CN104474048A - Palsy-removing medicinal liquor for enema treatment of rheumatoid arthritis - Google Patents
Palsy-removing medicinal liquor for enema treatment of rheumatoid arthritis Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/23—Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
- A61K36/232—Angelica
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/56—Materials from animals other than mammals
- A61K35/58—Reptiles
- A61K35/583—Snakes; Lizards, e.g. chameleons
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/56—Materials from animals other than mammals
- A61K35/63—Arthropods
- A61K35/646—Arachnids, e.g. spiders, scorpions, ticks or mites
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/23—Apiaceae or Umbelliferae (Carrot family), e.g. dill, chervil, coriander or cumin
- A61K36/236—Ligusticum (licorice-root)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/26—Aristolochiaceae (Birthwort family), e.g. heartleaf
- A61K36/268—Asarum (wild ginger)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/48—Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
- A61K36/481—Astragalus (milkvetch)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/54—Lauraceae (Laurel family), e.g. cinnamon or sassafras
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/71—Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
- A61K36/714—Aconitum (monkshood)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0031—Rectum, anus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2236/00—Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
- A61K2236/30—Extraction of the material
- A61K2236/33—Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
- A61K2236/333—Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using mixed solvents, e.g. 70% EtOH
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2236/00—Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
- A61K2236/50—Methods involving additional extraction steps
- A61K2236/53—Liquid-solid separation, e.g. centrifugation, sedimentation or crystallization
Abstract
The invention relates to palsy-removing medicinal liquor for enema treatment of rheumatoid arthritis. The palsy-removing medicinal liquor is prepared from the following medicinal raw materials by weight: 55-65g of angelica sinensis, 55-65g of ligusticum wallichii, 150-250g of astragalus membranaceus, 15-25g of radix aconiti preparata, 8-12g of prepared kusnezoff monkshood roots, 15-25g of asarum, 90-110g of radix aconiti lateralis preparata, 80-100g of cassia twig, 35-45g of agkistrodon and 55-65g of scorpio. The palsy-removing medicinal liquor which is delivered to rectum is simple to operate, noninvasive and easy to accept by patients. Medicines in rectum are absorbed faster than that by oral administration. As medicines are mixed in a rectal secretion, the medicines are easily absorbed by intestinal mucosa, so that the patient unable to swallow is particularly more suitable for being treated by administration. The rectal administration method is wide in application range, quick to take effect and reliable in curative effect. The palsy-removing medicinal liquor is used while prepared, and is free of obvious adverse effects and side effects.
Description
Technical field
The present invention relates to field of Chinese herbal medicine technology, be specifically related to a kind of eliminating impediment medicated wine of enema treatment rheumatoid arthritis.
Background technology
Rheumatoid arthritis (abbreviation quasi-wind gateway) is common clinical, the health of serious harm patient.With arthralgia, deformity for cardinal symptom, belong to Chinese medicine " arthromyodynia " category.Its head sees Eastern Han Dynasty's Zhang Zhongjing is shown the last years of a dynasty or reign " Medical Treasures of the Golden Chamber " one book.This disease is many attacks human body by exopathogen such as wind, cold, wets, makes impatency passages through which vital energy circulates, QI-blood circulation smooth and causes, with muscle, muscles and bones, the aching of joint, numb, weigh, joint stuffiness, and arthroncus is main clinical manifestation.For a long time, rheumatism is a fuzzy concept, and pain is its cardinal symptom, is also that this disease causes handicapped major reason.In clinical, the pain originating from joint and accessory structure thereof is the most common.
