CN105796670A - Traditional Chinese medicine composition for treating headaches after spinal anesthesia - Google Patents

Traditional Chinese medicine composition for treating headaches after spinal anesthesia Download PDF

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CN105796670A
CN105796670A CN201610204547.2A CN201610204547A CN105796670A CN 105796670 A CN105796670 A CN 105796670A CN 201610204547 A CN201610204547 A CN 201610204547A CN 105796670 A CN105796670 A CN 105796670A
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headache
chinese medicine
medicine composition
spinal anesthesia
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孙爱华
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/47Euphorbiaceae (Spurge family), e.g. Ricinus (castorbean)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/25Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/27Asclepiadaceae (Milkweed family), e.g. hoya
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/331Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using water, e.g. cold water, infusion, tea, steam distillation or decoction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/30Extraction of the material
    • A61K2236/39Complex extraction schemes, e.g. fractionation or repeated extraction steps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/50Methods involving additional extraction steps
    • A61K2236/51Concentration or drying of the extract, e.g. Lyophilisation, freeze-drying or spray-drying
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/50Methods involving additional extraction steps
    • A61K2236/53Liquid-solid separation, e.g. centrifugation, sedimentation or crystallization

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Biotechnology (AREA)
  • Botany (AREA)
  • Medical Informatics (AREA)
  • Medicinal Chemistry (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

The invention relates to traditional Chinese medicine composition for treating headaches after spinal anesthesia. The traditional Chinese medicine composition is prepared from the following raw materials in parts by weight: 18-25 parts of shrubby breynia, 20-28 parts of actaea roots, 15-20 parts of nothopanax delavayi, 10-16 parts of roots of griffith streptocaulon, 20-30 parts of garden euphorbia herbs and 15-20 parts of desmodium triflorum. The invention further discloses a preparation method. The traditional Chinese medicine composition can treat the headaches after spinal anesthesia.

