CN116211989B - Traditional Chinese medicine bath lotion matched with rehabilitation for treating childbirth brachial plexus injury - Google Patents

Traditional Chinese medicine bath lotion matched with rehabilitation for treating childbirth brachial plexus injury Download PDF

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CN116211989B
CN116211989B CN202310502709.0A CN202310502709A CN116211989B CN 116211989 B CN116211989 B CN 116211989B CN 202310502709 A CN202310502709 A CN 202310502709A CN 116211989 B CN116211989 B CN 116211989B
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traditional chinese
chinese medicine
medicated bath
childbirth
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李海天
马建强
张曼
付晓虎
吕忠礼
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Beijing Childrens Hospital
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Abstract

The invention provides a traditional Chinese medicine bath lotion matched with rehabilitation for treating childbirth brachial plexus injury, and belongs to the technical field of traditional Chinese medicines. The medicated bath traditional Chinese medicine disclosed by the invention comprises the following raw materials in parts by weight: 15-40 parts of angelica sinensis, 15-30 parts of astragalus membranaceus, 15-30 parts of trogopterus dung, 1-7 parts of catechu, 10-30 parts of obscured homalomena rhizome, 15-30 parts of papaya, 10-30 parts of lycopodium clavatum, 10-30 parts of mulberry twig, 10-30 parts of cortex dictamni, 10-30 parts of notopterygium root, 10-30 parts of gentiana macrophylla, 10-30 parts of turmeric, 5-20 parts of fingered citron and 5-20 parts of bunge cherry seed. The medicated bath traditional Chinese medicine is matched with rehabilitation to treat the childbirth brachial plexus injury, has obvious curative effect, improves basic actions, hand functions, coordination and overall functions of the child suffering from the childbirth brachial plexus injury, has no adverse reaction, and is convenient to use.

Description

Traditional Chinese medicine bath lotion matched with rehabilitation for treating childbirth brachial plexus injury
Technical Field
The invention belongs to the technical field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine bath lotion matched with rehabilitation for treating childbirth brachial plexus injury, and a composition and application thereof.
Background
With the continuous improvement of the living standard of substances, the conditions of the giant infant and the like appear at birth more and more, and the shoulder dystocia is easy to cause in the production process, so that the nerve injury of the parturition brachial plexus is caused by the excessive traction of the brachial plexus or the collarbone fracture and the like. The childbirth brachial plexus injury is also called paresis, is an brachial plexus traction injury caused by head-shoulder separation caused by various reasons in the childbirth process, clinically manifests as sensory and motor dysfunction of the upper limb of the affected side of a newborn, and initially manifests as flaccidity, muscle atrophy and contracture can occur, internal contracture of shoulder joints can cause shoulder joint subluxation and dislocation, flexion contracture of elbow joints can cause radial head posterior dislocation, elbow joint posterior dislocation, forearm supination deformity and hand deformity. The incidence rate reported in each country is quite different and is between 0.15 and 3 per mill. Because the infant is in the key period of exercise development, the exercise function of the infant can be affected without timely treatment, and the disabled is left. At present, clinical brachial plexus injury is mostly treated by rehabilitation training, acupuncture and massage and other conservative treatments, serious patients need to be treated by surgery, and although the curative effect of the childbirth brachial plexus injury is obviously improved, a plurality of children patients have different degrees of dysfunction left. Therefore, further improvement of the curative effect of the childbirth brachial plexus injury is a problem which needs to be solved clinically.
