Summary of the invention
The present invention is according to Traditional Chinese medical theory, through to a large amount of screenings of drug component, restructuring, trial, make by lot of experiments again.Therefore, the object of the invention is to by prescription again after conventional medicament pharmacology is studied, the Chinese medicinal herbs decoction of a kind of good effect, instant effect, control hysterectomy post-operative complication that cost is few is provided.
The object of the present invention is achieved like this:
A kind of Chinese medicinal herbs decoction of preventing and treating hysterectomy post-operative complication of the present invention, is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: Herba Lycopodii 20-30 part, Herba Taraxaci 20-30 part, Rhizoma Sparganii 12-20 part, Flos Carthami 12-20 part, Hirudo 10-16 part, Rhizoma Acori Graminei 10-16 part, Semen Persicae 10-16 part.
The Chinese medicinal herbs decoction of above-mentioned control hysterectomy post-operative complication, preferably the traditional Chinese medicinal material raw materials by following weight portion is prepared from: 25 parts of Herba Lycopodiis, 25 parts of Herba Taraxacis, 16 parts of Rhizoma Sparganii, 16 parts, Flos Carthami, 13 parts of Hirudos, 13 parts of Rhizoma Acori Graminei, 13 parts, Semen Persicae.
Preferably, the Chinese medicinal herbs decoction of above-mentioned control hysterectomy post-operative complication, wherein said hysterectomy post-operative complication comprises that pelvic pain, abdominal distention, the soreness of waist and the stool of the postoperative appearance of hysterectomy is not smooth.
According to Chinese medicine Historical Data Data About, the pharmacologically active of said medicine material is as follows:
Herba Lycopodii: expelling wind and cold, dehumidifying detumescence, relaxing muscles and tendons and activating QI and blood in the collateral; For anemofrigid-damp arthralgia, muscle arteries and veins contracture pain carbuncle.Be selected from the herb of Lycopodiaceae Lycopodium plant Lycopodium clavatum Lycopodium japonicum Thunb..
Herba Taraxaci: there is heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, the effect of inducing diuresis for treating stranguria syndrome.For furuncle swelling toxin, acute mastitis, scrofula, conjunctival congestion, pharyngalgia, lung abscess, acute appendicitis, jaundice due to damp-heat, the puckery pain of pyretic stranguria.Be selected from the herb of dry Herba Taraxaci.
Rhizoma Sparganii: removing blood stasis circulation of qi promoting, removing food stagnancy pain relieving.For lump in the abdomen mass in the abdomen, blood stasis amenorrhea, food stagnation distending pain.Select the dry tuber of Sparganiaceae plant rhizoma scirpi SparganiumstoloniferumBuch.-Ham..
Flos Carthami: the effect with the latus rectum of invigorating blood circulation, eliminating stasis to stop pain.For amenorrhea, dysmenorrhea, lochia, lump in the abdomen mass in the abdomen, traumatic injury.Select the tubular corolla of feverfew Flos Carthami Carthamus tinctorius L..
Hirudo: removing blood stasis, removing blood stasis, stimulates the menstrual flow.For menstruation apolipsis, lump in the abdomen stomachache, blood-retention, traumatic blood stasis have a pain, the disease such as carbuncle erysipelas.Be selected from the dry all of Hirudinidae animal Hirudo Whitmania pigra Whitman.
Rhizoma Acori Graminei: removing dampness appetizing, the eliminating phlegm of having one's ideas straightened out, refreshment Fructus Alpiniae Oxyphyllae.Not hungry for gastral cavity painful abdominal mass, mouthful dysentery of keeping silent, coma epilepsy, forgetful deafness.Regulate the flow of vital energy, invigorate blood circulation, loose wind, dries.Control epilepsy, syncope due to accumulation of phlegm, calentura coma, forgetful, deafness with qi stagnation, ambition is unhappy, stomachache, stomachache, anemofrigid-damp arthralgia, swollen ulcer drug, traumatic injury.Derive from the rhizome of acorus gramineus araceae plant.