Description

A kind of treat the Chinese medicine composition of headache after spinal anesthesia
Technical field
The invention belongs to technical field of traditional Chinese medicine preparation, treat the Chinese drug-treated group of headache after spinal anesthesia in particular to a kind of Compound.
Background technology
After spinal anesthesia, headache is one of common complication of subarachnoid anesthesia (lumbar anesthesia), often caused by puncture needle The pin hole stayed on spinal dura mater constantly spills cerebrospinal fluid and is caused.Typical case's headache can be sent out in 6-12h after piercing Raw, majority is fallen ill the 1-3d after ridge fiber crops.Spinal headache is persistently spilt by puncturing hole mainly due to cerebrospinal fluid, brain ridge Hydraulic coupling reduces, so that meningovascular and cranial nerve are by caused by tractive.Patient is through infusion and symptomatic treatment a couple of days for major part Interior symptom can be alleviated, but small part heavy type patient is the best through general treatment, even recurrent exerbation.
Summary of the invention
The invention provides and a kind of treat Chinese medicine composition of headache and preparation method thereof after spinal anesthesia.
The present invention realizes particular by following technical scheme:
A kind of treat the Chinese medicine composition of headache after spinal anesthesia, the crude drug of following weight portion be prepared from: Folium et cacumen Breyniae Fruticosae 18-25 part, Rhizoma actaeae asiaticae 20-28 part, Herba seu Radix Nothopanacis delavayi 15-20 part, Radix Streptocauli Griffithii 10-16 part, Ramulus et Folium Bauhiniae Faberi 20-30 part, 3 gold grass 15-20 parts.
After described treatment spinal anesthesia, the Chinese medicine composition of headache, is prepared from by the crude drug of following weight portion: black 20 parts of face leaf, Rhizoma actaeae asiaticae 24 parts, Herba seu Radix Nothopanacis delavayi 17 parts, Radix Streptocauli Griffithii 13 parts, Ramulus et Folium Bauhiniae Faberi 25 parts, 3 gold grass 18 Part.
The Chinese medicine composition of headache after described treatment spinal anesthesia, dosage form is granule, tablet, oral liquid, capsule.
The Chinese medicine composition of headache after described treatment spinal anesthesia, preparation method comprises the steps: that taking above-mentioned medical material closes And, boiling twice, collecting decoction, when being concentrated into 65 DEG C, relative density is 1.10-1.20, adds ethanol, stirs, Make alcohol content by volume percentage calculation reach 65-85%, stand, filter, relative density during filtrate reduced in volume to 65 DEG C For 1.20-1.30 and reclaim ethanol, being spray-dried by concentrated solution, gained granular powder is broken into dry extract, adds adjuvant, Make required preparation.
The Chinese medicine composition of headache after described treatment spinal anesthesia, in described preparation method, decocting condition is: add for the first time The water yield is the 8-12 times amount of medical material weight, decocts 1-2h, and amount of water is the 6-10 times amount of medical material weight for the second time, decocts Boil 1-2h.
The Chinese medicine composition of headache after described treatment spinal anesthesia, in described preparation method, spray drying condition is: air intake Temperature is 90-110 DEG C, and leaving air temp is 60-90 DEG C, and temperature of charge is 60-90 DEG C, and atomizing pressure is 0.2-0.5 MPa, spray velocity is 1-10ml/s.
The Chinese medicine composition of headache application in preparation treatment headache medicine after described treatment spinal anesthesia.
Folium et cacumen Breyniae Fruticosae is the browse of euphorbia plant Folium et cacumen Breyniae Fruticosae.Upright shrub, high 2~3 meters.Bark taupe brown, branch Cylindric, multi-fork sigmoid, there is white tiny hole skin on surface.Heat-clearing and toxic substances removing, dissipating blood stasis, pain relieving, antipruritic.Root: acute Gastroenteritis, tonsillitis, bronchitis, lithangiuria, puerperal uterine contraction pain, rheumatic arthritis.Leaf: outer With controlling burn and scald, eczema, allergic dermatitis, skin itching, vaginitis.
Rhizoma actaeae asiaticae is Ranunculaceae baneberry cohosh Actaea asiatica Hara, with root stock and All herbal medicine.Autumn gathers, and dries respectively.Clearing away lung-heat to relieve cough, heat-clearing and toxic substances removing.For headache due to common cold, pertussis.External Control lyssodexis.The present invention uses all herbal medicine.
