CN1144594C - External-use plaster for softening dry feces and dissipating mass - Google Patents
External-use plaster for softening dry feces and dissipating mass Download PDFInfo
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- CN1144594C CN1144594C CNB001138898A CN00113889A CN1144594C CN 1144594 C CN1144594 C CN 1144594C CN B001138898 A CNB001138898 A CN B001138898A CN 00113889 A CN00113889 A CN 00113889A CN 1144594 C CN1144594 C CN 1144594C
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Abstract
The present invention relates to externally-applied plaster for softening stasis and dissipating clots. The plaster comprises the components of thirty-six kinds of medicine of rhubarb, kansui root, rehmannia root, radix aconite, wild aconite, prism tuber, zedoary, notopterygium root, croton, phellodendron bark, cinnamon, aurantii immaturus, spurge, nutagrass flatsedge rhizome, genkwa, magnolia bark, almond, trichosanthes root, pubescent angelica root, scorpion, betel nut, peach kernel, gall, kakuda figwort root, snake slough, coptis, Chinese angelica, centipede, semen momordicae, castor bean, gleditsiae, pangolins, asarum herb, Chinese ephedra, dahurian angelica root, ledebouriella root. The components are soaked by benne oil and are decocted to a withered type by soft fire. Dregs of the medicine are fetched out. Yellow lead, frankincense, myrrh and litharge are added to the medicine to be made into the plaster. The plaster can regulate channels and collateral and balance viscera so as to achieve the goal of curing diseases by the permeation and the absorption by skins or the stimulation of acupuncture points. The present invention has the effects of activating blood circulation to dissipate blood stasis, dephlogisticating, alleviating pain, softening stasis and dissipating clots. The invention has the advantages of convenient operation, no toxic or side effect and high therapeutic effects.
Description
The present invention relates to a kind of topical class medicine, especially a kind of external-use plaster for softening dry feces and dissipating mass.
In the prior art, the following shortcoming of plaster ubiquity: 1, the sick kind of treatment is single.As: SHANGSHI ZHITONG GAO only has effect to rheumatism, pain.Herba Typhonii gigantei cream only has effect to furuncle and phyma.It is first-class that baby one pastes the umbilicus that spirit can only be attached to infant.2, skin is easy to generate anaphylaxis.As: SHANGSHI ZHITONG GAO, SHEXIANG ZHUANGGU GAO are itched skin more and little erythema occurred.It is of common occurrence to resemble this situation.3, the effect cycle is short.As above cited several plaster, the general effect cycle is all in 24-48 hour.4, disease curing range is little.As above cited several plaster, be only limited to the treatment local symptom, as SHANGSHI ZHITONG GAO, SHEXIANG ZHUANGGU GAO is only limited to local pain.
Purpose of the present invention aims to provide a kind of energy blood circulation promoting and blood stasis dispelling, anti-inflammatory analgesic, hard masses softening and resolving of external and the plaster that has no side effect.
For achieving the above object, technical scheme of the present invention is based on the clinical experience of decades, and the raw material of Chinese medicine that sums up itself and weight proportion are
Radix Et Rhizoma Rhei 52~55 Radix Kansuis 52~55 Radix Rehmanniae 21~25 Radix Aconitis 21~25
Radix Aconiti Kusnezoffii 21~25 rhizoma sparganic 21~25 Rhizoma Curcumae 21~25 Rhizoma Et Radix Notopterygiis 21~24
Fructus Crotonis 20~24 Cortex Phellodendris 20~24 Cortex Cinnamomis 20~24 Fructus Aurantii Immaturuss 20~24
The Radix Euphorbiae Pekinensis 20~24 Rhizoma Cyperis, 19~22 Flos Genkwas, 19~22 Cortex Magnoliae Officinalis 19~22
Semen Armeniacae Amarum 19~22 Radix Trichosanthis 19~22 Radix Angelicae Pubescentiss 19~22 Scorpios 19~22
Semen Arecae 19~22 Semen Persicaes 19~22 Galla Chinensiss 19~22 Radix Scrophulariaes 19~22
Periostracum Serpentis 13~17 Rhizoma Coptidis 13~17 Radix Angelicae Sinensis 39~42 Scolopendras 5.5~8.5
Fructus Gleditsia 60~63 Semen Momordicaes 60~63 Squama Maniss 52~55 Herba Asaris 19~22
Semen Ricini 60~63 Herba Ephedraes 20~24 Radixs Angelicae Dahuricae 20~24 Radix Saposhnikoviaes 19~22
With weighing up of above-mentioned 36-flavor Glutinous drug weight proportioning, 2.5-3 Oleum Sesami doubly with total dose soaks, after soaking well, reuse slow fire is endured medicine withered, drag for its medicinal residues, add the heavy Plumbum preparatium of raw ramie oil mass 40% then, add weight more respectively and be 5% Olibanum, 5% Myrrha and 10% the Lithargyrum of Plumbum preparatium weight, make evenly and be used as medicine, be made into plaster.
