CN105560751A - Traditional Chinese medicine decoction for treating scapulohumeral periarthritis - Google Patents
Traditional Chinese medicine decoction for treating scapulohumeral periarthritis Download PDFInfo
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- CN105560751A CN105560751A CN201610114269.1A CN201610114269A CN105560751A CN 105560751 A CN105560751 A CN 105560751A CN 201610114269 A CN201610114269 A CN 201610114269A CN 105560751 A CN105560751 A CN 105560751A
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Abstract
The invention discloses a traditional Chinese medicine decoction for treating scapulohumeral periarthritis, which is prepared from the following traditional Chinese medicinal materials by weight ratio: 10 parts of Ramulus Cinnamomi, 12 parts of Radix Rehmanniae Preparata, 10 parts of white peony root, 8 parts of Rhizoma Chuanxiong, 8 parts of Radix Bupleuri, 8 parts of Concha Ostreae, 12 parts of Muskroot-like Semiaquilegia Root, 15 parts of Hovenia acerba Lindl., 8 parts of Fructus Arctii, 8 parts of Bombyx Batryticatus, 10 parts of Ziziphus apetala, 8 parts of Alnus nepalensis, 14 parts of Radix Astragali seu Hedysari, 6 parts of Halenia elliptica, 5 parts of Disporum cantoniense (Lour.) Merr, 4 parts of Flos Mesua ferrea L., 3 parts of Sessilefruit chinaure herb, 3 parts of Indian Strawberry, 2 parts of Pollen Semen Ginkgo, 6 parts of Aizoon Stonecrop Herb, and 6 parts of Radix Trichosanthis. The clinical experiment results show that the traditional Chinese medicine decoction achieves a significant effect of treating scapulohumeral periarthritis by selecting appropriate medicinal materials and the ratio thereof, is safe and has no toxic and side effects.
Description
Technical field
The present invention relates to a kind of Chinese medicine decoction, be specifically related to a kind of Chinese medicine decoction being used for the treatment of scapulohumeral periarthritis.
Background technology
Scapulohumeral periarthritis is also known as scapulohumeral periarthritis, the soft tissue injurys such as shoulder joint Surrounding muscles, ligament, tendon, synovial bursa, joint capsule, regression and the chronic aseptic inflammation of one of the joint capsule caused and periarticular soft tissues, the disease being main clinical manifestation with shoulder arthralgia, dyskinesia and amyotrophy.Its clinical manifestation is that onset is slow, and the course of disease is longer, and the course of disease is generally within 1 year, and comparatively elder can reach 1-2.The traditional Chinese medical science thinks that primary disease is caused by shoulder is affected by the cold, and again because ill metathorax shoulder joint is stiff, limitation of activity, as having freezed, so claim " congealed shoulder ", " scapulohumeral periarthritis ".Scapulohumeral periarthritis is generally fallen ill in the middle-aged and elderly people of more than 40 years old, and women, more than male, is common in cook, teacher, accounting, driver and long campaigns mechanic etc.Often because of shoulder damage, have a cold, hemiplegia, extenal fixation and bring out, an also patient with or without any inducement.The particularly soft tissue injury of shoulder joint local, controls as lost, wrong treatment with the passing of time also can be transformed scapulohumeral periarthritis.Treatment for scapulohumeral periarthritis still lacks the effective medicine of generally recognized as safe at present.
Summary of the invention
The present invention aims to provide a kind of Chinese medicine decoction being used for the treatment of scapulohumeral periarthritis and preparation method thereof, by selecting suitable medical material and proportioning thereof, reaches the remarkable efficacy contributing to treating scapulohumeral periarthritis, and safe without toxic side effect.
In order to achieve the above object, the present invention is by the following technical solutions:
Be used for the treatment of a Chinese medicine decoction for scapulohumeral periarthritis, be prepared from by the Chinese crude drug of following weight proportion: Ramulus Cinnamomi 10 parts, 12 parts, Radix Rehmanniae Preparata, the Radix Paeoniae Alba 10 parts, Rhizoma Chuanxiong 8 parts, Radix Bupleuri 8 parts, Concha Ostreae 8 parts, seed of Radix Semiaquilegiae 12 parts, Semen Hoveniae (Fructus Hoveniae) 15 parts, Fructus Arctii 8 parts, Bombyx Batryticatus 8 parts, to spend without lobe Fructus Jujubae 10 parts, Anlnus nepalensis 8 parts, the Radix Astragali 14 parts, Halenia elliptica D. Don 6 parts, cantonese fairy bells 5 parts, ferreous mesua 4 parts, 3 parts, stone Fructus Piperis, three wind 3 parts, Semen Ginkgo pollen 2 parts, Herba Sedi Aizoon 6 parts, Radix Trichosanthis 6 parts.
