CN104740302A - Traditional Chinese medicine composition for treating Qi deficiency and blood stasis type lumbar spinal stenosis disease - Google Patents
Traditional Chinese medicine composition for treating Qi deficiency and blood stasis type lumbar spinal stenosis disease Download PDFInfo
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Abstract
The invention discloses a traditional Chinese medicine composition for treating Qi deficiency and blood stasis type lumbar spinal stenosis disease. The traditional Chinese medicine composition is prepared from the following raw materials: rhodiola rosea, hippophae rhamnoides, rhizoma polygonati, pseudo-ginseng, valerian extract, vine of multiflower knotweed, red bull burr root, fenugreek, kusnezoff monkshood root, radix puerariae and zaocys dhumnade. The clinical curative effect of the traditional Chinese medicine composition for treating Qi deficiency and blood stasis type lumbar spinal stenosis disease is exact, has no side effect and high patient compliance. Through providing the traditional Chinese medicine composition decoction for treating Qi deficiency and blood stasis type lumbar spinal stenosis disease to 50 patients, after 30-50 days of treatment, 20 patients are cured, 25 patients are improved and five patients are not healed, and the total effective rate is 90.0%.
Description
Technical field
The present invention relates to Chinese medicine sciemtifec and technical sphere, particularly a kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis.
Background technology
Lumbar spinal stenosis is common ailment of middle-aged and old, is because bone or fibroid hypertrophy, vertebral subluxasion etc. cause one or more plane luminal stenosis, compressing cauda equina nerve or nerve root and produce the disease of clinical symptoms.Due to living-pattern preservation, lumbar spinal stenosis sickness rate constantly rises, and morbidity crowd is in the trend of becoming younger.Operative treatment generally acknowledges effective treatment means at present, affects, the large multiple rejections operative treatment of compatriots by traditional culture and economic situation.This disease of Drug therapy adopts glucocorticoid partial closure, oral antiinflammation pain-stopping pharmaceutical etc., but curative effect is not affirmed, side effect is more, and patient compliance is low.Chinese medicine lumbar spinal stenosis is mainly the blood supply improving blood circulation, particularly nervous tissue that intra-and extraspinal is respectively organized, and symptom can improve or not developing deeply.Chinese medicine is Non-Invasive, and because not needing operation to operate on, patient is more acceptant, has vast potential for future development.This course of disease is long, and protracted inflammation difficulty more, with the passing of time consumes impairment of QI blood, easily develops into Qi deficiency blood stasis type lumbar spinal stenosis.Therefore study the treatment Qi deficiency blood stasis type lumbar spinal stenosis special-purpose medicaments that curative effect is affirmed, had no side effect, patient compliance is high and there is important clinical significance.
Summary of the invention
The deficiency that the object of the invention is to overcome not for the rational Chinese medicine composition of Qi deficiency blood stasis type lumbar spinal stenosis compatibility in prior art puts forward, and namely provides a kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis.
In order to realize foregoing invention object, the invention provides following technical scheme:
Treat a Chinese medicine composition for Qi deficiency blood stasis type lumbar spinal stenosis, the medicament be made up of the crude drug of following mass ratio:
Radix Rhodiolae 9 ~ 15 parts, Fructus Hippophae 6 ~ 10 parts, Rhizoma Polygonati 9 ~ 15 parts, Radix Notoginseng 4 ~ 8 parts, Rhizoma et radix valerianae 4 ~ 8 parts, Caulis Polygoni Multiflori 12 ~ 18 parts, Radix Rubi adenophori root 20 ~ 30 parts, Semen Trigonellae 6 ~ 10 parts, Radix Aconiti Kusnezoffii Preparata 1 ~ 3 part, Radix Puerariae 12 ~ 18 parts, Zaocys 8 ~ 12 parts.
Radix Rhodiolae: sweet, cold, returns spleen, lung meridian.Invigorating the spleen and benefiting QI, clearing away lung-heat to relieve cough, blood circulation promoting and blood stasis dispelling.Cure mainly syndrome of deficiency of spleen qi, deficiency of lung-YIN cough due to lung-heat, the blood stasis symptoms such as traumatic injury.
Fructus Hippophae: sweet, sour, warm, returns spleen, stomach, lung, heart channel.Strengthening the spleen to promote digestion, eliminating phlegm and stopping cough, blood circulation promoting and blood stasis dispelling.Cure mainly insufficiency of the spleen lack of appetite, cough with copious phlegm, blood stasis symptom.
Rhizoma Polygonati: sweet, flat, returns spleen, lung, kidney channel.Boosting qi and nourishing yin, spleen invigorating, lung moistening, kidney tonifying.Cure mainly lung-dryness syndrome due to deficiency of YIN, the phthisical cough chronic cough of the few expectorant of dry cough and YIN-deficiency of the lung and kidney; Insufficiency of the spleen the moon wound card; Deficiency of kidney-essence.
Radix Notoginseng: sweet, micro-hardship, temperature, returns liver, stomach warp.Removing stasis to stop bleeding, analgesic therapy of invigorating blood circulation, Xu-tonic.Cure mainly out blood disorder; Traumatic injury, swelling and pain due to blood stasis; Deficient impairment caused by overstrain.
Rhizoma et radix valerianae: pungent, sweet, warm, GUIXIN, Liver Channel.Calm the nerves, regulate the flow of vital energy, promoting blood circulation and stopping pain.Cure mainly malaise, insomnia is slept less; Infantile convulsion, epilepsy; Blood stasis amenorrhea, dysmenorrhea, lumbago and skelalgia, traumatic injury; Epigastric pain.
Caulis Polygoni Multiflori: sweet, flat, GUIXIN, Liver Channel.Nourishing blood to tranquillize the mind, dispelling wind and removing obstruction in the collateral.Cure mainly malaise, insomnia and dreamful sleep; Blood deficiency general pain, rheumatic arthralgia; Itchy skin eruption.
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.
Semen Trigonellae: bitter, warm, returns kidney channel.Warming the kidney to activate YANG, dispersing cold for relieving pain.Cure mainly colic of cold type stomachache, abdomen side of body distending pain; Foot knee joint cold type of pain, the disturbance of lower legs due to pathogenic cold and dampness; Sexual impotence lingering diarrhea, cold sperm capsule wets.
Radix Aconiti Kusnezoffii Preparata: pungent, bitter, hot, very toxic, GUIXIN, liver,kidney,spleen warp.Wind-damp dispelling, antalgic.Cure mainly anemofrigid-damp arthralgia; Trusted subordinate's cold type of pain, colic of cold type pain; Traumatic injury, narcotic analgesic.
Radix Puerariae: sweet, pungent, cool, returns spleen, stomach warp.Expelling pathogenic factors from muscles for reducing heat, rash, promoting the production of body fluid to quench thirst, yang invigorating antidiarrheal.Cure mainly exterior syndrome heating, stiff nape and back; Measles without adequate eruption; Calentura is thirsty, diabete; Diarrhea of heat type hematodiarrhoea, diarrhea due to hypofunction of the spleen.
Zaocys: sweet, flat, returns Liver Channel.Dispel the wind, dredging collateral, relieving convulsion.Cure mainly rheumatoid arthritis stubborn, apoplexy and hemiplegia; Infantile convulsion, tetanus; Leprosy, scabies.
The traditional Chinese medical science thinks that lumbar spinal stenosis belongs to the category of the disease such as " rheumatism involving the bone ", " lumbago ".The Qi deficiency blood stasis type lumbar spinal stenosis course of disease is long, and protracted inflammation difficulty more, with the passing of time consumes impairment of QI blood.According to " prolonged illness must empty ", " prolonged illness must the stasis of blood ", theory, controlling should invigorating the spleen and benefiting QI, disperse blood stasis and dredge collateral.Radix Rhodiolae, Fructus Hippophae invigorating the spleen and benefiting QI in the present invention, blood circulation promoting and blood stasis dispelling; Rhizoma Polygonati boosting qi and nourishing yin, tonifying speen and tonifying kidney; Radix Notoginseng, Rhizoma et radix valerianae, Caulis Polygoni Multiflori, Radix Rubi adenophori root blood-activating analgetic, dispelling wind and removing obstruction in the collateral, Radix Notoginseng is held concurrently Xu-tonic; Semen Trigonellae warming the kidney to invigorate YANG, and build foundation; Radix Aconiti Kusnezoffii Preparata warming the meridian, to help blood stasis dispelling; Radix Puerariae activates yang, to agitate blood; Zaocys searches the blood stasis picking channels.All medicines coordinate, and the prosperous blood of gas, limping is stop.
Preferably, the medicament be made up of the crude drug of following mass ratio of the Chinese medicine composition of described treatment Qi deficiency blood stasis type lumbar spinal stenosis:
Radix Rhodiolae 11 ~ 13 parts, Fructus Hippophae 7 ~ 9 parts, Rhizoma Polygonati 11 ~ 13 parts, Radix Notoginseng 5 ~ 7 parts, Rhizoma et radix valerianae 5 ~ 7 parts, Caulis Polygoni Multiflori 14 ~ 16 parts, Radix Rubi adenophori root 23 ~ 27 parts, Semen Trigonellae 7 ~ 9 parts, Radix Aconiti Kusnezoffii Preparata 1 ~ 3 part, Radix Puerariae 14 ~ 16 parts, Zaocys 9 ~ 11 parts.
Further preferred, the medicament that the Chinese medicine composition of described treatment Qi deficiency blood stasis type lumbar spinal stenosis is made up of the crude drug of following mass ratio:
Radix Rhodiolae 12 parts, Fructus Hippophae 8 parts, Rhizoma Polygonati 12 parts, Radix Notoginseng 6 parts, Rhizoma et radix valerianae 6 parts, Caulis Polygoni Multiflori 15 parts, Radix Rubi adenophori root 25 parts, Semen Trigonellae 8 parts, Radix Aconiti Kusnezoffii Preparata 2 parts, Radix Puerariae 15 parts, Zaocys 10 parts.
The Chinese medicine composition of described treatment Qi deficiency blood stasis type lumbar spinal stenosis 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 medicine composition of described treatment Qi deficiency blood stasis type lumbar spinal stenosis can also be prepared into tablet, water-honeyed pill, capsule, powder, unguentum, oral liquid, granule.
Compared with prior art, beneficial effect of the present invention
The Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis provided by the invention, certainly, have no side effect, patient compliance is high for clinical confirmation curative effect.
Treat a Chinese medicine composition for Qi deficiency blood stasis type lumbar spinal stenosis, clinical efficacy is summed up
1 physical data
In 50 routine patients, male 20 example, women 30 example, the oldest person 70 years old, reckling 38 years old, 50.2 years old mean age; The course of disease is the longest 5 years, the shortest June, average 2.8 years.
2 case inclusive criteria conditions
2.1 medical diagnosis standards: employing " Chinese medical disease Standardization of diagnosis and curative effect " (State Administration of Traditional Chinese Medicine. Chinese medical disease Standardization of diagnosis and curative effect. Nanjing: publishing house of Nanjing University, the diagnostic criteria of lumbar spinal stenosis 1994:203-204.): 1. have chronic back pain history, some patients has trauma history.2. the multiple physical labourer being born in more than 40 years old.3. prolonged and repeated lumbago and skelalgia and intermittent claudication, lumbago alleviates when anteflexion, after stretch time increase the weight of, skelalgia mostly is bilateral, can alternately occur, occurs lumbago and skelalgia or numb unable when standing and walk, and pain and walking lamely increases the weight of gradually, takes a turn for the better after having a rest.Severe patient can cause frequent micturition or dysuria.4. lower limb amyotrophy, tendon reflex weakens, the test of waist hyperextension is positive.5. CT or MRI checks and confirms lumbar spinal stenosis.
2.2 tcm syndrome classification: employing " Chinese medical disease Standardization of diagnosis and curative effect " (State Administration of Traditional Chinese Medicine. Chinese medical disease Standardization of diagnosis and curative effect. Nanjing: publishing house of Nanjing University, 1994:203-204.) in the syndrome-classification standard of lumbar spinal stenosis: Qi deficiency blood stasis type: lustreless complexion, Mental fatigue is unable, the not resistance to sitting of lumbago, pain is touching, numbness of lower limbs.The body of the tongue stasis of blood is purple, thin fur, stringy and tense pulse.
3 Therapeutic Method
Radix Rhodiolae 12 grams, Fructus Hippophae 8 grams, Rhizoma Polygonati 12 grams, Radix Notoginseng 6 grams, Rhizoma et radix valerianae 6 grams, Caulis Polygoni Multiflori 15 grams, Radix Rubi adenophori root 25 grams, Semen Trigonellae 8 grams, Radix Aconiti Kusnezoffii Preparata 2 grams, Radix Puerariae 15 grams, Zaocys 10 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
4 therapeutic outcomes
4.1 criterions of therapeutical effect: employing " Chinese medical disease Standardization of diagnosis and curative effect " (State Administration of Traditional Chinese Medicine. Chinese medical disease Standardization of diagnosis and curative effect. Nanjing: Nanjing University goes out society, the criterion of therapeutical effect of lumbar spinal stenosis 1994:203-204.): 1. cure: lumbago and skelalgia transference cure, function recovers normal substantially.2. take a turn for the better: lumbago and skelalgia alleviates, and still has pain after fatigue.3. do not heal: symptom, sign are without improvement.
4.2 results: treated through 30 ~ 50 days, cure 20 examples, and take a turn for the better 25 examples, and do not heal 5 examples, total effective rate 90.0%.
5 model cases
Lee, man, 52 years old, right lower extremity pain, numbness, companion's limping 1.5 years, increase the weight of 2 months, tongue was dark red, thin fur, stringy and tense pulse.CT shows L4/5 spinal canal stenosis.Diagnosis: lumbar spinal stenosis (Qi deficiency blood stasis type).Take Chinese medicine composition water decoction of the present invention 30 days, lumbago and skelalgia transference cure, functional rehabilitation is normal.Follow up a case by regular visits to after half a year and have no recurrence.
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 composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis, be by Radix Rhodiolae 15 grams, Fructus Hippophae 10 grams, Rhizoma Polygonati 15 grams, Radix Notoginseng 8 grams, Rhizoma et radix valerianae 8 grams, Caulis Polygoni Multiflori 18 grams, Radix Rubi adenophori root 30 grams, Semen Trigonellae 10 grams, Radix Aconiti Kusnezoffii Preparata 3 grams, Radix Puerariae 18 grams, Zaocys 12 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
Embodiment 2
A kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis, be by Radix Rhodiolae 13 grams, Fructus Hippophae 9 grams, Rhizoma Polygonati 13 grams, Radix Notoginseng 7 grams, Rhizoma et radix valerianae 7 grams, Caulis Polygoni Multiflori 16 grams, Radix Rubi adenophori root 27 grams, Semen Trigonellae 9 grams, Radix Aconiti Kusnezoffii Preparata 3 grams, Radix Puerariae 16 grams, Zaocys 11 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
Embodiment 3
A kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis, be by Radix Rhodiolae 12 grams, Fructus Hippophae 8 grams, Rhizoma Polygonati 12 grams, Radix Notoginseng 6 grams, Rhizoma et radix valerianae 6 grams, Caulis Polygoni Multiflori 15 grams, Radix Rubi adenophori root 25 grams, Semen Trigonellae 8 grams, Radix Aconiti Kusnezoffii Preparata 2 grams, Radix Puerariae 15 grams, Zaocys 10 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
Embodiment 4
A kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis, be by Radix Rhodiolae 11 grams, Fructus Hippophae 7 grams, Rhizoma Polygonati 11 grams, Radix Notoginseng 5 grams, Rhizoma et radix valerianae 5 grams, Caulis Polygoni Multiflori 14 grams, Radix Rubi adenophori root 23 grams, Semen Trigonellae 7 grams, Radix Aconiti Kusnezoffii Preparata 1 gram, Radix Puerariae 14 grams, Zaocys 9 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
Embodiment 5
A kind of Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis, be by Radix Rhodiolae 9 grams, Fructus Hippophae 6 grams, Rhizoma Polygonati 9 grams, Radix Notoginseng 4 grams, Rhizoma et radix valerianae 4 grams, Caulis Polygoni Multiflori 12 grams, Radix Rubi adenophori root 20 grams, Semen Trigonellae 6 grams, Radix Aconiti Kusnezoffii Preparata 1 gram, Radix Puerariae 12 grams, Zaocys 8 grams conveniently Chinese medicine preparation technology make water decoction, everyone potion every day.
Claims (4)
1. treat a Chinese medicine composition for Qi deficiency blood stasis type lumbar spinal stenosis, it is characterized in that the medicament be made up of the crude drug of following mass ratio:
Radix Rhodiolae 9 ~ 15 parts, Fructus Hippophae 6 ~ 10 parts, Rhizoma Polygonati 9 ~ 15 parts, Radix Notoginseng 4 ~ 8 parts, Rhizoma et radix valerianae 4 ~ 8 parts, Caulis Polygoni Multiflori 12 ~ 18 parts, Radix Rubi adenophori root 20 ~ 30 parts, Semen Trigonellae 6 ~ 10 parts, Radix Aconiti Kusnezoffii Preparata 1 ~ 3 part, Radix Puerariae 12 ~ 18 parts, Zaocys 8 ~ 12 parts.
2. the Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis as claimed in claim 1, is characterized in that the medicament be made up of the crude drug of following mass ratio:
Radix Rhodiolae 11 ~ 13 parts, Fructus Hippophae 7 ~ 9 parts, Rhizoma Polygonati 11 ~ 13 parts, Radix Notoginseng 5 ~ 7 parts, Rhizoma et radix valerianae 5 ~ 7 parts, Caulis Polygoni Multiflori 14 ~ 16 parts, Radix Rubi adenophori root 23 ~ 27 parts, Semen Trigonellae 7 ~ 9 parts, Radix Aconiti Kusnezoffii Preparata 1 ~ 3 part, Radix Puerariae 14 ~ 16 parts, Zaocys 9 ~ 11 parts.
3. the Chinese medicine composition for the treatment of Qi deficiency blood stasis type lumbar spinal stenosis as claimed in claim 1, is characterized in that the medicament be made up of the crude drug of following mass ratio:
Radix Rhodiolae 12 parts, Fructus Hippophae 8 parts, Rhizoma Polygonati 12 parts, Radix Notoginseng 6 parts, Rhizoma et radix valerianae 6 parts, Caulis Polygoni Multiflori 15 parts, Radix Rubi adenophori root 25 parts, Semen Trigonellae 8 parts, Radix Aconiti Kusnezoffii Preparata 2 parts, Radix Puerariae 15 parts, Zaocys 10 parts.
4. treat the preparation method of the Chinese medicine composition of Qi deficiency blood stasis type lumbar spinal stenosis 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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CN105770662A (en) * | 2016-03-24 | 2016-07-20 | 刘建园 | Traditional Chinese medicine preparation for treating wind and cold collateral obstruction type vertebral artery type of cervical spondylosis |
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