CN111991545A

CN111991545A - Traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation lung type cough and preparation and application thereof

Info

Publication number: CN111991545A
Application number: CN202010939102.5A
Authority: CN
Inventors: 陈新
Original assignee: Zigong First Peoples Hospital
Current assignee: Zigong First Peoples Hospital
Priority date: 2020-09-09
Filing date: 2020-09-09
Publication date: 2020-11-27

Abstract

The invention provides a traditional Chinese medicine acupoint application for treating phlegm-dampness lung-accumulation type cough, and belongs to the technical field of traditional Chinese medicine application. Comprises the following components in parts by mass: 12-16 parts of scutellaria baicalensis, 12-16 parts of semen lepidii, 12-16 parts of rheum officinale, 9-12 parts of ephedra, 9-12 parts of lumbricus, 6-10 parts of asarum, 6-10 parts of rhizoma pinellinae praeparata, 6-10 parts of pericarpium citri reticulatae and 6-10 parts of rhizoma zingiberis. The preparation method of the Chinese medicinal acupoint application comprises mixing the above materials, pulverizing into powder, sieving, adding Mel and green tea water, making into paste, pressing into medicinal cake, and applying on sterile dressing plaster. The traditional Chinese medicine acupuncture point is applied to the acupuncture point of a patient and kept for 4-6 h/day once a day, and can be used for treating phlegm-dampness lung-accumulating type cough. The Chinese medicine acupoint application has simple manufacturing and using methods and is easy to be accepted by patients; the points can be flexibly selected, and the individual treatment of the traditional Chinese medicine is reflected, because of the essence of treatment of people. The Chinese medicine acupoint application disclosed by the invention has the effects of promoting qi circulation, eliminating dampness, warming lung, eliminating phlegm and relieving cough, and is used for treating phlegm-damp accumulation in lung type cough, and the effect is obvious after the acupoint application for 3-7 days.

Description

Traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation lung type cough and preparation and application thereof

Technical Field

The invention belongs to the technical field of traditional Chinese medicine application, and particularly relates to a traditional Chinese medicine acupoint application for treating phlegm-dampness lung-accumulation type cough, and preparation and application thereof.

Background

Chronic cough generally refers to a disease with cough as the main symptom, with or without phlegm in the cough time of more than 8 weeks, normal chest radiographic image and blood routine test, without accompanied by hemoptysis and repeated respiratory tract infection history.

According to the traditional Chinese medicine, the phlegm-dampness accumulation in the lung type cough belongs to chronic cough, and is usually caused by that exogenous pathogenic factors attack the lung, or the chronic cough damages the lung, the lung is abnormal in dispersing and descending, the lung does not distribute body fluid, and water liquid is stopped and gathers to form phlegm-dampness; or dysfunction of spleen qi in transportation and distribution, water-dampness accumulation as phlegm, which is stored in lung. Therefore, both lung and spleen should be taken into consideration in treatment, regulating qi and resolving phlegm.

The Chinese medicine acupoint application therapy is based on the holistic concept and the theory of meridians of the traditional Chinese medicine, has the local stimulation effect of the traditional Chinese medicine on the acupoints, and also has the effect of mutual influence, interaction and mutual supplement between the traditional Chinese medicine and the acupoints through the conduction effect of meridians, thereby playing the role of overall comprehensive treatment together. Modern medicine finds that the capillary vessels at and near the acupuncture points are rich, the blood circulation is good, and the absorption of exterior medicines is facilitated. The two bring out the best in each other, so the effects of diffusing lung and regulating qi, and reducing phlegm and relieving cough of the applied traditional Chinese medicine can be better exerted, and the satisfactory effect can be obtained.

Disclosure of Invention

The invention aims to provide a traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation in lung type cough and preparation and application thereof. The Chinese medicinal application patch has a simple use method, is easily accepted by patients, and can be used for treating phlegm-dampness accumulation in lung type chronic cough.

The purpose of the invention is realized by the following technical scheme:

a traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation lung type cough comprises the following components in parts by mass: 12-16 parts of scutellaria baicalensis, 12-16 parts of semen lepidii, 12-16 parts of rheum officinale, 9-12 parts of ephedra, 9-12 parts of lumbricus, 6-10 parts of asarum, 6-10 parts of rhizoma pinellinae praeparata, 6-10 parts of pericarpium citri reticulatae and 6-10 parts of rhizoma zingiberis.

