CN103721164B - One treats ileac medicine and preparation method thereof - Google Patents
One treats ileac medicine and preparation method thereof Download PDFInfo
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Abstract
The invention discloses one and treat ileac medicine and preparation method thereof, it is mainly prepared from according to a certain weight ratio by medicines such as Squama Manis, Folium Sennae, Mel, Semen Arecae, Herba Erodii, Cortex Moutans, medicine of the present invention has eliminating dampness by diuresis and expels the heat-evil, moisturize the function of laxation, be used for the treatment of intestinal obstruction instant effect, good effect, does not recur.
Description
Technical field
The present invention relates to one and treat ileac medicine and preparation method thereof, belong to the field of Chinese medicines.
Technical background
The intestinal contents that any reason causes is referred to as intestinal obstruction by obstacle.It is one of common Surgical Acute Venter Diseases.Sometimes acute ileus difficult diagnosis, PD is fast, often causes death.Current mortality rate is generally 5% ~ 10%, and person is 10% ~ 20% strangulated intestinal obstruction.Water, electrolyte and acid base imbalance, and the large merging pulmonary insufficiency of patient age etc. is often the cause of death.At present, western medicine intestinal obstruction poor effect, and long-term taking Western medicine has more side effect, therefore, there is very large demand to the ileac Chinese medicine of rapid, effective treatment in people.
Summary of the invention
The present inventor, according to the research of theory of Chinese medical science and clinical test repeatedly and checking, finally have found the effectively ileac medicine for the treatment of, thus completes the present invention.
Object of the present invention is just to provide one can effectively treat ileac composition of medicine.
Another object of the present invention just there is provided the preparation method of this composition of medicine.
Medicine of the present invention selects Squama Manis, Folium Sennae, Mel, Semen Arecae, Herba Erodii, Cortex Moutan, Semen Brassicae Campestris, Rhizoma Polygonati, Pericarpium Arecae, Fructus Perillae, Fructus Trichosanthis, Radix Cucurbitae, Radix Ginseng Rubra, Rhizoma Acori Graminei, Rhizoma Corydalis, Herba Asari, Rhizoma Atractylodis, Fructus Aurantii Immaturus, the Rhizoma Pinelliae, Cortex Meliae, the Radix Paeoniae Alba, Radix Raphani, Fructus Chaenomelis, Rhizoma Alismatis, Semen Pruni, Semen Armeniacae Amarum, Fructus Amomi, Spica Prunellae, Fructus Cannabis, Radix Saposhnikoviae, Rhizoma Dioscoreae, Pericarpium Citri Reticulatae Viride, Herba Lycopi, Fructus Foeniculi medicine to combine, made by these drug regimens each efficacy of drugs produce synergism, thus can effectively treat ileac recurrence.Wherein select Squama Manis to be because its nature and flavor are salty, cool, enter liver, stomach warp, have the routed carbuncle of detumescence, search wind active, the function of stimulating milk secretion of stimulating the menstrual flow, control carbuncle skin ulcer and swell, anemofrigid-damp arthralgia, amenorrhea, galactostasis, external is stopped blooding.Folium Sennae is selected to be because its nature and flavor sweetness and bitterness, cold, enter large intestine channel, have the function of the intestinal stasis relieving that purges heat, control constipation with heat retention, stagnant abdominal distention.Select Mel to be that flat, enter lung, spleen, large intestine channel, have invigorating middle warmer, moisturize, pain relieving, the function of removing toxic substances, controls xeropulmonary cough, dryness of the intestine constipation, gastralgia, nasal sinusitis, aphtha, the burning hot wound of soup because its nature and flavor are sweet, separate Aconitum Carmichaeli.Select Semen Arecae to be because its nature and flavor toil, temperature, enters spleen, stomach, large intestine channel, has parasite killing, removing mass, the therapeutic method to keep the adverse QI flowing downwards, the function of row water, control malnutrition due to parasitic infestation, dyspepsia, abdominal distention, and heavy after dysentery, malaria, edema, beriberi, accumulation of phlegm in the hypochondrium , Disorder ties.Select Herba Erodii to be because its nature and flavor toil, dispel the wind, invigorate blood circulation, the function of heat-clearing and toxic substances removing, dispelling the wind and dampness pathogens pain, contracture is numb, carbuncle, traumatic injury, enteritis, dysentery.Cortex Moutan is selected to be because its nature and flavor are worked hard, cool, enter the heart, liver, kidney channel, have heat clearing away, removing heat from blood, and blood, the function of repercussive, controls the pathogenic heat attacking blood system in febrile diseases, and send out speckle , Jing Epilepsy, tell, be defeated in battle, have blood in stool, hectic fever due to YIN-deficiency consumptive fever, amenorrhea , mass in the abdomen, carbuncle and ulcer, flutters damage.Semen Brassicae Campestris is selected to be because its nature and flavor are pungent, temperature, nontoxic, there is promoting the circulation of blood, dispelling the stagnated QI, detumescence, the function of