Preparation method: add water above-mentioned medical material 1000ml, and after heated and boiled, slow fire boiling is 250ml to concentration of liquid medicine, drags for slag and becomes decoction.
The pharmacology analysis of each Chinese medicinal ingredients of the present invention is as follows:
Ramulus Cinnamomi [source] this product is the dry twig of canella Cortex Cinnamomi.[nature and flavor] acrid, sweet, warm.[return through] GUIXIN, lung, urinary bladder channel.[function cures mainly] 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.
Radix Rehmanniae Preparata [source] this product is the Preparation process product of Radix Rehmanniae.[nature and flavor] are sweet, tepor.[return through] returns liver, kidney channel.[function cures mainly] nourishing YIN and supplementing blood, beneficial essence fills out marrow.For the hepatic and renal YIN deficiency, soreness of the waist and knees, osteopyrexia and fever, night sweat is passed out semen, and interior-heat is quenched one's thirst, blood deficiency and yellow complexion, severe palpitation, menoxenia, and metrostaxis is dizzy, tinnitus, early whitening of beard and hair.
The Radix Paeoniae Alba [source] this product is the dry root of ranunculaceae plant Radix Paeoniae.[nature and flavor] are bitter, sour, are slightly cold.[return through] returns liver, spleen channel.The pain relieving of [function cures mainly] suppressing the hyperactive liver, nourishing blood for regulating menstruation, astringing YIN to stop sweating.Dizzy for having a headache, hypochondriac pain, stomachache, limb pain twin, blood deficiency and yellow complexion, menoxenia, spontaneous perspiration, night sweat.
The dry rhizome of Rhizoma Chuanxiong [source] samphire Rhizoma Chuanxiong.[nature and flavor] are pungent, temperature.[return through] returns liver, gallbladder, pericardium channel.[function cures mainly] blood-activating and qi-promoting, wind-expelling pain-stopping.
The tuber of seed of Radix Semiaquilegiae [source] ranunculaceae plant Radix Semiaquilegiae.[nature and flavor] sweet in the mouth, hardship, property is cold.[function cures mainly] clearing heat, releasing toxin, removing swelling.Promoting blood circulation to remove blood stasis pain relieving, vanishing sputum and dispelling knot, relieving stranguria by diuresis.Cure mainly skin ulcer scabies to swell, mastitis, tonsillitis, tuberculous lymphadenitis and traumatic injury, venom, dysuria.
The fruit of Semen Hoveniae (Fructus Hoveniae) [source] Rhamnaceae plant Semen Hoveniae (Fructus Hoveniae), seed or root.[nature and flavor] sour in the mouth, sweet, puckery, property slight fever.[function cures mainly] alcoholic intoxication, relieving restlessness of quenching the thirst, preventing or arresting vomiting, sharp defecation, dredges meridians.Cure mainly alcoholism, excessive thirst, vomiting, difficulty in urination and defecation, tetany, rheumatic numbness.
Fructus Arctii [source] this product is the dry mature fruit of feverfew Fructus Arctii.[nature and flavor] are pungent, bitter, cold.[return through] attaches to the lung and stomach meridians.[function cures mainly] dispelling wind and heat pathogens, lung qi dispersing rash, resolving toxin and disinhibiting the throat.
The larva of Bombyx Batryticatus [source] Bombycidae insecticide bombyx mori infects muscardine and ossified dry Scorpio.[nature and flavor] acrid in the mouth; Salty; Property is put down.[return through] liver; Lung; Stomach warp.[function cures mainly] expellings wind and relieving convulsion; Dissipating phlegm and resolving masses; Resolving toxin and disinhibiting the throat.Main frightened epilepsy is twitched; Middle air port wai eye is oblique; Migraine and general headache; Abscess of throat; Scrofula; Mumps; Rubella; Sore.
