CN112138134A - A Chinese medicinal patch for treating gynecological diseases and its preparation method - Google Patents
A Chinese medicinal patch for treating gynecological diseases and its preparation method Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及中药技术领域,更具体的说是涉及一种治疗妇科病的分周期中药敷贴及其制备方法。The invention relates to the technical field of traditional Chinese medicines, in particular to a periodical traditional Chinese medicine patch for treating gynecological diseases and a preparation method thereof.
背景技术Background technique
女性具有经、带、胎、产的生理特点,肾、天癸、冲任、胞宫相互调节,并在全身脏腑、经、气血的协调作用下,胞宫定期藏泻,按月行经。月经周期中阴阳气血消长变化,既有整体性又有阶段性特点的节律变化,以维持女性生殖功能。正常情况下月经周期中伴随着气血阴阳的消长变化,卵巢、子宫内膜、乳腺、子宫、宫颈粘液、输卵管也发生周期性的变化,一旦肾-天癸-冲任-胞宫轴功能出现异常,会导致不孕症、卵泡发育障碍、排卵障碍、月经不调、月经过少、崩漏、经间期出血、经期延长、月经后期、闭经、薄型子宫内膜、子宫内膜过厚、带下病、多囊卵巢综合征、子宫内膜异位症、子宫腺肌症、子宫肌瘤、输卵管不通、乳癖症等病症。中医学认为,寒邪湿邪等外邪因素、怒、思、恐等情志因素、生活因素、瘀血、痰饮等多种因素会导致妇科病的发生。中医学认为,月经周期分为月经期、经后期、经间期、经前期四个时期;现代医学认为,月经分为月经期(对应中医月经期)、卵泡期(对应经后期)、排卵期(对应经间期)、黄体期(对应经前期),虽然中西医分期名称不同,但对月经周期各期具有规律性这一认识是统一的。Women have the physiological characteristics of menstruation, belt, fetus, and birth. Kidney, Tiangui, Chongren, and uterus regulate each other, and under the coordination of viscera, meridians, qi and blood, the uterus regularly stores and purifies, and menstruation is carried out according to the month. In the menstrual cycle, the ebb and flow of yin, yang, qi and blood has both overall and periodic rhythm changes to maintain female reproductive function. Under normal circumstances, along with the ebb and flow of qi, blood, yin and yang in the menstrual cycle, the ovaries, endometrium, breast, uterus, cervical mucus, and fallopian tubes also undergo periodic changes. , can cause infertility, follicular development disorder, ovulation disorder, irregular menstruation, oligomenorrhea, metrorrhagia, intermenstrual bleeding, prolonged menstrual period, late menstrual period, amenorrhea, thin endometrium, thick endometrium, Under the disease, polycystic ovary syndrome, endometriosis, adenomyosis, uterine fibroids, tubal obstruction, breast addiction and other diseases. Traditional Chinese medicine believes that various factors such as cold and dampness pathogens, emotional factors such as anger, thinking, and fear, life factors, blood stasis, phlegm-drinking and other factors can lead to the occurrence of gynecological diseases. Traditional Chinese medicine believes that the menstrual cycle is divided into four periods: menstrual period, postmenstrual period, intermenstrual period, and premenstrual period; modern medicine believes that menstruation is divided into menstrual period (corresponding to TCM menstrual period), follicular phase (corresponding to postmenstrual period), and ovulation period (corresponding to the intermenstrual period), luteal phase (corresponding to the premenstrual period), although the names of Chinese and Western medicine stages are different, the understanding of the regularity of each period of the menstrual cycle is unified.
目前,申请号为2013102301780的中国专利公开了一种治疗痛经的中药敷贴;申请号为201610215510X的中国专利公开了一种治疗输卵管阻塞的中药制剂,但是,这些专利没有按照女性月经不同阶段生理特点用药。妇科病治疗应根据月经周期不同阶段采用不同的治疗原则进行干预,经后期滋阴健脾为主、经前期温肾化瘀为主,才能够达到良好的效果。At present, the Chinese patent application number 2013102301780 discloses a traditional Chinese medicine patch for the treatment of dysmenorrhea; the Chinese patent application number 201610215510X discloses a traditional Chinese medicine preparation for the treatment of fallopian tube obstruction, but these patents do not follow the physiological characteristics of women in different stages of menstruation Medication. The treatment of gynecological diseases should be intervened according to different treatment principles in different stages of the menstrual cycle. Only by nourishing the yin and strengthening the spleen in the postmenstrual period and warming the kidney and removing blood stasis in the premenstrual period can good results be achieved.
因此,如何提供一种针对于月经周期不同阶段的中药是本领域技术人员亟需解决的问题。Therefore, how to provide a traditional Chinese medicine for different stages of the menstrual cycle is an urgent problem for those skilled in the art.
发明内容SUMMARY OF THE INVENTION
有鉴于此,本发明提供了一种安全、有效、无副作用的针对于月经周期不同阶段的中药敷贴。In view of this, the present invention provides a safe, effective and no side effect traditional Chinese medicine patch for different stages of the menstrual cycle.