Prescription analysis:
The invention reside in the clinical experience and therapeutic process of decades,, summed up Semen Momordicae, Semen Ricini, Fructus Gleditsia, Olibanum, Myrrha, the effect of elimination hypertrophy (hyperosteogeny, fibroplasia) is arranged.Herba Ephedrae, the Radix Angelicae Dahuricae, Radix Saposhnikoviae have the effect that recovers local muscular strength (prolapse of intervertebral disc).The two is complete in making drug effect reach the purpose of treatment disease by the meridians conduction for Herba Asari, Squama Manis.In clinical practice, the present invention is on the former side's of motherland's medical science basis, in addition Semen Momordicae, Semen Ricini, Fructus Gleditsia, Olibanum, Myrrha, Herba Ephedrae, the Radix Angelicae Dahuricae, Radix Saposhnikoviae, Herba Asari, Squama Manis are applied to treatment breast disease (cyclomastopathy, mammary gland fibroma, mastitis, mammary duct tumor etc.) hyperosteogeny, prolapse of intervertebral disc.And improve more and treat neck-shoulder pain, lumbago and leg pain rapidly.
This plaster is the external application that utilizes part or acupuncture point, by the osmotic absorption or the stimulating acupoint of integumentary musculature, regulates meridians, and the balance internal organs are to reach the purpose of treatment disease.Its effect is blood circulation promoting and blood stasis dispelling, anti-inflammatory analgesic, hard masses softening and resolving.Utilizing plaster outer plaster treatment disease, can avoid oral medicine and injection to the toxic and side effects that the patient caused, is the shortcut in the treatment.Can reach convenient, safe and reliable therapeutic purposes.
This plaster relatively and other common plaster, its advantage is as follows:
1, the treatment kinds of Diseases are many.
A, breast disease (cyclomastopathy, mastitis, mastalgia, mammary gland fibroma, mammary duct tumor etc.).
B, hyperosteogeny, arthroncus.
C, prolapse of intervertebral disc.
D, various neck-shoulder pain, lumbago and leg pain.
2, little to skin irritation.
3, the effect cycle is long.Its effect cycle is 5-7 days.
4, energy point outer plaster, stimulating acupoint is regulated meridians, and the treatment disease.
5, this plaster composition does not contain the Synthetic Organic Chemistry composition, and is nontoxic.
The analysis of each medicine during plaster is formed:
Radix Et Rhizoma Rhei: eliminating fire and detoxication, removing mass stagnate, clots absorbing blood, external relieve inflammation or internal heat detoxifcation, subside a swelling.
Radix Kansui, the Radix Euphorbiae Pekinensis: removing fluid-retention by purgation, dispersing swelling and dissipating binds, externally used detumescence, eliminating stagnation.
Radix Aconiti, Radix Aconiti Kusnezoffii: removing obstruction for relieving pain, wind-damp dispelling.
Rhizoma sparganic, Rhizoma Curcumae: removing blood stasis, promoting the circulation of QI to relieve pain.
Rhizoma Et Radix Notopterygii: the cold expelling that induces sweat, the victory of dispeling the wind win wet, pain relieving.
Fructus Crotonis: Wen Tonghan amass, relieve oedema or abdominal distension through diuresis or purgation detumescence, eliminate the phlegm, external treatment skin ulcer tinea, carbuncle.
Cortex Phellodendri: the hot dry temperature that disappears, the bright poison of pathogenic fire purging, reducing the asthenic fever.
Cortex Cinnamomi: it is supporing yang to mend fire, dispersing cold for relieving pain, promoting the flow of QI-blood by warming the meridian.