eliminating stagnation, the abdominal pain due to stagnation of blood after managing property, dysentery, toxic swelling, anal fistula.Select Rhizoma Polygonati to be because its nature and flavor are sweet flat, enter spleen, lung, kidney channel, have invigorating the spleen and replenishing QI, profit cardiopulmonary, the function of bone and muscle strengthening, controls deficient cold and heat, pulmonary tuberculosis hemoptysis, after being ill the empty lack of appetite of body, and muscles and bones is weak, rheumatalgia, wind favus disease.Pericarpium Arecae is selected to be that tepor, enters spleen, stomach, intestine and small intestine warp, have therapeutic method to keep the adverse QI flowing downwards alleviating distention in middle-JIAO, the function of row water, controls gastral cavity abdomen painful abdominal mass swollen, beriberi, edema because its nature and flavor are pungent.Fructus Perillae is selected to be that temperature, enter lung, large intestine channel, have the therapeutic method to keep the adverse QI flowing downwards, expectorant, lung moistening, the function of wide intestinal, controls cough with dyspnea, phlegm dyspnea, the stagnation of QI, constipation because its nature and flavor are pungent.Select Fructus Trichosanthis to be because sweet, the micro-hardship of its nature and flavor, cold, return lung, stomach, large intestine channel, have clearing away heat and eliminating phlegm, relieving stuffiness of the chest by dispersing aggregation of pathogens, moisturize the function of laxation, control cough due to lung-heat, the turbid Huang of expectorant is thick, obstruction of qi in the chest and cardialgia, blocked-up chest feeling of fullness, acute mastitis, acute appendicitis, constipation.Radix Cucurbitae is selected to be that lightly seasoned, nontoxic, favourable damp and hot, the function of promoting lactation, controls gonorrhea, jaundice, dysentery, galactostasis because its property is put down.Select Radix Ginseng Rubra to be because sweet, the micro-hardship of its nature and flavor, temperature, returns spleen, lung, heart channel, has strongly invigorating primordial QI, and multiple arteries and veins takes off admittedly, and the function of nourishing qi to stop, controls weak body and prostration, cold extremities faint pulse, QI failing to control blood, metrostaxis, heart failure, cardiogenic shock.Rhizoma Acori Graminei is selected to be that tepor, enters the heart, liver, spleen channel, have and have one's ideas straightened out, eliminating phlegm, regulate the flow of vital energy, invigorate blood circulation because its nature and flavor are worked hard, loose wind, the function of drying, Zhi 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.Rhizoma Corydalis is selected to be that temperature, enter liver, stomach warp, invigorate blood circulation, dissipating blood stasis, regulates the flow of vital energy, the function of pain relieving, controls all pains of trusted subordinate's waist knee joint, menoxenia , mass in the abdomen, metrorrhagia, puerperal blood faints, lochiorrhea, traumatic injury because its nature and flavor are worked hard.Select Herba Asari to be that temperature, enters lung, kidney channel, dispel the wind, cold expelling, row water because its nature and flavor are pungent, open the function of stealing, control air-cooled headache, nasal sinusitis, pain relieving, phlegm retention cough with dyspnea, rheumatic arthralgia.Rhizoma Atractylodis are selected to be that temperature, enters spleen, stomach warp, have spleen invigorating, dampness, resolving depression, ward off dirty function because its nature and flavor are worked hard, control wet Sheng and be stranded spleen, asthenia drowsiness, gastral cavity painful abdominal mass abdominal distention, inappetence, vomiting, has loose bowels, dysentery, malaria, phlegm retention, edema, seasonal epidemic pathogens is caught a cold, anemofrigid-damp arthralgia, flaccidity of the lower limbs, nyctalopia.Select Fructus Aurantii Immaturus to be because its nature and flavor are bitter, cold, enter spleen, stomach warp, have dispelling the stagnated QI, loose painful abdominal mass, rush down expectorant, the function of removing food stagnancy, controls chest and abdomen swelling and pain, the thoracic obstruction, painful abdominal mass pain, accumulation of phlegm in the hypochondrium, edema, food stagnation, constipation, gastroptosis, uterine prolapse, proctoptosis.Select the Rhizoma Pinelliae to be because its nature and flavor are pungent, temperature, poisonous, enter spleen, stomach warp, have drying dampness to eliminate phlegm, stopping nausea and vomiting by lowering the adverse flow of QI, the function of dissolving lump and resolving mass, control damp-phlegm cold drink, vomiting, regurgitation, cough with asthma abundant expectoration, chest and diaphragm distension, syncope due to accumulation of phlegm is had a headache, dizzy sleeplessness, outer subduing inflammation.Cortex Meliae is selected to be that cold, poisonous, have heat clearing away, dampness, the function of parasite killing, controls ascarid, pinworm, rubella, scabies because its nature and flavor are bitter.Select the Radix Paeoniae Alba to be because its nature and flavor picric acid, cool, enter liver, spleen channel, have nourishing blood to suppress