CN115487277A - 一种用于骨折后消肿的中药组合物 - Google Patents

一种用于骨折后消肿的中药组合物 Download PDF

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CN115487277A
CN115487277A CN202211136303.7A CN202211136303A CN115487277A CN 115487277 A CN115487277 A CN 115487277A CN 202211136303 A CN202211136303 A CN 202211136303A CN 115487277 A CN115487277 A CN 115487277A
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杨莉
余秋红
王红亚
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HANGZHOU CITY XIAOSHAN DISTRICT TRADITIONAL CHINESE MEDICAL HOSPITAL
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Abstract

本发明公开了一种用于骨折后消肿的中药组合物，包括以下重量份的组分：生黄芪20‑25份，当归12‑15份，白芍15‑18份，赤芍10‑15份，木瓜10‑15份，桂枝10‑13份，血竭3‑6份，海桐皮15‑18份，威灵仙15‑18份，豨莶草15‑18份，红花30‑35份，川芎30‑35份，三棱30‑35份，莪术30‑33份，桃仁30‑35份，老鹳草30‑35份，路路通30‑33份，穿破石30‑33份，走马胎30‑33份，苍耳子15‑18份，牛膝10‑15份。本发明中药组合物对骨折后的肿胀具有活血化瘀、通络止痛的功效，能够达到预防血栓的效果，恢复自身生理平衡。

