CN110876786A

CN110876786A - Traditional Chinese medicine for treating hiccup

Info

Publication number: CN110876786A
Application number: CN201811040767.1A
Authority: CN
Inventors: 朱玉鹏; 罗丽莉; 何学明
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-09-06
Filing date: 2018-09-06
Publication date: 2020-03-13

Abstract

The invention discloses a traditional Chinese medicine for treating hiccup, which is prepared from the following raw medicinal materials in parts by weight: 20-30g of salvia miltiorrhiza, 6-10g of costustoot, 6-12g of amomum tsao-ko, 1-4g of clove, 5-7 calyx kaki, 6-12g of dried orange peel, 6-10g of mangnolia officinalis, 5-8g of immature bitter orange, 5-8g of bitter orange, 7-12g of jade tablet, 7-12g of fructus amomi, 7-12g of fingered citron, 12-20g of fried bighead atractylodes rhizome, 10-15g of charred triplet, 6-10g of fried radish seed, 10-15g of szechwan Chinaberry fruit, 5-8g of perillaseed and 5-8g of honey-fried licorice root. The traditional Chinese medicine for treating hiccup provided by the invention takes natural Chinese herbal medicines as raw materials, does not contain preservatives and western medicine components, and has various effects of guiding qi downward, lowering adverse qi, reducing phlegm, preventing vomiting, soothing liver, harmonizing stomach, nourishing yin, promoting fluid production, clearing heat, moistening lung and the like; the components are properly matched, the synergistic effect is obvious, and the traditional Chinese medicine composition can treat both symptoms and root causes of hiccup, and also can treat gastroparesis, reflux esophagitis and bile reflux gastritis; has good curative effect, quick response, safety and no side effect.

Description

Traditional Chinese medicine for treating hiccup

Technical Field

The invention belongs to the technical field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine for treating hiccup, in particular to a traditional Chinese medicine for treating intractable hiccup.

Background

Diaphragmatic spasm, also known as singultus, is paroxysmal spasm of one or both sides of the diaphragm muscle caused by stimulation of the diaphragm muscle, the phrenic nerve, the vagus nerve or the central nerve, accompanied by sudden closure of the glottis during inspiration, and producing a short, loud, special sound. Various reasons for hiccup include the functional or organic changes of stomach and esophagus, and external biochemical and physical stimulation. The main clinical manifestations are hiccup with continuous hiccup sound, short sound, no self-control sound and sound or no object due to failure of descending stomach qi, adverse rising of turbid qi and ascending of throat. Patients with mild diseases can not cure the disease by self-healing, and patients with severe diseases affect the digestion of food and even sleep and harm the health.

The traditional Chinese medicine considers that hiccup is mainly caused by the upward reversal of stomach qi due to cold evil accumulation, internal excess of stomach fire, qi depression and phlegm obstruction, deficiency of qi and blood and the like, and the hiccup is mainly caused by improper diet, overeating of cold substances or cold medicines, so that cold qi is accumulated in the stomach, and the stomach qi is lost and descends to cause the upward reversal; or disharmony between emotions, depression, anger, stagnation of qi due to depression of the liver, and transverse adverse flow of qi affecting the stomach, so as to cause stomach disorder and descending; or transformation of pathogenic fire due to qi stagnation, burning body fluid into phlegm, and ascending of phlegm accompanied by stomach qi; or stomach qi goes up reversely because stomach fluids are damaged by vomiting-descending herbs and the stomach fails to be nourished. Hiccup is caused by the adverse rising of stomach qi, and is mainly indicated for stomach harmonizing, qi descending and hiccup stopping.

If the hiccup lasts for more than 48 hours, the clinical diagnosis is intractable hiccup. It is divided into reflexive, central, metabolic disorder and psychogenic by reason.

Continuous or intractable hiccup is mainly classified into craniocerebral cause and extracranial cause.

