CN116474058A - Traditional Chinese medicine ointment for treating spleen enlargement - Google Patents

Traditional Chinese medicine ointment for treating spleen enlargement Download PDF

Info

Publication number
CN116474058A
CN116474058A CN202310448182.8A CN202310448182A CN116474058A CN 116474058 A CN116474058 A CN 116474058A CN 202310448182 A CN202310448182 A CN 202310448182A CN 116474058 A CN116474058 A CN 116474058A
Authority
CN
China
Prior art keywords
parts
vinegar
traditional chinese
chinese medicine
raw materials
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN202310448182.8A
Other languages
Chinese (zh)
Other versions
CN116474058B (en
Inventor
赵文霞
张峰
杨培伟
郑华
顾亚娇
费景兰
赵婷婷
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Henan University of TCM
Original Assignee
First Affiliated Hospital of Henan University of TCM
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Henan University of TCM filed Critical First Affiliated Hospital of Henan University of TCM
Priority to CN202310448182.8A priority Critical patent/CN116474058B/en
Publication of CN116474058A publication Critical patent/CN116474058A/en
Application granted granted Critical
Publication of CN116474058B publication Critical patent/CN116474058B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/902Sparganiaceae (Bur-reed family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/04Sulfur, selenium or tellurium; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/56Materials from animals other than mammals
    • A61K35/618Molluscs, e.g. fresh-water molluscs, oysters, clams, squids, octopus, cuttlefish, snails or slugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/42Cucurbitaceae (Cucumber family)
    • A61K36/428Trichosanthes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/53Lamiaceae or Labiatae (Mint family), e.g. thyme, rosemary or lavender
    • A61K36/536Prunella or Brunella (selfheal)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/54Lauraceae (Laurel family), e.g. cinnamon or sassafras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/70Polygonaceae (Buckwheat family), e.g. spineflower or dock
    • A61K36/708Rheum (rhubarb)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9066Curcuma, e.g. common turmeric, East Indian arrowroot or mango ginger
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/22Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine
    • A61K2236/10Preparation or pretreatment of starting material
    • A61K2236/15Preparation or pretreatment of starting material involving mechanical treatment, e.g. chopping up, cutting or grinding
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Landscapes

  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Mycology (AREA)
  • Microbiology (AREA)
  • Botany (AREA)
  • Biotechnology (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Dermatology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Inorganic Chemistry (AREA)
  • Marine Sciences & Fisheries (AREA)
  • Zoology (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 25-35 parts of vinegar rhizoma sparganii, 25-35 parts of vinegar rhizoma curcumae, 25-35 parts of radix trichosanthis, 25-35 parts of selfheal, 25-35 parts of calcined oyster, 15-25 parts of mirabilite, 15-25 parts of cassia twig, 5-15 parts of rheum officinale and 5-15 parts of borneol; the invention has scientific and reasonable compatibility of components, abundant raw materials and simple preparation method, has the effects of activating blood circulation to dissipate blood stasis, softening and resolving hard mass, reducing swelling and relieving pain, can effectively control the size of spleen, obviously improves uncomfortable symptoms of patients, relieves pains of the patients, and has remarkable social and economic benefits.