Description

一种用于骨折后消肿的中药组合物
技术领域
本发明涉及中药组合物领域，特别涉及一种用于骨折后消肿的中药组合物。
背景技术
下肢骨折病人往往引起明显的肿胀，现代医学认为肿胀产生的原因主要是：外伤性炎症反应，损伤后由于组织出血，体液渗出，同时由于疼痛，反射性造成肌肉痉挛，唧筒作用消失，造成静脉及淋巴管淤滞，回流障碍；长期肢体固定，肌肉不运动产生肌肉萎缩，肌肉弹力降低，失去肌肉舒缩功能，造成静脉及淋巴管回流缓慢或淤滞。由于长期静脉、淋巴淤滞，其管壁扩张，通透性增加，造成组织间水肿，不仅可影响筋脉回流，而且可影响动脉供血，使肢体康复得不到足够的营养和血液供应。另外，组织肿胀常使外固定不适合而必须更换或调整松紧度，否则将影响骨折的治疗结果，并影响患肢的功能锻炼和恢复，耽误骨折的愈合，因此及早消肿是十分重要的。
西医常用甘油果糖静脉滴注来消肿，但是患者往往感疼痛难忍而拒绝治疗。中医中药可以发挥整体调治的特色，所以，提出一种用于骨折后消肿的中药组合物具有重要意义。
发明内容
本发明为了解决上述技术问题，提供了一种用于骨折后消肿的中药组合物。
本发明是采用以下技术方案得以实现的。
一种用于骨折后消肿的中药组合物，包括以下重量份的组分：生黄芪20-25份，当归12-15份，白芍15-18份，赤芍10-15份，木瓜10-15份，桂枝10-13份，血竭3-6份，海桐皮15-18份，威灵仙15-18份，豨莶草15-18份，红花30-35份，川芎30-35份，三棱30-35份，莪术30-33份，桃仁30-35份，老鹳草30-35份，路路通30-33份，穿破石30-33份，走马胎30-33份，苍耳子15-18份，牛膝10-15份。
优选的，一种用于骨折后消肿的中药组合物，包括以下重量份的组分：生黄芪20份，当归12份，白芍15份，赤芍10份，木瓜10份，桂枝10份，血竭3份，海桐皮15份，威灵仙15份，豨莶草15份，红花30份，川芎30份，三棱30份，莪术30份，桃仁30份，老鹳草30份，路路通30份，穿破石30份，走马胎30份，苍耳子15份，牛膝10份。
本组方中红花其药性辛、温，归心肝经.可活血通经、散瘀止痛。海桐皮具有消炎镇痛、祛湿活血和祛风行气的功效。当归性温，味干、辛、苦，有活血化瘀，散瘀止痛等功效，生黄芪具有补气益血，补气固表的功效，白芍具有收敛养血，缓急止痛，平肝等功效，赤芍具有清热凉血，散瘀止痛等功效，木瓜可以祛湿舒筋，桂枝可以发汗解肌、温通经脉、助阳化气，血竭具有活血定痛、化瘀止血、生肌收敛等功效，海桐皮具有祛风除湿，通络止痛之功效，威灵仙具有祛风湿，通经络之功效，川芎具有祛风止痛、活血祛瘀、行气开郁之功效，豨莶草清热解毒，散寒除湿的功效。三棱具有破血行气，止痛的功效。莪术具有消积止痛、行气破血的功效。桃仁具有润肠通便、活血化瘀的功效，老鹤草祛风除湿、活血通络的效果，路路通具有祛风活络，利水，通经的作用，穿破石具有祛风利湿、活血通经，散瘀止痛等功效，走马胎具有祛风湿，壮筋骨，活血祛瘀等功效，苍耳子具有祛风散热的功效，牛膝具有活血通经、补肝肾、利水通淋的功效。
本申请具有以下有益效果。
本发明中药组合物对骨折后的肿胀具有活血化瘀、通络止痛的功效，能够达到预防血栓的效果，恢复自身生理平衡。本发明中药组合物配伍科学合理，对气滞血淤征具有很好的治疗效果，临床应用前景广阔。
附图说明
图1是病例1治疗前的照片；
图2是病例1采用本发明中药组合物治疗后的照片；
图3是病例2采用本发明中药组合物治疗后的照片；
图4是病例3采用本发明中药组合物治疗后的照片。
具体实施方式
以下结合实施例对本专利申请进行进一步的说明。
实施例1
一种用于骨折后消肿的中药组合物(健步通脉散)的制备方法，包括以下步骤：
称取生黄芪20g，当归12g，白芍15g，赤芍10g，木瓜10g，桂枝10g，血竭3g，海桐皮15g，威灵仙15g，豨莶草15g，红花30g，川芎30g，三棱30g，莪术30g，桃仁30g，老鹳草30g，路路通30g，穿破石30g，走马胎30g，苍耳子15g，牛膝10g；将上述原料药磨成粉剂，用醋调匀。
临床应用
采用本申请实施例1的中药组合物对骨折后产生肿胀的患者进行治疗
1.入选标准
(1)软组织挫伤：有明显的外伤史；疼痛剧烈，局部迅速肿胀肢体功能障碍；受伤部位压痛明显，有皮肤青紫瘀斑，严重者可出现皮下血肿，波动征阳性；无骨折、脱位，皮肤保持完整；病程在2周以内。
(2)关节扭伤：有明显的关节扭伤史；伤后疼痛剧烈，局部迅过出现肿胀、瘀斑，关节活动障碍；X线检查示无骨折、脱位；病程在2周以内。
2.治疗方法
治疗组:根据损伤面积大小，取实施例1制得的中药制剂均匀涂于无菌纱布上，将涂药一面的纱布覆盖患处,平摊约2-3mm厚，面积超出损伤部位1cm左右，然后用胶布固定，外加塑料薄膜包扎，以保持湿度持久药效成分不挥发，每日外敷一次。
注意事项：伤后12h内禁用此药，可用凉毛巾湿敷，最后伤后立即用冰块湿敷，减少出血肿胀，此外有皮肤破损者忌用。
对照组：采用红花油外搽，先将药液涂抹于患处，再用手反复搓至发热，每天3-4次。
3.治疗结果
治疗组有效率为95.00％，对照组为75.00％，两组比较差异有统计学意义(P<0.01)，且治疗组疗程时间比对照组短，治疗组疗效明显优于对照组，其结果见表1。
表1两组疗效比较
组别 例数(例) 痊愈(例) 显效(例) 有效(例) 无效(例) 总有效率
对照组 60 20 12 13 15 75％
治疗组 60 32 18 7 3 95％
疗效标准：
痊愈：经治疗5天内，肿胀全部消退，疼痛消除；
显效：5天内肿胀消退二分之一以上，疼痛不明显；
有效：5天内肿胀消退三分之一左右，疼痛减轻；
无效：5天内肿胀及疼痛减轻不明显。
典型病例
病例1
宋某某，男，56岁。初诊：2021年12月16日。
病史：外伤致左小腿肿胀、畸形2小时。
辨证：骨断筋伤，气滞血瘀。
治法：活血化瘀，祛瘀止痛。
处方：生黄芪20g，当归12g，白芍15g，赤芍10g，木瓜10g，桂枝10g，血竭3g，海桐皮15克，威灵仙15克，豨莶草15克，红花30克，川芎30克，三棱30克，莪术30克，桃仁30克(捣)，老鹳草30克，路路通30克，穿破石30克，走马胎30克，苍耳子15克，牛膝10g。共七剂，磨成粉剂，用醋调匀，敷在双下肢，每日一次。
按语：本案患者，骨折后初期肿胀明显，健步通脉散外敷(一天一次)+红外线配合照射，消肿效果明显。
病例2
马某某，女，48岁。初诊：2021年11月1日。
刻诊：外伤致右足部肿胀、畸形1小时。
辨证：骨断筋伤，气滞血瘀。
治法：活血化瘀，祛瘀止痛。
处方：生黄芪20g，当归12g，白芍15g，赤芍10g，木瓜10g，桂枝10g，血竭3g，海桐皮15克，威灵仙15克，豨莶草15克，红花30克，川芎30克，三棱30克，莪术30克，桃仁30克(捣)，老鹳草30克，路路通30克，穿破石30克，走马胎30克，苍耳子15克，牛膝10g。共七剂，磨成粉剂，用醋调匀，敷在双下肢，每日一次。
按语：本案患者，骨折后初期肿胀明显，健步通脉散外敷(一天一次)+红外线配合照射，消肿效果明显。
病例3
沈某某，男，46岁。初诊：2021年10月17日。
病史：外伤致左足部肿胀、疼痛2小时。
辨证：筋伤，气滞血瘀。
治法：活血化瘀，祛瘀止痛。
处方：生黄芪20g，当归12g，白芍15g，赤芍10g，木瓜10g，桂枝10g，血竭3g，海桐皮15克，威灵仙15克，豨莶草15克，红花30克，川芎30克，三棱30克，莪术30克，桃仁30克(捣)，老鹳草30克，路路通30克，穿破石30克，走马胎30克，苍耳子15克，牛膝10g。共七剂，磨成粉剂，用醋调匀，敷在双下肢，每日一次。
按语：本案患者，损伤后初期肿胀明显，健步通脉散外敷(一天一次)+红外线配合照射，消肿效果明显。
本具体实施方式的实施例均为本发明的较佳实施例，并非依此限制本发明的保护范围，故：凡依本发明的结构、形状、原理所做的等效变化，均应涵盖于本发明的保护范围之内。

Claims (2)

1.一种用于骨折后消肿的中药组合物，其特征在于：包括以下重量份的组分：生黄芪20-25份，当归12-15份，白芍15-18份，赤芍10-15份，木瓜10-15份，桂枝10-13份，血竭3-6份，海桐皮15-18份，威灵仙15-18份，豨莶草15-18份，红花30-35份，川芎30-35份，三棱30-35份，莪术30-33份，桃仁30-35份，老鹳草30-35份，路路通30-33份，穿破石30-33份，走马胎30-33份，苍耳子15-18份，牛膝10-15份。
2.根据权利要求1所述的一种用于骨折后消肿的中药组合物，其特征在于：包括以下重量份的组分：生黄芪20份，当归12份，白芍15份，赤芍10份，木瓜10份，桂枝10份，血竭3份，海桐皮15份，威灵仙15份，豨莶草15份，红花30份，川芎30份，三棱30份，莪术30份，桃仁30份，老鹳草30份，路路通30份，穿破石30份，走马胎30份，苍耳子15份，牛膝10份。
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