CN105381246A

CN105381246A - Medicinal moxa stick for treating breast lumps

Info

Publication number: CN105381246A
Application number: CN201510949509.5A
Authority: CN
Inventors: 刘海霞; 宋梅
Original assignee: Qingdao Third Peoples Hospital
Current assignee: Qingdao Third Peoples Hospital
Priority date: 2015-12-18
Filing date: 2015-12-18
Publication date: 2016-03-09

Abstract

The invention belongs to the field of traditional Chinese medicine and relates to a medicinal moxa stick for treating breast lumps. The moxa stick is of a cylindrical structure and is composed of a filler and roll paper used for packing the filler. The moxa stick is characterized in that the filler is prepared from, by weight, 200-300 parts of moxa, 10-15 parts of szechwan Chinaberry fruits, 10-15 parts of corydalis tubers, 10-15 parts of fructus evodiae, 10-15 parts of dandelion, 10-15 parts of white muscardine silkworms, 5-10 parts of hosta plantaginea, 5-10 parts of fir fruits, 5-10 parts of herbs of Japanese ladyslipper, 5-10 parts of paphiopedilum, 5-10 parts of elsholtzia penduliflora, 4-5 parts of chrysanthemums, 4-5 parts of radix bupleuri, 4-5 parts of cassia twigs and 4-5 parts of schizonepeta. The medicinal moxa stick for treating breast lumps is prepared according to the theory of traditional Chinese medicine, all the Chinese herbs are combined to achieve the maximum pharmaceutical effect of treating breast lumps, and the medicinal moxa stick is particularly suitable for treating vital energy stagnation and phlegm cohesion type breast lumps, small in toxic and side effect, low in cost and capable of treating both symptoms and root causes.

Description

A kind of medicinal moxa roll for the treatment of lump in breast

Technical field

The invention belongs to traditional Chinese medical science field, relate to a kind of medicinal moxa roll of acupuncture, particularly a kind of medicinal moxa roll for the treatment of lump in breast.

Background technology

Women breast's lump is a kind of commonly encountered diseases of modernization women.It comprises, the disease of breast lobule hyperplasia, tuberculosis, tumor one class.The book that the traditional Chinese medical science has is referred to as; The disease of one class such as Lump in breast, nodules of the breast, newborn pestilence, tuberculosis.Lump in breast is modal breast disease, and numerous benign diseases is also showed by the form of lump in breast, so the discriminating of lump in breast the most important thing is distinguishing benign and pernicious.Except breast carcinoma be pernicious except, mammary gland fibroadenoma, cyclomastopathy, patients with breast galactocele, fat necrosis of breast etc. produce lump all belong to optimum, can be treated by acupuncture point and reflection area massage.

