CN110812446A - 一种治疗烧伤的生肌消炎外用膏 - Google Patents

一种治疗烧伤的生肌消炎外用膏 Download PDF

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CN110812446A
CN110812446A CN201911330232.2A CN201911330232A CN110812446A CN 110812446 A CN110812446 A CN 110812446A CN 201911330232 A CN201911330232 A CN 201911330232A CN 110812446 A CN110812446 A CN 110812446A
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李新鹏
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Abstract

本发明涉及一种治疗烧伤的生肌消炎外用膏,该外用膏包括当归、紫草、白芷、乳香、没药、血竭、轻粉、冰片、薄荷、何首乌、黄精、大黄、牛黄、五倍子、黄柏、连翘、珍珠等多种中草药组分。本发明全方治则明析,配伍合理,各味药物协同作用,具有清热解毒、消肿止痛,去腐生肌等功能,受广大患者的一致赞誉。

Description

一种治疗烧伤的生肌消炎外用膏
技术领域
本发明涉及一种治疗外伤消炎的外用中草药,尤其涉及一种治疗烧、烫、灼伤及外伤感染不愈合的外用膏剂。
背景技术
现有一些治疗各种烧伤、烫伤的药物,均有这样或那样的不足,不能达到疗效好、见效快。尤其,大面积Ⅲ度烧伤治疗中,对环境和护理要求十分严格,需在无菌下操作,特别是需要切痂,移植皮,备用皮需要在液氮中贮藏,治疗中尚需注射抗生素等,以防止发生交叉感染,即使能治愈,也需要较长时间,费用昂贵,给患者带来痛苦。
现有技术中心,也存在在中药治疗中采用外敷膏剂的方式,但疗效仍不够理想。北京中医学院曹春要主编的《中药制剂汇编》,由人民出版社出版,1983年10月发行。其中,第835页有关于“黄连膏”的记载,其处方:黄连、黄柏、姜黄各3钱,当归1两,生地1两,香油半斤,蜂蜡4两,该药制法:将前5味药放入油内,炸成黄色去渣;将蜂蜡切碎放入另一盆内,然后将热香油倒入另一蜂蜡盆中即成,该药具有清热消炎,用于一、二度烧伤。涂于烧伤面,至于疗效等未有记载。
“烧伤油”(该《汇编》第834页),处方为白紫草15%,土大黄、小黄、芩、鸡脚刺、鸡素子叶、大蓟、黄柏各10%,地榆20%,香白叶5%,其制法为:用菜油(能浸泡过药物为宜)煎至药物礁碎,冷却后去渣即成。用法:用纱布于烧伤油中浸渍成油纱布外敷用。具有清凉、消炎、杀菌、止痛、生肌之功能,用于烧伤。先用高锰酸钾溶液清洗创面,水泡可用消毒注射器吸去内容物,Ⅱ、Ⅲ度烧伤皮脱落处用油纱布湿敷;未脱落处以涂擦或喷洒煎剂治疗。第一周内每日喷擦4-6次,感染控制后每日2-3次,直至结痂脱落痊愈为止。所述煎剂以中草药苦黑黑加水2倍,煎煮至1倍时去渣即成。具有消炎止血,杀菌生肌之功能,治疗效果《汇编》中未记载。
发明内容
本发明的目的在于克服现在治疗烧伤、烫伤中存在的问题,提供一种治愈率≥99%的外用膏剂。
本发明是经过几代人祖传药物的基础上,经过五十多年的临床实践验证选定的,五十多年的临床实践验证,对各种烧伤、烫伤1、2、3度烧伤具有疗效好,见效快,无需切痂植皮,自然长出新出的奇特效果。
本发明的目的是通过如下技术方案予以实现的:
一种治疗烧伤生肌的消炎外用膏,该膏剂包括以下中草药组分:当归、紫草、白芷、乳香、没药、血竭、轻粉、冰片、薄荷、何首乌、黄精、大黄、牛黄、五倍子、黄柏、连翘和珍珠。其中,各组份用量均为60-80重量份。
优选地,该膏剂按重量份计包括以下中草药组分:当归80份、紫草80份、白芷60份、乳香60份、没药60份、血渴60份、轻粉60份、冰片60份、薄荷60份、何首乌60份、黄精60份、大黄60份、牛黄60份、五倍子60份、黄柏60份、连翘80份和珍珠60份。并且,制备过程中各原料以此排列顺序下药。
进一步,该膏剂还包括由香油和凡士林构成的湿润剂。
