CN103550707B - Enema for nursing and treating post-operative adhesive ileus in early stage - Google Patents
Enema for nursing and treating post-operative adhesive ileus in early stage Download PDFInfo
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Abstract
The invention discloses an enema for nursing and treating post-operative adhesive ileus in an early stage. The enema is prepared from the following traditional Chinese medicinal materials in parts by weight: 60-80 parts of lotus leaves, 12-20 parts of patrinia, 25-35 parts of asarum, 25-35 parts of folium artemisiae argyi, 12-20 parts of peach kernels, 12-20 parts of curcuma zedoary, 60-80 parts of semen coicis and 60-80 parts of mung beans. The enema disclosed by the invention promotes the function of gastrointestinal peristalsis, stimulates qi of spleen and stomach and promotes dross operation, and has a remarkable curative effect.
Description
Technical field
The invention belongs to technical field of Chinese medicine, in particular to a kind of Chinese medicine composition for the treatment of early postoperative period adhesive ileus, particularly relate to a kind of enema for the treatment of early postoperative period adhesive ileus.
Background technology
While abdominal surgery disease therapy " is got rid of evils ", also there is " wound just " in various degree.Vitality of human body sustains damage, and deficiency of vital energy hematogenous blockage causes the tired resistance of blood vessels, and internal organs gas harmony is stagnant, thus causes the stagnant damp and hot and scorchingly hot pent-up of addiction can not the development of evil in febrile disease in six internal organs, and causes abdominal post-operation gastrointestinal motility disorders.Postoperative gastric intestine movement function is disorderly, occurs that exhaust defecation stops, and with abdominal distention constipation etc. in various degree.
Summary of the invention
The present invention according to Traditional Chinese medical theory, through to a large amount of screenings of drug component, restructuring, trial, made by lot of experiments again.Therefore, the object of the invention is to by prescription again after studying conventional medicament pharmacology, the Chinese medicinal herbs decoction of a kind of good effect, instant effect, treatment early postoperative period adhesive ileus that cost is few is provided.
The object of the present invention is achieved like this:
An enema for nursing for treating early postoperative period adhesive ileus, it is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: Folium Nelumbinis 60-80 part, Herba Patriniae 12-20 part, Herba Asari 25-35 part, Folium Artemisiae Argyi 25-35 part, Semen Persicae 12-20 part, Rhizoma Curcumae 12-20 part, Semen Coicis 60-80 part, Semen phaseoli radiati 60-80 part.
Preferably, the enema of nursing for treating early postoperative period adhesive ileus described above, it is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: Folium Nelumbinis 66-70 part, Herba Patriniae 15-17 part, Herba Asari 28-32 part, Folium Artemisiae Argyi 28-32 part, Semen Persicae 15-17 part, Rhizoma Curcumae 15-17 part, Semen Coicis 66-70 part, Semen phaseoli radiati 66-70 part.
Further preferably, the enema of nursing for treating early postoperative period adhesive ileus described above, it is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: 68 parts, Folium Nelumbinis, Herba Patriniae 16 parts, Herba Asari 30 parts, Folium Artemisiae Argyi 30 parts, 16 parts, Semen Persicae, Rhizoma Curcumae 16 parts, Semen Coicis 68 parts, 68 parts, Semen phaseoli radiati.
