CN116211989A - A traditional Chinese medicinal bath liquid for rehabilitation treatment of childbirth brachial plexus injury - Google Patents

Abstract

The invention provides a traditional Chinese medicinal bath liquid for rehabilitation treatment of childbirth brachial plexus injury, which belongs to the technical field of traditional Chinese medicine. The medicated bath Chinese medicine of the present invention is made up of the following raw materials by weight: 15-40 parts of angelica, 15-30 parts of astragalus, 15-30 parts of Wulingzhi, 1-7 parts of catechu, 10-30 parts of Qiannianjian, 15 parts of papaya ‑30 parts, 10‑30 parts of Shenjincao, 10‑30 parts of mulberry branches, 10‑30 parts of white fresh bark, 10‑30 parts of notopterygium, 10‑30 parts of Gentiana, 10‑30 parts of turmeric, 5‑20 parts of bergamot , Yu Liren 5‑20 copies. The medicated bath traditional Chinese medicine combined with rehabilitation treatment of childbirth brachial plexus injury has significantly improved curative effect, improved basic movement, hand function, coordination and overall function of children with childbirth brachial plexus injury, has no adverse reactions, and is convenient to use.

Description

A traditional Chinese medicinal bath liquid for rehabilitation treatment of childbirth brachial plexus injury

technical field

The invention belongs to the technical field of traditional Chinese medicines, and in particular relates to a traditional Chinese medicinal bath liquid for rehabilitation and treatment of childbirth brachial plexus injuries, as well as its composition and application.

Background technique

With the continuous improvement of material living standards, there are more and more cases of macrosomia at birth; during the production process, it is easy to cause shoulder dystocia, so that childbirth brachial plexus injuries are caused by excessive stretching of the brachial plexus or clavicle fractures. Childbirth brachial plexus injury, also known as obstetrical paralysis, is a tractive injury of the brachial plexus that occurs due to the separation of the head and shoulders caused by various reasons during childbirth. Motor dysfunction, initially manifested as flaccid paralysis, followed by muscle atrophy and contracture, adduction and internal rotation contracture of the shoulder joint may cause shoulder subluxation and dislocation, elbow flexion contracture may cause posterior dislocation of the radial head, posterior elbow joint Dislocation, pronation and supination of the forearm and deformity of the hand. The reported incidence rate varies greatly from country to country, ranging from 0.15‰ to 3‰. Since the child is in a critical period of motor development, if not treated in time, it will affect its motor function and leave disability. At present, conservative treatment of upper brachial plexus injury is usually performed by rehabilitation training, acupuncture and massage, and severe cases require surgical treatment. Although the curative effect of childbirth brachial plexus injury has been significantly improved, many children still have different degrees of dysfunction . Therefore, further improving the curative effect of childbirth brachial plexus injury is a clinical problem that needs to be solved urgently.

There is no record of "parturient brachial plexus injury" in the ancient books of traditional Chinese medicine, but the connotation of atrophy syndrome in traditional Chinese medicine includes relaxation of limbs, weakness, inability to move freely, or accompanied by muscle atrophy. "Suwen impotence theory" believes that "the lung governs the fur of the body, the heart governs the blood of the body, the liver governs the fascia of the body, the spleen governs the muscles of the body, and the kidney governs the bone marrow of the body. Therefore, when the lungs are hot and the leaves are scorched, the fur is weak and thin. If the heart qi is hot, the lower vessels will turn upwards, and the upper ones will cause the lower vessels to become deficient, and if they are deficient, the pulses will become flaccid, the pivots will be folded, and the shin will be vertical and not on the ground; if the liver qi is hot, the gallbladder will be vented and the mouth will be bitter. If the fascia is dry, the fascia is dry, and the tendons are tense and contracted, which is muscle flaccidity; when the temper is hot, the stomach is dry and thirsty, the muscles are not benevolent, and the hair is flaccid; Fat is bone flaccidity." The function of tendons in traditional Chinese medicine is mainly to connect bones and carry out various activities. "Suwen impotence theory": "Zong tendons govern the bones and benefit the organs", "Suwen Wuzang Shengpian": "All tendons belong to joints", "Suwen Bilun": "Blurries lie in tendons, then Bend or not stretch", "Suwen Changci Jiepian": "The disease lies in the tendons, the tendons are cramped and painful, and it is impossible to move, which is called tendon paralysis" and so on. That is to say, the meridians mainly play a role in joint flexion and muscle movement, and its syndromes are mainly manifested in motor dysfunction: such as local or whole body muscle jerk, rigidity, relaxation, and paralysis. Medicinal bath traditional Chinese medicine has accumulated a lot of experience in the treatment of "flareness syndrome" and "muscle injury". According to the etiology and clinical manifestations of childbirth brachial plexus injury in modern medicine, childbirth brachial plexus injury can be classified into the categories of "atrophy syndrome" and "muscle injury". The etiology and pathogenesis are due to trauma during childbirth that causes bad blood to stay in, stagnation of qi and blood stasis, blockage of meridians and collaterals, internal resistance of phlegm and dampness, loss of nourishment and nourishment of the limbs, loss of nourishment of the tendons and arteries, resulting in weakness of the upper limbs, and the consumption of qi and blood due to prolonged illness in the later stage. Long-term illness and kidney, etc., and blood stasis and internal resistance, meridians blocked, phlegm dampness inborn, muscles and arteries lack of nourishment, followed by muscle atrophy, contracture, and joint disadvantages. Primary disease is mostly mixed with deficiency and excess, mainly based on liver, spleen and kidney.