所述治疗烧伤生肌的消炎外用膏的具体制备方法为:将个中草药组分按配方进行称重、经粉碎、过120目筛,得到混合粉剂,向该粉剂中先后加入其总质量62.5%的香油和62.5%的凡士林,搅拌混匀,即得该膏剂。
功能及主治:清热解毒、止痛止痒、祛风养血、通络杀虫、消肿杀菌、安神生肌等,用于烧、烫、灼伤。
包装贮存:本发明的外用膏,按每瓶充装500g的装量装入药用塑料瓶内;然后库于通风、凉爽处保存,有效期为3年。
使用方法:将患处创伤面用医用盐水清洗干净,待创伤面无水干后,在塑料布上对齐叠放6层灭菌纱布。然后在最上层纱布上平摊5mm厚的本外用膏,并置于创伤面。或将所述的外用膏摊在患部创伤面上,然后依次覆上六层纱布、塑料布。一天换药二次,换药前需用所述的医用盐水清洗干净,直至长出新皮。
注意事项:治疗期间:①忌食牛、羊、鸡肉等;②忌醒食,如鱼、虾、蟹等;③忌食辛辣食物,如辣椒、葱、蒜等;④忌食发物,如鸡蛋、豆制品、韭菜和萝卜等。
本发明提供的治疗烧伤的外用膏,已经过六代人的精心研究,长期临床,不断完善提高,取其精华,科学组成的精良祖传密方。丰富了中华医药宝库。
本发明提供的上述外用膏的组方中:
当归:性味甘而辛,活血、补血;
紫草:性味甘、咸,解毒袪斑,消热消肿;
白芷:性温、味辛,解表散寒,袪风止痛;
乳香:性温、味苦辛,消炎防腐,消肿生肌;
没药:性平、味苦辛,活血止痛,消肿生肌;
血竭:性味甘、咸、平,血血定痛,化瘀止血;
轻粉:性寒、味辛,攻毒、敛疮;
薄荷:性味辛凉,疏风散热,透疹止痒;
冰片:性味辛苦、微寒,消热解毒,止疼止痒;
何首乌:性味苦涩,袪风养血,通络止痒;
黄精:性味甘平,杀虫解毒,温寒助阳;
大黄:性味苦寒,清热利湿,杀虫止痒;
牛黄:性味甘凉,清热解毒,袪风消肿;
五倍子:性味酸涩,收湿敛疹,止血敛汗
黄柏:性苦寒,清热解毒,燥湿止痒;
连翘:性味苦,微寒,清热解毒,止血杀菌;
珍珠:性味咸,甘、寒、解毒生肌,安神潜阳。
以上17味中草药组分各看顾功效发挥行淋漓尽致,特别由于各组分之间配伍的协同协应,用于治疗大面积Ⅲ度烧伤收到了令人鼓舞的显著效果。
方中紫草苦寒清泄,甘咸滑利,善凉血解毒;连翘苦能泄散,微寒能清素有“疮家圣药”之称。当归辛温走窜,能补血活血止痛,亦可防苦燥与寒凉太过。三药合用,清热解毒,活血止痛。故为君药。
白芷辛香温散,走肌肤能消肿排脓而疗疮肿。黄柏苦寒清泄,善泻火解毒燥湿。牛黄苦凉清泄,又散结消肿;乳香辛散苦泄,香窜温通;没药辛散苦泄,香窜而平善活血化瘀;大黄苦寒清热,即清热泻火解毒,又导热外出;薄荷辛香凉散,疏泄滑利;血渴活血定痛代淤止血,生肌敛疮;五倍子酸涩收敛,能止痛敛疮。合用可助君药解毒消肿,生肌,止痛,故共为臣药。
冰片辛香走窜,苦泄微寒;轻粉辛寒有毒,外用解毒祛腐;何首乌补血,解毒;黄精滋阴润肺,补脾益气;珍珠收湿敛疮,合用之能助臣药敛疮,又能调和诸药,故为佐使药。
全方配位,主以清解,兼以散涩,共奏清热解毒凉血化瘀,消肿止痛。祛腐生肌之功,故善治烧烫伤或电灼伤。
经过长期的精心研究、临床,不断完善,使得最终获得本发明的上述膏剂具有如下特性:本烧伤生肌消炎外用膏,无需在无菌下操作,无需注射抗生素,疗程短,见效快,费用低,大部分患者可接受,正因选材独特,配伍合理,才能达到如此效果。
毒副作用:本烧伤生肌外用消炎外用膏,全部采用中药配方,各原材料君臣佐使的作用关系,安全可靠。
治疗效果:两种烧伤油的治疗效果未记载,但本品烧伤消炎生肌外用膏,经多年临床经验,治疗效果奇特,无需移、植皮就可痊愈,并无疤痕。是现有的(如,背景技术中提到的两种)烧伤油做不到的。
附图说明
图1是Ⅰ度烧伤实例在外敷本发明的实施例3的药膏第1天、第3天和第7天后的伤处外观图。
图2是Ⅱ度烧伤实例在外敷本发明的实施例3的药膏第1天、第15天和第20天后的伤处外观图。
图3是Ⅲ度烧伤实例在外敷本发明的实施例3的药膏第1天和第120天后的伤处照片。
具体实施方式
下面结合具体实施例对本发明提供的产品进行进一步说明。但本发明并不仅限于以下实施例。
实施例1
按本发明各中草药原料重量份配比,分别称取当归、紫草、白芷、乳香、没药、血竭、轻粉、冰片、薄荷、何首乌、黄精、大黄、牛黄、五倍子、黄柏、连翘、珍珠各60kg,依次按此顺序下药,粉碎过120目筛得到1020kg混合粉剂;将该粉剂放进不锈钢容器内,然后向该粉剂中加入637.5kg香油,启动搅拌器,再加入637.5kg的凡士林,直到混匀,并按500g/瓶,共分装在4590个塑料瓶中,入库于通风凉爽处存放。
