CN104771469A - External traditional Chinese medicine for treating ankle soft tissue injury - Google Patents
External traditional Chinese medicine for treating ankle soft tissue injury Download PDFInfo
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- CN104771469A CN104771469A CN201510199890.8A CN201510199890A CN104771469A CN 104771469 A CN104771469 A CN 104771469A CN 201510199890 A CN201510199890 A CN 201510199890A CN 104771469 A CN104771469 A CN 104771469A
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Abstract
The invention relates to the technical field of traditional Chinese medicines, and particularly relates to an external traditional Chinese medicine for treating ankle soft tissue injury. The external traditional Chinese medicine for treating ankle soft tissue injury is prepared from the following raw medicinal materials according to the weight proportion: 12-16g of hematoxylon, 9-11g of safflower, 11-13g of papaya, 10-12g of lycopodium clavatum, 8-10g of caulis spatholobi, 6-8g of radix dipsaci, 8-10g of angelica sinensis, 3-6g of radix achyranthis bidentatae, 6-8g of corydalis tuber, 6-8g of tangerine peel, 6-9g of ramulus mori, 6-9g of loofah sponge, 6-9g of root of chun spicebush, 6-9g of cortex erythrinae, 6-9g of caulis trachelospermi and 6-9g of honeysuckle stem. The external traditional Chinese medicine for treating ankle soft tissue injury is low in cost, convenient to use and short in curative time. The ankle soft tissue injury healed by the external traditional Chinese medicine is unlikely to recur; the total effective rate of the external traditional Chinese medicine is 97%; and the recovery rate of the external traditional Chinese medicine is 87%.
Description
Technical field
The present invention relates to technical field of Chinese medicines, specifically a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles.
Background technology
Soft tissue injury of ankles refers to that the positions such as patient's ankle joint subcutaneous tissue, fascia, muscle, tendon ligament, joint capsule are subject to various external violence directly or indirectly and cause corresponding pathological change.Clinically be more common in lateral ligament of ankle joint damage (anterior talofibular ligament, posterior talofibular ligament, calcaneofibular ligament) or medial ligament damage (deltoid ligament), show as ankle swelling, visible ecchymosis, tenderness (+), ankle bends and stretches, in turn up dysfunction etc.It is due to inflammatory mediator such as the release of damage local vaso-active substance and histamine etc. that western medicine thinks that the rear symptom of its damage is formed, and makes damaged portion that a series of microcirculation occur and changes.The mainly medicine such as oral detumescence, blood circulation promoting and blood stasis dispelling or adopt injection, partial closure's pain relieving etc. on clinical treatment.And medicine of subsiding a swelling all has larger zest to patient's stomach, blood vessel etc., blood circulation promoting and blood stasis dispelling is oral, injection drug in a short time drug effect can not go directly disease institute and price is more expensive, what partial closure's analgesic adopted substantially is non-steroid antiinflammatory drug, hormone medicine, long-term taking has certain toxic and side effects, cure the symptoms, not the disease, curative effect is not good enough, brings painful and spiritual, economically burden greatly to patient.
Soft tissue injury of ankles belongs in Chinese medicine " injury of tendon and muscle " category, it is in the nature the stagnation of QI and blood stasis, and treatment is main based on blood circulation promoting and blood stasis dispelling, channels sootheing and network vessel quickening, reducing swelling and alleviating pain.External treatment of tcm refers to and medicine is imposed on body surface or from external method of carrying out treating, its principle is drugs through skin, meridians directly play a role, and makes passages through which vital energy circulates happy, qi and blood circulation and reach object of curing the disease." the theoretical parallel prose " carries " reason of external treatment, the i.e. reason for the treatment of by oral administration of medicines; The medicine of external treatment, the i.e. medicine for the treatment of by oral administration of medicines; Different person's method ear." illustrate external treatment ratio juris, principle of medication is similar to internal treatment, just route of administration is different.External treatment advantage is that medicine is placed in body surface affected part, and the efficacy of a drug is gone directly disease institute, get effect rapidly, no pain, have no side effect, safe and reliable, patient is acceptant.
Summary of the invention
The present invention is directed to the deficiencies in the prior art, according to theory of Chinese medical science, by drug screening and the clinical verification repeatedly of several years, provide a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles with blood circulation promoting and blood stasis dispelling, channels sootheing and network vessel quickening, relieving spasm to stop pain function.
Technical scheme of the present invention is: a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles, it is characterized in that it is that the material medicine of following weight proportion is made: Lignum Sappan 12-16g, Flos Carthami 9-11g, Fructus Chaenomelis 11-13g, Herba Lycopodii 10-12g, Caulis Spatholobi 8-10g, Radix Dipsaci 6-8g, Radix Angelicae Sinensis 8-10g, Radix Achyranthis Bidentatae 3-6g, Rhizoma Corydalis 6-8g, Pericarpium Citri Reticulatae 6-8g, Ramulus Mori 6-9g, Retinervus Luffae Fructus 6-9g, Radix Linderae Chunii 6-9g, Cortex erythrinae 6-9g, Caulis Trachelospermi 6-9g, Caulis Lonicerae 6-9g.
Get material medicine of the present invention, at room temperature add water to 1500-2000ml, soak 4 hours, intense fire is decocted first, change slow fire after boiling to decoct to about 60-90 minute, remove slag to obtain filtrate 500ml, and medicinal residues add water 1000ml again, decoct 30-40 minute, remove slag to obtain filtrate 500ml, decocts medicine soup 1000ml for twice altogether.Hinder in latter 48 hours ,-10 ° of C cold compress bags are made in cold preservation in loading sealing bag after medicinal liquid cooling and spreads on affected part, every day twice, each 20 minutes, with thin towel covering affected part during cold compress, in case cold injury, note in cold compress process observing suffering limb far-end blood fortune, sensation, activity; Basin is put into by finally making after 1000ml medicinal liquid decoction boils after 48 hours, first fumigate suffering limb with liquid steam, can be as the criterion by tolerance degree with limbs, after fluid temperature is down to 50 °, suffering limb is immersed in basin, once a day, each about 30 minutes, seven days courses for the treatment of, application was to transference cure or alleviate, can consolidate curative effect application one course for the treatment of again, generally with two courses for the treatment of.
Lignum Sappan in the present invention: sweet, salty, pungent, flat, GUIXIN, Liver Channel, invigorate blood circulation and cure the wound, and blood stasis dispelling stimulates the menstrual flow, and for traumatic injury, fracture muscle and tendon injury, the stasis of blood is stagnant to swell and ache, and doctor trained in Western medicine pharmacology shows that Lignum Sappan contains protochrome, has sedation and isolated frog heart contractility can be made to strengthen.Flos Carthami: pungent, warm, GUIXIN, Liver Channel, promoting blood circulation to restore menstrual flow, stasis-dispelling and pain-killing, for traumatic injury, heat stagnation blood stasis person, doctor trained in Western medicine pharmacology shows that Flos Carthami contains safflower yellow, has anticoagulant and increases fibrinolysis activity.Fructus Chaenomelis: sour, warm, returns liver, spleen channel, relaxing muscles and tendons and activating QI and blood in the collateral, dehumidifying stomach function regulating.For rheumatic arthralgia, muscle arteries and veins contraction is anxious, and doctor trained in Western medicine pharmacology shows that Fructus Chaenomelis contains Saponin, citric acid etc., has obvious detumescence effect and relax limb muscle spasm to zoopery arthritis.Herba Lycopodii: bitter, pungent, temperature, return Liver Channel, wind-damp dispelling, relaxing muscles and tendons and activating QI and blood in the collateral, for extremities joint joint stuffiness, munbness etc., doctor trained in Western medicine pharmacology shows the fatty oil of the spore of Herba Lycopodii, sterol, volatile oil, lycopodine etc., has obvious refrigeration function.Caulis Spatholobi: bitter, sweet, warm, return Liver Channel, promoting the circulation of blood is enriched blood, regulating menstruation, relaxing muscles and tendons and activating QI and blood in the collateral, and for numb hand and foot, blood deficiency and yellow complexion etc., doctor trained in Western medicine pharmacology shows that Caulis Spatholobi contains milletol, and irony has antiinflammatory action.Radix Dipsaci: bitter, sweet, pungent, tepor, returns liver, kidney channel, invigorating the liver and kidney, bone and muscle strengthening, arresting bleeding and miscarriage prevention, continuous folding of curing the wound, for injury from falling down, fracture, swell and ache, doctor trained in Western medicine pharmacology shows that Radix Dipsaci contains daucosterol, volatilization wet goods, has effects such as promoting osteoblast generation, detumescence.Radix Angelicae Sinensis: sweet, pungent, warm, returns liver, the heart, spleen channel, enriches blood, invigorate blood circulation, regulating menstruation, pain relieving, intestine moistening, and for pains such as traumatic injury, doctor trained in Western medicine pharmacology shows that Radix Angelicae Sinensis contains volatile oil, ferulic acid, has anti-platelet aggregation and anti thrombotic action, and can improve peripheral circulation.Radix Achyranthis Bidentatae: bitter, sweet, acid, flat, return liver, kidney channel, promoting blood circulation to restore menstrual flow, invigorating the liver and kidney, bone and muscle strengthening, relieving stranguria by diuresis, conducting blood to flow downwards, for the traumatic pain of stagnation of blood stasis, doctor trained in Western medicine pharmacology shows that Radix Achyranthis Bidentatae contains molting hormone, has the effect promoting that inflammatory swelling disappears.Rhizoma Corydalis: acrid, bitter, warm, return liver, spleen, heart channel, invigorate blood circulation, circulation of qi promoting, pain relieving, be mainly used in stagnation of QI-blood all pain card, doctor trained in Western medicine pharmacology shows that Rhizoma Corydalis contains Corydaline, Rhizoma Corydalis C prime, has obvious analgesic activity.Pericarpium Citri Reticulatae: acrid, bitter, warm, returns spleen, lung meridian, regulating qi-flowing for strengthening spleen, drying dampness to eliminate phlegm, and for stagnation of QI in spleen and stomach card, doctor trained in Western medicine pharmacology shows that Pericarpium Citri Reticulatae contains volatile oil, flavonoid glycoside etc., can reduce the permeability of blood capillary, prevent microvascular bleeding.Ramulus Mori: bitter, flat, return Liver Channel, dispelling wind and removing obstruction in the collateral, sharp joint, for rheumatic arthralgia, spasm of the limbs, doctor trained in Western medicine pharmacology shows that Ramulus Mori contains Sang Su, morin etc., has the effect such as reducing swelling and alleviating pain, blood pressure lowering.Retinervus Luffae Fructus: sweet, put down, return lung, stomach, Liver Channel, dispelling wind and removing obstruction in the collateral, eliminating toxic substances to remove stasis, for rheumatic arthralgia etc., doctor trained in Western medicine pharmacology shows that Retinervus Luffae Fructus contains xylan, galactan etc., has detumescence effect.Radix Linderae Chunii: acrid in the mouth, warm in nature; Enter liver, stomach warp; Effect is expelling wind and removing dampness, promoting the circulation of QI to alleviate the stagnation in middle-JIAO, eliminating stasis to stop pain; Cure mainly treating swelling and pain by traumatic injury, abdominal distention, traumatic pain.Cortex erythrinae: bitter in the mouth, pungent, property is put down; Enter liver, spleen channel; Effect is wind-damp dispelling, the meridian dredging, parasite killing; Cure mainly rheumatic arthralgia, dysentery, toothache, scabies.Caulis Trachelospermi: bitter in the mouth, cold nature; GUIXIN, liver, kidney channel; Effect is dispelling wind and removing obstruction in the collateral, and removing heat from blood is subsided a swelling; Cure mainly beriberoid pyretic arthralgia, the contracture of muscle arteries and veins, soreness of waist and knee joint, sore throat, carbuncle, injury from falling down.Caulis Lonicerae: sweet in the mouth, cold in nature; Attach to the lung and stomach meridians; Effect is heat-clearing and toxic substances removing, and dispelling wind dredging collateral cures mainly epidemic febrile disease heating, toxic-heat and blood stasis, carbuncle skin infection, beriberoid pyretic arthralgia, redness and swelling of joints burning pain.The ingenious prescription of above-mentioned Chinese medicine, reaches the effect of mutual reinforcement between, the mutual-assistance between medicine, curative effect of medication is strengthened, and improves principal agent effect, to reach blood circulation promoting and blood stasis dispelling, channels sootheing and network vessel quickening, relieving spasm to stop pain, and the specially good effect for the treatment of soft tissue injury of ankles.
Detailed description of the invention:
Embodiment 1: a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles, it is that the material medicine of following weight proportion is made: Lignum Sappan 12-16g, Flos Carthami 9-11g, Fructus Chaenomelis 11-13g, Herba Lycopodii 10-12g, Caulis Spatholobi 8-10g, Radix Dipsaci 6-8g, Radix Angelicae Sinensis 8-10g, Radix Achyranthis Bidentatae 3-6g, Rhizoma Corydalis 6-8g, Pericarpium Citri Reticulatae 6-8g, Ramulus Mori 6-9g, Retinervus Luffae Fructus 6-9g, Radix Linderae Chunii 6-9g, Cortex erythrinae 6-9g, Caulis Trachelospermi 6-9g, Caulis Lonicerae 6-9g.
Embodiment 2: a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles, it is that the material medicine of following weight is made: Lignum Sappan 13g, Flos Carthami 10g, Fructus Chaenomelis 12g, Herba Lycopodii 11g, Caulis Spatholobi 8g, Radix Dipsaci 6g, Radix Angelicae Sinensis 8g, Radix Achyranthis Bidentatae 3g, Rhizoma Corydalis 6g, Pericarpium Citri Reticulatae 6g, Ramulus Mori 7g, Retinervus Luffae Fructus 6g, Radix Linderae Chunii 6g, Cortex erythrinae 7g, Caulis Trachelospermi 9g, Caulis Lonicerae 8g.
Embodiment 3: a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles, it is that the material medicine of following weight is made: Lignum Sappan 14g, Flos Carthami 11g, Fructus Chaenomelis 12g, Herba Lycopodii 10g, Caulis Spatholobi 9g, Radix Dipsaci 7g, Radix Angelicae Sinensis 9g, Radix Achyranthis Bidentatae 5g, Rhizoma Corydalis 8g, Pericarpium Citri Reticulatae 8g, Ramulus Mori 8g, Retinervus Luffae Fructus 7g, Radix Linderae Chunii 8g, Cortex erythrinae 7g, Caulis Trachelospermi 9g, Caulis Lonicerae 8g.
Embodiment 4: a kind of external application Chinese medicine for the treatment of soft tissue injury of ankles, it is that the material medicine of following weight proportion is made: Lignum Sappan 12g, Flos Carthami 9g, Fructus Chaenomelis 11g, Herba Lycopodii 12g, Caulis Spatholobi 10g, Radix Dipsaci 8g, Radix Angelicae Sinensis 10g, Radix Achyranthis Bidentatae 6g, Rhizoma Corydalis 7g, Pericarpium Citri Reticulatae 7g, Ramulus Mori 9g, Retinervus Luffae Fructus 9g, Radix Linderae Chunii 7g, Cortex erythrinae 6g, Caulis Trachelospermi 8g, Caulis Lonicerae 7g.
A kind of external application Chinese medicine clinical efficacy for the treatment of soft tissue injury of ankles is summed up:
One, physical data: admitted patient 41 example altogether, wherein male 26 example, women 15 example; The oldest 52 years old, minimum 23 years old, 37 years old mean age; The most elder of the course of disease 21 days, the shortest person 7 days, average 14 days.
Two, diagnostic criteria: patient has clear and definite acute trauma medical history, and ankle soft tissue swelling is heavier, visible obviously ecchymosis, palpation skin matter is tough, and swelling sense is obvious, and all soft tissue tenderness of ankle are positive, without bone rubbing feeling and abnormal movement.X-ray film shows that sclerotin no abnormality seen destroys.Inclusive criteria and exclusion standard: for preventing other factors from affecting, the inclusive criteria of this research: 1. the age is between 18 ~ 60 years old; 2. the closure injury of tendon and muscle; 3. the person that do not meet exclusion standard.The exclusion standard drafted: 1. the age is below 18 years old or more than 60 years old; 2. open injury; 3. diabetes medical history person; 4. other organs or systemic infection medical history more person; 5. HIV immunodeficiency syndrome person; 6. original apoplexy and limb swelling, trophesy person; 7. the not congruent judgement person that affects the treatment of curative effect or data cannot be judged.
Three, dosage form and usage: get material medicine of the present invention, add water to 1500-2000ml, soak 4 hours, intense fire is decocted first, and changes slow fire and decoct to about 60-90 minute after boiling, remove slag to obtain filtrate 500ml, medicinal residues add water 1000ml again, and decoct 30-40 minute, remove slag to obtain filtrate 500ml, decoct medicine soup 1000ml for twice altogether.Hinder in latter 48 hours ,-10 ° of C cold compress bags are made in cold preservation in loading sealing bag after medicinal liquid cooling and spreads on affected part, every day twice, each 20 minutes, with thin towel covering affected part during cold compress, in case cold injury, note in cold compress process observing suffering limb far-end blood fortune, sensation, activity; Basin is put into by finally making after 1000ml medicinal liquid decoction boils after 48 hours, first fumigate suffering limb with liquid steam, can be as the criterion by tolerance degree with limbs, after fluid temperature is down to 50 °, suffering limb is immersed in basin, once a day, each about 30 minutes, seven days courses for the treatment of, take to clinical symptom disappearance or alleviate, consolidate curative effect can take a course for the treatment of again, generally with two courses for the treatment of.
Four, efficacy assessment standard
Cure: subjective symptoms disappears, and swelling is disappeared.
Take a turn for the better: subjective symptoms disappears, and swelling alleviates.
Do not heal: after taking medicine, the state of an illness is unchanged.
Five, therapeutic effect
External medicinal liquid 7 days is a course for the treatment of, and the lighter one fully recovers the course for the treatment of, the severe one 3 recovery from illness course for the treatment of.Total effective rate 97%, cure rate 87%, improvement rate 10%, invalid 3%.
Six, model case
1, field, female, 35 years old, first visit in May, 2014.Accidentally spraining right ankle when going downstairs from being set forth in admission before 30 minutes, examining as " right soft tissue injury of ankles " through hospital.Give " 20% formula mannitol injection liquid ", " dexamethasone injection " treat 2 days, better, right ankle swelling at night, pain increase the weight of in infusion process detumescence on daytime, and patient's private prosecution infusion process has phenomenon of having a fainting spell during acupuncture treatment to occur, and therapeutic effect represents and is difficult to accept.Have a medical check-up: right skin of ankle tension force is higher, visible obviously ecchymosis, outside tenderness (+) before right ankle, not and obviously bone rubbing feeling and abnormal movement, light red tongue, white and thin fur, stringy pulse.Film making shows that right ankle sclerotin is normal.According to its symptom and sign, dialectical is stagnation of QI and blood, gives blood circulation promoting and blood stasis dispelling, relaxing muscles and tendons and activating QI and blood in the collateral, relieving spasm to stop pain.With our medicine external one course for the treatment of, symptom obviously alleviates and occurs without rebound phenomenon at night, continues and use a course for the treatment of, all disease disappearances and fully recovering.
2, Huang, man, 28 years old, first visit in October, 2014.Spraining right ankle during physical training from being set forth in admission before 1 hour, being diagnosed as " right soft tissue injury of ankles " after local hospital is had a medical check-up, give oral DAHUOLUO DAN, somedon Drug therapy, after 3 days, the state of an illness is alleviated not yet.Again through the right ankle magnetic resonance examination of row, show " right ankle deltoid ligament partial injury ", have a medical check-up: swelling under right inside ankle, visible obviously ecchymosis, tenderness (+), not and obviously bone rubbing feeling and abnormal movement, red tongue, white and thin fur, stringy pulse.Film making shows that right ankle sclerotin has no seriality and integrity violations.The injury of tendon and muscle of examining as stagnation of QI and blood is sick, gives external one of the present invention course for the treatment of, and all diseases disappear recovery from illness.
Claims (1)
1. treat an external application Chinese medicine for soft tissue injury of ankles, it is characterized in that it is that the material medicine of following weight proportion is made: Lignum Sappan 12-16g, Flos Carthami 9-11g, Fructus Chaenomelis 11-13g, Herba Lycopodii 10-12g, Caulis Spatholobi 8-10g, Radix Dipsaci 6-8g, Radix Angelicae Sinensis 8-10g, Radix Achyranthis Bidentatae 3-6g, Rhizoma Corydalis 6-8g, Pericarpium Citri Reticulatae 6-8g, Ramulus Mori 6-9g, Retinervus Luffae Fructus 6-9g, Radix Linderae Chunii 6-9g, Cortex erythrinae 6-9g, Caulis Trachelospermi 6-9g, Caulis Lonicerae 6-9g.
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Cited By (2)
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| CN105267575A (en) * | 2015-10-09 | 2016-01-27 | 张凯 | Traditional Chinese medicine external lotion for treating chronic soft tissue injury and nursing method |
| CN109620926A (en) * | 2019-01-31 | 2019-04-16 | 上海中医药大学附属岳阳中西医结合医院 | A kind of external washout with traditional Chinese herbs side improving the postoperative limb swelling of fracture, numbness and moving obstacle |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105267575A (en) * | 2015-10-09 | 2016-01-27 | 张凯 | Traditional Chinese medicine external lotion for treating chronic soft tissue injury and nursing method |
| CN109620926A (en) * | 2019-01-31 | 2019-04-16 | 上海中医药大学附属岳阳中西医结合医院 | A kind of external washout with traditional Chinese herbs side improving the postoperative limb swelling of fracture, numbness and moving obstacle |
| CN109620926B (en) * | 2019-01-31 | 2021-06-15 | 上海中医药大学附属岳阳中西医结合医院 | Traditional Chinese medicine external washing formula for improving limb swelling, numbness and movement disorder after tendon injury and fracture operation |
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Application publication date: 20150715 |