CN107669868A - 治疗褥疮的中药配方及制备 - Google Patents

治疗褥疮的中药配方及制备 Download PDF

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CN107669868A
CN107669868A CN201710881342.2A CN201710881342A CN107669868A CN 107669868 A CN107669868 A CN 107669868A CN 201710881342 A CN201710881342 A CN 201710881342A CN 107669868 A CN107669868 A CN 107669868A
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郭恒禄
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Abstract

本发明公开了一种治疗褥疮的中药配方，按重量份数是包括以下中药成分：虎杖50g，紫草80g，龙胆草50g，黄岑60g，黄柏60g，大黄60g，白芷50g，乳香28g，没药28g，红花50g，象皮28g，三七粉28g，珍珠粉28g，血竭38g，麻油1000g，蜂蜡适量。本发明中药组合物的制备和使用方法：将前11味药放入麻油内，72小时后用小火煎至药物呈焦枯状，过滤去渣，再将三七粉、珍珠粉、血竭加入，继续小火煎15分钟，加入蜂蜡适量冷却后备用，将药膏搽于纱布上，轻轻填塞于创面基底部，每日换药1次，若脓性分泌物过多，可适当增加换药次数，疮面新部位可均匀喷洒适量药膏。

Description

治疗褥疮的中药配方及制备
技术领域
本发明属于中药组合物，具体地说，是涉及一种用于褥疮治疗的中药配方及其制备方法。
背景技术
褥疮又称压力性溃疡、压疮，是由于局部组织长期受压，发生持续缺血、 缺氧、营养不良而致组织溃烂坏死。褥疮是临床上常见的一种并发症，特别是 年老体弱久病卧床、昏迷、瘫痪的病人，因长期卧床，局部皮肤受摩擦力作用 易损坏角质层，同时持续受压血液循环障碍，造成缺血缺氧皮肤溃烂形成溃疡； 是身体局部组织长期受压，血液循环障碍，局部组织持续缺血、缺氧、营养缺 乏，致使皮肤失去正常功能，而引起的组织破损和坏死。如不及时治疗可长期 不愈，患者疼痛难忍，或溃疡面扩大及加深，易引起败血症甚至危及患者生命。
治疗褥疮可分为西医和中医两种方法。西医治疗方法多采用消毒剂或抗生 素，主要是控制细菌生长，但同时也抑制了创面组织细胞的再生，使得创面愈 合慢，疗程长；中医理论认为褥疮乃因大病久着床席，不能转侧，长期受压，气血运行受阻，气滞血瘀，经脉不通，致使肌肉、皮肤、筋脉失于温煦濡养、毒聚肉腐，皮肉坏死而成，病机概括为气滞血瘀，湿热瘀毒蕴结。
目前治疗褥疮的药物较多，疗效也较显著。现在临床上普通外科换药，用 无菌纱布包扎，或者用一些进口的材料，费用极高，普通百姓难以承受；而且 创面愈合效果不佳，愈合时间长，增加患者的身心痛苦和经济负担。而且目前 大家都把目光放在如何治疗褥疮上，关于如何预防褥疮的药物的研究基本上没 有，若是把褥疮遏制在尚未萌芽阶段，会给人们减少很多痛苦，因此，寻找一 种能预防褥疮的药物迫在眉睫。
发明内容
为了克服上述现有技术的不足，本发明提供了一种治疗褥疮的中药配方及其制备方法，主要解决现有治疗褥疮方法见效慢、效果不明显、涂抹药膏后创面不清洁易结痂，结痂后易并发感染，创面难愈合、长期应用西药治疗副作用大等技术缺陷。
为了实现上述发明目的，本发明制成该药物有效成分的原料组成及其重量配比为：虎杖50g，紫草80g，龙胆草50g，黄岑60g，黄柏60g，大黄60g，白芷50g，乳香28g，没药28g，红花50g，象皮28g，三七粉28g，珍珠粉28g，血竭38g，麻油1000g，蜂蜡适量。
本发明中药组合物的制备和使用方法：将前11味药放入麻油内，72小时后用小火煎至药物呈焦枯状，过滤去渣，再将三七粉、珍珠粉、血竭加入，继续小火煎15分钟，加入蜂蜡适量冷却后备用，将药膏搽于纱布上，轻轻填塞于创面基底部，每日换药1次，若脓性分泌物过多，可适当增加换药次数，疮面新部位可均匀喷洒适量药膏。
发明用于治疗褥疮的中药汤剂，选择天然药物，针对褥疮病因病机，各味药材各具其效，互相协调，紫草、虎杖抗感染；龙胆草、黄岑、黄柏、大黄性寒味苦，清热解毒、抗菌消炎；象皮利湿止痛，排脓生肌；三七、红花活血散瘀止痛；珍珠粉、血竭活血通络、利湿生肌；麻油活血生肌润肤，防止创面干裂出血，促进皮肤生长或痂皮脱落。
具体实施方式
实施例1：一种治疗褥疮的中药汤剂，按重量份数包括以下中药成分：虎杖50g，紫草80g，龙胆草50g，黄岑60g，黄柏60g，大黄60g，白芷50g，乳香28g，没药28g，红花50g，象皮28g，三七粉28g，珍珠粉28g，血竭38g，麻油1000g，蜂蜡适量。
实施例2：如果患者创面恢复慢，在上述组分加炉甘石28g，滑石28g，麝香28g。
将前11味药放入麻油内，72小时后用小火煎至药物呈焦枯状，过滤去渣，再将三七粉、珍珠粉、血竭加入，继续小火煎15分钟，加入蜂蜡适量冷却后备用，将药膏搽于纱布上，轻轻填塞于创面基底部，每日换药1次，若脓性分泌物过多，可适当增加换药次数，疮面新部位可均匀喷洒适量药膏。
以下通过实用例来阐明本发明所述用于褥疮护理的中药配方的临床治疗效果。
1、临床资料
选取150例褥疮患者进行临床观察试验，诊断标准：见于久病卧床或昏迷不能自动翻身的患者，在接触床褥的身体背面的突出部位，皮肤苍白，灰白或红色，边界清楚，中心颜色变深；好发于枕骨部、脊柱、肩胛、坐骨结节、骶骨、股骨粗隆、足外踝及跟部等；病势急速进展，在皮肤表面发生水疱，破后形成溃疡，处理不当，皮损扩大蔓延，向深部侵及肌肉，骨骼形成坏死，易继发感染或血行播散引起败血症，自觉疼痛；起病较长，一年四季均可发病。
2、疗效标准
治愈：溃疡面完全愈合；
显效：无分泌物，疮面缩小明显，肉芽组织生长正常；
好转：渗出减少，疮面缩小；
无效：疮面无改变，仍有渗出。
3、治疗结果
治疗效果：临床治愈105例，显效21例，好转19例，无效5例，总有效率96.7％，复发率为0。
典型案例：
张某,女，50岁；褥疮部位：尾骶部4处、坐骨结节2处、髂嵴3处、足跟部3处、足踝部1处，面积最12 cm，最小1．5cm。使用本发明中药配方，一日1次，每7天为一疗程，使用两个疗程后，患处明显好转，继续使用2个疗程，基本治愈，随访半年未复发。

Claims (3)

1.一种治疗褥疮的中药配方，其特征在于：该中药配方按重量份数包括以下中药成分：虎杖50g，紫草80g，龙胆草50g，黄岑60g，黄柏60g，大黄60g，白芷50g，乳香28g，没药28g，红花50g，象皮28g，三七粉28g，珍珠粉28g，血竭38g，麻油1000g，蜂蜡适量。
2.如权利要求1所述的治疗褥疮的中药配方，其特征在于：该中药配方还包括炉甘石28g，滑石28g，麝香28g。
3.如权利要求1所述的治疗褥疮的中药配方的制备方法，其特征在于：将前11味药放入麻油内，72小时后用小火煎至药物呈焦枯状，过滤去渣，再将三七粉、珍珠粉、血竭加入，继续小火煎15分钟，加入蜂蜡适量冷却后备用，将药膏搽于纱布上，轻轻填塞于创面基底部，每日换药1次，若脓性分泌物过多，可适当增加换药次数，疮面新部位可均匀喷洒适量药膏。
CN201710881342.2A 2017-09-26 2017-09-26 治疗褥疮的中药配方及制备 Withdrawn CN107669868A (zh)

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