CN106727832A - A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema - Google Patents

A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema Download PDF

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Publication number
CN106727832A
CN106727832A CN201710043322.8A CN201710043322A CN106727832A CN 106727832 A CN106727832 A CN 106727832A CN 201710043322 A CN201710043322 A CN 201710043322A CN 106727832 A CN106727832 A CN 106727832A
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pharmaceutical composition
hen
ginseng
pseudo
filtering
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杨鹏
邱冰
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Guizhou Osteological Hospital
Guizhou Orthopedics Hospital
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Guizhou Osteological Hospital
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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)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/04Sulfur, selenium or tellurium; Compounds thereof
    • 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
    • A61K36/258Panax (ginseng)
    • 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)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/288Taraxacum (dandelion)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • 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
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/333Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using mixed solvents, e.g. 70% EtOH

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
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Abstract

A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema, is formulated by 4 taste medicinal materials, and quality proportioning is:Dislike hen 15~30, pseudo-ginseng 6~10, dandelion 30~50, glauber salt 250.Preparation method:(1) chopped up hen is disliked, together added with pseudo-ginseng in white wine, closing is placed in constant water bath box immersion, filtering and impurity removing;(2) clear water is placed in marmite, dandelion is dried according to formula addition, heat up immersion, natural cooling, filtering and impurity removing;(3) add glauber salt and immersion to dislike the white wine of hen in filtrate, stir and evenly mix, filtering and impurity removing, natural cooling;(4) after fully heptahydrate saltcake crystal is separated out, air-dry and break into fine grained, gained crystal grain is pharmaceutical composition of the invention.The present invention is carried as carrier with heptahydrate saltcake crystal and dislikes hen, Pu Gongcao and pseudo-ginseng, with strong water suction detumescence effect, shortens swelling time, is had no toxic side effect.Suitable for limb trauma and Post operation oedema.

