CN104306707A - Medicament composition for treating bedsore - Google Patents

Medicament composition for treating bedsore Download PDF

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CN104306707A
CN104306707A CN201410652385.XA CN201410652385A CN104306707A CN 104306707 A CN104306707 A CN 104306707A CN 201410652385 A CN201410652385 A CN 201410652385A CN 104306707 A CN104306707 A CN 104306707A
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parts
pharmaceutical composition
rhizoma
radix
blood
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王金玲
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K36/18Magnoliophyta (angiosperms)
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/23Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
    • A61K36/232Angelica
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K36/18Magnoliophyta (angiosperms)
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    • A61K36/32Burseraceae (Frankincense family)
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/40Cornaceae (Dogwood family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/489Sophora, e.g. necklacepod or mamani
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    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • A61K36/718Coptis (goldthread)
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
    • A61K36/739Sanguisorba (burnet)
    • AHUMAN NECESSITIES
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    • A61K36/185Magnoliopsida (dicotyledons)
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/896Liliaceae (Lily family), e.g. daylily, plantain lily, Hyacinth or narcissus
    • A61K36/8969Polygonatum (Solomon's seal)

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Abstract

The invention belongs to the technical field of medicines, and particularly relates to a medicament composition for treating bedsore. The medicament composition comprises the following components: pinellia ternate, puffball, sanguisorba officinalis, frankincense, rhizoma polygonati, coptidis rhizome, white peony root, turpinia arguta seem, herba houttuyniae, radix angelicae, cornus officinalis and pagodatree flower bud. The medicament composition fully plays the effects of managing Qi and activating blood; the effect of treating the bedsore caused by Qi-stagnancy and blood stasis is outstanding and reliable; the preparation technology of the medicament composition is easy to operate, the raw materials are readily available, and adverse reactions are avoided.

Description

A kind of pharmaceutical composition for the treatment of decubital ulcer
Technical field
The invention belongs to medical art, be specifically related to a kind of pharmaceutical composition for the treatment of decubital ulcer.
Background technology
Along with Chinese society economy and scientific and technical development, the average life span extends gradually, and the ratio of old people shared by population is increasing.The aging of social population makes spectrum of disease there occurs corresponding change.At present, cardiovascular and cerebrovascular disease, diabetes, tumor, apoplexy etc. have become common frdquently encountered disease, and trauma fracture incidence rate also rises year by year, and the patient that decubital ulcer occurs because these factors cause long-term bed not rise grows with each passing day.
Decubital ulcer has another name called " bed-sore ".Many because of prolonged illness bed, QI-blood circulation is lost smooth, failure of skin and muscle to be nourished, and often because friction skin is broken, contamination forms.Be mainly in the easily pressurized position such as tail sacrum, elbow ankle, ridge, with skin ulceration, the open sore part is prolonged is not more feature.Principal character is skin ulceration, does not prolongedly heal.Be more common in the prolonged illness sickbed patients such as stupor, paralysis, fracture, large-area burns clinically.Be divided into by its clinical characters and systemic conditions: qi stagnation and blood stasis type, accumulate poison rot type, QIXUELIANGXU type.
The traditional Chinese medical science is thought, decubital ulcer is many, and because of reasons such as prolonged illness, severe disease, hemiplegia, stupors, to cause patient confined to bed for a long time, cause patients blood's virtual loss, run and lose freely, failure of skin and muscle to be nourished, limbs of a specified duration seat cotton-padded mattress, fail often to change one's position body so that the long-term pressurized of skin and flesh, local skin becomes fragile, chafing against skin is namely damaged a little, so very easily infect into skin ulcer.Its basic pathogenesis is prolonged illness, the loss of lying on bed for a long time patient healthy energy, deficient qi and blood, and again because of long-term bed, meridians intercept, qi depression to blood stasis, and it is downright bad that local skin accumulates poison, and ulceration becomes skin ulcer.The disease feature of qi stagnation and blood stasis type patients with bedsore is skin rubefaction or purple dark, forms black slough rapidly, occurs limitation table fester, then full thickness skin and subcutaneous, hurt like hell is developed to, companion's susceptible to lose temper due to restlessness, two side of body distensions, bitter taste in the mouth and dry throat, white and thin fur, stringy and rolling pulse.
Because qi stagnation and blood stasis type decubital ulcer disease has a strong impact on the healthy of gerontal patient and quality of life, it often makes the stasis of blood gradually very because of the stagnation of QI, or causes the stagnation of QI because of blood stasis, and venation is obstructed, stagnation of QI and blood may bring about pain.The traditional Chinese medical science is cured the disease exquisite treatment must aim at the pathogenesis of disease, and Chinese medicine is little in treatment qi stagnation and blood stasis type decubital ulcer disease toxic and side effects, curative effect is more definite, is necessary the method studying effective treatment qi stagnation and blood stasis type decubital ulcer disease for this reason.
Summary of the invention
The invention provides a kind of new pharmaceutical composition for the treatment of decubital ulcer, this pharmaceutical composition good effect, toxic and side effects is little, and it is obtained by following raw material: the Rhizoma Pinelliae, Lasiosphaera Seu Calvatia, Radix Sanguisorbae, Olibanum, Rhizoma Polygonati, Rhizoma Coptidis, the Radix Paeoniae Alba, Turpinia pomifera(Roxb) D O., Herba Houttuyniae, the Radix Angelicae Dahuricae, Fructus Corni, the Flos Sophorae Immaturus.
In pharmaceutical composition of the present invention, the described Rhizoma Pinelliae, pungent, temperature; Poisonous.Return spleen, stomach, lung meridian.Drying dampness to eliminate phlegm, stopping nausea and vomiting by lowering the adverse flow of QI, dissolving lump and resolving mass.For abundant expectoration cough with asthma, phlegm retention vertigo and palpitation, dizziness due to wind-phlegm, syncope due to accumulation of phlegm is had a headache, vomiting regurgitation, and breast gastral cavity painful abdominal mass is vexed, globus hystericus; Raw with external treatment carbuncle sucutaneous nodule.Rhizoma Pinelliae (processed with Rhizoma Zingiberis Recens) is used for stopping nausea and vomiting by lowering the adverse flow of QI.
Lasiosphaera Seu Calvatia, pungent, flat.Return lung meridian.Removing heat from the lung and relieving sorethroat, hemostasis.For the strongly fragrant lung pharyngalgia of wind heat, cough, hoarseness; External treatment epistaxis, wound hemorrhage.
Radix Sanguisorbae, bitter, sour, puckery, be slightly cold.Cooling blood for hemostasis, removing toxic substances sore.For having blood in stool, hemorrhoidal bleeding, dysentery, metrorrhagia, burn due to hot liquid or fire, carbuncle sore tumefacting virus.
Olibanum, pungent, bitter, temperature.Promoting blood circulation and stopping pain.For all pains of trusted subordinate, the contracture of muscle arteries and veins, traumatic injury, sore, carbuncle and painful swelling; Externally used detumescence granulation promoting.
Rhizoma Polygonati, sweet, flat.Return spleen, lung, kidney channel.Boosting qi and nourishing yin, spleen invigorating, lung moistening, kidney tonifying.For weakness of the spleen and stomach, fatigue and asthenia, xerostomia lack of appetite, deficiency of the lung cough caused by dryness, asthenia of essence and blood, interior-heat is quenched one's thirst.
Rhizoma Coptidis, bitter, cold.GUIXIN, spleen, stomach, liver, gallbladder, large intestine channel.Heat clearing and damp drying, eliminating fire and detoxication.For damp and hot feeling of fullness, vomiting acid regurgitation, dysentery, jaundice, unconsciousness due to high fever, hyperactivity of heart-fire, dysphoria and insomnia, heat in blood tells nosebleed, conjunctival congestion, and toothache, quenches one's thirst, carbuncle furuncle; External treatment eczema, eczema, auditory meatus is suppurated.It is burning hot that Rhizoma Coptidis (processed with wine) is apt to the clear part of the body cavity above the diaphragm housing the heart and lungs.For conjunctival congestion, aphtha.Prepared RHIZOMA COPTIDIS with rhizoma zingiberis recens juice clearing stomach stomach function regulating preventing or arresting vomiting.Tie mutually for cold and heat, damp and hot middle resistance, feeling of fullness is vomitted.Cornel Rhizoma Coptidis soothing liver-QI stomach function regulating preventing or arresting vomiting.For incoordination between the liver and stomach, vomiting acid regurgitation.
The Radix Paeoniae Alba, bitter, sour, be slightly cold.Return liver, spleen channel.Suppressing the hyperactive liver pain relieving, nourishing blood for regulating menstruation, astringing YIN to stop sweating.Dizzy for having a headache, hypochondriac pain, stomachache, limb pain twin, blood deficiency and yellow complexion, menoxenia, spontaneous perspiration, night sweat.
Turpinia pomifera(Roxb) D O. is bitter, cold.Promoting blood circulation and stopping pain; Removing toxic substances and promoting subsidence of swelling.Main traumatic injury; Spleen enlargement; Tonsillitis; Furuncle toxic swelling.
Herba Houttuyniae, pungent, be slightly cold.Return lung meridian.Heat-clearing and toxic substances removing, eliminating carbuncle evacuation of pus, inducing diuresis for treating stranguria syndrome.For lung abscess vomiting pus, expectorant dyspnea of heat type is coughed, hematodiarrhoea, pyretic stranguria, carbuncle sore tumefacting virus.
The Radix Angelicae Dahuricae, pungent, temperature.Return stomach, large intestine, lung meridian.Loose wind dehumidifying, understand things pain-stopping, detumescence and apocenosis.For headache due to common cold, supraorbital bone pain, nasal obstruction, nasal sinusitis, toothache, leucorrhea, skin infection swells and ache.
Fructus Corni, sour, puckery, tepor.Return liver, kidney channel.Liver and kidney tonifying, essence astringing and desertion stemming.For vertigo and tinnitus, soreness of waist and knee joint, impotence and seminal emission, enuresis frequent micturition, bleeding not during menses, profuse sweating is collapsed.Interior-heat is quenched one's thirst.
The Flos Sophorae Immaturus, cooling blood for hemostasis, purging liver-fire.For having blood in stool, hemorrhoidal bleeding, dysentery, metrorrhagia, haematemesis, epistaxis, liver-heat conjunctival congestion, have a headache dizzy.
For old patients with bedsore, deficiency in both Qi and blood, qi depression to blood stasis are the basic pathogenesis of old decubital ulcer, and the deficiency of vital energy is this, and blood stasis is mark, and patients with bedsore is because of struggle between vital QI and pathogen, and with the passing of time disease touching, lying on bed for a long time bed, and to healthy energy consume, deficient qi and blood, can not ask heresy to go out.The deficiency of vital energy then can not promoting the circulation of blood, and blood deficiency then gas can not be gone, and the QI and blood deficiency then stasis of blood is stagnant obstructed, and healthy energy does not reach, and directly have influence on local organization reparation slow, the long-term crevasse of wound surface is not healed.The present invention is pure Chinese medicinal preparation, to human body particularly to liver avirulence.Pharmaceutical composition of the present invention follows strengthening vital QI to eliminate pathogenic factors, the Therapeutic Principle for the treatment of both the principal and secondary aspects of a disease, and all medicines share, and plays effect of vital energy regualting and blood circulation-promoting altogether.This method is used for mechanism of qi and blocks and the stagnant person of the blood vessels stasis of blood, reaches the effect for the treatment of both the principal and secondary aspects of a disease at the therapeutic process of decubital ulcer.
The technical scheme adopted for solving its technical problem is the pharmaceutical composition of described treatment decubital ulcer, is made up of the medicine material of following weight: Rhizoma Pinelliae 5-20 part, Lasiosphaera Seu Calvatia 2-9 part, Radix Sanguisorbae 10-18 part, Olibanum 1.2-1.8 part, Rhizoma Polygonati 10-20 part, Rhizoma Coptidis 6-18 part, Radix Paeoniae Alba 2-8 part, Turpinia pomifera(Roxb) D O. 18-30 part, Herba Houttuyniae 10-18 part, Radix Angelicae Dahuricae 15-25 part, Fructus Corni 10-20 part, Flos Sophorae Immaturus 20-26 part.
The preferred technical solution of the present invention is, described pharmaceutical composition of the present invention is obtained by the raw material of following weight portion: the Rhizoma Pinelliae 13 parts, Lasiosphaera Seu Calvatia 5 parts, Radix Sanguisorbae 14 parts, Olibanum 1.5 parts, Rhizoma Polygonati 15 parts, Rhizoma Coptidis 12 parts, the Radix Paeoniae Alba 5 parts, Turpinia pomifera(Roxb) D O. 24 parts, Herba Houttuyniae 14 parts, the Radix Angelicae Dahuricae 20 parts, Fructus Corni 15 parts, the Flos Sophorae Immaturus 23 parts.
Present invention also offers the preparation method of described pharmaceutical composition, specific as follows: the dry medicine raw material getting ingredients in prescription, crude drug is added to the water except Herba Houttuyniae, 2-3cm in the water that submerges, soaks half an hour, decoct 1-2h, filtering residue and Herba Houttuyniae add the water of 3 times of weight again, decoct 20min, merging filtrate, being concentrated into 60 DEG C of relative densities is 1.12-1.18, obtains concentrated solution for subsequent use.Those skilled in the art can add adjuvant conventional formulation technique on this basis can obtain various dosage forms conventional clinically.In order to facilitate patient to use pharmaceutical composition of the present invention better, pharmaceutical composition of the present invention conveniently technique can be prepared into external preparation conventional clinically, as lotion, liniment, tincture, unguentum etc.It is further preferred that pharmaceutical composition of the present invention conveniently preparation technology be prepared into unguentum.
The present invention also asks to protect aforementioned pharmaceutical compositions in the purposes of preparation treatment decubital ulcer particularly in preparation treatment qi stagnation and blood stasis type decubital ulcer medicine.Select clinical case to observe in 76 known treated routine qi stagnation and blood stasis type patients with bedsore, pharmaceutical composition of the present invention has given full play to the drug effect of vital energy regualting and blood circulation-promoting, is beneficial to growth and the wound healing of granulation tissue, has the effect accelerating wound healing.Result shows, pharmaceutical composition of the present invention is evident in efficacy to qi stagnation and blood stasis type decubital ulcer, after medication 3-4 days, skin ulcer face transfers to ruddy by black, dark brown, slough obviously reduces, redness alleviates, slough comes off quickening, add the confession of wound surface blood, improve wound surface microcirculation, facilitate the growth of granulation tissue.After liniment is combined with wound surface, forms protective barrier, decrease infection chance, be conducive to wound healing.The total effective rate 97.37% for the treatment of group of the present invention is far above matched group 76.32%, and pharmaceutical composition of the present invention has extremely significant curative effect to treatment qi stagnation and blood stasis type patients with bedsore, and no case was recurrence, treatments period has no adverse reaction to follow up a case by regular visits to 1 year.Reach the object of vital energy regualting and blood circulation-promoting after thus pharmaceutical composition prescription of the present invention being described, serve the remarkable result that treatment decubital ulcer particularly treats qi stagnation and blood stasis type decubital ulcer.So pharmaceutical composition of the present invention is a kind of external used medicine can extensively promoted for decubital ulcer.
Detailed description of the invention
Further describe the present invention below by way of specific embodiment, but the present invention is not limited only to following specific embodiment.Within the scope of the invention or not departing from content of the present invention, spirit and scope, the change carried out the present invention, combination or replacement, be apparent for a person skilled in the art, and be included within the scope of the present invention.
Embodiment 1
The each raw material of the present invention is taken: the Rhizoma Pinelliae 5 parts, Lasiosphaera Seu Calvatia 2 parts, Radix Sanguisorbae 10 parts, Olibanum 1.2 parts, Rhizoma Polygonati 10 parts, Rhizoma Coptidis 6 parts, the Radix Paeoniae Alba 2 parts, Turpinia pomifera(Roxb) D O. 18 parts, Herba Houttuyniae 10 parts, the Radix Angelicae Dahuricae 15 parts, Fructus Corni 10 parts, the Flos Sophorae Immaturus 20 parts by following weight portion.
Embodiment 2
The each raw material of the present invention is taken: the Rhizoma Pinelliae 20 parts, Lasiosphaera Seu Calvatia 9 parts, Radix Sanguisorbae 18 parts, Olibanum 1.8 parts, Rhizoma Polygonati 20 parts, Rhizoma Coptidis 18 parts, the Radix Paeoniae Alba 8 parts, Turpinia pomifera(Roxb) D O. 30 parts, Herba Houttuyniae 18 parts, the Radix Angelicae Dahuricae 25 parts, Fructus Corni 20 parts, the Flos Sophorae Immaturus 26 parts by following weight portion.
Embodiment 3
The each raw material of the present invention is taken: the Rhizoma Pinelliae 20 parts, Lasiosphaera Seu Calvatia 2 parts, Radix Sanguisorbae 18 parts, Olibanum 1.2 parts, Rhizoma Polygonati 20 parts, Rhizoma Coptidis 6 parts, the Radix Paeoniae Alba 8 parts, Turpinia pomifera(Roxb) D O. 18 parts, Herba Houttuyniae 18 parts, the Radix Angelicae Dahuricae 15 parts, Fructus Corni 20 parts, the Flos Sophorae Immaturus 20 parts by following weight portion.
Embodiment 4
The each raw material of the present invention is taken: the Rhizoma Pinelliae 5 parts, Lasiosphaera Seu Calvatia 9 parts, Radix Sanguisorbae 10 parts, Olibanum 1.8 parts, Rhizoma Polygonati 10 parts, Rhizoma Coptidis 18 parts, the Radix Paeoniae Alba 2 parts, Turpinia pomifera(Roxb) D O. 30 parts, Herba Houttuyniae 10 parts, the Radix Angelicae Dahuricae 25 parts, Fructus Corni 10 parts, the Flos Sophorae Immaturus 26 parts by following weight portion.
Embodiment 5
The each raw material of the present invention is taken: the Rhizoma Pinelliae 13 parts, Lasiosphaera Seu Calvatia 5 parts, Radix Sanguisorbae 14 parts, Olibanum 1.5 parts, Rhizoma Polygonati 15 parts, Rhizoma Coptidis 12 parts, the Radix Paeoniae Alba 5 parts, Turpinia pomifera(Roxb) D O. 24 parts, Herba Houttuyniae 14 parts, the Radix Angelicae Dahuricae 20 parts, Fructus Corni 15 parts, the Flos Sophorae Immaturus 23 parts by following weight portion.
Preparation technology: the dry medicine raw material getting ingredients in prescription, crude drug is added to the water except Herba Houttuyniae, submerge 2-3cm in water, soak half an hour, decoct 1-2h, filtering residue and Herba Houttuyniae add the water of 3 times of weight again, decoct 20min, merging filtrate, being concentrated into 60 DEG C of relative densities is 1.12-1.18, obtains concentrated solution for subsequent use.Those skilled in the art can add adjuvant conventional formulation technique on this basis and obtain the conventional external preparation such as lotion, liniment, tincture, unguentum.
The clinical data of embodiment 6 medicine composite for curing decubital ulcer of the present invention
76 routine patients are divided into treatment group and matched group by random digits table by 1, case-data: selected by this object of study 76 routine patients are diagnosed as qi stagnation and blood stasis type patients with bedsore from hospital's Dermatology and outpatient service, often organize each 38 examples.Wherein paralytic 13 example, because of paralytic patient 19 example that wound causes, patients of acute myocardial infarction 15 example, patients with cor pulmonale 15 example, fracture patient 14 example, at 55 ~ 85 years old age, the course of disease is 10 ~ 50 days, is on average 32.25 days.In treatment group, male 18 example, women 20 example, 56 years old minimum age, 85 years old maximum age, average (70.19 ± 5.60) year, wound surface has 41 places, wherein sacrococcygeal region 29 place, back 6 place, elbow joint 3 place, heel portion 3 place, decubital ulcer area 0.5cm × 0.5cm ~ 6cm × 8cm.In matched group, male 19 example, women 19 example, 55 years old minimum age, 83 years old maximum age, average (71.20 ± 5.65) year, wound surface has 41 places, wherein sacrococcygeal region 30 place, back 6 place, elbow joint 5 place, decubital ulcer area 1cm × 0.5cm ~ 7cm × 7cm.
Two groups of data selected by this are compared, and no matter sex, age, by stages typing, affected part number, decubital ulcer area etc. are through the statistical test difference that there are no significant, and (P>0.05), has comparability.
2, diagnosis basis
1) diagnostic criteria
In People's Republic of China's traditional Chinese medicine industry standard " Chinese medical disease Standardization of diagnosis and curative effect ", the diagnostic criteria of decubital ulcer is as follows:
(1) be apt to occur in the apophysis such as tail sacrum, ridge, elbow ankle easily to suffer oppression and the position that rubs;
(2) from the beginning of skin occurring brown erythema, micro-swollen, purple dark edema then, necrosis is festered;
(3) during secondary contamination, tissue necrosis is rapid, and pus is dripping, corresponding site Bing Fa Xing core pain;
(4) patient of the prolonged illness beds such as stupor, paralysis, fracture, large-area burns is more common in.
2) inclusive criteria
(1) degree of depth of decubital ulcer does not damage sclerotin and joint;
(2) vital sign is steady;
(3) informed consent, patient and family members are ready partner treatment;
(4) enough nutritional supports are had;
(5) without psychology, mental sickness;
(6) during selected and random packet, clinical symptoms is stablized.
3) exclusion standard
(1) sensory disturbance, stupor, hemorrhagic apoplexy (acute stage), diabetes (except glucostasis person);
(2) severe malnutrition, can not oral feeding and refuse other approach extra-nutritions person;
(3) estimate to survive to the critical patient of off-test;
(4) patient and family members refuse partner treatment decubital ulcer person;
(5) allergic constitution, or known to this medicine composition allergy sufferers;
(6) law or spiritual disabled patient;
(7) chronic wounds that causes of other diseases;
(8) various disease whole latter stage, refusal treatment primary disease person;
(9) patient of other drug clinical trial is being participated in.
4) to reject and the standard that comes off
(1) include case selected by rear discovery in and do not meet inclusive criteria;
(2) case is included at duration of test because of certain reason and the person that should not continue reception test;
(3) the not not congruent judgement person that affects the treatment of medication treatment or data according to the rules;
(4) experimenter's compliance is poor, can not complete experimenter on request;
(5) bolter voluntarily in process of the test;
(6) other can not complete experimenter on request, as in process of the test, occur the other reasons Died Patients irrelevant with decubital ulcer.
3, usage and dosage:
Unguentum prepared by treatment group Example 5.Every gram of unguentum, containing crude drug amount 1g, is got 1-2g ointment according to affected part area at every turn and is smeared affected part, three times on the one.
Matched group adopts western medicine routine treatment method, first wound surface is cleaned with normal saline, remove vesicle, ulcer and a large amount of slough, infra-red light irradiation 30min is used after wound surface cleaning, clean again, soak gentamycin wets sliver (0.9% sodium chloride injection 100mL adds gentamycin 240,000 unit) after wound surface of sterilizing, cover with aseptic dressing and wrap up, every day changes dressings 1-2 time, until healing.
Observation of curative effect is carried out after 15 days.
4, efficacy evaluation:
(1) cure: brown erythema disappears, or the wound healing that festers;
(2) take a turn for the better: erythema does not disappear entirely, or the skin ulcer face slough that festers comes off, granulation, and skin ulcer face reduces gradually;
(3) do not heal: the open sore part increases, fester more than.
Total effective rate=(clinical cure number of cases+improvement number of cases)/this organizes total number of cases × 100%.
5, therapeutic effect: in this clinical observation case 76 people, without coming off case, after treatment terminates, the concrete outcome of two groups is in Table.
? Cure Take a turn for the better Do not heal Effective percentage (%)
Treatment group 28 9 1 97.37%%
Matched group 14 15 9 76.32%
Pharmaceutical composition of the present invention has given full play to the drug effect of vital energy regualting and blood circulation-promoting, is beneficial to growth and the wound healing of granulation tissue, has the effect accelerating wound healing.Result shows, pharmaceutical composition of the present invention is evident in efficacy to qi stagnation and blood stasis type decubital ulcer, after medication 3-4 days, skin ulcer face transfers to ruddy by black, dark brown, slough obviously reduces, redness alleviates, slough comes off quickening, add the confession of wound surface blood, improve wound surface microcirculation, facilitate the growth of granulation tissue.After liniment is combined with wound surface, forms protective barrier, decrease infection chance, be conducive to wound healing.So pharmaceutical composition of the present invention is a kind of external used medicine can extensively promoted for decubital ulcer, clinical effectiveness is remarkable.

Claims (7)

1. treat a pharmaceutical composition for decubital ulcer, it is characterized in that, it is obtained by following raw material: the Rhizoma Pinelliae, Lasiosphaera Seu Calvatia, Radix Sanguisorbae, Olibanum, Rhizoma Polygonati, Rhizoma Coptidis, the Radix Paeoniae Alba, Turpinia pomifera(Roxb) D O., Herba Houttuyniae, the Radix Angelicae Dahuricae, Fructus Corni, the Flos Sophorae Immaturus.
2. pharmaceutical composition as claimed in claim 1, it is characterized in that, it is obtained by the raw material of following weight portion: Rhizoma Pinelliae 5-20 part, Lasiosphaera Seu Calvatia 2-9 part, Radix Sanguisorbae 10-18 part, Olibanum 1.2-1.8 part, Rhizoma Polygonati 10-20 part, Rhizoma Coptidis 6-18 part, Radix Paeoniae Alba 2-8 part, Turpinia pomifera(Roxb) D O. 18-30 part, Herba Houttuyniae 10-18 part, Radix Angelicae Dahuricae 15-25 part, Fructus Corni 10-20 part, Flos Sophorae Immaturus 20-26 part.
3. pharmaceutical composition as claimed in claim 2, it is characterized in that, it is obtained by the raw material of following weight portion: the Rhizoma Pinelliae 13 parts, Lasiosphaera Seu Calvatia 5 parts, Radix Sanguisorbae 14 parts, Olibanum 1.5 parts, Rhizoma Polygonati 15 parts, Rhizoma Coptidis 12 parts, the Radix Paeoniae Alba 5 parts, Turpinia pomifera(Roxb) D O. 24 parts, Herba Houttuyniae 14 parts, the Radix Angelicae Dahuricae 20 parts, Fructus Corni 15 parts, the Flos Sophorae Immaturus 23 parts.
4. the pharmaceutical composition as described in claim 1-3, is characterized in that, described pharmaceutical composition is external preparation.
5. pharmaceutical composition as claimed in claim 4, it is characterized in that, described external preparation is lotion, liniment, tincture, unguentum.
6. pharmaceutical composition as claimed in claim 5, it is characterized in that, described external preparation is unguentum.
7. the purposes of the pharmaceutical composition as described in claim 1-6 in preparation treatment qi stagnation and blood stasis type decubital ulcer medicine.
CN201410652385.XA 2014-11-16 2014-11-16 Medicament composition for treating bedsore Pending CN104306707A (en)

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CN105168386A (en) * 2015-08-27 2015-12-23 陈红 Traditional Chinese medicine composition for treating qi-stagnation and blood-stasis type bedsore and preparation method of traditional Chinese medicine composition

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104758858A (en) * 2015-04-29 2015-07-08 赵振荣 Medicine for treating Qi-stagnancy and blood stasis bedsore and preparation method thereof
CN105168386A (en) * 2015-08-27 2015-12-23 陈红 Traditional Chinese medicine composition for treating qi-stagnation and blood-stasis type bedsore and preparation method of traditional Chinese medicine composition

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