Further, the composition comprises the following components in parts by mass: 14 parts of scutellaria baicalensis, 14 parts of semen lepidii, 14 parts of rheum officinale, 10 parts of ephedra, 11 parts of lumbricus, 8 parts of asarum, 8 parts of rhizoma pinellinae praeparata, 8 parts of pericarpium citri reticulatae and 8 parts of rhizoma zingiberis.

In the traditional Chinese medicine acupoint application formula, the scutellaria baicalensis and the rhubarb have the effects of clearing heat, eliminating dampness, purging excess fire in the lung, and the semen lepidii has the effects of purging the lung, relieving asthma, promoting qi circulation and relieving swelling and are monarch medicines for clearing lung heat, promoting lung qi, and eliminating phlegm dampness; the ephedra herb is a ministerial drug for ventilating the lung and relieving asthma and the earthworm is a ministerial drug for dredging collaterals and relieving asthma; asarum and dried ginger have the effects of relieving exterior syndrome, dispelling cold, warming lung and resolving phlegm, rhizoma pinellinae praeparata and dried orange peel have the effects of eliminating dampness, resolving phlegm, relieving distension and fullness, resolving masses and assisting monarch drugs in warming phlegm and resolving phlegm; meanwhile, Ting Li Zi, Ma Huang, Di Long and xi Xin have the action of inducing diuresis to alleviate edema and alleviating phlegm-fluid retention in lung. The traditional Chinese medicine is combined to promote the circulation of qi and eliminate dampness, warm the lung and resolve phlegm and relieve asthma, and can obviously improve the phlegm-damp accumulation in the lung type cough.

A preparation method of a Chinese medicinal acupoint patch for treating cough due to phlegm-dampness accumulation in lung comprises mixing the above materials, pulverizing into powder, sieving, adding Mel and green tea water, mixing, pressing into medicinal cake, and applying to aseptic dressing patch.

Further, the sieving is performed by a sieve of 120-150 meshes, and the medicine cake is a columnar medicine cake with the diameter of 2-3cm and the height of 0.5-1 cm.

Further, the adding amount of the honey and the green tea water is as follows: 9-12 parts of honey and 16-20 parts of green tea water.

An application of a traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation in lung type cough is disclosed, which is an application of the application in a product for treating phlegm-dampness accumulation in lung type cough.

Further, the patch is applied to the acupuncture points of the patient and kept for 4-6 h/day once a day.

Furthermore, the acupoints include main acupoints including Feishu, Dingchuan, Gaohuang, Jingbailao and Dazhui, and auxiliary acupoints including Sanyinjiao and Zusanli.

The Feishu point of the bladder meridian is the point where the lung qi is injected, and can regulate the qi movement of the lung, so that the lung can be cleared; the channels and collaterals are all extra points, the asthma-relieving point is used for relieving cough and asthma, the lung is regulated and regulated, the neck-bailao is used for nourishing lung yin, the muscles and tendons are relaxed and the collaterals are activated, the gaohuang point is used for treating chronic cough and the bailao is used for treating consumptive disease; the Dazhui acupoint uploads qi to the head and neck along the governor vessel to tonify qi, strengthen yang and relieve cough. The points are used together to achieve the purposes of relieving cough and asthma, warming yang and reducing phlegm. Moreover, if the chronic cough is more deficient and the deficiency is obvious, the three internal organs of the foot can be selected to strengthen the body resistance and tonify deficiency, the three yin crossing points can sooth the liver, regulate the spleen and tonify the kidney, and the two points can play the effects of tonifying the spleen, regulating the stomach, tonifying the spleen and the lung.

Furthermore, only the main point can be pasted to the patient with chronic cough but no obvious spleen-lung deficiency symptom, and the main point and the auxiliary point are pasted simultaneously to the patient with the obvious spleen-lung deficiency symptom.

For patients with phlegm-dampness accumulation in lung type cough without marked spleen-lung deficiency, Feishu, Dingchuan, Gaohuang, Jingbailao and Dazhui are applied once a day for 4-6 hours each time; aiming at a patient with phlegm-dampness accumulation in lung type cough accompanied with obvious spleen and lung deficiency, Feishu, Dingchuan, Gaohuang, Jingbailao, Dazhui, Sanyinjiao and Zusanli are pasted once a day for 4-6 hours each time.