Fructus Aurantii Immaturus: the dispelling the stagnated QI removing food stagnancy, reduce phlegm except that painful abdominal mass.
Rhizoma Cyperi: depressed liver-energy dispersing and QI regulating, menstruction regulating and pain relieving.
Flos Genkwa: removing fluid-retention by purgation, expelling phlegm for arresting cough, the external parasite killing is treated skin ulcer.
Cortex Magnoliae Officinalis: circulation of qi promoting, dampness, removing food stagnancy, asthma.
Semen Armeniacae Amarum: relieving cough and asthma, loosening bowel to relieve constipation.
Pollen: clearing away heat and promoting production of body fluid, detumescence and apocenosis.
Radix Angelicae Pubescentis: wind-damp dispelling, pain relieving, bright table.
Scorpio, Scolopendra: endogenous wind stopping relieving convulsion, bright malicious eliminating stagnation, removing obstruction in the collateral to relieve pain.
Semen Arecae: parasite killing, removing food stagnancy, circulation of qi promoting, diuretic.
Semen Persicae: blood circulation promoting and blood stasis dispelling, loosening bowel to relieve constipation.
Galla Chinensis: the pathogenic fire reducing of astringing the lung, astringing intestine to stop diarrhea, controlling nocturnal emission with astringent drugs, arresting sweating, hemostasis.
Radix Scrophulariae: heat-clearing and toxic substances removing yin nourishing.
Periostracum Serpentis: expelling wind for relieving convulsion, parasite killing detoxifcation, removing nebula to improve visual acuity.
Rhizoma Coptidis: heat clearing and damp drying, eliminating fire and detoxication.
Radix Angelicae Sinensis: enrich blood, invigorate blood circulation, pain relieving, intestine moistening.
Semen Momordicae: detumescence, eliminating stagnation, the poison of dispelling.
Semen Ricini: detumescence and drawing out poison, rush down logical down stagnating.
Fructus Gleditsia: sensible, eliminate the phlegm.
Squama Manis: promoting blood circulation to restore menstrual flow, stimulating milk secretion, detumescence and apocenosis.
Herba Asari: dispel the wind dispersing cold for relieving pain, warming the lung for resolving phlegm, a surname's clearing the nasal passage.
The Radix Angelicae Dahuricae: induce sweat the dry temperature of dispeling the wind, detumescence, evacuation of pus, pain relieving.
Radix Saposhnikoviae: expelling pathogenic wind from the body surface, win temperature, pain relieving, spasmolytic.
The Lithargyrum: the detumescence parasite killing, to restrain anticorrosionly, tunnel expectorant is relieving convulsion.
Olibanum, Myrrha: the blood blood stasis removing that looses, subduing swelling and relieving pain.
The best proportioning of 36-flavor Glutinous raw material of Chinese medicine of the present invention itself and weight is (b is Unit Weight part)
Radix Et Rhizoma Rhei 54b Radix Kansui 54b Radix Rehmanniae 23.5b Radix Aconiti 23.5b
Radix Aconiti Kusnezoffii 23.5b rhizoma sparganic 23.5b Rhizoma Curcumae 21~25b Rhizoma Et Radix Notopterygii 23.5b
Fructus Crotonis 22.5b Cortex Phellodendri 22.5b Cortex Cinnamomi 22.5b Fructus Aurantii Immaturus 22.5b
Radix Euphorbiae Pekinensis 22.5b Rhizoma Cyperi 21b Flos Genkwa 21b Cortex Magnoliae Officinalis 21b
Semen Armeniacae Amarum 21b Radix Trichosanthis 21b Radix Angelicae Pubescentis 21b Scorpio 21b
Semen Arecae 21b Semen Persicae 21b Galla Chinensis 21b Radix Scrophulariae 21b
The yellow ripples 16.5b of Periostracum Serpentis 16.5b Radix Angelicae Sinensis 41b Scolopendra 7.5b
Fructus Gleditsia 62b Semen Momordicae 62b Squama Manis 54b Herba Asari 21b
Semen Ricini 62b Herba Ephedrae 22.5b root of Dahurian angelica 22.5b Radix Saposhnikoviae 21b
Proportioning by 36 kinds of medicines weighs up medicine, soaks with the 2.5-3 of total dose Oleum Sesami doubly: Xia Qiri, ten days spring and autumn, 15 days winters, soak good after, medicine is endured withered with slow fire, drag for its medicinal residues, add the heavy Plumbum preparatium of raw ramie oil mass 40% then, add weight again and be respectively 5% Olibanum, 5% Myrrha and 10% the Lithargyrum of Plumbum preparatium weight, make evenly and be used as medicine, make pills of immortality then to dripping into pearl, color is shiny black to be good, pours in the container, put a chimney on the stove and make the fire draw malicious ten days with cold water, change water every day once.
