CN105055962A - Traditional Chinese medicine composition for treating gastrointestinal dysfunction after acute appendicitis operation - Google Patents
Traditional Chinese medicine composition for treating gastrointestinal dysfunction after acute appendicitis operation Download PDFInfo
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Abstract
The invention belongs to the technical field of medicine and particularly relates to a traditional Chinese medicine composition for treating gastrointestinal dysfunction after an acute appendicitis operation. The traditional Chinese medicine composition is prepared with, by weight, 6-14 parts of rhamnus davurica pall barks, 8-16 parts of rumex gmelini turcz, 6-14 parts of brachiaria mutica, 5-11 parts of bothrocaryum controuersa(hemsl.) poyark, 5-11 parts of fraxinus malacophylla, 5-11 parts of artemisia sphaerocephala krash, 5-11 parts of arthromeris lehmannii, 4-8 parts of Jordan almonds, 5-11 parts of Iris japonica thunb and 4-8 parts of licorice roots. According to the traditional Chinese medicine composition, all ingredients are combined for being used and cooperate for achieving the effect of clearing away heat and toxic materials, unblocking the hollow viscera, relieving the turbidity, promoting qi and promoting the blood circulation, the gastrointestinal function of a patient who receives the appendicitis operation can be promoted to recover, and complications such as postoperative stomachache and abdominal distension of the patient are alleviated.
Description
Technical field
The invention belongs to medical art, be specifically related to a kind of Chinese medicine composition for the treatment of the disorder of acute appendicitis gastrointestinal function recovery after operation.
Background technology
Acute appendicitis is one of clinical modal acute abdomen, all occurs, be mainly in person between twenty and fifty at each age group, and especially the highest with 20 ~ 30 years old sickness rate, male is more than women; Acute appendicitis be due to a variety of causes cause the edema of vermiform appendix wall congested, suppurate and the change such as perforation.
Due to appendicitis cause inflammatory exudation, perforation time intestinal lumen contents and pus enter abdominal cavity, abdominal cavity is polluted, causes peritoneum to stimulate; Simultaneously due to the operation in operation to the wound of the tractive of ieoocolon vermiform appendix, a small amount of oozing of blood sepage of postoperative intraperitoneal and operation itself, Water-Electrolyte is unbalance, gut hormone adjustment disorder, tissue adhesion etc. all in various degree have impact on gastrointestinal function, cause gastrointestinal peristalsis to weaken and/or disappear, clinical manifestation is hypoactive bowel sounds or disappearance, abdominal distention, arrow flow of QI being obstructed etc., cause the bacterial translocation in enteric cavity during pre-operative anxiety in addition, easily to infect, increase the incidence rate of complication as enteroparalysis, intestinal obstruction and intestinal adhesion, be unfavorable for the recovery of Post operation body.
Symptomatic treatment is taked in the treatment in west more, but curative effect is often not good, and its reason is doctor trained in Western medicine only for blocking in pathological process the pathology link only having one or more.Chinese Traditional Medicine treatment not only long and rich experience, its base oneself upon entirety, the dialectical unique advantage treated especially modern medicine be difficult to the part that matches in excellence or beauty.Therefore, the Chinese medicine finding the disorder for the treatment of acute appendicitis gastrointestinal function recovery after operation is needed.
Summary of the invention
Technical problem to be solved by this invention avoids the weak point existing for above-mentioned prior art, provides a kind of Chinese medicine composition for the treatment of the disorder of acute appendicitis gastrointestinal function recovery after operation.
The present invention is achieved through the following technical solutions:
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, be made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 6-14 part, Rumex gmelini Turcz. 8-16 part, Brachiaria Griseb 6-14 part, Cornus controversa fruit 5-11 part, Cortex Fraxini Malacophyllae Radicis 5-11 part, Folium et Caulis Caryopteridis 5-11 part, Neocheiropteris palmatopedata (Baker) Christ 5-11 part, Semen Armeniacae Dulcis 4-8 part, Rhizoma Iridis Japonicae 5-11 part, Radix Glycyrrhizae 4-8 part.
Preferably, the Chinese medicine composition of above-mentioned treatment acute appendicitis gastrointestinal function recovery after operation disorder, is made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 8-12 part, Rumex gmelini Turcz. 10-14 part, Brachiaria Griseb 8-12 part, Cornus controversa fruit 7-11 part, Cortex Fraxini Malacophyllae Radicis 7-11 part, Folium et Caulis Caryopteridis 7-11 part, Neocheiropteris palmatopedata (Baker) Christ 7-11 part, Semen Armeniacae Dulcis 5-7 part, Rhizoma Iridis Japonicae 7-11 part, Radix Glycyrrhizae 5-7 part.
