CN103638424A - Traditional Chinese medicine for treating adhesive intestinal obstruction - Google Patents

Abstract

The invention relates to the field of pharmaceutical formulas and particularly relates to a traditional Chinese medicine for treating adhesive intestinal obstruction. The traditional Chinese medicine is characterized by comprising the following raw material components in parts by weight: 10-15 parts of immature bitter oranges, 10-15 parts of honeysuckle stems, 8-12 parts of polygonatum odoratum, 8-12 parts of fennel, 20-25 parts of rhizome nardostachyos, 15-20 parts of katsumadai seeds, 15-20 parts of magnolia obavata, 10-15 parts of radix aconiti carmichaeli, 8-12 parts of semen cannabis, 3-6 parts of folium sennae, 12-16 parts of fructus trichosanthis, 17-22 parts of radix linderae, 10-15 parts of lily, 8-13 parts of atractylodes macrocephala and 8-13 parts of pinellia ternate. All the bulk drugs are dried, ground into fine powder and sieved by using a 100-mesh sieve. The traditional Chinese medicine is low in cost, high in curative effect when used for treating adhesive intestinal obstruction and free of toxic or side effect.

Description

The Chinese medicine for the treatment of adhesive ileus

Technical field

The present invention relates to a kind of Chinese patent medicine preparation, specifically a kind of Chinese medicine that is used for the treatment of adhesive ileus.

Background technology

As everyone knows, intestinal obstruction refers to normally transporting and be obstructed of enteric cavity content, and part and completeness occur can not be passed through, thus the disease of the general physiologic derangement causing.Adhesive ileus is the intestinal obstruction due to intestinal adhesion or intra-abdominal adhesions band, comparatively common, and its incidence rate accounts for all kinds of ileac 20～40%.Intestinal adhesion and intra-abdominal adhesions band form and can be divided into two kinds of congenital and posteriorities.Congenital person is more rare, can be because of due to abnormal development or meconium peritonitis; Person will be more common the day after tomorrow, and often due to intraperitoneal operation, inflammation, wound, hemorrhage, foreign body etc. cause, take clinically perform the operation after due to adhesive ileus for maximum.Abdominal operation hemostasis is not thoroughly and the hematoma forming, intestinal tube is exposed to outside abdominal cavity mistake for a long time or gauze dressing covers contact damage serous coat for a long time, the foreign bodies such as Pulvis Talci not clean on glove are brought abdominal cavity into, abdominal cavity is torn, damaged, bulk tissue ligation, the placement of intraperitoneal drainage thing, abdominal cavity or incision of abdominal wall infection etc. are all the iatrogenic factors of facilitating adhesion.Treatment to adhesive ileus, mainly takes non-operative treatment, because operative treatment can not be eliminated adhesion; On the contrary, postoperatively also may form more adhesion, clinically mainly according to the state of an illness infuse, antibiotics, gastrointestinal decompression etc.Patient often occurs that stomachache, vomiting, abdominal distention, anus, without symptoms such as aerofluxuss, have increased great misery and financial burden to patient repeatedly.

Summary of the invention

Object of the present invention is exactly in order to overcome above-mentioned the deficiencies in the prior art, and a kind of Chinese medicine powder for the treatment of adhesive ileus is provided, and cost is low, and treatment adhesive ileus curative effect is high, has no side effect.

The technical scheme that the present invention solves the problems of the technologies described above employing is: a kind of Chinese medicine for the treatment of adhesive ileus, it is characterized in that raw material forms counts with weight portion, Fructus Aurantii Immaturus 10～15, Caulis Lonicerae 10～15, Rhizoma Polygonati Odorati 8～12, Fructus Foeniculi 8～12, Radix Et Rhizoma Nardostachyos 20～25, Semen Alpiniae Katsumadai 15～20, Cortex Magnoliae Officinalis 15～20, Radix Aconiti Lateralis Preparata 10～15, Fructus Cannabis 8～12, Folium Sennae 3～6, Fructus Trichosanthis 12～16, the Radix Linderae 17～22, Bulbus Lilii 10～15, the Rhizoma Atractylodis Macrocephalae 8～13, the Rhizoma Pinelliae 8～13, the oven dry of above-mentioned raw materials medicine is ground and is ground into fine powder, cross 100 mesh sieves.

The present invention is used for the treatment of the Chinese medicine of adhesive ileus, and cost is low, and treatment adhesive ileus curative effect is high, has no side effect.