Herba seu Radix Nothopanacis delavayi is Herb or the root of Araliaceae Nothopanax, gathers in spring, summer, cleans using fresh herb or dries use. Heat-clearing and toxic substances removing, relaxing muscles and tendons to promote blood circulation.For acute pharyngitis, acute conjunctivitis, dyspepsia, lumbago, skelalgia of rheumatism;Bone is controlled in external Folding, traumatic injury.The present invention is used as medicine with Herb.
Radix Streptocauli Griffithii is that trailing plants rattan Ke Malian saddle platymiscium horse connects saddle Streptoculon griffithii Hook.f. and enters with root Medicine.The whole year can adopt, using fresh herb or dry use.Heat-clearing and toxic substances removing, scattered silt pain relieving.For cat fever, enteritis, dysentery, stomach Bitterly, treating swelling and pain by traumatic injury, venom.
Ramulus et Folium Bauhiniae Faberi is the dry herb of Ramulus et Folium Bauhiniae Faberi Euphorbia hirta Linn., annual herb, Herba Euphoubiae Hirtae decocting Agent all has inhibitory action to staphylococcus aureus, bacillus pyocyaneus.There are diuresis and moderate catharsis effect.Heat-clearing and toxic substances removing, profit Wet antipruritic.For bacillary dysentery, amebic dysentery, enteritis, intestinal infusorian, dyspepsia, bronchitis, renal pelvis Nephritis;Eczema, dermatitis, skin pruritus are controlled in external.
3 gold grass, formal name used at school: Desmodium triflorum (L.) DC.), pulse family, Papillionoideae, Desmodium racemosum Thunb. Race, promoting the circulation of QI to relieve pain, dispelling cold by warming the meridian, removing toxic substances.For heatstroke suffer from abdominal pain, colicky, menoxenia, dysmenorrhea, puerperal joint Bitterly, rabies.The present invention is with all herbal medicine.
Compared with prior art, Folium et cacumen Breyniae Fruticosae of the present invention, Rhizoma actaeae asiaticae, Herba seu Radix Nothopanacis delavayi heat-clearing and toxic substances removing, dissipating blood stasis, pain relieving is monarch drug, Radix Streptocauli Griffithii, Ramulus et Folium Bauhiniae Faberi heat-clearing and toxic substances removing are ministerial drug, 3 gold grass promoting the circulation of QI to relieve pain adjuvants, have a headache after being used for treating spinal anesthesia.
Specific embodiment
Following example further describe beneficial effects of the present invention, and embodiment is only used for the purpose of illustration, is not intended to this Bright protection domain, those of ordinary skill in the art is obviously changed according to what the present invention made and modifies also simultaneously Comprise within the scope of the present invention.
Embodiment 1: weigh medical material Folium et cacumen Breyniae Fruticosae 18 parts, Rhizoma actaeae asiaticae 28 parts, Herba seu Radix Nothopanacis delavayi 15 parts, Radix Streptocauli Griffithii 10 parts, fly upward Careless 30 parts, 3 golden careless 15 parts, mixing, boiling twice, add water 8 times amount into medical material weight for the first time, decoction 1.5h, add water 6 times amount into medical material weight for the second time, decocts 1h, collecting decoction, filters, and filtrate is concentrated into the closeest Degree 1.10 (65 DEG C), add ethanol in proper amount and make alcohol content (volume fraction) reach 65%, stir, stand 24 hours, filter, Filtrate recycling ethanol is also concentrated into the concentrated solution of relative density 1.20 (65 DEG C), and spray-dried (condition is inlet temperature Being 100 DEG C, leaving air temp is 80 DEG C, and temperature of charge is 80 DEG C, and atomizing pressure is 0.2 MPa, and spray velocity is 5ml/s.), It is ground into dry extract, adds suitable dextrin, mix homogeneously, with appropriate 80% ethanol wet, soft material processed, cross 14 mesh Sieve series grain, 70 DEG C are dried, and 60 mesh granulate obtain granule.
Embodiment 2: weigh medical material Folium et cacumen Breyniae Fruticosae 25 parts, Rhizoma actaeae asiaticae 20 parts, Herba seu Radix Nothopanacis delavayi 20 parts, Radix Streptocauli Griffithii 10 parts, fly upward Grass 30 parts, 3 gold grass 15 parts, mixing, boiling twice, the 10 times amount into medical material weight that add water, decoct 2h, Add water 8 times amount into medical material weight for the second time, decocts 1h, collecting decoction, filters, and filtrate is concentrated into relative density 1.15 (65 DEG C), add ethanol in proper amount and make alcohol content (volume fraction) reach 75%, stir, stand 24 hours, filter, filtrate Reclaiming ethanol and be concentrated into the concentrated solution of relative density 1.25 (65 DEG C), spray-dried (condition is that inlet temperature is 120 DEG C, leaving air temp is 90 DEG C, and temperature of charge is 80 DEG C, and atomizing pressure is 0.3 MPa, and spray velocity is 7.5/s.), It is ground into dry extract, adds appropriate Icing Sugar, mix homogeneously, with appropriate 80% ethanol wet, soft material processed, cross 30 mesh Sieve series grain, is dried in 70~80 DEG C, and with 60 mesh sieve granulate, tabletting, sugar coating, subpackage, outer package, censorship is qualified, Obtain finished product.