实施例2
按本发明各中草药原料重量配比,分别称取当归、紫草、白芷、乳香、没药、血竭、轻粉、冰片、薄荷、何首乌、黄精、大黄、牛黄、五倍子、黄柏、连翘、珍珠各80kg,依次按此顺序下药,混合粉碎(或分别粉碎后混合)过120目筛得到混合粉剂1360kg,将其加至带搅拌器不锈钢容器内,然后加850kg香油,边搅拌边加入850kg凡士林,使之混匀,并按每瓶充装500g,分装成6120瓶,入库于通风凉爽处存放备用。
实施例3
按本发明各中草药原料重量配比,分别称取当归80kg、紫草80kg、白芷60kg、乳香60kg、没药60kg、血渴60kg、轻粉60kg、冰片60kg、薄荷60kg、何首乌60kg、黄精60kg、大黄60kg、牛黄60kg、五倍子60kg、黄柏60kg、连翘80kg和珍珠60kg,依次按此顺序下药,混合粉碎(或分别粉碎后混合)过120目筛得到混合粉剂1080kg,将其加至带搅拌器不锈钢容器内,然后加675kg香油,边搅拌边加入675kg凡士林,使之混匀,并按每瓶充装500g,分装成4860瓶,入库于通风凉爽处存放备用。
用本发明的外用膏,通过对850例烧烫伤患者的临床观察,Ⅰ、Ⅱ度烧烫伤患者620例,其中男430人,女性190人,年龄从4-5岁到80岁左右。其中,Ⅰ度患者经2-7天治疗,治愈率达100%;Ⅱ度患者5-20天治愈率100%;Ⅲ度患者230人,其中男167人,女63人,以7天为一个疗程,经3-7个疗程的治疗,有效率达100%,治愈率达98%(严重者治愈可能需要更多疗程)。不用切痂,减轻患者痛苦。敷用简单,用医用盐水将创伤面洗净,干后敷涂,一天换二次药,换药前同样清洗创伤面,第六天患部周围出现生肌新皮;无浓毒,无感染期,无休克期。下面为几个病例的具体描述:
杨某,1985年右手被氢氟酸烧伤,经医治半个月治疗无效,手指尖露出骨头,还淌脓水。经用医用盐水清洗干净干后,涂敷本外用膏后,不到5分钟就无疼痛感,从包裹的纱布里往外流水淌脓,经每天早晚清洗换药,2个疗程(15天)后,新肉新皮新指甲全部长出来了,无一点疤痕。
焦某,1989年11月酒后驾驶机动三轮车翻进深沟,油箱起火,汽油与食道里的酒内外一起烧起来,爬出来后已经人事不醒,被过路人救送,经涂敷本外用膏后,当天夜里开始吐出黑粘液,后半夜吐物中见鲜血。第4天自行进食,第10天带药回家自行涂敷,治疗中未出现发烧症状。
李某,1995年冬季,驾驶拖拉机翻车,一水箱开水全扣在脑袋和脖子上。经当地医院治疗,10天后脑袋、脖子肿得几乎与肩膀一样宽,患部有臭味,伴有高烧。经洗去烂肉涂敷本外用膏剂,第二天换药时,肿消退很多,高烧也退下;第三天患者带药回家自敷。
除了上述之外,还可用于外伤,如冻伤、红伤(刀、枪伤)治疗。整形美容涂敷本膏剂10-15天即可;对术后刀口不愈合的患者,敷用本膏,均有明显效果。
对于效果,在此还提供实际直观效果。
针对I度烧伤实例,如图1所示,该图从左至右依次为外敷本发明实施例3药膏第1天、第3天和第7天的效果图。通过该图可证实,本品发明药膏一度烧伤只需7天痊愈。而,相对地,现有的黄连膏一度烧伤需要15-30天痊愈、烧伤油一度烧伤则需要25-35天痊愈。
针对另一Ⅱ度烧伤实例,如图2所示,该图从左至右依次为外敷本发明实施例3药膏第1天、第15天和第20天的效果图。本品发明药膏二度烧伤不需做植皮手术25天后痊愈,再经10天康复无任何疤痕。相对地,现有的黄连膏二度烧伤需要做植皮手术(痊愈时间不确定),烧伤油二度烧伤需要做植皮手术(痊愈时间不确定)。
针对又一Ⅲ度烧伤实例,如图3所示,该图从左至右依次为外敷本发明实施例3药膏第1天和第120天的效果图。本品发明药膏三度烧伤不需做植皮手术,不需要截肢,120天后痊愈。而相对地,黄连膏三度烧伤需要做植皮手术(痊愈时间不确定,可能做截肢手术);烧伤油三度烧伤需要做植皮手术(痊愈时间不确定,可能做截肢手术)。
根据上述病情统计和个案描述可知,本发明的烧伤生肌消炎外用膏无需在无菌下操作,无需注射抗生素,疗程短,见效快,费用低,大部分患者可接受,正因选材独特,配伍合理,才能达到如此优异的效果。
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。