The cardinal symptom of lump in breast is that single or multiple lump appears in side or bilateral breast, and be apt to occur in the outer top of breast, in sheet, bulk, nodositas, graininess or streak, common with sheet bulk.Lump obscure boundary, medium or slightly hard.Lump is movable, and with surrounding tissue without adhesion, can have tenderness, Tumor size differs.Lump in breast, in the moon premenstrual increase, reduces deliquescing after menstrual onset.Theoretical according to Chinese medical discrimination, lump in breast can be divided into: (1) stagnation of QI phlegm stagnation type, and clinical manifestation is breast caking, and color of the leather is constant, single-shot or multiple, and quality is medium, or smooth surface is like spherical, or shape differs, differs in size, not bitterly or distending pain.Depressed emotion, susceptible to lose temper due to restlessness.Thin lingual fur, stringy pulse; (2) Chong and Ren channel disorder type, clinical manifestation is lump in breast and pain, can change with menstrual cycle, and premenstrual pain increases the weight of or lump increases.Through after disappear or reduce.Menoxenia.Through secretly having clot, or the few color of amount is light, or does not educate after marriage, or the too early apolipsis of menstruation, soreness of the waist and knees.Pale tongue or dim, deep-thready pulse; (3) liver-kidney yin deficiency, clinical manifestation is lump in breast, and color of the leather is micro-red, and with skin adhesion, that touches has feeling of passivity; After bursting, pus is rare clearly.Accompany and lose floccule, the open sore part more platform for a long time, sees newborn expectorant.Breast caking dull pain or distending pain, premenstrual symptom increases the weight of, or has nothing to do with menstruation, sees the nodules of the breast of climacteric women.Or breast carcinoma local magic flower festers, ooze out constantly, pus is rancid.Emaciated physique, dysphoria with feverish sensation in the chest palms and soles, menstruation element is random, dizziness and tinnitus, soreness of the waist and knees, low grade fever night sweat.Red tongue tongue walks, thready and rapid pulse.(4) asthenic healthy qi with pathogen lingering type: clinical manifestation is that newborn expectorant suppurates or after stain, breast caking increases, and color of the leather is dark red, lump deliquescing, and after bursting, pus holds thin, accompanies worn-out cotton wadding for quilt thing, does not with the passing of time hold back, with sinus tract.Breast carcinoma lump in breast, harder after bursting, what push away does not move, air spots, retracted nipple, erosion, and color of the leather is dark red, purple is dark, or diabrosis pus is rancid, and the open sore part is not held back.Lusterless complexion, spiritlessness and weakness, inappetence.Palpitation and insomnia.Body of the tongue is light red, purple is dark or have stasis of blood block, deficient and rapid pulse.

Moxa-moxibustion is a kind of tcm therapy (comprise outstanding moxibustion and directly contact) using the outstanding moxibustion human acupoint such as moxa roll, moxa cone after burning, for internal medicine, surgery, gynecological, department of pediatrics, diseases of the five sense organs, subject range is very extensive, is the means of primary treatment disease at ancient Chinese.Moxa-moxibustion has the effect of warming YANG and invigorating QI, promoting the flow of QI in the collateral by warming the meridian, repercussive eliminating stagnation, invigorating the spleen and replenishing QI, for wet by wind and cold and disease effects caused by blood stasis fairly obvious.

In the middle of the treatment traditional moxibustion treatment being applied to lump in breast, had a little report, but substantially used be all moxa roll clearly, have not been reported to treat lump in breast for selecting suitable medicinal moxa roll.

Summary of the invention

For the defect existed in prior art, the object of the present invention is to provide a kind of medicinal moxa roll for the treatment of lump in breast, be specially adapted to treatment stagnation of QI phlegm stagnation type lump in breast, it is evident in efficacy, safe and reliable, have no side effect, there is wide potential applicability in clinical practice.

Applicant is in clinical middle discovery, and suffer from the patient of stagnation of QI phlegm stagnation type lump in breast, often lump in breast is relevant with menstrual cycle, even premenstrual pain lump increase, through after alleviation of pain or lump minimizing.But in the middle of the treatment of current stagnation of QI phlegm stagnation type lump in breast, treatment means is depressed liver-energy dispersing and QI regulating, dissipating phlegm and resolving masses, often have ignored taking good care of patient menstrual, therefore, the applicant considers for the treatment of stagnation of QI phlegm stagnation type lump in breast, and proposes following technical scheme.

Technical scheme of the present invention is as follows:

A kind of medicinal moxa roll for the treatment of lump in breast, described moxa roll is column structure, be made up of implant and the coil paper being used for packing implant, it is characterized in that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 200 ~ 300 parts, Fructus Toosendan 10 ~ 15 parts, corydalis tuber 10 ~ 15 parts, Fructus Evodiae 10 ~ 15 parts, Herba Taraxaci 10 ~ 15 parts, Bombyx Batryticatus 10 ~ 15 parts, Flos Hostae Plantagineae 5 ~ 10 parts, Strobilus Abietis Fargesii 5 ~ 10 parts, Herba cypripedii japonici 5 ~ 10 parts, 5 ~ 10 parts, pocket orchid, DIAOHUANG 5 ~ 10 parts, Flos Chrysanthemi 4 ~ 5 parts, Radix Bupleuri 4 ~ 5 parts, Ramulus Cinnamomi 4 ~ 5 parts, Herba Schizonepetae 4 ~ 5 parts.