the hyperactive liver, pain relieving in slow, yin fluid astringing receives the function of antiperspirant, controls the breast abdomen pain over the hypochondriac region, and dysentery is suffered from abdominal pain, spontaneous sweating, fever due to yin deficiency, menoxenia, metrorrhagia, leukorrhagia.Select Radix Raphani to be because its property acrid-sweet flavor, cool, enter lung, stomach warp, have removing food stagnancy stagnant, heat of reducing phlegm, the therapeutic method to keep the adverse QI flowing downwards, alleviating distention in middle-JIAO, the function of removing toxic substances, control food stagnation distension, phlegmatic cough aphonia, spit blood, epistaxis, quenches one's thirst, dysentery, migraine and general headache.Fructus Chaenomelis is selected to be that temperature, enters liver, spleen channel, have suppressing the hyperactive liver and easing the stomach, the function of the relaxing muscles and tendons that dries, and controls convulsion of vomiting and diarrhoea, arthralgia chiefly caused by damp pathogen, beriberi, edema, dysentery because its nature and flavor acid.Select Rhizoma Alismatis to be that cold, enter urinary bladder channel, have diuretic, eliminating dampness by diuresis, the function expelled the heat-evil, controls dysuria because its nature and flavor are sweet, edema anus is full, vomiting, dysentery, phlegm retention, beriberi, gonorrhea, hematuria.Select Semen Pruni to be because its nature and flavor are worked hard sweet, flat, enter spleen, intestine and small intestine warp, have and moisturize, laxation, the therapeutic method to keep the adverse QI flowing downwards, the function of diuretic, controls QI stagnation of the large intestine, dry puckery obstructed, dysuria, extensive abdominal edema, extremity edema, beriberi.Semen Armeniacae Amarum is selected to be that temperature, poisonous, enter lung, large intestine channel, have expelling phlegm for arresting cough, relieving asthma, the function of intestine moistening, controls exogenous cough, dyspnea with fullness of the chest, sore throat, dryness of the intestine constipation because its nature and flavor are bitter.Select Fructus Amomi to be that temperature, enters spleen, stomach warp because its nature and flavor are pungent, in having circulation of qi promoting to adjust, stomach function regulating, the function of being amusing, control stomachache painful abdominal mass swollen, anorexia dyspepsia, chokes every vomiting, diarrhea due to cold pathogen cold-dysentery, pregnant fetal movement.Select Spica Prunellae to be because its nature and flavor toil, cold, enter liver, gallbladder meridian, have liver heat removing, the function of eliminating stagnation, controls scrofula, goiter, acute mastitis, breast carcinoma, order pearl nyctalgia, photophobia is shed tears, the vertigo, facial hemiparalysis, bones and muscles pain, pulmonary tuberculosis, acute icteric infectious hepatitis, metrorrhagia, leukorrhagia.Fructus Cannabis is selected to be that flat, enter spleen, stomach, large intestine channel, have and moisturize, laxation, treating stranguria, the function of invigorating blood circulation, control dryness of the intestine constipation, quench one's thirst, pyretic stranguria, migratory arthralgia, dysentery, menoxenia, scabies, tinea is insane because its nature and flavor are sweet.Select Radix Saposhnikoviae to be because its property acrid-sweet flavor, temperature, enters bladder, lung, spleen channel, delivers, dispel the wind, and victory is wet, and the function of pain relieving, controls affection of exogenous wind-cold, and headache is dizzy, stiffness of the nape, anemofrigid-damp arthralgia, and joint is ached, and extremity contraction is anxious, tetanus.Select Rhizoma Dioscoreae to be because its nature and flavor are sweet, flat, enter lung, spleen, kidney channel, have spleen invigorating, tonifying the lung, reinforce the kidney, the function of benefit essence, controls diarrhea due to hypofunction of the spleen, chronic dysentery, cough due to consumptive disease, quenches one's thirst, seminal emission, leukorrhagia, frequent micturition.Select Pericarpium Citri Reticulatae Viride to be that tepor, enters liver, gallbladder meridian, has soothing the liver dispelling the stagnated QI, the function of eliminating stagnation expectorant because its nature and flavor toil, control breast side of body gastralgia, hernia, food stagnation, swelling of the breast, nodule in the breast, chronic malaria addiction block.Herba Lycopi is selected to be that tepor, enters liver, spleen channel, invigorate blood circulation, the function of row water, controls amenorrhea , mass in the abdomen, the stagnant stomachache of the stasis of blood in puerperal, body and face edema, injury from falling down, incised wound, carbuncle because its nature and flavor toil.Select Fructus Foeniculi to be that temperature, returns liver,kidney,spleen, stomach warp, have dispersing cold for relieving pain, the function of regulating qi-flowing for harmonizing stomach because its nature and flavor are pungent, control colic of cold type stomachache, the testis swelling and hanging down of either of the testes, dysmenorrhea, few abdomen cold type of pain, distension and fullness in the abdomen, lack of appetite and vomiting, hydrocele of testis.
Detailed description of the invention
The drug dose of instant component is also that inventor draws through groping in a large number to sum up, and the consumption of each component all has good therapeutic effect within the scope of following weight
Squama Manis 15-25 gram of Folium Sennae 5-15 gram of Mel 10-20 gram
Semen Arecae 10-20 gram of Herba Erodii 5-15 gram of Cortex Moutan 5-15 gram
Semen Brassicae Campestris 10-20 gram of Rhizoma Polygonati 5-15 gram of Pericarpium Arecae 5-15 gram
Fructus Perillae 10-20 gram of Fructus Trichosanthis 5-15 gram of Radix Cucurbitae 5-15 gram
Radix Ginseng Rubra 15-25 gram of Rhizoma Acori Graminei 5-15 gram of Rhizoma Corydalis 10-20 gram
Herba Asari 15-25 gram of Rhizoma Atractylodis 5-15 gram of Fructus Aurantii Immaturus 10-20 gram
Rhizoma Pinelliae 15-25 gram of Cortex Meliae 5-15 gram of Radix Paeoniae Alba 10-20 gram
Radix Raphani 15-25 gram of Fructus Chaenomelis 15-25 gram of Rhizoma Alismatis 10-20 gram
Semen Pruni 15-25 gram of Semen Armeniacae Amarum 15-25 gram of Fructus Amomi 10-20 gram
Spica Prunellae 15-25 gram of Fructus Cannabis 15-25 gram of Radix Saposhnikoviae 10-20 gram
Rhizoma Dioscoreae 10-20 gram of Pericarpium Citri Reticulatae Viride 5-15 gram of Herba Lycopi 5-15 gram
Fructus Foeniculi 15-25 gram
Preferable amount is
Squama Manis 20 grams of Folium Sennae 10 grams of Mel 15 grams
Semen Arecae 15 grams of Herba Erodiis 10 grams of Cortex Moutans 10 grams
Semen Brassicae Campestris 15 grams of Rhizoma Polygonatis 10 grams of Pericarpium Arecae 10 grams
Fructus Perillae 15 grams of Fructus Trichosanthis 10 grams of Radix Cucurbitae 10 grams
Radix Ginseng Rubra 20 grams of Rhizoma Acori Graminei 10 grams of Rhizoma Corydalis 15 grams
Herba Asari 20 grams of Rhizoma Atractylodis 10 grams of Fructus Aurantii Immaturuss 15 grams
The Rhizoma Pinelliae 20 grams of Cortex Meliaees 10 grams of Radix Paeoniae Albas 15 grams
Radix Raphani 20 grams of Fructus Chaenomeliss 20 grams of Rhizoma Alismatis 15 grams
Semen Pruni 20 grams of Semen Armeniacae Amarums 20 grams of Fructus Amomis 15 grams
Spica Prunellae 20 grams of Fructus Cannabiss 20 grams of Radix Saposhnikoviaes 15 grams
Rhizoma Dioscoreae 15 grams of Pericarpium Citri Reticulatae Virides 10 grams of Herba Lycopi 10 grams
Fructus Foeniculi 20 grams
The preparation method of medicine of the present invention is as follows
One, get the raw materials ready
1, Squama Manis: get the Squama Manis sheet picking clean, separately size, separately puts sand in pot and makes popular, add Squama Manis sheet, frying to heaving in time golden yellow, taking out, and sieve shakeout, cools;
2, Folium Sennae: get crude drug, except discarding stalk, impurity;
3, Mel: get pure Mel, temper with slow fire, filters skimming;
4, Semen Arecae: pick decontamination, soaks with clear water, changes water, to soaking, pick up by temperature situation, and section, dries;
5, Herba Erodii: pick decontamination, removing undesirable root, washes, pulls out, cutting, dry;
6, Cortex Moutan: pick decontamination, removing core, cleans, runs through, and section, dries;
7, Semen Brassicae Campestris: between the 4-6 month, during seed maturity, aerial parts is cut off, dry, hit seed down, removing impurity, dries;
8, Rhizoma Polygonati: clean earth, slightly profit, section, dries;
9, Pericarpium Arecae: pick clean impurity, rolloff makes soft, beats, sieve removes spare;
10, Fructus Perillae: dedust of winnowing with a dustpan is considered to be worth doing, cleans, dries;
11, Fructus Trichosanthis: get crude drug, removing impurity and fruit stem, clean, and flattens, shredding or fritter, dry;
12, Radix Cucurbitae: pick clean impurity, cleans, dries;
13, Radix Ginseng Rubra: get crude drug, runs through, shave, dry;
14, Rhizoma Acori Graminei: pick decontamination, cleans, soaks slightly, run through, and section, dries;
15, Rhizoma Corydalis: pick decontamination, is soaked in water, and clean, solarization is dried in the air, and profit is even to inside and outside humidity, cuts into slices or smashes;
16, Herba Asari: Ex-all impurity, by water spray profit, timely cutting, dries;
17, Rhizoma Atractylodis: pick decontamination, with blister to seven, most probably thoroughly, pull out, run through rear section, dry;
18, Fructus Aurantii Immaturus: pick clean impurity, be soaked in water to eighty per cant thoroughly, pull out, profit, to interior without hard-core, cut into slices, is dried;
19, the Rhizoma Pinelliae: pick decontamination, sieve dedust bits;
20, Cortex Meliae: clean, slightly soak, run through, shredding, dry;
21, the Radix Paeoniae Alba: pick decontamination, separately size, be soaked in water to eighty per cant thoroughly, pull out, solarization is dried in the air, and profit is even to inside and outside humidity, and section is dry;
22, Radix Raphani: remove neck leaf, cleans, dries;
23, Fructus Chaenomelis: clear water is cleaned, and slightly soaks, moistening, to thoroughly, is put in food steamer and is cooked, cut into slices while hot, weather exposure, with by red turn atropurpureus till;
24, Rhizoma Alismatis: pick decontamination, size stepping, be soaked in water to eighty per cant thoroughly, pull out, shine cool, moistening is even to inside and outside humidity, and section, dries;
25, Semen Pruni: sieve removes spare, wash in a pan clean, pick clean impurity and broken shell, dry, the used time smashs to pieces;
26, Semen Armeniacae Amarum: pick clean impurity, put in boiling water and slightly boil, pulls out when crust micro-wrinkle, in leaching cold water, sloughs seed coat, dries, and winnows with a dustpan clean;
27, Fructus Amomi: pick decontamination and shell, smash to pieces;
28, Spica Prunellae: get crude drug, except discarding stalk, blade and impurity, sieve dedust bits;
29, Fructus Cannabis: pick decontamination and residual shell, get clean core;
30, Radix Saposhnikoviae: remove residual stem, be soaked in water, pull out, run through section, dry;
31, Rhizoma Dioscoreae: pick clean impurity, is soaked in water when softening to Rhizoma Dioscoreae central part, pulls out and slightly dry in the air, and section is dried or dried;
32, Pericarpium Citri Reticulatae Viride: pick clean impurity, be soaked in water, pull out, run through, section, dries;
33, Herba Lycopi: pick decontamination, removing undesirable root, water spray slightly moistens, and cutting is dried;
34, Fructus Foeniculi: get crude drug, removing impurity.
Two, prepare
1, the Squama Manis of described weight, Folium Sennae, Mel, Semen Arecae, Herba Erodii, Cortex Moutan, Semen Brassicae Campestris, Rhizoma Polygonati, Pericarpium Arecae, Fructus Perillae, Fructus Trichosanthis, Radix Cucurbitae, Radix Ginseng Rubra, Rhizoma Acori Graminei, Rhizoma Corydalis, Herba Asari, Rhizoma Atractylodis, Fructus Aurantii Immaturus, the Rhizoma Pinelliae, Cortex Meliae, the Radix Paeoniae Alba, Radix Raphani, Fructus Chaenomelis, Rhizoma Alismatis, Semen Pruni, Semen Armeniacae Amarum, Fructus Amomi, Spica Prunellae, Fructus Cannabis, Radix Saposhnikoviae, Rhizoma Dioscoreae, Pericarpium Citri Reticulatae Viride, Herba Lycopi, Fructus Foeniculi medicine are added 6 times of water gagings and soak, soak after 150 minutes, intense fire decocts boiling 10 minutes, use slow fire boiling again 30 minutes, filter first time decoction liquor.
2, add water the medicinal residues of filtration 5 times amount, and intense fire decocts boiling, then uses slow fire boiling 40 minutes, filters to obtain second time decoction liquor.
3, by twice decoction liquor mixing, then simmer in water 10 minutes and get final product, decoction liquor being divided into 6 doses to take.
Medicine of the present invention has eliminating dampness by diuresis and expels the heat-evil, and moisturizes effect of laxation, is used for the treatment of intestinal obstruction, short treating period, instant effect, non-relapse after healing, has no side effect.
Set forth the beneficial effect of medicine of the present invention further below by way of test example, these test examples include animal toxicity test report and the clinical observation material of medicine of the present invention.
The animal toxicity test report of [test example 1] medicine of the present invention
Get rabbit 30, male and female dual-purpose, body weight 2.0-2.4kg, divide two groups, often organize 15, wherein one group is overdose test group, and another group is normal amount test group.Super quantity group is 20ml/kg, and normal amount is 10ml/kg, and administering mode is administration by gavage administration, every day 2 times, serve on 7 days, observes administration reaction every day, and result shows that two groups of rabbit are movable, diet is normal, and medicine is without bad toxic and side effects.
The ileac clinical observation material of [test example 2] Drug therapy of the present invention
1, physical data
Accept out-patient's totally 173 examples for medical treatment.
2, diagnostic criteria
(1) adhesive ileus
Performance:
(1) there is the medical history of chronic obstruction symptom and repeatedly acute attack repeatedly in the past;
(2) most patient has abdominal operation, wound, hemorrhage, foreign body or inflammatory diseases history;
(3) clinical symptoms is paroxysmal abdominal pain, companion's Nausea and vomiting, abdominal distention and stopping exhaust defecation etc.
Health check-up:
(1) systemic conditions: blocking early stage many without obviously changing, the sign that body fluid is lost can be occurred late period.Systemic toxicity profiles symptom and shock can be there is when there is strangulation;
(2) abdomen examination should note following situation: the visible incision of abdominal wall cicatrix of person that 1. has Previous abdominal surgery; 2. patient can have abdominal distention, and how asymmetric abdominal distention is; 3. most visible visible peristalsis visible intestinal peristalsis and peristalsis; 4. how not obvious abdominal tenderness is in early days, can occur obvious tenderness with PD; 5. block when intestinal loop is comparatively fixed and can lay one's hand on and tenderness enclosed mass; 6. peritoneal fluid increases or guttie person can have peritoneal irritation sign or shifting dullness; 7. intestinal obstruction all shows bowel sound hyperaction before being developed to guttie, enteroparalysis, and audible and gur gling or metallic sound.
(2) strangulated intestinal obstruction
Performance:
(1) stomachache is persistence tormina, frequent paroxysmal aggravation, and without interval of stopping completely, vomiting can not make abdominal pain and distension alleviate;
(2) vomiting occurs early and more frequent;
(3) namely occur that general changes in early days, as pulse frequency speeds, body temperature raises, and numeration of leukocyte increases, or namely has shock tendency in early days;
(4) abdominal distention: low small intestine obstruction abdominal distention is obvious, closing button loop property small intestinal obstruction is asymmetric abdominal distention, can touch isolated swell intestinal loop, not exhaust defecation;
(5) Continuous Observation: can find that body temperature raises, the septic shocks such as pulse is accelerated, blood pressure drops, disturbance of consciousness performance, borborygmus weakened from hyperfunction transferring to;
(6) obvious peritoneal irritation sign;
(7) vomitus is courageous and upright or anus discharge bloody fluid;
(8) abdominal paracentesis is bloody fluid.
3, Therapeutic Method
Select above-mentioned medicament, take to patient, each serving with 1 dose, every day is early, middle and late respectively takes 1 time, within 10 days, is a course for the treatment of, takes 4 courses for the treatment of continuously.
4, efficacy assessment standard
Effective: ileus symptoms disappears, body constitution recovers normal;
Take a turn for the better: ileus symptoms is clearly better, and body constitution is progressively recovered;
Invalid: not reach improvement standard person.
5, therapeutic outcome (seeing the following form)
In above-mentioned treatment, by Drug therapy intestinal obstruction patient 173 example of the present invention, effective 162 examples of result, obvious effective rate is 93.64%, and take a turn for the better 8 examples, and improvement rate is 4.62%, and invalid 3 examples, total effective rate is 98.26%.
Claims (3)
1. treat an ileac medicine, it is characterized in that: it is made up of the crude drug in following weight range:
Squama Manis 15-25 gram of Folium Sennae 5-15 gram of Mel 10-20 gram
Semen Arecae 10-20 gram of Herba Erodii 5-15 gram of Cortex Moutan 5-15 gram
Semen Brassicae Campestris 10-20 gram of Rhizoma Polygonati 5-15 gram of Pericarpium Arecae 5-15 gram
Fructus Perillae 10-20 gram of Fructus Trichosanthis 5-15 gram of Radix Cucurbitae 5-15 gram
Radix Ginseng Rubra 15-25 gram of Rhizoma Acori Graminei 5-15 gram of Rhizoma Corydalis 10-20 gram
Herba Asari 15-25 gram of Rhizoma Atractylodis 5-15 gram of Fructus Aurantii Immaturus 10-20 gram
Rhizoma Pinelliae 15-25 gram of Cortex Meliae 5-15 gram of Radix Paeoniae Alba 10-20 gram
Radix Raphani 15-25 gram of Fructus Chaenomelis 15-25 gram of Rhizoma Alismatis 10-20 gram
Semen Pruni 15-25 gram of Semen Armeniacae Amarum 15-25 gram of Fructus Amomi 10-20 gram
Spica Prunellae 15-25 gram of Fructus Cannabis 15-25 gram of Radix Saposhnikoviae 10-20 gram
Rhizoma Dioscoreae 10-20 gram of Pericarpium Citri Reticulatae Viride 5-15 gram of Herba Lycopi 5-15 gram
Fructus Foeniculi 15-25 gram.
2. medicine according to claim 1, wherein the consumption of each crude drug is:
Squama Manis 20 grams of Folium Sennae 10 grams of Mel 15 grams
Semen Arecae 15 grams of Herba Erodiis 10 grams of Cortex Moutans 10 grams
Semen Brassicae Campestris 15 grams of Rhizoma Polygonatis 10 grams of Pericarpium Arecae 10 grams
Fructus Perillae 15 grams of Fructus Trichosanthis 10 grams of Radix Cucurbitae 10 grams
Radix Ginseng Rubra 20 grams of Rhizoma Acori Graminei 10 grams of Rhizoma Corydalis 15 grams
Herba Asari 20 grams of Rhizoma Atractylodis 10 grams of Fructus Aurantii Immaturuss 15 grams
The Rhizoma Pinelliae 20 grams of Cortex Meliaees 10 grams of Radix Paeoniae Albas 15 grams
Radix Raphani 20 grams of Fructus Chaenomeliss 20 grams of Rhizoma Alismatis 15 grams
Semen Pruni 20 grams of Semen Armeniacae Amarums 20 grams of Fructus Amomis 15 grams
Spica Prunellae 20 grams of Fructus Cannabiss 20 grams of Radix Saposhnikoviaes 15 grams
Rhizoma Dioscoreae 15 grams of Pericarpium Citri Reticulatae Virides 10 grams of Herba Lycopi 10 grams
Fructus Foeniculi 20 grams.
3. the preparation method of medicine according to claim 1 or 2, is characterized in that: it comprises the following steps:
(1) get the raw materials ready
(1) Squama Manis: get the Squama Manis sheet picking clean, separately size, separately puts sand in pot and makes popular, add Squama Manis sheet, frying to heaving in time golden yellow, taking out, and sieve shakeout, cools;
(2) Folium Sennae: get crude drug, except discarding stalk, impurity;
(3) Mel: get pure Mel, temper with slow fire, filters skimming;
(4) Semen Arecae: pick decontamination, soaks with clear water, changes water, to soaking, pick up by temperature situation, and section, dries;
(5) Herba Erodii: pick decontamination, removing undesirable root, washes, pulls out, cutting, dry;
(6) Cortex Moutan: pick decontamination, removing core, cleans, runs through, and section, dries;
(7) Semen Brassicae Campestris: between the 4-6 month, during seed maturity, aerial parts is cut off, dry, hit seed down, removing impurity, dries;
(8) Rhizoma Polygonati: clean earth, slightly profit, section, dries;
(9) Pericarpium Arecae: pick clean impurity, rolloff makes soft, beats, sieve removes spare;
(10) Fructus Perillae: dedust of winnowing with a dustpan is considered to be worth doing, cleans, dries;
(11) Fructus Trichosanthis: get crude drug, removing impurity and fruit stem, clean, and flattens, shredding or fritter, dry;
(12) Radix Cucurbitae: pick clean impurity, cleans, dries;
(13) Radix Ginseng Rubra: get crude drug, runs through, shave, dry;
(14) Rhizoma Acori Graminei: pick decontamination, cleans, soaks slightly, run through, and section, dries;
(15) Rhizoma Corydalis: pick decontamination, is soaked in water, and clean, solarization is dried in the air, and profit is even to inside and outside humidity, cuts into slices or smashes;
(16) Herba Asari: Ex-all impurity, by water spray profit, timely cutting, dries;
(17) Rhizoma Atractylodis: pick decontamination, with blister to seven, most probably thoroughly, pull out, run through rear section, dry;
(18) Fructus Aurantii Immaturus: pick clean impurity, be soaked in water to eighty per cant thoroughly, pull out, profit, to interior without hard-core, cut into slices, is dried;
(19) Rhizoma Pinelliae: pick decontamination, sieve dedust bits;
(20) Cortex Meliae: clean, slightly soak, run through, shredding, dry;
(21) Radix Paeoniae Alba: pick decontamination, separately size, be soaked in water to eighty per cant thoroughly, pull out, solarization is dried in the air, and profit is even to inside and outside humidity, and section is dry;
(22) Radix Raphani: remove stem and leaf, cleans, dries;
(23) Fructus Chaenomelis: clear water is cleaned, and slightly soaks, moistening, to thoroughly, is put in food steamer and is cooked, cut into slices while hot, weather exposure, with by red turn atropurpureus till;
(24) Rhizoma Alismatis: pick decontamination, size stepping, be soaked in water to eighty per cant thoroughly, pull out, shine cool, moistening is even to inside and outside humidity, and section, dries;
(25) Semen Pruni: sieve removes spare, wash in a pan clean, pick clean impurity and broken shell, dry, the used time smashs to pieces;
(26) Semen Armeniacae Amarum: pick clean impurity, put in boiling water and slightly boil, pulls out when crust micro-wrinkle, in leaching cold water, sloughs seed coat, dries, and winnows with a dustpan clean;
(27) Fructus Amomi: pick decontamination and shell, smash to pieces;
(28) Spica Prunellae: get crude drug, except discarding stalk, blade and impurity, sieve dedust bits;
(29) Fructus Cannabis: pick decontamination and residual shell, get clean core;
(30) Radix Saposhnikoviae: remove residual stem, be soaked in water, pull out, run through section, dry;
(31) Rhizoma Dioscoreae: pick clean impurity, is soaked in water when softening to Rhizoma Dioscoreae central part, pulls out and slightly dry in the air, and section is dried or dried;
(32) Pericarpium Citri Reticulatae Viride: pick clean impurity, be soaked in water, pull out, run through, section, dries;
(33) Herba Lycopi: pick decontamination, removing undesirable root, water spray slightly moistens, and cutting is dried;
(34) Fructus Foeniculi: get crude drug, removing impurity;
(2) prepare
(1) Squama Manis of described weight, Folium Sennae, Mel, Semen Arecae, Herba Erodii, Cortex Moutan, Semen Brassicae Campestris, Rhizoma Polygonati, Pericarpium Arecae, Fructus Perillae, Fructus Trichosanthis, Radix Cucurbitae, Radix Ginseng Rubra, Rhizoma Acori Graminei, Rhizoma Corydalis, Herba Asari, Rhizoma Atractylodis, Fructus Aurantii Immaturus, the Rhizoma Pinelliae, Cortex Meliae, the Radix Paeoniae Alba, Radix Raphani, Fructus Chaenomelis, Rhizoma Alismatis, Semen Pruni, Semen Armeniacae Amarum, Fructus Amomi, Spica Prunellae, Fructus Cannabis, Radix Saposhnikoviae, Rhizoma Dioscoreae, Pericarpium Citri Reticulatae Viride, Herba Lycopi, Fructus Foeniculi medicine are added 6 times of water gagings and soak, soak after 150 minutes, intense fire decocts boiling 10 minutes, use slow fire boiling again 30 minutes, filter first time decoction liquor;
(2) add water the medicinal residues of filtration 5 times amount, and intense fire decocts boiling, then uses slow fire boiling 40 minutes, filters to obtain second time decoction liquor;
(3) by twice decoction liquor mixing, then simmer in water 10 minutes and get final product.
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