CN104367760A - 一种治疗糖尿病足的中药熏洗剂及护理方法 - Google Patents

一种治疗糖尿病足的中药熏洗剂及护理方法 Download PDF

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CN104367760A
CN104367760A CN201410613759.7A CN201410613759A CN104367760A CN 104367760 A CN104367760 A CN 104367760A CN 201410613759 A CN201410613759 A CN 201410613759A CN 104367760 A CN104367760 A CN 104367760A
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赵立臻
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Abstract

本发明公开了一种治疗糖尿病足的中药熏洗剂。中医认为：糖尿病足属中医的“脱疽”范畴，多发生在糖尿病阴亏燥热、气阴两虚、阴阳俱虚阶段，血瘀是其发生发展的重要病理基础。本发明选择具有活血通络，益气养阴，通脉破瘀，清热解毒的中药管南香、蜈蚣萍、竹叶参、锯锯藤、凤尾参、狗尾巴参、黄耆、牛尾菜、柠条、金金棒、闹狗药，制成熏洗剂，经临床试验，总有效率达到93.8％，明显优于对照组，值得推广应用。

Description

一种治疗糖尿病足的中药熏洗剂及护理方法
技术领域
本发明涉及一种中药组合物，尤其涉及一种治疗糖尿病足的中药熏洗剂。
背景技术
糖尿病足是糖尿病慢性并发症之一，溃疡与坏疽是糖尿病患者致残致死的重要原因，其晚期治疗手段之一为截肢，以上糖尿病性肢体缺血症的病理生理变化是由于代谢紊乱所引起的血管病变及神经系统的功能障碍，且糖尿病患者免疫功能常常受损，临床上易发生足部感染甚至出现溃烂、坏疽等愈合困难，严重者需截肢，严重威胁患者健康。
该病多反复发作，长期不愈，给患者和社会带来了沉重的负担，在临床护理工作中，常规选用抗生素局部换药，但伤口愈合时间长，疼痛明显。发明人在多年的临床实践中利用中药熏洗治疗，取得了较为明显的疗效。
发明内容
本发明的目的是提供一种治疗糖尿病足的中药熏洗剂。中医认为：糖尿病足属中医的“脱疽”范畴，其病理特点是在消渴病阴虚基础上致使病体气虚、阳虚，合并感受外毒。在病变的过程中，由于阳虚而致血液运行不畅，瘀阻脉络，故阳虚血瘀的病变始终贯穿整个过程，这与现代医学微循环障碍一致。糖尿病足可以发生在糖尿病阴亏燥热、气阴两虚、阴阳俱虚各个阶段，血瘀是其发生发展的重要病理基础，
多样性的外来伤害在糖尿病足发病中占有重要的地位。导致瘀血阻滞脉络，阳气不能达于四末以温煦肌肉、筋脉则发为。中医治疗宜活血通络，益气养阴，通脉破瘀，清热解毒。
本发明的目的是通过以下技术方案实现的，该治疗糖尿病足的中药熏
洗剂由以下重量份的中药制成：管南香1.5-3份、蜈蚣萍40-50份、竹叶参9-15份、锯锯藤10-15份、凤尾参20-30份、狗尾巴参15-25份、黄耆15-20份、牛尾菜10-15份、柠条9-15份、金金棒40-50份、闹狗药5-10份。
优选的，管南香2.3份、蜈蚣萍45份、竹叶参12份、锯锯藤13份、凤尾参25份、狗尾巴参20份、黄耆18份、牛尾菜13份、柠条13份、金金棒45份、闹狗药7.5份。
制备方法：将上述中药按传统方法水煎取汁2500ml。
方中：管南香、蜈蚣萍清热解毒，去瘀生肌，理气止痛，活血止痛；竹叶参、锯锯藤清热解毒，舒筋通络；凤尾参：补气血，活络；狗尾巴参：生津益气，养阴润肺；黄耆：益气固表，托毒生肌，利水消肿；牛尾菜：舒筋活络，补气活血；柠条、金金棒养血滋阴；生津止渴；闹狗药：散血止痛，排脓生肌；
临床资料
1.一般资料所选病例均来自我院2005年1月至2009年1月门诊住院病例。共160例，随机分成治疗组和对照组，每组80例。治疗组：男35例，女45例，年龄45～65岁，平均(55.0±2.42)岁。对照组：男30例，女50例，年龄50～70岁，平均(57.5±3.25)岁。两组病例在年龄、性别、病程及血糖等方面差异无显著性意义(P＞0.05)，具有可比性。
2.诊断标准参照我国中医药学会糖尿病学会通过的有关糖尿病(消渴病)内容的《中医病症诊断疗效标准》
3.治疗方法治疗组给予中药熏洗：称取管南香2.3g、蜈蚣萍45g、竹叶参12g、锯锯藤13g、凤尾参25g、狗尾巴参20g、黄耆18g、牛尾菜13g、柠条13g、金金棒45g、闹狗药7.5g，加水4000ml，煮沸15分钟后凉至45度浸泡患足，每日1-2次，每次30分钟。对照组静点脉络宁注射剂，每日20ml，两组均20天为一个疗程，连续用两个疗程。
4.疗效评定标准参照我国1992年的《中医病症诊断疗效标准》。痊愈：疼痛、麻木、发凉等症状治疗后全部消失，皮肤颜色恢复正常；显效：疼痛、麻木、发凉等症状治疗后明显改善，皮肤颜色明显改善；有效：疼痛、麻木、发凉等症状治疗后好转，皮肤颜色改善；无效：疼痛、麻木、发凉等症状治疗后无明显变化或恶化，皮肤颜色未改变。
5.治疗结果两组治疗两个疗程后疗效比较见表1.
表1治疗组与对照组疗效对比
注：与对照组相比，P＜0.01。
两组比较治疗组痊愈率、总有效率明显优于对照组的痊愈率、总有效率，明显优于对照组，具有可比性P＜0.01。
具体实施方式
实施例一：称取管南香2.3g、蜈蚣萍45g、竹叶参12g、锯锯藤13g、凤尾参25g、狗尾巴参20g、黄耆18g、牛尾菜13g、柠条13g、金金棒45g、闹狗药7.5g，将以上中药水煎取汁2500mL，将药汁放置木盆中，浸泡双足，水温45度左右为宜，每次浸泡30min左右，早晚各1次。
实施例二：称取管南香1.5g、蜈蚣萍50g、竹叶参15g、锯锯藤10g、凤尾参30g、狗尾巴参25g、黄耆15g、牛尾菜10g、柠条15g、金金棒50g、闹狗药10g，将以上中药水煎取汁2500mL，将药汁放置木盆中，浸泡双足，水温45度左右为宜，每次浸泡30min左右，早晚各1次。
实施例三：称取管南香3g、蜈蚣萍40g、竹叶参9g、锯锯藤15g、凤尾参20g、狗尾巴参15g、黄耆20g、牛尾菜15g、柠条9g、金金棒40g、闹狗药5g，将以上中药水煎取汁2500mL，将药汁放置木盆中，浸泡双足，水温45度左右为宜，每次浸泡30min左右，早晚各1次。

Claims (2)

1.一种治疗糖尿病足的中药熏洗剂，其特征在于该中药熏洗剂由以下重量份的中药制成：管南香1.5-3份、蜈蚣萍40-50份、竹叶参9-15份、锯锯藤10-15份、凤尾参20-30份、狗尾巴参15-25份、黄耆15-20份、牛尾菜10-15份、柠条9-15份、金金棒40-50份、闹狗药5-10份。
2.根据权利要求1所述的一种治疗糖尿病足的中药熏洗剂，其特征在于该中药熏洗剂由以下重量份的中药制成：管南香2.3份、蜈蚣萍45份、竹叶参12份、锯锯藤13份、凤尾参25份、狗尾巴参20份、黄耆18份、牛尾菜13份、柠条13份、金金棒45份、闹狗药7.5份。
CN201410613759.7A 2014-10-28 2014-10-28 一种治疗糖尿病足的中药熏洗剂及护理方法 Pending CN104367760A (zh)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105663688A (zh) * 2016-03-01 2016-06-15 张俊然 一种治疗糖尿病足的中药熏洗剂

Non-Patent Citations (2)

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王洪武等: "基于中医传承辅助系统的糖尿病足外治方剂用药规律分析", 《中国实验方剂学杂志》 *
邓家德等: "黄芪对糖尿病足溃疡处成纤维细胞合成透明质酸的影响", 《江西医学检验》 *

Cited By (1)

* Cited by examiner, † Cited by third party
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CN105663688A (zh) * 2016-03-01 2016-06-15 张俊然 一种治疗糖尿病足的中药熏洗剂

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