Through constantly groping, summing up, we adopt the therapy for treating cold-dampness type rheumatoid arthritis injected according to clinical experience homemade eliminating impediment medicated wine rectum to achieve good therapeutic effect.Traditional Chinese medicinal liquor retention enema is one of traditional Chinese medical science interior disease external therapy, it is the new clinical administration technology of of growing up according to traditional medicine and modern medical theory, the various serious side effects that it can avoid the medicines such as oral NSAID (non-steroidal anti-inflammatory drug) and hormone to bring, become the third route of administration, motherland's medical science is thought: the lung and the large intestine being interior-exteriorly related, after rectal absorption medicine, by defeated in lung on passages through which vital energy circulates, again by the defeated cloth whole body of a surname's outbreak of lung, thus reach the object for the treatment of.Modern medicine is thought: rectal mucosa blood circulation is vigorous, absorbability is strong, medicine is by after rectal absorption, one is by hemorrhoidal veins,middle, lower vein and anal canal vein, walk around liver and directly enter systemic circulation, both prevented from and reduced antirheumatic changing in liver, turn avoid the impact of harmonization of the stomach small intestinal on medicine; Two is by superior rectal vein, after trans-portal vein enters liver metabolism, is recycled to whole body; Three is that after being absorbed by rectum lymphsystem, by cisterna chyli, thoracic duct enters blood circulation.
Summary of the invention
A kind of tonifying liver kidney tonifying is the object of the present invention is to provide to be power, blood circulation promoting and blood stasis dispelling, dispel the wind and exempt from the medicated wine of numbness, removing obstruction in the collateral to relieve pain treatment cold-dampness type rheumatoid arthritis, the route of administration that breaks traditions and retention enema after adopting medicated wine to dilute, reach that treatment joint weighs, pain, swelling object.
Technical problem to be solved by this invention realizes by the following technical solutions:
An eliminating impediment medicated wine for enema treatment rheumatoid arthritis, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 55-65 gram, Rhizoma Chuanxiong 55-65 gram, Radix Astragali 150-250 gram, Radix Aconiti Preparata 15-25 gram, Radix Aconiti Kusnezoffii Preparata 8-12 gram, Herba Asari 15-25 gram, Radix Aconiti Lateralis Preparata 90-110 gram, Ramulus Cinnamomi 80-100 gram, Little Multibanded Krait 35-45 gram, Scorpio 55-65 gram.
The preferred weight of each crude drug is: Radix Angelicae Sinensis 60 grams, Rhizoma Chuanxiong 60 grams, the Radix Astragali 200 grams, Radix Aconiti Preparata 20 grams, Radix Aconiti Kusnezoffii Preparata 10 grams, Herba Asari 20 grams, Radix Aconiti Lateralis Preparata 100 grams, Ramulus Cinnamomi 90 grams, Little Multibanded Krait 40 grams, Scorpio 60 grams.
Crude drug used by the present invention can be bought from common Chinese shop and obtain, and its specification meets national Chinese crude drug standard.
Concocting method:
By the cataclasm one-tenth coarser powder of above 10 taste medicine, put in appropriate vessel, add the airtight immersion of proper amount of white spirit, every day stirs 1-2 time, after one week, stir 1 time weekly, total immersion stain 30 days, take out clear liquid, squeezing medicinal residues, press liquor and supernatant merge, and filling and sealing is for subsequent use in glass infusion bottle.
Medication and consumption:
We adopt rectum Injection Therapy for patient, concrete grammar is: first suct medicinal liquid 100ml with the syringe of taking 50ml and put into 250ml wide mouthed bottle, add 100ml normal saline dilution to reduce alcoholic strength, suitably heat (controlling medicine temperature between 30-40 DEG C) with hot water, connect single use anus catheter with syringe, according to rectum Injection Therapy working specification, slow for 200ml medicinal liquid clump anus is pushed.Advise patient's left lateral position 20 minutes simultaneously, and prevent medicinal liquid from flowing out.Every day 1 time 7 days is a course for the treatment of, generally needs obtain obvious curative effects 2-5 the course for the treatment of.
Function:
Expelling wind and cold, dehumidifying exempts from numbness, the meridian dredging, and relieve the pain pain.
Cure mainly:
Rheumatoid arthritis (cold-dampness type).
Three large advantages of rectally:
1. directly absorbed by hemorrhoidal veins,middle, lower vein and anal veins and enter systemic circulation, because of without liver thus the head avoiding liver crosses antidotal effect, improve blood drug level.