Embodiment 3: weigh medical material Folium et cacumen Breyniae Fruticosae 20 parts, Rhizoma actaeae asiaticae 24 parts, Herba seu Radix Nothopanacis delavayi 17 parts, Radix Streptocauli Griffithii 13 parts, fly upward Careless 25 parts, 3 golden careless 18 parts, mixing, boiling twice, add water 12 times amount into medical material weight for the first time, decoction 2h, add water 10 times amount into medical material weight for the second time, decocts 2h, collecting decoction, filters, and filtrate is concentrated into relative density 1.20 (65 DEG C), add ethanol in proper amount and make alcohol content (volume fraction) reach 85%, stir, stand 24 hours, filter, Filtrate recycling ethanol is also concentrated into the concentrated solution of relative density 1.30 (65 DEG C), with sucrose, propanoic acid 0.1% or benzoic acid Sodium 0.1%~0.25% etc., as preservative, obtain oral liquid finished product.
Embodiment 4: weigh medical material Folium et cacumen Breyniae Fruticosae 20 parts, Rhizoma actaeae asiaticae 24 parts, Herba seu Radix Nothopanacis delavayi 17 parts, Radix Streptocauli Griffithii 13 parts, fly upward Careless 25 parts, 3 golden careless 18 parts, mixing, boiling twice, add water 10 times amount into medical material weight for the first time, decoction 1.5h, add water 8 times amount into medical material weight for the second time, decocts 1.5h, collecting decoction, filters, and filtrate is concentrated into relatively Density 1.15 (65 DEG C), adds ethanol in proper amount and makes alcohol content (volume fraction) reach 75%, stir, stand 24 hours, filter Crossing, filtrate recycling ethanol is also concentrated into the extractum of relative density 1.25 (65 DEG C), and spray-dried (condition is air intake temperature Degree is 120 DEG C, and leaving air temp is 90 DEG C, and temperature of charge is 90 DEG C, and atomizing pressure is 0.4 MPa, and spray velocity is 7.5/s.), be ground into dry extract, cross No. 6 sieves, reinstall No. 1 capsule finished product.
Embodiment 5: clinical trial data of the present invention
Clinical case: headache person 60 example after spinal anesthesia.Have a headache after spinal anesthesia patient age 24~63 years old, averagely 38.5 years old age;Male patient 30 example, female patient 30 example.Get rid of and there is psychiatric history or severe cardiovascular disease Medical history person;All patients are without history of previously having a headache for a long time.60 examples are postoperative 1-3d and headache syndromes occur, its spy that has a headache Levying and all have substantial connection with position, when sitting up or be upright, headache increases the weight of, especially with rear pillow part and head surrounding pain, some patients With Nausea and vomiting, when lying on the back, headache alleviates, and all patients are all without heating or upper respiratory tract infection performance, blood pressure, the heart Rate, all in normal range, gets rid of application headache caused by vasoactive agent.
Medicament selection: treatment group is taken the preparation method of above-described embodiment 1 and prepared medicine of the present invention, oral, every day 2 Secondary, the most each 1 time, each 10g, after meal warm water delivery service;Within 12 days, it is 1 course for the treatment of, can fully recover from an illness 2~4 courses for the treatment of More, the person of being in a bad way follows the doctor's advice the meal with wine amount of adding.Matched group takes placebo, oral, bfore meals.
Efficacy determination: cure: transference cure checks normal without recurrence, laboratory;Effective: symptom alleviates, experiment Room checks and makes moderate progress;Invalid: symptom and lab testing are all without improving.Therapeutic effect: be shown in Table 1.
1 liang of table group comparitive study
Group n Cure Effectively Invalid Total effective rate (%)
Treatment group 30 6 20 4 86.7
Matched group 30 1 2 27 10
The visible present invention has good therapeutic effect to headache after spinal anesthesia, and toxic and side effects does not occurs during treatment.

