The Chinese medicine composition of rectal tenesmus after a kind of external curing anorectal disease operation
Technical field
The invention belongs to Chinese medicine technical field, in particular to the Chinese medicine composition of the rear rectal tenesmus of a kind of external curing anorectal disease operation.
Background technology
Rectal tenesmus is the common sympton of anorectal section numerous disease, is also one of anorectal disease postoperative complications.In the majority with 40~50 years old female patient.The cause of disease except anorectal region organic disease, may with muscle relaxation at the bottom of gestation, childbirth, basin, after local operation, the factor such as cicatrization and work fatigue, abnormal defecation is relevant.Patient often feels rectal tenesmus unbearably, sometimes emits to waist sacrum, buttocks and thigh, can be frequent with diarrhoea, tenesmus, awareness of defecation.Outbreak repeatedly, gently a few days, heavy several years several months is controlled difficult healing for a long time, has had a strong impact on patient's quality of life.Take hemorrhoid as example, and after inpatient underwent operative treatment, rectal tenesmus is a ubiquitous symptom after hemorrhoid complicated by anal fistula operation, and its reason may be relevant with operation, inflammatory stimulus defecate feeling receiver.Patient often has anus foreign body sensation, tenesmus, desiring defecation constantly, steps on lavatory and without just, afternoon every day and evening inquire aobvious, have a rest and rise morning after alleviate, patient is very painful, has also affected the recovery of disease simultaneously.
Summary of the invention
The object of the present invention is to provide the Chinese medicine composition of the rear rectal tenesmus of a kind of external curing anorectal disease operation.This Chinese medicine composition can obviously be alleviated anorectal disease patient with operation rectal tenesmus, and effect is remarkable.
The object of the present invention is achieved like this:
The Chinese medicine composition of rectal tenesmus after a kind of external curing anorectal disease operation of the present invention, Chinese crude drug and adjuvant by following weight portion are prepared from: Radix Astragali 15-20 part, Cortex Magnoliae Officinalis 15-20 part, Rhizoma Atractylodis Macrocephalae 20-26 part, Pericarpium Papaveris 12-16 part, Rhizoma Cimicifugae 8-12 part, Radix Et Rhizoma Rhei 15-20 part, Fructus Forsythiae 10-15 part, Fructus Gardeniae 10-15 part, Alumen 3-5 part.
The Chinese medicine composition of rectal tenesmus after above-mentioned external curing anorectal disease operation, preferably Chinese crude drug and the adjuvant by following weight portion is prepared from: 17 parts of the Radixs Astragali, 18 parts of Cortex Magnoliae Officinalis, 25 parts of the Rhizoma Atractylodis Macrocephalaes, 14 parts of Pericarpium Papaveriss, 10 parts of Rhizoma Cimicifugaes, 18 parts of Radix Et Rhizoma Rhei, 13 parts of Fructus Forsythiaes, 12 parts of Fructus Gardeniaes, 4 parts, Alumen.
Further preferably, the Chinese medicine composition of rectal tenesmus after above-mentioned external curing anorectal disease operation, wherein said anorectal disease is hemorrhoid complicated by anal fistula.
The preparation method of the Chinese medicine preparation of external curing anorectal disease postoperative anal falling inflation of the present invention comprises the steps: to take the Radix Astragali, Cortex Magnoliae Officinalis, the Rhizoma Atractylodis Macrocephalae, Pericarpium Papaveris, Rhizoma Cimicifugae, Radix Et Rhizoma Rhei, Fructus Forsythiae and Fructus Gardeniae, clean roguing, dry, be ground into granule, add Alumen, then the decocting that adds medical material weight 8-20 doubly to measure boils 1-1.5h, filters, and collects filtrate; The decocting that adds again medical material weight 6-15 doubly to measure in medicinal residues boils 0.5-1h, filters, and collects filtrate, twice filtrate is merged, be concentrated into liquor capacity: medical material weight=1: 1 drug extract, and be 0.1% to add antiseptic ethyl hydroxybenzoate by weight percentage, last thin up, subpackage.
