CN104056053A - Traditional Chinese medicine preparation for treating non-purulent costal chondritis - Google Patents

Traditional Chinese medicine preparation for treating non-purulent costal chondritis Download PDF

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CN104056053A
CN104056053A CN201410326520.1A CN201410326520A CN104056053A CN 104056053 A CN104056053 A CN 104056053A CN 201410326520 A CN201410326520 A CN 201410326520A CN 104056053 A CN104056053 A CN 104056053A
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chinese medicine
medicine preparation
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costal chondritis
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王林一
王丽娟
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Abstract

The invention discloses a traditional Chinese medicine preparation for treating non-purulent costal chondritis. The traditional Chinese medicine preparation comprises the following selected raw material medicines by weight: 10-20g of radix bupleuri, 10-20g of dandelion, 10-20g of cassia twig, 5-10g of safflower, 5-10g of peach kernel, 8-12g of isatis root, 8-15g of seaweed, 10-20g of fructus psoraleae, 8-12g of caulis perllae, 5-10g of prepared rhizoma polygonati, 10-20g of eucommia ulmoides and 5-10g of rhizoma cibotii. The selected medicinal materials are compatible with one another and have the effects of soothing liver-qi stagnation, promoting blood circulation to remove blood stasis and reducing swelling and removing stasis, the nutrition of tissues around the affected part can be effectively improved, and injured cartilago costalis is further repaired, so that the symptoms of costal chondritis swelling are eliminated.