Semen Persicae: blood circulation promoting and blood stasis dispelling, loosening bowel to relieve constipation, relieving cough and asthma.For amenorrhea, dysmenorrhea , WEIJIA mass in the abdomen, injury from falling down, dryness of the intestine constipation.Select the dry mature seed of rosaceous plant Fructus Persicae Prunus persica (L.) Batsch or Prunus davidiana Prunus davidiana (Carr.) Franch..
When Chinese medicinal herbs decoction of the present invention is used for preventing and treating hysterectomy post-operative complication, employing be coloclysis nursing therapy, during treatment, should be noted following item: should patient to patient, explain coloclysis object before (1) coloclysis, understand patient's thought, in many ways comfort, free one's mind of apprehensions, anxiety at heart.And note ward environment peace and quiet, clean, comfortable, make patient in a good mood.(2) get about 100mL enema, patient gets right arm reclining, with No. 16 1 of urinary catheter, inserts anus 5-6 centimetre, connects transfusion bottle and slowly allows medicine painting be poured in internal rectum, and right arm reclining is put down sleeping 20 minutes after 20 minutes again, avoids medicinal liquid to enter sigmoid colon.14th be 1 course for the treatment of every day 1 time.(3) enema temperature is suitable, is sure not overheated excessively coolly, generally with 38~40 ℃, is advisable.(4) extract after anal canal, hand-held soft paper is pressed soft anus place gently, and advises the flat bed rest of patient, in order to medicine, fully absorbs.(5) after aerofluxus, by warm water, clean buttocks and anus, keep sheet, clothing to clean, dry.
The preparation method that above-mentioned each Chinese crude drug is prepared into Chinese medicinal herbs decoction is:
(1) get Herba Lycopodii 20-30 part of recipe quantity, Herba Taraxaci 20-30 part, Rhizoma Sparganii 12-20 part, Flos Carthami 12-20 part, Hirudo 10-16 part, Rhizoma Acori Graminei 10-16 part, Semen Persicae 10-16 part, cleans roguing, dries, and is ground into granule; (2) more above-mentioned graininess medical material is added to water and cover powder 2cm, soak 1-1.2h, pull medical material out and put multi-functional extraction and decoct with water secondary in filling with, add up for the first time the water that medical material 8-12 doubly measures, decoct 2h, get decocting liquid, filter, add up for the second time the water that medical material 6-10 doubly measures, decoct 2h, get twice decocting liquid and merge, filter, relative density while being concentrated into 90 ℃ (comparing water) is the concentrated solution of 1.10-1.15; (3) concentrated solution is set to 0 to-5 ℃ of deepfreeze 24h, cold preservation liquid is added to 0.3% filter aid kieselguhr, filter, filtrate reconcentration containing 0.5g crude drug amount, obtains enema to every milliliter.
The present invention decocts the Chinese crude drug of specific recipe quantity to be prepared into Chinese medicinal herbs decoction by medicine, retention enema, make medicine by hemorrhoidal plexus, be absorbed into the pelvic cavity angular vein of traffic with it, to improve pelvic cavity blood circulation and microcirculation, make smooth muscle loosening, suppress the transmission impulsion of pain sensation maincenter or pain nerve, alleviating pain, the hypertrophy that hinders connective tissue, is conducive to the healing of wound, softens and absorb the pathological changes of hypertrophy.Thereby Chinese medicinal herbs decoction of the present invention has the effect of highly significant to control Hysterectomy complication.
The specific embodiment
Be below specific embodiments of the invention, technical scheme of the present invention is done to further description, but protection scope of the present invention is not limited to these embodiment.Every do not deviate from the change of the present invention design or be equal to substitute include within protection scope of the present invention.
Embodiment 1
Crude drug prescription: 250 grams of Herba Lycopodiis, 250 grams of Herba Taraxacis, 160 grams of Rhizoma Sparganii, 160 grams, Flos Carthami, 130 grams of Hirudos, 130 grams of Rhizoma Acori Graminei, 130 grams, Semen Persicae.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, be ground into granule;
(2) more above-mentioned graininess medical material is added to water and cover powder 2cm, soak 1h, pull medical material out and put multi-functional extraction and decoct with water secondary in filling with, add up for the first time the water of 10 times of amounts of medical material, decoct 2h, get decocting liquid, filter, add up for the second time the water of 8 times of amounts of medical material, decoct 2h, get twice decocting liquid and merge, filter the concentrated solution that while being concentrated into 90 ℃, relative density is 1.10;
(3) concentrated solution is put to 4 ℃ of deepfreeze 24h, cold preservation liquid is added to 0.3% filter aid kieselguhr, filter, filtrate reconcentration containing 0.5g crude drug amount, obtains enema to every milliliter.
