CN104688849A - Traditional Chinese medicine for treating scapulohumeral periarthritis - Google Patents

Abstract

The invention relates to traditional Chinese medicine for treating scapulohumeral periarthritis. The traditional Chinese medicine is prepared from the following raw herb materials in parts by weight: 10 parts of divaricate saposhnikovia root, 9 parts of radix clematidis, 5 parts of pangolin, 5 parts of cassia twig and 6 parts of angelica. Clinical experiments prove that the traditional Chinese medicine provided by the invention can be used for safely and effectively treating scapulohumeral periarthritis.

Description

A kind of Chinese medicine being used for the treatment of scapulohumeral periarthritis

Technical field

The present invention relates to a kind of Chinese medicine, be specifically related to a kind of Chinese medicine being used for the treatment of scapulohumeral periarthritis.

Background technology

definition

Scapulohumeral periarthritis, also known as scapulohumeral periarthritis, is commonly called as solidifying shoulder, bursitis of shoulder.Pain is produced gradually with shoulder, night is very, increases the weight of gradually, shoulder mobility function limitation and day by day increasing the weight of, reach to a certain degree and alleviate gradually, until be finally restored to the capsula articularis humeri of main manifestations and the chronic specific inflammatory of surrounding ligaments, tendon and synovial bursa thereof completely.The common disease that scapulohumeral periarthritis is is cardinal symptom with shoulder arthralgia and inconvenient activity.Primary disease send out the age at about 50 years old well, women's sickness rate, a little more than male, is more common in physical labourer.As can not get effective treatment, likely have a strong impact on the functional activity of shoulder joint.Shoulder joint can have extensive tenderness, and to cervical region and ancon radiation, also can occur the atrophy of triangular muscle in various degree.

The cause of disease:

(1) primary disease occurs in more than 40 years old middle-aged and elderly people mostly, soft tissue degenerative lesion, weakens the ability to bear of various external force;

(2) long-term over-activity, the chronic power of causing injury that the bad grade of posture produces;

(3) after upper limb wound, shoulder was fixed for a long time, and shoulder organizes Secondary Atrophy, adhesion.

(4) because of malpractice etc. after the acute contusion of shoulder, tension injury.

Scapulohumeral periarthritis is disease common in middle-older patient, is divided into adhesion early stage and adhesion phase, generally divides coarcoiditis clinically, takes on fibrositis, suprascapular nerve compression syndrome is levied, acromioclavicular joint is scorching.The symptom of morbidity has shoulder arthralgia, joint movement function limited, and along with the development of the shoulder state of an illness, patient there will be typical " shouldering shoulder " phenomenon when shoulder abduction.Time serious, elbow joint also can be affected, and during elbow in the wrong, hands can not touch ipsilateral shoulder.Also can there is shoulder muscle spasm, disuse amyotrophy in scapulohumeral periarthritis patient, the symptom such as cause acromion projection, upper act inconvenience and palintrope is unfavorable.Can occur obvious pressure pain point around shoulder joint, its pressure pain point is many at places such as brachial biceps ditch, subacromial bursa, processus coracoideus, supraspinatus attachment points.

The traditional Chinese medical science is thought, scapulohumeral periarthritis belongs to " arthromyodynia ", " flaccidity " category, endogenous cause of ill be decline old kidney qi day, QI and blood is deficient.Causing muscle arteries and veins loses in moistening foster, and exopathogenic factor system wind-cold damp pathogen invasion and attack shoulder, cause coagulation of QI-blood, spasm of muscles and vessels, interior-deficiency exopathogen is combined into numbness, flaccidity.

Medical material present Research involved in the present invention is as follows:

Radix Saposhnikoviae [source] this product is the dry root of umbelliferae Saposhnikovia divaricata Saposhnikovia divaricata (Turcz.) Schischk..Spring, Qiu Erji excavate the root not taking out scape plant, and removing fibrous root and silt, dry.[process of preparing Chinese medicine] removing impurity, cleans, runs through, cut sheet, dry.[nature and flavor] acrid, sweet, warm.[return through] returns bladder, liver, spleen channel.[function cures mainly] inducing diaphoresis to dispel wind, victory is wet, relieving convulsion.For headache due to common cold, rheumatic arthralgia, rubella pruritus, tetanus.[usage and dosage] 4.5 ~ 12g.[storage] puts shady and cool dry place, mothproof.