Description

A kind of Chinese medicine preparation for the treatment of apyetous costal chondritis
Technical field
The invention belongs to the field of Chinese medicines, specifically a kind of Chinese medicine preparation that can treat apyetous costal chondritis.
Background technology
Apyetous costal chondritis is again costal chondritis.Be commonly considered as non-specific, the nonsuppurative inflammation of costicartilage.First German scholar Tietze finds and reports this disease in nineteen twenty-one.Nineteen fifty-five push ahead vigorously report and to describe this disease rather common clinically of Chinese scholar health.Majority of cases is between twenty and fifty, and women is in the majority, and old people also has morbidity.
Apyetous costal chondritis pathogeneticing characteristic is only to invade cartilage, and pain and not red has tenderness; Pain is touching, sometimes can severe pain.Although pathology has the variation of chronic costal chondritis, from there are no pyogenic change.Pain can respite, but swelling do not disappear, and can reappear pain again and touchingly not stop.While effectively treatment, pain can be stopped, but swelling inflammatory absorbs slowly.
At present, Western medicine multiplex pain relieving aspect treatment apyetous costal chondritis, antiviral drugs, such as prednisone antiinflammatory tablet, moroxydine etc., local time, with ovocaine and meticortelone sealing.Though Western medicine is rapid-action, radical cure difficulty, easily recurrence, and easily have side effects.Existing Chinese medicine exists in treatment that curative effect is slow, cure rate is low, produce the defects such as side effect in various degree aspect primary disease, therefore needs a kind of efficient, quick and easy, practical medicine of research badly, with clinical radical cure apyetous costal chondritis.
Summary of the invention
The invention solves at present in the defect and the deficiency that exist aspect treatment apyetous costal chondritis, provide a kind of effect significantly, thorough treatment, without the Chinese medicine preparation of recurrence, the treatment apyetous costal chondritis that has no side effect.
The technical solution adopted in the present invention is:
A Chinese medicine preparation for the treatment of apyetous costal chondritis, is characterized in that, described Chinese medicine preparation comprises the Chinese herb of following weight in grams:
Radix Bupleuri 10-20 gram, Herba Taraxaci 10-20 gram, Ramulus Cinnamomi 10-20 gram, Flos Carthami 5-10 gram, Semen Persicae 5-10 gram, Radix Isatidis 8-12 gram, Sargassum 8-15 gram, Fructus Psoraleae 10-20 gram, Caulis Perillae 8-12 gram, Rhizoma Polygonati (processed) 5-10 gram, Cortex Eucommiae 10-20 gram, Rhizoma Cibotii 5-10 gram.
As this kind of prioritization scheme:
Described Chinese medicine preparation comprises the Chinese herb of following weight in grams:
10 grams of Radix Bupleuri, 10 grams of Herba Taraxacis, 10 grams of Ramulus Cinnamomi, 5 grams, Flos Carthami, 5 grams, Semen Persicae, 8 grams of Radix Isatidis, 8 grams of Sargassums, 10 grams of Fructus Psoraleaes, 8 grams of Caulis Perillaes, 5 grams of Rhizoma Polygonati (processed), 10 grams of the Cortexs Eucommiae, 5 grams of Rhizoma Cibotii.
As this kind of prioritization scheme:
Described Chinese medicine preparation comprises the Chinese herb of following weight in grams:
15 grams of Radix Bupleuri, 15 grams of Herba Taraxacis, 15 grams of Ramulus Cinnamomi, 8 grams, Flos Carthami, 8 grams, Semen Persicae, 10 grams of Radix Isatidis, 12 grams of Sargassums, 15 grams of Fructus Psoraleaes, 10 grams of Caulis Perillaes, 8 grams of Rhizoma Polygonati (processed), 15 grams of the Cortexs Eucommiae, 8 grams of Rhizoma Cibotii.
As this kind of prioritization scheme:
Described Chinese medicine preparation comprises the Chinese herb of following weight in grams:
20 grams of Radix Bupleuri, 20 grams of Herba Taraxacis, 20 grams of Ramulus Cinnamomi, 10 grams, Flos Carthami, 10 grams, Semen Persicae, 12 grams of Radix Isatidis, 15 grams of Sargassums, 20 grams of Fructus Psoraleaes, 12 grams of Caulis Perillaes, 10 grams of Rhizoma Polygonati (processed), 20 grams of the Cortexs Eucommiae, 10 grams of Rhizoma Cibotii.
The instructions of taking of above-mentioned Chinese medicine preparation is: after the Chinese herb of above-mentioned weight proportion is mixed, the 1600ml that adds water, takes 600m, 3 times on the 1st, and 1 200ml, 7 doses is 1 course for the treatment of.
The raw material Chinese medicine of above-mentioned Chinese medicine preparation:
Radix Bupleuri, cold nature, bitter in the mouth is pungent; GUIXIN envelope, liver, gallbladder, tri-jiao channel.There is expelling pathogenic factors from the exterior and expel the heat-evil, dispersing the stagnated live-QI to relieve the stagnation of QI, effect of elevate a turnable ladder yang-energy.
Herba Taraxaci, property is flat, sweet in the mouth, micro-hardship; Return liver, stomach warp.There is heat-clearing and toxic substances removing, effect of dispersing swelling and dissipating binds, row water diuresis.
Ramulus Cinnamomi, acrid in the mouth, sweet, temperature; GUIXIN, spleen, urinary bladder channel.There is expelling pathogenic factors from muscles by diaphoresis, warming the meridian for promoting the flow of YANG QI, effect of expelling wind and removing dampness.
Flos Carthami, acrid in the mouth, temperature; GUIXIN, Liver Channel.There is promoting blood circulation to restore menstrual flow, effect of eliminating stasis to stop pain.