Embodiment 2
Crude drug prescription: 300 grams of Herba Lycopodiis, 300 grams of Herba Taraxacis, 120 grams of Rhizoma Sparganii, 200 grams, Flos Carthami, 100 grams of Hirudos, 160 grams of Rhizoma Acori Graminei, 160 grams, Semen Persicae.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, be ground into granule;
(2) more above-mentioned graininess medical material is added to water and cover powder 2cm, soak 1h, pull medical material out and put multi-functional extraction and decoct with water secondary in filling with, add up for the first time the water of 12 times of amounts of medical material, decoct 2h, get decocting liquid, filter, add up for the second time the water of 10 times of amounts of medical material, decoct 2h, get twice decocting liquid and merge, filter the concentrated solution that while being concentrated into 90 ℃, relative density is 1.10;
(3) concentrated solution is put to 2 ℃ of deepfreeze 24h, cold preservation liquid is added to 0.3% filter aid kieselguhr, filter, filtrate reconcentration containing 0.5g crude drug amount, obtains enema to every milliliter.
Embodiment 3
Crude drug prescription: 200 grams of Herba Lycopodiis, 250 grams of Herba Taraxacis, 200 grams of Rhizoma Sparganii, 160 grams, Flos Carthami, 160 grams of Hirudos, 100 grams of Rhizoma Acori Graminei, 100 grams, Semen Persicae.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, be ground into granule;
(2) more above-mentioned graininess medical material is added to water and cover powder 2cm, soak 1h, pull medical material out and put multi-functional extraction and decoct with water secondary in filling with, add up for the first time the water of 10 times of amounts of medical material, decoct 2h, get decocting liquid, filter, add up for the second time the water of 10 times of amounts of medical material, decoct 2h, get twice decocting liquid and merge, filter the concentrated solution that while being concentrated into 90 ℃, relative density is 1.15;
(3) concentrated solution is put to 5 ℃ of deepfreeze 24h, cold preservation liquid is added to 0.3% filter aid kieselguhr, filter, filtrate reconcentration containing 0.5g crude drug amount, obtains enema to every milliliter.
Embodiment 4
The inpatient of 43 customary panhysterectomys, is divided into 2 groups at random.Treatment group 23 examples, matched group 20 examples.Two groups of physical data relatively there was no significant difference (
p>0.05), there is comparability.
The postoperative antibiotic therapy of using of matched group, benzylpenicillin 320Wan unit adds 5% Dextrose and Sodium Chloride Inj. 250mL, intravenous drip, every day 2 times; Amikacin 0.4g, adds 0.5% metronidazole injection 100mL, intravenous drip, every day 2 times.Be used in conjunction 5.
Treatment group is on the basis for the treatment of of control group, the enema of preparing by the embodiment of the present invention 1 in postoperative the 3rd day, get about 100mL, patient gets right arm reclining, with No. 16 1 of urinary catheter, insert anus 5-6 centimetre, connect transfusion bottle and slowly allow medicine painting be poured in internal rectum, right arm reclining is put down sleeping 20 minutes after 20 minutes again, avoids medicinal liquid to enter sigmoid colon.14th be 1 course for the treatment of every day 1 time.
Criterion of therapeutical effect is as follows:
Effective: not occur the symptoms such as obvious pelvic pain, abdominal distention, the soreness of waist, stool be not smooth;
Effective: the slight pelvic pain of suddenly feeling, abdominal distention, soreness of waist symptom;
Invalid: to occur obvious pelvic pain, abdominal distention, soreness of waist symptom.
Within postoperative 3-6 month, follow up a case by regular visits to, two groups of curative effects are relatively in Table 1.
Table 1 liang group curative effect situation comparison