Claims (7)

1. the Chinese medicine composition having a headache after treating spinal anesthesia, it is characterised in that by the crude drug of following weight portion Be prepared from: Folium et cacumen Breyniae Fruticosae 18-25 part, Rhizoma actaeae asiaticae 20-28 part, Herba seu Radix Nothopanacis delavayi 15-20 part, Radix Streptocauli Griffithii 10-16 part, Ramulus et Folium Bauhiniae Faberi 20-30 part, 3 gold grass 15-20 parts.
2. the Chinese medicine composition of headache after treatment spinal anesthesia as claimed in claim 1, it is characterised in that by following heavy Amount part crude drug be prepared from: Folium et cacumen Breyniae Fruticosae 20 parts, Rhizoma actaeae asiaticae 24 parts, Herba seu Radix Nothopanacis delavayi 17 parts, Radix Streptocauli Griffithii 13 parts, Ramulus et Folium Bauhiniae Faberi 25 parts, 3 gold grass 18 parts.
3. the Chinese medicine composition having a headache after treating spinal anesthesia as claimed in claim 1, it is characterised in that dosage form is granule Agent, tablet, oral liquid, capsule.
4. the Chinese medicine composition having a headache after treating spinal anesthesia as claimed in claim 1, it is characterised in that preparation method bag Include following steps: taking above-mentioned medical material and merge, boiling twice, collecting decoction, when being concentrated into 65 DEG C, relative density is 1.10-1.20, adds ethanol, stirring, makes alcohol content by volume percentage calculation reach 65-85%, stand, filter, filter When liquid is evaporated to 65 DEG C, relative density is 1.20-1.30 and reclaims ethanol, is spray-dried by concentrated solution, gained granule It is ground into dry extract, adds adjuvant, make required preparation.
5. the Chinese medicine composition having a headache after treating spinal anesthesia as claimed in claim 4, it is characterised in that described preparation In method, decocting condition is: amount of water is the 8-12 times amount of medical material weight for the first time, decocts 1-2h, for the second time amount of water For the 6-10 times amount of medical material weight, decoct 1-2h.
6. the Chinese medicine composition having a headache after treating spinal anesthesia as claimed in claim 4, it is characterised in that described preparation In method, spray drying condition is: inlet temperature is 90-110 DEG C, and leaving air temp is 60-90 DEG C, and temperature of charge is 60-90 DEG C, atomizing pressure is 0.2-0.5 MPa, and spray velocity is 1-10ml/s.
7. the Chinese medicine composition of headache application in treating headache medicine after treating spinal anesthesia as claimed in claim 1.
CN201610204547.2A 2016-04-04 2016-04-04 Traditional Chinese medicine composition for treating headaches after spinal anesthesia Withdrawn CN105796670A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102614280A (en) * 2012-04-23 2012-08-01 卞毓平 Chinese medicinal composition with blood fat reducing effect, and preparation method and application thereof
CN104645149A (en) * 2015-02-11 2015-05-27 王桂霞 Traditional Chinese medicine composition for treating headache after spinal anesthesia
CN104784618A (en) * 2015-04-23 2015-07-22 淄博齐鼎立专利信息咨询有限公司 Traditional Chinese medicine composition for treating headache
CN105106440A (en) * 2015-09-07 2015-12-02 陈红 Traditional Chinese medicine composition for treating headache and dizziness induced by lumbar anesthesia

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102614280A (en) * 2012-04-23 2012-08-01 卞毓平 Chinese medicinal composition with blood fat reducing effect, and preparation method and application thereof
CN104645149A (en) * 2015-02-11 2015-05-27 王桂霞 Traditional Chinese medicine composition for treating headache after spinal anesthesia
CN104784618A (en) * 2015-04-23 2015-07-22 淄博齐鼎立专利信息咨询有限公司 Traditional Chinese medicine composition for treating headache
CN105106440A (en) * 2015-09-07 2015-12-02 陈红 Traditional Chinese medicine composition for treating headache and dizziness induced by lumbar anesthesia

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
刘黎: "中西医结合治疗脊椎麻醉后头痛22例观察", 《吉林中医药》 *
张立华: "中药治疗肛肠手术腰麻后头痛头晕的临床疗效评估", 《世界最新医学信息文摘》 *

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