Preferred, the Chinese medicine composition of above-mentioned treatment acute appendicitis gastrointestinal function recovery after operation disorder, is made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 10 parts, Rumex gmelini Turcz. 12 parts, Brachiaria Griseb 10 parts, Cornus controversa fruit 9 parts, Cortex Fraxini Malacophyllae Radicis 9 parts, Folium et Caulis Caryopteridis 9 parts, Neocheiropteris palmatopedata (Baker) Christ 9 parts, Semen Armeniacae Dulcis 6 parts, Rhizoma Iridis Japonicae 9 parts, 6 parts, Radix Glycyrrhizae.
The ratio of above weight proportion is through that science screening obtains, and for especial patient, as serious symptom or mild, fat or modest patient, can the proportioning of amount of corresponding adjustment composition, and increase or reduce being no more than 100%, drug effect is substantially constant.
The weight portion of said medicine, if in units of g, the normally consumption of 1 dose.
The indication of Chinese medicine of the present invention: be used for the treatment of acute appendicitis gastrointestinal function recovery after operation disorderly.
The taboo item of Chinese medicine of the present invention: the fasting for the treatment of period in a medicine is greasy, raw and cold, the smelling of fish or mutton, irritant and stodgy food.
In Chinese medicine composition of the present invention,
Smelly Lee's skin another name Cotex rhamni.For the bark of Rhamnaceae plant Da Wuli Fructus rhamni (Rhamnus davurica Pall.) Rhamnusdavuricapall..Bitter in the mouth; Cold nature.Function heat-clearing and toxic substances removing; Relieving constipation by purgation.Main air damp-heat arthralgia; Pyretic toxicity carbuncle sore; Constipation.
Rumex gmelini Turcz. is the root and rhizome of polygonaceae plant Rumex gmelini Turcz. RumexgmeliniTurcz..Bitter in the mouth; Cold in nature.Function clearing away heat and purging; Removing toxic substances and promoting subsidence of swelling.Main constipation with heat retention; Carbuncle sore tumefacting virus; Scabies.
Brachiaria Griseb is standing grain arm graminaceous plant Herba Brachiariae Villoae Brachiariavillosa(Lam.) herb of A.Camus.Sweet in the mouth, light; Cold nature.Function clearing away heat and promoting diuresis; Relieving constipation.Main hot urination; Constipation.
Cornus controversa fruit is the fruit of Cornaceae plant Cornus controversa Bothrocaryumcontrouersa (Hemsl.) Poyark..Bitter in the mouth; Cool in nature.Function heat-clearing and toxic substances removing; Loosening bowel to relieve constipation; Drive ascarid.Main hepatitis; Dryness of the intestine constipation; Ascariasis.
Cortex Fraxini Malacophyllae Radicis another name root root medicine, dog bone tree wooden to joint, derive from Oleaceae Fraxinus plant Cortex Fraxini Malacophyllae Radicis FraxinusmalacophyllaHemsl., be used as medicine with root.Bitter in the mouth, puckery, cold in nature.Function heat clearing away, diuresis, relieving constipation.For cystitis, vesical calculus, dysuria, constipation, malaria.
Folium et Caulis Caryopteridis another name is flutterred and is strangled illiteracy, seed Artemisia, white sand Artemisia, oil-sand Artemisia, is feverfew round end Artemisia ArtemiaisiasphaerocephalaKrasch. [A.salsolidesWilld.Var.mongolicaPamp.; OligosprusSphaero-cephalus (Krasch.) Poljak.] seed.Acrid in the mouth; Warm in nature.Function is regulated the flow of vital energy; Relieving constipation; Removing toxic substances.Main constipation; Stomachache that raw meat is swollen; Rib adenitis; Tonsillitis; Carbuncle furuncle.
Neocheiropteris palmatopedata (Baker) Christ another name Radix scopoliae sinensis, Unguis Tigris Radix scopoliae sinensis, Qing Jiwei, wild Herba Fimbristylis dichotomae, derive from fern Polypodiaceae Neocheiropteris palmatopedata(Bak.) Christ platymiscium Neocheiropteris palmatopedata(Bak.) Christ Neocheiropterispalmatopedata(Baker) Christ, is used as medicine with root stock.Sweet, the micro-hardship of nature and flavor, puckery, cool.Function clearing away heat-damp and promoting diuresis, regulating the flow of QI to relieve constipation.For chronic gastritis, pipe abdomen fullness, constipation, dysentery, cystitis, pharyngitis, Fengshi Guanjie pain.