Description

Traditional Chinese medicine ointment for treating spleen enlargement
Technical Field
The invention relates to the technical field of traditional Chinese medicines, in particular to a traditional Chinese medicine ointment for treating splenomegaly.
Background
Common causes of splenomegaly include infectious and non-infectious, and are commonly found in acute infections such as bacterial/viral/parasitic infections, chronic viral hepatitis, cirrhosis, hematopathy, connective tissue disease, schistosomiasis, malaria, and the like. Patients with chronic viral hepatitis and early stage liver cirrhosis have increased levels of various collagens in the liver, such as type I and iii collagen deposition, and mild splenomegaly, which can be reversed if positively treated. The spleen is normally not accessible under the rib, but is only accessible when the viscera sags or the diaphragm descends or inhales deeply, but does not exceed 1cm under the rib and has a softer texture.
At present, modern medicine mainly treats primary focus, surgical excision treatment, spleen arterial embolism and other symptomatic support treatment for treating splenomegaly, but the cause of the disease is unknown in many cases, and radical treatment is difficult, and sometimes even if the cause of the disease is clear, such as hepatitis B, fatty liver, alcoholic liver and the like, the disease can continue to progress forward due to limited treatment methods, so that advanced liver cirrhosis and even liver cancer occur. Therefore, western medicine has a limited effect on treating splenomegaly.
The combination of the syndrome differentiation and the diagnosis and treatment of the traditional Chinese medicine emphasizes the individual treatment, has stronger pertinence, obvious curative effect, small toxic and side effect and adverse reaction, is easy to be accepted by patients, and plays a positive role in the treatment of splenomegaly due to the characteristics of simplicity, convenience and low efficiency of the external treatment method of the traditional Chinese medicine. In the prior art, although the spleen is clinically researched according to the principle of dialectical treatment, various traditional Chinese medicines for treating spleen enlargement are developed, for example, CN107961346A discloses a Chinese herbal medicine foot soaking liquid for treating hepatosplenomegaly; CN103432519B discloses a traditional Chinese medicine for treating chronic hepatitis and hepatosplenomegaly due to liver cirrhosis; CN107050252a discloses a traditional Chinese medicine for treating hepatosplenomegaly and a preparation method thereof; CN103977283a discloses a traditional Chinese medicine oral liquid for treating hepatosplenomegaly; CN101732423a discloses a traditional Chinese medicine pill for treating hepatosplenomegaly; CN102100787a discloses a traditional Chinese medicine for treating hepatosplenomegaly and the like. However, the cause of splenomegaly is many, and its clinical therapeutic effect is not exact, and the size of spleen cannot be controlled effectively. Therefore, there is a need to develop a traditional Chinese medicine for treating splenomegaly, which aims at the splenomegaly caused by liver cirrhosis compensatory period and chronic viral hepatitis, but has not been reported in public so far.
Disclosure of Invention
Aiming at the situation, the invention aims to overcome the defects of the prior art and provide the traditional Chinese medicine ointment for treating splenomegaly, which can effectively solve the problems of inaccurate clinical treatment effect and unobvious effect of the traditional Chinese medicine for treating splenomegaly.
In order to achieve the aim, the technical scheme is that the traditional Chinese medicine ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 25-35 parts of vinegar rhizoma sparganii, 25-35 parts of vinegar rhizoma curcumae, 25-35 parts of radix trichosanthis, 25-35 parts of selfheal, 25-35 parts of calcined oyster, 15-25 parts of mirabilite, 15-25 parts of cassia twig, 5-15 parts of rheum officinale and 5-15 parts of borneol; the raw materials are uniformly mixed, and the traditional Chinese medicine composition comprises the following components in percentage by mass of 3.5:10:0.2:0.025 sesame oil, azelastone and vanillyl butyl ether are taken, firstly, the sesame oil is heated to 200 ℃ to 220 ℃, then the traditional Chinese medicine composition is added for extracting the medicine materials, the medicine is decocted until the appearance is dark brown and the interior is brown, the medicine residues are fished out, and the medicine oil is continuously heated and decocted until the temperature is 280 ℃ to 320 ℃ and the medicine oil is formed into beads by dripping water; adding red lead into the medicinal oil at uniform speed, wherein the mass ratio of the medicinal oil to the red lead is (10): 3-4, slowly pouring the mixture into cold water to soak for three days and days after the white thick smoke is exhausted and the red color disappears and the oil color changes from brown to black brown, changing water once a day to remove fire toxin, and obtaining plaster blocks; placing the plaster block into a container, heating with slow fire to 60-70deg.C, sequentially adding azepinone and vanillyl butyl ether, heating under stirring, spreading on non-woven fabric, and covering with anti-adhesive layer.