According to Chinese medicine Historical Data Data About, the pharmacologically active of above-mentioned traditional Chinese medicinal material raw materials is as follows: Folium Nelumbinis: clearing away summer-heat, sending up the lucid YANG, cooling blood for hemostasis.For summer-heat excessive thirst, diarrhea due to summer heat and dampness, diarrhea due to hypofunction of the spleen, heat in blood tells nosebleed, metrorrhagia of having blood in stool.Burnt FOLIUM NELUMBINIS astringent therapy removing stasis to stop bleeding.For multiple hemorrhage and puerperal blood faints.Select the dried leaves of nymphaeaceae plant lotus Nelumbo nuciferaGaertn..Herba Patriniae: have another name called Herba Ixeritis chinensis, selects herb or the root of feverfew Herba Ixeritis chinensis.Herba Patriniae heat-clearing and toxic substances removing, removing heat from blood, eliminating carbuncle evacuation of pus, stasis-dispelling and pain-killing.For acute appendicitis, the high heat of lung abscess, coughs vomiting bloody pus, pyretic toxicity skin ulcer furuncle, and furuncle pain is swollen, breast abdomen pain, appendicitis, enteritis, dysentery, puerperal abdonimal pain, dysmenorrhea.Herba Asari: induce sweat cold expelling; Wind-expelling pain-stopping; Warming the lung to resolve fluid-retention; Sensible.Exterior syndrome due to wind-cold; Headache, toothache; Rheumatic arthralgia; Phlegm retention cough with asthma; Nasal obstruction; Nasal sinusitis; Aphtha.Select the whole herb with root of aristolochiaceae plant Herba Asari, Herba Asari and Seoul Herba Asari.Folium Artemisiae Argyi: dispersing cold for relieving pain, warming the meridian for stopping bleeding.For few abdomen cold type of pain, coldness and unbalance in meridians, cold womb is infertile, spit blood, epistaxis, metrorrhagia through many, gestation hemorrhage; External treatment skin pruritus, decortication.Select the dried leaves of feverfew Chinese mugwort Artemisia argyi Levl. et Vant..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..Rhizoma Curcumae: circulation of qi promoting removing blood stasis, removing food stagnancy pain relieving.For Dan abdominal mass mass in the abdomen, blood stasis amenorrhea, food stagnation distending pain; Early cervical carcinoma.Select the rhizome of zingiberaceous plant C. kwangsinensis Curcuam kwangsiensis S.G.Leset C.F.Liang.Semen Coicis: spleen invigorating eliminating dampness by diuresis, eliminating impediment antidiarrheal.Semen Coicis can be used for treatment edema, beriberi, dysuria, arthralgia chiefly caused by damp pathogen contracture, diarrhea due to hypofunction of the spleen.Semen phaseoli radiati: heat clearing away; Relieve summer heat; Diuretic; Removing toxic substances.Summer-heat excessive thirst; Cold, fever; Cholera is vomited and diarrhoea; Expectorant asthma of heat type is breathed heavily; Headache conjunctival congestion; Aphtha of the mouth and tongue; Edema oliguria; Skin infection carbuncle; Rubella erysipelas; Medicine and alimentary toxicosis.Select the seed of leguminous plant Semen phaseoli radiati.
When enema of the present invention is used for the treatment of early postoperative period adhesive ileus, employing be coloclysis nursing therapy, treatments period should be noted following item: patient should explain coloclysis object to patient 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, inserts anus 5-6 centimetre with No. 16 urinary catheters 1, connects transfusion bottle and slowly allows medicine painting be poured in internal rectum, and right arm reclining is flat again after 20 minutes to crouch 20 minutes, avoids medicinal liquid to enter sigmoid colon.(3) enema temperature will be suitable for, and is sure not overheated excessively cool, is generally advisable with 38 ~ 40 DEG C.(4), after extracting anal canal, hand-held soft paper gently by soft anus place, and advises the flat bed rest of patient, fully absorbs in order to medicine.(5) clean buttocks and anus by warm water after aerofluxus, keep sheet, clothing to clean, dry.
By the preparation method that above-mentioned each Chinese crude drug is prepared into enema be:
(1) get Folium Nelumbinis 60-80 part of recipe quantity, Herba Patriniae 12-20 part, Herba Asari 25-35 part, Folium Artemisiae Argyi 25-35 part, Semen Persicae 12-20 part, Rhizoma Curcumae 12-20 part, Semen Coicis 60-80 part and Semen phaseoli radiati 60-80 part, clean roguing, dry, mixing, is ground into granule; (2) above-mentioned graininess medical material is added water cover powder 2cm again, soak 1-1.2h, pull medical material out and put during multi-functional extractions is filled with and decoct with water secondary, the water of first time totalling medical material 8-12 times amount, decoct 2h, get decocting liquid, filter, second time adds up the water of medical material 6-10 times amount, decoct 2h, get twice decocting liquid to merge, filter, the concentrated solution that when being concentrated into 90 DEG C, relative density (comparing water) is 1.10-1.15; (3) concentrated solution is set to 0-5 DEG C of deepfreeze 24h, cold preservation liquid is added the filter aid kieselguhr of 0.3%, filter, filtrate reconcentration containing 0.5-0.8g crude drug amount, obtains Chinese medicinal herbs decoction to every milliliter.