The size of plaster and stand subsides method: plaster spreads out on paper or the cloth, and its diameter is 6cm, thickness be 0.2 circular plaster for future use.Hot a little as the time spent, make plaster softening, be attached to acupuncture point or ill position.
Disease kind, model case and the curative effect thereof of treatment:
(1) the sick kind: breast disease, hyperosteogeny, arthroncus, hyperosteogeny, neck-shoulder pain, lumbago and leg pain.
(2) model case:
Case one: breast disease
Zhang, the woman, 45 years old, state-run Huian chemical plant retired employees, on August 6th, 99 came here to state, there is caking at left side breast place before 7 years, after increase gradually, though see a doctor ask medicine after caking disappear recurrence again after half a year.Existing disease, the right breast outside and the right breast outside have 3 * 4cm respectively, 2 * 2cm size, two cakings, matter is hard and increase the weight of or alleviate with menstrual cycle pain, be diagnosed as cyclomastopathy, plaster outer plaster two lumps are arranged, changed in five days one, it is wide few angry to advise the patient to harbor, the lump change is owed after ten days, dwindles pain relief, cured in 30th, and recurred with anti-nothing after half a year.
Case two: hyperosteogeny, arthroncus
Zhu, man, 62 years old, thatched cottage, Hu County people from town, retired worker, readme when on August 26th, 1997 went to a doctor, the waist plate is hard, pain, and movable ineffective half a year is surplus, see a doctor and ask the medicine poor effect in many places, nearly January, pain increased the weight of, through the medicine does no good to and day by day increase the weight of, bow before can not doing, layback and change one's position and wait activity, on inspection, patient's waist lower limb is ineffective, all there is tenderness the lumbar vertebra both sides, with the 3rd, 4,5 lumbar vertebras are particularly evident, and the X line is taken the photograph sheet and is: the 3rd, 4, before and after 5 lumbar vertebras different hyperosteogeny of degree is arranged all, plaster outer plaster the 3rd is arranged, 4,5 lumbar vertebras, pain relief after 10 days, after 50 days, pain disappears, and waist is flexibly movable, the X line is taken the photograph sheet and is shown: the lumbar vertebra no abnormality seen, cure in 50 days.
Case three: prolapse of intervertebral disc:
Yang, woman, 42 years old, the Hancheng City people, the workman, on June 16th, 99 stayed in its elder sister family's phone and sees a doctor, unexpected lumbago can not be stood up before March, and lying on one's side gets up needs the people to assist in, defecation can not be taken care of oneself, and checks waist 4, and waist 5 has tenderness, the conscious numbness in left leg rear side and vola, CT prompting, waist 4-5 prolapse of intervertebral disc, with 6 on plaster, near waist 4, the outside, waist 5 sacrum vertebra both sides, the external rubber plaster is fixed, advise the patient to lie up, the patient can get up alone after 15 days, pain relief, patient's waist does not have tenderness after 60 days, posterior leg has the vola feeling of numbness to disappear, CT prompting, lumbar vertebra, the sacral sclerotin is no abnormal, follows up a case by regular visits to after half a year and does not have recurrence.
Case four: neck-shoulder pain, lumbago and leg pain
Zhao, woman, 32 years old, people from East St, Hu County, the peasant, on October 17th, 99 went to a doctor, and left shoulder pain is surplus March, and pain alleviates with climate change or increases the weight of, on inspection, pain is located on a left side on the shoulders, the left arm limitation of activity, and left side shoulder fear of cold is afraid of cold, be diagnosed as scapulohumeral periarthritis, a plaster is pasted at the shoulder place, and the shoulder both sides is respectively pasted one, pain relief after five days, pain disappears after 25 days, the upper limb activity freely, the bimester after follow up a case by regular visits to, left side shoulder pain does not have recurrence, and climate change left side shoulder is felt good, patient's recovery from illness.