1. Extracranial cause:

1.1 neck diseases: simple goiter, aneurysm, tracheal cyst, diverticulum of trachea, and arteriovenous tumor.

1.2 chest diseases: pleuritis, mediastinal compression, mediastinal inflammation, pericarditis, pneumonia, lung abscess, lung cancer, esophageal cancer, esophagitis and the like.

1.3 aortic aneurysm, diaphragmatic bulge, diaphragmatic hernia.

1.4 intra-abdominal causes: lower esophageal cancer, hiatal hernia, esophageal variceal rupture, gastrorrhagia, gastric cancer, gastric or duodenal ulcer perforation, liver cancer, liver abscess, gallbladder cancer, colon cancer, pancreatic cancer, peritonitis, subphragmatic abscess, intestinal flatulence and ascites.

1.5 metabolic disorders: hypocalcemia, uremia, hepatic encephalopathy, diabetic ketoacidosis, diabetic hyperosmolar coma, septicemia, etc.

1.6 iatrogenic: after radiotherapy and chemotherapy, after abdominal and mediastinal surgery, laparoscopy or surgery.

2. Reasons for craniocerebral reasons:

2.1 cervical and craniocerebral trauma: 3-5 trauma to the central nervous system above the cervical medulla: high cervical vertebra fracture, epidural hematoma, etc.

2.2 tumors: high cervical vertebra tumor and posterior fossa tumor include cerebellum, medulla oblongata and tumor compression or intracranial hypertension of fourth ventricle.

2.3 cerebrovascular disease: cerebral vascular hemorrhage compression, cerebral thrombosis or cerebral arteriosclerosis may cause intracranial hypertension and secondary intractable hiccup.

2.4 infection and other factors: tuberculous meningitis, brain abscess and herpes zoster secondary encephalomyelitis infection or hiccup induced by drunkenness, general anesthesia or anaphylaxis.

The following are the general therapies for continuous or intractable hiccup:

1. breath holding after inspiration: the patient can quickly hold his breath after deeply inhaling, and then slowly exhale. This method can be used repeatedly, and is mostly used for those induced by mental stimulation and too fast food intake.

2. Pressing binocular ball method: the patient puts the two thumbs on the eyeball on both sides of the patient, and properly kneads the upper part of the eyeball in the clockwise direction until hiccup stops. This method is mostly used for the patients with abdominal operation, but it is contraindicated for glaucoma and high myopia patients, and it is used with cautions for heart disease patients and needs the doctor to operate.

3. Supraorbital nerve compression: the patient is in a flat position or a sitting position, the operator presses the orbits on the two sides of the patient with the thumbs of the two hands, which is equivalent to the supraorbital nerve position, so as to be endurable, the thumbs of the two hands rotate for 2-4 minutes alternately, and the patient is ordered to hold breath rhythmically.

4. Carotid sinus compression therapy: gently rub and press the unilateral carotid sinus with the finger abdomen.

5. Tongue pulling method: the patient takes the supine position or the semi-supine position, opens the mouth and stretches the tongue, the operator wraps the front 1/3-1/2 part of the tongue body with the sterile gauze, slightly pulls the tongue body outwards until the patient feels slightly painful, and releases the hands after about 30 seconds to restore the tongue body.

6. Foot treatment: order the patient to rub the sole of the foot (1 cun below Yongquan) with the fingers under pressure until hiccup stops.

7. Water-containing breath-holding method: let the patient hold water in a large mouth, hold the breath and stop breathing for as long as possible, swallow water into the stomach when unbearable, pay attention to not choke into the trachea. The method can be used repeatedly, and is forbidden for patients with heart and brain diseases.