Without the fruit of lobe Fructus Jujubae [source] for the brown fruit Fructus Jujubae of Rhamnaceae plant.[nature and flavor] sour in the mouth, micro-puckery, cool in nature.[function cures mainly] Qinghuo Jiedu, killing parasites for relieving itching.Cure mainly furuncle carbuncle furuncle abscess, skin pruritus, macule, scabies, eczema, insect-bite.
The bark that Anlnus nepalensis [source] is Betulaceae alnus nepalensis, parasitic and root.[nature and flavor] bitter in the mouth, puckery.Cool in nature.[function cures mainly] Qinghuo Jiedu.Promoting tissue regeneration and ulcer healing, relieving diarrhea with astringents, adjusts moisturizing blood, hemostasis, function of gallbladder promoting, jaundice eliminating.Cure mainly impetigo, abdominal pain diarrhea, puerperal is weak and sickly, traumatic hemorrhage, jaundice.
The shell of the long Concha Ostreae of Concha Ostreae [source] Ostreidae animal.[nature and flavor] are salty, are slightly cold.[return through] returns liver, gallbladder, kidney channel.[function cures mainly] tranquillization with heavy prescription, YANG hyperactivity suppressing nourishing YIN, hard masses softening and resolving.
Herba Sedi Aizoon [source] medical material Ji Yuan: be root or the herb of crassulaceae plants Herba sedi kamtschatici, horizontal root Herba sedi kamtschatici.[nature and flavor] put down; Sweet; Micro-acid.[return through] heart; Liver; Spleen channel.[function cures mainly] dissipating blood stasis; Hemostasis; Mind tranquilizing and the heart calming; Removing toxic substances.Main haematemesis; Epistaxis; Have blood in stool; Hematuria; Metrorrhagia; Purpura; Traumatic hemorrhage; Traumatic injury; Cardiopalmus; Insomnia; Furuncle carbuncle; Burn and scald; Insect bite.
Radix Trichosanthis [source] medical material Ji Yuan: be the root of cucurbitaceous plant Fructus Trichosanthis and Chinese Fructus Trichosanthis.[nature and flavor] sweet in the mouth; Micro-hardship; Cold nature.[return through] returns lung; Stomach warp.[function cures mainly] clearing away heat and promoting production of body fluid; Moistening the lung and resolving phlegm; Row is dense in detumescence.Main calentura is thirsty; To quench one's thirst polydipsia; Lung-heat type cough; Sore swollen toxin.
The dry root of the Radix Astragali [source] leguminous plant Radix Astagali.[nature and flavor] are sweet, temperature.[return through] returns lung, spleen channel.[function cures mainly] invigorating QI to consolidate the body surface resistance, diuresis poison holding, evacuation of pus, expelling pus and promoting granulation.
The wounded in the battle herb that Halenia elliptica D. Don [source] is gentianaceae plant Halenia elliptica D. Don.[nature and flavor] bitter in the mouth, cold in nature.[function cures mainly] presses down association's day, and heat clearing away, cures the wound, stomach invigorating.Cure mainly association's day heat, liver-heat, plague fever, internal organs heat.
The root and rhizome that cantonese fairy bells [source] is liliaceous plant cantonese fairy bells.[nature and flavor] bitter in the mouth, property is cold.[function cures mainly] nourishing the lung to arrest cough, spleen invigorating removing food stagnancy.Cure mainly cough with asthma, sputum mixed with blood, discharging fresh blood stool, dyspeptic abdominal distention.
Ferreous mesua spends [source] is the flower of Garcinia maingayii ferreous mesua.[nature and flavor] secondary is xeothermic, bitter in the mouth.[function cures mainly] raw dry heat-dissipating, temperature compensation heart, the refreshing heart pleases will, warm-up tonifying YANG, and dampness mends stomach, and antidiarrheal, holds back wound, the hemorrhoid that disappear of stopping blooding.Cure mainly raw property or lymphatic temperament disease, have a guilty conscience as cold, depression, neurasthenia, coldness of the body YANG excess, moist insufficiency of stomach, diarrhoea and various wet wound, bleeding hemorrhoids etc.