2. enter liver by superior rectal vein trans-portal vein, after metabolism, participate in systemic circulation again.
3. rectum lymphsystem also absorption portion medicine.
Above three kinds of route of administration are all without harmonization of the stomach small intestinal, and avoid acid, alkali digestion enzyme to the impact of medicine and destruction, also alleviating medicine stimulates gastrointestinal, and thus rectally greatly increases the bioavailability of medicine.
Pharmaceutical analysis:
Radix Angelicae Sinensis:
[meridian distribution of property and flavor] sweet in the mouth; Pungent; Bitter; Warm in nature.Return liver; The heart; Spleen channel
[effect] enriches blood; Invigorate blood circulation; Menstruction regulating and pain relieving.
[pharmacological action] antioxidation, scavenging free radicals, analgesia, antiinflammatory action.
Rhizoma Chuanxiong:
[meridian distribution of property and flavor] acrid in the mouth, warm in nature; Return liver, gallbladder, pericardium channel.
[effect] blood-activating and qi-promoting, wind-expelling pain-stopping.
[pharmacological action] by blood vessel dilating, improve microcirculation, resist myocardial ischemia, the pharmacological action such as anti-cerebral ischemia, antithrombus formation, sedation and analgesia realizes.
The Radix Astragali:
[meridian distribution of property and flavor] is sweet, tepor; Return lung, spleen, liver, kidney channel.
[effect] invigorating QI to consolidate the body surface resistance, diuresis.
[pharmacological action] strengthens immunologic function; Enhancing body anoxia enduring and stress ability; Promote organism metabolism; Hepatoprotective effect; Hormone-like effect.
Radix Aconiti Preparata:
[meridian distribution of property and flavor] is pungent, bitter, heat; Poisonous.GUIXIN, liver,kidney,spleen warp.
[effect] expelling wind and removing dampness, antalgic.
[pharmacological action] be antiinflammatory, analgesic activity significantly.
Radix Aconiti Kusnezoffii Preparata:
[meridian distribution of property and flavor] is pungent, bitter, heat; Very toxic.GUIXIN, liver,kidney,spleen warp.
[effect] expelling wind and removing dampness, antalgic.
[pharmacological action] be antiinflammatory, analgesic activity significantly.
Herba Asari:
[meridian distribution of property and flavor] is pungent, temperature.GUIXIN, lung, kidney channel.
[effect] induces sweat cold expelling, and wind-expelling pain-stopping is sensible.
[pharmacological action] analgesia, antiinflammatory and immunosuppressive action.
Radix Aconiti Lateralis Preparata:
[meridian distribution of property and flavor] is pungent, sweet, hot greatly; Poisonous.GUIXIN, kidney, spleen channel.
[effect] recuperating depleted YANG and rescuing the patient from collapse, mends fire supporing yang, by wind-cold damp pathogen
[pharmacological action] antiinflammatory (arthralgia due to wind-cold dampness is especially suitable), immunomodulating (having facilitation to specific humoral immunity).
Ramulus Cinnamomi:
[meridian distribution of property and flavor] nature and flavor acrid, sweet, warm, enter lung, the heart, urinary bladder channel.
[effect] complement sun, promoting blood circulation, warming the spleen and stomach.
[pharmacological action] eases pain, the immunoregulation effects such as diuresis and inflammatory suppression.
Little Multibanded Krait:
[meridian distribution of property and flavor] is sweet salty, temperature, poisonous.
[effect] wind-damp dispelling, saturating muscles and bones, arresting convulsion is jerked.
[pharmacological action] has antiinflammatory, calmness, analgesic activity.
Scorpio:
[meridian distribution of property and flavor] is pungent, flat.Poisonous.
[effect] relieving spasm by subduing liver-wind, detoxicating and resolving stagnation of pathogens, removing obstruction in the collateral to relieve pain.
[pharmacological action] analgesic activity, immunization.