Claims (7)

1.一种治疗烧伤的生肌消炎外用膏,其特征在于,所述外用膏包括以下中草药组分:当归、紫草、白芷、乳香、没药、血竭、轻粉、冰片、薄荷、何首乌、黄精、大黄、牛黄、五倍子、黄柏、连翘和珍珠。
2.根据权利要求1所述的治疗烧伤的生肌消炎外用膏,其特征在于,各中草药组分用量分别为60-80重量份。
3.根据权利要求书1或2所述的治疗烧伤的生肌消炎外用膏,其特征在于,所述外用膏按重量份计包括以下中草药组分:当归80份、紫草80份、白芷60份、乳香60份、没药60份、血渴60份、轻粉60份、冰片60份、薄荷60份、何首乌60份、黄精60份、大黄60份、牛黄60份、五倍子60份、黄柏60份、连翘80份和珍珠60份。
4.根据权利要求1-3任一所述的治疗烧伤的生肌消炎外用膏,其特征在于,所述外用膏还包括由香油和凡士林构成的湿润剂。
5.根据权利要求1-4任一所述的治疗烧伤的生肌消炎外用膏,其特征在于,香油和凡士林的添加量均为中草药组分总重量的62.5%。
6.根据权利要求1-5任一所述的治疗烧伤的生肌消炎外用膏,其特征在于,所述外用膏通过如下方法制备:将各中草药组分进行称量,经粉碎、过120目筛,得到粉剂,向该粉剂中先后加入其总质量62.5%的香油和62.5%的凡士林,搅拌混匀,即得所述外用膏。
7.根据权利要求1-6任一所述的治疗烧伤的生肌消炎外用膏,其特征在于,所述外用膏的使用方法为:将所述外用膏均匀平摊于六层纱布的一侧表面上,厚度为5mm,制成所述外用膏的贴剂,将所述贴剂带有所述外用膏的一侧敷于患处,每天两贴,早晚各一贴,敷前用盐水清洗患处,直至长出新皮。
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