The present invention is prepared into enema by being boiled medicine by the formula of screening, and enema treatment early postoperative period adhesive ileus patient, facilitates gastrointestinal peristalsis function, inspire QI of the spleen and stomach, promote waste matter and run, the disease institute and herbal enema goes directly, more be conducive to improving intestinal wall edema, block adhesion and occur.
Detailed description of the invention
Be below specific embodiments of the invention, technical scheme of the present invention is described further, but protection scope of the present invention is not limited to these embodiments.Every do not deviate from the present invention's design change or equivalent substituting include within protection scope of the present invention.
Embodiment 1
Crude drug prescription: 6.8 kilograms, Folium Nelumbinis, Herba Patriniae 1.6 kilograms, Herba Asari 3.0 kilograms, Folium Artemisiae Argyi 3.0 kilograms, 1.6 kilograms, Semen Persicae, Rhizoma Curcumae 1.6 kilograms, Semen Coicis 6.8 kilograms, 6.8 kilograms, Semen phaseoli radiati.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, mixing, is ground into granule;
(2) above-mentioned graininess medical material is added water cover powder 2cm again, soak 1h, pull medical material out and put during multi-functional extractions is filled with and decoct with water secondary, first time totalling medical material 10 times amount water, decoct 2h, get decocting liquid, filter, second time adds up the water of medical material 8 times amount, decoct 2h, get twice decocting liquid to merge, filter, when being concentrated into 90 DEG C, relative density is the concentrated solution of 1.10;
(3) concentrated solution is put 4 DEG C of deepfreeze 24h, cold preservation liquid is added the filter aid kieselguhr of 0.3%, filter, filtrate reconcentration containing 0.6g crude drug amount, obtains enema to every milliliter.
Embodiment 2
Crude drug prescription: 7.5 kilograms, Folium Nelumbinis, Herba Patriniae 1.5 kilograms, Herba Asari 3.5 kilograms, Folium Artemisiae Argyi 2.8 kilograms, 1.6 kilograms, Semen Persicae, Rhizoma Curcumae 2.0 kilograms, Semen Coicis 6.0 kilograms, 8.0 kilograms, Semen phaseoli radiati.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, mixing, is ground into granule;
(2) above-mentioned graininess medical material is added water cover powder 2cm again, soak 1h, pull medical material out and put during multi-functional extractions is filled with and decoct with water secondary, first time totalling medical material 12 times amount water, decoct 2h, get decocting liquid, filter, second time adds up the water of medical material 10 times amount, decoct 2h, get twice decocting liquid to merge, filter, when being concentrated into 90 DEG C, relative density is the concentrated solution of 1.10;
(3) concentrated solution is put 2 DEG C of deepfreeze 24h, cold preservation liquid is added the filter aid kieselguhr of 0.3%, filter, filtrate reconcentration containing 0.5g crude drug amount, obtains enema to every milliliter.
Embodiment 3
Crude drug prescription: 6.0 kilograms, Folium Nelumbinis, Herba Patriniae 2.0 kilograms, Herba Asari 2.5 kilograms, Folium Artemisiae Argyi 3.5 kilograms, 2.0 kilograms, Semen Persicae, Rhizoma Curcumae 1.3 kilograms, Semen Coicis 7.7 kilograms, 6.2 kilograms, Semen phaseoli radiati.
Preparation technology:
(1) take the above-mentioned Chinese crude drug of recipe quantity, clean roguing, dry, mixing, is ground into granule;
(2) above-mentioned graininess medical material is added water cover powder 2cm again, soak 1h, pull medical material out and put during multi-functional extractions is filled with and decoct with water secondary, first time totalling medical material 10 times amount water, decoct 2h, get decocting liquid, filter, second time adds up the water of medical material 10 times amount, decoct 2h, get twice decocting liquid to merge, filter, when being concentrated into 90 DEG C, relative density is the concentrated solution of 1.15;
(3) concentrated solution is put 5 DEG C of deepfreeze 24h, cold preservation liquid is added the filter aid kieselguhr of 0.3%, filter, filtrate reconcentration containing 0.8g crude drug amount, obtains enema to every milliliter.