Radix Clematidis [source] this product is the dry root and rhizome of ranunculaceae plant Radix Clematidis Clematis chinensis Osbeck, Clematis hexapetala (mountain knotweed) Clematis hexapetala Pall. or northeast clematis (black common vetch) Clematis manshurica Rupr..Autumn excavates, and removing silt, dries.[process of preparing Chinese medicine] removing impurity, cleans, runs through, cutting, dry.[nature and flavor] are pungent, salty, temperature.[return through] returns urinary bladder channel.[function cures mainly] expelling wind and removing dampness, removing obstruction in the collateral to relieve pain.For rheumatic arthralgia, numb limbs and tense tendons, the contracture of muscle arteries and veins, joint stuffiness, bone is choked with sobs larynx.[usage and dosage] 6 ~ 9g.[storage] puts dry place.

Squama Manis [source] this product is the scute of Manidae animal Squama Manis Manis pentadactyla Linnaeus.Collect scute, clean, dry.[nature and flavor] are salty, are slightly cold.[return through] returns liver, stomach warp.[function cures mainly] stimulates the menstrual flow stimulating milk secretion, detumescence and apocenosis, expel wind to dredge collateral.For Jing Bi WEIJIA, galactostasis, carbuncle sore tumefacting virus, arthralgia, numbness contracture.[usage and dosage] 5 ~ 9g.[attention] anemia of pregnant woman is cautious use of.[storage] puts dry place.

Ramulus Cinnamomi [source] this product is the dry twig of canella Cortex Cinnamomi Cinnamomum cassia Presl.Spring, Xia Erji gather, and except defoliation, dry, or section is dried.[process of preparing Chinese medicine] removing impurity, slightly steeps, cleans, run through, shave, dry.This product is similar round, oval sheet or difform section.Skin zone's rufous, surface is visible point-like hole skin or vertical crest line sometimes, woody part yellow-white or light yellowish brown, marrow similar round or be slightly square.[nature and flavor] acrid, sweet, warm.[return through] GUIXIN, lung, urinary bladder channel.[function cures mainly] diaphoresis expelling pathogenic factors from muscles, promoting the flow of QI-blood by warming the meridian, supporing yang activating QI, the flat gas that spins.For anemofrigid cold, coldness and pain in the epigastrium, cold in blood amenorrhea, arthralgia, phlegm retention, edema, cardiopalmus, renal mass.[usage and dosage] 3 ~ 9g.[storage] puts shady and cool dry place.

Radix Angelicae Sinensis [source] this product is the dry root of umbelliferae angelica Angelica sinensis (Oliv.) Diels.Autumn end excavates, and removing fibrous root and silt, after moisture slightly evaporates, be bundled into wisp, upper canopy, with pyrotechnics slowly smoke-dried beancurd.[process of preparing Chinese medicine] Radix Angelicae Sinensis: removing impurity, cleans, runs through, shave, dry or cold drying.[nature and flavor] sweet, acrid, warm.[return through] returns liver, the heart, spleen channel.[function cures mainly] is enriched blood and is invigorated blood circulation, menstruction regulating and pain relieving, loosening bowel to relieve constipation.For blood deficiency and yellow complexion, dizzy cardiopalmus, menoxenia, amenorrhea dysmenorrhea, asthenia cold abdominalgia, dryness of the intestine constipation, rheumatic arthralgia, injury from falling down, ulcer sores.Radix Angelicae Sinensis (processed with wine) promoting blood circulation to restore menstrual flow.For amenorrhea dysmenorrhea, rheumatic arthralgia, injury from falling down.[usage and dosage] 6 ~ 12g.[storage] puts shady and cool dry place, moistureproof, mothproof.

Summary of the invention

The present invention aims to provide a kind of Chinese medicine being used for the treatment of scapulohumeral periarthritis, by selecting suitable medical material and proportioning thereof, reaches the object of safe and effective healing scapulohumeral periarthritis.

In order to achieve the above object, the present invention is by the following technical solutions:

Be used for the treatment of a Chinese medicine for scapulohumeral periarthritis, it is characterized in that, it is prepared from by the raw medicinal material of following weight proportion: Radix Saposhnikoviae 10 parts, Radix Clematidis 9 parts, Squama Manis 5 parts, Ramulus Cinnamomi 5 parts, Radix Angelicae Sinensis 6 parts.

Inventor thinks that scapulohumeral periarthritis is lost in taking good care of by ferritic innate deficiency or the day after tomorrow, causes the Kidney-Yin void of Liver and kidney, and kidney-Yang is floating more, and liver-wind will be taken offence Yin bivacuity, controls from Liver and kidney, this belongs to deficient syndrome.Kidney tonifying YANG hyperactivity suppressing can not be controlled as excess-fire.Therefore assembly is our.