The stem and leaf that stone Fructus Piperis [source] is Piperaceae phytobezoar Caulis et Folium piperis or Herb.[nature and flavor] taste is numb, peppery, hot in nature.[function cures mainly] wind-damp dispelling, strong waist knee joint, kidney invigorating and YANG supporting, relieving cough and asthma, promoting blood circulation and stopping pain.Cure mainly anemofrigid-damp arthralgia, soreness of waist and knee joint, sexual impotence, cough and asthma, dysmenorrhea, treating swelling and pain by traumatic injury.
Three wind [source] Rosaceae Herba Duchesneae Indicae platymiscium Herba Duchesneae Indicaes, with all herbal medicine.[nature and flavor] are sweet, sour, cold.Slightly poisonous.[function cures mainly] heat-clearing and toxic substances removing, dissipating blood stasis for subsidence of swelling.For cold, fever, cough, infantile hyperpyrexia infantile convulsion, laryngopharynx swelling and pain, diphtheria, icterohepatitis, bacillary dysentery, amebic dysentery, menorrhagia; Parotitis is controlled in external, venom, eye conjunctivitis, furuncle swelling toxin, herpes zoster, eczema.Also curing cancers can be tried.And can be used for killing wriggler, fly larvae.
Tripterygium hypoglaucum [source] medical material Ji Yuan: be the root of Celastraceae plant Tripterygium hypoglaucum.[nature and flavor] are bitter; Pungent; Tepor; Very toxic.[return through] liver; Spleen; Kidney channel.[function cures mainly] expelling wind and removing dampness; Promoting blood circulation and hemostasis; Relieving rigidity of muscles and knitting bone; Removing toxic substances parasite killing.Main air pain of dampness syndrome; Hemiplegia; Colicky; Dysmenorrhea; Menorrhagia; Puerperal abdonimal pain; Haemophilia; Acute infectious hepatitis; Chronic nephritis; Lupus erythematosus; Cancerous protuberance; Injury and bone fracture; Osteomyelitis; Bone tuberculosis; Epididymis tuberculosis; Sore; Psoriasis; Neurodermatitis.
Light leaf Lignum pterocarpi indici [source] is the fruit of the bald leaf Semen Phaseoli of leguminous plant.[nature and flavor] bitter in the mouth, property is cold, mild toxicity.[function cures mainly] relieving spasm to stop pain, cooling blood for hemostasis, promoting diuresis to eliminate damp pathogen.Cure mainly heart peratodynia, bladder pyretic stranguria, oliguria with reddish urine, odynuria, hemoptysis, diarrhoea.
Semen Ginkgo pollen [source] is through the Semen Ginkgo pollen of micronizing breaking cellular wall and anti-oxidant treatment.Containing a large amount of flavone in [effect] Semen Ginkgo pollen, lactone isoreactivity material, has certain therapeutic effect to the cardiovascular disease such as hypertension, hyperlipidemia.Because it contains a kind of dynamical bioactive substance, the metabolism of human tissue organ can be improved, strengthen cardiovascular function, slow down aging, can be used as the reinforcing agent promoting human physical power and endurance.
The present invention compared with prior art, has following beneficial effect:
1, Chinese medicine preparation of the present invention for treatment scapulohumeral periarthritis cure rate high and safe without toxic side effect, and can related complication be prevented.Between formula medical material, compatibility is rigorous, the synergistic function produced after not only making full use of compatibility of drugs, and avoid pharmaceutically-active mutual Hangzhoupro short of money and offset or slacken original effect, more note selecting the compatibility of drugs application that can alleviate or eliminate the strong of medicine or toxic and side effects, firmly avoid the mutual compatibility of medicine and produce toxic reaction or strong side effect.Wherein: Fructus Arctii, Bombyx Batryticatus two medicine, for it controls the key medicine of expectorant eliminating stagnation, Fructus Arctii: cool in nature, acrid in the mouth is bitter, eliminating phlegm for diminishing swelling, current twelve channels and collaterals; " medicineization justice " says it: " can rise and can fall, cure mainly top wind-phlegm." Bombyx Batryticatus: property is flat, acrid in the mouth is salty, expelling wind to relieve convulsion, dissipating phlegm and resolving masses." book on Chinese herbal medicine analyze mentally record " is said it and " is controlled the wind-phlegm of domination of damp pathogen ... rob phlegm-damp and to fall apart liver-wind." thus, Fructus Arctii, Bombyx Batryticatus, the application of both compatibilities can pass through the twelve regular channels, open brokenly expectorant knot, lead its knot stagnant, declare and reach QI and blood, relieving rigidity of joints.Radix Bupleuri Concha Ostreae two medicine mutually 5, had both declared not reaching of yang-energy, had opened up again not relaxing of cloudy gas, can snorkeling sun, hold back Kidney-Yin, soothing liver-QI is strongly fragrant, softening the hard mass addiction, has the wonderful of collaborative, two-ways regulation of one's own.Radix Bupleuri has reinforcement non-specific immunity, Concha Ostreae also has the effect impelling immunologic function to strengthen, and the synergism of this same tropism, enhances body anti-infection ability, help spend with Halenia elliptica D. Don, cantonese fairy bells, ferreous mesua, the conditioning the five internal organs such as stone Fructus Piperis, wherein Halenia elliptica D. Don promoting digestion and protecting liver, cantonese fairy bells lung moistening spleen invigorating, ferreous mesua spends temperature compensation heart, stone Fructus Piperis kidney invigorating and YANG supporting, take spleen, lung, the heart, liver, kidney QI of five ZANG-organs the moon respectively into account, reduce concurrent syndrome, separately strengthen immunity with Semen Ginkgo pollen.By scientific compatibility, not only complicated in the state of an illness, when fast changing, the present invention can not only effectively organize and implement reasonable treatment, make it reach medicine to remove to disease, and for prevent disease progress, in invade internal organs also have good preventive effect, very valuable on clinical application.
2, Chinese medicine preparation of the present invention selects high-quality Chinese crude drug to make, and selected medical material compatibility is suitable, meets Chinese medicine and modern medicine study theory, and utilize modern medicine pharmaceutical technology to make, safe without toxic side effect, reach the object for the treatment of both the principal and secondary aspects of a disease, clinic is applied.
Detailed description of the invention
In order to understand better and implement the present invention, further illustrate the present invention below in conjunction with specific embodiment.
Embodiment 1
Take: Ramulus Cinnamomi 10 grams, 12 grams, Radix Rehmanniae Preparata, the Radix Paeoniae Alba 10 grams, Rhizoma Chuanxiong 8 grams, Radix Bupleuri 8 grams, Concha Ostreae 8 grams, seed of Radix Semiaquilegiae 12 grams, Semen Hoveniae (Fructus Hoveniae) 15 grams, Fructus Arctii 8 grams, Bombyx Batryticatus 8 grams, to spend without lobe Fructus Jujubae 10 grams, Anlnus nepalensis 8 grams, the Radix Astragali 14 grams, Halenia elliptica D. Don 6 grams, cantonese fairy bells 5 grams, ferreous mesua 4 grams, 3 grams, stone Fructus Piperis, three wind 3 grams, Semen Ginkgo pollen 2 grams, Herba Sedi Aizoon 6 grams, Radix Trichosanthis 6 grams.
Preparation method is: add water above-mentioned medical material 1000ml, and after heated and boiled, slow fire boiling is 250ml to concentration of liquid medicine, drags for slag and becomes decoction.For oral administration, each serving with 125ml, every day twice; It within 7 days, is 1 course for the treatment of.
Clinical data:
1, case selection:
Selected the routine clinical observation of scapulohumeral periarthritis patient 88 in my institute's diagnosis and treatment since 2013, clinical symptoms all meets scapulohumeral periarthritis diagnosis and treatment standard.Patient is divided into treatment group and matched group two groups at random, treatment group 58 example, matched group 22 example.The course of disease, the degrees of symptoms for the treatment of group and matched group two groups of cases are basically identical, without significant difference, have comparability.
2, medicament selection:
Treatment group takes the Chinese medicine decoction preparation obtained by the embodiment of the present invention 1, every day potion, every agent is decocted soup and is concentrated 250ml and take orally, each serving with 125ml, every day twice; It within 7 days, is 1 course for the treatment of.
Matched group adopts conventional western medicine Comprehensive Treatment, the course for the treatment of same treatment group.
2 courses for the treatment of are treated in continuous smelting, contrast two groups of curative effects.