Wherein, preferred version is as follows:

Can be that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 200 parts, Fructus Toosendan 10 parts, corydalis tuber 10 parts, Fructus Evodiae 10 parts, Herba Taraxaci 10 parts, Bombyx Batryticatus 10 parts, Flos Hostae Plantagineae 5 parts, Strobilus Abietis Fargesii 5 parts, Herba cypripedii japonici 5 parts, blue 5 parts of pocket, DIAOHUANG 5 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 4 parts, Ramulus Cinnamomi 4 parts, Herba Schizonepetae 4 parts.

Also can be that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 300 parts, Fructus Toosendan 15 parts, corydalis tuber 15 parts, Fructus Evodiae 15 parts, Herba Taraxaci 15 parts, Bombyx Batryticatus 15 parts, Flos Hostae Plantagineae 10 parts, Strobilus Abietis Fargesii 10 parts, Herba cypripedii japonici 10 parts, blue 10 parts of pocket, DIAOHUANG 10 parts, Flos Chrysanthemi 5 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 5 parts.

Also can be that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 250 parts, Fructus Toosendan 12 parts, corydalis tuber 12 parts, Fructus Evodiae 12 parts, Herba Taraxaci 12 parts, Bombyx Batryticatus 12 parts, Flos Hostae Plantagineae 8 parts, Strobilus Abietis Fargesii 8 parts, Herba cypripedii japonici 8 parts, blue 8 parts of pocket, DIAOHUANG 8 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 4 parts.

The medicinal moxa roll for the treatment of lump in breast of the present invention is prepared in accordance with the following methods: the medicine pulverization except Folium Artemisiae Argyi is also crossed 100 mesh sieves, mix homogeneously.Paved by coil paper, by Folium Artemisiae Argyi and medicamental pulverata uniform spreading on paper, then roll tightly as firecracker shape, external Ovum Gallus domesticus album is smeared, then pastes coil paper one deck over, and two 3 centimetres, paper of leaving a blank respectively is permitted, roll tightly.

Moxibustion for lump in breast: warming and recuperating the gate of life, then moxibustion big vertebra, shen shu.Moxibustion Ruzhong again, Rugen, then the moxibustion middle part of gastric cavity, Shenque, tsu san li, sp 6.When moxibustion Ruzhong and Rugen, breast has slight distending pain sense, and erects thereupon, has warmth sensation in breast, and scope becomes large gradually, diffuses to whole breast, all should be had this sensation by moxibustion person at every turn, just can be effective, scald of being careful during moxibustion.

Pharmacology analysis:

Fructus Toosendan: bitter, cold; Slightly poisonous.Return liver, small intestinal, urinary bladder channel.Soothing liver-QI promoting the circulation of QI to relieve pain, anthelmintic.For the breast side of body, abdominal distention, colic, abdominal pain due to worm stagnation.

Corydalis tuber: warm in nature, acrid in the mouth is bitter, enters the heart, spleen, liver, lung.Have invigorate blood circulation, circulation of qi promoting, pain relieving effect.Its analgesic effect is remarkable, and site of action is extensive, and lasting and avirulence, be analgesic more excellent simply.

Fructus Evodiae: acrid in the mouth, temperature.Enter liver, spleen, stomach, large intestine, kidney channel.Warming middle-JIAO, pain relieving, regulates the flow of vital energy, dampness, and stopping vomiting is against acid regurgitation, and headache due to JUE YIN disorder, the coldness of ZANG-organ is vomited and diarrhoea, abdominal distention, abdominal pain during menstruation, Diarrhoea, vascular hypertension, beriberi, hernia, aphthous ulcer, toothache, eczema, impetigo.

Herba Taraxaci: bitter, sweet, cold.Return liver, stomach warp.Heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, inducing diuresis for treating stranguria syndrome.For furuncle swelling toxin, acute mastitis, scrofula, conjunctival congestion, pharyngalgia, lung abscess, acute appendicitis, jaundice due to damp-heat, the puckery pain of pyretic stranguria.