The Chinese medicine acupoint application is based on the theory of traditional Chinese medicine, summarizes the pathogenesis characteristics of various lung diseases with phlegm-dampness, and emphasizes the important functions of promoting qi circulation, eliminating dampness, warming lung, eliminating phlegm, relieving asthma and relieving cough to treat chronic cough. The theoretical research on the phlegm-dampness accumulation in the lung type cough is more targeted and deeper. In the aspect of treatment, on the basis of activating qi and drying dampness, the medicine for warming lung, resolving phlegm and relieving asthma is combined, and is applied to acupuncture points with the functions of relieving cough and asthma, warming yang and resolving phlegm, so that the disease is in accordance with the pathogenesis of cough with phlegm-damp accumulation in lung. The invention discloses a traditional Chinese medicine acupoint application for effectively treating phlegm-damp lung-accumulating cough, which is prepared by adding scutellaria baicalensis, asarum and lumbricus into ancient famous prescription Xiaoqinglong decoction (externally cold and internally drunk), Yuebi Jia pinellia decoction (phlegm-heat stagnation in lung), and lepidium date lung-purging decoction (phlegm-stasis lung-obstructing decoction).

Compared with the prior art, the invention has the following beneficial effects:

the Chinese medicine acupoint application has the effects of promoting qi circulation, eliminating dampness, warming lung, eliminating phlegm and relieving cough, is prepared into the Chinese medicine acupoint application for treating phlegm-dampness accumulation in lung type cough, has an obvious effect after being applied for 3-7 days, and has the advantages of prolonged acupoint application time and better effect.

According to the thinking of treatment based on syndrome differentiation of traditional Chinese medicine, the traditional Chinese medicine acupoint application provided by the invention is scientific and reasonable in medicine compatibility and preparation, and acupoint selection, is precise in medicine application, and has a better effect of treating phlegm-dampness lung-accumulating cough. Compared with the simple western medicine treatment, the Chinese medicine acupoint application treatment has obvious advantages: low cost, reliable curative effect, simple operation, little toxic and side effect and good compliance of patients.

The Chinese medicine acupoint application has simple preparation and use methods and is easy to be accepted by patients. The acupoint matching points can be flexibly selected according to the chronic cough and spleen-lung deficiency degree of the patient, the individualized treatment of the traditional Chinese medicine is embodied, and the essence of treatment of the traditional Chinese medicine due to people is presented.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Example 1

Random control efficacy observation test:

64 patients (34 men and 30 women) with cough of phlegm-damp accumulation in lung type (age 25-79 years) were randomly divided into 31 cases on acupoint group and 33 cases on control group for observation. 31 acupoint sticking groups are applied according to the traditional Chinese medicine acupoint application formula and method of the embodiment on the basis of conventional internal medicine treatment, and a control group is subjected to conventional internal medicine treatment for 7 days in one treatment course.

The traditional Chinese medicine acupoint application formula, the preparation and the using process are as follows:

16 parts of scutellaria baicalensis, 16 parts of semen lepidii, 16 parts of rheum officinale, 12 parts of ephedra, 12 parts of lumbricus, 10 parts of asarum, 10 parts of rhizoma pinellinae praeparata, 10 parts of dried orange peel and 10 parts of dried ginger. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 20 parts of green tea water, adjusting to column shape medicinal cake with diameter of 3cm and height of 1cm, and applying Feishu, Dingchuan, Gaohuang, JINGHUO and DAZHUI once a day for 4-6 hr each time for 7 days.

The index of observation of curative effect is formulated according to the guidelines (trial) of clinical research of new Chinese medicine: the clinical cure is as follows: the symptoms of cough, expectoration and asthma of the patient disappear, the lung has no slight rale, and the integral is reduced by more than or equal to 95 percent; the effect is shown: the symptoms of cough, expectoration and asthma of a patient are obviously improved, the lung rale is obviously reduced, and the integral is reduced by less than 95% when the content is more than or equal to 70%; the method has the following advantages: for patients with improved cough, expectoration and asthma symptoms and light lung rale, the integral is reduced by less than 70% and is more than or equal to 30%; and (4) invalidation: patients with unchanged or unobvious cough, expectoration, asthma symptoms and pulmonary rale, and aggravation of symptoms and rale, wherein the integral is reduced by less than 30%. (Note: the integration standard comes from the relevant content in the guidelines of clinical research on new drugs in Chinese medicine).

The data obtained by the test are statistically analyzed by SPSS statistics22.0 statistical software, all the measurement data are expressed by x +/-s, the comparison among the groups is carried out by t test, the counting data are tested by x2, the grade data are tested by rank sum, and the difference P < 0.05 has statistical significance.

And (3) test results:

1. the total effective rate of the treatment of the acupoint pasting group is obviously higher than that of the control group, and the comparison difference of the two groups has statistical significance (P is less than 0.05). As shown in table 1 below.

TABLE 1 comparison of the clinical efficacy of the two groups

2. Compared with the treatment before, the Chinese medicine syndrome integral value of two groups of patients is reduced, and the difference has statistical significance (P is less than 0.05); after treatment, compared with the control group, the Chinese medicine syndrome integral value of the patients with the acupoint pasting group is obviously reduced, and the difference has statistical significance (P is less than 0.05), as shown in the following table 2.

TABLE 2 integral comparison of Chinese medical syndrome before and after treatment of two groups of patients

As can be seen from the above tables 1 and 2, the traditional Chinese medicine acupoint application therapy is given to the cough patients with phlegm-dampness accumulation in lung while the internal medicine conventional therapy is carried out, the traditional Chinese medicine symptom integral of cough is better improved, the index change before and after the therapy is obvious, and the curative effect is greatly improved.

Example 2

The patient old a certain time, male, and 74 years old, cough and expectoration repeatedly for 20+ years, with heart tiredness and tight qi for 10+ years, and the patient will be treated at 2020.6.28 after 1 week of aggravation.

The Chinese medicinal acupoint plaster is used for treating alone, and comprises the following specific steps: 16 parts of scutellaria baicalensis, 16 parts of semen lepidii, 16 parts of rheum officinale, 12 parts of ephedra, 12 parts of lumbricus, 10 parts of asarum, 10 parts of rhizoma pinellinae praeparata, 10 parts of dried orange peel and 10 parts of dried ginger. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 20 parts of green tea water, mixing, pressing into columnar medicated cake with diameter of 2cm and height of 0.5cm, and applying Feishu, Dingchuan, Gaohuang, Jingbailao, Dazhui, Sanyinjiao and Zusanli once a day for 4-6 hr each time. After the plaster is continuously applied for 12 days, the symptoms of cough and sputum aggravation of the patient are basically relieved.

Example 3

The patient takes a certain time, male, 78 years old, repeatedly coughs, expectorates and wheezes for 10+ years, aggravates 10+ days and then sees 2020.7.3 for a diagnosis.

The Chinese medicinal acupoint plaster is used for treating the diseases independently, and comprises the following specific steps: 12 parts of scutellaria baicalensis, 12 parts of semen lepidii, 12 parts of rheum officinale, 12 parts of ephedra, 12 parts of lumbricus, 6 parts of asarum, 10 parts of rhizoma pinellinae praeparata, 10 parts of dried orange peel and 6 parts of dried ginger. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 20 parts of green tea water, making into paste, pressing into columnar medicated cake with diameter of 2cm and height of 0.5cm, and applying Feishu, Dingchuan, Gaohuang, JINGBUO and DAZHUI once a day for 4-6 hr each time. The plaster is continuously applied for 14 days, and the symptoms of cough and sputum aggravation of the patient are gradually relieved.

Example 4

The patient is admitted to be a certain woman in the age of 68 years, and the patient is repeatedly coughed, expectorated and gasped for 16 years, with the diagnosis being carried out at 2020.7.10 for 2 days.

The Chinese medicinal acupoint plaster is used for treating the diseases independently, and comprises the following specific steps: 14 parts of scutellaria baicalensis, 14 parts of semen lepidii, 14 parts of rheum officinale, 10 parts of ephedra, 10 parts of lumbricus, 8 parts of asarum, 8 parts of rhizoma pinellinae praeparata, 8 parts of dried orange peel and 8 parts of dried ginger. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 20 parts of green tea water, adjusting into columnar medicated cake with diameter of 3cm and height of 1cm, and sticking Feishu, DINGCHUAN, Gaohuang, JINGHUO, DAZHUI, SANYINJIAO and Zusanli once a day for 4-6 hr each time. After the plaster is continuously applied for 14 days, the symptoms of cough and sputum aggravation of the patient are basically relieved.

Comparative example 1

The patient should have a certain course, female, 83 years old, cough, expectoration, asthma for 60+ years, aggravation for 10+ days, and visit 2020.7.19.

The traditional Chinese medicine acupoint application treatment is carried out while the internal medicine conventional treatment is carried out, and the specific steps are as follows: the medicine comprises 20 parts of scutellaria baicalensis, 12 parts of corydalis tuber, 12 parts of cynanchum glaucescens, 10 parts of rhizoma pinellinae praeparata and 10 parts of pericarpium citri reticulatae. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 16 parts of green tea water, mixing, pressing into columnar medicated cake with diameter of 2cm and height of 0.5cm, and applying Feishu, Dingchuan, Gaohuang, Jingbailao, Dazhui, Sanyinjiao and Zusanli once a day for 4-6 hr each time. The plaster is continuously applied for 7 days, and the cough and expectoration of the patient are not obviously relieved. The post-adjustment traditional Chinese medicine acupoint application scheme is as follows: 16 parts of scutellaria baicalensis, 16 parts of semen lepidii, 16 parts of rheum officinale, 12 parts of ephedra, 12 parts of lumbricus, 10 parts of asarum, 10 parts of rhizoma pinellinae praeparata, 10 parts of dried orange peel and 10 parts of dried ginger. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 20 parts of green tea water, mixing, pressing into columnar medicated cake with diameter of 2cm and height of 0.5cm, and applying Feishu, Dingchuan, Gaohuang, Jingbailao, Dazhui, Sanyinjiao and Zusanli once a day for 4-6 hr each time. And the plaster is continuously applied for 7 days, so that the cough and sputum aggravation of the patient are basically relieved.

Comparative example 2

The patient should be treated with cough and expectoration 10+ day 2020.6.22 in any one of the ages of male and 28.

The Chinese medicinal acupoint plaster is used for treating the diseases independently, and comprises the following specific steps: 12 parts of tuckahoe, 12 parts of perilla fruit, 12 parts of dried orange peel, 12 parts of radish seed and 12 parts of pepperweed seed. Pulverizing the above Chinese medicinal materials, sieving with 120 mesh sieve, adding 10 parts of Mel and 16 parts of green tea water, adjusting into columnar medicated cake with diameter of 2cm and height of 0.5cm, and applying Feishu, Dingchuan, Gaohuang, JINGBUO and DAZHUI once a day for 4-6 hr each time. The plaster is continuously applied for 14 days, and the cough and expectoration of the patient are not obviously relieved.

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. The traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation lung type cough is characterized by comprising the following components in parts by mass: 12-16 parts of scutellaria baicalensis, 12-16 parts of semen lepidii, 12-16 parts of rheum officinale, 9-12 parts of ephedra, 9-12 parts of lumbricus, 6-10 parts of asarum, 6-10 parts of rhizoma pinellinae praeparata, 6-10 parts of pericarpium citri reticulatae and 6-10 parts of rhizoma zingiberis.

2. The traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation-in-lung type cough according to claim 1, which is characterized by comprising the following components in parts by mass: 14 parts of scutellaria baicalensis, 14 parts of semen lepidii, 14 parts of rheum officinale, 10 parts of ephedra, 11 parts of lumbricus, 8 parts of asarum, 8 parts of rhizoma pinellinae praeparata, 8 parts of pericarpium citri reticulatae and 8 parts of rhizoma zingiberis.

3. The preparation method of the traditional Chinese medicine acupoint application for treating phlegm-dampness lung-accumulating cough as claimed in claim 1 or 2, wherein the components are mixed uniformly, pulverized, sieved, added with honey and green tea water, mixed into paste, pressed into medicine cake, and attached to the sterile dressing patch.

4. The method for preparing the traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation-in-lung type cough as claimed in claim 3, wherein the sieving is 120-150 mesh sieving, and the drug cake is a columnar drug cake with a diameter of 2-3cm and a height of 0.5-1 cm.

5. The preparation method of the traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation in lung type cough as claimed in claim 3, wherein the honey and green tea water are added in an amount of: 9-12 parts of honey and 16-20 parts of green tea water.

6. The use of the traditional Chinese medicine acupoint application for treating phlegm-dampness accumulation in lung type cough according to claim 1 or 2, characterized in that the application is in a product for treating phlegm-dampness accumulation in lung type cough.

7. The use of the Chinese medicinal acupoint application of claim 6, wherein the application is applied to the patient's acupoint and is maintained for 4-6 h/day once a day.

8. The use of the Chinese medicinal acupoint application of claim 7, wherein the acupoints include home and accessory acupoints, the home acupoints include Feishu, Dingchuan, Gaohuang, Jingbailao and Dazhui, and the accessory acupoints include Sanyinjiao and Zusanli.

9. The use of the Chinese medicinal acupoint application of claim 7, wherein the acupoint application is applied to the patients with chronic cough but no obvious spleen-lung deficiency symptom, and the acupoint application and the acupoint matching application are simultaneously applied to the patients with the obvious spleen-lung deficiency symptom.