为了实现上述目的,本发明采用如下技术方案:一种治疗妇科病的分周期中药敷贴,包括以下重量份数的原料:In order to achieve the above object, the present invention adopts the following technical scheme: a kind of sub-periodic traditional Chinese medicine patch for the treatment of gynecological diseases, comprising the following raw materials in parts by weight:
女贞子6-18份、菟丝子9-18份、黄精6-15份、淫羊藿6-18份、桂枝或肉桂2-12份、姜汁20-40份。Ligustrum lucidum 6-18 parts, dodder 9-18 parts, Polygonatum 6-15 parts, Epimedium 6-18 parts, Cinnamon sticks or cinnamon 2-12 parts, Ginger juice 20-40 parts.
本发明的有益效果:本发明中的中药敷贴能够避免口服药物对于胃道的刺激和毒副作用,具有药物经皮吸收和刺激经络穴位的双重治疗作用,疗效显著,副作用低,使用方便。Beneficial effects of the present invention: the traditional Chinese medicine patch in the present invention can avoid the stimulation and toxic side effects of oral medicines on the stomach tract, and has the dual therapeutic effects of drug percutaneous absorption and stimulation of meridian points, significant curative effect, low side effects, and convenient use.
优选地,当选用桂枝时,还包括以下重量份数的原料:当归6-15份、覆盆子6-18份、巴戟天6-18份、山药9-18份。Preferably, when choosing Guizhi, the following raw materials are also included in parts by weight: 6-15 parts of Angelica sinensis, 6-18 parts of raspberry, 6-18 parts of Morinda officinalis, and 9-18 parts of Chinese yam.
优选地,包括以下重量份数的原料:女贞子12-15份、菟丝子9-15份、黄精12-15份、淫羊藿9-15份、桂枝3-6份、当归9-15份、覆盆子6-9份、巴戟天9-12份、山药9-12份、姜汁20-40份。Preferably, it includes the following raw materials in parts by weight: 12-15 parts of Ligustrum lucidum, 9-15 parts of Dodder Seed, 12-15 parts of Polygonatum chinensis, 9-15 parts of Epimedium, 3-6 parts of Cinnamon Root, 9-15 parts of Angelica sinensis servings, 6-9 servings of raspberries, 9-12 servings of Morinda officinalis, 9-12 servings of yam, and 20-40 servings of ginger juice.
采用上述方案的技术效果:上述方案为排卵前使用的中药敷贴;其中,女贞子、黄精、当归补肾滋阴补血为君,山药、菟丝子、覆盆子补肾健脾为臣,巴戟天、淫羊藿温补肾阳为佐,桂枝、姜汁温经散寒为使,共奏滋阴健脾养血之效。The technical effect of adopting the above scheme: the above scheme is a traditional Chinese medicine patch used before ovulation; wherein, Ligustrum lucidum, Rhizoma Polygonatum, Angelica sinensis, nourishing yin and blood are the monarchs, Chinese yam, dodder, raspberry, tonifying the kidney and strengthening the spleen are the ministers, Morinda officinalis, Epimedium warms the kidney and yang as the auxiliary, and the cinnamon stick and ginger juice warms the meridians and dispels the cold, and has the effect of nourishing the yin, invigorating the spleen and nourishing the blood.
优选地,当选用肉桂时,还包括以下重量份数的原料:白芍6-15份、泽兰5-15份、杜仲6-12份、丹参3-12份、醋香附2-15份。Preferably, when selecting cinnamon, it also includes the following raw materials in parts by weight: 6-15 parts of white peony root, 5-15 parts of zelan, 6-12 parts of Eucommia ulmoides, 3-12 parts of Salvia miltiorrhiza, 2-15 parts of Vinegar Cyperus .
优选地,包括以下重量份数的原料:女贞子6-12份、菟丝子12-15份、黄精9-12份、淫羊藿9-12份、肉桂3-6份、白芍6-9份、泽兰5-9份、杜仲6-9份、丹参3-6份、醋香附2-12份、姜汁20-40份。Preferably, it includes the following raw materials in parts by weight: 6-12 parts of Ligustrum lucidum, 12-15 parts of dodder, 9-12 parts of Polygonatum chinensis, 9-12 parts of Epimedium, 3-6 parts of cinnamon, 6-9 parts of Paeonia lactiflora parts, 5-9 parts of Zelan, 6-9 parts of Eucommia ulmoides, 3-6 parts of Salvia miltiorrhiza, 2-12 parts of Vinegar Cymbidium, and 20-40 parts of ginger juice.
采用上述方案的技术效果:上述方案为排卵后使用的中药敷贴,其中,菟丝子、淫羊藿、杜仲温补肾阳为君,白芍、肉桂养血温经为臣,黄精、女贞子滋补肾阴为佐,泽兰、丹参醋香附化瘀调经亦为佐,姜汁温经散寒为使,共凑温阳健脾化瘀之效。The technical effect of adopting the above scheme: the above scheme is a traditional Chinese medicine patch used after ovulation, wherein, Dodder, Epimedium, Eucommia ulmoides and Eucommia are the monarchs, white peony root and cinnamon nourish the blood and warm the meridians are the ministers, Polygonatum chinensis, Ligustrum lucidum nourishing Invigorating the yin of the kidney is the accompaniment, and the zelan and salvia vinegar fragrant and fragrant herbs are also assisted to remove blood stasis and regulate the menstruation.
