CN104225122A - Tough and gentle comprehensive rehabilitation method for strokes - Google Patents
Tough and gentle comprehensive rehabilitation method for strokes Download PDFInfo
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- CN104225122A CN104225122A CN201410472444.5A CN201410472444A CN104225122A CN 104225122 A CN104225122 A CN 104225122A CN 201410472444 A CN201410472444 A CN 201410472444A CN 104225122 A CN104225122 A CN 104225122A
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Abstract
The invention discloses a tough and gentle comprehensive rehabilitation method for strokes. The method is characterized by comprising the steps as follows: firstly, the strokes are divided into two categories, namely, yang excess strokes and yin excess strokes, each yin excess patient takes 3-5 Mahai capsules with warm water each time and takes the capsules three times each day, and each Mahai capsule mainly comprises components such as nut-vomitive poisonnut seeds, milkvetch roots, largehead atractylodes rhizome, angelicae sinensis, homalomenae and kadsura pepper stems; meanwhile, each yang excess patient takes 3-5 Roujin capsules each time and takes the capsules three times each day, and each Roujin capsule mainly comprises components such as bombyx batryticatus, raw white peony roots, lumbricus and prepared radix glycyrrhizae; meanwhile, traditional Chinese medicines are used for fumigation and washing treatment, herbal medicines with effects of promoting blood circulation, removing blood stasis, relaxing tendons and activating collaterals are used for decoction, the medicines comprise 30 g of mulberry twigs, 30 g of kadsura pepper stems, 30 g of white peony roots, 30 g of sappan wood , 15 g of red peony roots, 15 g of cassia twigs, 15 g of angelicae sinensis, 15 g of ligustici wallichii rhizoma, 15 g of common clubmoss herb and 12 g of safflower, 45 g of milkvetch roots, 15 g of largehead atractylodes rhizome, 15 g of cassia twigs and 15 g of white peony roots are added for each yin excess patient, and the medicines are decocted for fumigating and washing affected limbs for 30 min each time and once or twice a day. According to the method, the strokes are divided into the two categories, namely, the yang excess strokes and the yin excess strokes, on the basis of internal medicine syndrome differentiation, drug treatment is performed on the yang excess strokes and the yin excess strokes respectively, and clinical effects are significant.
Description
Technical field
The present invention relates to technical field of traditional Chinese medicine preparation, particularly a kind of apoplexy coordination of potent and mild therapies comprehensive rehabilitation approach, corresponding yin or yang excess two kinds of medicines.
Background technology
Apoplexy is so that suddenly dusk falls forward, hemiplegia, crooked mouth and tongue, and speech is not smoothgoing puckery or in silence, hemianesthesia is the disease of primary symptom.Apoplexy position is mainly at brain, and its main pathogenesis is summed up and can be wind, fire, expectorant, void, the stasis of blood.The convalescent period of apoplexy refers to morbidity 2 weeks or within 1 month to half a year clinically.Mainly coordinate modern rehabilitation based on medical treatment for its treatment, clinical efficacy is unsatisfactory.We in the treatment syndrome caused by wind pathogen reconvalescent time, adopt coordination of potent and mild therapies combined rehabilitation scheme, namely on the basis of Integrative medicine therapy, add the dialectical theory of coordination of potent and mild therapies, the dialectical theory of coordination of potent and mild therapies results from the initial stage eighties, I section Li Jing is kind, the older generation experts such as Li Baohua in the treatment syndrome caused by wind pathogen time, think clinically the traditional Chinese medical science in the treatment wind time, still follow the determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs of forefathers' internal medicine, even if cooperation modern rehabilitation, curative effect is still unsatisfied with, the distinctive method of syndrome differentiation of apoplexy should be formed, just with muscular tension, muscular strength and tongue arteries and veins are breach, explore its therapeutic scheme, through the development of Han Zucheng etc., so far comparatively perfect theory has been formed, have developed Ma Hai, soft muscle two kinds of medicines.Just, the soft feature mainly referring to patients symptomatic, as limbs contracture spasm or weak and limp unable, and the property of medicine of two kinds of paralysis treating medicine bolus, effect.
Summary of the invention
The present invention is directed to above-mentioned defect, a kind of scheme for the treatment of apoplexy is provided, and the relative medicine of correspondence and application thereof.For achieving the above object, the present invention intends adopting following technical scheme:
The present invention relates to a kind of scheme for the treatment of apoplexy, it is characterized in that comprising horse sea capsule, soft muscle capsule.
In a preferred embodiment of the present invention, described medicine also comprises Chinese traditional medicine lotion, it is by Ramulus Mori, Caulis Piperis Kadsurae, the Radix Paeoniae Alba, each 30g of Lignum Sappan, the each 15g of Radix Paeoniae Rubra, Ramulus Cinnamomi, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Herba Lycopodii, Flos Carthami 12g, add Radix Astragali 45g, Rhizoma Atractylodis Macrocephalae 15g, Ramulus Cinnamomi 15g and Radix Paeoniae Alba 15g decocting obtained.
The present invention also relates on the other hand and cloudyly partially contains apoplexy coordination of potent and mild therapies comprehensive rehabilitation approach, it is characterized in that comprising the steps: first, dialectical yin or yang excess to apoplexy; The second, the cloudy sea of Sheng person's warm water delivery service horse partially capsule 3-5 tablet/time, 3 times/day, its main component is Semen Strychni, the Radix Astragali, the Rhizoma Atractylodis Macrocephalae, Radix Angelicae Sinensis, Rhizoma Homalomenae, Caulis Piperis Kadsurae, and every sheet is containing crude drug 0.3 gram; Sun partially Sheng person apply soft muscle capsule 3-5 tablet/time, 3 times/day, its main component is Bombyx Batryticatus, Radix Paeoniae Alba, Pheretima, Radix Glycyrrhizae Preparata, and every sheet is containing crude drug 0.3 gram.Three, Chinese traditional herbal medicine treatment application have invigorate blood circulation, blood stasis dispelling, Shu Jing, active herbal decoctions, medicinal: Ramulus Mori, Caulis Piperis Kadsurae, the Radix Paeoniae Alba, each 30g of Lignum Sappan, the each 15g of Radix Paeoniae Rubra, Ramulus Cinnamomi, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Herba Lycopodii, Flos Carthami 12g, cloudy victor partially adds Radix Astragali 45g, Rhizoma Atractylodis Macrocephalae 15g, Ramulus Cinnamomi 15g, Radix Paeoniae Alba 15g, decoct soup fumigation and wash method suffering limb, each 30min, every day 1-2 time.
The present invention is according to the character of apoplexy quadriplegia, the height of muscular tension, as limbs relax weak and limp shape (collapsing from physical exhaustion), or contracture contracture shape (firmly paralysis), the size of muscular strength, genus the moon of expression belongs to sun, and the yin-yang attribute of arteries and veins, tongue on the basis that internal medicine is dialectical, be divided into sun partially to contain and the moon contains two classes partially, gives Drug therapy respectively.Specifically, sun partially Sheng person gives soft muscle capsule, and cloudy Sheng person partially gives horse sea capsule.
Detailed description of the invention:
Below in conjunction with embodiment, the invention will be further described.
Embodiment 1
Horse sea its main component of capsule is the Radix Astragali, Semen Strychni, the Rhizoma Atractylodis Macrocephalae, Radix Angelicae Sinensis, Rhizoma Homalomenae, Caulis Piperis Kadsurae, Radix Et Rhizoma Rhei, Hirudo etc.The strong muscle of horse sea capsule QI invigorating, promoting blood circulation to remove obstruction in the collateral, can receive strong flesh after application, returns language, has one's ideas straightened out, impel weak and limp limbs hardening, its property " just ", is mainly used in treatment the moon and partially contains.
Soft its main component of muscle capsule is Bombyx Batryticatus, Radix Paeoniae Alba, Pheretima, Radix Glycyrrhizae Preparata etc.The soft muscular atonia of soft muscle capsule is anxious, stiff joint (firmly paralysis) can be made to become pliable and tough flexibly, dull expression and become and vivaciously have god, its property " soft ", be mainly used in treatment sun and partially contain.
Recovery period of stroke patient 400 example selected by clinical data.Be the inpatient of in July, 2011 to December, make a definite diagnosis through head magnetic resonance and CT, select qualified case 400 example, be pressed into group order, application random digits table is divided into treatment group and matched group, often organizes each 200 examples.
Diagnostic criteria is all reference with updated Guidelines, with reference to 2010 editions " Chinese Ischemic Stroke diagnosis and treatment guides 2010 ", " diagnostic criteria of People's Republic of China (PRC) health industry standard WS320-2010 adult spontaneous cerebral hemorrhage ".
Therapeutic Method matched group adopts Neurology Department Primary Care+modern rehabilitation.Treatment group adopts apoplexy coordination of potent and mild therapies combined rehabilitation scheme 1. same matched group; 2. the cloudy Sheng person partially of acupuncture and moxibustion treatment mends governor vessel and Yangming Channel cave, as windy mansion, Baihui, sinciput, broadcast TV programs by satellite, changqiang, Yamen, Shenting, rich and prosperous, tsu san li, Liangqiu, head dimension etc., coordinate warming needle moxibustion, ginger moxibustion with card; Sun partially Sheng is divided into again two kinds of situations, the limbs person of turning up nourishing YIN is through cave (brothers' three yin meridians and conception vessel), rush down yang channel cave (brothers' three YANG meridians and governor vessel), limbs adduction person YANG invigorating, through cave (brothers' three YANG meridians and governor vessel), rushes down yin channel cave (brothers' three yin meridians and conception vessel); 3. apoplexy differentiation of symptoms and signs for classification of syndrome opinion is controlled by Chinese medicine decoction: wind fire pathogen type gives TIANMA GOUTENG YIN; Qi deficiency blood stasis type gives BUYANG HUANWU TANG, and phlegm-stasis blocking collateral type gives resolving phlegm and activating collaterals drink, and stirring of wind due to deficiency of YIN type gives Zhengan Xifeng Tang.Apply coordination of potent and mild therapies theoretical, paralytic be divided into sun partially to contain and partially contain with the moon, namely limbs muscular tension is high simultaneously, in contracture spasticity, and red tongue, yellow fur, stringy pulse rapid pulse belonging to YANG is contained partially; Limbs muscular tension is not high, and in weak and limp unable, dimly red tongue, tongue is white, and thready pulse weak person belongs to cloudy and partially contains.Cloudy Sheng person partially add simultaneously horse sea capsule 3-5 tablet/time, 3 times/day, warm water delivery service, its main component is Semen Strychni, the Radix Astragali, the Rhizoma Atractylodis Macrocephalae, Radix Angelicae Sinensis, Rhizoma Homalomenae, Caulis Piperis Kadsurae etc., and every sheet is containing crude drug 0.3 gram; Sun partially Sheng person apply simultaneously soft muscle capsule 3-5 tablet/time, 3 times/day, its main component is Bombyx Batryticatus, Radix Paeoniae Alba, Pheretima, Radix Glycyrrhizae Preparata, and every sheet is containing crude drug 0.3 gram; 4. massage treatment being pressed as implemented head acupoint, being carried out pushing manipulation, grasping manipulation, pinching method to governor vessel, Yangming Channel arteries and veins, promotes the recovery of limb spasm or softness; 5. the cloudy Sheng person partially of cupping for treatment is based on governor vessel or urinary bladder channel Yu cave, and quick cupping can be applied in local, and enriching position for muscle can use movable cupping, 1 time/2-3 day, 1-2 tank/time; Sun partially victory can execute multiple tank, based on JUE YIN meridian acupuncture points on the human body, and 1 time/1-2 day or migration tank.6. Chinese traditional herbal medicine treatment application have invigorate blood circulation, blood stasis dispelling, Shu Jing, active herbal decoctions, medicinal: Ramulus Mori, Caulis Piperis Kadsurae, the Radix Paeoniae Alba, each 30g of Lignum Sappan, each 15g of Radix Paeoniae Rubra, Ramulus Cinnamomi, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Herba Lycopodii, Flos Carthami 12g.Sun partially Sheng person adds Caulis Spatholobi, each 30g of Caulis Sinomenii, Radix Achyranthis Bidentatae 20g, Radix Glycyrrhizae Preparata 15g; Cloudy victor partially adds Radix Astragali 45g, Rhizoma Atractylodis Macrocephalae 15g, Ramulus Cinnamomi 15g, Radix Paeoniae Alba 15g.Decoct soup fumigation and wash method suffering limb, each 30min, every day 1-2 time.
Criterion of therapeutical effect Functional outcome table (FIM); TCM syndrome grade form; Rankin scale after improvement.
Therapeutic outcome is stroke patient Functional outcome (FIM) total mark, tcm symptom total mark, improvement Rankin scale grade integration significant difference (P < 0.05) after the treatment, has statistical significance.Result display coordination of potent and mild therapies combined rehabilitation Regimen Chemotherapy group comparatively matched group good effect.Specifically in Table 1-3.
Table 1. Functional outcome table (FIM) total mark is added up
P < 0.05, has statistical significance, shows treatment group good effect.
Table 2 tcm symptom total mark is evaluated
P < 0.05, has statistical significance, shows treatment group good effect.
Rankin Scale assessment improved by table 3.
P < 0.05, has statistical significance, shows treatment group good effect.
It is dialectical that for sun, Sheng and the moon are contained partially partially, adopt when treating " sun partially Sheng person; control with the moon; cloudy Sheng person partially; control with sun ", and add the characteristic medicine of the dialectical theory of coordination of potent and mild therapies, horse sea capsule and soft muscle capsule, embody science, method, prescription, drugs one line to run through, medicament of the present invention curative effect after clinical research becomes increasingly conspicuous.
The above is the preferred embodiments of the present invention; it should be pointed out that for those skilled in the art, under the prerequisite not departing from principle of the present invention; can also make some improvements and modifications, these improvements and modifications also should be considered as protection scope of the present invention.
Claims (3)
1. apoplexy coordination of potent and mild therapies comprehensive rehabilitation approach, is characterized in that comprising the steps:
The cloudy sea of Sheng person's warm water delivery service horse partially capsule 3-5 tablet/time, 3 times/day, its main component is Semen Strychni, the Radix Astragali, the Rhizoma Atractylodis Macrocephalae, Radix Angelicae Sinensis, Rhizoma Homalomenae, Caulis Piperis Kadsurae; Sun partially Sheng person apply soft muscle capsule 3-5 tablet/time, 3 times/day, its main component is Bombyx Batryticatus, Radix Paeoniae Alba, Pheretima, Radix Glycyrrhizae Preparata;
Chinese traditional herbal medicine treatment application have invigorate blood circulation, blood stasis dispelling, Shu Jing, active herbal decoctions, medicinal: Ramulus Mori, Caulis Piperis Kadsurae, the Radix Paeoniae Alba, each 30g of Lignum Sappan, the each 15g of Radix Paeoniae Rubra, Ramulus Cinnamomi, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Herba Lycopodii, Flos Carthami 12g, cloudy victor partially adds Radix Astragali 45g, Rhizoma Atractylodis Macrocephalae 15g, Ramulus Cinnamomi 15g, Radix Paeoniae Alba 15g, decoct soup fumigation and wash method suffering limb, each 30min, every day 1-2 time.
2. a scheme, corresponding two kinds of medicines, is characterized in that comprising horse sea capsule and soft muscle capsule.
3. medicine according to claim 2, described medicine also comprises Chinese traditional medicine lotion, it is by Ramulus Mori, Caulis Piperis Kadsurae, the Radix Paeoniae Alba, each 30g of Lignum Sappan, each 15g of Radix Paeoniae Rubra, Ramulus Cinnamomi, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Herba Lycopodii, Flos Carthami 12g, adds Radix Astragali 45g, Rhizoma Atractylodis Macrocephalae 15g, Ramulus Cinnamomi 15g and Radix Paeoniae Alba 15g decocting obtained.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN113768979A (en) * | 2021-10-18 | 2021-12-10 | 刘泉宏 | Traditional Chinese medicine fumigation lotion for treating swelling and pain of apoplectic hemiplegia limbs |
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KR101503792B1 (en) * | 2012-12-05 | 2015-03-18 | 한국생명공학연구원 | Neuroprotective composition comprising extract or fractions of Vaccinium uliginosum as an active ingredient |
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CN1709404A (en) * | 2005-06-21 | 2005-12-21 | 浙江杭州鑫富药业股份有限公司 | Chinese patent medicine for preventing and treating apoplexia disease, and its production method and use |
KR101503792B1 (en) * | 2012-12-05 | 2015-03-18 | 한국생명공학연구원 | Neuroprotective composition comprising extract or fractions of Vaccinium uliginosum as an active ingredient |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN113768979A (en) * | 2021-10-18 | 2021-12-10 | 刘泉宏 | Traditional Chinese medicine fumigation lotion for treating swelling and pain of apoplectic hemiplegia limbs |
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