The ancient books of traditional Chinese medicine do not describe "childbirth brachial plexus injury", but the flaccidity syndrome of traditional Chinese medicine involves relaxation of tendons and veins, weakness, incapacity of random exercise, or muscular atrophy. The theory of flaccidity among elements is that "lung governs skin and hair of the body, heart governs blood vessels of the body, liver governs fascia of the body, spleen governs muscles of the body, and kidney governs bone marrow of the body". Therefore, when the lung is hot, the leaves are burnt, the skin and hair are weakened and thin, and when the skin and hair are too thin, the skin and hair are flaccid ; heart qi heat, the lower pulse being synced and ascending, the upper pulse being deficient, the lower pulse being weak, the pulse being flaccid, the shank being bent and contracted, the shin being longitudinal and not being anywhere; liver qi heat causes the gall to drain the mouth and the fascia to dry, and the fascia is hard and contracture, which is flaccidity; spleen qi heat causes dry stomach and thirst, and muscle weakness, which is flaccidity; kidney qi heat causes the waist and spine to be unstable, and the bone to be dry and marrow to be reduced, which is manifested as flaccidity. The function of the meridian of traditional Chinese medicine is mainly to connect bones for various activities. "the main tendons and bones of the body are the main tendons and bones of the body" and "the five-hidden-generation of the body" are all "the tendons and bones of the body", the "the arthralgia and tendons are not extending" and "the long thorn and bones of the body" are the tendons and tendons of the body "and" the muscles and tendons are affected, the muscles and tendons are spasm and pain are not feasible, the name is "the arthralgia and tendons". That is, the meridian tendons mainly play a role in joint flexion and extension and muscle movement, and the symptoms thereof are mainly represented by dyskinesia: such as local or systemic muscular spasm, rigidity, relaxation, paralysis, etc. The medicated bath traditional Chinese medicine accumulates a great deal of experience in treating flaccidity syndrome and muscle injury. According to the etiology and clinical manifestations of the childbirth brachial plexus injury in modern medicine, the childbirth brachial plexus injury can be classified into the category of flaccidity syndrome and muscle injury. The pathogenesis is that the blood is left in the malignant blood, qi stagnation and blood stasis, meridian obstruction, phlegm-dampness internal resistance, limb malnutrition and upper limb weakness occur due to malnutrition of tendons and vessels, and the later period of disease consumes qi and blood, long-term disease and kidneys, etc., and the blood stasis internal resistance, the meridian obstruction, phlegm-dampness internal generation, malnutrition of tendons and bones and vessels, muscle atrophy, contracture and joint disadvantage occur. The disease is mainly caused by deficiency and excess and is mainly caused by liver, spleen and kidney.
Although many children suffering from the childbirth brachial plexus injury are still poor in recovery through the conservative rehabilitation or operation treatment such as rehabilitation training, acupuncture, massage and the like, the problem to be solved is that the curative effect of the childbirth brachial plexus injury is further improved. The traditional Chinese medicine has certain advantages in treating flaccidity syndrome and muscle injury, and the traditional Chinese medicine for medicated bath is matched with rehabilitation to treat the childbirth brachial plexus injury, so that the traditional Chinese medicine is a direction worthy of clinical exploration.
Disclosure of Invention
Aiming at the above, the invention aims to provide the medicated bath traditional Chinese medicine for treating the childbirth brachial plexus injury by matching with rehabilitation and the application thereof.
In order to achieve the above object, the present invention provides the following technical solutions:
the invention provides a medicated bath traditional Chinese medicine for treating childbirth brachial plexus injury by matching with rehabilitation, which comprises the following raw materials in parts by weight: 15-40 parts of angelica sinensis, 15-30 parts of astragalus membranaceus, 15-30 parts of trogopterus dung, 1-7 parts of catechu, 10-30 parts of obscured homalomena rhizome, 15-30 parts of papaya, 10-30 parts of lycopodium clavatum, 10-30 parts of mulberry twig, 10-30 parts of cortex dictamni, 10-30 parts of notopterygium root, 10-30 parts of gentiana macrophylla, 10-30 parts of turmeric, 5-20 parts of fingered citron and 5-20 parts of bunge cherry seed.
Preferably, the medicated bath traditional Chinese medicine consists of the following raw materials in parts by weight: 15-30 parts of angelica sinensis, 15-25 parts of astragalus membranaceus, 15-20 parts of trogopterus dung, 1-5 parts of catechu, 15-20 parts of obscured homalomena rhizome, 15-20 parts of papaya, 15-20 parts of lycopodium clavatum, 15-20 parts of mulberry twig, 15-20 parts of cortex dictamni, 15-20 parts of notopterygium root, 15-20 parts of gentiana macrophylla, 15-20 parts of turmeric, 5-15 parts of fingered citron and 5-15 parts of bunge cherry seed.
Preferably, the medicated bath traditional Chinese medicine consists of the following raw materials in parts by weight: 20 parts of Chinese angelica, 18 parts of astragalus, 18 parts of trogopterus dung, 3 parts of catechu, 15 parts of obscured homalomena rhizome, 18 parts of papaya, 15 parts of lycopodium clavatum, 15 parts of mulberry twig, 15 parts of cortex dictamni, 15 parts of notopterygium root, 15 parts of gentiana macrophylla, 15 parts of turmeric, 10 parts of fingered citron and 6 parts of bunge cherry seed.
In the composition, angelica sinensis, sweet and pungent, warms, enters the meridians of liver, heart and spleen, and has the effects of activating blood, enriching blood, regulating menstruation and relieving pain. Can be used for treating sallow complexion due to blood deficiency, dizziness, palpitation, menoxenia, amenorrhea, dysmenorrhea, abdominal pain due to deficiency-cold, rheumatalgia, traumatic injury, carbuncle, skin ulcer, and constipation due to intestinal dryness.