本发明还公开了一种治疗妇科病的分周期中药敷贴的制备方法,包括以下步骤:The invention also discloses a preparation method of a periodic traditional Chinese medicine patch for treating gynecological diseases, comprising the following steps:
(1)按照治疗妇科病的分周期中药敷贴的重量份数称取各原料;(1) each raw material is weighed according to the parts by weight of the cyclical Chinese medicine patch for the treatment of gynecological diseases;
(2)将除姜汁以外的原料混合,然后研磨,过筛,得到混合药粉;(2) mixing raw materials except ginger juice, then grinding, sieving to obtain mixed medicinal powder;
(3)将混合药粉与姜汁混合,然后压制成药饼,得到所述的中药敷贴。(3) mixing the mixed medicinal powder and ginger juice, and then pressing into medicinal cakes to obtain the traditional Chinese medicine patch.
本发明的制备方法简单,且采用的原料来源广易获得,能够适用于大工业化生产。The preparation method of the invention is simple, and the raw materials used are widely available and easily available, and can be suitable for large-scale industrial production.
优选地,步骤(2)中,所述过筛的目数为60-80目。Preferably, in step (2), the mesh number of the sieving is 60-80 mesh.
优选地,步骤(3)中,所述药饼尺寸为2.0cm×2.0cm,厚度为1.5cm。Preferably, in step (3), the size of the medicine cake is 2.0cm×2.0cm, and the thickness is 1.5cm.
本发明中的中药敷贴用于穴位的贴敷,穴位贴敷方法属于针灸学内容之一,以中医经络学说为理论依据,把药物研成细末,用适当的溶剂调成糊状贴敷在特定的穴位上治疗疾病的一种外治方法,其融合了经络腧穴学、中药学知识,安全、有效、无副作用。The traditional Chinese medicine patch in the present invention is used for the application of acupoints, and the method of acupoint application belongs to one of the contents of acupuncture and moxibustion. Based on the theory of traditional Chinese medicine meridians and collaterals, the medicine is ground into fine powder, and the paste is applied with an appropriate solvent. It is an external treatment method for treating diseases on specific acupoints, which integrates the knowledge of meridian and acupoints and traditional Chinese medicine, and is safe, effective and free of side effects.
经由上述的技术方案可知,与现有技术相比,本发明公开提供了一种治疗妇科病的分周期中药敷贴,有益效果如下:As can be seen from the above-mentioned technical solutions, compared with the prior art, the present invention discloses and provides a periodic traditional Chinese medicine patch for treating gynecological diseases, and the beneficial effects are as follows:
1、本发明中的中药敷贴采用穴位敷贴治疗,能够避免口服药物的胃肠道刺激和毒副作用,具有药物经皮吸收和刺激经络穴位的双重治疗作用,小穴位大效应,疗效显著,副作用低,使用方便。1, the traditional Chinese medicine sticking in the present invention adopts acupoint sticking treatment, can avoid the gastrointestinal stimulation and toxic and side effects of oral medicine, has the dual therapeutic effect of drug percutaneous absorption and stimulation of meridian points, small points have large effects, and the curative effect is remarkable, It has low side effects and is easy to use.
2、本发明中药敷贴治疗妇科病,根据月经周期不同阶段用药特点不同,分两个贴敷方,每个贴敷方药物配比不同用途不同,可用于不孕症、卵泡发育障碍、月经过少、薄型子宫内膜、卵巢早衰、多囊卵巢综合征、继发性闭经、经间期出血、经期延长、崩漏、乳癖症、子宫腺肌症、痛经、子宫内膜异位症、辅助生殖阶段子宫内膜薄、卵泡发育障碍、卵子质量差、子宫内膜容受性差等疾病;按照月经周期不同分期贴敷用药,遵循气血阴阳消长变化规律,临床疗效显著,总有效率高,可提高子宫内膜厚度、卵子质量,促进卵泡发育、助孕、调经(包括经量、经期等)、缓解疼痛及其他临床伴随症状。2. The traditional Chinese medicine applicator of the present invention treats gynecological diseases. According to different drug characteristics in different stages of the menstrual cycle, it is divided into two sticking prescriptions. Too little, thin endometrium, premature ovarian failure, polycystic ovary syndrome, secondary amenorrhea, intermenstrual bleeding, prolonged menstrual period, metrorrhagia, breast addiction, adenomyosis, dysmenorrhea, endometriosis , assisted reproductive stage of thin endometrial, follicular development disorders, poor egg quality, poor endometrial receptivity and other diseases; according to the different stages of the menstrual cycle, the drug is applied according to the different stages of the menstrual cycle, and the change law of qi, blood, yin and yang is followed, and the clinical effect is significant and the total effective rate High, can improve endometrial thickness, egg quality, promote follicle development, fertility, menstrual regulation (including menstrual volume, menstrual period, etc.), relieve pain and other clinical symptoms.