Although conservative rehabilitation or surgical treatment such as rehabilitation training, acupuncture, massage, etc., many children with childbirth brachial plexus injury still do not recover well. Further improving the curative effect of childbirth brachial plexus injury is an urgent clinical problem to be solved. Traditional Chinese medicine has certain advantages in the treatment of "atrophy syndrome" and "muscle injury". The combination of medicinal bath with traditional Chinese medicine and rehabilitation in the treatment of childbirth brachial plexus injury is a direction worthy of clinical exploration.

Contents of the invention

In view of the above, the object of the present invention is to provide a medicinal bath traditional Chinese medicine for rehabilitation and treatment of childbirth brachial plexus injury and its application. The medicinal bath traditional Chinese medicine of the present invention has the advantages of good curative effect, convenient use, and no side effects.

In order to achieve the above object, the present invention provides the following technical solutions:

The invention provides a medicinal bath traditional Chinese medicine for rehabilitation treatment of childbirth brachial plexus injury. 1-7 parts, 10-30 parts of Qiannianjian, 15-30 parts of papaya, 10-30 parts of Shenjincao, 10-30 parts of mulberry branch, 10-30 parts of white fresh skin, 10-30 parts of Notopterygium, 10- 30 parts, turmeric 10-30 parts, bergamot 5-20 parts, Yu Liren 5-20 parts.

Preferably, the medicinal bath medicine is composed of the following raw materials in parts by weight: 15-30 parts of angelica, 15-25 parts of astragalus, 15-20 parts of Wulingzhi, 1-5 parts of catechu, 15-20 parts of Qiannianjian, 15-20 parts of papaya, 15-20 parts of Shenjincao, 15-20 parts of mulberry branch, 15-20 parts of white fresh skin, 15-20 parts of notopterygium, 15-20 parts of Gentiana, 15-20 parts of turmeric, 5- 15 copies, Yu Liren 5-15 copies.

Preferably, the medicated bath medicine consists of the following raw materials in parts by weight: 20 parts of angelica, 18 parts of astragalus, 18 parts of Wulingzhi, 3 parts of catechu, 15 parts of Qiannianjian, 18 parts of papaya, 15 parts of Shenjincao, 15 parts of mulberry branch, 15 parts of white fresh skin, 15 parts of Qianghuo, 15 parts of Gentiana chinensis, 15 parts of turmeric, 10 parts of bergamot, and 6 parts of Yu Liren.

In the composition of the present invention, angelica, sweet, pungent, warm, enters the liver, heart and spleen meridian, has the effects of promoting blood circulation, nourishing blood, regulating menstruation and relieving pain. For blood deficiency and yellow complexion, dizziness and palpitations, irregular menstruation, amenorrhea dysmenorrhea, abdominal pain due to deficiency and cold, rheumatism arthralgia, injury from falls, carbuncle sores, intestinal dryness and constipation.

