Disclosure of Invention
The invention aims to provide a Chinese medicinal preparation for treating burns and scalds, which has the advantages of good treatment effect, high effective rate and no toxic or side effect on human bodies.
The invention aims to realize the purpose, according to the theory of traditional Chinese medicine, the unique medicine property of the traditional Chinese medicine is utilized, and the traditional Chinese medicine is prepared by processing ramie leaves, climbing tree dragon, elm pod kernels, Chinese jatropha herb, jujube barks, sargentgloryvine stem, paniculate swallowwort root, borneol and sesame oil according to certain compatibility requirements.
The traditional Chinese medicine preparation is prepared from the following raw material medicines: 60-80 parts of ramie leaves, 30-40 parts of creeping dragon, 30-40 parts of elm seeds, 20-30 parts of lacquer girl, 20-30 parts of jujube barks, 20-30 parts of sargentgloryvine stems, 20-30 parts of cynanchum paniculatum, 10-20 parts of borneol and 3000 parts of sesame oil 2500-doped medicaments.
The traditional Chinese medicine preparation disclosed by the invention comprises the following raw material medicines in parts by weight: 70 parts of ramie leaves, 35 parts of creeping creeper, 35 parts of elm seeds, 25 parts of lacquer girl, 25 parts of jujube barks, 25 parts of sargentgloryvine stems, 25 parts of paniculate swallowwort roots, 15 parts of borneol and 2800 parts of sesame oil.
The preparation method comprises the following steps: soaking the medicine in oleum Sesami for 5 days, decocting with slow fire to brown, filtering with gauze, cooling to 80 deg.C, grinding Borneolum into fine powder, adding into the medicinal oil, stirring, and cooling. The pharmacological actions of the traditional Chinese medicine are as follows:
ramie leaves: sweet, slightly bitter and cold. It enters liver and heart meridians. Cool blood to stop bleeding, dissipate stasis to relieve swelling, remove toxicity. The traditional Chinese medicine composition is clinically used for treating symptoms such as hemorrhoid hematochezia, hemoptysis, hematemesis, stranguria with blood, hematuria, menorrhagia, traumatic hemorrhage, proctoptosis, erysipelas, sore and swelling, eczema and the like.
Climbing a tree dragon: pungent and warm. Dispel wind-damp, remove swelling due to blood stasis, and reunite tendons and bones. The traditional Chinese medicine composition is clinically used for treating rheumatic arthritis, traumatic injury, stasis and swelling, fracture, burn, carbuncle, sore, red swelling and the like.
And (3) preparing the elm pod kernels: bitter, slightly pungent and even. Invigorate spleen, induce tranquilization, clear heat, induce diuresis, resolve swelling and kill parasites. It is used clinically for treating insomnia, inappetence, leukorrhagia, dysuresia, edema, infantile malnutrition with fever, emaciation, burn, scald, tinea, etc.
Paint girl: bitter, astringent and neutral. It enters stomach, spleen and large intestine meridians. Clearing away heat and toxic material, eliminating dampness and relieving itching. The traditional Chinese medicine composition is clinically used for treating diseases such as raw lacquer allergy, paddy field dermatitis, skin itch, urticaria, eczema, burn, mastitis, acute gastroenteritis, dysentery and the like.
Jujube bark: bitter, astringent and warm. It enters lung and large intestine meridians. Astringe intestines to check diarrhea, relieve cough and stop bleeding. The Chinese medicinal composition is clinically used for treating diarrhea, dysentery, cough, metrorrhagia, traumatic hemorrhage, burn and scald.
And (3) sargentgloryvine stem: bitter, pungent and mild. It enters liver and stomach meridians. Dispel wind and remove dampness, activate blood and alleviate pain, remove toxicity and relieve swelling. The traditional Chinese medicine composition is clinically used for treating rheumatic arthralgia, traumatic injury, irregular menstruation, amenorrhea, postpartum abdominal pain, stomachache, hernia pain, sore and carbuncle swelling and pain, fracture, rubella, eczema, herpes zoster and venomous snake bite.
Paniculate swallowwort root: pungent and hot herbs enter spleen, stomach and kidney meridians. Warming middle energizer to relieve pain, killing parasites to relieve itching, promoting blood circulation, removing toxic substance, and relieving swelling, and can be used for treating gastropathy, toothache, rheumatalgia, lumbago, abdominal pain, cholecystitis, urination, diarrhea, dysentery, eczema, urticaria, and venomous snake bite.
Borneol: pungent, bitter and cool. It enters heart and lung meridians. Inducing resuscitation and refreshing mind, dissipating heat and relieving pain, improving eyesight and removing nebula. Can be used for treating apoplexy, fever unconsciousness, deafness, pharyngitis, aphtha, carbuncle, hemorrhoid, enterobiasis, etc.
From the perspective of traditional Chinese medicine, burn and scald are caused by fire-heat toxin which invades human body, damages skin, burns body fluid, consumes yin and blood, is accumulated in skin and flesh, and causes qi and blood stasis, so that skin flushing and pain appear; qi and blood decay, which may cause skin decay, serious injury to the body, heat-toxicity damaging the zang-fu organs, resulting in disharmony between zang-fu organs, imbalance of yin and yang, and clustering of diseases. The ramie leaves in the invention cool blood and stop bleeding, remove stasis and detumescence and detoxify, are monarch drugs, the creeping Tree dragon dispels wind-damp, dispel stasis and swell, reunite the muscles and bones, the elm pod kernel strengthens the spleen and calms the nerves, removes heat, and is ministerial drugs, the lacquer girl clears away heat and toxic material, dispels the dampness and relieves itching, the jujube bark converges and stops bleeding, the derris crenata invigorates blood circulation and stops pain, detoxify and detumescence, the paniculate swallowwort root relieves itching, invigorate blood circulation and detoxify, detumescence, the. Clinical practices show that the traditional Chinese medicine composition has unique curative effect on burns and scalds, has the effects of clearing heat and removing toxicity, clearing damp and eliminating swelling, cooling blood and dissipating blood stasis, astringing and relieving pain, and removing putrefaction and promoting granulation, can effectively reduce local temperature of a wound surface, quickly relieve pain, prevent secondary injury, promote blood circulation, reduce exudation, resist bacteria, diminish inflammation and prevent shock, accelerate skin and muscle regeneration, and promote wound healing.
155 patients with burns and scalds are clinically observed in 2001 to 2012 by the traditional Chinese medicine preparation, and the clinical report is as follows:
1. general data
Of 155 patients, aged 4-71 years, all were burned and scalded at different sites.
2. Diagnostic criteria
According to the diagnosis standard of burn and scald in the 'standard of curative effect for diagnosing traditional Chinese medicine diseases' formulated by the State administration of traditional Chinese medicine:
the damage history of boiling water, flame and the like is clearly checked.
(1) Degree I (erythema): mild redness, swelling, heat, pain, sensation of allergy, no blister, dry epidermis;
(2) degree II (blisters): a, shallow II degree: severe pain, hypersensitivity, increased temperature, blisters, moist, uniform red color on the substrate, and obvious blisters. b. Depth II degree: dull pain sensation, blister or no blister, peeling off epidermis, dry and pale basement, small bleeding point, and obvious edema;
(3) degree III (eschar): the feeling disappears, the elasticity is not good, the product is hard like leather, white wax, yellow or charred, and subcutaneous vein obstruction such as dendritic can be seen after drying.
3. Method of treatment
3.1 prescription: 70g of ramie leaves, 35g of creeping dragon, 35g of elm seeds, 25g of maidenhair girl, 25g of jujube barks, 25g of sargentgloryvine stems, 25g of paniculate swallowwort roots, 15g of borneol and 2800g of sesame oil.
3.2 the preparation method comprises the following steps: soaking the above materials except Borneolum Syntheticum in 2800g oleum Sesami for 5 days, decocting with slow fire, filtering with gauze, cooling to 80 deg.C, grinding Borneolum Syntheticum into fine powder, adding into the medicinal oil, stirring, and cooling.
3.3 methods of use: the wound surface is firstly washed by normal saline, then cleaned and disinfected by 1 percent benzalkonium bromide solution, and then the medicinal oil is externally applied or is applied by scarless burn and scald oil gauze according to the size of the wound surface, and the treatment can be performed by exposure, semi-exposure or bandaging, and the wound surface is preferably exposed generally. The medicine is applied for 2-3 times a day for the burns of degree I and degree II, and for 4-6 times a day for the burns of degree II and degree III.
4. The treatment results are as follows:
4.1 treatment evaluation standard, according to the standard of traditional Chinese medicine disease diagnosis curative effect formulated by the State administration of traditional Chinese medicine:
and (3) curing: the general symptoms disappear, and the wound surface is healed;
improvement: the general symptoms disappear, and the wound surface is not completely healed;
the disease is not cured: the general symptoms are not improved, and the wound infection can not be controlled.
4.2 results: in 155 patients, the pain is relieved after the medicine is applied for 3-10min, wherein the wound surface of the I degree is cured in 5 days on average, the wound surface of the superficial II degree is cured in 10 days on average, the wound surface of the deep II degree is cured in 15 days on average, the wound surface of the III degree is cured in 25 days on average, and the effective rate is 100%.
5. Typical cases
1. Banked, male, age 31. The buttocks are scalded by boiling oil, superficial II degrees, local fire swelling, skin ulceration, blister, yellow water flowing, scorching heat, pain and limited movement. After debridement and disinfection, the medicine is used 3 times a day, and the wound surface is exposed after the medicine is used. The local swelling and pain and the effusion are reduced after 3 days, the pain is relieved and the swelling is eliminated after 5 days, and the wound surface is scabbed and self-healed after 9 days. After 3 months of follow-up, the wound surface is healed without nodules, the skin elasticity is better, and the local function is good.
2. Chengji, female, 42 years old. The arm is scalded by boiling water, deep II deg. Local ulceration of the skin, bleeding and weeping, blistering, pain. The wound surface is exposed 4 times a day by using the medicine of the invention. After 1 day, the pain is greatly relieved, the effusion is reduced, the local burning sensation is still good, the pain disappears after 7 days, and the wound surface is self-healed after 20 days. After 3 months of follow-up, no scar is generated, hyperplasia and dysfunction do not exist. 3. Abundant male, 26 years old. The face, upper limbs and chest are injured by fireball generated by high voltage electricity, the body fluid is leaked, the forehead is scorched, a small part of the left ear is burnt, and the temperature is III degrees. The medicine of the present invention is used 5 times a day to expose the wound surface. After 2 days, the pain is greatly relieved, the effusion is reduced, the local burning sensation is still good, the pain disappears after 10 days, the adjustment is 3 times every day, and the wound surface is self-healed after 30 days. After 3 months of follow-up, the wound surface has no scar and is healed.