Semen Persicae, sweet flat, the bitter in the mouth of property; Enter lung, liver, large intestine channel.There is blood circulation promoting and blood stasis dispelling, effect of loosening bowel to relieve constipation.
Radix Isatidis, bitter in the mouth, cold in nature.There is effect of heat-clearing and toxic substances removing, removing heat from blood detumescence, sore-throat relieving, be improved the function of immunity simultaneously.
Sargassum, bitter in the mouth, salty, cold; Return lung, stomach, kidney channel.There is hard masses softening and resolving, effect of expectorant diuretic.
Fructus Psoraleae, bitter in the mouth, pungent; Return kidney, spleen channel.There is kidney invigorating and YANG supporting, controlling nocturnal emission with astringent drugs reducing urination, warming spleen and stopping diarrha effect.
Caulis Perillae, acrid in the mouth, temperature; Return lung, spleen channel.There is regulating the flow of QI to ease the stomach, effect that pain relieving is calmed the nerves.
Rhizoma Polygonati (processed), sweet in the mouth is flat.Return lung, spleen, kidney channel.There is nourishing kidney lung moistening, effect of invigorating the spleen and replenishing QI.
The Cortex Eucommiae, warm in nature, sweet in the mouth; Return liver, kidney channel.Have liver and kidney tonifying, strong muscle is active, determines effect that gas is calmed the nerves.
Rhizoma Cibotii, bitter in the mouth, sweet, temperature; Return liver, kidney channel.There is liver and kidney tonifying, effect of expelling wind and removing dampness.
The traditional Chinese medical science thinks that costal chondritis pain is altered and the breast side of body, and upper arm is the stagnation of QI; Local eminence, tenderness is obvious, and fixing not the moving of pain spot is blood stasis.Qi depression to blood stasis, wind heat invasion meridians, scorchingly hot friendship is vehement, and QI and blood heap soil or fertilizer over and around the roots is held back obstructed, stagnation of QI and blood may bring about pain, therefore, treatment should be with blood circulation promoting and blood stasis dispelling, promoting the circulation of QI to relieve pain, clearing away heat and cooling blood, QI invigorating solid are main.Chinese medicine preparation of the present invention, Herba Taraxaci, Radix Isatidis can heat-clearing and toxic substances removing, dispersing swelling and dissipating binds; Radix Bupleuri, Ramulus Cinnamomi can expel the heat-evil by expelling pathogenic factors from the exterior, dispersing the stagnated live-QI to relieve the stagnation of QI, warming the meridian for promoting the flow of YANG QI; Flos Carthami, Semen Persicae can blood circulation promoting and blood stasis dispelling, eliminating stasis to stop pain; Sargassum can hard masses softening and resolving, expectorant diuretic; Fructus Psoraleae, the Cortex Eucommiae, Rhizoma Cibotii three medicines mutual 5 can liver and kidney tonifying, and strong muscle is active, strengthening the body resistance; Caulis Perillae, Rhizoma Polygonati (processed) can nourishing kidney lung moistening, promoting the circulation of QI to relieve pain.All medicines are played the effect of dispersing the stagnated live-QI to relieve the stagnation of QI, blood circulation promoting and blood stasis dispelling, dispersing swelling and dissipating binds altogether, can effectively improve affected part surrounding tissue nutrition, further repair impaired costicartilage, thereby eliminate the symptom of costal chondritis enlargement, reach the object of radical cure.
For further investigating the clinical efficacy of medicine of the present invention, we have selected 86 routine out-patients to carry out clinical trial, wherein male 32 examples, female's 54 examples, 15~83 years old age, average 38 years old.Disease time 1 day~3 months.Site of pathological change left side 42 examples, right side 38 examples, bilateral 6 examples, the example of curing the disease all has local pain and tenderness.Patient is divided into treatment group and matched group at random, every group of 43 examples, and two groups of cases all check Non Apparent Abnormality through X-ray film and laboratory.
Criterion of therapeutical effect:
Cure: pain disappears completely, and swelling is disappeared completely nothing recurrence in 1 year.
Effective: pain disappears substantially, swelling is controlled or is substantially disappeared, local by being pressed with mild pain.
Effective: pain relief, swelling is improved.
Invalid: clinical symptoms is without improving or improving very micro-.
Therapeutic Method:
Treatment group is taken the Chinese medicine preparation of embodiment 2, and the 1000ml that adds water after all medicine mixing, takes 600ml, and 3 times on the 1st, 1 200ml, 7 doses is 1 course for the treatment of.Matched group gives 0.5% lignocaine 2ml and adds hydrocortisone acetate 25mg, the local closed treating that adopts, 1 time weekly, 2-3 time altogether.
Therapeutic outcome:
That adds up patient's drug administration the results are shown in Table 1.Treatment group is cured 26 examples (60.5%), effective 13 examples (30.2%), effective 3 examples (7.0%), total effective rate 97.7%; Matched group is cured 10 examples (23.3%), effective 15 examples (35.0%), effective 6 examples (14.0%), total effective rate 72.0%.Can find out, the cure rate of matched group and total effective rate will be apparently higher than matched groups.
Table 1: the curative effect comparision result after two groups of case treatments
Group Number of cases Cure n (%) Effective n (%) Effectively n (%) Invalid n (%) Total effective rate (%)
Treatment group 43 26(60.5) 13(30.2) 3(7.0) 1(2.3) 97.7
Matched group 43 10(23.3) 15(35.0) 6(14.0) 12(27.9) 72.1
Result shows, Chinese medicine preparation of the present invention is enhancing human body immunity function effectively, improve affected part week histotrophic nutrition, further repair impaired costicartilage, have effective fast, cure rate is high and without any untoward reaction, one of the effective ways for the treatment of apyetous costal chondritis of can yet be regarded as, utilization is worthy to be popularized.
Detailed description of the invention
Embodiment 1: a kind of Chinese medicine preparation for the treatment of apyetous costal chondritis, choose 10 grams of Radix Bupleuri, 10 grams of Herba Taraxacis, 10 grams of Ramulus Cinnamomi, 5 grams, Flos Carthami, 5 grams, Semen Persicae, 8 grams of Radix Isatidis, 8 grams of Sargassums, 10 grams of Fructus Psoraleaes, 8 grams of Caulis Perillaes, 5 grams of Rhizoma Polygonati (processed), 10 grams of the Cortexs Eucommiae, 5 grams of Rhizoma Cibotii.
Embodiment 2: a kind of Chinese medicine preparation for the treatment of apyetous costal chondritis, choose 15 grams of Radix Bupleuri, 15 grams of Herba Taraxacis, 15 grams of Ramulus Cinnamomi, 8 grams, Flos Carthami, 8 grams, Semen Persicae, 10 grams of Radix Isatidis, 12 grams of Sargassums, 15 grams of Fructus Psoraleaes, 10 grams of Caulis Perillaes, 8 grams of Rhizoma Polygonati (processed), 15 grams of the Cortexs Eucommiae, 8 grams of Rhizoma Cibotii.
Embodiment 3: a kind of Chinese medicine preparation for the treatment of apyetous costal chondritis, choose 20 grams of Radix Bupleuri, 20 grams of Herba Taraxacis, 20 grams of Ramulus Cinnamomi, 10 grams, Flos Carthami, 10 grams, Semen Persicae, 12 grams of Radix Isatidis, 15 grams of Sargassums, 20 grams of Fructus Psoraleaes, 12 grams of Caulis Perillaes, 10 grams of Rhizoma Polygonati (processed), 20 grams of the Cortexs Eucommiae, 10 grams of Rhizoma Cibotii.
Below by concrete case, Chinese medicine preparation curative effect of the present invention is further verified:
Case 1
Patient, female, 34 years old.The obviously right front chest pain of inducement of nothing before patient's a year and a half, swelling 3 days, respiration force cough, find on inspection: right the second sternocostal part swelling, protuberance, tenderness is obvious, and thoracic wall pushes and levies the positive, lifts abduction hurt like hell on right upper extremity.Stringy pulse blue-purplish tongue, white and thin fur.X-ray film and lab testing show no obvious abnormalities.Examine as right second rib apyetous costal chondritis.Take after the course for the treatment of of the embodiment of the present invention 2 Chinese medicine preparation pain relief; Pain relief after two courses for the treatment of, swelling alleviates; Take the 3rd the pain disappearance course for the treatment of, swelling is disappeared, movable normal.Follow up a case by regular visits to 1 year without recurrence.
Case 2
Patient, female, 26 years old.Patient is without obvious right chest protuberance one caking of inducement before 2 years, and color of the leather is normal, self-induction pain, time heavy when light, the pain increased after tired, even can not lift arm.Find on inspection: the about 3cm × 2.5cm × 2cm of costicartilage protuberance caking of the nearly sternal part of right side the 2nd rib, color of the leather is normal, has obvious tenderness.X-ray is taken the photograph sheet no abnormality seen, and routine blood test and erythrocyte sedimentation rate are all normal, is diagnosed as apyetous costal chondritis.Patient takes Western medicine repeatedly but is invalid, starts after being introduced to take Chinese medicine preparation of the present invention, and after 5 days, caking starts to dwindle, and pain alleviates gradually; Continue to take after two courses for the treatment of, swelling and pain disappear, and it is normal that patient body recovers.Follow up a case by regular visits to 1 year without recurrence.
Case 3
Patient, female, 46 years old.Patient is without obvious inducement left side the 4th costicartilage projection before 3 years, and present the 4th rib is also slightly put projection, self-induction pain, time heavy when light, the pain increased after tired, carry arm difficulty.Clap on inspection X sheet, CT Three-dimensional Gravity is founded a capital normally, and clinical diagnosis is apyetous costal chondritis.Take upon somebody's introduction Chinese medicine preparation of the present invention and treat, take after the course for the treatment of, patient's pain alleviates gradually, and swelling starts to dwindle; Continue to take after 3 courses for the treatment of, pain and swelling all disappear, and clinical examination is fully recovered.Follow up a case by regular visits to 1 year without recurrence.
Case 4
Patient, female, 49 years old.Patient is heavy when light when the chest pain of both sides over 4 years, two upper limb activities when sick sending out, coughs or leans to one side to make that the pain increased, once takes the photograph full rabat no abnormal.Find on inspection: left breast the 2nd, 3 costicartilages and right breast the 4th costicartilage profile slightly tuberosity rise, but smooth surface is diagnosed as apyetous costal chondritis.Take upon somebody's introduction Chinese medicine preparation of the present invention and treat, take after ten days, patient's pain alleviates gradually, and swelling starts to dwindle; Continue to take and continue the course for the treatment of in two months, pain and swelling all disappear, and clinical examination is fully recovered.Follow up a case by regular visits to 1 year without recurrence.

Claims (4)

1. a Chinese medicine preparation for the treatment of apyetous costal chondritis, is characterized in that, described Chinese medicine preparation comprises the Chinese herb of following weight portion:
Radix Bupleuri 10-20 gram, Herba Taraxaci 10-20 gram, Ramulus Cinnamomi 10-20 gram, Flos Carthami 5-10 gram, Semen Persicae 5-10 gram, Radix Isatidis 8-12 gram, Sargassum 8-15 gram, Fructus Psoraleae 10-20 gram, Caulis Perillae 8-12 gram, Rhizoma Polygonati (processed) 5-10 gram, Cortex Eucommiae 10-20 gram, Rhizoma Cibotii 5-10 gram.
2. Chinese medicine preparation according to claim 1, is characterized in that, described Chinese medicine preparation comprises the Chinese herb of following weight portion:
10 grams of Radix Bupleuri, 10 grams of Herba Taraxacis, 10 grams of Ramulus Cinnamomi, 5 grams, Flos Carthami, 5 grams, Semen Persicae, 8 grams of Radix Isatidis, 8 grams of Sargassums, 10 grams of Fructus Psoraleaes, 8 grams of Caulis Perillaes, 5 grams of Rhizoma Polygonati (processed), 10 grams of the Cortexs Eucommiae, 5 grams of Rhizoma Cibotii.
3. Chinese medicine preparation according to claim 1, is characterized in that, described Chinese medicine preparation comprises the Chinese herb of following weight portion:
15 grams of Radix Bupleuri, 15 grams of Herba Taraxacis, 15 grams of Ramulus Cinnamomi, 8 grams, Flos Carthami, 8 grams, Semen Persicae, 10 grams of Radix Isatidis, 12 grams of Sargassums, 15 grams of Fructus Psoraleaes, 10 grams of Caulis Perillaes, 8 grams of Rhizoma Polygonati (processed), 15 grams of the Cortexs Eucommiae, 8 grams of Rhizoma Cibotii.
4. Chinese medicine preparation according to claim 1, is characterized in that, described Chinese medicine preparation comprises the Chinese herb of following weight portion:
20 grams of Radix Bupleuri, 20 grams of Herba Taraxacis, 20 grams of Ramulus Cinnamomi, 10 grams, Flos Carthami, 10 grams, Semen Persicae, 12 grams of Radix Isatidis, 15 grams of Sargassums, 20 grams of Fructus Psoraleaes, 12 grams of Caulis Perillaes, 10 grams of Rhizoma Polygonati (processed), 20 grams of the Cortexs Eucommiae, 10 grams of Rhizoma Cibotii.
CN201410326520.1A 2014-07-06 2014-07-06 Traditional Chinese medicine preparation for treating non-purulent costal chondritis Pending CN104056053A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105031066A (en) * 2015-08-02 2015-11-11 成都市飞龙水处理技术研究所 Oral medicine for treating non-purulent costal chondritis and preparation method for oral medicine
CN105497410A (en) * 2014-11-10 2016-04-20 耿新忠 Traditional Chinese medicine for treating nonspecific costochondritis

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
华浩明: "《中医骨伤科处方手册》", 30 November 2006, 科学技术文献出版社 *
隋殿军等: "《中国当代名医秘验方精粹》", 30 April 1992, 吉林科学技术出版社 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105497410A (en) * 2014-11-10 2016-04-20 耿新忠 Traditional Chinese medicine for treating nonspecific costochondritis
CN105031066A (en) * 2015-08-02 2015-11-11 成都市飞龙水处理技术研究所 Oral medicine for treating non-purulent costal chondritis and preparation method for oral medicine

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Application publication date: 20140924