CN103610813A - Externally-applied Chinese medicine formula for treating bedsore - Google Patents

Abstract

The invention relates to the field of Chinese medicine application, and particularly discloses an externally-applied Chinese medicine formula for treating bedsore. The externally-applied Chinese medicine formula for treating bedsore is prepared from coptis chinensis, golden cypress, rheum officinale, peach kernel, radix sophorae flavescentis, cortex dictamni, honeysuckle and astragalus membranaceus which are used as raw materials in a certain weight proportion. The externally-applied Chinese medicine formula is simple to prepare, convenient in acquisition of raw materials, good in absorption effect, long in medicine effect lasting time, remarkable in curative effect, free of side effect, high in security, low in production cost and beneficial for patients, the treatment course can be shortened, the treatment cost is lowered, and symptoms can be alleviated in time.

Description

The external application Chinese medicine prescription for the treatment of decubital ulcer

(1) technical field

The present invention relates to Chinese medicine application, particularly a kind of external application Chinese medicine prescription for the treatment of decubital ulcer.

(2) background technology

Decubital ulcer, claims again pressure ulcer, bed-sore, pressure ulcer, is due to the long-term pressurized of local organization, and skin is for hypoxgia, generation continuous ischemia, anoxia, the necrosis of malnutrition Er Zhi tissue fester.Skin decubital ulcer is the problem of a universality in rehabilitation, nursing.

It is high that decubital ulcer has sickness rate in bed patient after paralysing, having bad physiques, fracture, and the course of disease is long, rapid onset, complication is many, and easy concurrent hypoproteinemia, osteomyelitis and septicemia, finally can cause amputation, even dead, hazardness is very large, is the difficult problem that current medical profession faces.At present clinical treatment is mainly that anti-inflammation is main, prevents from exciting infection, but regeneration does not have good way for muscular tissue, because the granulation promoting wound that heals rapidly, so clinical efficacy is undesirable.

(3) summary of the invention

The present invention, in order to make up the deficiencies in the prior art, provides a kind of external application Chinese medicine prescription of preparing treatment decubital ulcer simple, evident in efficacy.

The present invention is achieved through the following technical solutions:

Treat an external application Chinese medicine prescription for decubital ulcer, by the raw material of following parts by weight, made:

Rhizoma Coptidis 7-12 part, Cortex Phellodendri 7-12 part, Radix Et Rhizoma Rhei 3-9 part, Semen Persicae 12-18 part, Radix Sophorae Flavescentis 3-9 part, Cortex Dictamni 7-12 part, Flos Lonicerae 12-18 part, Radix Astragali 15-25 part.

The weight proportion of its preferred each raw material is:

10 parts of Rhizoma Coptidis, 10 parts of Cortex Phellodendris, 6 parts of Radix Et Rhizoma Rhei, 15 parts, Semen Persicae, 6 parts of Radix Sophorae Flavescentiss, 10 parts of Cortex Dictamni, 15 parts of Flos Loniceraes, 20 parts of the Radixs Astragali.

After raw material of the present invention adds water intense fire and boils, slow fire is decocted at least 20 minutes slowly, makes decoction.

Wherein, the pharmaceutical characteristic of each raw material is as follows:

Rhizoma Coptidis: clearing away heat-fire, dampness, removing toxic substances.Cure mainly the high heat that calentura heresy enters heart channel, agitation, delirium or the absurd row of intenseness of heat removing blood stasis tell nosebleed, the damp and hot feeling of stuffiness in chest, has loose bowels, dysentery, the vexed insomnia of hyperactivity of heart-fire, gastropyretic vomiting, rapid digestion of food and polyorexia, liver-fire conjunctival congestion and swelling pain and temperature skin infection, furunculosis septicemia, gingival swelling and pain, aphtha of the mouth and tongue, Ting ear, hemorrhoidal bleeding, eczema, scalds;

Cortex Phellodendri: heat clearing and damp drying, eliminating fire and detoxication.Cure mainly hygropyretic dysentery, have loose bowels, jaundice, nocturnal emission, stranguria with turbid discharge, leukorrhagia, hectic fever due to YIN-deficiency consumptive fever ， flaccidity of feet with lamenness, and aphtha of the mouth and tongue, conjunctival congestion and swelling pain, skin sore, skin eczema;

Radix Et Rhizoma Rhei: attack stagnant, clearing away damp-heat, pathogenic fire purging, removing heat from blood, blood stasis dispelling, removing toxic substances.Cure mainly food stagnation constipation, the accumulation of heat feeling of stuffiness in chest; Damp-heat dysentery, jaundice, gonorrhea, edema abdominal distention, dysuria; Conjunctival congestion, laryngopharynx swelling and pain, aphtha of the mouth and tongue, gastropyretic vomiting; Spit blood, spitting of blood, epistaxis, has blood in stool, hematuria; Blood-retention, amenorrhea, the stagnant stomachache of the stasis of blood in puerperal ， lumps in the chest and abdomen, traumatic injury; Pyretic toxicity carbuncle and ulcer, erysipelas, scalds;