Evaluation of clinical curative effect
Treat 800 many cases patients altogether with medicated wine retention enema of the present invention, be cold-dampness type rheumatoid arthritis patients (first mid-term class wind), Therapeutic Method is this eliminating impediment medicated wine coloclysis, every day 1 time, and be weekly 1 course for the treatment of, 2-5 the course for the treatment of obviously takes effect.Through clinical observation, take effect in 7 days as a result, cure rate is 78.6%, total effective rate 98.4%.
The invention has the beneficial effects as follows: the present invention adopts rectally, simple to operate, hurtless measure, patient is acceptant; Medicine is more oral at rectal absorption is fast, because medicament mixed is in rectum juice, is easily absorbed by intestinal mucosa, especially the patient that can not swallow is more suitable for the treatment of this method administration; Rectal delivery has wide range of applications, instant effect, and curative effect is reliable, with system with without obvious adverse reaction and side effect.
Detailed description of the invention
The technological means realized to make the present invention, creation characteristic, reaching object and effect is easy to understand, below in conjunction with specific embodiment, setting forth the present invention further.
Embodiment 1
An eliminating impediment medicated wine for enema treatment rheumatoid arthritis, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 60 grams, Rhizoma Chuanxiong 60 grams, the Radix Astragali 200 grams, Radix Aconiti Preparata 20 grams, Radix Aconiti Kusnezoffii Preparata 10 grams, Herba Asari 20 grams, Radix Aconiti Lateralis Preparata 100 grams, Ramulus Cinnamomi 90 grams, Little Multibanded Krait 40 grams, Scorpio 60 grams.
Crude drug used by the present invention can be bought from common Chinese shop and obtain, and its specification meets national Chinese crude drug standard.
Concocting method:
By the cataclasm one-tenth coarser powder of above 10 taste medicine, put in appropriate vessel, add the airtight immersion of proper amount of white spirit, every day stirs 1-2 time, after one week, stir 1 time weekly, total immersion stain 30 days, take out clear liquid, squeezing medicinal residues, press liquor and supernatant merge, and filling and sealing is for subsequent use in glass infusion bottle.
Medication and consumption:
We adopt rectum Injection Therapy for patient, concrete grammar is: first suct medicinal liquid 100ml with the syringe of taking 50ml and put into 250ml wide mouthed bottle, add 100ml normal saline dilution to reduce alcoholic strength, suitably heat (controlling medicine temperature between 30-40 DEG C) with hot water, connect single use anus catheter with syringe, according to rectum Injection Therapy working specification, slow for 200ml medicinal liquid clump anus is pushed.Advise patient's left lateral position 20 minutes simultaneously, and prevent medicinal liquid from flowing out.Every day 1 time 7 days is a course for the treatment of, generally needs obtain obvious curative effects 2-5 the course for the treatment of.
Embodiment 2
An eliminating impediment medicated wine for enema treatment rheumatoid arthritis, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 65 grams, Rhizoma Chuanxiong 55 grams, the Radix Astragali 250 grams, Radix Aconiti Preparata 15 grams, Radix Aconiti Kusnezoffii Preparata 12 grams, Herba Asari 15 grams, Radix Aconiti Lateralis Preparata 110 grams, Ramulus Cinnamomi 90 grams, Little Multibanded Krait 45 grams, Scorpio 55 grams.
Crude drug used by the present invention can be bought from common Chinese shop and obtain, and its specification meets national Chinese crude drug standard.
Concocting method:
By the cataclasm one-tenth coarser powder of above 10 taste medicine, put in appropriate vessel, add the airtight immersion of proper amount of white spirit, every day stirs 1-2 time, after one week, stir 1 time weekly, total immersion stain 30 days, take out clear liquid, squeezing medicinal residues, press liquor and supernatant merge, and filling and sealing is for subsequent use in glass infusion bottle.