Bombyx Batryticatus: Xin Xian, flat.Enter liver, lung, stomach warp.Expelling wind to relieve convulsion, dissipating phlegm and resolving masses.Control apoplectic aphasia, infantile convulsion, wind syndrome of head, acute throat trouble.Sore throat, scrofula tuberculosis.Wind skin ulcer urticaria, erysipelas, mastitis.

Flos Hostae Plantagineae: bitter, acrid, cold, poisonous.Heat-clearing and toxic substances removing, mass dissipating and swelling eliminating.Main acute mastitis, carbuncle skin infection, scrofula, venom.

Strobilus Abietis Fargesii: micro-pungent, puckery is flat.Suppressing the hyperactive liver to relieve the wind syndrome, regulating menstruation, hemostasis, leukorrhagia stopping.For hypertension, headache and dizzy, irritability; Menoxenia, metrorrhagia, leucorrhea.

Herba cypripedii japonici: pungent is flat.Promoting blood flow to regulate menstruation, analgesia of dispeling the wind, preventing the attack (or recurrence) of malaria.For menoxenia, traumatic injury pain, tertian malaria; Skin itching is controlled in external.

Pocket is blue: sweet, puckery, micro-acid, flat.Regulating menstruation and activating blood, anti-inflammatory analgetic.Cure mainly menoxenia, dysmenorrhea, amenorrhea, adnexitis, cystitis, hernia etc.

DIAOHUANG: Gan Xin, flat.Expelling wind and removing dampness, tonify deficiency is subsided a swelling, and regulating menstruation and activating blood, cures cold, rheumatalgia, pulmonary tuberculosis, edema, puerperal asthenia, menoxenia, traumatic injury.

Flos Chrysanthemi: sweet, bitter, is slightly cold.Return lung, Liver Channel.Loose wind heat clearing away, suppressing the hyperactive liver improving eyesight.For anemopyretic cold, have a headache dizzy, conjunctival congestion and swelling pain, eyes is dim-sighted.

Radix Bupleuri: bitter, is slightly cold.Return liver, gallbladder meridian.Reconciling superficies and interior, soothing the liver, yang invigorating.For cold, fever, alternate attack of chill and fever, distending pain in the chest and hypochondrium, menoxenia, sub-official's prolapsus, proctoptosis.

Ramulus Cinnamomi: acrid, sweet, warm.GUIXIN, lung, urinary bladder channel.Diaphoresis expelling pathogenic factors from muscles, promoting the flow of QI-blood by warming the meridian, supporing yang activating QI, the flat gas that spins.For anemofrigid cold, coldness and pain in the epigastrium, cold in blood amenorrhea, arthralgia, phlegm retention, edema, cardiopalmus, renal mass.

Herba Schizonepetae: acrid in the mouth; Micro-hardship; Slightly warm in nature.Enter lung, Liver Channel.Wind; Induce sweat; Rash; Hemostasis.Main cold, fever; Headache; Eye itching; Cough; Laryngopharynx swelling and pain; Measles; Carbuncle; Skin ulcer scabies; Epistaxis; Spit blood; Have blood in stool; Metrorrhagia; Puerperal blood faints.For flu, headache, measles, rubella, skin infection from the beginning of.Parch to black treating hematochezia, metrorrhagia, puerperal blood faints.Induce sweat loose wind, rash, and disappear skin ulcer, hemostasis.For flu, measles is sent out smooth thoroughly, have blood in stool, metrorrhagia, epistaxis.

Medicinal moxa roll of the present invention, reasonable recipe, Fructus Toosendan, corydalis tuber, Fructus Evodiae depressed liver-energy dispersing and QI regulating; Herba Taraxaci, Bombyx Batryticatus, Flos Hostae Plantagineae dispersing swelling and dissipating binds; Strobilus Abietis Fargesii, Herba cypripedii japonici, pocket orchid, DIAOHUANG and blood nourish blood, regulating menstruation tonify deficiency; Flos Chrysanthemi, Radix Bupleuri, Ramulus Cinnamomi, Herba Schizonepetae expansion peripheral vessels, strengthen body surface circulation, promote sweat gland secretion, thus increase distributing of heat, and impel all medicines better to enter blood circulation through skin.

The medicinal moxa roll for the treatment of lump in breast of the present invention, formulated according to theory of Chinese medical science, each taste Chinese medicine composition, plays the maximum drug effect for the treatment of lump in breast, and be particularly useful for treatment stagnation of QI phlegm stagnation type lump in breast, toxic and side effects is little, and cost is low, treating both the principal and secondary aspects of a disease.

Outcome measure:

1, case selection:

As the medicinal moxa roll for the treatment of stagnation of QI phlegm stagnation type lump in breast, select treatment group 50 example, 30 ~ 65 years old age, average 41.3 years old.

2, medication: adopt medicinal moxa roll of the present invention to treat to 50 routine patients, moxa-moxibustion once a day.

3, the standard of curative effect evaluation:

Cure: symptom and sign are improved completely.

Effective: symptom and sign are improved.

Invalid: symptom and sign are without any change.

4, result: cure 30 examples, effective 18 examples, invalid 2 examples, total effective rate 96%.

Below enumerate a model case:

(1) Mrs Liu, 38 years old, people from Qingdao.

Medical history: distending pain of the breast is had a surplus half a year, touch have lump, breast swell and pain is generally before menstrual period, through after pain fade away; Lump in breast in the premenstrual phenomenon also having increase, through after can reduce again.Patient is depressed, describes easy agitation, and be attended by menoxenia through household, blood deficiency symptom.

Check: the outer quadrant of left and right breast all differs in size enclosed mass, and hard in matter, smooth surface, mobility is good, and tenderness is obvious.Bilateral breast skin is normal, and nipple is without depression and discharge.Thin lingual fur, stringy pulse.

Ultrasound diagnosis: bilateral breast lobule fibroid hypertrophy.

Noctovisor scan: two cyclomastopathy.

Gonadal hormone checks: have two exceptions.

Diagnosis: cyclomastopathy.

Treat: adopt medicinal moxa roll of the present invention to carry out moxibustion treatment, treat after 2 months, obviously disappear at premenstrual distending pain of the breast, check pair breast is dispersed in the comparatively front obviously minimizing of tuberosity, and B ultrasonic display body of gland is comparatively front clear, and gonadal hormone inspection binomial is normal.After half a year, the two breast of check is premenstrual without pain, and B ultrasonic body of gland is clear, and gonadal hormone inspection is normal.

Detailed description of the invention

The present invention will be further described by the following examples.

Embodiment 1:

A kind of medicinal moxa roll for the treatment of lump in breast, described moxa roll is column structure, be made up of implant and the coil paper being used for packing implant, described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 200 parts, Fructus Toosendan 10 parts, corydalis tuber 10 parts, Fructus Evodiae 10 parts, Herba Taraxaci 10 parts, Bombyx Batryticatus 10 parts, Flos Hostae Plantagineae 5 parts, Strobilus Abietis Fargesii 5 parts, Herba cypripedii japonici 5 parts, blue 5 parts of pocket, DIAOHUANG 5 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 4 parts, Ramulus Cinnamomi 4 parts, Herba Schizonepetae 4 parts.

Embodiment 2:

A kind of medicinal moxa roll for the treatment of lump in breast, described moxa roll is column structure, be made up of implant and the coil paper being used for packing implant, described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 300 parts, Fructus Toosendan 15 parts, corydalis tuber 15 parts, Fructus Evodiae 15 parts, Herba Taraxaci 15 parts, Bombyx Batryticatus 15 parts, Flos Hostae Plantagineae 10 parts, Strobilus Abietis Fargesii 10 parts, Herba cypripedii japonici 10 parts, blue 10 parts of pocket, DIAOHUANG 10 parts, Flos Chrysanthemi 5 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 5 parts.