The invention has scientific and reasonable compatibility of components, abundant raw materials and simple preparation method, has the effects of activating blood circulation to dissipate blood stasis, softening and resolving hard mass, reducing swelling and relieving pain, can effectively control the size of spleen, obviously improves uncomfortable symptoms of patients, relieves pains of the patients, and has remarkable social and economic benefits.
Detailed Description
The following describes specific embodiments of the present invention in detail with reference to examples and specific cases.
The invention may be embodied by the following examples.
Example 1
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 28-33 parts of vinegar common burreed rhizome, 28-33 parts of vinegar zedoary, 28-33 parts of radix trichosanthis, 28-33 parts of common selfheal fruit-spike, 28-33 parts of calcined oyster shell, 18-22 parts of mirabilite, 18-22 parts of cassia twig, 8-11 parts of rhubarb and 8-11 parts of borneol; the raw materials are uniformly mixed, and the traditional Chinese medicine composition comprises the following components in percentage by mass of 3.5:10:0.2:0.025 sesame oil, azelastone and vanillyl butyl ether are taken, firstly, the sesame oil is heated to 200 ℃ to 220 ℃, then the traditional Chinese medicine composition is added for extracting the medicine materials, the medicine is decocted until the appearance is dark brown and the interior is brown, the medicine residues are fished out, and the medicine oil is continuously heated and decocted until the temperature is 280 ℃ to 320 ℃ and the medicine oil is formed into beads by dripping water; adding red lead into the medicinal oil at uniform speed, wherein the mass ratio of the medicinal oil to the red lead is (10): 3-4, slowly pouring the mixture into cold water to soak for three days and days after the white thick smoke is exhausted and the red color disappears and the oil color changes from brown to black brown, changing water once a day to remove fire toxin, and obtaining plaster blocks; placing the plaster block into a container, heating with slow fire to 60-70deg.C, sequentially adding azepinone and vanillyl butyl ether, heating under stirring, spreading on non-woven fabric, and covering with anti-adhesive layer.
Example 2
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 25 parts of vinegar common burreed rhizome, 25 parts of vinegar zedoary, 25 parts of radix trichosanthis, 25 parts of common selfheal fruit-spike, 25 parts of calcined oyster shell, 15 parts of mirabilite, 15 parts of cassia twig, 5 parts of rheum officinale and 5 parts of borneol.
Example 3
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 28 parts of vinegar rhizoma sparganii, 28 parts of vinegar rhizoma curcumae, 28 parts of radix trichosanthis, 28 parts of selfheal, 28 parts of calcined oyster, 18 parts of mirabilite, 18 parts of cassia twig, 8 parts of rheum officinale and 8 parts of borneol.
Example 4
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 30 parts of vinegar common burreed rhizome, 30 parts of vinegar zedoary, 30 parts of radix trichosanthis, 30 parts of common selfheal fruit-spike, 30 parts of calcined oyster shell, 20 parts of mirabilite, 20 parts of cassia twig, 10 parts of rheum officinale and 10 parts of borneol.
Example 5
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 33 parts of vinegar common burreed rhizome, 33 parts of vinegar zedoary, 33 parts of radix trichosanthis, 33 parts of common selfheal fruit-spike, 33 parts of calcined oyster shell, 23 parts of mirabilite, 23 parts of cassia twig, 13 parts of rhubarb and 13 parts of borneol.
Example 6
A Chinese medicinal ointment for treating splenomegaly is prepared from the following raw materials in parts by weight: 35 parts of vinegar common burreed rhizome, 35 parts of vinegar zedoary, 35 parts of radix trichosanthis, 35 parts of common selfheal fruit-spike, 35 parts of calcined oyster shell, 25 parts of mirabilite, 25 parts of cassia twig, 15 parts of rhubarb and 15 parts of borneol.
The traditional Chinese medicine used in the invention comprises the following components:
vinegar rhizoma Sparganii: san Leng is pungent, bitter and flat in property, enters liver and spleen meridians, and its actions of breaking qi stagnation and removing food retention are stronger, so it is often indicated for food stagnation and abdominal distention. San Leng after vinegar processing is added into blood system to break blood, remove stasis and soften hard mass, so it is often used for amenorrhea due to blood stasis and mass.
Vinegar rhizoma Curcumae: the curcuma zedoary has warm nature, pungent and bitter taste, enters liver and spleen meridians, has the effects of breaking blood and removing stasis, removing food retention and removing stasis, promoting qi circulation and relieving pain, and can enter blood and qi. It can promote blood circulation, remove blood stasis and relieve pain after being processed with vinegar.
Radix trichosanthis: slightly cold in nature, sweet in flavor and slightly bitter in flavor. Enter lung meridian and stomach meridian. Clearing heat and promoting fluid production, detumescence and expelling pus. Belongs to the heat-clearing herbs and belongs to the category of heat-clearing and fire-purging herbs.
Spica Prunellae: cold nature, pungent and bitter taste. It enters liver meridian and gallbladder meridian. Clearing away fire, improving eyesight, resolving hard mass, and relieving swelling. Belongs to the heat-clearing herbs and belongs to the category of heat-clearing and fire-purging herbs.
Calcined oyster: oyster is slightly cold in nature and salty in taste. It enters liver meridian, gallbladder meridian and kidney meridian. The medicine has the functions of relieving the weight of the heart and calming the nerves, suppressing yang and tonifying yin, softening hardness and resolving hard mass, and the calcined oyster has the functions of astringing and inducing astringency. Belongs to liver yang-soothing herbs belonging to the category of liver-pacifying and wind-extinguishing herbs.
Mirabilite: cold nature, salty and bitter taste. Enter stomach meridian and large intestine meridian. Purging heat, relaxing bowels, moistening dryness, softening hard masses, clearing pathogenic fire, and relieving swelling. Belongs to purgatives and purgation herbs in the category.
Ramulus Cinnamomi: pungent and sweet in flavor and warm in nature. Enter the bladder meridian, heart meridian and lung meridian. It is a pungent and warm herb that can relieve exterior syndrome, warm meridians, promote blood circulation, strengthen yang, promote qi circulation, smooth pulse and reduce qi.
Rhubarb: cold nature and bitter taste. It enters spleen meridian, stomach meridian, large intestine meridian, liver meridian and pericardium meridian. Purging heat, relaxing bowels, cooling blood, removing toxic substances, removing blood stasis, and dredging channels. Belongs to purgatives and purgation herbs in the category.
Borneol: cold nature, pungent and bitter taste. It enters heart meridian, spleen meridian and lung meridian. Inducing resuscitation, refreshing mind, clearing heat and relieving pain. Belongs to a resuscitation inducing medicine.
The formula takes rhizoma sparganii with vinegar and rhizoma curcumae with vinegar as principal drugs, activates blood circulation to remove blood stasis, moves qi to alleviate pain, ministerial drugs such as radix trichosanthis, selfheal and calcined oyster soften hardness to dissipate stagnation and detumescence, and auxiliary drugs such as rheum officinale and mirabilite to dispel hard fire, detoxify and detumescence, cassia twig dispel cold to alleviate pain, activate yang to remove qi, and the function of borneol detumescence, analgesia and transdermal absorbent is adopted, and the whole formula compatibility has the effects of activating blood circulation to remove blood stasis, softening hardness to dissipate stagnation together.
The traditional Chinese medicine composition disclosed by the invention is prepared scientifically, has stable quality and good curative effect, is strict in compatibility and complements each other according to monarch, minister, assistant and guide, and has very good beneficial technical effects through clinical experiments, and related experimental data are as follows (taking example 4 as an example):
1. case selection:
1.1 clinical data: 105 splenomegaly patients who were treated in a first affiliated hospital of Henan traditional Chinese medicine university were selected from 7 months 2021 to 7 months 2022, and were randomly divided into a control 1 group, a control 2 group and an experimental group, each group being 35 cases.
1.2 selection index:
(1) Inclusion criteria: all patients who were selected were splenomegaly patients with no serious dysfunction of heart, brain, liver and kidney, no obvious bleeding tendency and no history of drug abuse.
(2) Exclusion criteria: those who do not meet the inclusion criteria are those who are allergic to drugs, pregnant and lactating women, have history of drug abuse, and are not able to cooperate with the treatment of mental disturbance.
2. Treatment protocol:
the control 1 group is treated with the existing Chinese medicine (carapax Trionycis decoction), and the treatment course is 1 month; the control group 2 was treated with western medicine (reduced glutathione (liver protection enzyme reduction), entecavir (antiviral), and propranolol (portal vein pressure reduction) were taken according to the primary disease), and the course of treatment was 1 month; the experimental group is treated by the traditional Chinese medicine ointment disclosed in the embodiment 4 of the invention, and the ointment is applied for 1 time every 1-2 days and is continuously used for 1 month.
3. And (3) observing the indexes:
observation index and evaluation criteria:
1) Obvious effect or clinical cure: the discomfort symptoms of the patient are obviously reduced, and the upper abdomen color Doppler ultrasound examination is adopted for knowing the main trunk inner diameter, the main trunk flow velocity, the thickness, the long diameter, the internal diameter of the spleen vein and the like of the portal vein, so that the result shows that the spleen is greatly eliminated;
2) The method is effective: the discomfort symptoms of the patient are relieved, and the upper abdomen color Doppler ultrasound examination is adopted for knowing the main trunk inner diameter, the main trunk flow velocity, the thickness, the long diameter, the inner diameter of the spleen vein and the like of the portal vein, so that the result shows that the spleen size is reduced;
3) Invalidation: the discomfort symptoms of the patients are not improved, and the upper abdomen color Doppler ultrasound examination is adopted for knowing the main trunk inner diameter, the main trunk flow rate, the thickness, the long diameter, the inner diameter of the spleen vein and the like of the portal vein, so that the results show that the spleen is not improved greatly, even increased.
Total effective rate = [ (number of obvious or clinical recovery cases + number of effective cases)/total cases ] ×100%.
4. Safety evaluation:
first-order: safety and no adverse reaction;
and (2) second-stage: the medicine is safer, has adverse reaction, and can be continuously administered without any treatment;
three stages: has the safety problem and moderate adverse reaction, and can be continuously administered after treatment;
four stages: the test was discontinued due to adverse reactions.
5. And (3) test statistical treatment:
the test data are analyzed and processed by SPSS25.0 statistical software, and the difference of P < 0.05 is statistically significant. The results are shown in tables 1, 2 and 3 below:
table 1 comparison of changes in spleen thickness, major diameter and internal diameter of spleen vein after treatment of three groups of patients
Note that: delta: p < 0.05 compared with the group before treatment; #: p < 0.05 compared with the control 1 after treatment; the ∈: p < 0.05 compared to control group 2 after treatment.
Table 2 evaluation and comparison of overall efficacy after treatment for three groups of patients
Table 3 three patient safety assessments
From the above, the spleen thickness, the spleen long diameter and the spleen vein inner diameter of the patients in the experimental group are obviously reduced, 11 cases are obviously effective or healed, 19 cases are effective, the total effective rate reaches 85.7%, and adverse reactions do not occur in the experimental group.
6. Typical cases
Case 1: some male, 39 years old, the native place, run: unsealing the city, the Qixi and the peasant, and carrying out a first diagnosis on 10 months and 28 days in 2021.
Complaints: the right rib is distended and uncomfortable for more than 1 year, and the current medical history is that: the patients have symptoms of fullness and discomfort in the right hypochondrium and rib, dull complexion, hypodynamia, no attention, no special treatment and further system diagnosis and treatment in the hospital. The following symptoms: distention and discomfort in the right hypochondrium, dark complexion, hypodynamia, general sleep and normal urination and defecation. A dark red tongue with a thin and white coating, a visible sublingual vein and a wiry pulse. Checking: liver palms and spider nevi were positive. Auxiliary inspection: liver, gall, spleen and pancreas with portal vein color Doppler ultrasound prompting: cirrhosis, splenomegaly (thickness 55mm, long diameter 157mm, internal diameter of splenic vein 10 mm), liver function ALT:20.7, AST:15.9, GGT:68.1. diagnosis of traditional Chinese medicine: liver-qi stagnation and spleen-blood stasis. Western diagnosis: and B, hepatitis B liver cirrhosis compensation period.
The treatment method comprises the following steps: liver soothing, spleen strengthening, blood circulation activating, blood stasis removing, hard mass softening and resolving. A hot paste treatment 14 paste of the traditional Chinese medicine paste for treating splenomegaly described in the example 4 is prescribed, and the paste is externally applied to the spleen area, 1 paste per day.
Two diagnoses: the symptoms of the right hypochondrium, fullness and discomfort and hypodynamia of the patient are obviously improved before the 2021 is carried out on 12 months and 20 days. After half a year of use, the liver, gall, spleen and pancreas are rechecked by the portal vein color Doppler ultrasound prompt: liver cirrhosis, splenomegaly (thickness 40mm, length 143mm, internal diameter of splenic vein 7 mm), liver function is normal; after the treatment is continued for half a year, all symptoms are improved.
Case 2: somewhere, man, 42 years old, native: the first visit of the worker in Ru nan county of the standing-horse store, 4 months and 9 days in 2022.
Complaints: the left and right hypochondrium is uncomfortable for more than 1 year and aggravated for 1 week. The current medical history: the patients have discomfort of right hypochondrium and rib after 1 year and home vital energy, with abdominal distension and diarrhea, the symptoms are not obviously improved when the patients are treated by oral administration of traditional Chinese medicines to local clinics (in detail), the symptoms are repeatedly developed, the patients go to a hospital in Zhengzhou city, and the liver, gall, spleen and pancreas are added with portal color Doppler ultrasound prompt: liver cirrhosis, splenomegaly (thickness 64mm, long diameter 280mm, subcostal 87mm, internal diameter of splenic vein 17), liver function: ALT:47, TBIL:42.3 mu mol/l, five items of hepatitis B are small Sanyang, and the Entecavir dispersible tablet is antiviral, the thymus peptide enteric-coated tablet improves the immunity and the traditional Chinese medicine treatment. The symptoms of serious symptoms, slight hypodynamia, no abdominal distension and pain, nausea, gum bleeding and the like, which are caused by no obvious cause before 1 week, are solved for further system diagnosis and treatment so as to be treated in our hospital. The following symptoms: clear mind, general spirit, discomfortable right hypochondrium, slight debilitation, general sleep, normal urination and defecation, dark red tongue, bao Shao coating and wiry and thready pulse. Diagnosis of traditional Chinese medicine: liver-qi stagnation and spleen-blood stasis. Western diagnosis: hepatitis B liver cirrhosis compensating period, splenomegaly.
The treatment method comprises the following steps: liver soothing, spleen strengthening, blood circulation activating, blood stasis removing, hard mass softening and resolving. A hot paste treatment 14 paste of the traditional Chinese medicine paste for treating splenomegaly described in the example 4 is prescribed, and the paste is externally applied to the spleen area, 1 paste per day.
Two diagnoses: the symptoms of the right hypochondrium, the rib fullness and discomfort and the hypodynamia of the patient are obviously improved before the 2022 day, the 6 month and the 17 day. After half a year of use, the liver, gall, spleen and pancreas are rechecked by the portal vein color Doppler ultrasound prompt: liver cirrhosis, splenomegaly (thickness 44mm, long diameter 220mm, subcostal 60mm, internal diameter of splenic vein 13.8 mm), liver function is normal; after the treatment is continued for half a year, all symptoms are improved.
Case 3: jia somewhere, man, 54 years old, native: the first diagnosis of peasants in the city of Changku in Henan, 2022, 6 and 29 days.
Complaints: the intermittent right rib discomfort is more than 8 months. The current medical history: the patients have no obvious cause of discomfort and weakness of the right rib after 8 months, the local people's hospitals find the hepatitis B liver cirrhosis, the entecavir dispersible tablet antiviral treatment is carried out, the immunity is improved by the Zhenqi Fuzheng capsule, the liver protection and enzyme reduction treatment such as the glycyrrhizic acid diamine enteric capsule, the liver strengthening capsule and the like, so that the traditional Chinese medicine treatment is required until the clinic of our hospital is required to treat. The following symptoms: clear mind, mental condition, intermittent discomfort in the right hypochondrium, debilitation, bad smell in the mouth, insomnia, 1-2 days of stool, shaping, sticky texture and yellow urine. A dark red tongue with teeth marks on the sides, a thin, yellow and greasy coating, and a wiry and astringent pulse. Auxiliary inspection: liver, gall, spleen and pancreas with portal vein color Doppler ultrasound prompting: liver cirrhosis, splenomegaly (thickness 65mm, long diameter 168mm, internal diameter of splenic vein 12 mm), and liver function is normal. Diagnosis of traditional Chinese medicine: liver-qi stagnation and spleen-blood stasis. Western diagnosis: hepatitis B liver cirrhosis compensating period, splenomegaly.
The treatment method comprises the following steps: liver soothing, spleen strengthening, blood circulation activating, blood stasis removing, hard mass softening and resolving. A hot paste treatment 14 paste of the traditional Chinese medicine paste for treating splenomegaly described in the example 4 is prescribed, and the paste is externally applied to the spleen area, 1 paste per day.
Two diagnoses: the symptoms of the patients with distention and discomfort of the right hypochondrium and hypodynamia are obviously improved before 2022, 8 and 10 days. After the medicine is used for 1 month, the medicine is used in a hospital to review liver, gall, spleen and pancreas and portal vein color Doppler ultrasound prompt: liver cirrhosis, splenomegaly (thickness 54mm, long diameter 160mm, internal diameter of splenic vein 11 mm), and liver function is normal; after the treatment is continued for half a year, all symptoms are improved.
The invention tests the embodiment 4 and other embodiments at the same time, and the same and similar results are obtained, which are not listed here, and the invention has good effect and stable and reliable curative effect.
7. Conclusion(s)
In conclusion, the traditional Chinese medicine composition has the advantages of scientific and reasonable compatibility of components, abundant raw materials, simple preparation method, low cost and good effect, has the effects of promoting blood circulation to remove blood stasis, softening and resolving hard mass, and relieving swelling and pain, can effectively control the size of spleen, obviously improve uncomfortable symptoms of patients, and relieve pains of the patients, and can be used for treating spleen enlargement caused by chronic viral hepatitis and liver cirrhosis compensation period. The external treatment plaster is adopted to prepare the medicine into plaster to be applied to the affected part, the medicine is directly applied to the body surface, the medicine penetrating through the absorption of local skin or a meridian system can be directly applied to the affected part, the efficacy of the medicine is directly achieved, the effects of promoting blood circulation to remove blood stasis, softening hardness to dissipate stagnation and relieving swelling and pain are exerted, the size of liver and spleen can be effectively controlled, the discomfort symptoms of patients are obviously improved, the pain of the patients is relieved, and the social and economic benefits are obvious.
The technical characteristics and key points of the invention are that the traditional Chinese medicine composition is compatible, the traditional Chinese medicine ointment is only one dosage form embodiment, and all the dosage forms which are prepared by adopting the equivalent replacement means and are applicable to taking, such as powder (pulvis), granules, pills, tablets, oral liquid, capsules, extract powder and the like, are all within the protection scope of the invention.

Claims (9)

1. The traditional Chinese medicine ointment for treating splenomegaly is characterized by being prepared from the following raw materials in parts by weight: 25-35 parts of vinegar rhizoma sparganii, 25-35 parts of vinegar rhizoma curcumae, 25-35 parts of radix trichosanthis, 25-35 parts of selfheal, 25-35 parts of calcined oyster, 15-25 parts of mirabilite, 15-25 parts of cassia twig, 5-15 parts of rheum officinale and 5-15 parts of borneol; the raw materials are uniformly mixed, and the traditional Chinese medicine composition comprises the following components in percentage by mass of 3.5:10:0.2:0.025 sesame oil, azelastone and vanillyl butyl ether are taken, firstly, the sesame oil is heated to 200 ℃ to 220 ℃, then the traditional Chinese medicine composition is added for extracting the medicine materials, the medicine is decocted until the appearance is dark brown and the interior is brown, the medicine residues are fished out, and the medicine oil is continuously heated and decocted until the temperature is 280 ℃ to 320 ℃ and the medicine oil is formed into beads by dripping water; adding red lead into the medicinal oil at uniform speed, wherein the mass ratio of the medicinal oil to the red lead is (10): 3-4, slowly pouring the mixture into cold water to soak for three days and days after the white thick smoke is exhausted and the red color disappears and the oil color changes from brown to black brown, changing water once a day to remove fire toxin, and obtaining plaster blocks; placing the plaster block into a container, heating with slow fire to 60-70deg.C, sequentially adding azepinone and vanillyl butyl ether, heating under stirring, spreading on non-woven fabric, and covering with anti-adhesive layer.
2. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 28-33 parts of vinegar common burreed rhizome, 28-33 parts of vinegar zedoary, 28-33 parts of radix trichosanthis, 28-33 parts of common selfheal fruit-spike, 28-33 parts of calcined oyster shell, 18-22 parts of mirabilite, 18-22 parts of cassia twig, 8-11 parts of rhubarb and 8-11 parts of borneol; the raw materials are uniformly mixed, and the traditional Chinese medicine composition comprises the following components in percentage by mass of 3.5:10:0.2:0.025 sesame oil, azelastone and vanillyl butyl ether are taken, firstly, the sesame oil is heated to 200 ℃ to 220 ℃, then the traditional Chinese medicine composition is added for extracting the medicine materials, the medicine is decocted until the appearance is dark brown and the interior is brown, the medicine residues are fished out, and the medicine oil is continuously heated and decocted until the temperature is 280 ℃ to 320 ℃ and the medicine oil is formed into beads by dripping water; adding red lead into the medicinal oil at uniform speed, wherein the mass ratio of the medicinal oil to the red lead is (10): 3-4, slowly pouring the mixture into cold water to soak for three days and days after the white thick smoke is exhausted and the red color disappears and the oil color changes from brown to black brown, changing water once a day to remove fire toxin, and obtaining plaster blocks; placing the plaster block into a container, heating with slow fire to 60-70deg.C, sequentially adding azepinone and vanillyl butyl ether, heating under stirring, spreading on non-woven fabric, and covering with anti-adhesive layer.
3. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 25 parts of vinegar common burreed rhizome, 25 parts of vinegar zedoary, 25 parts of radix trichosanthis, 25 parts of common selfheal fruit-spike, 25 parts of calcined oyster shell, 15 parts of mirabilite, 15 parts of cassia twig, 5 parts of rheum officinale and 5 parts of borneol.
4. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 28 parts of vinegar rhizoma sparganii, 28 parts of vinegar rhizoma curcumae, 28 parts of radix trichosanthis, 28 parts of selfheal, 28 parts of calcined oyster, 18 parts of mirabilite, 18 parts of cassia twig, 8 parts of rheum officinale and 8 parts of borneol.
5. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 30 parts of vinegar common burreed rhizome, 30 parts of vinegar zedoary, 30 parts of radix trichosanthis, 30 parts of common selfheal fruit-spike, 30 parts of calcined oyster shell, 20 parts of mirabilite, 20 parts of cassia twig, 10 parts of rheum officinale and 10 parts of borneol.
6. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 33 parts of vinegar common burreed rhizome, 33 parts of vinegar zedoary, 33 parts of radix trichosanthis, 33 parts of common selfheal fruit-spike, 33 parts of calcined oyster shell, 23 parts of mirabilite, 23 parts of cassia twig, 13 parts of rhubarb and 13 parts of borneol.
7. The traditional Chinese medicine ointment for treating splenomegaly according to claim 1, which is characterized by being prepared from the following raw materials in parts by weight: 35 parts of vinegar common burreed rhizome, 35 parts of vinegar zedoary, 35 parts of radix trichosanthis, 35 parts of common selfheal fruit-spike, 35 parts of calcined oyster shell, 25 parts of mirabilite, 25 parts of cassia twig, 15 parts of rhubarb and 15 parts of borneol.
8. The Chinese medicinal ointment for treating splenomegaly according to any one of claims 1 to 7, wherein the splenomegaly comprises liver cirrhosis compensation and splenomegaly caused by chronic viral hepatitis.
9. The Chinese medicinal ointment according to any one of claims 1 to 7, wherein the Chinese medicinal ointment is a pharmaceutically acceptable ointment, plaster, gel, paste, film coating agent, cataplasm, transdermal patch, topical liquid preparation, skin external film preparation, topical aerosol or topical tincture in any dosage form.
CN202310448182.8A 2023-04-24 2023-04-24 Traditional Chinese medicine ointment for treating spleen enlargement Active CN116474058B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310448182.8A CN116474058B (en) 2023-04-24 2023-04-24 Traditional Chinese medicine ointment for treating spleen enlargement