The using method of the Chinese medicine preparation of external curing anorectal disease postoperative anal falling inflation of the present invention is: get 1 bag at every turn and put into bidet, add 1000 milliliters of boiled water (boiled water temperature is at 90 ℃-100 ℃), first fumigation and wash method, rear demibain, every day 1-2 time, each 10-20min, 3-5 days is 1 course for the treatment of.Before carrying out Chinese medicine fumigation and washing, nurse should advise patient's defecation; Fumigation and wash method is appropriate to the occasion carries out nursing, makes the peace and quiet of fumigation and wash method environment comfortable, and room temperature is suitable; During fumigation and wash method, should note warmingly winter, should avoid summer suffering from cold.During patient's seat fumigation and wash method, should advise patient to allow affected part to try one's best and not touch liquid level and be advisable; During patient's demibain, should advise patient to allow affected part all be immersed in medicinal liquid.Fumigation and wash method fluid temperature should keep 5O-7O ℃, soaks demibain temperature and should keep 38-43 ℃.Fumigation and wash method fluid temperature can not be too hot, in order to avoid scalded skin or mucosa, also can not be too cool.Because the fumigation and wash method time is more of a specified duration, so medicine is cool, must heat again, only have the warm fumigation and wash method of continuing, just can receive good effect.When patient wraps up position fumigation and wash method, should first throw off dressing, fumigation and wash method is complete, again changes aseptic dressing.
According to Chinese medicine Historical Data Data About, the pharmacologically active of above-mentioned Chinese crude drug is as follows:
The Radix Astragali: have the effect that benefiting QI for strengthening the superficies, arresting sweating are admittedly de-, hold in the palm skin ulcer granulation promoting, inducing diuresis to remove edema.Be used for the treatment of the deficiency of vital energy weak, sinking of QI of middle-JIAO, chronic diarrhea proctoptosis, the metrorrhagia of having blood in stool, exterior deficiency spontaneous perspiration, carbuncle is difficult bursts, and burst and do not hold back for a long time, blood deficiency and yellow complexion, interior-heat is quenched one's thirst, chronic nephritis, albuminuria, diabetes etc.The invigorating middle warmer of Radix Astragali Preparata QI invigorating, raw by consolidating superficial resistance holder skin ulcer.
Cortex Magnoliae Officinalis: main warming middle-JIAO, QI invigorating, the expectorant therapeutic method to keep the adverse QI flowing downwards, controls cholera and stomachache, distension, cold in the stomach is contrary, and vomiting is more than in the heart, lets out dysentery, drenches dew, and except frightened, going or staying heat, stops stuffy sensation with restlessness, thick the intestines and stomach.Select dry dried bark, root bark and the branch skin of Magnoliacea plant Cortex Magnoliae Officinalis Magnolia officinalis Rehd. et Wils. or magnolia officinalis rehd.et wils.var.biloba rehd.et wils. Magnolia officinalis Rehd. et Wils. var. biloba Rehd. et Wils..
The Rhizoma Atractylodis Macrocephalae: invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis, antiabortive.For insufficiency of the spleen lack of appetite, abdominal distention is had loose bowels, phlegm retention vertigo and palpitation, edema, spontaneous perspiration, frequent fetal movement.Select the dry rhizome of feverfew Rhizoma Atractylodis Macrocephalae Atractylodes macrocephala Koidz..
Pericarpium Papaveris: astringe the lung, astringing intestine to stop diarrhea, pain relieving.For chronic cough, chronic diarrhea, proctoptosis, epigastric pain.The present invention selects the drying and ripening shell of Papaveraceae poppy Semen Papaveris Papaver somniferum L..
Rhizoma Cimicifugae: deliver rash, heat-clearing and toxic substances removing, elevate a turnable ladder yang-energy.For headache due to pathogenic wind-heat, toothache, aphtha, laryngopharynx swelling and pain, measles without adequate eruption, YANG toxin syndrome is sent out speckle; Proctoptosis, uterine prolapse.The present invention selects the dry rhizome of ranunculaceae plant C.heracleifolia Cimicifuga heracleifolia Kom..
Radix Et Rhizoma Rhei: purging heat and dredging bowels, removing pathogenic heat from blood and toxic substance from the body, eliminating blood stasis and inducing menstruation.For excess-heat constipation, stagnant stomachache, dysentery is not well, jaundice due to damp-heat, heat in blood is told nosebleed, conjunctival congestion, pharyngeal swelling, abdominalgia with intestinal abscess, carbuncle furuncle, blood stasis amenorrhea, traumatic injury, external treatment burn due to hot liquid or fire; Upper gastrointestinal hemorrhage.
Fructus Forsythiae: control calentura from the beginning of, anemopyretic cold, heating, vexed, laryngopharynx swelling and pain, macule, erysipelas, scrofula, carbuncle pyogenic infections from tumour or sore, acute nephritis, pyretic stranguria.Be selected from Oleaceae (Oleaceae) Forsythia (Forsythia) plant Fructus Forsythiae (Forsythia suspensa(Thunb.) Vahl) dry fruit.
Fructus Gardeniae: pathogenic fire purging relieving restlessness; Clearing away heat-damp and promoting diuresis; Removing pathogenic heat from blood and toxic substance from the body; Fructus Gardeniae Preparatus: cooling blood for hemostasis.Be used for the treatment of calentura vexed; Liver-fire conjunctival congestion; Headache; Jaundice due to damp-heat; Stranguria; Dysentery hematuria; Aphtha of the mouth and tongue; Sore swollen toxin; Sprain and swell and ache.Select the dry mature fruit of Maguireothamnus speciosus Fructus Gardeniae Gardenia jasminoides Ellis.
The Chinese medicine composition the present invention relates to is applied to the postoperative fumigation and wash method of anorectal disease patient with operation, finds obviously to have improved anorectal disease patient with operation rectal tenesmus, good results.This medicine relies on its efficacy of a drug and heating power to directly act on affected part when fumigation and wash method, make the dredging of affected part space between skin and muscles, QI and blood smoothness, thereby reach the effect of clearing away heat-damp and promoting diuresis, promoting blood circulation and detumescence, convergence pain relieving, improve local blood circulation, reduce inflammatory district capillary permeability, minimizing is oozed out.Channels and collaterals dredging after fumigation and wash method, QI and blood is in harmonious proportion, and has comfortable light sense, and general curative effect is remarkable.
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
Prescription: 17 grams of the Radixs Astragali, 18 grams of Cortex Magnoliae Officinalis, 25 grams of the Rhizoma Atractylodis Macrocephalaes, 14 grams of Pericarpium Papaveriss, 10 grams of Rhizoma Cimicifugaes, 18 grams of Radix Et Rhizoma Rhei, 13 grams of Fructus Forsythiaes, 12 grams of Fructus Gardeniaes, 4 grams, Alumen.
Preparation technology: by above-mentioned recipe quantity, take the Radix Astragali, Cortex Magnoliae Officinalis, the Rhizoma Atractylodis Macrocephalae, Pericarpium Papaveris, Rhizoma Cimicifugae, Radix Et Rhizoma Rhei, Fructus Forsythiae and Fructus Gardeniae, clean roguing, dries, and is ground into granule, adds Alumen, then adds the decocting of 15 times of amounts of medical material weight to boil 1-1.5h, filters, and collects filtrate; In medicinal residues, add again the decocting of 10 times of amounts of medical material weight to boil 0.5-1h, filter, collect filtrate, twice filtrate is merged, be concentrated into liquor capacity: medical material weight=1: 1 drug extract, and be 0.1% to add antiseptic ethyl hydroxybenzoate by weight percentage, be finally diluted with water to 250 milliliters, by every bag of 125 milliliters of subpackages.
Embodiment 2
Prescription: 15 grams of the Radixs Astragali, 15 grams of Cortex Magnoliae Officinalis, 20 grams of the Rhizoma Atractylodis Macrocephalaes, 12 grams of Pericarpium Papaveriss, 10 grams of Rhizoma Cimicifugaes, 20 grams of Radix Et Rhizoma Rhei, 10 grams of Fructus Forsythiaes, 15 grams of Fructus Gardeniaes, 3 grams, Alumen.
Preparation technology: by above-mentioned recipe quantity, take the Radix Astragali, Cortex Magnoliae Officinalis, the Rhizoma Atractylodis Macrocephalae, Pericarpium Papaveris, Rhizoma Cimicifugae, Radix Et Rhizoma Rhei, Fructus Forsythiae and Fructus Gardeniae, clean roguing, dries, and is ground into granule, adds Alumen, then adds the decocting of 15 times of amounts of medical material weight to boil 1-1.5h, filters, and collects filtrate; In medicinal residues, add again the decocting of 10 times of amounts of medical material weight to boil 0.5-1h, filter, collect filtrate, twice filtrate is merged, be concentrated into liquor capacity: medical material weight=1: 1 drug extract, and be 0.1% to add antiseptic ethyl hydroxybenzoate by weight percentage, be finally diluted with water to 250 milliliters, by every bag of 125 milliliters of subpackages.
Embodiment 3
Prescription: 20 grams of the Radixs Astragali, 20 grams of Cortex Magnoliae Officinalis, 25 grams of the Rhizoma Atractylodis Macrocephalaes, 16 grams of Pericarpium Papaveriss, 12 grams of Rhizoma Cimicifugaes, 15 grams of Radix Et Rhizoma Rhei, 15 grams of Fructus Forsythiaes, 10 grams of Fructus Gardeniaes, 5 grams, Alumen.
Preparation technology: by above-mentioned recipe quantity, take the Radix Astragali, Cortex Magnoliae Officinalis, the Rhizoma Atractylodis Macrocephalae, Pericarpium Papaveris, Rhizoma Cimicifugae, Radix Et Rhizoma Rhei, Fructus Forsythiae and Fructus Gardeniae, clean roguing, dries, and is ground into granule, adds Alumen, then adds the decocting of 15 times of amounts of medical material weight to boil 1-1.5h, filters, and collects filtrate; In medicinal residues, add again the decocting of 10 times of amounts of medical material weight to boil 0.5-1h, filter, collect filtrate, twice filtrate is merged, be concentrated into liquor capacity: medical material weight=1: 1 drug extract, and be 0.1% to add antiseptic ethyl hydroxybenzoate by weight percentage, be finally diluted with water to 250 milliliters, by every bag of 125 milliliters of subpackages.
The impact of embodiment 4 Chinese medicine formulas on rectal tenesmus patient
Rectal tenesmus patient's diagnostic criteria: 1. clinical manifestation be take rectal tenesmus as primary symptom, with not sense only of defecation, just rare or shaping, borborygmus, abdominal distention, the performances such as pale tongue with white fur, deep,thready and forceless pulse.2. training inspection: slack anus, shrink weakly, gluteal fold shoals, pectinate line is also often deviate from outside anus, and anus touch shows that rectal mucosa is lax, and mobility increases, sometimes finger tip can touch the sigmoid colon ring of interior intussusception, and what push away can reset, or the anal canal upper end rectum front wall weak area that can lay one's hand on and cave in; Anoscopy shows that rectal mucosa compared with normal color shows slightly pale edema, and lax mucosa is piled up enteric cavity and caused enteric cavity and diminish; Anus touch shows that rectal mucosa is soft, and mobility is larger.3. inflammation, ulcer, tumor etc. are got rid of in the indagation of the endoscope such as anus, rectum, sigmoid colon, fiber colon.4. barium enema has no colonic mucosa shape, color changes.5. get rid of the specific diseases such as bacillary dysentery, amebic dysentery, schistosomicide, tuberculosis of intestine and granulomatous colitis, radiation colitis.
57 routine rectal tenesmus patients, be the rectal tenesmus causing after anorectal disease operation, give the embodiment Chinese medicine fumigation and washing of 1 preparation, get 1 bag at every turn and put into bidet, add 1000 milliliters of boiled water (boiled water temperature is at 90 ℃~100 ℃), allow patient be sitting on basin stifling, each 20~30min, then allow patient that whole anus affected part is immersed in to 30min in medicinal liquid, 2 times/d, continue 10d.
Criterion of therapeutical effect is:
Effective (31 example): rectal tenesmus sense disappears, on daily life without impact;
Effectively (22 example): rectal tenesmus sense obviously alleviates, does not affect daily life substantially;
Invalid (4 example): rectal tenesmus is without changing or even increasing the weight of without obvious change.
Chinese medicine formula treatment rectal tenesmus patient's of the present invention total effective rate is 93.0%.