3, efficacy determination:
(1) cure: shoulder pain disappears, and functional rehabilitation is normal.
(2) take a turn for the better: shoulder pain alleviates, shoulder movable function improves.
(3) do not heal: unchanged before and after shoulder pain and functional treatment.
4, result:
Select in the treatment group of the embodiment of the present invention 1 Chinese medicine decoction, cure 44 examples, take a turn for the better 14 examples, and do not heal 0 example, cure rate 75.8%, total effective rate 100%.
Cure 12 examples in matched group, take a turn for the better 5 examples, and do not heal 5 examples, cure rate 54.5%, total effective rate 77.3%.
Above result display, the cure rate for the treatment of group and total effective rate are apparently higher than matched group.
Embodiment 2
Take: Ramulus Cinnamomi 10 grams, 12 grams, Radix Rehmanniae Preparata, the Radix Paeoniae Alba 10 grams, Rhizoma Chuanxiong 8 grams, Radix Bupleuri 8 grams, Concha Ostreae 8 grams, seed of Radix Semiaquilegiae 12 grams, Semen Hoveniae (Fructus Hoveniae) 15 grams, Fructus Arctii 8 grams, Bombyx Batryticatus 8 grams, to spend without lobe Fructus Jujubae 10 grams, Anlnus nepalensis 8 grams, the Radix Astragali 14 grams, Halenia elliptica D. Don 8 grams, cantonese fairy bells 5 grams, ferreous mesua 8 grams, light leaf Lignum pterocarpi indici 8 grams, Tripterygium hypoglaucum 4 grams, 3 grams, stone Fructus Piperis, three wind 3 grams, Semen Ginkgo pollen 3 grams, Herba Sedi Aizoon 6 grams, Radix Trichosanthis 6 grams.
Preparation method is: add water above-mentioned medical material 1000ml, and after heated and boiled, slow fire boiling is 250ml to concentration of liquid medicine, drags for slag and becomes decoction.For oral administration, each serving with 125ml, every day twice; It within 7 days, is 1 course for the treatment of.
Select the embodiment of the present invention 2 Chinese medicine decoction to scapulohumeral periarthritis patient 15 patient treatments in my institute's diagnosis and treatment, be almost recovered after 20 days 13 examples, and take a turn for the better 2 examples, and do not heal 0 example, and be almost recovered rate 86.6%, total effective rate 100%.Improvement and the patient that is almost recovered are followed the tracks of and follows up a case by regular visits to 24 months, without 1 example recurrence.
Obviously, the above embodiment of the present invention is only for example of the present invention is clearly described, and is not the restriction to embodiments of the present invention.Relevant Chinese medicine and pharmacology thereof all can be obtained by existing open source literature and network.For those of ordinary skill in the field, can also make other changes in different forms on the basis of the above description.Here cannot give exhaustive to all embodiments.Every belong to technical scheme of the present invention the apparent change of extending out or variation be still in the row of protection scope of the present invention.
Claims (1)
1. one kind is used for the treatment of the Chinese medicine decoction of scapulohumeral periarthritis, it is characterized in that, be prepared from by the Chinese crude drug of following weight proportion: Ramulus Cinnamomi lO part, 12 parts, Radix Rehmanniae Preparata, the Radix Paeoniae Alba 10 parts, Rhizoma Chuanxiong 8 parts, Radix Bupleuri 8 parts, Concha Ostreae 8 parts, seed of Radix Semiaquilegiae 12 parts, Semen Hoveniae (Fructus Hoveniae) 15 parts, Fructus Arctii 8 parts, Bombyx Batryticatus 8 parts, to spend without lobe Fructus Jujubae 10 parts, Anlnus nepalensis 8 parts, the Radix Astragali 14 parts, Halenia elliptica D. Don 6 parts, cantonese fairy bells 5 parts, ferreous mesua 4 parts, 3 parts, stone Fructus Piperis, three wind 3 parts, Semen Ginkgo pollen 2 parts, Herba Sedi Aizoon 6 parts, Radix Trichosanthis 6 parts.
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Non-Patent Citations (1)
Title |
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朱震云等: "自拟玉屏风散加减方结合中药外敷对肩关节周围炎的疗效分析", 《中外医疗》 * |
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