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310448182.8A CN116474058B (en) 2023-04-24 2023-04-24 Traditional Chinese medicine ointment for treating spleen enlargement

Publications (2)

Publication Number Publication Date
CN116474058A true CN116474058A (en) 2023-07-25
CN116474058B CN116474058B (en) 2024-06-14

Family

ID=87220908

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202310448182.8A Active CN116474058B (en) 2023-04-24 2023-04-24 Traditional Chinese medicine ointment for treating spleen enlargement

Country Status (1)

Country Link
CN (1) CN116474058B (en)

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108785609A (en) * 2018-08-24 2018-11-13 浏阳市中医医院 A kind of Chinese medicine composition for treating hepatic sclerosis splenomegaly

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108785609A (en) * 2018-08-24 2018-11-13 浏阳市中医医院 A kind of Chinese medicine composition for treating hepatic sclerosis splenomegaly

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
党中勤: "中药外敷为主治疗肝硬化门脉高压症64例", 中国中西医结合消化杂志, vol. 10, no. 02, 25 April 2002 (2002-04-25), pages 123 *

Also Published As

Publication number Publication date
CN116474058B (en) 2024-06-14

Similar Documents

Publication Publication Date Title
CN102188685B (en) Externally-applied traditional Chinese medicine powder for treating diarrhea type irritable bowel syndrome and preparation method thereof
CN103301400A (en) Traditional Chinese medicinal composition for treating chronic atrophic gastritis and preparation method of traditional Chinese medicinal composition
CN103341092B (en) Preparation method of powder for treating atrophic vaginitis
CN101274024A (en) Pharmaceutical compositions for curing toothache
CN102657795A (en) Traditional Chinese medicine preparation for promoting postoperative incision healing
CN103301353B (en) Pharmaceutical composition for treating atrophic vaginitis
CN103285284B (en) Medical composition for treating senile vaginitis
CN102872362B (en) Traditional Chinese medicine for treating chronic cholecystitis
CN116474058B (en) Traditional Chinese medicine ointment for treating spleen enlargement
CN104547736A (en) Medicine for treating goiter
CN105434739A (en) Traditional Chinese medicine composition for treating chalazia and preparation method thereof
CN104225016A (en) Drug composition for treating spleen and stomach deficiency type chronic atrophic gastritis
CN101085303A (en) Oral administration traditional Chinese medicine composition for treating hyperplasia of mammary glands
CN104825779A (en) Traditional Chinese medicine oral aerosol
CN104352667A (en) Medicine for treating nonspecific vaginitis and preparation method
CN102764325B (en) Chinese medicinal composition for dispelling rheumatism and relieving pain
CN109833371B (en) Traditional Chinese medicine composition for treating constipation after hemorrhoids and fistula operation and preparation method and application thereof
CN103041362A (en) Drug for treating rheumatism and rheumatoid and preparation method thereof
CN113491739B (en) Pain-relieving and stasis-eliminating traditional Chinese medicine for treating endometriosis and preparation method thereof
CN105232661A (en) Traditional Chinese medicine composition for treating mastitis and preparation method thereof
CN105726849B (en) It is a kind of for treating the Chinese medicine of diabetes Depression
CN105079661A (en) Traditional Chinese medicine composition for treating hemafecia
CN105288436A (en) Medicament for treatment of chronic eczema
CN104645224A (en) Traditional Chinese medicine preparation for treating costal chondritis
CN106309926A (en) Composition prepared from bee products and medical and edible dual-purpose food and used for treating gastritis and gastric ulcer

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant