Summary of the invention
The object of this invention is to provide a kind of Chinese medicinal enema for the treatment of qi stagnation and blood stasis type oviduct obstructive sterility.The tcm causa morbi that causes salpingemphraxis is suffered from a deficiency of the kidney, depression of liver-QI, phlegm-damp, blood stasis, cold-damp, damp and hot pathogenic factor.The various causes of disease have formed the pathological product of blood stasis, and stagnation of blood stasis uterus, punching are appointed, vessels of the uterus, collaterals of the uterus, cause obstructed and cause infertile.Blood stasis is paathogenic factor, is again pathological product.Chinese traditional treatment qi stagnation and blood stasis type oviduct obstructive sterility is soothing the liver to regulate the flow of vital energy, disperse blood stasis and dredge collateral is principle.
The object of the invention is to be achieved through the following technical solutions, the Chinese medicinal enema of this treatment qi stagnation and blood stasis type oviduct obstructive sterility is made up of the Chinese medicine of following weight portion: Fructus Akebiae 15-25 part, Citrus aurantium L. var. amara Engl. 1-2 part, Flos jasmini 6-8 part, Plantula Excoecariae Acerifoliae 6-12 part, Flos Spatholirionis longifolii 9-15 part, Semen clausenae lansii 6-12 part, Radix et Rhizoma Eomeconis chionanthae 6-15 part, Radix Ixorae Chinensis 30-50 part, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 9-15 part, Herba Polygalae Telephioidis 15-25 part.
Preferably, 20 parts of Fructus Akebiaes, 1.5 parts of Citrus aurantium L. var. amara Engl.s, 7 parts of Flos jasmini, 9 parts of Plantula Excoecariae Acerifoliaes, 12 parts of Flos Spatholirionis longifolii, 9 parts of Semen clausenae lansiis, 10 parts of Radix et Rhizoma Eomeconis chionanthae, 40 parts of Radix Ixorae Chinensiss, 12 parts of Radix astilbes chinensis (Rhizoma Astilbes Chinensis)s, 20 parts of Herba Polygalae Telephioidis.
Preparation method becomes 100ml for subsequent use above-mentioned Chinese medicine decocting.
Fang Zhong: Fructus Akebiae depressed liver-energy dispersing and QI regulating, promoting blood circulation and stopping pain, relieving restlessness diuresis; Citrus aurantium L. var. amara Engl. depressed liver-energy dispersing and QI regulating, stomach function regulating; Flos jasmini dispersing the stagnated live-QI to relieve the stagnation of QI, pain relieving; Plantula Excoecariae Acerifoliae circulation of qi promoting, broken knot, removing food stagnancy; Flos Spatholirionis longifolii QI and blood regulating, pain relieving; Semen clausenae lansii regulating QI to relieve pain, powder detoxifcation; Radix et Rhizoma Eomeconis chionanthae circulation of qi promoting, invigorate blood circulation, detoxify; The pain relieving of Radix Ixorae Chinensis sending down the abnormal ascending QI, promoting blood circulation to remove obstruction in the collateral; Radix astilbes chinensis (Rhizoma Astilbes Chinensis) blood circulation promoting and blood stasis dispelling, analgesic antidotal; The pain relieving of Herba Polygalae Telephioidis promoting blood circulation to remove blood stasis.
Clinical data
1, the selected 50 routine clinic cases of physical data are qi stagnation and blood stasis type oviduct obstructive sterility through clinical definite, age 23-40 year, average 28.34 years old, course of disease 1-9, average 4.10 years.
2, the diagnostic criteria of diagnostic criteria salpingemphraxis is drafted with reference to " combination of Chinese and Western medicine infertility diagnosis and treatment standard ": (1) hysterosalpingography confirms obstruction of fallopian tube or logical and not smooth; (2) under laparoscopy, make hydrotubation and confirm obstruction of fallopian tube or logical and not smooth.
Dialectical disease: infertile, be in a very depressed state or irritable, premenstrual distending pain of the breast, menstrual period lower abdominal distention pain, menstruation has clot, color is dim, light red tongue or dark red has the tired point of addiction speckle, thready pulse or thin string.
3, treatment and care method patient use Chinese medicinal enema of the present invention, take Fructus Akebiae 20g, Citrus aurantium L. var. amara Engl. 1.5g, Flos jasmini 7g, Plantula Excoecariae Acerifoliae 9g, Flos Spatholirionis longifolii 12g, Semen clausenae lansii 9g, Radix et Rhizoma Eomeconis chionanthae 10g, Radix Ixorae Chinensis 40g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 12g, Herba Polygalae Telephioidis 20g.Decocting becomes 100ml, retention enema just before going to bed, and after menstruation is clean, first day starts medication, until next menstrual onset is discontinued medication, a menstrual cycle is a course for the treatment of, treats continuously 3 menstrual cycle.Enema method: drained defecation before operation, lateral position, buttocks private school is high, and hip in the wrong is gone down on one's knees, the about 37-40 DEG C of enema liquid temp, enema bag conduit and No. 14 catheters join, and catheter inserts the about 14-15 centimetre of anus, slowly pours into, fill with complete, lie low, raise buttocks, retain at least 2 hours.
4, criterion of therapeutical effect is evaluated with reference to " obstetrics and gynecology ".(1) clinical cure: become pregnant or do not become pregnant in December after treatment but hysterosalpingography confirms that bilateral fallopian tube is all unobstructed, contrast agent disperse is normal.(2) effective: though do not become pregnant after treatment, patient clinical performance and the auxiliary examination of being correlated with are all alleviated to some extent; Contrast agent disperse is normally unobstructed to be improved or to lead to and not smooth, and contrast agent disperse is bad, or bilateral salpingemphraxis becomes the rear one-sided obstruction for the treatment of before treatment.(3) invalid: after treatment, do not become pregnant and clinical manifestation and auxiliary examination all unchanged.Radiography shows that tubal patency degree is unchanged.
5, wherein clinical cure 21 examples (42%) of the routine patient of therapeutic outcome 50, effective 26 examples (52%), invalid 3 examples (6%), total effective rate 94%, evident in efficacy.In whole therapeutic process, there is not obvious untoward reaction in patient, and blood, urine, stool routine examination, electrocardiogram and liver, renal function have no significant change.
Detailed description of the invention
Embodiment mono-: take Fructus Akebiae 20g, Citrus aurantium L. var. amara Engl. 1.5g, Flos jasmini 7g, Plantula Excoecariae Acerifoliae 9g, Flos Spatholirionis longifolii 12g, Semen clausenae lansii 9g, Radix et Rhizoma Eomeconis chionanthae 10g, Radix Ixorae Chinensis 40g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 12g, Herba Polygalae Telephioidis 20g, become 100ml for subsequent use above-mentioned Chinese medicine decocting.
Embodiment bis-: take Fructus Akebiae 25g, Citrus aurantium L. var. amara Engl. 1g, Flos jasmini 8g, Plantula Excoecariae Acerifoliae 6g, Flos Spatholirionis longifolii 15g, Semen clausenae lansii 6g, Radix et Rhizoma Eomeconis chionanthae 15g, Radix Ixorae Chinensis 30g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 15g, Herba Polygalae Telephioidis 15g, become 100ml for subsequent use above-mentioned Chinese medicine decocting.
Embodiment tri-: take Fructus Akebiae 15g, Citrus aurantium L. var. amara Engl. 2g, Flos jasmini 6g, Plantula Excoecariae Acerifoliae 12g, Flos Spatholirionis longifolii 9g, Semen clausenae lansii 12g, Radix et Rhizoma Eomeconis chionanthae 6g, Radix Ixorae Chinensis 50g, Radix astilbes chinensis (Rhizoma Astilbes Chinensis) 9g, Herba Polygalae Telephioidis 25g, become 100ml for subsequent use above-mentioned Chinese medicine decocting.