Medication and consumption:
We adopt rectum Injection Therapy for patient, concrete grammar is: first suct medicinal liquid 100ml with the syringe of taking 50ml and put into 250ml wide mouthed bottle, add 100ml normal saline dilution to reduce alcoholic strength, suitably heat (controlling medicine temperature between 30-40 DEG C) with hot water, connect single use anus catheter with syringe, according to rectum Injection Therapy working specification, slow for 200ml medicinal liquid clump anus is pushed.Advise patient's left lateral position 20 minutes simultaneously, and prevent medicinal liquid from flowing out.Every day 1 time 7 days is a course for the treatment of, generally needs obtain obvious curative effects 2-5 the course for the treatment of.
Embodiment 3
An eliminating impediment medicated wine for enema treatment rheumatoid arthritis, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 55 grams, Rhizoma Chuanxiong 65 grams, the Radix Astragali 150 grams, Radix Aconiti Preparata 25 grams, Radix Aconiti Kusnezoffii Preparata 8 grams, Herba Asari 25 grams, Radix Aconiti Lateralis Preparata 90 grams, Ramulus Cinnamomi 100 grams, Little Multibanded Krait 35 grams, Scorpio 55 grams.
Crude drug used by the present invention can be bought from common Chinese shop and obtain, and its specification meets national Chinese crude drug standard.
Concocting method:
By the cataclasm one-tenth coarser powder of above 10 taste medicine, put in appropriate vessel, add the airtight immersion of proper amount of white spirit, every day stirs 1-2 time, after one week, stir 1 time weekly, total immersion stain 30 days, take out clear liquid, squeezing medicinal residues, press liquor and supernatant merge, and filling and sealing is for subsequent use in glass infusion bottle.
Medication and consumption:
We adopt rectum Injection Therapy for patient, concrete grammar is: first suct medicinal liquid 100ml with the syringe of taking 50ml and put into 250ml wide mouthed bottle, add 100ml normal saline dilution to reduce alcoholic strength, suitably heat (controlling medicine temperature between 30-40 DEG C) with hot water, connect single use anus catheter with syringe, according to rectum Injection Therapy working specification, slow for 200ml medicinal liquid clump anus is pushed.Advise patient's left lateral position 20 minutes simultaneously, and prevent medicinal liquid from flowing out.Every day 1 time 7 days is a course for the treatment of, generally needs obtain obvious curative effects 2-5 the course for the treatment of.
Medical record 1: patient, Liu so-and-so, female, 42 years old is Dongcheng, Jieshou City office great Lv administrative village great Lv people.On February 5th, 2012 is admitted to hospital because of " each ankylosis of extremity, pain 5 years, increase the weight of 10 days ".Patient's 5 years causes are affected by the cold and cause each joint of extremity and walk to alter pain cool in nature, and do not attach the importance at that time, bad during state of an illness fashion between 5 years, give the process such as medicine, acupuncture at local hospital, concrete scheme is not quite clear, and readme takes a turn for the better to some extent, for a long time with oral drugs relief of symptoms.Before 10 days, patient feels each ankylosis of extremity, pain increases the weight of, and oral drugs are without alleviation, for asking further treatment, today to our hospital, intend accepting for medical treatment with " rheumatoid arthritis " being admitted to hospital.
Have a medical check-up: the swelling of extremity multi-joint, morning stiff, pain, based on both shoulders, elbow, wrist, metacarpophalangeal joints, nearly DIPJ, knee joint, ankle, toe joint, and accompany joint stuffiness.
Auxiliary examination: RF (+), CRP (+), erythrocyte sedimentation rate: 22mm/h.
I treats 3 weeks by institute's hospitalization, and the while in hospital gives patient's eliminating impediment medicated wine retention-enema treatment, every day 1 time, and be aided with needle-knife solution art treatment local joint swelling and pain, when leaving hospital, each ankylosis pain of extremity obviously alleviates, and joint motion freely.Advise functional activity to take exercise, follow up a case by regular visits to conditions of patients and be substantially effectively controlled, consolidate 1 course for the treatment of after advising its February again, follow up a case by regular visits to and reach clinical cure.