Semen Persicae: blood circulation promoting and blood stasis dispelling, loosening bowel to relieve constipation.Cure mainly dysmenorrhea, amenorrhea due to stagnation of blood, the stagnant stomachache of the stasis of blood in puerperal ， mass in the abdomen caking, traumatic injury, swelling and pain due to blood stasis, lung abscess, acute appendicitis, dryness of the intestine constipation;

Radix Sophorae Flavescentis: heat clearing and damp drying, wind dispelling insecticide.Cure mainly damp-heat dysentery, discharging fresh blood stool, jaundice, dysuria, edema, leukorrhagia, pudendal pruritus, scabies, leprosy, skin pruritus, noxious dampness skin infection;

Cortex Dictamni: heat clearing and damp drying, dispelling wind for relieving itching, removing toxic substances.Cure mainly the rubella eczema due to wind heat noxious dampness, scabies, jaundice, wind heat arthralgia chiefly caused by damp pathogen;

Flos Lonicerae: heat-clearing and toxic substances removing.Cure mainly affection due to external wind and heat or epidemic febrile disease heating, heatstroke, toxic-heat and blood stasis, carbuncle furuncle, sore throat, multi-infection disease;

The Radix Astragali: benefiting qi and raising yang, strengthening superficial resistance to stop perspiration, inducing diuresis to remove edema, promoting pus discharge and tissue regeneration strengthening.Cure mainly the card of all Qi and blood deficiencies, as diarrhea due to hypofunction of the spleen, cough due to deficiency of the lung, proctoptosis, uterine prolapse, spontaneous perspiration, night sweat, edema, arthralgia due to stagnation of blood, carbuncle is difficult bursts or bursts and do not hold back for a long time.

In side, Rhizoma Coptidis, Cortex Phellodendri, Radix Sophorae Flavescentis, Cortex Dictamni, Flos Lonicerae, with heat clearing and damp drying, are carried malicious putrefaction removing; Radix Et Rhizoma Rhei, Semen Persicae be with blood circulation promoting and blood stasis dispelling, the skin ulcer that disappears granulation promoting; The Radix Astragali is with spleen reinforcing lung qi, benefiting qi for promoting granulation.Take a broad view of full side, all medicines share with heat clearing and damp drying, dissolving blood stasis and detoxication, and the effect of the creation flesh that disappears, must take off the corruption of decubital ulcer pus, and sufferings must be stopped, and granulation promoting skin accelerates wound healing.

The present invention directly acts on sufferer district by Chinese medicine fumigation and washing, soak, plays antibacterial, antiinflammatory, improves wound surface blood circulation, promotes slough to come off and the effect of new granulation tissue's growth, has improved clinical cure rate, has good clinical value.

Clinical observation:

(1) clinical data

The inventor in 2007 so far, carries out clinical observation treatment to 126 routine patients with bedsore, age 41-81 year.

(2) Therapeutic Method

Conventional povidone iodine cotton balls disinfecting cleaning wound surface, removes obvious slough and hole intracavity foreign body.The container of selecting affected part position fumigation and wash method, adds suitable quantity of water by raw material, and intense fire boils, and slow fire is decocted at least 20 minutes slowly, when fluid temperature approximately 60 is spent, is put in below, disease damage position, makes the steam affected part of go directly, avoids scald.When medicinal liquid approaches body temperature, use sterile gauze flap coverage, with liquid medicine persistent instillation gauze soak wound surface.

(3) curative effect determinate standard

Criterion of therapeutical effect is with reference to relevant criterion of therapeutical effect in < < disease of tcm judgement criterion of therapeutical effect > >.

Cure: clinical symptoms all disappears, and lab testing is normal.

Effective: clinical symptoms disappears substantially, test chamber checks that each index of correlation approaches normal level.

Effective: clinical symptom relief, test chamber checks that each index of correlation makes moderate progress, sign is improved.

Invalid: clinical symptoms is without being clearly better or increasing the weight of.

(4) clinical effectiveness

Clinical cure 98 examples (77.78%), effective 21 examples (16.67%), effective 6 examples (4.76%), invalid 1 example (0.79%), total effective rate is 99.21%.

Model case:

(1) Li get Gen, man, 42 years old, peasant, people from hilllock floated in Dan County, first visit on May 28 in 2008.