For intractable hiccup, the above methods cannot be prevented, and some medicines can be applied for symptomatic treatment. Muscle relaxants such as baclofen and eguiping tablet; antipsychotics and the like inhibit the excitability of diaphragm muscle, such as haloperidol, chlorpromazine; antidepressants such as doxepin, amitriptyline; central stimulants such as ritalin, nicotemide; anesthetics, such as lidocaine, codeine phosphate, and the like; anticholinergics, such as amban, scopolamine, atropine, etc.; antiepileptic drugs such as sodium valproate, phenytoin sodium, etc. The medicines are used for treating the diseases, the problems of poor treatment effect, long treatment course, high treatment cost and the like exist, and western medicines have large side effects on the body and are in urgent need of improvement.

In addition, diaphragm spasm is diagnosed in Western medicine, and hiccup is diagnosed in traditional Chinese medicine. The modern intractable hiccup is common in clinic, and especially after the general surgery, patients have intractable hiccup, the recovery of postoperative incisions and viscera has great influence, the modern treatment is very troublesome in the treatment process, the western medicine mainly takes spasmolysis treatment, the frequent effect is not good, especially the intractable hiccup, the abdominal distension of patients under physical examination, the hiccup is continuous, and the patients prefer warm and press.

Disclosure of Invention

The invention aims to provide a traditional Chinese medicine for treating hiccup, which has good effect on treating hiccup, particularly intractable hiccup and gastroparesis, and has no side effect, and the treatment mainly aims at dispelling cold, regulating stomach, lowering adverse qi and helping digestion; solves the clinical symptoms which are difficult to solve by western medicine.

The purpose of the invention is realized by the following technical scheme: a traditional Chinese medicine for treating hiccup is prepared from the following raw medicinal materials in parts by weight:

20-30g of salvia miltiorrhiza, 6-10g of costustoot, 6-12g of amomum tsao-ko, 1-4g of clove, 5-7 calyx kaki, 6-12g of dried orange peel, 6-10g of mangnolia officinalis, 5-8g of immature bitter orange, 5-8g of bitter orange, 7-12g of jade tablet, 7-12g of fructus amomi, 7-12g of fingered citron, 12-20g of fried bighead atractylodes rhizome, 10-15g of charred triplet, 6-10g of fried radish seed, 10-15g of szechwan Chinaberry fruit, 5-8g of perillaseed and 5-8g of honey-fried licorice root.

As a preferable formula, the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

20g of salvia miltiorrhiza bunge, 6g of costustoot, 6g of fructus amomi kowter, 3g of clove, 5 calyx kaki, 6g of dried orange peel, 6g of mangnolia officinalis, 6g of immature bitter orange, 6g of fructus aurantii, 9g of jade tablet, 9g of fructus amomi, 9g of fingered citron, 12g of fried bighead atractylodes rhizome, 10g of charred triplet respectively, 6g of fried radish seed, 10g of szechwan chinaberry fruit, 6g of perillaseed and 6g of honey-fried licorice root.

As another preferable formula, the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

30g of salvia miltiorrhiza bunge, 10g of costustoot, 12g of fructus amomi, 3g of clove, 7 calyx kaki, 12g of dried orange peel, 10g of mangnolia officinalis, 6g of immature bitter orange, 6g of fructus aurantii, 9g of jade tablet, 9g of fructus amomi, 9g of fingered citron, 20g of fried bighead atractylodes rhizome, 15g of charred triplet respectively, 10g of fried radish seed, 15g of szechwan chinaberry fruit, 6g of perillaseed and 6g of honey-fried licorice root.

25g of salvia miltiorrhiza bunge, 8g of costustoot, 9g of fructus amomi, 3g of clove, 6 calyx kaki, 8g of dried orange peel, 8g of mangnolia officinalis, 6g of immature bitter orange, 6g of fructus aurantii, 9g of jade tablet, 9g of fructus amomi, 9g of fingered citron, 16g of fried bighead atractylodes rhizome, 12g of charred triplet respectively, 8g of fried radish seed, 12g of szechwan chinaberry fruit, 6g of perillaseed and 6g of honey-fried licorice root.