Semen Armeniacae Dulcis another name eight load core, Ba Da Semen Armeniacae Amarum, rattle away Semen Armeniacae Amarum, Amygdaluscommunis L., partially Fructus Persicae, the light tree of mother-in-law, partially Semen Juglandis, plaque Fructus Persicae, neglect deer fiber crops, capital Fructus Pruni.For rosaceous plant almond AmygdaluspersicaL. [prunuspersica (L.) Batsch.] seed.Bitter in the mouth, property are sweet.GUIXIN, liver, large intestine channel.Function blood circulation promoting and blood stasis dispelling, loosening bowel to relieve constipation.Main dysmenorrhea, amenorrhea due to stagnation of blood, the stagnant stomachache of the stasis of blood in puerperal, traumatic injury, swelling and pain due to blood stasis, pain in the lung, enterodynia, dryness of the intestine constipation
Rhizoma Iridis Japonicae is rhizome or the root of irides Herba Iridis japonicae IrisjaponicaThunb..Bitter in the mouth; Pungent; Cold.Function helps digestion; Parasite killing; Relieving constipation; Diuretic; Invigorate blood circulation; Pain relieving; Removing toxic substances.Main dyspeptic abdominal distention; Abdominal pain due to worm stagnation; Pyroretentional abdominalgia; Constipation with heat retention; Edema; WEIJIA; Cruel for a long time; Toothache; Laryngopharynx swelling and pain; Skin ulcer swells; Scrofula; Traumatic injury; Uterine prolapse; Serpentis lyssodexis.
Radix Glycyrrhizae is sweet, flat.GUIXIN, lung, spleen, stomach warp.Function invigorating the spleen and replenishing QI, heat-clearing and toxic substances removing, expelling phlegm for arresting cough, relieving spasm to stop pain, coordinating the actions of various ingredients in a prescription.For weakness of the spleen and stomach, fatigue and weakness, shortness of breath and palpitation, cough with copious phlegm, the anxious pain of gastral cavity abdomen, extremity contraction, carbuncle sore tumefacting virus, cushion toxicity, strong.
It is diseases caused by exogenous pathogenic factor and internal injury that gastrointestinal dysfunction (enteroparalysis, the intestinal dysfunction) theory of Chinese medical science that abdominal postoperative causes recognizes its cause of disease, causes dysfunction of the spleen in transportation, and mechanism of qi loses in tune smooth; It is cold that characteristic of disease has heat to have, and has and have void in fact; Sick position is at taste, intestinal internal organs.Post operation damage vitality of human body, deficiency of vital energy blood is unfavorable causes blood-vessel obstructive, functional activity of QI being not smooth, the internal organs stagnation of QI are stagnant, or stagnant damp and hot and scorchingly hot to pent up in six internal organs of the stasis of blood can not the development of evil in febrile disease, FU QI being obstructed, and during operation, blood stasis is detained, the residual etc. of peritoneal fluid cause intestinal disorder of QI movement, stagnation of QI blood hinders, obstructed up and down, or destroy the normal operation of mechanism of qi due to Post operation, elevating function is lacked of proper care, internal organs gas is descending smooth, causes gastrointestinal motility dysfunction to occur aerofluxus, defecation stopping.Gastrointestinal belongs to six internal organs, the six hollow viscera must keep its unobstructed.
The Therapeutic Principle of " leading to " has just been fully demonstrated in treatise on Febrile Diseases, as: " ... hectic fever, distention and fullness in the abdomen, vexed, with tune stomach CHENGQI TANG "; " dry in stomach, stool must be hard, firmly then delirium, Xiao Chengqi Tang master it "; In "Nei Jing", the five internal organs another matter is said: " six internal organs person, excreting foodstuff instead of storing essence ", and its physiological function is received and digesting food, the development of evil in febrile disease and excretion waste matter, and reduce to suitable with logical, stagnant superinverse is disease.Postoperatively occur that abdominal part distending pain, aerofluxus, defecation freely do not illustrate that logical to fall row not normal.So-called " close and obstructed ", " stagnation of QI and blood may bring about pain ".The author according to the principle of the six hollow viscera must keep its unobstructed, and patient show as that evil poison pents up, the disease of accumulation of heat intestinal internal organs, let out turbid, promoting flow of QI and blood Chinese medicine by dialectical application heat-clearing and toxic substances removing, purging FU-organs and treat.
The prescription mechanism of the Chinese medicine composition for the treatment of acute appendicitis gastrointestinal function recovery after operation of the present invention disorder is as follows:
Monarch drug: smelly Lee's skin, Rumex gmelini Turcz., Brachiaria Griseb merit are with clearing away heat and purging relieving constipation.
Ministerial drug: Cornus controversa fruit, Cortex Fraxini Malacophyllae Radicis merit are with heat-clearing and toxic substances removing, loosening bowel to relieve constipation.
Adjuvant drug: Folium et Caulis Caryopteridis, Neocheiropteris palmatopedata (Baker) Christ merit are with the relieving constipation of circulation of qi promoting intestinal stasis relieving.Semen Armeniacae Dulcis, Rhizoma Iridis Japonicae merit with loosening bowel to relieve constipation, hold concurrently blood circulation promoting and blood stasis dispelling.
Make medicine: Radix Glycyrrhizae coordinating the actions of various ingredients in a prescription.
We's compatibility is reasonable, and all medicines share and play heat-clearing and toxic substances removing altogether, purging FU-organs lets out effect that is turbid, promoting flow of QI and blood, can promote the restoration of gastrointestinal function of appendicitis postoperative patient, to alleviate after operation in patients the complication such as abdominal pain and distension.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is further described, so that those skilled in the art more understands the present invention, but does not therefore limit the present invention.
Embodiment 1
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, each crude drug weight proportion is as follows:
Smelly Lee's skin 10g, Rumex gmelini Turcz. 12g, Brachiaria Griseb 10g, Cornus controversa fruit 9g, Cortex Fraxini Malacophyllae Radicis 9g, Folium et Caulis Caryopteridis 9g, Neocheiropteris palmatopedata (Baker) Christ 9g, Semen Armeniacae Dulcis 6g, Rhizoma Iridis Japonicae 9g, Radix Glycyrrhizae 6g.
Embodiment 2
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, each crude drug weight proportion is as follows:
Smelly Lee's skin 8g, Rumex gmelini Turcz. 10-14g, Brachiaria Griseb 8g, Cornus controversa fruit 7g, Cortex Fraxini Malacophyllae Radicis 7g, Folium et Caulis Caryopteridis 7g, Neocheiropteris palmatopedata (Baker) Christ 7g, Semen Armeniacae Dulcis 5g, Rhizoma Iridis Japonicae 7g, Radix Glycyrrhizae 5g.
Embodiment 3
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, each crude drug weight proportion is as follows:
Smelly Lee's skin 12g, Rumex gmelini Turcz. 14g, Brachiaria Griseb 12g, Cornus controversa fruit 11g, Cortex Fraxini Malacophyllae Radicis 11g, Folium et Caulis Caryopteridis 11g, Neocheiropteris palmatopedata (Baker) Christ 11g, Semen Armeniacae Dulcis 7g, Rhizoma Iridis Japonicae 11g, Radix Glycyrrhizae 7g.
Embodiment 4
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, each crude drug weight proportion is as follows:
Smelly Lee's skin 6g, Rumex gmelini Turcz. 8g, Brachiaria Griseb 6g, Cornus controversa fruit 5g, Cortex Fraxini Malacophyllae Radicis 5g, Folium et Caulis Caryopteridis 5g, Neocheiropteris palmatopedata (Baker) Christ 5g, Semen Armeniacae Dulcis 4g, Rhizoma Iridis Japonicae 5g, Radix Glycyrrhizae 4g.
Embodiment 5
Treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, each crude drug weight proportion is as follows:
Smelly Lee's skin 14g, Rumex gmelini Turcz. 16g, Brachiaria Griseb 14g, Cornus controversa fruit 11g, Cortex Fraxini Malacophyllae Radicis 11g, Folium et Caulis Caryopteridis 11g, Neocheiropteris palmatopedata (Baker) Christ 11g, Semen Armeniacae Dulcis 8g, Rhizoma Iridis Japonicae 11g, Radix Glycyrrhizae 8g.
Carried out clinical pharrnacokinetics test to Chinese medicine composition of the present invention, Details as Follows:
1. data and method
1.1 object of study
Choose disorderly patient 120 example of acute appendicitis gastrointestinal function recovery after operation.
1.2 diagnostic criterias:
1.. abdominal distention is remarkable, without paroxysmal colic, without peritoneal irritation sign.
2.. Post operation impaired gastro-intestinal motility belongs to reactive.
3.. abdominal distention, not aerofluxus, defecation.
4.. hypoactive bowel sounds or disappearance.
1.3 inclusive criteria
1.. patient age is between 12 ~ 65 years old.
2.. be diagnosed as acute appendicitis, postoperative generation gastrointestinal dysfunction person.
1.4 exclusion standard
1.. the age is less than 12 years old or is greater than the patient of 65 years old.
2.. preoperative ultrasound diagnosis turns out to be the patient of periappendiceal abscess.
3.. the patient of gastrointestinal dysfunction caused by other non-appendicitis operation (preoperative have gastrointestinal dysfunction).
4.. the patient of refusal oral Chinese medicine.
5.. the serious disease patient of the merging heart, brain, renal system and psychotic.
1.5 Therapeutic Method
Give the Chinese medicine of the embodiment of the present invention 1, be decocted in water for oral dose, day potion, sooner or later sub-service, is used in conjunction 3 days.
1.6 observation index
Observe the time that postoperative borborygmus recovers;
Observe postoperative first time from passage of gas by anus, defecation time;
Observe the clinical symptoms such as postoperative bellyache abdominal distention, sign improves situation;
1.7 efficacy evaluation
Restoration of gastrointestinal function efficacy determination (for referencial use according to internationally recognized Rome II standard in 2000):
Cure: aerofluxus or defecation in postoperative 24 hours, borborygmus 3-5 beat/min, aerofluxus is normal, and once a day, diet is normal, and body temperature is normal for defecation.
Effective: aerofluxus or defecation in postoperative 48 hours, borborygmus is more weak, 1-2 beat/min, and aerofluxus is normal, defecation 2 days once or irregular, slight abdominal distention after feed, body temperature 37 ~ 38 DEG C.
Take a turn for the better: aerofluxus or defecation in postoperative 72 hours, borborygmus 0-2 beat/min, evacuation time is postponed, not defecation, drink liquid food or do not take food, body temperature >38 DEG C, abdominal distention bulge.
Do not heal: the aerofluxus not yet more than 72 hours, borborygmus disappears, fasting water, body temperature >38 DEG C, abdominal distention obviously, have Nausea and vomiting, need gastrointestinal decompression to treat.
2. result
120 routine patients cure 105 examples, effective 12 examples, effective 3 examples, invalid 0 example, cure rate 87.5%, total obvious effective rate 97.5%, total effective rate 100%.
Claims (3)
1. treat a Chinese medicine composition for acute appendicitis gastrointestinal function recovery after operation disorder, be made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 6-14 part, Rumex gmelini Turcz. 8-16 part, Brachiaria Griseb 6-14 part, Cornus controversa fruit 5-11 part, Cortex Fraxini Malacophyllae Radicis 5-11 part, Folium et Caulis Caryopteridis 5-11 part, Neocheiropteris palmatopedata (Baker) Christ 5-11 part, Semen Armeniacae Dulcis 4-8 part, Rhizoma Iridis Japonicae 5-11 part, Radix Glycyrrhizae 4-8 part.
2. the Chinese medicine composition for the treatment of acute appendicitis gastrointestinal function recovery after operation according to claim 1 disorder, is characterized in that, be made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 8-12 part, Rumex gmelini Turcz. 10-14 part, Brachiaria Griseb 8-12 part, Cornus controversa fruit 7-11 part, Cortex Fraxini Malacophyllae Radicis 7-11 part, Folium et Caulis Caryopteridis 7-11 part, Neocheiropteris palmatopedata (Baker) Christ 7-11 part, Semen Armeniacae Dulcis 5-7 part, Rhizoma Iridis Japonicae 7-11 part, Radix Glycyrrhizae 5-7 part.
3. the Chinese medicine composition for the treatment of acute appendicitis gastrointestinal function recovery after operation according to claim 3 disorder, is characterized in that, be made up of the Chinese medicine of following weight portion:
Smelly Lee's skin 10 parts, Rumex gmelini Turcz. 12 parts, Brachiaria Griseb 10 parts, Cornus controversa fruit 9 parts, Cortex Fraxini Malacophyllae Radicis 9 parts, Folium et Caulis Caryopteridis 9 parts, Neocheiropteris palmatopedata (Baker) Christ 9 parts, Semen Armeniacae Dulcis 6 parts, Rhizoma Iridis Japonicae 9 parts, 6 parts, Radix Glycyrrhizae.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105832973A (en) * | 2016-05-18 | 2016-08-10 | 杜洁 | External medicine applied to nursing after appendectomy and preparation method |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1216706A (en) * | 1997-11-04 | 1999-05-19 | 张洪亮 | Compound Shenma Oral Liquid |
Non-Patent Citations (2)
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| 李朝阳等: "中药治疗腹部术后重症胃肠功能紊乱120例", 《陕西中医》 * |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105832973A (en) * | 2016-05-18 | 2016-08-10 | 杜洁 | External medicine applied to nursing after appendectomy and preparation method |
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