Because traffic accident causes paraplegia, there is sacrococcygeal region decubital ulcer I degree before 3 years in patient, increases the weight of gradually before 1 year.The present examines, and haves a medical check-up: patient becomes thin, sacrococcygeal region decubital ulcer III degree, and about 5x5x6cm size, reaches sclerotin deeply, and subcutaneous moving under water dissociated into hole chamber, and slough and pus are many, are foul smell.AD is: decubital ulcer III degree.After debridement, give Chinese medicinal formulae treatment of the present invention, select sensitive antibiotic, strengthen Supporting Therapy 15 days, wounds hole chamber disappears, and wound surface dwindles, and granulation tissue is fresh ruddy, continual cure 14 days, conditions of patients is almost recovered.

(2) Guo Fu comes, man, 73 years old, peasant, Yang Lou people from town, Dan County, first visit on June 12 in 2010.

Patient was because of cerebral infarction 6 months, and long-term bed causes right shoulder decubital ulcer III degree, and about 3x3x4cm size, reaches flesh layer deeply, after debridement, apply prescription fumigation and wash method of the present invention, soak, treats 27 days, and conditions of patients is fully recovered.

(3) Wang Mancang, man, 80 years old, Dan County Huang gang people from town, first visit on November 6 in 2011.

The right intertrochanteric fracture bed of patient 3 months, occur RG decubital ulcer III degree, about 4x4x4cm size, reaches ischial tuberosity deeply, slough and sepage are many, stench taste, after debridement, selects sensitive antibiotic, nutritional support treatment, apply Chinese medicinal formulae fumigation and wash method of the present invention, soak, be interrupted debridement and change dressings, wound surface recovery from illness in 28 days

The present invention prepares simply, draws materials conveniently, and good absorbing effect, duration of efficacy is long, evident in efficacy, has no side effect, safe, and production cost is low, can Shorten the Treatment Process, minimizing medical expense, is conducive to sufferer and alleviates in time condition of illness.

(4) specific embodiment

Embodiment 1:

Get Rhizoma Coptidis 7g, Cortex Phellodendri 7g, Radix Et Rhizoma Rhei 3g, Semen Persicae 12g, Radix Sophorae Flavescentis 3g, Cortex Dictamni 7g, Flos Lonicerae 12g, Radix Astragali 15g, after raw material is added to water intense fire and boils, slow fire is decocted at least 20 minutes slowly, makes decoction.

Usage and dosage: conventional povidone iodine cotton balls disinfecting cleaning wound surface, remove obvious slough and hole intracavity foreign body.Select the container of affected part position fumigation and wash method, the medicinal liquid of splendid attire temperature approximately 60 degree, is put in below, disease damage position, makes the steam affected part of go directly, avoids scald.When medicinal liquid approaches body temperature, use sterile gauze flap coverage, with liquid medicine persistent instillation gauze soak wound surface.

Embodiment 2:

Get Rhizoma Coptidis 12g, Cortex Phellodendri 12g, Radix Et Rhizoma Rhei 9g, Semen Persicae 18g, Radix Sophorae Flavescentis 9g, Cortex Dictamni 12g, Flos Lonicerae 18g, Radix Astragali 25g, after raw material is added to water intense fire and boils, slow fire is decocted at least 20 minutes slowly, makes decoction.

Usage and dosage is as embodiment 1.

Embodiment 2:

Get Rhizoma Coptidis 10g, Cortex Phellodendri 10g, Radix Et Rhizoma Rhei 6g, Semen Persicae 15g, Radix Sophorae Flavescentis 6g, Cortex Dictamni 10g, Flos Lonicerae 15g, Radix Astragali 20g, after raw material is added to water intense fire and boils, slow fire is decocted at least 20 minutes slowly, makes decoction.

Usage and dosage is as embodiment 1.

Claims (3)

1. an external application Chinese medicine prescription for the treatment of decubital ulcer, it is characterized by, by the raw material of following parts by weight, made: Rhizoma Coptidis 7-12 part, Cortex Phellodendri 7-12 part, Radix Et Rhizoma Rhei 3-9 part, Semen Persicae 12-18 part, Radix Sophorae Flavescentis 3-9 part, Cortex Dictamni 7-12 part, Flos Lonicerae 12-18 part, Radix Astragali 15-25 part.

2. the external application Chinese medicine prescription for the treatment of decubital ulcer according to claim 1, it is characterized by, by the raw material of following parts by weight, made: 10 parts of Rhizoma Coptidis, 10 parts of Cortex Phellodendris, 6 parts of Radix Et Rhizoma Rhei, 15 parts, Semen Persicae, 6 parts of Radix Sophorae Flavescentiss, 10 parts of Cortex Dictamni, 15 parts of Flos Loniceraes, 20 parts of the Radixs Astragali.

3. the external application Chinese medicine prescription for the treatment of decubital ulcer according to claim 1 and 2, is characterized in that: after described raw material adds water intense fire and boils, slow fire is decocted at least 20 minutes slowly, makes decoction.