The specific embodiment

Below in conjunction with embodiment, the invention will be further described:

Embodiment 1:

First in following ratio (weight portion), get clean crude drug, Fructus Aurantii Immaturus 13, Caulis Lonicerae 13, Rhizoma Polygonati Odorati 10, Fructus Foeniculi 9, Radix Et Rhizoma Nardostachyos 22, Semen Alpiniae Katsumadai 18, Cortex Magnoliae Officinalis 18, Radix Aconiti Lateralis Preparata 12, Fructus Cannabis 10, Folium Sennae 4, Fructus Trichosanthis 14, the Radix Linderae 20, Bulbus Lilii 12, the Rhizoma Atractylodis Macrocephalae 10, the Rhizoma Pinelliae 10.Often taking medicine is 260 grams, and 15 described taste Chinese medicines are ground and are ground into fine powder, crosses 100 mesh sieves, make the Chinese medicine for the treatment of adhesive ileus, during use, in the Chinese medicine powder for the treatment of adhesive ileus, add 75% ethanol furnishing pasty state, spread on umbilicus eye and umbilicus week, thick about 5mm, diameter 6～8cm, the nontoxic preservative film of enclosing cover, cover again gauze, immobilization with adhesive tape surrounding, changing dressings every day twice, 5 is a course for the treatment of, be applied to symptom and sign and disappear, then with within three days, consolidating the anti-recurrence of curative effect.

Fructus Aurantii Immaturus meridian distribution of property and flavor of the present invention: hardship, pungent, cold.Return spleen, stomach, liver, heart channel.Cure mainly: in stagnant, stop feeling of fullness distending pain, constipation; Caulis Lonicerae is controlled epidemic febrile disease heating, toxic-heat and blood stasis, infectious hepatitis, carbuncle sore tumefacting virus, bones and muscles pain; Rhizoma Polygonati Odorati nourishing YIN and moistening the lung, nourishing the stomach to promote the production of body fluid.Cough caused by dryness, chronic cough, the dry throat and mouth of the cloudy liquid consumption of calentura wound, interior-heat is quenched one's thirst, and deficiency of YIN diseases caused by exogenous pathogenic factor are dizzy dizzy, muscle arteries and veins spasm and pain; The uterus deficiency and coldness that Fructus Foeniculi causes cold-damp, the stagnation of QI, back cold type of pain, tripe distention and fullness in the abdomen, soft stool and hernia etc. have good curative effect; Radix Et Rhizoma Nardostachyos has the effect of regulating QI to relieve pain, activating spleen and strengthening stomach, has the effect for the treatment of abdominal distention, anorexia, toothache, beriberi; Semen Alpiniae Katsumadai dampness is removed cold, the preventing the attack (or recurrence) of malaria that eliminates the phlegm, and relieving dyspepsia helps digestion.Smelting is treated: malaria, phlegm retention feeling of fullness, coldness and pain in the epigastrium, regurgitation, vomiting, dysentery, food stagnation; Cortex Magnoliae Officinalis another name: pachydermia, pipe, magnolia hypoleuca, strong Piao, Cortex Magnoliae Officinalis, CORTEX MAGNOLIAE OFFICINALIS are removing dampness by means of aromatics Chinese medicine, has circulation of qi promoting removing food stagnancy, dampness except effect full, lowering the adverse QI to relieve asthma.Cure mainly stagnation of QI due to dyspepsia, abdominal distention constipation, retention of dampness in middle-JIAO, gastral cavity painful abdominal mass is vomited and diarrhoea, and expectorant is stopped up QI rising in reverse order, and fullness in the chest is breathed with cough; Radix Aconiti Lateralis Preparata recuperating depleted YANG and rescuing the patient from collapse, warming and recuperating the spleen and kidney, dispersing cold for relieving pain.The large heat of great Xin, warming YANG is by cold; Fructus Cannabis sweet in the mouth, property is flat.Return spleen, stomach, large intestine channel.The function with loosening bowel to relieve constipation, nourishing; Folium Sennae is sweet, and hardship is cold, returns large intestine channel, rushes down lower intestinal stasis relieving, cures mainly constipation with heat retention, habitual constipation; Fructus Trichosanthis clearing away heat and eliminating phlegm, relieving stuffiness of the chest by dispersing aggregation of pathogens, moisturizes laxation.For cough due to lung-heat, the turbid Huang of expectorant is thick, obstruction of qi in the chest and cardialgia, and blocked-up chest feeling of fullness, acute mastitis, lung abscess, acute appendicitis swells and ache, constipation; Radix Linderae cold expelling recuperating depleted YANG, warming middle-JIAO for easing the stomach.Main insidious typhoid fever, cold vomiting and diarrhoea, hernia stomachache; Bulbus Lilii has nourishing the lung to arrest cough, clearing away heart-fire for tranquillization effect, can be used for after pulmonary tuberculosis spitting of blood, chronic cough of deficiency lung, fidgets due to deficiency palpitation with fear, insomnia and calentura the diseases such as waste heat is clear, restlessness and thirst; The Rhizoma Atractylodis Macrocephalae has invigorating the spleen and benefiting QI, dampness diuretic, hidroschesis, antiabortive effect.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; The Rhizoma Pinelliae has the function of drying dampness to eliminate phlegm, dissolving lump and resolving mass, and treatment damp-phlegm cold drink, vomiting, regurgitation, cough, abundant expectoration, headache sleeplessness etc. are had to good effect.The mutual coordinative role of the ingenious prescription medicine of 15 taste Chinese herbal medicine, the specially good effect of co-therapy adhesive ileus.