Clinical practice example
Open the example of the patient 83 after abdomen and laparoscopic surgery, age 21-64 year, within postoperative 2nd day, start all have stomachache in various degree, abdominal distention, Nausea and vomiting, anus without aerofluxus.The visible visible peristalsis visible intestinal peristalsis of postoperative abdominal inspection and peristalsis, bowel sound hyperaction or gur gling.Air fluid level is in various degree had in plain abdominal radiograph display enteric cavity.The visible dilatation of intestine distortion of ultrasound diagnosis, local intestinal tube wall radially arranges.Hemanalysis, total white blood cells and neutrophilic granulocyte are all higher than normal value.Clinical diagnosis is Middle Lobe Syndrome Treated.All patients are divided into treatment group (42 example) and matched group (41 example) at random, and two groups of patient ages, modus operandi, the equal no difference of science of statistics of the course of disease, have comparability.
Early intestinal obstruction symptom is found that there is after all operation in patients, equal conventional row fasting, transfusion, anti-inflammatory treatment, serious symptom person give gastrointestinal decompression, all by ceftriaxone and the therapy such as metronidazole infection and corresponding Primary Care (as pain relieving, cooling etc.) of suiting the medicine to the illness.Matched group is on the basis of above-mentioned Primary Care, normal saline is adopted to be about 100ml enema treatment, method is: patient gets right arm reclining, anus 5-6 centimetre is inserted with No. 16 urinary catheters 1, connecting transfusion bottle slowly allows medicine painting be poured in internal rectum, right arm reclining is flat again after 20 minutes to crouch 20 minutes, avoids medicinal liquid to enter sigmoid colon.Treatment group is on the basis of above-mentioned base therapy, and the enema adopting the embodiment of the present invention 1 to prepare is about 100mL and carries out enema treatment, the same matched group of concrete grammar.Two groups of equal every days 1 enema treatment, first quarter moon is 1 course for the treatment of.
After the course for the treatment of, the curative effect respectively organized by following canonical statistics, two groups of adhesive ileus patient outcomes are in table 1.
Cure: symptom, sign disappear, passage of gas by anus, defecation, check X-ray of abdomen is without exception.
Take a turn for the better: symptom, sign are alleviated, and systemic conditions improves, passage of gas by anus, defecation, abdominal X-ray prompting liquid-gas is equalled maximum cross-sectional area and is reduced or disappear.
Invalid: symptom, sign even increase the weight of without alleviation, the non-aerofluxus of anus, defecation, systemic conditions is without improvement or increase the weight of, Enteritis Operation person, and X-ray of abdomen still has larger liquid gas to put down.
Table 1 liang group adhesive ileus patient outcomes
Claims (2)
1. an enema for nursing for treating early postoperative period adhesive ileus, is characterized in that: described enema is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: Folium Nelumbinis 66-70 part, Herba Patriniae 15-17 part, Herba Asari 28-32 part, Folium Artemisiae Argyi 28-32 part, Semen Persicae 15-17 part, Rhizoma Curcumae 15-17 part, Semen Coicis 66-70 part, Semen phaseoli radiati 66-70 part.
2. the enema of nursing for treating early postoperative period adhesive ileus according to claim 1, is characterized in that: described enema is prepared from by the traditional Chinese medicinal material raw materials of following weight portion: 68 parts, Folium Nelumbinis, Herba Patriniae 16 parts, Herba Asari 30 parts, Folium Artemisiae Argyi 30 parts, 16 parts, Semen Persicae, Rhizoma Curcumae 16 parts, Semen Coicis 68 parts, 68 parts, Semen phaseoli radiati.
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Owner name: YAN JUNLEI Free format text: FORMER OWNER: CUI HEFANG Effective date: 20150629 |
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Effective date of registration: 20150629 Address after: 226400 Jiangsu County of Rudong province juegang Jianghai Road No. 10 building three unit 302 room Patentee after: Yan Junlei Address before: 266200 Jimo, Shandong, the Yellow River Road No. two, No. 182, No. Patentee before: Cui Hefang |