22g of salvia miltiorrhiza bunge, 7g of costustoot, 8g of fructus amomi, 3g of clove, 6 calyx kaki, 11g of dried orange peel, 7g of mangnolia officinalis, 6g of immature bitter orange, 6g of fructus aurantii, 9g of jade tablet, 9g of fructus amomi, 9g of fingered citron, 18g of fried bighead atractylodes rhizome, 13g of charred triplet respectively, 7g of fried radish seed, 13g of szechwan chinaberry fruit, 6g of perillaseed and 6g of honey-fried licorice root.

The eating method of the traditional Chinese medicine formula comprises the following steps: after the weight ratio is finished, all the medicinal materials are directly mixed together, the mixture is decocted in cold water, and the mixture is decocted for 40 minutes by warm fire after the water is boiled. One dose per day, decocting twice, and taking orally a little for each time with empty stomach. 3 doses are a course of treatment, which can be modified according to the disease condition.

Radix salviae miltiorrhizae: also named as Saviae Miltiorrhizae radix, radix Ginseng Rubra, radix Ginseng Indici, herba Penniseti, radix Ginseng Indici, radix Ginseng Rubra, radix Ginseng, Saviae Miltiorrhizae radix, rhizoma Prunellae, and radix Ginseng Indici can be named separately. The root used as medicine contains tanshinone, and has effects of removing blood stasis, promoting tissue regeneration, promoting blood circulation, and regulating menstruation.

Costustoot: radix aucklandiae is root of Compositae plant radix aucklandiae, and is cylindrical or flat cylindrical. Strong and specific smell, sweet first and bitter later, slight tongue prickling. The main treatment is as follows: move qi and alleviate pain, regulate middle energizer and remove food stagnation, manifested as distention and fullness in the hypochondrium, distending pain in the abdomen, belching, vomiting and diarrhea, and severe dysentery. Can be used for treating chest and abdominal distention and pain, dysentery with diarrhea, dyspepsia, anorexia, sudden deafness, snake and insect bite, and toothache.

Grass beating: semen Alpiniae and semen Alpiniae. The main components are as follows: contains volatile oil, mainly including cardamonin and zingiberin. The efficacy and the effect are as follows: 1. invigorating stomach and stopping vomiting. 2. Dispel cold and check diarrhea, and has astringent effect.

Clove and calyx kaki: the function is mainly for descending adverse qi. Can be used for treating singultus. The herbal Zhenzhen: persimmon calyx is bitter and neutral in flavor, although it has the same hiccup flavor as clove, it is pungent and hot, bitter and neutral in flavor, and combined use of them can obtain the good effect of both cold and heat.

Magnolia officinalis: is also named as cortex Magnolia officinalis, and cortex Magnolia officinalis. Nature, flavor and meridian tropism: warm in nature, bitter and pungent in flavor; it enters spleen, stomach, lung and large intestine meridians. The efficacy and the effect are as follows: dry dampness and resolve phlegm, descend qi and remove fullness, which belong to damp-resolving herbs.

Immature bitter orange: nature, flavor and meridian tropism: slightly cold in nature, bitter, pungent and sour in flavor. It enters spleen and stomach meridians. The efficacy and the effect are as follows: break qi, remove food retention, resolve phlegm and disperse mass; belongs to qi-regulating herbs.

Fructus aurantii: bitter, pungent, sour and warm in nature, has the effects of regulating qi, relieving epigastric distention, activating stagnancy and relieving distension, and is mainly used for treating qi stagnation in chest and hypochondrium, fullness and pain, indigestion and retention of food, and retention of phlegm and fluid; gastroptosis, proctoptosis, uterine prolapse, etc.

Jade pieces: is named as areca; move qi and induce diuresis, it is indicated for diseases such as parasitic infestation, food retention, abdominal distending pain and so on; the large intestine channel; remove dampness, unblock joints and benefit nine orifices.