3、本发明中药方的组成和配比是经过临床筛选而获得,是专门针对妇科病的敷贴,疗效好、效果显著的优点。3. The composition and proportion of the traditional Chinese medicine prescription of the present invention are obtained through clinical screening, and are specially applied for gynecological diseases, and have the advantages of good curative effect and remarkable effect.
具体实施方式Detailed ways
下面将结合本发明实施例,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
实施例1Example 1
治疗妇科病的分周期中药敷贴的原料:当归9g、女贞子12g、菟丝子12g、覆盆子9g、巴戟天9g、山药9g、黄精12g、淫羊藿12g、桂枝5g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 9g, Ligustrum lucidum 12g, Dodder 12g, raspberry 9g, Morinda officinalis 9g, Chinese yam 9g, Polygonatum 12g, Epimedium 12g, Guizhi 5g, Ginger juice 20g -40g.
上述中药敷贴的制备方法:(1)按照上述治疗妇科病的分周期中药敷贴的重量称取各原料;The preparation method of above-mentioned Chinese medicine patch: (1) each raw material is weighed according to the weight of the above-mentioned treatment of gynecological diseases by the weight of the periodical Chinese medicine patch;
(2)将除姜汁以外的原料混合,然后研磨,过60目筛,得到混合药粉;(2) mixing the raw materials except the ginger juice, then grinding, 60 mesh sieves are crossed to obtain mixed medicinal powder;
(3)将混合药粉与姜汁混合,然后压制成药饼,得到中药敷贴;其中,药饼尺寸为2.0cm×2.0cm,厚度为1.5cm。(3) mixing the mixed medicinal powder and ginger juice, and then pressing into a medicinal cake to obtain a traditional Chinese medicine patch; wherein, the medicinal cake has a size of 2.0cm×2.0cm and a thickness of 1.5cm.
实施例2Example 2
治疗妇科病的分周期中药敷贴的原料:当归6g、女贞子12g、菟丝子12g、覆盆子6g、巴戟天9g、山药9g、黄精15g、淫羊藿12g、桂枝5g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 6g, Ligustrum lucidum 12g, Dodder 12g, raspberry 6g, Morinda officinalis 9g, Chinese yam 9g, Polygonatum 15g, Epimedium 12g, Guizhi 5g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例3Example 3
治疗妇科病的分周期中药敷贴的原料:当归9g、女贞子15g、菟丝子15g、覆盆子6g、巴戟天9g、山药9g、黄精12g、淫羊藿12g、桂枝3g、姜汁20-40g。The raw materials of the traditional Chinese medicine patch for the treatment of gynecological diseases: 9g Angelica sinensis, 15g Ligustrum lucidum, 15g Dodder, 6g raspberry, 9g Morinda officinalis, 9g Chinese yam, 12g Polygonatum chinensis, 12g Epimedium, 3g Guizhi, 20g ginger juice -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例4Example 4
治疗妇科病的分周期中药敷贴的原料:当归9g、女贞子9g、菟丝子15g、覆盆子9g、巴戟天6g、山药9g、黄精12g、淫羊藿9g、桂枝3g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 9g, Ligustrum lucidum 9g, Dodder 15g, raspberry 9g, Morinda officinalis 6g, Chinese yam 9g, Polygonatum 12g, Epimedium 9g, Guizhi 3g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例5Example 5
治疗妇科病的分周期中药敷贴的原料:当归12g、女贞子9g、菟丝子15g、覆盆子9g、巴戟天6g、山药9g、黄精12g、淫羊藿9g、桂枝3g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 12g, Ligustrum lucidum 9g, Dodder 15g, raspberry 9g, Morinda officinalis 6g, Chinese yam 9g, Polygonatum 12g, Epimedium 9g, Guizhi 3g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例6Example 6
治疗妇科病的分周期中药敷贴的原料:当归12g、女贞子15g、菟丝子12g、覆盆子9g、巴戟天6g、山药9g、黄精15g、淫羊藿9g、桂枝2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Angelica 12g, Ligustrum lucidum 15g, Dodder 12g, raspberry 9g, Morinda officinalis 6g, Chinese yam 9g, Polygonatum 15g, Epimedium 9g, Guizhi 2g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例7Example 7
治疗妇科病的分周期中药敷贴的原料:当归12g、女贞子9g、菟丝子12g、覆盆子6g、巴戟天6g、山药15g、黄精15g、淫羊藿6g、桂枝2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 12g, Ligustrum lucidum 9g, Dodder 12g, raspberry 6g, Morinda officinalis 6g, Chinese yam 15g, Polygonatum 15g, Epimedium 6g, Guizhi 2g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例8Example 8
治疗妇科病的分周期中药敷贴的原料:当归15g、女贞子9g、菟丝子15g、覆盆子6g、巴戟天6g、山药9g、黄精9g、淫羊藿6g、桂枝2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Angelica 15g, Ligustrum lucidum 9g, Dodder 15g, raspberry 6g, Morinda officinalis 6g, Chinese yam 9g, Polygonatum 9g, Epimedium 6g, Guizhi 2g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例9Example 9