Description

A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema
Technical field
The present invention is relevant with medicinal preparation, in particular to the medicine for the treatment of oedema.
Background technology
Oedema is the common clinical symptoms of limb fracture.No matter operative treatment or manipulative reduction also occur in various degree Oedema.Be unfavorable for if oedema can not be eliminated in time promoting extremities blood circulation, the supply of nutriment and wound and operation more Close.Severe patient occurs wound infection, osteomyelitis and compartment syndrome, in addition amputation serious consequence.Therefore, disappear in early days Swollen treatment is of great significance for the rehabilitation of fracture patient and clinical prognosis.The medicine of Chinese traditional treatment fracture and postoperative edema Compositions report is more, but can be actually rare effective for the medicine of clinical treatment.At present, it is clinical generally to use ' β-seven leaves The intravenous infusion of saponin(e sodium joint mannitol ' treatment is fractured and postoperative edema, but its curative effect differs greatly with clinical demand.Tibiofibula reefing Continuous intravenous infusion 3 days afterwards, only 28.5% patient's oedema can substantially disappear, continuous intravenous infusion 7 days, and substantially regression person also only has oedema 81.1%.And long-term use ' intravenous infusion of beta-aescin sodium joint mannitol ' side effect is more, such as mannitol can cause renal function And Electrolyte imbalance, beta-aescin sodium can cause phlebitis etc..It is quiet particularly with damaging with haemorrhagic shock fracture patient Drop mannitol combined beta-aescin sodium eliminates oedema, will necessarily aggravate shock and the electrolyte disturbance for having existed.Thus may be used See, the existing medicine swelling time for controlling treatment trauma and postoperative edema is long, cure rate is low, side effect is big, and curative effect can not meet clinic Need, often the delay operative treatment best opportunity, influence fracture patient postoperative rehabilitation.
In Chinese patent database, it is related to the patent application for treating edema drugs a lot, but use mirabilite for treating oedema Only:No. ZL2012100489131《Treat Chinese medicine composition of pig malignant edema of castrated and preparation method thereof》、 No. 2014106289956《Treat Chinese medicine composition of hydropsy for baby pigs and preparation method thereof》With No. 2016106724487《It is a kind of Treat the External-applicationtraditional traditional Chinese medicinal of lower limb lymphedema》, these patent applications disclose some using Chinese medicine prepare The medicine for treating oedema, but its curative effect is unclear.People also need to the types of drugs of better efficacy.
The content of the invention
The present invention is intended to provide a kind of pharmaceutical composition for controlling treatment trauma and postoperative edema, to increase the medicine for the treatment of oedema Kind, quick effectively regression wound and Post operation edema of limbs and trunks, makes it not be delayed operative treatment, reduces complication and occurs, and promotes Patient's early recovery.
Of the invention to control treatment trauma and the pharmaceutical composition of postoperative edema is formulated by 4 taste medicinal materials, its quality proportioning is:
Dislike hen 15~30, pseudo-ginseng 6~10, dandelion 30~50, glauber salt 250.
In above-mentioned medicinal material:
Dislike hen, i.e. setose thistle, be feverfew setose thistle (Cirsium japonicum) herb or root, it is sweet, it is cool in nature, can be cool Blood, hemostasis, dissolving stasis, subduing inflammation(See that the new medical college in Zhejiang compiles《Dictionary of medicinal plant》Page 115);Pseudo-ginseng, is Araliaceae ginseng Pseudo-ginseng(Panax pseudo-ginseng)Root, its is warm in nature, sweet and slightly bitter taste, can stop blooding, scattered silt, detumescence, analgesic therapy(See《Chinese medicine Voluminous dictionary》Page 54);Dandelion, be feverfew dandelion (Taraxacum mongolicum) whole herb with root, bitter, property It is cold, there are heat-clearing toxin-expelling functions(See《Dictionary of medicinal plant》Page 2459);Glauber salt is pure anhydrous sodium sulfate(Na2SO4), it is used for Prepare seven water saltcake(Na2SO4•7H2O), saltcake(Mirabilite)Acrid,bitter and salty taste, it is cold in nature, can purge heat, moisturize, softening hard masses(See《In Medicine voluminous dictionary》Page 836).
Above-mentioned medicinal material should meet《Chinese Pharmacopoeia》Regulation in version one in 2010 under each medicinal material.
The preparation method of the pharmaceutical composition for controlling treatment trauma and postoperative edema that inventor provides is comprised the following steps:
(1) it is first according to formula to chop up dry evil hen, joint pseudo-ginseng is together added in white wine, and closing is placed in 50 DEG C of perseverances Warm water bath cabinet soaks 12h, and the removal of impurity is gone in filtering;
(2) 500mL water is placed in marmite again, dandelion is dried according to formula addition, be warming up to 100 DEG C of 5 min of immersion, nature 60 DEG C are cooled to, the removal of impurity is gone in filtering;
(3) glauber salt and immersion in advance is added to dislike the white wine of hen root according to formula in the filtrate of previous step, stirring and dissolving is mixed It is even, the removal of impurity is refiltered, mixture is placed in 18 DEG C of environment temperature natural coolings;
(4) after fully heptahydrate saltcake crystal is separated out in previous step mixture, air-dry and break into fine grained, gumming is gone in filtering End, the crystal grain of the fine uniform of gained is pharmaceutical composition of the invention, preserves stand-by with gauze package encapsulation.
Inventor points out:The saltcake crystal-chemical formula separated out in the pharmaceutical composition is Na2SO4 •7H2O, with enough Coordinate bond attract hydrone ability, different from medical saltcake crystal(Na2SO4•10H2O), heptahydrate saltcake contains 3 knots Heshui molecular coordination bonds, water suction detumescence effect is much stronger than mirabilite hydrate crystal;With the knot in the saltcake crystal of the pharmaceutical composition The active constituents of medicine such as evil hen, dandelion and pseudo-ginseng that brilliant hydrone is carried can efficiently enter and play profit promoting blood circulation and removing blood stasis in vivo Water is acted on.
The treatment trauma and the pharmaceutical composition application method of postoperative edema controlled of the invention is external application, when using, uses the medicine Composition is applied at oedema.
The present invention is carried as carrier with heptahydrate saltcake crystal and dislikes the pharmaceutical activity group of molecules such as hen, Pu Gongcao and pseudo-ginseng Compound has strong water suction detumescence effect.Compared with mannitol combined Sodium Aescinate oedema effect, the pharmaceutical composition can Substantially to shorten the edema extinction time, substantially regression person is 65% to medication 24h oedema, 4 days oedema of medication substantially regression person 90% More than, and it is without any side effects.It is mainly used in limb trauma and Post operation oedema.
Originally the pharmaceutical composition for the treatment of trauma and postoperative edema is controlled in clinical practice, has controlled treatment trauma and postoperative edema 100 Remaining example, cure rate is more than 90%.Model case has:
Case one:Lee, female, teacher, 62 years old, August 15 was gone to a doctor within 2014.Two months ago because of left side fracture of lateral epicondyle of humerus, Row operative treatment, postoperative plaster fixing leaves ancon oedema after gypsum removal.Once oral blood-activating stasis-removing kind Chinese medicine one week, coordinated Washout side's medicine, prescription is unknown.Night upper limb lifting, oedema does not disappear.It is postoperative to need rehabilitation, because oedema upper limbs can not bend Song, CPM machines(Continuous Passive Movement device)Can not use and change the place of examination.At present symptom:Left upper extremity suspender belt suspends in midair, duration August, weather Sweltering heat, air-conditioner temperature is not resistant to locally in therapeutic room, afraid of the wind cold.Local edema, pain, color of the leather obfuscation, there is purple patch It is attached to around it, limbs of the diameter substantially than surrounding are big.Use pharmaceutical composition external application of the invention, 3 times/24h, 24h Oedema substantially disappears afterwards, disappears completely after 3 days, fold locally occurs, and pain relief is no longer afraid of the wind cold, can the forging of row CPM machines Refining, limb rehabilitation training.
Case two:Chen, man, car detailing teacher, 28 years old, in March, 2015 No. 11 went to a doctor.2h driving motorcycles are not before being admitted to hospital Careful to fall down, left upper arm is directly clashed into hard thing, and left upper arm pain is felt at once, in continuation severe pain, left upper arm deformity, activity barrier Hinder.Body is looked into:The notable swelling of hypomere, deformity in left upper arm, without open wound, local tenderness, can lay one's hand on and left humerus in hypomere fracture Abrasive feel.Left upper arm movement of false joint.Hypomere transverse fracture in x-ray left humerus.Hypomere closed fracture in diagnosis left humerus.I.e. Using pharmaceutical composition external application of the invention, 3 times/24h, oedema substantially disappears after external application 16h, disappears completely after 3 days.And in outer 4th day row operative treatment after applying.
Case three:Yuan, man, mill hand, 33 years old.The machine in quick rotation was stepped on because of biped before 5 hours one days by mistake On belt, tripped in ground.Feel that left leg has an intense pain at once, it is impossible to stand and walk.The swelling of left leg stage casing is obvious, skin Skin is shinny, and without breakage, ecchymoma is in livid purple color.Left leg stage casing is touched a tender spot substantially, there is annular tenderness and longitudinal crushing pain, there is different Often activity, osteoacusis sound is interrupted.Also there is obvious tenderness at the 3cm of Fib L microcephaly lower section.X-ray checks that left tibia stage casing has one outside upper Spiral fracture line under walking inwardly, fracture site separates 0.5cm, for no reason upper to move 2.5cm, about 15 ° of inside angulation, angled forward About 5 °.Diagnosis:Left tibia stage casing closed spiral fracture.Immediately using pharmaceutical composition external application of the invention, 3 times/24h, Oedema substantially disappears after external application 8h, disappears completely after 4 days.And in the 5th day row operative treatment after external application.
Case four:Zhang, man, 25 years old, builder.8 hours one days of cause construction careless fall ground, the water of landing Adobe block pushes down both legs.Feel that bilateral thigh has an intense pain at once, it is impossible to stand and walk.Body is looked into:Bilateral thigh almost all Swelling, ecchymoma is in livid purple color, and double lower limb tenderness is obvious.X ray examinations, it is comminuted at both thighs positive side bifilar lower about 1/3 Fracture.Diagnosis:Bifilar bone closed comminuted fracture.Pharmaceutical composition external application of the invention, 3 times/24h, external application 8h are used immediately Oedema substantially disappears afterwards, disappears completely after 5 days.And in the 6th day row operative treatment after external application.
Specific embodiment
Embodiment prepares the pharmaceutical composition for controlling treatment trauma and postoperative edema
Chopped up hen root 25g is disliked first, joint pseudo-ginseng 10g is together added in white wine 80ml, closing is placed in 50 DEG C of waters bath with thermostatic control Case soaks 12h, and the removal of impurity is gone in filtering, and reserved filtrate is standby;500mL water is placed in marmite, plus dandelion 50g again, 100 DEG C are warming up to 5min is decocted, 60 DEG C are naturally cooled to, the removal of impurity is gone in filtering, add glauber salt 250g and immersion in advance to dislike hen root in filtrate White wine 80mL, stirring and dissolving is mixed, and refilters the removal of impurity, is placed in 18 DEG C of environment temperature natural coolings, treats that saltcake crystal is abundant After precipitation, air-dry and break into fine grained, filtering removal powder, the crystal grain of the fine uniform of gained is medicine group of the invention Compound, preserves stand-by with gauze package encapsulation.

Claims (3)

1. a kind of pharmaceutical composition for controlling treatment trauma and postoperative edema, it is characterised in that the pharmaceutical composition is prepared by 4 taste medicinal materials Form, its quality proportioning is:
Dislike hen 15~30, pseudo-ginseng 6~10, dandelion 30~50, glauber salt 250.
2. the pharmaceutical composition for the treatment of trauma and postoperative edema is controlled as claimed in claim 1, it is characterised in that the pharmaceutical composition is by 4 Taste medicinal material is formulated, and its quality proportioning is:
Dislike hen 25, pseudo-ginseng 10, dandelion 50, glauber salt 250.
3. the pharmaceutical composition for the treatment of trauma and postoperative edema is controlled as claimed in claim 1, it is characterised in that the pharmaceutical composition Preparation method comprise the following steps:
(1) it is first according to formula to chop up dry evil hen, joint pseudo-ginseng is together added in white wine, and closing is placed in 50 DEG C of perseverances Warm water bath cabinet soaks 12h, and the removal of impurity is gone in filtering;
(2) 500mL water is placed in marmite again, dandelion is dried according to formula addition, be warming up to 100 DEG C of 5 min of immersion, nature 60 DEG C are cooled to, the removal of impurity is gone in filtering;
(3) glauber salt and immersion in advance is added to dislike the white wine of hen root according to formula in the filtrate of previous step, stirring and dissolving is mixed It is even, the removal of impurity is refiltered, mixture is placed in 18 DEG C of natural coolings;
(4) after fully heptahydrate saltcake crystal is separated out in previous step mixture, air-dry and break into fine grained, gumming is gone in filtering End, the crystal grain of the fine uniform of gained is pharmaceutical composition of the invention, preserves stand-by with gauze package encapsulation.
CN201710043322.8A 2017-01-21 2017-01-21 A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema Pending CN106727832A (en)

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CN201710043322.8A CN106727832A (en) 2017-01-21 2017-01-21 A kind of pharmaceutical composition for controlling treatment trauma and postoperative edema

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Application Number Priority Date Filing Date Title
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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103720902A (en) * 2013-12-13 2014-04-16 武汉市第八医院 Traditional Chinese medicine used for anorectal surgery wound healing and preparation method thereof

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103720902A (en) * 2013-12-13 2014-04-16 武汉市第八医院 Traditional Chinese medicine used for anorectal surgery wound healing and preparation method thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
黄玉娥: "玄明粉坐浴在常见肛肠病中的临床应用", 《湖南中医学院学报》 *

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