(3) curative effect:
A, breast disease: criterion: 10 days is a course of treatment, hypertrophy lump deliquescing or dwindle in a course of treatment, and pain relief is effective.Lump disappears in general four courses of treatment, and pain disappears, and follows up a case by regular visits to after six months and does not have recurrence for curing.Treatment breast disease 125 examples effectively are 108 examples in 10 days, and effective percentage is 86.4%.Followed up a case by regular visits to no recidivist's 98 examples after six months for curing in 40 days, cure rate is 78.4%.
B, hyperosteogeny, and enlargement, hyperosteogeny 35 examples, hyperosteogeny 15%, body of metacarpal bone hypertrophy 8 examples, tibia hypertrophy 6 examples, internal malleolus arthroncus 8 examples, inboard arthroncus of knee joints 12 examples, elbow joint enlargement 5 examples, hyperosteogeny 64 examples of determining, arthroncus 25 examples.Criterion: 15 days is a course of treatment, and pain, enlargement, limitation of activity alleviator are effective in 15 days.Film making check hypertrophy disappears in 60 days, and it is normal for curing that recover in the enlargement joint.Hyperosteogeny 15 days effectively was 52 examples, and effective percentage is 48 examples that the film making check is cured in 81.2%, 60 day, and cure rate is 75%.Effective 22 examples in the arthroncus 15 days, effective percentage are to cure 20 examples in 88%, 60 day, and cure rate is 80%.
C, prolapse of intervertebral disc 28 examples: criterion of therapeutical effect: 15 days is a course of treatment, and lumbago and skelalgia or numbness or limitation of activity degree alleviate to effectively in 15 days.Film making check in 60 days, transference cure, the recovery of intervertebral spare space is normal, follows up a case by regular visits to after six months, does not have the healing that is of recurrence.Effective 23 examples in 15 days, effective percentage are to cure 20 examples in 82%, 60 day, and cure rate is 71.5%.
D, neck-shoulder pain, lumbago and leg pain 168 examples.Criterion of therapeutical effect: 5 days is a course of treatment, and pain relief is effectively in 5 days, and pain disappears in 30 days, follows up a case by regular visits to the healing that is of not having pain symptom again after two months.Cure in effective 154 examples in 5 days, effective percentage 91.5%, 30 day and come 138 examples, cure rate is 82%.
Claims (2)
1, a kind of external-use plaster for softening dry feces and dissipating mass is characterized in that it is that raw material by the following weight raw material ratio prepares as follows:
Radix Et Rhizoma Rhei 52-55 Radix Kansui 52-55 Radix Rehmanniae 21-25 Radix Aconiti 21-25
Radix Aconiti Kusnezoffii 21~25 rhizoma sparganic 21-25 Rhizoma Curcumae 21-25 Rhizoma Et Radix Notopterygii 21-24
Fructus Crotonis 20-24 Cortex Phellodendri 20-24 Cortex Cinnamomi 20-24 Fructus Aurantii Immaturus 20-24
The Radix Euphorbiae Pekinensis 20~24 Rhizoma Cyperi 19-22 Flos Genkwa 19-22 Cortex Magnoliae Officinalis 19-22
Semen Armeniacae Amarum 19~22 Radix Trichosanthis 19~22 Radix Angelicae Pubescentis 19-22 Scorpio 19-22
Semen Arecae 19-22 Semen Persicae 19~22 Galla Chinensis 19-22 Radix Scrophulariae 19-22
Periostracum Serpentis 13-17 Rhizoma Coptidis 13-17 Radix Angelicae Sinensis 39-42 Scolopendra 5.5-8.5
Fructus Gleditsia 60~63 Semen Momordicaes 60~63 Squama Manis 52-55 Herba Asari 19-22
Semen Ricini 60-63 Herba Ephedrae 20-24 Radix Angelicae Dahuricae 20-24 Radix Saposhnikoviae 19~22
With weighing up of above-mentioned 36-flavor Glutinous drug weight proportioning, 2.5-3 Oleum Sesami doubly with total dose soaks, after soaking well, reuse slow fire is endured medicine withered, drag for its medicinal residues, add the heavy Plumbum preparatium of raw ramie oil mass 40% then, add weight more respectively and be 5% Olibanum, 5% Myrrha and 10% the Lithargyrum of Plumbum preparatium weight, make evenly and be used as medicine, be made into plaster.
2, a kind of external-use plaster for softening dry feces and dissipating mass according to claim 1 is characterized in that: the raw material of Chinese medicine weight raw material ratio of the present invention is:
Radix Et Rhizoma Rhei 54 Radix Kansuis 54 Radix Rehmanniae 23.5 Radix Aconitis 23.5
Radix Aconiti Kusnezoffii 23.5 rhizoma sparganic 23.5 Rhizoma Curcumae 21-25 Rhizoma Et Radix Notopterygiis 23.5
Fructus Crotonis 22.5 Cortex Phellodendris 22.5 Cortex Cinnamomis 22.5 Fructus Aurantii Immaturuss 22.5
The Radix Euphorbiae Pekinensis 22.5 Rhizoma Cyperis, 21 Flos Genkwas, 21 Cortex Magnoliae Officinalis 21
Semen Armeniacae Amarum 21 Radix Trichosanthis 21 Radix Angelicae Pubescentiss 21 Scorpios 21
Semen Arecae 21 Semen Persicaes 21 Galla Chinensiss 21 Radix Scrophulariaes 21
Periostracum Serpentis 16.5 Rhizoma Coptidis 16.5 Radix Angelicae Sinensis 41 Scolopendras 7.5
Fructus Gleditsia 62 Semen Momordicaes 62 Squama Maniss 54 Herba Asaris 21
Semen Ricini 62 Herba Ephedraes 22.5 Radixs Angelicae Dahuricae 22.5 Radix Saposhnikoviaes 21.
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CNB001138898A CN1144594C (en) | 2000-07-26 | 2000-07-26 | External-use plaster for softening dry feces and dissipating mass |
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CNB001138898A CN1144594C (en) | 2000-07-26 | 2000-07-26 | External-use plaster for softening dry feces and dissipating mass |
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CN1144594C true CN1144594C (en) | 2004-04-07 |
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CNB001138898A Expired - Fee Related CN1144594C (en) | 2000-07-26 | 2000-07-26 | External-use plaster for softening dry feces and dissipating mass |
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CN100348225C (en) * | 2005-12-22 | 2007-11-14 | 范庆荣 | Convalescence ointment for scrofula |
CN101612295B (en) * | 2009-07-31 | 2013-10-23 | 王慈杰 | Medicine for treating nephritis |
CN102451441A (en) * | 2010-10-28 | 2012-05-16 | 李宏彪 | Chinese medicinal composition for treating cold heumatism, diminishing inflammation, reducing swelling and alleviating pain and preparation method thereof |
CN103142981A (en) * | 2013-03-22 | 2013-06-12 | 周慧 | Medicament for treating mammitis |
CN103446546B (en) * | 2013-09-18 | 2014-12-10 | 司继爱 | Capsule for eliminating illness and removing stasis and preparation method thereof |
CN103920109A (en) * | 2014-03-25 | 2014-07-16 | 徐铁刚 | Combined traditional Chinese medicinal patch and preparation method thereof |
CN105031518A (en) * | 2015-07-03 | 2015-11-11 | 李晓晓 | External traditional Chinese medicine prescription capable of dispelling phlegm, removing dampness, activating blood circulation to removing stasis, eliminating swelling, and relieving pains |
CN107029190B (en) * | 2017-06-16 | 2020-06-26 | 率秀冰 | Succinization hard paste and preparation method thereof |
CN108310318A (en) * | 2018-04-03 | 2018-07-24 | 遵义爱果生物科技有限责任公司 | A kind of plaster and preparation method thereof for treating tumor of breast |
CN108434334A (en) * | 2018-06-15 | 2018-08-24 | 王右杰 | A kind of Chinese medicine composition that treating mammary gland disease, Chinese medicine ointment and preparation method thereof |
CN109771609A (en) * | 2019-01-23 | 2019-05-21 | 叶琳 | The plaster and preparation method thereof for treating mazoitis |
CN109793876A (en) * | 2019-04-03 | 2019-05-24 | 武天杰 | A kind of plaster that treating protrusion of lumber intervertebral disc and preparation method |
CN111700994A (en) * | 2020-01-02 | 2020-09-25 | 李欣 | External plaster for treating lumbocrural pain, tumor cyst and traumatic injury |
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2000
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