CN104740213A - Traditional Chinese medicine for treating epidural anesthesia nerve injury - Google Patents

Traditional Chinese medicine for treating epidural anesthesia nerve injury Download PDF

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CN104740213A
CN104740213A CN201510195402.6A CN201510195402A CN104740213A CN 104740213 A CN104740213 A CN 104740213A CN 201510195402 A CN201510195402 A CN 201510195402A CN 104740213 A CN104740213 A CN 104740213A
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radix
chinese medicine
nerve injury
epidural anesthesia
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张思彦
刘艳红
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Abstract

The invention discloses traditional Chinese medicine for treating epidural anesthesia nerve injury. The traditional Chinese medicine is prepared by the following active ingredients: nepal dock roots, pteris vittata, cassiope selaginoides, rubus adenophorus rolfe roots, Chinese thorowax roots, fructus aurantii, ventilago leiocarpa benth, bicolor limonium, parasitic loranthus, radix angelicae pubescentis, glandular larkspur, greenish lily flower and oyster. By adopting the traditional Chinese medicine for treating the epidural anesthesia nerve injury, the weaknesses in the prior art that no traditional Chinese medicine with reasonable compatibility for treating the epidural anesthesia nerve injury can be overcome, the effect for treating the epidural anesthesia nerve injury is obvious, the pain of a patient can be alleviated, the occurrence rate of medical dispute can be reduced, and the traditional Chinese medicine is the special medicine for treating the epidural anesthesia nerve injury. The traditional Chinese medicine decoction for treating the epidural anesthesia nerve injury is adopted to treat 33 patients for 2 weeks, the pain alleviation situation of the treated group is obvious better than that of a reference group, and the difference has statistical significance.

Description

A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury
Technical field
The present invention relates to Chinese medicine sciemtifec and technical sphere, particularly a kind of Chinese medicine for the treatment of epidural anesthesia nerve injury.
Background technology
The improvement of the raising required quality of life along with people, art formula, operation becomes the major way of clinical treatment, and anesthesia is the necessary means that buttressing operation carries out smoothly.Current epidural anesthesia utility ratio is relatively high, and satisfactory for result.But clinical research in recent years finds, epidural puncture or put Guan Shihui and stimulate or injured nerve root, thus certain impact is produced on surgical effect and prognosis, even there is serious doctor-patient dispute.The main processing mode of epidural anesthesia nerve injury applies glucocorticoid in art, lacks successive treatment measure.The present inventor, by clinical practice for many years, develops a kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, satisfactory effect.
Summary of the invention
The deficiency that the object of the invention is to overcome prior art puts forward, and namely provides one to treat epidural anesthesia nerve injury Chinese medicine.
In order to realize foregoing invention object, the invention provides following technical scheme:
Treat a Chinese medicine for epidural anesthesia nerve injury, be made up of the crude drug of following mass ratio: Radix Rumicis 9 ~ 15 parts, Rhizoma Helminthostachydis Zeylanicae 9 ~ 15 parts, Herba Cassiopes selaginoidis 20 ~ 30 parts, Radix Rubi adenophori root 20 ~ 30 parts, Radix Bupleuri 3 ~ 9 parts, Fructus Aurantii 6 ~ 12 parts, Radix seu Caulis Verntilaginis Leiocarpae 15 ~ 25 parts, Herba Limoii Bicoloris 15 ~ 25 parts, Herba Taxilli 10 ~ 20 parts, Radix Angelicae Pubescentis 3 ~ 9 parts, Rhizoma Arisaematis 6 ~ 12 parts, Flos Lilii viriduli 8 ~ 12 parts, Concha Ostreae 20 ~ 40 parts.
The pharmacological action of raw material of Chinese medicine medicine of the present invention is as follows:
Radix Rumicis: bitter, pungent, cool.Heat-clearing and toxic substances removing, cooling blood for hemostasis, removing blood stasis to reduce swelling, relieving constipation, parasite killing.Cure mainly pulmonary tuberculosis hemoptysis, lung abscess, spit blood, the stagnant stomachache of the stasis of blood, traumatic injury, constipation, mumps, carbuncle pyogenic infections from tumour or sore, scald, scabies, eczema.
Rhizoma Helminthostachydis Zeylanicae: bitter, sweet, cool.Removing heat from the lung and dissipating phlegm, dissipating blood stasis detoxifies.Cure mainly cough, asthma, pharyngalgia, treating swelling and pain by traumatic injury, carbuncle skin ulcer, venom.
Herba Cassiopes selaginoidis: pungent, micro-hardship, flat.Circulation of qi promoting, invigorates blood circulation, and pain relieving is calmed the nerves.Cure mainly stagnation of liver-QI and stomach-QI, side of body rib abdominal distention, rheumatic arthralgia, traumatic injury, insomnia.
Radix Rubi adenophori root: warm, sweet, puckery.With blood regulating QI, pain relieving, dysentery relieving.Cure mainly impairment caused by overstrain pain, spit blood, hernia, dysentery.
Radix Bupleuri: bitter, pungent, be slightly cold, returns liver, gallbladder meridian.Induce sweat and bring down a fever, dispersing the stagnated live-QI to relieve the stagnation of QI, elevate a turnable ladder yang-energy.Cure mainly exterior syndrome heating and shaoyang disease, stagnation of QI due to depression of the liver, collapse of QI, internal organs prolapse.
Fructus Aurantii: bitter, pungent, sour, warm, returns spleen, stomach, large intestine channel.Dispelling the stagnated QI removes painful abdominal mass, transforming phlegm and dispersing accumulations.Cure mainly gastrointestinal retention, damp-heat dysentery; The thoracic obstruction, blocked-up chest; Stagnation of QI pain in chest and hypochondrium; Puerperal abdonimal pain.
Radix seu Caulis Verntilaginis Leiocarpae: sweet, warm.Rich in nutrition, relaxing muscles and tendons and activating QI and blood in the collateral.Cure mainly deficiency of both QI and blood, menoxenia, bones and muscles pain due to rheumatism, numb limbs and tense tendons, traumatic injury.
Herba Limoii Bicoloris: sweet, micro-hardship, flat.Benefiting vital QI and blood, dissipating blood stasis stops blooding.Cure mainly weak after being ill, gastric abscess, dyspepsia, menoxenia, metrorrhagia, leukorrhagia, hematuria, hemorrhoidal bleeding.
Herba Taxilli: bitter, sweet, flat, returns liver, kidney channel.Eradicates rheumatism, invigorating the liver and kidney, bone and muscle strengthening, antiabortive.Cure mainly rheumatism arthromyodynia, metrorrhagia through many, blood leaking in gestation, frequent fetal movement.
Radix Angelicae Pubescentis: pungent, bitter, tepor, returns kidney, urinary bladder channel.Wind-damp dispelling, pain relieving, induces sweat.Cure mainly anemofrigid-damp arthralgia, wind and cold holds wet exterior syndrome under the arm, SHAO YIN headache.
Rhizoma Arisaematis: pungent, bitter, flat.Tranquilizing by nourishing the heart, liver heat removing and eyesight improving.Cure mainly severe palpitation, neurasthenia, conjunctival congestion and swelling pain, coronary heart disease etc.
Flos Lilii viriduli: sweet, micro-hardship, to be slightly cold, returns liver, lung, heart channel.Clearing heat and moistening lung, mind tranquilizing and the heart calming.Cure mainly cough few expectorant or sticky, dizzy, vexed, uneasy sleeping at night, sky bleb eczema.
Concha Ostreae: salty, be slightly cold, returns liver, gallbladder, kidney channel.Tranquillization with heavy prescription, YANG hyperactivity suppressing nourishing YIN, hard masses softening and resolving.Cure mainly irritability, palpitation with fear insomnia; Excessive rising of liver-YANG, has a dizzy spell; Sucutaneous nodule, scrofula, goiter , lumps in the chest and abdomen; The all cards of slippage.
Epidural anesthesia nerve injury belongs to the categories such as the traditional Chinese medical science " arthromyodynia ".The traditional Chinese medical science thinks that governor vessel is the sea of yang channels, epidural anesthesia damage governor vessel, must QI-blood circulation not smooth; In addition, burst iatrogenic injury, patient heart is dejected, depression of liver-QI, therefore produces series of symptoms.Control suitable blood stasis-eliminating and stagnation-dissipating, circulation of qi promoting is calmed the nerves.The present invention adopts Radix Rumicis, Rhizoma Helminthostachydis Zeylanicae removing blood stasis to reduce swelling; Herba Cassiopes selaginoidis, Radix Rubi adenophori root promoting flow of QI and blood; Radix Bupleuri, Fructus Aurantii dispersing the stagnated live-QI to relieve the stagnation of QI; Radix seu Caulis Verntilaginis Leiocarpae, Herba Limoii Bicoloris benefiting vital QI and blood, relaxing muscles and tendons and activating QI and blood in the collateral; Herba Taxilli liver and kidney tonifying and build foundation; Radix Angelicae Pubescentis wind-expelling pain-stopping, and priming is descending; Rhizoma Arisaematis, Flos Lilii viriduli mind tranquilizing and the heart calming; Concha Ostreae tranquillizing the mind by relieving convulsion, and softening the hard mass dissipating blood stasis.All medicines share, and hit pathogenesis.
Preferably, the Chinese medicine of described treatment epidural anesthesia nerve injury is made up of the crude drug of following mass ratio: Radix Rumicis 11 ~ 13 parts, Rhizoma Helminthostachydis Zeylanicae 11 ~ 13 parts, Herba Cassiopes selaginoidis 23 ~ 27 parts, Radix Rubi adenophori root 23 ~ 27 parts, Radix Bupleuri 5 ~ 7 parts, Fructus Aurantii 8 ~ 10 parts, Radix seu Caulis Verntilaginis Leiocarpae 18 ~ 22 parts, Herba Limoii Bicoloris 18 ~ 22 parts, Herba Taxilli 13 ~ 17 parts, Radix Angelicae Pubescentis 5 ~ 7 parts, Rhizoma Arisaematis 8 ~ 10 parts, Flos Lilii viriduli 9 ~ 11 parts, Concha Ostreae 25 ~ 35 parts.
Preferred further, the Chinese medicine of described treatment epidural anesthesia nerve injury is made up of the crude drug of following mass ratio: Radix Rumicis 12 parts, Rhizoma Helminthostachydis Zeylanicae 12 parts, Herba Cassiopes selaginoidis 25 parts, Radix Rubi adenophori root 25 parts, Radix Bupleuri 6 parts, Fructus Aurantii 9 parts, Radix seu Caulis Verntilaginis Leiocarpae 20 parts, Herba Limoii Bicoloris 20 parts, Herba Taxilli 15 parts, Radix Angelicae Pubescentis 6 parts, Rhizoma Arisaematis 9 parts, Flos Lilii viriduli 10 parts, Concha Ostreae 30 parts.
The Chinese medicine of described treatment epidural anesthesia nerve injury can adopt existing Chinese medicine preparation technology to be prepared into any conventional oral preparations, such as can decocting be adopted to obtain water decoction said components, by other existing Chinese medicine preparation technology, the Chinese drug preparation of described treatment epidural anesthesia nerve injury can also be become tablet, water-honeyed pill, capsule, powder, unguentum, oral liquid, granule.
compared with prior art, beneficial effect of the present invention
The Chinese medicine for the treatment of epidural anesthesia provided by the invention nerve injury, overcome the deficiency of reasonably treating epidural anesthesia nerve injury Chinese medicine in prior art without compatibility, treatment epidural anesthesia nerve injury successful, alleviate patient suffering, and reduce doctor-patient dispute incidence rate, be the special-purpose medicaments for the treatment of epidural anesthesia nerve injury.
treat a Chinese medicine for epidural anesthesia nerve injury, clinical efficacy is summed up
1 physical data
66 routine patients are divided into matched group and treatment group at random, often organize 33 examples.Include man 11 example in matched group, female 22 example, 7 ~ 82 years old age, average (47.8 ± 13.9) year; Include man 12 example in treatment group, female 21 example, 6 ~ 83 years old age, average (48.1 ± 12.9) year.Two groups of patient's physical data no significant difference (P > 0.05), have comparability.
2 diagnostic criterias
Reference literature standard (accounts for big building, FT-207. the clinical observation of peripheral nerve injury after Neurotropin In Treatment intravertebral anesthesia. Chinese pain medicine magazine, 2009,14:329-331.): patients during epidural anesthesia exists the corresponding abnormal sensory such as skin lamellar numbness, pain of the Substance P relevant with puncture, twitch in certain position of side limb adynamia, lower limb, homonymy vola pain person is all considered as nerve injury occurs.
3 Therapeutic Method
Two groups of patients all apply the conventional therapy such as glucocorticoid, Neurotrophic drugs, and treatment group is oral Chinese medicine decoction provided by the invention simultaneously, composed as follows:
Radix Rumicis 12 grams, Rhizoma Helminthostachydis Zeylanicae 12 grams, Herba Cassiopes selaginoidis 25 grams, Radix Rubi adenophori root 25 grams, Radix Bupleuri 6 grams, Fructus Aurantii 9 grams, Radix seu Caulis Verntilaginis Leiocarpae 20 grams, Herba Limoii Bicoloris 20 grams, Herba Taxilli 15 grams, Radix Angelicae Pubescentis 6 grams, Rhizoma Arisaematis 9 grams, Flos Lilii viriduli 10 grams, Concha Ostreae 30 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.
4 therapeutic outcomes
4.1 observation index: adopt Visual Analogue Scale measurement (visual analogue scale, VAS) to assess the pain degree of patient, 0 point indicates without pain, 10 points represent insufferable severe pain.
4.2 results: as in the attached table, treatment group pain relief situation is obviously better than matched group to two groups of patient treatments, 2 weeks rear pain relief situations, and difference has statistical significance (P<0.01).
Subordinate list two groups of patient pain are alleviated situation and are compared
Detailed description of the invention
Below in conjunction with detailed description of the invention, the present invention is described in further detail.But this should be interpreted as that the scope of the above-mentioned theme of the present invention is only limitted to following embodiment, all technology realized based on content of the present invention all belong to scope of the present invention.
Embodiment 1
A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, by Radix Rumicis 15 grams, Rhizoma Helminthostachydis Zeylanicae 15 grams, Herba Cassiopes selaginoidis 30 grams, Radix Rubi adenophori root 30 grams, Radix Bupleuri 9 grams, Fructus Aurantii 12 grams, Radix seu Caulis Verntilaginis Leiocarpae 25 grams, Herba Limoii Bicoloris 25 grams, Herba Taxilli 20 grams, Radix Angelicae Pubescentis 9 grams, Rhizoma Arisaematis 12 grams, Flos Lilii viriduli 12 grams, Concha Ostreae 40 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.
Embodiment 2
A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, by Radix Rumicis 13 grams, Rhizoma Helminthostachydis Zeylanicae 13 grams, Herba Cassiopes selaginoidis 27 grams, Radix Rubi adenophori root 27 grams, Radix Bupleuri 7 grams, Fructus Aurantii 10 grams, Radix seu Caulis Verntilaginis Leiocarpae 22 grams, Herba Limoii Bicoloris 22 grams, Herba Taxilli 17 grams, Radix Angelicae Pubescentis 7 grams, Rhizoma Arisaematis 10 grams, Flos Lilii viriduli 11 grams, Concha Ostreae 35 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.
Embodiment 3
A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, by Radix Rumicis 12 grams, Rhizoma Helminthostachydis Zeylanicae 12 grams, Herba Cassiopes selaginoidis 25 grams, Radix Rubi adenophori root 25 grams, Radix Bupleuri 6 grams, Fructus Aurantii 9 grams, Radix seu Caulis Verntilaginis Leiocarpae 20 grams, Herba Limoii Bicoloris 20 grams, Herba Taxilli 15 grams, Radix Angelicae Pubescentis 6 grams, Rhizoma Arisaematis 9 grams, Flos Lilii viriduli 10 grams, Concha Ostreae 30 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.
Embodiment 4
A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, by Radix Rumicis 11 grams, Rhizoma Helminthostachydis Zeylanicae 11 grams, Herba Cassiopes selaginoidis 23 grams, Radix Rubi adenophori root 23 grams, Radix Bupleuri 5 grams, Fructus Aurantii 8 grams, Radix seu Caulis Verntilaginis Leiocarpae 18 grams, Herba Limoii Bicoloris 18 grams, Herba Taxilli 13 grams, Radix Angelicae Pubescentis 5 grams, Rhizoma Arisaematis 8 grams, Flos Lilii viriduli 9 grams, Concha Ostreae 25 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.
Embodiment 5
A kind of Chinese medicine for the treatment of epidural anesthesia nerve injury, by Radix Rumicis 9 grams, Rhizoma Helminthostachydis Zeylanicae 9 grams, Herba Cassiopes selaginoidis 20 grams, Radix Rubi adenophori root 20 grams, Radix Bupleuri 3 grams, Fructus Aurantii 6 grams, Radix seu Caulis Verntilaginis Leiocarpae 15 grams, Herba Limoii Bicoloris 15 grams, Herba Taxilli 10 grams, Radix Angelicae Pubescentis 3 grams, Rhizoma Arisaematis 6 grams, Flos Lilii viriduli 8 grams, Concha Ostreae 20 grams, conveniently Chinese medicine preparation technology makes water decoction, everyone potion every day.

Claims (4)

1. treat a Chinese medicine for epidural anesthesia nerve injury, it is characterized in that being made up of the crude drug of following mass ratio:
Radix Rumicis 9 ~ 15 parts, Rhizoma Helminthostachydis Zeylanicae 9 ~ 15 parts, Herba Cassiopes selaginoidis 20 ~ 30 parts, Radix Rubi adenophori root 20 ~ 30 parts, Radix Bupleuri 3 ~ 9 parts, Fructus Aurantii 6 ~ 12 parts, Radix seu Caulis Verntilaginis Leiocarpae 15 ~ 25 parts, Herba Limoii Bicoloris 15 ~ 25 parts, Herba Taxilli 10 ~ 20 parts, Radix Angelicae Pubescentis 3 ~ 9 parts, Rhizoma Arisaematis 6 ~ 12 parts, Flos Lilii viriduli 8 ~ 12 parts, Concha Ostreae 20 ~ 40 parts.
2. the Chinese medicine for the treatment of epidural anesthesia as claimed in claim 1 nerve injury, is characterized in that being made up of the crude drug of following mass ratio:
Radix Rumicis 11 ~ 13 parts, Rhizoma Helminthostachydis Zeylanicae 11 ~ 13 parts, Herba Cassiopes selaginoidis 23 ~ 27 parts, Radix Rubi adenophori root 23 ~ 27 parts, Radix Bupleuri 5 ~ 7 parts, Fructus Aurantii 8 ~ 10 parts, Radix seu Caulis Verntilaginis Leiocarpae 18 ~ 22 parts, Herba Limoii Bicoloris 18 ~ 22 parts, Herba Taxilli 13 ~ 17 parts, Radix Angelicae Pubescentis 5 ~ 7 parts, Rhizoma Arisaematis 8 ~ 10 parts, Flos Lilii viriduli 9 ~ 11 parts, Concha Ostreae 25 ~ 35 parts.
3. the Chinese medicine for the treatment of epidural anesthesia as claimed in claim 1 nerve injury, is characterized in that being made up of the crude drug of following mass ratio:
Radix Rumicis 12 parts, Rhizoma Helminthostachydis Zeylanicae 12 parts, Herba Cassiopes selaginoidis 25 parts, Radix Rubi adenophori root 25 parts, Radix Bupleuri 6 parts, Fructus Aurantii 9 parts, Radix seu Caulis Verntilaginis Leiocarpae 20 parts, Herba Limoii Bicoloris 20 parts, Herba Taxilli 15 parts, Radix Angelicae Pubescentis 6 parts, Rhizoma Arisaematis 9 parts, Flos Lilii viriduli 10 parts, Concha Ostreae 30 parts.
4. treat the preparation method of the Chinese medicine of epidural anesthesia nerve injury as claimed in claim 1, it is characterized in that the Chinese medicinal components of described mass ratio to be prepared into water decoction, tablet, water-honeyed pill, capsule, powder, unguentum, oral liquid, granule.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104857196A (en) * 2015-06-11 2015-08-26 杨明德 Traditional Chinese medicine preparation for treating epidural anesthesia nerve injuries
CN110946932A (en) * 2019-12-20 2020-04-03 新疆奥圣之源医疗科技有限公司 Moxibustion composition and preparation method and application thereof

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CN102973799A (en) * 2012-12-31 2013-03-20 林艳霞 Pill used for post-anesthesia nerve injury

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Publication number Priority date Publication date Assignee Title
CN102973799A (en) * 2012-12-31 2013-03-20 林艳霞 Pill used for post-anesthesia nerve injury

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104857196A (en) * 2015-06-11 2015-08-26 杨明德 Traditional Chinese medicine preparation for treating epidural anesthesia nerve injuries
CN110946932A (en) * 2019-12-20 2020-04-03 新疆奥圣之源医疗科技有限公司 Moxibustion composition and preparation method and application thereof

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Application publication date: 20150701