Below in conjunction with clinical laboratory data, beneficial effect of the present invention is described:

1, physical data

Collect in January, 2013 in November, 2013 scapulohumeral periarthritis patient 100 example, wherein man 58 example, female 42 example, age 43-78 year, average 56.5 years old, the course of disease 1 month-2.5 years.In 100 routine scapulohumeral periarthritis patients, left shoulder 62 example, right shoulder 25 example, both shoulders 13 example.Patient all has shoulder arthralgia, and person 85 is routine to occur shoulder dysfunction, completely can not sporter 3 example.7 examples have obvious trauma history, and shoulder soft tissue sprain occurs 3 routine patients before half a year, and 2 routine patients respectively left forearm chi oar double fracture and right side clavicular fracture occurred before 1 year, and existing bony union all also takes out inside-fixture.100 routine patients are divided into 2 groups at random, and often organize 50 examples, two groups of sexes, age, course of disease aspects do not have significant difference, and having can other property.

2, diagnostic criteria: (1) middle-older patient, slow onset, without obvious trauma history or only there is minor trauma history; (2) there is pain in shoulder, and night more very; (3) Shoulder Function obstacle, limitation of activity is suffered from; (4) there is pressure pain point health check-up local, and some patients also has shoulder muscle spasm or atrophy; (5) X-ray takes the photograph sheet eliminating osteopathia, cervical spondylosis, shoulder tumor and other diseases.

3, Therapeutic Method

Treatment group: the decoct that oral the present invention obtains according to specific embodiment 1, every day 3 times, 2 weeks courses for the treatment of.

Matched group: oral indometacin, each 25mg, every day 3 times.2 weeks courses for the treatment of.

Curative effect determinate standard:

Recovery from illness: shoulder pain disappears, and joint motion is normal.Suffering limb abduction is greater than 90 °, revolves and is greater than 30 °, carries on the back bent the back of the hand and can contact offside angulus inferior scapulae;

Effective: pain component disappears, and upper limb stretch is less than 90 °, and outward turning is less than 30 ° can carry out back of the body Qu Yundong, but about feels pain during aggravating activities;

Take a turn for the better: pain slightly alleviates, and activity slightly improves;

Invalid: after 3 course of therapy, sings and symptoms is not improved.

4, result

Treatment group recovery from illness 35 example, effective 9 examples, effective 5 examples, invalid 1 example, total effective rate is 98%; Matched group recovery from illness 12 example, effective 13 examples, effective 14, invalid 11 examples, total effective rate is 78%.The total effective rate for the treatment of group is significantly higher than matched group, P<0.05.

Visible, the medicine that the present invention obtains can safe and effective cure scapulohumeral periarthritis, has promotional value.

Detailed description of the invention

In order to understand better and implement the present invention, further illustrate the present invention below in conjunction with specific embodiment.

Specific embodiment 1

Take: Radix Saposhnikoviae 10 grams, Radix Clematidis 9 grams, Squama Manis 5 grams, Ramulus Cinnamomi 5 grams, Radix Angelicae Sinensis 6 grams; Add 8 times of water gagings, decoct 1.5 hours, filter; Filtering residue adds 6 times of water gagings, decocts 1 hour, filters; Merging filtrate, is concentrated into 120 grams, must meet the decoct of adult normal's one day consumption.

Be used for the treatment of scapulohumeral periarthritis.Oral, every bu morning, noon and afternoon take for three times.

Specific embodiment 2

Take:: Radix Saposhnikoviae 10 grams, Radix Clematidis 9 grams, Squama Manis 5 grams, Ramulus Cinnamomi 5 grams, Radix Angelicae Sinensis 6 grams; Add 10 times of water gagings, decoct 2 hours, filter; Filtering residue adds 8 times of water gagings, decocts 1.5 hours, filters; Merging filtrate, concentrated, dry, packaging, must meet the powder of adult normal's one day consumption.

Be used for the treatment of scapulohumeral periarthritis.Oral, daily once.

Specific embodiment 3

Take:: Radix Saposhnikoviae 10 grams, Radix Clematidis 9 grams, Squama Manis 5 grams, Ramulus Cinnamomi 5 grams, Radix Angelicae Sinensis 6 grams; Add 6 times of water gagings, decoct 3 times, each decoction 1 hour, merges decoction liquor, concentrated, dry, incapsulates shell, must meet the capsule of adult normal's one day consumption.

Be used for the treatment of scapulohumeral periarthritis.Oral, every bu is taken for twice sooner or later.

Claims (1)

1. be used for the treatment of a Chinese medicine for scapulohumeral periarthritis, it is characterized in that, it is prepared from by the raw medicinal material of following weight proportion: Radix Saposhnikoviae 10 parts, Radix Clematidis 9 parts, Squama Manis 5 parts, Ramulus Cinnamomi 5 parts, Radix Angelicae Sinensis 6 parts.