CN117137983A - Traditional Chinese medicine composition and traditional Chinese medicine preparation for promoting wound healing and preparation method thereof - Google Patents

Traditional Chinese medicine composition and traditional Chinese medicine preparation for promoting wound healing and preparation method thereof Download PDF

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Publication number
CN117137983A
CN117137983A CN202311157528.5A CN202311157528A CN117137983A CN 117137983 A CN117137983 A CN 117137983A CN 202311157528 A CN202311157528 A CN 202311157528A CN 117137983 A CN117137983 A CN 117137983A
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chinese medicine
traditional chinese
wound healing
preparation
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刘波
陈�峰
秦玉静
胡月婷
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Qingdao Municipal Hospital
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    • 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)
    • A61K36/56Loganiaceae (Logania family), e.g. trumpetflower or pinkroot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
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    • 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)
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    • 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)
    • A61K36/34Campanulaceae (Bellflower family)
    • 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)
    • A61K36/35Caprifoliaceae (Honeysuckle family)
    • A61K36/355Lonicera (honeysuckle)
    • 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)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/489Sophora, e.g. necklacepod or mamani
    • 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)
    • A61K36/63Oleaceae (Olive family), e.g. jasmine, lilac or ash tree
    • A61K36/634Forsythia
    • AHUMAN NECESSITIES
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    • A61K36/18Magnoliophyta (angiosperms)
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    • A61K36/75Rutaceae (Rue family)
    • AHUMAN NECESSITIES
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    • 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)
    • A61K36/84Valerianaceae (Valerian family), e.g. valerian
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/87Vitaceae or Ampelidaceae (Vine or Grape family), e.g. wine grapes, muscadine or peppervine
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    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
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    • A61P17/00Drugs for dermatological disorders
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    • A61K2236/30Extraction of the material
    • A61K2236/33Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones
    • A61K2236/331Extraction of the material involving extraction with hydrophilic solvents, e.g. lower alcohols, esters or ketones using water, e.g. cold water, infusion, tea, steam distillation or decoction
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    • A61K2236/39Complex extraction schemes, e.g. fractionation or repeated extraction steps
    • 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
    • A61K2236/50Methods involving additional extraction steps
    • A61K2236/51Concentration or drying of the extract, e.g. Lyophilisation, freeze-drying or spray-drying

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Abstract

The application discloses a traditional Chinese medicine composition for promoting wound healing, a traditional Chinese medicine preparation and a preparation method thereof. The traditional Chinese medicine composition comprises the following components in parts by weight: 10-15 parts of nux vomica, 20-25 parts of honeysuckle, 15-20 parts of weeping forsythia, 10-15 parts of herba patriniae, 10-15 parts of Chinese lobelia herb, 15-20 parts of Japanese ampelopsis root, 10-15 parts of mirabilite, 10-15 parts of borneol, 15-20 parts of kuh-seng, 10-15 parts of alum, 15-20 parts of dittany bark, 15-20 parts of rhizoma atractylodis and 5-10 parts of calomel. The traditional Chinese medicine composition has the effects of clearing heat and detoxicating, resolving hard mass and detumescence, can effectively inhibit bacterial reproduction of wound surfaces, astringe wound surfaces and effectively promote wound healing.