治疗妇科病的分周期中药敷贴的原料:当归9g、女贞子9g、菟丝子18g、覆盆子6g、巴戟天6g、山药6g、黄精9g、淫羊藿12g、桂枝2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Angelica 9g, Ligustrum lucidum 9g, Dodder 18g, raspberry 6g, Morinda officinalis 6g, Chinese yam 6g, Polygonatum 9g, Epimedium 12g, Guizhi 2g, Ginger juice 20g -40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例10Example 10
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍6g、黄精9g、泽兰5g、淫羊藿15g、杜仲6g、女贞子9g、丹参5g、肉桂3g、醋香附2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Dodder 12g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 5g, Epimedium 15g, Eucommia 6g, Ligustrum lucidum 9g, Salvia miltiorrhiza 5g, Cinnamon 3g, Vinegar Fructus 2g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例11Example 11
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍6g、黄精9g、泽兰9g、淫羊藿12g、杜仲12g、女贞子9g、丹参9g、肉桂3g、醋香附5g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 12g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 9g, Epimedium 12g, Eucommia ulmoides 12g, Ligustrum lucidum 9g, Salvia miltiorrhiza 9g, Cinnamon 3g, Vinegar Fructus 5g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例12Example 12
治疗妇科病的分周期中药敷贴的原料:菟丝子15g、白芍6g、黄精9g、泽兰3g、淫羊藿12g、杜仲9g、女贞子9g、丹参3g、肉桂3g、醋香附2g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 15g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 3g, Epimedium 12g, Eucommia 9g, Ligustrum lucidum 9g, Salvia miltiorrhiza 3g, Cinnamon 3g, Vinegar Fructus 2g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例13Example 13
治疗妇科病的分周期中药敷贴的原料:菟丝子9g、白芍6g、黄精9g、泽兰6g、淫羊藿15g、杜仲9g、女贞子9g、丹参3g、肉桂3g、醋香附3g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 9g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 6g, Epimedium 15g, Eucommia 9g, Ligustrum lucidum 9g, Salvia miltiorrhiza 3g, Cinnamon 3g, Vinegar Fructus 3g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例14Example 14
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍6g、黄精9g、泽兰12g、淫羊藿12g、杜仲9g、女贞子9g、丹参3g、肉桂3g、醋香附6g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Dodder 12g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 12g, Epimedium 12g, Eucommia 9g, Ligustrum lucidum 9g, Salvia miltiorrhiza 3g, Cinnamon 3g, Vinegar Fructus 6g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例15Example 15
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍9g、黄精9g、泽兰6g、淫羊藿15g、杜仲6g、女贞子6g、丹参3g、肉桂3g、醋香附3g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 12g, Paeonia lactiflora 9g, Polygonatum 9g, Zelan 6g, Epimedium 15g, Eucommia ulmoides 6g, Ligustrum lucidum 6g, Salvia miltiorrhiza 3g, Cinnamon 3g, Vinegar Fructus 3g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例16Example 16
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍6g、黄精9g、泽兰12g、淫羊藿15g、杜仲6g、女贞子6g、丹参6g、肉桂3g、醋香附6g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 12g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 12g, Epimedium 15g, Eucommia ulmoides 6g, Ligustrum lucidum 6g, Salvia miltiorrhiza 6g, Cinnamon 3g, Vinegar Fructus 6g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例17Example 17
治疗妇科病的分周期中药敷贴的原料:菟丝子12g、白芍6g、黄精9g、泽兰12g、淫羊藿15g、杜仲6g、女贞子6g、丹参9g、肉桂6g、醋香附12g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for the treatment of gynecological diseases: Dodder 12g, Paeonia lactiflora 6g, Polygonatum 9g, Zelan 12g, Epimedium 15g, Eucommia ulmoides 6g, Ligustrum lucidum 6g, Salvia miltiorrhiza 9g, Cinnamon 6g, Vinegar Fructus 12g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例18Example 18
治疗妇科病的分周期中药敷贴的原料:菟丝子15g、白芍15g、黄精9g、泽兰9g、淫羊藿12g、杜仲6g、女贞子6g、丹参3g、肉桂3g、醋香附3g、姜汁20-40g。The raw materials of the periodic traditional Chinese medicine patch for treating gynecological diseases: Dodder 15g, Paeonia lactiflora 15g, Polygonatum 9g, Zelan 9g, Epimedium 12g, Eucommia ulmoides 6g, Ligustrum lucidum 6g, Salvia miltiorrhiza 3g, Cinnamon 3g, Vinegar Fructus 3g, Ginger juice 20-40g.
上述中药敷贴的制备方法同实施例1。The preparation method of the above-mentioned traditional Chinese medicine patch is the same as that in Example 1.
实施例1-9用于排卵前使用,实施例10-18用于排卵后使用。Examples 1-9 are for pre-ovulation use and Examples 10-18 are for post-ovulation use.
根据疾病特点不同,大部分疾病需实施例1-9中之一与实施例10-18中之一结合应用,如:不孕症、卵泡发育障碍(含辅助生殖阶段)、卵子质量差、月经过少、卵巢早衰、多囊卵巢综合征、继发性闭经、经期延长、乳癖症、子宫腺肌症、子宫内膜异位症;实施例1-9亦可单独使用(如:薄型子宫内膜、崩漏);10-18可单独使用(如:痛经、黄体功能不全)。According to the different characteristics of the disease, most diseases need one of the embodiments 1-9 combined with one of the embodiments 10-18, such as: infertility, follicular development disorder (including assisted reproduction stage), poor egg quality, menstruation too few, premature ovarian failure, polycystic ovary syndrome, secondary amenorrhea, prolonged menstrual period, breast addiction, adenomyosis, endometriosis; Examples 1-9 can also be used alone (such as: thin uterus Intima, metrorrhagia); 10-18 can be used alone (eg: dysmenorrhea, luteal insufficiency).
性能测试Performance Testing
治疗妇科病的临床观察1Clinical observation on the treatment of gynecological diseases 1
1材料与方法1 Materials and methods
1.1研究方法1.1 Research methods
对46例月经过少(薄型子宫内膜)患者进行治疗前后症状的对照分析,具体实施:拟定月经过少常见症状,治疗前给患者进行各症状进行评分,敷贴治疗1疗程后,再对各症状进行评分,治疗前后对比分析结果。46 patients with oligomenorrhea (thin endometrium) were subjected to a comparative analysis of symptoms before and after treatment. The specific implementation was as follows: the common symptoms of oligomenorrhea were planned, and the patients were scored for each symptom before treatment. Each symptom was scored, and the results were compared before and after treatment.
1.2研究对象1.2 Research objects
纳入2018年5月至2020年5月就诊于福建中医药大学国医堂门诊部妇科针灸诊疗部月经过少(薄型子宫内膜)患者46例,分成5组作为试验组。A total of 46 patients with oligomenorrhea (thin endometrium) who visited the Department of Gynecology and Acupuncture and Moxibustion, Guoyitang Outpatient Department of Fujian University of Traditional Chinese Medicine from May 2018 to May 2020 were included and divided into 5 groups as the experimental group.
1.3药物制备及使用1.3 Drug preparation and use
两组试验组分别采用实施例1、实施例2、实施例3、实施例4、实施例5制得的敷贴。The two groups of test groups used the patches prepared in Example 1, Example 2, Example 3, Example 4, and Example 5, respectively.
敷贴方法:患者取仰卧位,暴露贴敷部位,采用三伏灸特制敷料,将敷药饼置于凹槽中,将敷料贴于选取的腧穴上。月经第4天(以28天月经为例)开始贴敷,每周3次(隔日1次),经期不敷贴,每次药物贴敷20分钟,穴位局部配合神灯红外线照射。3个月经周期为一个疗程按周期敷贴1个疗程。Application method: The patient is placed in a supine position, the application site is exposed, and a special dressing for three-volt moxibustion is used. The dressing cake is placed in the groove, and the dressing is attached to the selected acupoints. The 4th day of menstruation (taking 28 days of menstruation as an example) starts to apply, 3 times a week (once every other day), no application during menstruation, 20 minutes of drug application each time, local acupuncture points are irradiated with magic lamp infrared rays. 3 menstrual cycles are one course of treatment, and one course of treatment is applied according to the cycle.
选穴:选择妇科常用穴位:太溪(双侧)、三阴交(双侧)、足三里(双侧)、关元。太溪为足少阴肾经原穴,“肾主生殖”,太溪具有滋肾阴作用;三阴交穴为足太阴脾经穴位,可健脾益血、调肝补肾,是治疗妇科病首选腧穴;足三里穴为足阳明胃经合穴,脾胃为气血生化之源,足三里、三阴交配合可促进水谷精微化生;任脉起于胞中,古代文献有“任主胞胎”的记载,关元为任脉腧穴,可调节局部经气,关元穴是临床治疗妇科疾病必选穴。Acupoint selection: Choose common acupoints in gynecology: Taixi (bilateral), Sanyinjiao (bilateral), Zusanli (bilateral), Guanyuan. Taixi is the original point of the Kidney Meridian of Foot Shaoyin, "kidney governs reproduction", Taixi has the effect of nourishing the Kidney Yin; Sanyinjiao Point is the point of the Spleen Meridian of Foot Taiyin, which can strengthen the spleen and blood, regulate the liver and kidney, and is the first choice for the treatment of gynecological diseases. ; Zusanli is the combined point of the stomach meridian of Foot Yangming, and the spleen and stomach are the source of qi and blood biochemistry. The combination of Zusanli and Sanyinjiao can promote the metaplasia of water and grains; It is recorded that Guanyuan is the acupoint of Renmai, which can regulate the local meridian Qi, and Guanyuan acupoint is a must-selected acupoint for clinical treatment of gynecological diseases.