Embodiment 3:

A kind of medicinal moxa roll for the treatment of lump in breast, described moxa roll is column structure, be made up of implant and the coil paper being used for packing implant, described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 250 parts, Fructus Toosendan 12 parts, corydalis tuber 12 parts, Fructus Evodiae 12 parts, Herba Taraxaci 12 parts, Bombyx Batryticatus 12 parts, Flos Hostae Plantagineae 8 parts, Strobilus Abietis Fargesii 8 parts, Herba cypripedii japonici 8 parts, blue 8 parts of pocket, DIAOHUANG 8 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 4 parts.

Embodiment 4:

The medicinal moxa roll of embodiment 1 ~ 3 is prepared in accordance with the following methods: the medicine pulverization except Folium Artemisiae Argyi is also crossed 100 mesh sieves, mix homogeneously.Paved by coil paper, by Folium Artemisiae Argyi with want last uniform spreading on paper, then roll tightly as firecracker shape, external Ovum Gallus domesticus album is smeared, then pastes coil paper one deck over, and leave a blank respectively 3 centimetres, paper of two is permitted, and rolls tightly.

Claims

1. treat the medicinal moxa roll of lump in breast for one kind, described moxa roll is column structure, be made up of implant and the coil paper being used for packing implant, it is characterized in that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 200 ~ 300 parts, Fructus Toosendan 10 ~ 15 parts, corydalis tuber 10 ~ 15 parts, Fructus Evodiae 10 ~ 15 parts, Herba Taraxaci 10 ~ 15 parts, Bombyx Batryticatus 10 ~ 15 parts, Flos Hostae Plantagineae 5 ~ 10 parts, Strobilus Abietis Fargesii 5 ~ 10 parts, Herba cypripedii japonici 5 ~ 10 parts, 5 ~ 10 parts, pocket orchid, DIAOHUANG 5 ~ 10 parts, Flos Chrysanthemi 4 ~ 5 parts, Radix Bupleuri 4 ~ 5 parts, Ramulus Cinnamomi 4 ~ 5 parts, Herba Schizonepetae 4 ~ 5 parts.

2. a kind of medicinal moxa roll for the treatment of lump in breast according to claim 1, is characterised in that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 200 parts, Fructus Toosendan 10 parts, corydalis tuber 10 parts, Fructus Evodiae 10 parts, Herba Taraxaci 10 parts, Bombyx Batryticatus 10 parts, Flos Hostae Plantagineae 5 parts, Strobilus Abietis Fargesii 5 parts, Herba cypripedii japonici 5 parts, blue 5 parts of pocket, DIAOHUANG 5 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 4 parts, Ramulus Cinnamomi 4 parts, Herba Schizonepetae 4 parts.

3. a kind of medicinal moxa roll for the treatment of lump in breast according to claim 1, is characterised in that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 300 parts, Fructus Toosendan 15 parts, corydalis tuber 15 parts, Fructus Evodiae 15 parts, Herba Taraxaci 15 parts, Bombyx Batryticatus 15 parts, Flos Hostae Plantagineae 10 parts, Strobilus Abietis Fargesii 10 parts, Herba cypripedii japonici 10 parts, blue 10 parts of pocket, DIAOHUANG 10 parts, Flos Chrysanthemi 5 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 5 parts.

4. a kind of medicinal moxa roll for the treatment of lump in breast according to claim 1, is characterised in that described implant is prepared from by the raw material of following weight portion: Folium Artemisiae Argyi 250 parts, Fructus Toosendan 12 parts, corydalis tuber 12 parts, Fructus Evodiae 12 parts, Herba Taraxaci 12 parts, Bombyx Batryticatus 12 parts, Flos Hostae Plantagineae 8 parts, Strobilus Abietis Fargesii 8 parts, Herba cypripedii japonici 8 parts, blue 8 parts of pocket, DIAOHUANG 8 parts, Flos Chrysanthemi 4 parts, Radix Bupleuri 5 parts, Ramulus Cinnamomi 5 parts, Herba Schizonepetae 4 parts.