Description

Traditional Chinese medicine composition and traditional Chinese medicine preparation for promoting wound healing and preparation method thereof
Technical Field
The application relates to the field of traditional Chinese medicines, in particular to a traditional Chinese medicine composition for promoting wound healing, a traditional Chinese medicine preparation and a preparation method thereof.
Background
Wound surfaces are damage to normal skin (tissue) caused by external injury factors such as surgery, external force, heat, current, chemicals, low temperature, and internal factors of the body such as local blood supply disorder. At present, after surgery, the wound surface is often changed by adopting an iodophor solution and a treatment method of dressing by using a sterile dressing, and the wound surface infection probability is higher after the conventional dressing change of the iodophor solution, the wound surface has good healing rate, the healing days are longer, and the wound surface is easy to develop into a chronic wound surface difficult to heal, so that more serious consequences are caused.
Disclosure of Invention
The application aims to solve the technical problems and provides a traditional Chinese medicine composition for promoting wound healing, a traditional Chinese medicine preparation and a preparation method thereof.
In a first aspect, the present application provides a traditional Chinese medicine composition for promoting wound healing, which is realized by adopting the following technical scheme.
A traditional Chinese medicine composition for promoting wound healing comprises the following components in parts by weight:
10-15 parts of nux vomica, 20-25 parts of honeysuckle, 15-20 parts of weeping forsythia, 10-15 parts of herba patriniae, 10-15 parts of Chinese lobelia herb, 15-20 parts of Japanese ampelopsis root, 10-15 parts of mirabilite, 10-15 parts of borneol, 15-20 parts of kuh-seng, 10-15 parts of alum, 15-20 parts of dittany bark, 15-20 parts of rhizoma atractylodis and 5-10 parts of calomel.
In the formula of the application, the honeysuckle has aromatic smell, light weight, good property, and can disperse and dispel the cold and sweet smell, enter the lung and stomach, and has the effects of clearing heat and detoxicating; fructus forsythiae is fragrant in smell, light in weight, and has the effects of clearing heat, purging pathogenic fire, removing sore toxin, resolving carbuncles and resolving masses, and the two are combined to serve as monarch drugs to play roles of clearing heat, removing toxicity, resolving masses and relieving swelling. Herba Patriniae has effects of clearing heat and detoxicating, expelling pus and removing blood stasis; half Bian Lianqing is a good product for sterilization and anti-inflammation, and has the effects of heat and detoxification, and inducing diuresis to alleviate edema; the ampelopsis japonica has the effects of clearing heat and detoxicating, promoting tissue regeneration and relieving pain, and can promote wound healing; kuh-seng clears heat and eliminates dampness, kills insects; cortex Dictamni Radicis has effects of clearing heat, eliminating dampness, dispelling pathogenic wind and removing toxic substances; the rhizoma atractylodis has the effects of strengthening spleen, drying dampness, resolving depression and avoiding dirt, and the medicines are used as ministerial medicines to assist in increasing the effects of clearing heat and detoxicating, killing parasites and sterilizing, removing stasis and expelling pus, inhibit bacterial reproduction of wound surfaces and facilitate wound surface drying. The mirabilite has the effects of moistening dryness, softening hard masses, clearing heat, relieving swelling, clearing heat and removing toxicity, enabling borneol to clear away heat, enabling alum to detoxify, killing parasites, eliminating dampness, relieving itching, and has good antibacterial and astringent effects, and the calomel has the effects of killing parasites, counteracting toxins and healing sores when being used for external use, and the effects of killing parasites, disinfecting, astringing wound surfaces and promoting wound healing of the whole prescription are further improved by using the medicine as an adjuvant.
Preferably, the traditional Chinese medicine composition for promoting wound healing comprises the following components in parts by weight:
12 parts of nux vomica, 24 parts of honeysuckle, 16 parts of weeping forsythia, 14 parts of herba patriniae, 12 parts of Chinese lobelia herb, 18 parts of Japanese ampelopsis root, 12 parts of mirabilite, 14 parts of borneol, 16 parts of kuh-seng, 14 parts of alum, 16 parts of cortex dictamni, 18 parts of rhizoma atractylodis and 6 parts of calomel.
In a second aspect, the application provides a traditional Chinese medicine preparation for promoting wound healing, which is realized by adopting the following technical scheme.
A Chinese medicinal preparation for promoting wound healing comprises the Chinese medicinal composition.
Further, the traditional Chinese medicine preparation is tincture.
In a third aspect, the application provides a preparation method of a traditional Chinese medicine preparation for promoting wound healing, which is realized by adopting the following technical scheme.
The preparation method of the traditional Chinese medicine preparation for promoting wound healing comprises the following steps:
a. weighing specified amount of semen Strychni, flos Lonicerae, fructus forsythiae, herba Patriniae, herba Lobeliae chinensis, radix Ampelopsis, natrii sulfas, borneolum Syntheticum, radix Sophorae Flavescentis, alumen, cortex Dictamni Radicis, rhizoma Atractylodis and Calomelas, adding 5.5-6 times of water, heating to boil, condensing and refluxing for 35-40min, and collecting condensate; then adding water 5.5-6 times of the total weight of the raw materials, heating to boiling, condensing and refluxing for 35-40min, and collecting condensate;
b. combining the condensate collected in the two steps, and concentrating under reduced pressure for 36-48h under the pressure of-1.2 MPa to obtain extract;
c. adding the extract into 75% ethanol solution to prepare 10% solution by mass.
The application has the following beneficial effects.
The traditional Chinese medicine composition has the effects of clearing heat and detoxicating, resolving hard mass and detumescence, can effectively inhibit bacterial reproduction of wound surfaces, astringe wound surfaces and effectively promote wound healing. The traditional Chinese medicine composition disclosed by the application is scientific and reasonable in compatibility, good in treatment effect and wide in application prospect.
Drawings
FIG. 1 is a state diagram of the application prior to treatment of a clinically typical case;
FIG. 2 is a state diagram of the application after a treatment of a clinical typical case;
FIG. 3 is a state diagram of the application prior to treatment in clinical exemplary case two;
fig. 4 is a state diagram after treatment of a clinical typical case two according to the present application.
Detailed Description
The present application is further illustrated below with reference to examples.
Examples
A preparation method of a topical Chinese medicinal tincture for promoting wound healing comprises the following steps:
a. weighing 12g of nux vomica, 24g of honeysuckle, 16g of fructus forsythiae, 14g of herba patriniae, 12g of Chinese lobelia, 18g of Japanese ampelopsis root, 12g of mirabilite, 14g of borneol, 16g of kuh-seng, 14g of alum, 16g of cortex dictamni, 18g of rhizoma atractylodis and 6g of calomel;
b. placing the weighed raw materials into a container, adding water which is 5.5 times of the total weight of the raw materials into the container, heating to boiling, condensing and refluxing for 35min, and collecting condensate; then adding water which is 5.5 times of the total weight of the raw materials into a container, heating to boiling, condensing and refluxing for 35min, and collecting condensate;
c. combining the condensate collected in the two steps, placing the condensate in a rotary evaporator, and concentrating under reduced pressure for 48 hours under the pressure of-1.2 MPa to obtain extract;
d. adding the extract into 75% ethanol solution to prepare 10% solution by mass fraction, and obtaining the external traditional Chinese medicine tincture.
Clinical trials
120 patients receiving surgical treatment were all from the urban hospitals in Qingdao city.
The subject of the clinical study is from
(1) Inclusion criteria
(1) About 1 week after orthopaedics operation, the examination can see that more exudates appear at the incision or yellow exudates appear on the dressing; (2) pressing the patient incision, with free necrotic tissue or floating fat droplets; (3) the exudates are microscopic in that a large number of fat drops are visible, and bacteria are not grown after continuous multiple culture.
(2) Exclusion criteria
(1) Sinus formation, or severe infection with incisions; (2) there are other systemic underlying primary diseases; (3) mental abnormalities, failing to match the study.
120 patients receiving surgery were randomly divided into a Chinese medicinal tincture group and an iodophor group, each group of 60 patients. Spraying Chinese medicinal tincture (prepared in example 1) on wound surface and sterile gauze covering the wound surface, and maintaining sterile gauze wet dressing for 1 time every 3 days; patients in the iodophor group were conventionally dressed with iodophor solution, wrapped with sterile dressing, and dressed 1 time every 3 days.
The results show that 12 cases of patients in the traditional Chinese medicine tincture group have wound redness, 3 cases of patients have wound infection, the wound infection rate is 5%, the good healing rate is 75%, and the healing days are 12.78+/-1.21 days; the iodophor group has wound redness of 15 patients, wound infection of 7 patients, wound infection rate of 11.66%, good healing rate of 63.33%, and healing days of 14.78+ -1.77 days.
The statistical comparison shows that the wound infection rate of the traditional Chinese medicine tincture group is obviously lower than that of the iodophor group (P < 0.001), the good wound healing rate is obviously higher than that of the iodophor group (P < 0.001), and the healing days are obviously shorter than that of the iodophor group (P < 0.001).
The state diagrams of the application before and after the treatment of the clinical typical case I and the case II are shown in figures 1-4, and the clinical result shows that the improvement is obvious after the use.
The embodiments of the present application are all preferred embodiments of the present application, and are not intended to limit the scope of the present application in this way, therefore: all equivalent changes in structure, shape and principle of the application should be covered in the scope of protection of the application.