1.4观察指标1.4 Observation indicators
症状:经量少、头晕耳鸣、腰酸腿软、足跟痛或头晕眼花、心悸、内膜厚度Symptoms: Lack of menstrual flow, dizziness, tinnitus, sore back, soft legs, heel pain or dizziness, palpitations, endometrial thickness
1.5辅助检查1.5 Auxiliary inspection
子宫内厚度膜≤7mmEndometrial thickness ≤7mm
1.6评价标准1.6 Evaluation Criteria
评分标准:参考《中医妇科学》月经过少及辅助检查结果制定,评分表,如下表1:Scoring standard: refer to the results of oligomenorrhea and auxiliary examinations in "Traditional Chinese Medicine and Gynecology", and the scoring table is as shown in Table 1 below:
疗效评价标准:参照《中医病症诊断疗效标准》制定。Efficacy evaluation criteria: formulate with reference to "Traditional Chinese Medicine Disease Diagnosis Efficacy Criteria".
疗效指数N=[(治疗前积分-治疗后积分)/治疗前积分]×100%;Efficacy index N=[(integration before treatment-integration after treatment)/integration before treatment]×100%;
治愈:N≥90%或子宫内膜厚度≥7cm;Cured: N≥90% or endometrial thickness ≥7cm;
好转:33.33%≤N<90%或子宫内膜厚度有增加,但未≥7cm;Improvement: 33.33%≤N<90% or endometrial thickness increased, but not ≥7cm;
无效:N<33.33%或内膜厚度无变化。Invalid: N < 33.33% or no change in intimal thickness.
2研究结果2 Results of the study
2.1临床疗效2.1 Clinical efficacy
表2采用实施例1-5的临床疗效Table 2 adopts the clinical curative effect of embodiment 1-5
由上述表2中,可以得出,本发明的分周期中药敷贴治疗妇科病有较好的临床疗效:可增加子宫内膜厚度,有效改善经量少、头晕耳鸣、腰酸腿软、足跟痛或头晕眼花、心悸症状。From above-mentioned table 2, it can be drawn that the treatment of gynecological diseases by periodical Chinese medicine applicator of the present invention has good clinical curative effect: can increase endometrial thickness, effectively improve menstrual flow, dizziness, tinnitus, sore waist, soft legs, heels. Pain or dizziness, palpitations.
治疗妇科病的临床观察2Clinical observation of treating gynecological diseases 2
1材料与方法1 Materials and methods
1.1研究方法1.1 Research methods
对50例多囊卵巢综合征卵泡发育障碍患者进行治疗对照分析,具体实施:敷贴治疗1疗程后,进行治疗前后对比分析。50 cases of polycystic ovary syndrome patients with follicular dysplasia were analyzed by treatment control. The specific implementation: after 1 course of sticking treatment, a comparison analysis before and after treatment was conducted.
1.2研究对象1.2 Research objects
纳入2018年2月至2020年3月就诊于福建中医药大学国医堂门诊部妇科针灸诊疗部多囊卵巢综合征患者50例,分成4组作为试验组。A total of 50 patients with polycystic ovary syndrome who were treated in the Department of Gynecology and Acupuncture and Moxibustion of the Outpatient Department of Guoyitang, Fujian University of Traditional Chinese Medicine from February 2018 to March 2020 were included and divided into 4 groups as the experimental group.
1.3药物制备及使用1.3 Drug preparation and use
4组试验组分别采用实施例1与实施例10组合、实施例2与实施例11组合、实施例3与实施例12组合、实施例4与实施例13组合制得的敷贴。The 4 groups of test groups used the patches prepared by combining Example 1 with Example 10, Example 2 with Example 11, Example 3 with Example 12, and Example 4 with Example 13.
敷贴方法:敷贴实施例1-9患者取仰卧位,敷贴实施例10-18患者俯卧位,暴露贴敷部位,采用三伏灸特制敷料,将敷药饼置于凹槽中,将敷料贴于选取的腧穴上。实施例1-9月经第5天开始贴敷,实施例10-18排卵后第1天开始敷贴,每周3次(隔日1次),经期不敷贴。每次药物贴敷20分钟,穴位局部配合神灯红外线照射。3个月经周期为一个疗程,按周期敷贴1个疗程。Application method: The patients of Examples 1-9 were placed in a supine position, and the patients of Examples 10-18 were placed in a prone position, exposing the application site, using a special dressing for three-volt moxibustion, placing the dressing cake in the groove, and applying the dressing Paste it on the selected acupoint. The application was started on the fifth day of menstruation in Examples 1-9, and the application was started on the first day after ovulation in Examples 10-18, 3 times a week (once every other day), and no application was made during menstruation. Each time the drug is applied for 20 minutes, the acupoints are locally irradiated with magic lamp infrared rays. 3 menstrual cycles are one course of treatment, and one course of treatment is applied according to the cycle.
选穴:卵巢穴、三阴交、足三里、肾俞、脾俞,所有穴位均贴敷双侧。卵巢、三阴交、足三里排卵前贴敷,肾俞、脾俞、腰阳关排卵后贴敷(若抽血证实怀孕则停止贴敷)。卵巢穴是治疗卵泡发育障碍经验效穴;三阴交穴为足太阴脾经穴位,可健脾益血、调肝补肾,是治疗妇科病首选腧穴;足三里穴为足阳明胃经合穴,脾胃为气血生化之源,足三里、三阴交配合可促进水谷精微化生,促进卵泡发育;肾俞、脾肾穴分别是肾脏、脾脏精气输注于背腰部的腧穴,二者合用有温肾健脾作用;腰阳关具有温肾助阳作用。Acupoint selection: Ovary point, Sanyinjiao, Zusanli, Shenshu, Pishu, all points are applied on both sides. Ovary, Sanyinjiao, Zusanli before ovulation, Shenshu, Pishu, Yaoyangguan after ovulation (if the blood is confirmed to be pregnant, the application will be stopped). Ovary acupoint is the effective acupoint for treating follicular developmental disorders; Sanyinjiao acupoint is the acupoint of the spleen meridian of Foot Taiyin, which can strengthen the spleen and blood, regulate the liver and kidney, and is the first choice for the treatment of gynecological diseases; Zusanli point is the acupoint of the stomach meridian of Foot Yangming, the spleen and stomach. It is the source of qi and blood biochemistry. The combination of Zusanli and Sanyinjiao can promote the metaplasia of water and grains and promote the development of follicles; Shenshu and spleen and kidney points are the acupoints where the kidney and spleen essence are infused into the back and waist respectively. The combination of the two can warm the kidney. Invigorating the spleen; Yaoyangguan has the effect of warming the kidney and helping the yang.
1.4观察指标1.4 Observation indicators
经量、月经周期情况、卵泡发育情况、基础体温、子宫内膜厚度、妊娠情况、伴随症状Menstrual volume, menstrual cycle, follicle development, basal body temperature, endometrial thickness, pregnancy, accompanying symptoms
1.5疗效评价标准1.5 Efficacy evaluation criteria
参照人民卫生出版社2013版《妇产科学》及相关文献资料整理拟定。According to the 2013 edition of "Obstetrics and Gynecology" of the People's Medical Publishing House and related literature, it was compiled and drafted.
(1)治愈;患者卵泡发育正常,晚期最大直径大于等于18mm,BBT呈明显双相,温差波动达0.3-0.5℃且持续12-14天;或成功妊娠。(1) Cured; the patient's follicles develop normally, the largest diameter in the late stage is greater than or equal to 18mm, the BBT is obviously biphasic, and the temperature difference fluctuates up to 0.3-0.5°C for 12-14 days; or the pregnancy is successful.
(2)好转:晩期卵泡最大直径大于等于16mm但始终小于18mm;或卵泡最大直径大于18mm,但BBT呈不典型双相;或者和本病相关的症状体征有所改善。(2) Improvement: the maximum diameter of follicles at night is greater than or equal to 16mm but always less than 18mm; or the maximum diameter of follicles is greater than 18mm, but BBT is atypical biphasic; or symptoms and signs related to the disease have improved.
(3)无效:治疗3个月,卵泡大小、主要症状体征及无改善。(3) Ineffective: after 3 months of treatment, the size of follicles, the main symptoms and signs and no improvement.
(4)总有效率计算:总有效率=(治愈数+好转数)/参与统计数(4) Calculation of total effective rate: total effective rate = (number of cures + number of improvements)/number of participation statistics
2研究结果2 Results of the study
2.1临床疗效2.1 Clinical efficacy
表3采用本发明中实施例结合治疗的临床疗效Table 3 adopts the clinical curative effect of the embodiment of the present invention combined with the treatment
由上述表3中,可以得出,本发明的分周期中药敷贴治疗卵泡发育障碍有较好的临床疗效:可促进卵泡发育,调节经量,调节月经周期,改善白带量多、腰膝酸软、疲倦等相关症状。本说明书中各个实施例采用递进的方式描述,每个实施例重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。对于实施例公开的装置而言,由于其与实施例公开的方法相对应,所以描述的比较简单,相关之处参见方法部分说明即可。From above-mentioned table 3, it can be drawn that the treatment of follicular dysplasia by the cyclical Chinese medicine application of the present invention has good clinical curative effect: can promote follicular development, regulate menstrual volume, regulate menstrual cycle, improve leucorrhea volume, waist and knees soreness and weakness. , fatigue and other related symptoms. The various embodiments in this specification are described in a progressive manner, and each embodiment focuses on the differences from other embodiments, and the same and similar parts between the various embodiments can be referred to each other. As for the device disclosed in the embodiment, since it corresponds to the method disclosed in the embodiment, the description is relatively simple, and the relevant part can be referred to the description of the method.
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其它实施例中实现。因此,本发明将不会被限制于本文所示的这些实施例,而是要符合与本文所公开的原理和新颖特点相一致的最宽的范围。The above description of the disclosed embodiments enables any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
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