Medical record 2: patient, model so-and-so, female, 69 years old is market town, Singapore and Malaysia, Jieshou City Wang Lou administrative village Dong Zhuan people.Because " two finger anchylosis, pain 3 years, increase the weight of January " is admitted to hospital.Patient is affected by the cold in 3 years causes and causes both hands and refer to that pain cool in nature is walked to alter in each joint, does not attach the importance always; Nearly January both hands articulations digitorum manus pain and play stiff increasing the weight of morning, activity is stiff afterwards slightly to take a turn for the better, after the oral drugs of local clinic, effect does not show, today to our hospital upon somebody's introduction, and checking ASO (+), patient requests is in hospital and treats further, and outpatient service is intended being in hospital with " rheumatic arthritis " income.Had headache, dizziness since idiopathy, body weight is without significant change.
Have a medical check-up: ten articulations digitorum manus swelling, morning stiff, pain.
Auxiliary examination: ASO (+), erythrocyte sedimentation rate: 14mm/h.
My institute's hospitalization 2 weeks, while in hospital gives the retention enema of eliminating impediment medicated wine, every day 1 time, Radix Paeoniae Alba total glucosides, leflunomide etc. act on antirheumatic slowly simultaneously, be aided with massage treatment, when leaving hospital, ten articulations digitorum manus are stiff, morning is stiff, pain is clearly better, and follow up a case by regular visits to the swelling of patient ten articulations digitorum manus, pain disappears substantially.
Medical record 3: patient, Lu so-and-so, man, 54 years old, because " the stiff pain of extremities joint more than 1 year " is admitted to hospital.Patient before 1 year without occurring the stiff pain of multiple joints of whole body under obvious inducement, pain increases the weight of with when overcast and rainy and night especially, oral anti-inflammation analgesic coordinates herbal fumigation, symptom is alleviated to some extent, above-mentioned symptom increases the weight of after drug withdrawal, over 1 year, the state of an illness again and again, giving erythrocyte sedimentation rate in local people hospital is 19mm/h, ASO (+), is diagnosed as " rheumatic arthritis ".For asking further treatment, therefore come my institute.Outpatient service is intended accepting for medical treatment with " rheumatic arthritis " being admitted to hospital.In the course of disease patient have a rest sleep can, defecation is normal, diet can.
Have a medical check-up: the swelling of extremity multi-joint, morning stiff, pain, based on both shoulders, elbow, knee joint, and accompany joint stuffiness.
Auxiliary inspection: erythrocyte sedimentation rate:: 29mm/h, ASO (+), RF (++), blood fat, liver function, renal function, blood glucose, lectin from hemolymph, routine blood test, blood coagulation four show no obvious abnormalities.
Coherence check is improved after being admitted to hospital, give eliminating impediment medicated wine enema treatment 1 week, coordinate light quantum autotransfusion, when leaving hospital, the stiff pain of extremities joint takes a turn for the better, having a medical check-up has no other special discomforts without obvious positive sign, main suit, being handled and leave hospital, is consolidate curative effect, patient's after treatment 5 days again after February, every day, eliminating impediment medicated wine coloclysis 1 time, was aided with the functional exercise carrying out each joint.Check the state of an illness after three months to be almost recovered, further consultation is better, follows up a case by regular visits to better so far.
Medical record 4: patient, Zhang, female, 48 years old is No. 25, Ying Nan office Niu Hang street, Jieshou City 8 people from family.Because " each ankylosis pain of extremity more than 4 years " is admitted to hospital.There is multiple joints of whole body swelling, pain without under obvious inducement before 4 years in patient, involves both hands, two wrist, duplex, two ankle, biped joint, stiff with morning.In April, 2010 checks rheumatoid factor, anti-ccp antibody positive in Affiliated Hospital of Beijing University of Chinese Medicine, and both hands plain film shows that rheumatoid arthritis changes, therefore is diagnosed as " rheumatoid arthritis ".Give methotrexate, Pa Fulin, leflunomide and Chinese patent drugs for treatment.Start to take said medicine curative effect still can, rear above-mentioned symptom increases the weight of, in December in 2010 10 days to 2010 on Decembers 21, at Provincial Hospital's hospitalization, diagnosis " rheumatoid arthritis ", gives immunosuppressant leflunomide, Pa Fulin immunity moderation, reach road antiinflammatory, replenish the calcium, protect stomach and Supporting Therapy of suiting the medicine to the illness, curative effect maintains 1 year, above-mentioned symptom again repeatedly, again adopt said medicine treatment, curative effect is not good enough, with carrying out the further diagnosis and treatment of my institute.