Amomum fruit: can be used for treating qi stagnation of spleen and stomach, indigestion, abdominal pain, abdominal distention, dysphagia, emesis, cold diarrhea, and cold dysentery.

Fingered citron: the root, stem, leaf, flower and fruit can be used as the medicine, and are pungent, bitter, sweet, warm and nontoxic; has the functions of regulating qi, reducing phlegm, relieving vomit, relieving distension, soothing liver, strengthening spleen and harmonizing stomach. The invention adopts the fingered citron root, and has more obvious curative effect on indigestion and chest and abdomen swelling.

Frying the bighead atractylodes rhizome: has effects of invigorating spleen and invigorating qi, and is prepared by sprinkling honey-fried bran into a hot pot, adding Atractylodis rhizoma tablet when smoking, parching to brown, and removing honey-fried bran. Every 100g of the white atractylodes rhizome tablets is roasted with 10g of honey bran. The pharmacological actions related to the spleen-invigorating and qi-replenishing effects of the bighead atractylodes rhizome include regulating gastrointestinal motility, resisting ulcer, protecting liver, enhancing organism immunity, resisting stress, enhancing hematopoiesis and the like.

Charred triplet: the parched fructus Hordei Germinatus, fructus crataegi and Massa Medicata Fermentata are added. The three medicines have good functions of removing food retention and resolving stagnation; the scorched malt has good function of digesting starch foods; the scorched hawthorn is good at treating food stagnation caused by meat or excess grease; the scorched medicated leaven is beneficial to digesting rice and flour food. The three medicines are combined to obviously enhance the digestion function.

Frying radish seeds: removing impurities from Raphani semen, cleaning, and drying; it is administered by mashing. Parching Raphani semen to slight bulge according to clear parching method without adjuvant. It is administered by mashing. Nature and taste: pungent, sweet and neutral. Meridian tropism: it enters lung, spleen and stomach meridians. The efficacy is as follows: promote digestion, relieve distension, direct qi downward and resolve phlegm. The main treatment is as follows: can be used for treating food stagnation, abdominal distention and pain, constipation, stagnation, dysentery, phlegm stagnation, and cough and asthma.

Toosendan fruit: nature and taste: bitter and cold. Meridian tropism means liver meridian, small intestine meridian and bladder meridian. The efficacy is as follows: to soothe the liver, release heat, promote qi circulation, alleviate pain and kill parasites. The main treatment is as follows: can be used for treating liver depression, pathogenic fire, distending pain of chest, hypochondrium, abdominal cavity, hernia pain, and abdominal pain due to parasitic infestation.

And (3) Perilla seed: nature, flavor and meridian tropism; pungent and warm. The functional indications are as follows: direct qi downward and resolve phlegm, stop cough and relieve dyspnea, moisten intestines and relieve constipation. Can be used for treating phlegm stagnation and adverse flow of qi, cough and asthma, and constipation due to intestinal dryness.

Honey-fried licorice root: the honey-fried licorice root is prepared by baking honey-fried licorice root, commonly called as processing, namely, putting honey into a pot, refining the honey into medium honey, adding raw licorice root slices with slow fire, uniformly stirring and frying the mixture, taking the mixture out of the pot for 3-5 min, putting the mixture into a baking room or an oven 60-C, taking the mixture out when the mixture is not sticky, and cooling the mixture. Radix Glycyrrhizae Preparata contains glycyrrhizin, glycyrrhetinic acid, and Glycyrrhiza polysaccharide, and has antiinflammatory, antiallergic, immunity regulating, antitumor, and analgesic effects. Therefore, the main effects of honey-fried licorice root are to harmonize the middle warmer, relieve urgency, moisten lung, remove toxicity, and harmonize the other drugs. It is commonly indicated for weakness of spleen and stomach, lassitude, palpitation and intermittent pulse, and can relieve subsidiary toxicity.

Square solution: the prescription is prepared by 'clove persimmon calyx decoction' and 'Peishi Xiao Danshen decoction' with reduction and truncation. The medicines are warm in nature and strong in cold dispelling effect. Clove, calyx kaki and immature bitter orange are used as main drugs. Flos Caryophylli has effects of warming middle-jiao, descending qi, relieving adverse rise of qi, calyx kaki bitter, reducing adverse rise of qi, fructus Aurantii Immaturus has effects of breaking qi, dispelling stagnation, regulating qi-flowing, invigorating spleen, cortex Magnolia officinalis has effects of descending qi, relieving qi stagnation, Raphani semen has effects of relieving qi, relieving flatulence, resolving food stagnation, and radix Salviae Miltiorrhizae, radix aucklandiae grass, fructus Toosendan is "Peishi Xiao Danshen Yin". The combination of the medicines has the functions of eliminating phlegm, harmonizing stomach, lowering adverse qi and promoting digestion. Has remarkable curative effect, and can be made into decoction or pills.

Compared with the prior art, the invention has the beneficial effects that: the traditional Chinese medicine for treating hiccup provided by the invention takes natural Chinese herbal medicines as raw materials, does not contain preservatives and western medicine components, and has various effects of guiding qi downward, lowering adverse qi, reducing phlegm, preventing vomiting, soothing liver, harmonizing stomach, nourishing yin, promoting fluid production, clearing heat, moistening lung and the like; the components are properly matched, the synergistic effect is obvious, and the traditional Chinese medicine composition can treat both symptoms and root causes of hiccup, and also can treat gastroparesis, reflux esophagitis and bile reflux gastritis; has good curative effect, quick response, safety and no side effect.

Detailed Description

The present invention will be further described with reference to the following examples.

Example 1: a traditional Chinese medicine for treating hiccup is prepared from the following raw medicinal materials in parts by weight:

Case 1:

the patient becomes a certain male, the age of 61 years, Han nationality, married, and Lin \27950, farmer No. 30 Yujing Zhengnan Toyocun riverside society in county, who was admitted to the hospital with the "stomach cancer" because of the "intermittent epigastric distending pain discomfort for more than 1 year".

And (4) checking results: the abdomen was flat, no gastric, intestinal and peristaltic waves were observed, no tenderness, no rebound pain and abdominal muscle tone were observed in the whole abdomen, deep tenderness (+) with the xiphoid process in the upper abdomen was not palpated, the abdominal mass was not palpated, percussion pain in the renal area was negative, mobility was negative with turbid voice, and bowel sounds were normal.

And (5) auxiliary inspection results: leukocyte count 3.31 x 10^9/L, lymphocyte count 0.67 x 10^9/L, neutrophil percentage 71.9%, serum globulin 19.9g/L, inorganic phosphorus assay 0.83 mmol/L.

The treatment process comprises the following steps: after the patient is admitted, the relevant examination is actively perfected, the diagnosis of the patient is definite, the operation treatment is performed, no obvious operation contraindication exists, and the Ca radical operation is performed after the intubatton general anesthesia descends the stomach. The operation is smooth, and the patient after the operation is clear-headed and returns to the ward safely. The medical treatment is carried out after the surgery, such as anti-inflammation, fluid infusion support and the like. And (4) prompting a pathological examination result: 1. upper and lower incisional margins of gastric tumors (-); 2. antral part of the stomach: the differentiated glandular Ca is considered, the Ca tissue infiltrates the full layer of the stomach wall, penetrating the serosa. The neuroendocrine Ca is not excluded, and the higher level hospital is advised to consult, and if necessary, the immunohistochemical typing is confirmed. 3. Lymph nodes at the lesser curvature and greater curvature of the stomach: reactive hyperplasia, 6/6. Section consultation report of tumor hospital pathology department in Gansu province, and immunohistochemical result: CK (l) (glandular epithelium +), CK8/18 (glandular epithelium +), CD31 (blood vessel +), CD34 (blood vessel +), CD56 (scatter +), Cg (scatter +), CgA (scatter +), SMA (myo +), S-100 (nerve +), CKpan (glandular epithelium +), Ki-67 (basal lamina +); combined HE sections and immunohistochemistry results: conforming to the ectopic pancreas of the stomach. The somatostatin is continuously pumped after operation, and the symptomatic treatment such as hemostasis, anti-infection, acid inhibition, vein nutrition support, fluid infusion and the like is carried out.