Intestinal obstruction belongs to the category of the traditional Chinese medical science " obstruction and rejection ", " intestinal knot " and abdominal distention, common pain, vomit, swollen, the symptom such as close, belong to the symptom of six internal organs.According to the principle of Chinese medicine the six hollow viscera must keep its unobstructed, the Tongli of take is captured as main, and circulation of qi promoting heat-clearing and toxic substances removing is auxiliary.In the catabasis, note, in conjunction with conditioning, making taste strong, transporting is had the right.When adopting the present invention to treat the Chinese medicine powder treatment of adhesive ileus, can be by the state of an illness in conjunction with Comprehensive Treatments such as transfusion, antibiotics, gastrointestinal decompressions, to prevent the generation of strangulation, complete intestinal obstruction, and avoided the recurrence of adhesive ileus.。

The embodiment that each raw material of the present invention also can the listed ratio of according to the form below (weight portion) mixes realizes.Its processing technique is identical with embodiment 1.

Below in conjunction with my institute, the clinical trial that Wendeng City, In Shandong Weihai central hospital carries out is done further, is described in detail the present invention:

1, the most patients of diagnostic criteria: a. have abdominal operation, wound, hemorrhage and inflammatory medical history, and b. clinical manifestation is paroxysmal abdominal pain, and companion feels sick, just tells, abdominal distention and stop passage of gas by anus, defecation etc.The visible abdominal part visible peristalsis visible intestinal peristalsis of physical examination and peristalsis, block when intestinal is mixed fixedly and can touch enclosed mass, abdominal cavity liquid increases or can have peritoneal irritation sign or shifting dullness, bowel sound hyperaction during guttie, and audible and gur gling, the c.X line vertical position visible flatulence intestinal tube of plain abdominal radiograph and a plurality of air fluid level.

2, physical data:

My institute 2007～2012 years, adopts the Chinese medicine for the treatment of adhesive ileus to treat altogether 60 examples.Man's 34 examples, female's 26 examples; 16～72 years old age, average 32 years old; Course of disease 10d～3 year, average 11 months.16 examples after Appendectomy, 18 examples after gastric perforation, subtotal gastrectomy, 10 examples after intestinal obstruction, enterorrhexis, adhesion alleviation kposthesis, postoperative 8 examples of liver spleen, post gynecologic operation 8 examples.All cases meets adhesive ileus diagnostic criteria, and clinical manifestation all has abdominal distention, stomachache, feels sick, vomiting, defecation are not smooth, and abdominal radiograph all has obvious intestinal tympanites and fluid level.

3, Therapeutic Method: treat to the present invention in the Chinese medicine powder of adhesive ileus and add 75% ethanol furnishing pasty state, spread on umbilicus eye and umbilicus week, thick about 5mm, diameter 6～8cm, the nontoxic preservative film of enclosing cover, then cover gauze, immobilization with adhesive tape surrounding, changing dressings every day twice, 5 is a course for the treatment of, treats altogether 12 courses for the treatment of.In the above-mentioned composite treatment of application, can be according to comprehensive methods of Chinese and western medicine such as the transfusion of state of an illness fit applications, antibiotics, gastrointestinal decompressions.

4, treatment standard

Effective: free movement of the bowels, abdominal distention stomachache, nausea and vomiting disappear, and it is normal that Working Life recovers, and in 1 year, do not recur; Effective: free movement of the bowels, abdominal distention stomachache, nausea and vomiting disappear, and it is normal that Working Life recovers, but have recurrence in 1 year; Invalid; Intestinal obstruction symptom can not be alleviated, and changes operative treatment into.

5, therapeutic effect: the Chinese medicine powder that uses the present invention to treat adhesive ileus is treated 60 examples altogether, effective 48 examples of result, effective 9 examples, invalid 3 examples, total effective rate is 95%, inefficiency is 5%.

Claims (1)

1. a Chinese medicine for the treatment of adhesive ileus, it is characterized in that: raw material forms to be counted with weight portion, Fructus Aurantii Immaturus 10～15, Caulis Lonicerae 10～15, Rhizoma Polygonati Odorati 8～12, Fructus Foeniculi 8～12, Radix Et Rhizoma Nardostachyos 20～25, Semen Alpiniae Katsumadai 15～20, Cortex Magnoliae Officinalis 15～20, Radix Aconiti Lateralis Preparata 10～15, Fructus Cannabis 8～12, Folium Sennae 3～6, Fructus Trichosanthis 12～16, the Radix Linderae 17～22, Bulbus Lilii 10～15, the Rhizoma Atractylodis Macrocephalae 8～13, the Rhizoma Pinelliae 8～13, the oven dry of above-mentioned raw materials medicine is ground and is ground into fine powder, cross 100 mesh sieves.