Have a medical check-up: the swelling of extremity multi-joint, morning stiff, pain, based on both shoulders, elbow, wrist, metacarpophalangeal joints, nearly DIPJ, knee joint, ankle, toe joint, and accompany joint stuffiness.
Auxiliary inspection: RF (++), CRP (+), erythrocyte sedimentation rate: 48mm/h, routine blood test, blood coagulation four, hepatic and renal function etc. show no obvious abnormalities.
Improve coherence check after being admitted to hospital, according to patient articular's pain feature and coherence check result, rheumatoid arthritis (cold-dampness type) diagnosis is clear and definite.Give row eliminating impediment medicated wine 4 course of therapy, be aided with the treatment of pin cutter Closure, give with the treatment of immunosuppressant leflunomide rheumatism simultaneously, pain stiff to multiple joints of whole body swelling when leaving hospital, morning disappears, do not occur symptom more repeatedly after drug withdrawal, curative effect is better so far.
More than show and describe ultimate principle of the present invention and principal character and advantage of the present invention.The technical staff of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and description just illustrates principle of the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.Application claims protection domain is defined by appending claims and equivalent thereof.
Claims (3)
1. the eliminating impediment medicated wine of an enema treatment rheumatoid arthritis, it is characterized in that, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 55-65 gram, Rhizoma Chuanxiong 55-65 gram, Radix Astragali 150-250 gram, Radix Aconiti Preparata 15-25 gram, Radix Aconiti Kusnezoffii Preparata 8-12 gram, Herba Asari 15-25 gram, Radix Aconiti Lateralis Preparata 90-110 gram, Ramulus Cinnamomi 80-100 gram, Little Multibanded Krait 35-45 gram, Scorpio 55-65 gram.
2. the eliminating impediment medicated wine of a kind of enema treatment rheumatoid arthritis according to claim 1, it is characterized in that, the medicament be made up of the crude drug of following weight: Radix Angelicae Sinensis 60 grams, Rhizoma Chuanxiong 60 grams, the Radix Astragali 200 grams, Radix Aconiti Preparata 20 grams, Radix Aconiti Kusnezoffii Preparata 10 grams, Herba Asari 20 grams, Radix Aconiti Lateralis Preparata 100 grams, Ramulus Cinnamomi 90 grams, Little Multibanded Krait 40 grams, Scorpio 60 grams.
3. prepare the method for eliminating impediment medicated wine described in claim 1 or 2 for one kind, it is characterized in that: by the cataclasm one-tenth coarser powder of above-mentioned 10 taste medicine, put in appropriate vessel, add the airtight immersion of proper amount of white spirit, every day stirs 1-2 time, after one week, stir 1 time weekly, total immersion stain 30 days, take out clear liquid, squeezing medicinal residues, press liquor and supernatant merge, and filling and sealing is for subsequent use in glass infusion bottle; Syringe first with 50ml during use sucts medicinal liquid 100ml and puts into 250ml wide mouthed bottle, add 100ml normal saline dilution to reduce alcoholic strength, suitably heat with hot water, control medicine temperature between 30-40 DEG C, connect single use anus catheter with syringe, according to rectum Injection Therapy working specification, slow for 200ml medicinal liquid clump anus is pushed.
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| CN106362066A (en) * | 2016-10-28 | 2017-02-01 | 刘江 | Medicinal liquor for treatment of rheumatic and rheumatoid diseases and preparation method thereof |
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