Patients show continuous hiccup on the third day after operation, after treatments such as gastric resurrection, ondansetron, racanisodamine hydrochloride injection intramuscular injection and the like, the hiccup symptoms are temporarily relieved, the hiccup stopping can only last for half an hour, and the patients are subjected to acupuncture treatment for two days after consultation of traditional Chinese medicine department, but the effect is still poor, the patients are very painful, and the patients cannot normally rest at night.

The decoction is given to the next day after operation one by one dose every day, three times, 200ml nasal feeding tube is dripped every time, the symptoms of patients using the next day are improved, the hiccup stopping time can last for more than one hour, the symptoms of patients using the next day are obviously improved, hiccup attacks three times in the day, one hour for each time, and one attack at night lasts for about 40 minutes. On the fifth day of use, the patient had hiccup symptoms occurring twice, each for about 20 minutes. On day six of use, the patient had complete disappearance of symptoms and started to eat normally.

Discharge diagnosis: 1. a gastroectopic pancreas; 2. chronic atrophic gastritis (mild sinus) and erosion; 3. reflux esophagitis (grade B); 4. intractable hiccup; 5. hepatic cyst.

Example 2:

a traditional Chinese medicine for treating hiccup is prepared from the following raw medicinal materials in parts by weight:

Case 2:

zhang a patient, male, 65 years old, Han nationality, married, peasants, house and lie in Yili of county 27950, who was admitted to the hospital with Ca at the fundus and cardia due to the discomfort of distending pain in the upper abdomen accompanied by dysphagia for one year.

And (4) checking results: the abdomen is flat and soft, abdominal wall varicosity, intestinal type and peristaltic wave are not seen, the liver and spleen are not touched, the whole abdomen is not touched and is not blocked, epigastric tenderness (+) is avoided, rebound pain is avoided, the turbid liver boundary is normal, hepatic-jugular venous return sign is negative, Murphy's sign is negative, percussion pain in the liver area and the double kidney areas is negative, no moving voiced sound exists, and the intestinal acoustic sound is normal.

And (5) auxiliary inspection results: abdominal CT: 1. the secondary common bile duct dilatation of Ca, 2 at the gastric cardia and the fundus of the stomach and Ca at the lower end of the common bile duct is considered, and MRCP, 3, liver, gallbladder, pancreas, spleen and kidney are suggested not to have obvious abnormality. Electrocardiogram: sinus bradycardia was 56 times/min, approximately normal electrocardiogram. Chest X-ray shows: 1. calcification of the upper left lung lobe 2, calcification of the aorta and coronary arteries 3, thoracic hyperosteogeny, cardia space occupying lesion 4, and degeneration of the sacroiliac joints on both sides 5. Upper abdominal MRI examination: the lower end of the common bile duct is narrowed, and the upper porta-hepatic bile duct is slightly dilated in consideration of inflammatory lesions.

The treatment process comprises the following steps: the related examination and preoperative preparation are perfected, and the stomach Ca radical operation is performed under the general anesthesia condition, the operation is smooth, the anesthesia is satisfactory, and the patient after the operation returns to the ward in a sober and safe way. And (3) pathological diagnosis after operation: the gastric cardia; adenocarcinoma differentiated in ulcer forms. The somatostatin is continuously pumped after operation, and the symptomatic treatment such as hemostasis, anti-infection, acid inhibition, vein nutrition support, fluid infusion and the like is carried out.

The patient has intermittent hiccup on the first day after operation, and the hiccup symptom is relieved after the treatment of stomach resurrection, racanisodamine hydrochloride injection intramuscular injection and the like, but the symptom exists continuously, the disease occurs three to five times every day, and the hiccup symptom can be relieved after the spasmolytic medicine is taken each time.

The symptom is present at any time in the seventh postoperative day, the decoction is given to the next prescription one dose per day, three times, 200ml nasal feeding tubes are dripped every time, and the symptom hiccup of the patient disappears completely and begins to be normal after the second day of using the next prescription.

Discharge diagnosis: 1. gastric cardia cancer (adenocarcinoma of the metastatic type in ulcers); 2. intractable hiccup.

Example 3:

a traditional Chinese medicine for treating hiccup is prepared from the following raw medicinal materials:

Case 3:

the patient is a white certain, female, 80 years old, Han, married, Ling \27950, peasants in Longmen town, county, and is aggravated for 1 day due to' right epigastric pain is not suitable for 1 month. The physician needs to take the diagnosis of gallbladder calculus with cholecystitis and choledocholithiasis.

And (4) checking results: the abdomen is flat and soft, the stomach type, the intestinal type and the peristaltic wave are not seen, the right upper abdomen costalgia (+) is not pressed down, the rebound pain and the muscular tension are not caused, the liver and the spleen are not enlarged, the Murphy sign (+) is not pressed, McBUrney point pressing pain and the rebound pain (-) are not pressed, the drum sound is diagnosed by percussion, the mobility voiced sound is negative, the abdomen is not pressed, the renal region is not pressed, the mobility voiced sound is negative, and the bowel sound is 3 times/minute.

And (5) auxiliary inspection results: electrocardiogram representation: sinus rhythm, normal electrocardiogram. B ultrasonic examination of abdomen: gallbladder swelling, mild splenomegaly, no obvious abnormality of cyst of kidney, liver and pancreas.

The treatment process comprises the following steps: laparoscopic cholecystectomy under general anesthesia. The choledochus incision lithotomy is smooth in operation process, and can be used for postoperative patient return to ward to provide symptomatic support treatment for resisting infection, inhibiting acid, stopping bleeding, supplementing liquid, and treating traditional Chinese medicine decoction.

The postoperative recovery of the patient is good, and the patient is ventilated and fed on the third day after the operation, but the patient has abdominal fullness, intermittent vomiting and no thought of eating. The medicine is used for treating the stomach-recovering syndrome, ondansetron, oral morpholine, stomach-invigorating digestion-promoting tablets and the like, and the symptoms are not obviously improved.

The decoction of the following formula is given on the sixth postoperative day, one dose is given every day, the decoction is orally taken twice, each time is about 300ml, the symptoms of abdominal fullness and intermittent vomiting of a patient basically disappear after the following formula is used for three days, but the patient can not eat food, the appetite of the patient is obviously improved after the following formula is continuously taken for four days, the patient can eat food four times per day, each time is about 200ml, the patient can be discharged from the hospital on the 13 th postoperative day, and the patient can normally eat food after the following formula is continuously taken for one week at home.

Discharge diagnosis: 1. cholelithiasis with cholecystitis; 2. choledocholithiasis; 3. obstructive jaundice; 4. gastroparesis.

Example 4:

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.

Claims

1. A traditional Chinese medicine for treating hiccup is characterized in that: the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

2. The traditional Chinese medicine for treating hiccup according to claim 1, wherein: the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

3. The traditional Chinese medicine for treating hiccup according to claim 1, wherein: the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

4. The traditional Chinese medicine for treating hiccup according to claim 1, wherein: the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight:

5. The traditional Chinese medicine for treating hiccup according to claim 1, wherein: the traditional Chinese medicine is prepared from the following raw medicinal materials in parts by weight: