CN105287942A - Traditional Chinese medicine for treating lumbar intervertebral disc herniation postoperative numbness syndrome - Google Patents
Traditional Chinese medicine for treating lumbar intervertebral disc herniation postoperative numbness syndrome Download PDFInfo
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- CN105287942A CN105287942A CN201510721880.6A CN201510721880A CN105287942A CN 105287942 A CN105287942 A CN 105287942A CN 201510721880 A CN201510721880 A CN 201510721880A CN 105287942 A CN105287942 A CN 105287942A
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Abstract
The invention belongs to the technical field of medicine, and particularly relates to traditional Chinese medicine for treating lumbar intervertebral disc herniation postoperative numbness syndrome. The traditional Chinese medicine is prepared from, by weight, 4-8 parts of stephanotis chunii, 4-8 parts of sarcococca hookeriana baill., 4-8 parts of platycarya strobilacea fruit, 4-8 parts of sulfur bacteria, 4-8 parts of araliae cordatae, 4-8 parts of ficus lacor buch.,4-8 parts of delavay ampelopsis roots, 4-8 parts of centranthera grandiflora benth., 4-8 parts of psammosilene tunicoides, 4-8 parts of tylophora yunnanensis root and 4-8 parts of liquorice. All the medicine materials are combined to have the effects of replenishing blood, tonifying qi, moistening dryness, promoting qi to activate blood and activating meridians to stop pain together, and the effective rate is up to 96.7%.
Description
Technical field
The invention belongs to medical art, be specifically related to one and treat the numb syndromic Chinese medicine of Lumbar Disc herniation resection.
Background technology
The main clinical manifestation of prolapse of lumbar intervertebral disc is outstanding intervertebral disc compressing or stimulates front of spinal nerves and the lumbago caused by rear and sciatica, is secondly that areal area, nerve root tendon place skin numbness, big toe dorsiflexion or plantar flexion muscular strength weaken.The preoperative violent leg pain of this disease often masks pain and numbness, and postoperative lumbago and skelalgia symptom is alleviated very soon, and performance numbness is main, but get involved nerve root areal area skin numbness, big toe dorsiflexion or plantar flexion muscular strength weaken recovery slowly, even can not recover.These clinical manifestations are named as the numb syndrome of Lumbar Disc herniation resection.The numb syndrome of Lumbar Disc herniation resection has had a strong impact on work and the life of patient.Have not yet to see the Chinese medicine being exclusively used in treatment Lumbar Disc herniation resection numbness of lower limbs.
Summary of the invention
Technical problem to be solved by this invention avoids the weak point existing for above-mentioned prior art, provides one to treat the numb syndromic Chinese medicine of Lumbar Disc herniation resection.
The present invention is achieved through the following technical solutions:
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, is made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 4-8 part, thick leaf tree 4-8 part, Fructus Platycaryae strobilaceac 4-8 part, sulfur bacteria 4-8 part, Yunnan wild Radix Angelicae Sinensis 4-8 part, Galla Fici lacoris 4-8 part, Radix Ampelopsis delavayanae 4-8 part, golden Caput Felis domestica 4-8 part, Pachysandra axillaris Franch. 4-8 part, Radix Tylophorae Yunnanensis 4-8 part, Radix Glycyrrhizae 4-8 part.
Preferably, the numb syndromic Chinese medicine of above-mentioned treatment Lumbar Disc herniation resection, is made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 5-7 part, thick leaf tree 5-7 part, Fructus Platycaryae strobilaceac 5-7 part, sulfur bacteria 5-7 part, Yunnan wild Radix Angelicae Sinensis 5-7 part, Galla Fici lacoris 5-7 part, Radix Ampelopsis delavayanae 5-7 part, golden Caput Felis domestica 5-7 part, Pachysandra axillaris Franch. 5-7 part, Radix Tylophorae Yunnanensis 5-7 part, Radix Glycyrrhizae 5-7 part.
Preferred, the numb syndromic Chinese medicine of above-mentioned treatment Lumbar Disc herniation resection, is made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 6 parts, thick leaf set 6 parts, Fructus Platycaryae strobilaceac 6 parts, sulfur bacteria 6 parts, the wild Radix Angelicae Sinensis 6 parts in Yunnan, Galla Fici lacoris 6 parts, Radix Ampelopsis delavayanae 6 parts, golden Caput Felis domestica 6 parts, Pachysandra axillaris Franch. 6 parts, Radix Tylophorae Yunnanensis 6 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 the numb syndrome of Lumbar Disc herniation resection.
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 of the present invention,
Stephanotis chunii Tsiang calls that false building is logical, floral leaf KONGXINCAO, wood are complete mends greatly, is leaf or the root of the black climing rattan of dicotyledon medicine asclepiadaceae plant Stephanotis chunii Tsiang StephanotischuniiTsiang.Sweet in the mouth; Pungent; Warm in nature.Return liver; Kidney channel.Function is enriched blood; Invigorate blood circulation; Stimulating milk secretion.Main menoxenia; Dysmenorrhea; Puerperal blood deficiency, hypogalactia.
Thick leaf tree another name Radix osteomelis schwerinais Sarcococca ruscifolia Stapf, thousand young, century-old green grass or young crops.For open country, Buxaceae plant Yunnan fan flower SarcococcawallichiiStapf ［ S.coriaceaMull.Arg.; S.pruniformisauct.nonLindl. ］ Herb.Acrid in the mouth; Bitter; Property is put down.Function blood-activating and qi-promoting; Reducing swelling and alleviating pain.Main gastralgia; Traumatic injury; Innominate toxic swelling.
The Aliasing XIANGSHU ball of Fructus Platycaryae strobilaceac, change Oleum Linderae are the infructescence of juglandaceae plant Platycarya strobilacea PlatycaryastrobilaceaSieb.etZucc. [P.sinensisMottet] 2.PlatycaryalongipesWu. [P.kwangtungen-sisChun].Acrid in the mouth; Warm in nature.Function blood-activating and qi-promoting; Pain relieving; Killing parasites for relieving itching.Main internal injury breast is swollen; Stomachache; Traumatic injury; Bones and muscles pain; Carbuncle; Eczema; Scabies.
Sulfur bacteria another name Rhizoma Polygonati, Jin Zhi, sulfur polypor, salmon bacterium, sulfur color bacterium, tree chicken are On Polyporaceae sulfur color cheese bacteria Tyromycessulphureus (Bul.exFr.) Donk [PolyporussulphureusFr.; Laetiporussulphureus (BULL.EXFr.) Bond.etSing] sporophore.Sweet in the mouth; Warm in nature.Function vigorate qi and replenish the blood.Main insufficiency of vital energy and blood; Body is empty; Languishment.
Yunnan wild Radix Angelicae Sinensis another name Radix Angelicae Gigatis, wild Radix Angelicae Sinensis, derive from the wild Radix Angelicae Sinensis Angelicasp. in Umbelliferae archangel Yunnan, be used as medicine with root.Acrid in the mouth, warm in nature.Function promoting blood flow to regulate menstruation, nourishing blood for moistening dryness, laxation.For menoxenia, dysmenorrhea, blood stasis amenorrhea, anemia, rheumatic arthritis, traumatic injury, dryness of the intestine constipation etc.
The insect gall that Galla Fici lacoris is formed by parasite for yellow Ge Shu FicusvirensAit.var.sublanceolata (Miq.) Corner [F.lacorsensuauct.nonBuch.-Ham.] root of moraceae plants.Bitter in the mouth; Warm in nature.Function is dispeled the wind except temperature; Promoting blood circulation to remove obstruction in the collateral.Main air temperature arthralgia; Impairment caused by overstrain lumbago.
Radix Ampelopsis delavayanae another name Ramulus et Folium Bischofiae Javanicae is logical, wild Jambul root, five pawl gold, Radix vitis romanetii, Delavay ampelopsis root, Hypoestes poilanei R. Benoistr., Herba Ipomoeae Cairicae, tetrastigma hemsleyanum, red Caulis et Folium cayratiae trifoliae, Radix seu folium Gaultheriae intermediae, fly Caulis Zanthoxyli multijugi, JIANZHONGXIAO, red red Pueraria lobota, red internal diabetes, red Pueraria lobota, black Caulis seu Radix Schisandrae Henryi, SANYE rattan, red Canis familiaris L. poplar.For root or the ratan of vitaceae trilobated leaf Caulis seu folium ampelopsis brevipedunculatae (Caulis Ampelopsis Brevipedunculae) Ampelopsisdelavayana (Franch.) Planch. [VitisdelavayanaFranch.].Acrid in the mouth; Light; Puckery; Property is put down.GUIXIN; Liver Channel.Function clearing away heat-damp and promoting diuresis; Promoting blood circulation to remove obstruction in the collateral; Hemostasia and promoting granulation; Removing toxic substances and promoting subsidence of swelling.Main stranguria; Nebulousurine; Hernia; The swelling and hanging down of either of the testes; Rheumatic arthralgia; Traumatic injury congestive edema; Wound hemorrhage; Scald; Carbuncle sore.
The sliding Bombyx mandarina Moore bean of gold Caput Felis domestica another name, Bombyx mandarina Moore bean, little red medicine, Bleeding-Stopping Bolus, Ganoderma lucidum seu Japonicum, derive from Scrophulariaceae Herba Centrantherae Cochinchinensis platymiscium Centranthera grandiflora Benth CentrantheragrandifloraBenth., be used as medicine with root.Sweet in the mouth, light, warm in nature.Function promoting blood flow to regulate menstruation, relaxing muscles and tendons and activating QI and blood in the collateral, pain relieving.For amenorrhea, dysmenorrhea, metrorrhagia, traumatic injury, rheumatic ostalgia; Traumatic hemorrhage is controlled in external.
Pachysandra axillaris Franch. calls short, Herba Pachysandrae Stylosae in thousand, derives from Buxaceae powder stamen Buxus Plant Powder stamen Buxus sinica (Rehd.et Wils.) PachysandraaxillarisFranch., is used as medicine with Herb.Acrid in the mouth, hardship, warm in nature.Function dispelling wind dehumidifies, relaxing muscles and tendons and activating QI and blood in the collateral.For rheumatic arthritis, numb limbs and tense tendons, traumatic injury.
Radix Tylophorae Yunnanensis another name Radix Tylophorae Yunnanensis, grandma's sewing kit, wild Fructus Capsici, Radix Alangii, water spicy root, Serpentis spicy, Herba Calami tetradactyli, derive from asclepiadaceae Tylophora plant Yunnan Radix tylophorae floribundae TylophorayannanensisSchlecht., be used as medicine with root.Bitter in the mouth, puckery, warm in nature.Function relaxing muscles and tendons and activating QI and blood in the collateral, menstruction regulating and pain relieving, preventing the attack (or recurrence) of malaria.For hepatitis, gastric ulcer, malaria, rheumatic arthritis, traumatic injury; Worm venom is controlled in external.
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.
Numbness, ancient claims meciless, and Huangdi's Internal Classics many places are mentioned meciless, and indicating its pathogenesis is that to defend fate row not smooth.As " Plain Questions wind opinion ".Defend gas solidifying and not all right to some extent thus its in have also meciless "." Ling Shu Miraculous Pivot or Divine Axis Ci Jiezhen is evil " " stagnation of defensive QI is then meciless " etc.The pathogenesis of Lumbar Disc herniation resection numbness of lower limbs is main relevant with nutrient QI and blood being insufficient, nutrient blood loss, blood deficiency liquid are dry, and QI and blood can not be run thereupon, limbs, failure of skin and muscle to be nourished, send out as apathetic, in addition, intervertebral disc operation causes venation to be damaged, blood circulating out of vessels, stasis blocking venation mechanism of qi, cause defending fate row not smooth, increase the weight of numbness of lower limbs meciless, therefore treatment be taken in moisturizes with blood yiqi, promoting flow of QI and blood dredging collateral.
Chinese medicine of the present invention, its prescription mechanism is as follows: monarch drug: Stephanotis chunii Tsiang merit to enrich blood, the meridian dredging; Sulfur bacteria merit is with vigorate qi and replenish the blood; Open country, Yunnan is when giving the credit to nourishing blood for moistening dryness.Ministerial drug: thick leaf tree, Fructus Platycaryae strobilaceac merit are with promoting flow of QI and blood dredging collateral.Adjuvant drug: Galla Fici lacoris, Radix Ampelopsis delavayanae merit are with promoting blood circulation to remove obstruction in the collateral, and golden Caput Felis domestica, Pachysandra axillaris Franch., Radix Tylophorae Yunnanensis merit are with relaxing muscles and tendons and activating QI and blood in the collateral.Make medicine: Radix Glycyrrhizae merit is with coordinating the actions of various ingredients in a prescription.We's compatibility is reasonable, and all medicines share plays that blood yiqi is moisturized, the effect of promoting flow of QI and blood, removing obstruction in the collateral to relieve pain altogether, and the etiology and pathogenesis of the Lumbar Disc herniation resection numbness of lower limbs that links closely, can alleviate patient's pain and numbness effectively.
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
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, and each crude drug weight proportion is as follows:
Stephanotis chunii Tsiang 6g, thick leaf tree 6g, Fructus Platycaryae strobilaceac 6g, sulfur bacteria 6g, the wild Radix Angelicae Sinensis 6g in Yunnan, Galla Fici lacoris 6g, Radix Ampelopsis delavayanae 6g, golden Caput Felis domestica 6g, Pachysandra axillaris Franch. 6g, Radix Tylophorae Yunnanensis 6g, Radix Glycyrrhizae 6g.
Embodiment 2
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, and each crude drug weight proportion is as follows:
Stephanotis chunii Tsiang 7g, thick leaf tree 7g, Fructus Platycaryae strobilaceac 7g, sulfur bacteria 7g, the wild Radix Angelicae Sinensis 7g in Yunnan, Galla Fici lacoris 7g, Radix Ampelopsis delavayanae 7g, golden Caput Felis domestica 7g, Pachysandra axillaris Franch. 7g, Radix Tylophorae Yunnanensis 7g, Radix Glycyrrhizae 7g.
Embodiment 3
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, and each crude drug weight proportion is as follows:
Stephanotis chunii Tsiang 5g, thick leaf tree 5g, Fructus Platycaryae strobilaceac 5g, sulfur bacteria 5g, the wild Radix Angelicae Sinensis 5g in Yunnan, Galla Fici lacoris 5g, Radix Ampelopsis delavayanae 5g, golden Caput Felis domestica 5g, Pachysandra axillaris Franch. 5g, Radix Tylophorae Yunnanensis 5g, Radix Glycyrrhizae 5g.
Embodiment 4
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, and each crude drug weight proportion is as follows:
Stephanotis chunii Tsiang 4g, thick leaf tree 4g, Fructus Platycaryae strobilaceac 4g, sulfur bacteria 4g, the wild Radix Angelicae Sinensis 4g in Yunnan, Galla Fici lacoris 4g, Radix Ampelopsis delavayanae 4g, golden Caput Felis domestica 4g, Pachysandra axillaris Franch. 4g, Radix Tylophorae Yunnanensis 4g, Radix Glycyrrhizae 4g.
Embodiment 5
One treats the numb syndromic Chinese medicine of Lumbar Disc herniation resection, and each crude drug weight proportion is as follows:
Stephanotis chunii Tsiang 8g, thick leaf tree 8g, Fructus Platycaryae strobilaceac 8g, sulfur bacteria 8g, the wild Radix Angelicae Sinensis 8g in Yunnan, Galla Fici lacoris 8g, Radix Ampelopsis delavayanae 8g, golden Caput Felis domestica 8g, Pachysandra axillaris Franch. 8g, Radix Tylophorae Yunnanensis 8g, Radix Glycyrrhizae 8g.
Carried out clinical pharrnacokinetics test to Chinese medicine of the present invention, Details as Follows:
1 clinical data
In 1.1 physical data treatment group 120 examples, man 90 example, female 30 example; Minimum 29 years old of age, maximum 59 years old; Waist 4 ~ 5 intervertebral disk hernia 84 example, waist 5 sacrum 1 intervertebral disk hernia 36 example; Outstanding 76 examples in left side, outstanding 44 examples in right side; The course of disease is the shortest 4 months, the longest 4 years, average 2 years 1 month; Muscular strength subtracts weak person 80 example, buttocks legs person 104 example, and both all do not occur person 70 example.In matched group 56 example, man 42 example, female 14 example; Minimum 26 years old of age, maximum 61 years old; Waist 4 ~ 5 intervertebral disk hernia 44 example, waist 5 sacrum 1 intervertebral disk hernia 12 example; Left side 36 example, right side 20 example; The course of disease is the shortest 3 months, the longest 3 years, average 1 year 5 months; Muscular strength subtracts weak person 36 example, buttocks legs person 44 example, and both all do not occur person 28 example.
1. 1.2 case selection standards check and the decentralized of right proved by operation or non-cauda equina injury type prolapse of lumbar intervertebral disc according to clinical manifestation, CT scan and (or) MRI; 2. postoperative lumbago and skelalgia is alleviated very soon, checks that leg raising straight is close to normal, but suffering limb numbness person.
1.3 case exclusion standards are central type or cauda equina injury type prolapse of lumbar intervertebral disc 1.; 2. postoperative suffering limb is without numbness; 3. postoperative lower limb radiating pain is without obviously alleviating or adding severe one, and leg raising straight is without improver.
2 Therapeutic Method
2.1 operative treatment two groups cases all according to the position of prolapse of lumbar intervertebral disc with relevant with situations such as lateral recess stenosis, row full state chart, semi-vertebral plate or vertebral lamina fenestration give prominence to Nuclectomy and lateral crypt Enlargement under local anesthesia respectively.Postoperative conventional antiinflammatory and anti symptom treatment.
2.2 Drug therapy treatment group second day after operation start the Chinese medicine of the embodiment of the present invention 1.Every day 1 dose, a point morning and evening takes for 2 times, and 14 doses is 1 course for the treatment of.Matched group simultaneously to taking vitamin B3 0mg, every day 3 times; Nimesulide tablet 0.1g (trade name: happy U.S. power, Guangdong JIANLIBAO pharmaceutcal corporation, Ltd produces), every day 2 times.
14d is 1 course for the treatment of.
3 therapeutic outcomes
3.1 criterions of therapeutical effect are improved degree according to clinical symptoms and are formulated following standard.Cure: numb and pain disappears completely, and Myodynamia recovery is normal; Effective: pain disappears completely, slightly numb, Myodynamia recovery is close to normal; Take a turn for the better: time have pain, numb and muscular strength weakens and is not improved; Invalid: unchanged before and after treatment, even increase the weight of.
3.2 efficacy evaluation result two groups cases are through 1 ~ 3 course of therapy and follow up a case by regular visits to for more than 3 months, by above-mentioned standard rating curative effect.The results are shown in Table 1.
Table 1 liang group comparitive study example (%)
| Group | n | Cure | Effective | Effectively | Invalid | Total effective rate |
| Treatment group | 120 | 44 | 60 | 12 | 4 | 96.7 |
| Matched group | 56 | 12 | l2 | l4 | l8 | 67.8 |
Note: compare with matched group, * P<0.05.
Claims (3)
1. treat the numb syndromic Chinese medicine of Lumbar Disc herniation resection, be made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 4-8 part, thick leaf tree 4-8 part, Fructus Platycaryae strobilaceac 4-8 part, sulfur bacteria 4-8 part, Yunnan wild Radix Angelicae Sinensis 4-8 part, Galla Fici lacoris 4-8 part, Radix Ampelopsis delavayanae 4-8 part, golden Caput Felis domestica 4-8 part, Pachysandra axillaris Franch. 4-8 part, Radix Tylophorae Yunnanensis 4-8 part, Radix Glycyrrhizae 4-8 part.
2. the numb syndromic Chinese medicine for the treatment of Lumbar Disc herniation resection according to claim 1, is characterized in that, be made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 5-7 part, thick leaf tree 5-7 part, Fructus Platycaryae strobilaceac 5-7 part, sulfur bacteria 5-7 part, Yunnan wild Radix Angelicae Sinensis 5-7 part, Galla Fici lacoris 5-7 part, Radix Ampelopsis delavayanae 5-7 part, golden Caput Felis domestica 5-7 part, Pachysandra axillaris Franch. 5-7 part, Radix Tylophorae Yunnanensis 5-7 part, Radix Glycyrrhizae 5-7 part.
3. the numb syndromic Chinese medicine for the treatment of Lumbar Disc herniation resection according to claim 3, is characterized in that, be made up of the Chinese medicine of following weight portion:
Stephanotis chunii Tsiang 6 parts, thick leaf set 6 parts, Fructus Platycaryae strobilaceac 6 parts, sulfur bacteria 6 parts, the wild Radix Angelicae Sinensis 6 parts in Yunnan, Galla Fici lacoris 6 parts, Radix Ampelopsis delavayanae 6 parts, golden Caput Felis domestica 6 parts, Pachysandra axillaris Franch. 6 parts, Radix Tylophorae Yunnanensis 6 parts, 6 parts, Radix Glycyrrhizae.
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Non-Patent Citations (1)
| Title |
|---|
| 黄平: "身痛逐瘀汤加减治疗腰椎间盘突出症术后麻木75例", 《实用中西医结合临床》 * |
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