In the composition of the present invention, Astragalus membranaceus, sweet and warm, returns to the spleen and lung meridians, and has the effects of invigorating qi and strengthening the exterior, suppressing sores and promoting granulation, diuresis for reducing swelling, supporting toxins, and evacuating pus. For qi deficiency and fatigue, lack of food and loose stools, depression of middle qi, chronic diarrhea and prolapse of the anus, spontaneous sweating and night sweats, blood deficiency and chlorosis, diffuse swelling of genital gangrene, edema due to qi deficiency, internal heat and quenching thirst

In the composition of the present invention, Wulingzhi, sweet and warm, bitter and pungent, enters the liver meridian. It has the effects of promoting blood circulation and removing blood stasis, and relieving pain. For chest and abdomen pain, abdominal pain during menstruation, postpartum stasis and abdominal pain embolism; stasis and bleeding syndrome; treatment of bruises, insect and snake bites.

In the composition of the present invention, catechu, bitter, astringent, slightly cold, returns to the lung and heart channels. Efficacy Promote blood circulation and relieve pain, stop bleeding and promote granulation, reduce dampness and sores, clear lung and resolve phlegm. For traumatic pain, traumatic hemorrhage, hematemesis and epistaxis, sores, eczema, eczema, cough due to lung heat.

In the composition of the present invention, Qiannianjian, pungent, and bitter are returned to the liver meridian and kidney meridian. It has the effect of dispelling rheumatism and strengthening bones and muscles. It can be used for treatment of wind-cold-damp arthralgia, cold pain in the waist and knees, spasm and numbness, and flaccidity of muscles and bones.

In the composition of the present invention, the herba chinensis is slightly bitter, pungent, and warm. Return liver, spleen, kidney channel. Function expelling wind and dampness, relaxing tendons and activating collaterals. It is used for sore joints and unfavorable flexion and extension.

In the composition of the present invention, papaya is sour in taste and warm in nature; it belongs to the liver, spleen and stomach meridians. It has the effects of relaxing tendons and activating collaterals, and eliminating dampness in the stomach. Cure mainly rheumatic arthralgia, sore limbs, spasms of tendons, vomiting and diarrhea, and beriberi edema.

In the composition of the present invention, Radix Mori has a slightly bitter taste and flat nature; it returns to the Liver Channel. It has the effects of dispelling rheumatism and benefiting joints. Indications of rheumatic arthralgia, shoulder and arm pain, joint pain and numbness.

In the composition of the present invention, the white fresh bark is bitter in taste and cold in nature. Return spleen, stomach, urinary bladder channel. Function clearing away heat and dampness, expelling wind and detoxification. For damp-heat sores, dripping yellow water, eczema, rubella, scabies sores, rheumatism-heat arthralgia, jaundice and red urine.

In the composition of the present invention, Notopterygium is pungent in taste, bitter in taste, and warm in nature. Return bladder, kidney channel. The function is to relieve the exterior and dissipate cold, expelling wind and dampness, and relieving pain. For wind-cold cold, headache, strong neck, rheumatic arthralgia, shoulder and back pain.

In the composition of the present invention, Gentiana chinensis is pungent in taste, bitter, flat in nature, and returns to the stomach, liver and gallbladder meridian. Function: dispelling rheumatism, dredging collaterals and relieving pain, reducing asthenia-heat, clearing damp-heat and other effects. For rheumatic arthralgia, hemiplegia due to apoplexy, spasm of muscles and arteries, sore joints, damp-heat jaundice, hot flashes due to bone steaming, and malnutrition fever in children.

In the composition of the present invention, turmeric is pungent in taste, bitter in taste, and warm in nature. Return spleen, liver channel. It has the effects of dispelling blood and promoting qi, promoting menstruation and relieving pain. For chest pain, amenorrhea, lump in the abdomen, rheumatic shoulder and arm pain, tumbling and swelling.

In the composition of the present invention, bergamot is pungent in taste, bitter, sour, and warm in nature. Return to the liver, spleen, stomach, lung meridian. Function Soothe the liver and regulate qi, harmonize the stomach and relieve pain, dry dampness and resolve phlegm. Indications For stagnation of liver and stomach qi, distending pain in the chest and hypochondrium, fullness in the epigastric cavity, lack of appetite, vomiting, cough with excessive phlegm.

In the composition of the present invention, Yu Liren is pungent, bitter, sweet in taste, flat in nature, and belongs to the large intestine meridian, small intestine meridian, and spleen meridian. It has the effects of laxative, diuresis and swelling. Used for thirsty intestines, stagnation of Qi due to food accumulation, abdominal distension, constipation, edema, beriberi, and dysuria. Liu Shoushan, a well-known bone-setting expert in traditional Chinese medicine, used it as a medicine for guiding the meridians of the hands.

Angelica is pungent and warm, activates blood and regulates menstruation, warms and nourishes blood, can dissipate blood stasis, unblock tendon knots, moisten and nourish tendons and arteries, and treat intrapartum trauma that causes bad blood retention, blood stasis and meridian blockage, promotes blood circulation and regulates menstruation, and treats tendons, bones, and arteries in the later stage. Muscular atrophy and contracture then occur, which play a role in nourishing blood and nourishing tendons, which is the king's medicine. Astragalus assists angelica to strengthen nourishment, promote qi and blood circulation, and also has the effect of reducing swelling and promoting muscle growth; Wulingzhi assists angelica to strengthen blood circulation and regulate menstruation; papaya relaxes tendons, activates collaterals, and sharpens joints. Catechu and turmeric promote blood circulation and remove blood stasis, dredge meridian and collaterals; Shenjincao, mulberry branch, white fresh bark, notopterygium, Gentiana chinensis relax tendons and activate collaterals, dispel rheumatism, and sharpen joints; dog spine nourishes liver and kidney, strengthens muscles and bones; bergamot promotes qi and reduces phlegm ; All medicines are adjuvant altogether. Yu Liren guides all the medicines to the hands, Notopterygium guides the medicines to the neck and shoulders, and Sangzhi guides the medicines to the shoulders and arms, serving as envoys. This group of prescriptions focuses on adjusting the liver, spleen and kidney, qi, blood, phlegm and dampness, muscles and bones, and cold and heat.

The present invention also provides a preparation method of medicinal bath traditional Chinese medicine combined with rehabilitation to treat childbirth brachial plexus injury, which is characterized in that:

The medicated bath medicine is mixed with water, decocted, and filtered to obtain the traditional Chinese medicine medicated bath preparation.

Preferably, the weight ratio of the medicine in the medicated bath to water is 1:5-10.

Preferably, the medicinal bath medicine is mixed with water, soaked for 1-2 hours, and then decocted.

Preferably, the decocting time after boiling is 15-20 minutes.

Preferably, the medicinal bath medicine is decocted twice, and the medicinal solution is mixed twice to obtain the medicinal bath medicine.

Beneficial technical effects: the present invention provides a medicated bath traditional Chinese medicine that cooperates with rehabilitation to treat childbirth brachial plexus injury. The classics and medicine are reasonably matched with the monarch, ministers and assistants, and the prescriptions are properly compatible. Clinical trials have shown that this traditional Chinese medicinal bath preparation combined with rehabilitation in the treatment of childbirth brachial plexus injury can significantly improve the curative effect, improve the basic movement, hand function, coordination and overall function of children with childbirth brachial plexus injury, and have no adverse reactions. convenient.

Detailed ways

The present invention will be described in further detail below in conjunction with the examples, but the embodiments of the present invention are not limited thereto.

The invention provides a medicinal bath traditional Chinese medicine for rehabilitation treatment of childbirth brachial plexus injury. 1-7 parts, 10-30 parts of Qiannianjian, 15-30 parts of papaya, 10-30 parts of Shenjincao, 10-30 parts of mulberry branch, 10-30 parts of white fresh skin, 10-30 parts of Notopterygium, 10- 30 parts, turmeric 10-30 parts, bergamot 5-20 parts, Yu Liren 5-20 parts.

In parts by weight, the medicated bath medicine of the present invention includes 15-40 parts of Angelica sinensis, preferably 15-30 parts, more preferably 20 parts. In the present invention, the angelica sinensis is preferably the dried root of Angelica sinensis (Oliv.) Diels of Umbelliferae.

Based on the dosage of angelica, in parts by weight, the medicated bath medicine of the present invention includes 15-30 parts of astragalus, preferably 15-25 parts, more preferably 18 parts. In the present invention, the Astragalus is preferably the dried root of A. mongholicus Bunge, a leguminous plant.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 15-30 parts of Wulingzhi, preferably 15-25 parts, more preferably 18 parts. In the present invention, the Wulingzhi is preferably the dried feces of the flying squirrel of the family Flying Squirrel.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 1-7 parts of catechu, preferably 1-5 parts, more preferably 3 parts. In the present invention, the catechu is preferably a decoction of peeled sticks and dried of Acacia catechu (L.f.) Willci.

Based on the dosage of angelica, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts of Qiannianjian, preferably 15-20 parts, more preferably 15 parts. In the present invention, the millennium occulta is preferably the dried rhizome of Homalomena occulta (Lour.) Schott, a plant of the family Araceae.

Based on the dosage of angelica, in parts by weight, the medicated bath medicine of the present invention includes 15-30 parts of papaya, preferably 15-25 parts, more preferably 18 parts. In the present invention, the papaya is preferably the dried near-ripe fruit of the Rosaceae plant Chaenomeles speciosa (Sweet) Nakai.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts, preferably 15-20 parts, more preferably 15 parts, of Shenjincao. In the present invention, the Streptococcus is preferably the dry whole herb of LycopodiumjaPonicum Thunb.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts of mulberry branches, preferably 15-20 parts, more preferably 15 parts. In the present invention, the mulberry branches are preferably dry shoots of Morus alba L., a plant of the Moraceae family.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts, preferably 15-20 parts, and more preferably 15 parts, of Radix Cortex. In the present invention, the fresh bark of Dictamnus dasycarpus is preferably the dried root bark of Dictamnus dasycarpus Turcz.

Based on the dosage of angelica, in parts by weight, the medicated bath medicine of the present invention includes notopterygium in 10-30 parts, preferably in 15-20 parts, more preferably in 15 parts. In the present invention, the notopterygium is preferably the dried rhizome of Notopterygiumincisum Ting ex H. T. Chang, an Umbelliferae plant notopterygiumincisum Ting ex H. T. Chang.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts, preferably 15-20 parts, more preferably 15 parts, of Gentiana chinensis. In the present invention, the Gentiana macrophylla Pall. is preferably the dried root of the Gentianae plant Gentiana macrophylla Pall.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 10-30 parts of turmeric, preferably 15-20 parts, more preferably 15 parts. In the present invention, the turmeric is preferably the dried rhizome of Curcuma longa L., a plant of the ginger family.

Based on the dosage of Angelica sinensis, in parts by weight, the medicated bath medicine of the present invention includes 5-20 parts of bergamot, preferably 5-15 parts, more preferably 10 parts. In the present invention, the bergamot is preferably the dried fruit of Rutaceae bergamot CitrusmedicaLvar.sarcodac-tylisSwingle.

Based on the dosage of angelica, in parts by weight, the medicated bath medicine of the present invention includes 5-20 parts of Yu Liren, preferably 5-15 parts, more preferably 6 parts. In the present invention, the Prunus japonica Thunb. is preferably the dry mature seeds of the Rosaceae plant Prunus japonica Thunb.

Preferably, the medicinal bath medicine is composed of the following raw materials in parts by weight: 15-30 parts of angelica, 15-25 parts of astragalus, 15-20 parts of Wulingzhi, 1-5 parts of catechu, 15-20 parts of Qiannianjian, 15-20 parts of papaya, 15-20 parts of Shenjincao, 15-20 parts of mulberry branch, 15-20 parts of white fresh skin, 15-20 parts of notopterygium, 15-20 parts of Gentiana, 15-20 parts of turmeric, 5- 15 copies, Yu Liren 5-15 copies.

Preferably, the medicated bath medicine consists of the following raw materials in parts by weight: 20 parts of angelica, 18 parts of astragalus, 18 parts of Wulingzhi, 3 parts of catechu, 15 parts of Qiannianjian, 18 parts of papaya, 15 parts of Shenjincao, 15 parts of mulberry branch, 15 parts of white fresh skin, 15 parts of Qianghuo, 15 parts of Gentiana chinensis, 15 parts of turmeric, 10 parts of bergamot, and 6 parts of Yu Liren.

The present invention also provides a preparation method of medicinal bath traditional Chinese medicine combined with rehabilitation to treat childbirth brachial plexus injury, which is characterized in that:

The medicated bath medicine is mixed with water, decocted and filtered to obtain the traditional Chinese medicine medicated bath preparation.

Preferably, the weight ratio of the medicine in the medicated bath to water is 1:5-10.

Preferably, the medicinal bath medicine is mixed with water, soaked for 1-2 hours, and then decocted.

Preferably, the decocting time after boiling is 15-20 minutes.

Preferably, the medicinal bath medicine is decocted twice, and the medicinal liquid is mixed twice to obtain a traditional Chinese medicinal bath preparation.

In order to better understand the present invention, the content of the present invention is further illustrated below in conjunction with the examples, but the content of the present invention is not limited to the following examples.

Example 1

A medicated bath traditional Chinese medicine for rehabilitation treatment of childbirth brachial plexus injury, which is composed of the following raw materials in parts by weight: 20 parts of angelica, 18 parts of astragalus, 18 parts of Wulingzhi, 3 parts of catechu, 15 parts of Qiannianjian, papaya 18 parts, 15 parts of Shenjincao, 15 parts of mulberry branch, 15 parts of white fresh skin, 15 parts of Qianghuo, 15 parts of Gentiana chinensis, 15 parts of turmeric, 10 parts of bergamot, and 6 parts of Yu Liren.

Take the above-mentioned medicated bath medicine, add 1500mL of water, soak for 2 hours, boil for 30 minutes after slow fire, filter to get the first medicinal liquid. Add 1000mL of water to the medicated bath medicine, decoct it again, and filter to obtain the second medicinal liquid. Mix the medicinal liquid twice to obtain the traditional Chinese medicinal bath agent.

Method of use: add the traditional Chinese medicine medicinal bath agent into the bathtub, control the water temperature at about 37 ℃, take a medicinal bath for 20 minutes each time, once a day.

Example 2

A medicated bath traditional Chinese medicine for rehabilitation treatment of childbirth brachial plexus injury, which is composed of the following raw materials in parts by weight: 25 parts of angelica, 20 parts of astragalus, 2 parts of Wulingzhi, 3 parts of catechu, 18 parts of Qiannianjian, papaya 20 parts, 18 parts of Shenjincao, 18 parts of mulberry branch, 18 parts of white fresh skin, 18 parts of Qianghuo, 18 parts of Gentiana chinensis, 18 parts of turmeric, 12 parts of bergamot, and 12 parts of Yu Liren.

Take the above-mentioned medicated bath medicine, add 1500mL of water, soak for 2 hours, boil for 30 minutes after slow fire, filter to get the first medicinal liquid. Add 1000mL of water to the medicated bath medicine, decoct it again, and filter to obtain the second medicinal solution. Mix the medicinal liquid twice to obtain the traditional Chinese medicinal bath agent.

Method of use: add the traditional Chinese medicinal bath agent and medicinal bath medicine into the bathtub, control the water temperature at about 37°C, and take a medicinal bath for 20-30 minutes each time, once a day.

Example 3

30 parts of angelica, 25 parts of astragalus, 25 parts of wulingzhi, 3 parts of catechu, 20 parts of Qiannianjian, 25 parts of papaya, 20 parts of Shenjincao, 20 parts of mulberry branch, 20 parts of white fresh skin, 20 parts of notopterygium, Gentiana japonica 20 parts, 20 parts of turmeric, 15 parts of bergamot, 15 parts of Yu Liren.

Take the above medicated bath traditional Chinese medicine, add 2000mL of water, soak for 2 hours, boil for 30 minutes after slow fire, filter to get the first medicinal liquid. Add 1000mL of water to the medicated bath medicine, decoct it again, and filter to obtain the second medicinal solution. Mix the medicinal liquid twice to obtain the traditional Chinese medicinal bath agent.

Method of use: add the traditional Chinese medicine medicinal bath agent into the bathtub, control the water temperature at about 37 ℃, take 20-30 minutes of medicinal bath each time, once a day.

Drug effect clinical test of the medicated bath traditional Chinese medicine of the present invention

In this study, a case-control study method was adopted, and 88 children with childbirth brachial plexus injury were selected according to the treatment method and divided into observation group and control group. Only routine rehabilitation treatment was used as the control group, and 44 cases were included. Among them, there were 25 males and 19 females; the age ranged from 2 to 24 months, with a median of 12 months; 23 and 21 cases were affected on the left and right sides respectively; Tassin types: Ⅰ, Ⅱ, Ⅲ, and Ⅳ were respectively 10, 17, 16, 1 case. Patients who received routine rehabilitation combined with traditional Chinese medicine dipping treatment in Example 1 were the observation group, including 44 cases, including 27 males and 17 females; aged 2 to 24 months, with a median of 12 months; 19, 25 cases; Tassin classification: Ⅰ, Ⅱ, Ⅲ, Ⅳ types were 11, 16, 15, 2 cases. There was no significant difference in general data between the two groups (P > 0.05), and they were comparable.

The diagnostic criteria are in line with the "Clinical Diagnosis, Treatment and Rehabilitation of Brachial Plexus Injury": macrosomia (weight at birth > 4kg) or history of dystocia, delayed labor and inappropriate midwifery; part (or all) of one upper limb appears immediately after birth Facile paralysis; confirmed by neuroelectromyography.

Inclusion criteria Meet the diagnostic criteria for childbirth brachial plexus injury; unilateral brachial plexus injury; aged 2 to 24 months; guardian signed informed consent.

Exclusion criteria Bilateral brachial plexus injury; upper limb movement disorder caused by cerebral palsy; shoulder dislocation, clavicle fracture, radius fracture and other upper limb bone and joint injuries; severe cardiovascular disease, epilepsy, mental disease, and blood system disease.

treatment method

Control group: received routine rehabilitation measures such as acupuncture, massage, and rehabilitation training. ① Acupuncture and moxibustion treatment: Uniformly trained clinicians to operate, needling three needles on the shoulder (Jianlian, Jianliao, Jianzhen), Quchi, and Hegu points, after disinfection, 25 mm needles were inserted into the acupoints, tonify and relieve, and get qi The needle is ready to go. Once a day on weekdays, 3 months is a course of treatment. ②Massage treatment: performed by uniformly trained clinicians, massage along the tendons of the three yin and three yang meridians of the affected side, and symptomatic massage treatment according to the clinical symptoms of the child, continuous treatment, once a day on weekdays, 10 minutes each time . Once a day on weekdays, 3 months is a course of treatment. ③Rehabilitation training: Operated by a professional rehabilitation trainer with unified training, shoulder girdle extension and internal rotation, shoulder joint flexion, external rotation, abduction, elbow joint flexion and extension, forearm pronation and supination, wrist dorsiflexion, palm Flexion, wrist movement to the radial side and ulnar side, finger grip, extension, flexibility and coordination training. 1 time a day on weekdays, 20 minutes each time, 3 months as a course of treatment.

Observation group: On the basis of the control group, the regimen of Example 1 was added, once a day on weekdays, and 3 months was a course of treatment.

Observation indicators and methods

Obstetric Brachial Plexus Injury Functional Impairment Assessment Form (OBPIF) was used to evaluate before and after treatment, including basic movements (shoulder joint flexion, shoulder joint horizontal abduction, elbow extension, elbow flexion, forearm pronation and supination), hand function ( Wrist dorsiflexion, wrist palmar flexion, five-finger flexion, five-finger extension, hook grip, ball grip, pair pinch, side pinch, thumb and other four fingers respectively), coordination (shoulder joint adduction position flexion, shoulder 90° flexion, elbow extension, forearm pronation and supination, hand touch lumbar spine, clapping, ball throwing, wrist circular movement) 3 categories. 0 points: not completed; 1 point: poorly completed; 2 points: relatively well completed; 3 points: fully completed.

Statistical method

The obtained data were analyzed by SPSS 23.0 statistical software. Rank sum test was used for rank data; measurement data was expressed as mean ± standard deviation, and independent sample t test was used for comparison. P<0.05 means the difference is statistically significant.

Efficacy criteria

Recovery: Muscle strength and muscle atrophy completely returned to normal, upper limb and hand functions were completely normal, symptoms and signs disappeared completely. Significant effect: muscle strength and muscle atrophy are significantly improved, upper limb and hand functions are basically normal, and symptoms and signs basically disappear. Effective: Muscle strength improved by more than 1 grade, muscle atrophy improved, and upper limb and hand functional activities improved. Ineffective: Muscle strength, muscle atrophy, and upper limb and hand functions did not improve.

result

Comparison of OBPIF scores before and after treatment in the two groups

The basic movement scores, hand function scores, coordination scores, and total scores of the two groups were all higher than those before treatment; after treatment, the scores of the observation group improved better than those of the control group ( P < 0.05). See Table 1-4.

Table 1 Comparison of basic movement scores between the two groups

Table 2 Comparison of hand function scores between the two groups

Table 3 Comparison of coordination scores between the two groups of patients

Table 4 Comparison of OBPIF scores between the two groups

In the observation group, 6 cases were cured, 25 cases were markedly effective, 13 cases were effective, and 0 cases were ineffective; in the control group, 4 cases were cured, 16 cases were markedly effective, 23 cases were effective, and 1 case was ineffective; the difference was statistically significant, and the clinical curative effect of the observation group was better than that of the control group , (Z=-2.259, P=0.024) see Table 5.

Table 5 Comparison of clinical curative effect of two groups of patients

Adverse reaction observation

No adverse reaction was found in this test, and no child had any rash due to the composition.

The medicated bath traditional Chinese medicine combined with rehabilitation treatment of childbirth brachial plexus injury has significantly improved curative effect, improved basic movement, hand function, coordination and overall function of children with childbirth brachial plexus injury, has no adverse reactions, and is convenient to use.

The above is only a preferred embodiment of the present invention, it should be pointed out that, for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and modifications can also be made, and these improvements and modifications can also be made. It should be regarded as the protection scope of the present invention.

Claims (7)

1. A medicated bath traditional Chinese medicine for rehabilitation treatment of childbirth brachial plexus injury, characterized in that it is made up of the raw materials of the following parts by weight: 15-40 parts of Angelica sinensis, 15-30 parts of Radix Astragali, 15-30 parts of Wulingzhi, 1-7 parts of catechu, 10-30 parts of Qiannianjian, 15-30 parts of Chinese papaya, 10-30 parts of Shenjincao, 10-30 parts of mulberry branch, 10-30 parts of white fresh bark, 10-30 parts of notopterygium, Gentiana officinalis 10-30 parts, turmeric 10-30 parts, bergamot 5-20 parts, Yu Liren 5-20 parts. 2. The medicated bath Chinese medicine according to claim 1, characterized in that, the medicated bath Chinese medicine is made up of the following raw materials in parts by weight: 15-30 parts of Angelica sinensis, 15-25 parts of Radix Astragali, 15-20 parts of Wulingzhi, 1-5 parts of catechu, 15-20 parts of Qiannianjian, 15-20 parts of papaya, 15-20 parts of Shenjincao, 15-20 parts of mulberry branch, 15-20 parts of white fresh skin, 15-20 parts of notopterygium, Gentiana chinensis 15-20 parts, 15-20 parts of turmeric, 5-15 parts of bergamot, 5-15 parts of Yu Liren. 3. The medicated bath medicine according to claim 1, characterized in that, said medicated bath medicine consists of the following raw materials in parts by weight: 20 parts of angelica, 18 parts of astragalus, 18 parts of wulingzhi, 3 parts of catechu, millennium 15 parts of Jian, 18 parts of papaya, 15 parts of Shenjincao, 15 parts of mulberry branch, 15 parts of white fresh skin, 15 parts of notopterygium, 15 parts of Gentiana chinensis, 15 parts of turmeric, 10 parts of bergamot, and 6 parts of Yu Liren. 4. The preparation method of the dipped traditional Chinese medicine according to any one of claims 1-3, characterized in that: the raw materials of the traditional Chinese medicine are mixed with water, decocted, filtered, and obtained. 5 . The method for preparing traditional Chinese medicine in medicated bath according to claim 4 , characterized in that: the weight ratio of the traditional Chinese medicine to water is 1:5-10. 6 . The method for preparing traditional Chinese medicine in medicinal bath according to claim 4 , characterized in that: the traditional Chinese medicine is mixed with water, soaked for 1-2 hours, and then decocted. 7. The preparation method of dipped traditional Chinese medicine according to claim 4, characterized in that: the decocting time is 20-30 minutes after the water is boiled.