Claims (5)

1. A traditional Chinese medicine composition for promoting wound healing is characterized in that: the composite material consists of the following components in parts by weight:
10-15 parts of nux vomica, 20-25 parts of honeysuckle, 15-20 parts of weeping forsythia, 10-15 parts of herba patriniae, 10-15 parts of Chinese lobelia herb, 15-20 parts of Japanese ampelopsis root, 10-15 parts of mirabilite, 10-15 parts of borneol, 15-20 parts of kuh-seng, 10-15 parts of alum, 15-20 parts of dittany bark, 15-20 parts of rhizoma atractylodis and 5-10 parts of calomel.
2. The traditional Chinese medicine composition for promoting wound healing according to claim 1, wherein the traditional Chinese medicine composition is characterized in that: the composite material consists of the following components in parts by weight:
12 parts of nux vomica, 24 parts of honeysuckle, 16 parts of weeping forsythia, 14 parts of herba patriniae, 12 parts of Chinese lobelia herb, 18 parts of Japanese ampelopsis root, 12 parts of mirabilite, 14 parts of borneol, 16 parts of kuh-seng, 14 parts of alum, 16 parts of cortex dictamni, 18 parts of rhizoma atractylodis and 6 parts of calomel.
3. A traditional Chinese medicine preparation for promoting wound healing is characterized in that: the traditional Chinese medicine preparation comprises the traditional Chinese medicine composition of claim 1 or 2.
4. A traditional Chinese medicine preparation for promoting wound healing according to claim 3, wherein: the Chinese medicinal preparation is tincture.
5. A method for preparing the traditional Chinese medicine preparation for promoting wound healing according to claim 4, which is characterized in that: the method comprises the following steps:
a. weighing specified amount of semen Strychni, flos Lonicerae, fructus forsythiae, herba Patriniae, herba Lobeliae chinensis, radix Ampelopsis, natrii sulfas, borneolum Syntheticum, radix Sophorae Flavescentis, alumen, cortex Dictamni Radicis, rhizoma Atractylodis and Calomelas, adding 5.5-6 times of water, heating to boil, condensing and refluxing for 35-40min, and collecting condensate; then adding water 5.5-6 times of the total weight of the raw materials, heating to boiling, condensing and refluxing for 35-40min, and collecting condensate;
b. combining the condensate collected in the two steps, and concentrating under reduced pressure for 36-48h under the pressure of-1.2 MPa to obtain extract;
c. adding the extract into 75% ethanol solution to prepare 10% solution by mass.
CN202311157528.5A 2023-09-08 2023-09-08 Traditional Chinese medicine composition and traditional Chinese medicine preparation for promoting wound healing and preparation method thereof Withdrawn CN117137983A (en)

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Application publication date: 20231201