In the composition, astragalus root, sweet in taste and warm in nature, enters spleen and lung meridians, and has the effects of tonifying qi, consolidating superficial resistance, promoting wound healing, promoting granulation, inducing diuresis, relieving edema, expelling toxin and expelling pus. Can be used for treating qi deficiency debilitation, anorexia, loose stool, depression of middle-jiao, chronic diarrhea, rectocele, spontaneous perspiration, night sweat, blood deficiency sallow, yin carbuncle, edema, qi deficiency, internal heat, and diabetes
In the composition of the invention, trogopterus dung, sweet, warm, bitter and pungent, enters the liver meridian. Has effects of promoting blood circulation, removing blood stasis, and relieving pain. Can be used for treating chest and abdomen pain, menstrual abdominal pain, puerperal abdominal stasis and pain, etc.; bleeding due to stasis; for traumatic injury, insect bite and snake bite.
In the composition of the invention, catechu is bitter and astringent, and enters lung and heart meridians with slight cold. Has effects of promoting blood circulation, relieving pain, stopping bleeding, promoting granulation, eliminating dampness, healing sore, clearing lung-heat, and eliminating phlegm. Can be used for treating traumatic injury, traumatic hemorrhage, hematemesis, epistaxis, unhealed skin and ulcer, eczema, and cough due to lung heat.
In the composition, obscured homalomena rhizome, pungent and bitter, enters liver meridian and kidney meridian. Has effects of dispelling pathogenic wind and dampness, and strengthening tendons and bones. Can be used for treating arthralgia due to wind-cold-dampness, lumbago, gonalgia, contracture, numbness, and flaccidity of tendons and bones.
In the composition of the invention, the lycopodium clavatum is slightly bitter and pungent and warm. It enters liver, spleen and kidney meridians. Has the functions of dispelling wind and eliminating dampness, and relaxing tendons and activating collaterals. Can be used for treating joint pain and difficulty in flexing and extending.
In the composition, papaya, sour taste and mild nature; it enters liver, spleen and stomach meridians. Has effects of relieving rigidity of muscles, activating collaterals, regulating stomach function, and eliminating dampness. It is used for treating rheumatalgia, limb soreness, spasm of tendons and vessels, vomiting and diarrhea, tendons transfer, tinea pedis, and edema.
In the composition, mulberry twig is slightly bitter in taste and neutral in nature, and enters liver meridian. Has effects of dispelling pathogenic wind and dampness, and benefiting joint. It is mainly used for treating arthralgia due to wind-dampness, shoulder pain, arm pain, joint pain and numbness.
In the composition of the invention, the cortex dictamni is bitter in taste and cold in nature. Enter spleen, stomach and bladder meridians. Has the functions of clearing heat and eliminating dampness, dispelling wind and detoxicating. Can be used for treating sore due to damp-heat, yellow Shui Linli, eczema, rubella, scabies, arthralgia due to wind-damp-heat, jaundice, and dark urine.
In the composition of the invention, qiang Huo is pungent and bitter in taste and warm in nature. Enter bladder and kidney meridians. Has the functions of relieving exterior syndrome, dispelling cold, dispelling wind, eliminating dampness and relieving pain. Can be used for treating common cold due to wind-cold, headache, arthralgia due to wind-dampness, and soreness of shoulder and back.
In the composition of the invention, gentiana macrophylla is pungent and bitter in taste, and has the effect of balancing the nature and entering stomach, liver and gall meridians. Has effects of dispelling pathogenic wind and dampness, dredging collaterals, relieving pain, removing deficiency heat, and clearing damp heat. Can be used for treating rheumatalgia, apoplexy, hemiplegia, spasm of tendons and vessels, joint pain, jaundice due to damp-heat, hectic fever due to bone steaming, infantile malnutrition, and fever.
In the composition of the present invention, turmeric is pungent and bitter in taste and warm in nature. Enter spleen and liver meridians. Has effects of removing blood stasis, promoting qi circulation, dredging channels and relieving pain. Can be used for treating chest and hypochondrium pain, amenorrhea, lump, rheumatic shoulder and arm pain, and traumatic injury.
In the composition of the invention, fingered citron is pungent, bitter and sour in taste and warm in nature. It enters meridians and enters liver, spleen, stomach and lung meridians. Has the functions of soothing liver, regulating qi, regulating stomach function, relieving pain, eliminating dampness and resolving phlegm. Is mainly used for treating liver and stomach qi stagnation, chest and hypochondrium distending pain, gastric cavity fullness, anorexia, emesis, cough and excessive phlegm.
In the composition of the invention, the bunge cherry seed is pungent, bitter and sweet in taste, and has flat nature, and enters large intestine channel, small intestine channel and spleen channel. Has effects of loosening bowel to relieve constipation, inducing diuresis and relieving edema. Can be used for treating dry and dry body fluid, food stagnation, abdominal distention, constipation, edema, tinea pedis, and dysuria. The well-known traditional Chinese medicine bone setting specialist Liu Shoushan uses it as a hand menstruation inducing medicine.
The angelica sinensis has the effects of warming, activating blood and regulating menstruation, warming and replenishing blood, removing blood stasis, activating tendons and knots, nourishing tendons and collaterals, and is a monarch drug for the blood stasis and meridian obstruction caused by the trauma in the production, promoting blood circulation and regulating menstruation, and for the muscle atrophy and contracture caused by the malnutrition of the tendons and bones in the later period, and nourishing blood and tendons. The astragalus root assists the angelica to strengthen the effects of nourishing and promoting qi and blood circulation, and also has the effects of detumescence and promoting granulation; the trogopterus dung assists the Chinese angelica to strengthen the blood circulation and regulate menstruation; papaya has the effects of relaxing tendons and activating collaterals, benefiting joints, and astragalus root, trogopterus dung and papaya are all ministerial drugs. Catechu and turmeric activate blood circulation to dissipate blood stasis and clear and activate the channels and collaterals; herba Lycopodii, ramulus Mori, cortex Dictamni Radicis, notopterygii rhizoma, radix Gentianae Marcrophyllae for relieving rigidity of muscles and activating collaterals, dispelling pathogenic wind and dampness, and benefiting joint; rhizoma Cibotii has effects of nourishing liver and kidney and strengthening tendons and bones; the fingered citron is for promoting qi circulation and resolving phlegm; all the medicines are adjuvant medicines. Semen Pruni guides all the drugs to the hands, notopterygii rhizoma guides all the drugs to the neck, shoulder and back, and ramulus Mori guides all the drugs to the shoulder and arm, which are all guiding drugs. The prescription is mainly used for regulating liver, spleen and kidney, qi, blood, phlegm and dampness, tendons and bones, and cold and heat, contains neck, shoulder, arm and hand guiding menstruation medicine, is reasonably matched with monarch, minister, assistant and guide medicine, has obvious curative effect and has no side effect.
The invention also provides a preparation method of the medicated bath traditional Chinese medicine for treating the childbirth brachial plexus injury by matching with rehabilitation, which is characterized in that:
mixing the medicated bath Chinese medicine with water, decocting, and filtering to obtain medicated bath agent.
Preferably, the dosage weight ratio of the medicated bath traditional Chinese medicine to water is 1:5 to 10.
Preferably, the medicated bath traditional Chinese medicine is mixed with water, soaked for 1-2 hours and decocted.
Preferably, the time for decocting is 15-20 minutes after boiling.
Preferably, the medicated bath traditional Chinese medicine is decocted for 2 times, and the medicinal liquid is mixed for two times to obtain the medicated bath traditional Chinese medicine.
The beneficial technical effects are as follows: the invention provides a medicated bath traditional Chinese medicine for treating childbirth brachial plexus injury by matching with rehabilitation, which is used for regulating liver, spleen and kidney, comprehensively considering qi, blood, phlegm, blood stasis and dampness, bones, tendons and bones, cold and heat, comprises neck, shoulder, arm and hand guiding menstruation medicine, and is reasonably matched with monarch, minister, assistant and guide medicines, and the formula is proper. Clinical experiments show that the traditional Chinese medicine medicated bath agent is matched with rehabilitation to treat the childbirth brachial plexus injury, has obvious curative effect, improves basic actions, hand functions, coordination and overall functions of childbirth brachial plexus injury infants, has no adverse reaction and is convenient to use.
Detailed Description
The present invention will be described in further detail with reference to examples, but the embodiments of the present invention are not limited thereto.
The invention provides a medicated bath traditional Chinese medicine for treating childbirth brachial plexus injury by matching with rehabilitation, which comprises the following raw materials in parts by weight: 15-40 parts of angelica sinensis, 15-30 parts of astragalus membranaceus, 15-30 parts of trogopterus dung, 1-7 parts of catechu, 10-30 parts of obscured homalomena rhizome, 15-30 parts of papaya, 10-30 parts of lycopodium clavatum, 10-30 parts of mulberry twig, 10-30 parts of cortex dictamni, 10-30 parts of notopterygium root, 10-30 parts of gentiana macrophylla, 10-30 parts of turmeric, 5-20 parts of fingered citron and 5-20 parts of bunge cherry seed.
The medicated bath traditional Chinese medicine comprises 15-40 parts by weight of Chinese angelica, preferably 15-30 parts by weight, and more preferably 20 parts by weight. In the present invention, the angelica is preferably a dried root of angelicae sinensis Angelica sinensis (oliv.) Diels, an umbrella family plant.
The Chinese medicinal bath preparation comprises 15-30 parts by weight of astragalus, preferably 15-25 parts by weight and more preferably 18 parts by weight of Chinese angelica serving as a reference. In the present invention, the astragalus is preferably the dried root of astragalus mongholicus a. mongholicus Bunge of the leguminous plant.
The Chinese medicinal bath preparation comprises 15-30 parts by weight of trogopterus dung, preferably 15-25 parts by weight and more preferably 18 parts by weight of Chinese angelica serving as a reference. In the present invention, the trogopterus dung is preferably dried feces of a squirrel of the family petidae, orange-foot squirrel.
The Chinese medicinal bath preparation comprises 1-7 parts by weight of catechu, preferably 1-5 parts by weight, and more preferably 3 parts by weight of angelica based on the dosage of angelica. In the present invention, the catechu is preferably a dry extract of peeled branches and dried stems of the leguminous plant Acacia catechu (l.f.) willci.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of obscured homalomena rhizome, preferably 15-20 parts by weight of Chinese angelica serving as a reference, and more preferably 15 parts by weight of Chinese angelica serving as a reference. In the present invention, the homalomena rhizoma is preferably a dried rhizome of the plant homalomena rhizoma Homalomena occulta (lour.) Schott of the family Araceae.
The Chinese medicinal bath preparation comprises 15-30 parts by weight of papaya, preferably 15-25 parts by weight and more preferably 18 parts by weight of Chinese angelica serving as a reference. In the present invention, the papaya is preferably a dried near-ripe fruit of the rose plant begonia sessiliflora Chaenomeles speciosa (Sweet) Nakai.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of lycopodium clavatum, preferably 15-20 parts by weight and more preferably 15 parts by weight of Chinese angelica serving as a reference. In the present invention, the lycopodium clavatum is preferably a dried whole herb of lycopodium clavatum Lycopodium jaPonicum thunder.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of mulberry twig, preferably 15-20 parts by weight of Chinese angelica, and more preferably 15 parts by weight of Chinese angelica. In the present invention, the mulberry twig is preferably a dried twig of Morus alba L.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of cortex dictamni, preferably 15-20 parts by weight and more preferably 15 parts by weight of Chinese angelica serving as a reference. In the present invention, the cortex Dictamni is preferably dried root bark of the Rutaceae plant Dictamni Dictamnus dasycarpus Turcz.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of notopterygium root, preferably 15-20 parts by weight and more preferably 15 parts by weight of Chinese angelica based on the dosage of Chinese angelica. In the present invention, the Notopterygium incisum is preferably the dried rhizome of Notopterygium incisum (Notopterygium dorsum) Notopterygiumincisum Ting ex H.T. Chang of Umbelliferae.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of gentiana macrophylla, preferably 15-20 parts by weight and more preferably 15 parts by weight of angelica based on the dosage of angelica. In the present invention, the gentiana macrophylla is preferably a dry root of gentiana macrophylla Gentiana macrophylla pall.
The Chinese medicinal bath preparation comprises 10-30 parts by weight of turmeric, preferably 15-20 parts by weight, and more preferably 15 parts by weight of Chinese angelica serving as a reference. In the present invention, the turmeric is preferably a dried rhizome of Curcuma longa l.
The Chinese medicinal bath preparation comprises 5-20 parts by weight of fingered citron, preferably 5-15 parts by weight and more preferably 10 parts by weight of Chinese angelica serving as a reference. In the present invention, the fingered citron is preferably the dried fruit of the family Rutaceae, the family Citrus fingered citron, citrus media Lvar.
The Chinese medicinal bath preparation comprises 5-20 parts by weight of semen pruni, preferably 5-15 parts by weight and more preferably 6 parts by weight of Chinese angelica serving as a reference. In the present invention, the bunge cherry seed is preferably a dried mature seed of bunge cherry seed trunk.
Preferably, the medicated bath traditional Chinese medicine consists of the following raw materials in parts by weight: 15-30 parts of angelica sinensis, 15-25 parts of astragalus membranaceus, 15-20 parts of trogopterus dung, 1-5 parts of catechu, 15-20 parts of obscured homalomena rhizome, 15-20 parts of papaya, 15-20 parts of lycopodium clavatum, 15-20 parts of mulberry twig, 15-20 parts of cortex dictamni, 15-20 parts of notopterygium root, 15-20 parts of gentiana macrophylla, 15-20 parts of turmeric, 5-15 parts of fingered citron and 5-15 parts of bunge cherry seed.
Preferably, the medicated bath traditional Chinese medicine consists of the following raw materials in parts by weight: 20 parts of Chinese angelica, 18 parts of astragalus, 18 parts of trogopterus dung, 3 parts of catechu, 15 parts of obscured homalomena rhizome, 18 parts of papaya, 15 parts of lycopodium clavatum, 15 parts of mulberry twig, 15 parts of cortex dictamni, 15 parts of notopterygium root, 15 parts of gentiana macrophylla, 15 parts of turmeric, 10 parts of fingered citron and 6 parts of bunge cherry seed.
The invention also provides a preparation method of the medicated bath traditional Chinese medicine for treating the childbirth brachial plexus injury by matching with rehabilitation, which is characterized in that:
mixing the Chinese medicinal materials with water, decocting, and filtering.
Preferably, the dosage weight ratio of the medicated bath traditional Chinese medicine to water is 1:5 to 10.
Preferably, the medicated bath traditional Chinese medicine is mixed with water, soaked for 1-2 hours and decocted.
Preferably, the time for decocting is 15-20 minutes after boiling.
Preferably, the Chinese medicinal bath preparation is prepared by decocting the Chinese medicinal materials for 2 times, and mixing the medicinal liquids.
For a better understanding of the present invention, the following examples are further illustrated, but are not limited to the following examples.
Example 1
A medicated bath traditional Chinese medicine for treating childbirth brachial plexus injury by matching with rehabilitation comprises the following raw materials in parts by weight: 20 parts of Chinese angelica, 18 parts of astragalus, 18 parts of trogopterus dung, 3 parts of catechu, 15 parts of obscured homalomena rhizome, 18 parts of papaya, 15 parts of lycopodium clavatum, 15 parts of mulberry twig, 15 parts of cortex dictamni, 15 parts of notopterygium root, 15 parts of gentiana macrophylla, 15 parts of turmeric, 10 parts of fingered citron and 6 parts of bunge cherry seed.
Taking the medicated bath traditional Chinese medicine, adding 1500mL of water, soaking for 2h, boiling with slow fire, decocting for 30 min, and filtering to obtain the first medicinal liquid. The medicated bath Chinese medicine is decocted again by adding 1000mL of water, and the second medicinal liquid is obtained by filtering. Mixing the two medicinal solutions to obtain the final product.
The using method comprises the following steps: the traditional Chinese medicine medicated bath agent is added into a bathtub, the water temperature is controlled to be about 37 ℃, the medicated bath is carried out for 20 minutes each time, and 1 time is carried out in 1 day.
Example 2
A medicated bath traditional Chinese medicine for treating childbirth brachial plexus injury by matching with rehabilitation comprises the following raw materials in parts by weight: 25 parts of Chinese angelica, 20 parts of astragalus, 2 parts of trogopterus dung, 3 parts of catechu, 18 parts of obscured homalomena rhizome, 20 parts of papaya, 18 parts of lycopodium clavatum, 18 parts of mulberry twig, 18 parts of cortex dictamni, 18 parts of notopterygium root, 18 parts of gentiana macrophylla, 18 parts of turmeric, 12 parts of fingered citron and 12 parts of bunge cherry seed.
Taking the medicated bath traditional Chinese medicine, adding 1500mL of water, soaking for 2h, boiling with slow fire, decocting for 30 min, and filtering to obtain the first medicinal liquid. The medicated bath Chinese medicine is decocted again by adding 1000mL of water, and the second medicinal liquid is obtained by filtering. Mixing the two medicinal solutions to obtain the final product.
The using method comprises the following steps: the traditional Chinese medicine medicated bath agent and medicated bath traditional Chinese medicine are added into a bathtub, the water temperature is controlled at about 37 ℃, and each medicated bath is carried out for 20-30 minutes and 1 time is carried out for 1 day.
Example 3
30 parts of Chinese angelica, 25 parts of astragalus, 25 parts of trogopterus dung, 3 parts of catechu, 20 parts of obscured homalomena rhizome, 25 parts of papaya, 20 parts of lycopodium clavatum, 20 parts of mulberry twig, 20 parts of cortex dictamni, 20 parts of notopterygium root, 20 parts of gentiana macrophylla, 20 parts of turmeric, 15 parts of fingered citron and 15 parts of bunge cherry seed.
Taking the medicated bath traditional Chinese medicine, adding 2000mL of water, soaking for 2h, boiling with slow fire, decocting for 30 min, and filtering to obtain the first medicinal liquid. The medicated bath Chinese medicine is decocted again by adding 1000mL of water, and the second medicinal liquid is obtained by filtering. Mixing the two medicinal solutions to obtain the final product.
The using method comprises the following steps: the traditional Chinese medicine medicated bath agent is added into a bathtub, the water temperature is controlled at about 37 ℃, and each medicated bath is carried out for 20-30 minutes and 1 time in 1 day.
Clinical test of the efficacy of the medicated bath Chinese medicine of the invention
The study adopts a case control study method, 88 cases of children suffering from childbirth brachial plexus injury are selected according to the treatment method, and the cases are divided into an observation group and a control group. Only the conventional rehabilitation therapist was the control group, incorporating 44 cases. 25 men and 19 women, ages of 2-24 months, median of 12 months, left and right side illness of 23 and 21 cases respectively, tassin typing: the types I, II, III and IV are 10, 17, 16 and 1 respectively. The patients treated by the traditional Chinese medicine medicated bath in the conventional rehabilitation combined example 1 are observation groups, 44 cases are included, wherein 27 cases are men and 17 cases are women, the ages are 2-24 months, the median is 12 months, the left and right side diseases are 19 and 25 cases respectively, and the Tassin typing is carried out: the types I, II, III and IV are respectively 11, 16, 15 and 2. 2. Group general data differences were statistically significant (P > 0.05) and comparable.
The diagnosis standard accords with the standard of clinical diagnosis and treatment and rehabilitation of brachial plexus injury: giant children (weight > 4 kg at birth) or have a history of dystocia, dystocia and inappropriate midwifery, and after birth, flaccid paralysis occurs in part (or all) of the upper limbs, and diagnosis is confirmed by neuroelectromyography.
The inclusion standard meets the diagnosis standard of the childbirth brachial plexus injury, the unilateral brachial plexus injury, the age of 2 months to 24 months, and the guardian signs the informed consent.
Eliminating standard dipleural plexus injury, upper limb dyskinesia caused by cerebral palsy, upper limb bone joint injury such as shoulder joint dislocation, collarbone fracture, radius fracture, etc., and serious cardiovascular diseases, epilepsy, mental diseases, and blood system diseases.
Therapeutic method
Control group: conventional rehabilitation treatment measures such as acupuncture, massage, rehabilitation training and the like are given. (1) Acupuncture treatment: the clinician is trained uniformly to perform operations, three shoulder needles (Jianyu, jianlia, jianzhen), quchi and Hegu acupoints are needled by 25 mm milli after disinfection, the acupuncture points are flatly reinforced and relieved, and the needle can be taken out after the qi is exhausted. 1 time daily for 3 months as a treatment course. (2) Massage treatment: the massage is performed by a uniformly trained clinician, and is carried out along the meridian tendons of the three yin and three yang of the patient side hand, and according to the clinical symptoms of the infant, the massage is carried out continuously, and the treatment is carried out 1 time per day for 10 minutes each time. 1 time daily for 3 months as a treatment course. (3) Rehabilitation training: the training device is operated by a unified training professional rehabilitation trainer, the shoulder blade is rotated backwards, the shoulder joint is bent, rotated outwards and stretched outwards, the elbow joint is bent and stretched, the forearm is rotated forwards and backwards, the wrist joint is rotated backwards and bent backwards, the wrist joint moves towards the radial side and the ulnar side, and the fingers are gripped, stretched, flexible and coordinated to train. 1 time daily for 20 minutes each time, 3 months as 1 treatment course.
Observation group: the procedure of example 1 was used on the basis of the control group, 1 time daily for 3 months as a course of treatment.
Observation index and method
Evaluation was performed using an evaluation chart (OBPIF) of the dysfunctions of childbirth brachial plexus nerve injury before and after treatment, including basic movements (shoulder joint flexion, shoulder joint horizontal abduction, elbow extension, elbow flexion, forearm supination and pronation), hand functions (wrist dorsal extension, carpophalangeal flexion, five-finger extension, hook-shaped grasping, ball-shaped grasping, pinching, lateral pinching, thumb versus the remaining four fingers respectively), coordination (shoulder joint adduction flexion, shoulder flexion 90 °, elbow extension, forearm pronation and supination, hand lumbar vertebra, applause, ball throwing, wrist annular movement) 3 general categories. 0. The method comprises the following steps: cannot be completed, 1:: poor completion, 2 minutes: better completion, 3 minutes: and the completion is sufficient.
Statistical method
The resulting data were analyzed using SPSS 23.0 statistical software. Rank sum test is adopted for the grade data, mean ± standard deviation is adopted for the metering data, and independent sample t test is adopted for comparison. P < 0.05 is statistically significant for the differences.
Therapeutic effect criterion
And (3) healing: the muscle strength and the muscle atrophy are completely recovered to be normal, the functions of the upper limbs and the hands are completely normal, and the symptoms and the signs are completely eliminated. The effect is shown: the muscle strength and the amyotrophy are obviously improved, the functions of the upper limbs and the hands are basically normal, and the symptoms and the signs are basically disappeared. The method is effective: the muscle strength is improved by more than 1 level, the muscular atrophy is improved, and the functional activities of the upper limbs and the hands are improved. Invalidation: no improvement in muscle strength, muscle atrophy, upper limb and hand function was observed.
Results
2. Group pre-treatment and post-treatment OBPIF score comparison
2. The basic action score, the hand function score, the coordination score and the total score of the group are all higher than those of the group before treatment, and the improvement of each score of the observation group after treatment is better than that of the control group (P is less than 0.05). See tables 1-4.
Table 1 comparison of patient base action scores for two groups
Table 2 hand function score comparison for two groups of patients
Table 3 comparison of patient coordination scores for two groups
Table 4 comparison of OBPIF scores for two groups of patients
Observing 6 cases of group recovery, 25 cases of effective cases, 13 cases of effective cases and 0 cases of ineffective cases; the control group heals 4 cases, has 16 cases, 23 cases and 1 case; the differences were statistically significant, and the observed group had better clinical efficacy than the control group, (z= -2.259, p=0.024) as shown in table 5.
Table 5 comparison of clinical efficacy in two groups of patients
Adverse reaction observation
No adverse reaction was found in this test, and the soapberry had rash due to the composition.
The medicated bath traditional Chinese medicine is matched with rehabilitation to treat the childbirth brachial plexus injury, has obvious curative effect, improves basic actions, hand functions, coordination and overall functions of the child suffering from the childbirth brachial plexus injury, has no adverse reaction, and is convenient to use.
The foregoing is merely a preferred embodiment of the present invention and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present invention, which are intended to be comprehended within the scope of the present invention.

Claims (8)

1. The medicated bath traditional Chinese medicine for treating the childbirth brachial plexus injury by matching with rehabilitation is characterized by being prepared from the following raw materials in parts by weight: 20 parts of Chinese angelica, 18 parts of astragalus, 18 parts of trogopterus dung, 3 parts of catechu, 15 parts of obscured homalomena rhizome, 18 parts of papaya, 15 parts of lycopodium clavatum, 15 parts of mulberry twig, 15 parts of cortex dictamni, 15 parts of notopterygium root, 15 parts of gentiana macrophylla, 15 parts of turmeric, 10 parts of fingered citron and 6 parts of bunge cherry seed;
the preparation method comprises the following steps: mixing the above materials with water, decocting, and filtering.
2. The medicated bath traditional Chinese medicine according to claim 1, wherein: the weight ratio of the traditional Chinese medicine to the water is 1:5-10.
3. The medicated bath traditional Chinese medicine according to claim 1, wherein: the traditional Chinese medicine is mixed with water, soaked for 1-2 hours and decocted.
4. The medicated bath traditional Chinese medicine according to claim 1, wherein: the decoction time is 20-30 minutes after water boiling.
5. The method for preparing the medicated bath traditional Chinese medicine according to claim 1, which is characterized in that: mixing the above materials with water, decocting, and filtering.
6. The method for preparing the medicated bath traditional Chinese medicine according to claim 5, which is characterized in that: the weight ratio of the traditional Chinese medicine to the water is 1:5-10.
7. The method for preparing the medicated bath traditional Chinese medicine according to claim 5, which is characterized in that: the traditional Chinese medicine is mixed with water, soaked for 1-2 hours and decocted.
8. The method for preparing the medicated bath traditional Chinese medicine according to claim 5, which is characterized in that: the decoction time is 20-30 minutes after water boiling.
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